Page 143 - 5D.Charlotte.Sydney

Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Sale
Action
FORM 1099-B*
SILVERGATE CAP CORP CL A,
100.000
Quantity
200.000
100.000
300.000
210.000
130.000
1,679.000
400.000
100.000
30.000
100.000
101.000
520.000
683.000
548.000
700.000
900.000
200.000
200.000
200.000
100.000
100.000
1,130.000
SI,
Transactions for which basis
1b Date
Acquired
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
82837P408
1a Description of property, Stock or Other Symbol, CUSIP
or Disposed
1c Date Sold
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
12/31/19
02/09/2020 9001572465
if this income is taxable and the IRS determines that it has not been reported.
1,591.22
471.29
17,797.13
4,724.90
8,674.66
8,189.83
3,151.93
3,141.75
1d Proceeds
26,359.75
1,578.96
10,989.77
10,722.87
1,569.96
3,165.93
2,046.15
3,320.03
6,303.86
1,583.96
1,577.96
3,139.93
1,578.46
1,576.96
14,192.70
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
1e Cost or
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Other Basis (b)
JEFFREY AND KAREN BLOCK REV TR
Market
Discount
1f Accrued
(IRS Form 1099-B box numbers are shown below in bold type)
Proceeds are reported as gross proceeds unless otherwise indicated (a).(This Label is a Substitute for Boxes 2, 5, 6 & 12)
Account No.
2019 Proceeds from Broker and Barter Exchange Transactions
Loss
Disallowed
1g Wash Sale
Recipient ID No.
649-690260
***-**-1895
Gain/Loss (-)
Pages 4 of 12
Customer Service:
Withheld
Income Tax
4 Federal
Payer's Fed ID Number:
2019 TAX REPORTING STATEMENT
415-326-7650
04-3523567
is not reported to the IRS and Term is Unknown--report on Form 8949 with Box B or E checked and/or Schedule D, Part I or II
* This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you
Copy B for Recipient OMB No. 1545-0715
Withheld
14 State
16 State Tax