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title: DOJ Epstein Files, Data Set 9 (EFTA00175998)
source: DOJ Epstein Files, Data Set 9
sourceUrl: https://huggingface.co/datasets/ishumilin/epstein-files-ocr-complete
date: '2026-01-01'
category: DOJ Data Set
eftaNumber: EFTA00175998
ocrPages: 0
ocrChars: 209285
ocrElapsed: 0
parseTier: external
engine: ishumilin OCR pipeline (engine undisclosed; CC0 mirror)
externalSource: ishumilin-ocr-complete
externalLicense: CC0-1.0
externalCredit: ishumilin/epstein-files-ocr-complete (Hugging Face)
externalUrl: https://huggingface.co/datasets/ishumilin/epstein-files-ocr-complete
EFTA00175998
LAW OFFICES OF
GERALD B. LEFCOURT, P.C. A PROFESSIONAL CORPORATION 148 EAST 78TH STREET NEW YORK, NEW YORK 10021
GERALD B. LEFCOURT
| Name | Contact Information |
| :--- | :--- |
| SHERYL E. REICH | reich@lefcourtlaw.com |
| RENATO C. STABILE | stabile@lefcourtlaw.com |
| FAITH A. FRIEDMAN | ffriedman@lefcourtlaw.com |
June 12, 2007
BY FEDERAL EXPRESS
A. Marie Villafaña, Esq.
Assistant United States Attorney
Office of the United States Attorney
Southern District of Florida
500 South Australian Avenue, Suite 400
West Palm Beach, Florida 33401
Subpoenas dated May 31, 2007, to J. Epstein Virgin Islands Foundation, Inc., J. Epstein & Co., Inc.; Epstein Interests; and Financial Trust Company, Inc.
Dear Ms. Villafana:
I write to respond to the subpoenas served on the above entities all dated May 31, 2007. Each of the subpoenas has a substantively identical Attachment to Subpoena describing the documents requested.
Be advised that J. Epstein & Co., Inc., executed a certificate of dissolution in December 2000 and therefore could not have any documents responsive to the subpoena. Please be further advised that no entity has any documents responsive to Request Nos.1,3,4 and 5. We are still in the process of ascertaining whether documents responsive to Request No.2 exist, and will provide them to you, assuming they do exist, as soon as we are able to do so. Finally, we have enclosed for your review all documents we believe to be responsive to Request No.6, including a schedule of the corporate directors, board members and shareholders of each entity, to the extent the question is applicable to each entity.
The documents provided bear the following production numbers, which we note were placed on said documents for control purposes only and do not appear on the documents in the normal course:
Schedule of Corporate Directors, Board Members, Shareholders J. Epstein Virgin Islands Foundation, Inc.
JEVIF 0001
EFTA00175999
LAW OFFICES OF
GERALD B. LEFCOURT, P.C.
A. Marie Villafaña, Esq. Assistant United States Attorney Office of the United States Attorney Southern District of Florida June 12, 2007
Page 2
| IRS Form 1096 J. Epstein Virgin Islands Foundation, Inc.2004 | JEVIF 0002 |
| IRS Form 1099 J. Epstein Virgin Islands Foundation,Inc.2004 | JEVIF 0003 |
| IRS Form 1096 J. Epstein Virgin Islands Foundation,Inc.2003 | JEVIF 0004 |
| IRS Form 1099 J. Epstein Virgin Islands Foundation,Inc.2003 | JEVIF 0005 |
| Schedule of Corporate Directors, Board Members, Shareholders | |
| Epstein Interests | EI 0001 |
| IRS Forms W2 Epstein Interests 2006 | EI 0002-0003 |
| IRS Form W2 Epstein Interests 2005 | EI 0004 |
| IRS Form 1096 Epstein Interests 2005 | EI 0005 |
| IRS Form 1099 Epstein Interests 2005 | EI 0006 |
| Financial Trust Co., Inc. | FTC 0001 |
| IRS Form W3 Financial Trust Co., Inc.2006 | FTC 0002 |
| IRS Form W2 Financial Trust Co., Inc.2006 | FTC 0003-0008 |
| IRS Form W3 Financial Trust Co., Inc.2005 | FTC 0009 |
| IRS Form W2 Financial Trust Co., Inc.2005 | FTC 0010-0015 |
| IRS Form W3 Financial Trust Co., Inc.2004 | FTC 0016 |
| IRS Form W2 Financial Trust Co., Inc.2004 | FTC 0017-0022 |
| IRS Form W3 Financial Trust Co., Inc.2003 | FTC 0023 |
| IRS Form W2 Financial Trust Co., Inc.2003 | FTC 0024-0030 |
| IRS Form 1096 Financial Trust Co., Inc.2006 | FTC 0031 |
| IRS Form 1099 Financial Trust Co., Inc.2006 | FTC 0032-0033 |
| IRS Form 1096 Financial Trust Co., Inc.2005 | FTC 0034 |
| IRS Form 1099 Financial Trust Co., Inc.2005 | FTC 0035-0036 |
| IRS Form 1096 Financial Trust Co., Inc.2004 | FTC 0037 |
| IRS Form 1099 Financial Trust Co., Inc.2004 | FTC 0038-0041 |
| IRS Form 1096 Financial Trust Co., Inc.2003 | FTC 0042 |
| IRS Form 1099 Financial Trust Co., Inc.2003 | FTC 0043-0045 |
EFTA00176000
LAW OFFICES OF
GERALD B. LEFCOURT, P.C.
A. Marie Villafaña, Esq.
Assistant United States Attorney
Office of the United States Attorney
Southern District of Florida
June 12, 2007
If you have any questions, please do not hesitate to call.
Very truly yours,
Russell Lefcourt
Gerald B. Lefcourt
cc: Special Agent Nesbitt Kuyrkendall Lilly Ann Sanchez, Esq.
EFTA00176001
Response to Request No. 6 to
Subpoena dated May 31, 2007, to J. Epstein Virgin Islands Foundation, Inc.
J. Epstein Virgin Islands Foundation, Inc.
Corporate Directors/Board Members: Jeffrey Epstein, Cecile De Jongh, Darren Indyke No Shareholders
JEVIF001
EFTA00176002
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | Cust No. 1846-0115 2004 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalties | ||||
| 3 Other Income | ||||
| PAYER'S Federal identification number | RECIPIENT'S Identification number | 8 Flashing boat proceeds | 8 Medical and health care payments | Copy C For Payer or State Copy |
| 66-0585379 | 66-0436649 | $ | $ | |
| RECIPIENT'S name, address, and ZIP code PAUL HOFFMAN P.C. E. VI 00804-0870 | 7 Nonemployee compensation | $25000.00 | 8 Substitute payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2004 General Instructions for Forms 1099, 1098, 5498, and W-2G. |
| 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (replaced) for resale ▷ | $ | 10 Crop insurance proceeds | ||
| 11 | $ | 12 | ||
| 13 Excess golden parachute payments | $ | 14 Gross proceeds paid to an attorney | ||
| 15 | 18 State tax withheld | 17 State/Payer's state no. | 18 State Income | |
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
□ VOID □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1545-0115 2004 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalties | ||||
| 3 Other Income | 4 Federal income tax withheld | |||
| 5 Fishing boat proceeds | 6 Medical and health care payments | |||
| PAYER'S Federal identification number | RECIPIENT'S Identification number | 6 Fishing boat proceeds | 6 Medical and health care payments | Copy C For Payer or State Copy |
| RECIPIENT'S name, address, and ZIP code | 7 Nonemployee compensation | 0 Substitute payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2004 General Instructions for Forms 1099, 1098, 5498, and W-2G. | |
| 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▷ | 10 Crop insurance proceeds | |||
| 11 | 12 | |||
| Account number (optional) | 2nd TIN not. | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |
| 15 | 16 State tax withheld | 17 State/Payer's state no. | 18 State Income | |
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
JEVIF003
| EFTA00176003 | | :--- | :---
Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.
Under perallitos of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.
Signature ▶
COLLECTION & DEPOSIT SECTION - No. 2
Instructions
Date > 2/11/04
Purpose of form. Use this form to transmit paper Forms 1099, 1098, 5498, and W-2G for National Revenue Service. Do not use Form 1096 to transmit electronic calls or magnetically. For magnetic media, see Form 4804. Transmission of information Returns Reported Magnetically; for electronic submissions, see Pub. 1220, Specifications for Filing Forms 1098, 1099, 5498 and W-2G Electronically or Magnetically.
Who must file. The name, address, and TIN of the filer on this form must be the same as those you enter in the upper left area of Forms 1099, 1098, 5498, or W-2G. A filer includes a payer; a recipient of mortgage Interest payments (including points) or student loan Interest; an educational institution; a broker; a barter exchange; a creditor; a person reporting real estate transactions; a trustee or issuer of any Individual retirement arrangement, a Coverdell ESA, an Archer MSA (including a Medicare+Choice MSA); certain corporations; and a lender who acquires an interest in secured property or who has reason to know that the property has been abandoned.
Preaddressed Form 1098, If you received a preaddressed Form 1096 from the IRS with Package 1099, use it to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. If any of the preprinted information is incorrect, make corrections on the form.
If you are not using a preaddressed form, enter the filer's name, address (including room, suite, or other unit number), and TIN in the spaces provided on the form.
When to file. File Form 1096 with Forms 1099, 1098, or W-2G by March 1, 2004. File Form 1096 with Forms 5498, 5498-ESA, and 5498-MSA by May 31, 2004.
Where To File
Send all information returns filed on paper with Form 1096 to the following:
If your principal business, office or agency, or legal residence in the case of an individual, is located in
Use the following Internal Revenue Service Center address:
Alabama, Arizona, Florida, Georgia,
Louisiana, Mississippi, New Mexico,
North Carolina, Texas,
Austin, TX 7330
| Location | City | State |
| :--- | :--- | :--- |
| Arkansas, Connecticut, Delaware, Kentucky, Maine, Massachusetts, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, West | Cincinnati, OH 4598 | |
| Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Wisconsin |
| :--- |
Kansas City, MO 6496
For more Information and the Privacy Act and Paperwork Reduction Act Notice, see the 2003 General Instructions for Forms 1098, 1098, 5498, and W-2G.
Cat. No. 14400O
Form 1096 (201
JEVÍF004
EFTA00176004
| PAYER's name, street address, city, state, ZIP code, and telephone no. ENHANCED EDUCATION (J. CUPSTEIN VIRGIN ESTATE FOUNDATION INC.) 6100 RED BOOK STREET, B3 ST. THOMAS, U.S.VI 00802-1348 | 1 Rents | OMB No. 1645-0115 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| $ | |||||
| 2 Royalties | |||||
| 3 Other income | State Copy or Extra File Copy | ||||
| $ | |||||
| PAYER'S Federal identification number | RECIPIENT'S Identification number | 5 Pishing boat proceeds | |||
| 66-0555379 | 66-0436649 | $ | |||
| RECIPIENT'S name, address, (including apt. no.), city, state, and ZIP code PAUL HOFFMAN P.O. P.O. BOX 870 CHARLOTTE AMALIE, 00804-0970 | 7 Nonemployer compensation | $ 25,000.00 | |||
| 9 Payer made direct sales of 35,000 or more of consumer products to a buyer (recipient) for resale | |||||
| 11 | |||||
| 13 Excess golden parachute payments | |||||
| Account number (optional) | 14 Gross proceeds paid to an attorney | ||||
| 15 | 16 State tax withhold | ||||
| $ | |||||
□ VOID □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1. Rents | OMB No. 1545-0115 2003 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2. Royalties | ||||
| 3. Other income | 4. Federal income tax withhold | State Copy or Extra File Copy | ||
| PAYER'S Federal Identification number | RECIPIENT'S Identification number | 5. Flashing boat proceeds | 8. Medical and health care payments | |
| RECIPIENT'S name, address, (including apt, no.), city, state, and ZIP code | 7. Nonemployee compensation | 8. Substitute payments in lieu of dividends or interest | ||
| 9. Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▶ | 10. Crop insurance proceeds | |||
| 11. | 12. | |||
| Account number (optional) | 13. Excess golden parachute payments | 14. Gross proceeds paid to an attorney | ||
| 15 | 16. State tax withheld | 17. State/Payer's state no. | 18. State Income | |
Department of the Treasury - Internal Revenue Service
Form 1099-MISC
JEVIF005
| EFTA00176005 | | :--- | :--- |
This is a simple Markdown document with no headings or paragraphs. It contains a single line of text.
Response to Request No. 6 to
Subpoena dated May 31, 2007, to Epstein Interests
Epstein Interests
No Shareholders, Board Members or Corporate Directors
E1001
EFTA00176006
| b. Employee identification number (EIN) 13-3643429 | 1 Wages, tips, other compensation 60000.00 | 2 Federal income tax withheld 6065.04 | |||||
|---|---|---|---|---|---|---|---|
| c. Employer's name, address, and ZIP code EPSTEIN INTERESTS 457 MADISON AVENUE NEW YORK, NY 10022 | 3 Social security wages 60000.00 | 4 Social security tax withheld 3720.00 | |||||
| 5 Medicare wages and tips 60000.00 | 6 Medicare tax withhold 870.00 | ||||||
| 7 Social security tips | 8 Allocated tips | ||||||
| d. Employee's social security number | 9 Advance EIC payment | 10 Dependent care benefits | |||||
| e. Employee's first name and initial Last name Suff. | 11 Nonqualified plans | 12a See instructions for box 12 | |||||
| Statutory employee | Retirement plan | Third-party安保 | 12b | ||||
| f. Employee's address and ZIP code | 14 Other | 12c | |||||
| 15 State Employer's state ID number | 16 State wages, tips, etc. | 17 State Income tax | 18 Local wages, tips, etc. | 19 Local income tax | 20 Locality name | ||
Department of the Treasury—Internal Revenue Service
Copy D—For Employer.
| TOTALS | ||
|---|---|---|
| For: Batch No. 2006/4/00859 | 1 TOTAL EMPLOYEES | |
| For: Company 66/LMB | 31.20 | NYDD (Box 14) |
| 1 FORMS | ||
| 60,000.00 State Wages (Box 16) | ||
| 3,063.96 State Income Tax (Box 17) | ||
E1002
EFTA00176007
| OMB No. 1645-0008 LMB
| b Employer identification number (EIN) 13-3643429 | 1 Wages, tips, other compensation 60000.00 | 2 Federal income tax withheld 6065.04 | |||||
|---|---|---|---|---|---|---|---|
| c Employee's name, address, and ZIP code EPSTEIN INTERESTS 457 MADISON AVENUE NEW YORK, NY 10022 | 3 Social security wages 60000.00 | 4 Social security tax withheld 3720.00 | |||||
| 5 Medicare wages and tips 60000.00 | 6 Medicare tax withhold 870.00 | ||||||
| 7 Social security tips | |||||||
| d Employee's social security number 451-11-5768 | 9 Advance EIC payment | 10 Dependent care benefits | |||||
| e Employee's first name and initial LESLEY GROFF 120 OAK STREET NEW CANAAN, CT 06840 | 11 Nonqualified plans | 12a See instructions for box 12 | |||||
| 13 Senior employee | Retirement plan | Third-party sick pay | 12b | ||||
| 14 Other 31.20 NYDD | 12c | ||||||
| 12d | |||||||
| f Employee's address and ZIP code | |||||||
| 15 State NY | Employer's state ID number 13-3643429 | 16 State wages, tips, etc. 60000.00 | 17 State Income tax 3063.96 | 18 Local wages, tips, etc. | 19 Local income tax | 20 Locality name | |
Form W-2 Wage and Tax Statement
Department of the Treasury—Internal Revenue Service
Copy D—For Employer.
For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D.
| a Control number | Void | OMB No. 1545-0008 | |||||
|---|---|---|---|---|---|---|---|
| b Employer identification number (EIN) | 1 Wages, tips, other compensation | 2 Federal income tax withheld | |||||
| c Employer's name, address, and ZIP code | 3 Social security wages | 4 Social security tax withheld | |||||
| 5 Medicare wages and tips | 6 Medicare tax withheld | ||||||
| 7 Social security tips | 8 Allocated tips | ||||||
| d Employee's social security number | 9 Advance EIC payment | 10 Dependent care benefits | |||||
| e Employee's first name and initial Last name Suff. | 11 Nonqualified plans | 12a See Instructions for box 12 | |||||
| 13 Statutory employee | Retirement plan | Third party sick pay | 12b | ||||
| 14 Other | 12c | ||||||
| 12d | |||||||
| f Employee's address and ZIP code | |||||||
| State | Employer's state ID number | 16 State wages, tips, etc. | 17 State income tax | 18 Local wages, tips, etc. | 19 Local income tax | 20 Locality name | |
For Employer.
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D.
E1003
EFTA00176008
| a Control number 0001 66/LMB | Void | OMB No. 1545-0008 LMB | 0001 | |||||
|---|---|---|---|---|---|---|---|---|
| b Employer identification number (EIN) 13-3643429 | 1 Wages, tips, other compensation 60000.00 | 2 Federal income tax withheld 6834.27 | ||||||
| c Employer's name, address, end ZIP code EPSTEIN INTERESTS 457 MADISON AVENUE NEW YORK, NY 10022 | 3 Social security wages 60000.00 | 4 Social security tax withheld 3720.00 | ||||||
| 5 Medicare wages and tips 60000.00 | 6 Medicare tax withhold 870.00 | |||||||
| 7 Social security tips | 8 Allocated tips | |||||||
| 9 Advance EIC payment | 10 Dependent care benefits | |||||||
| d Employee's social security number 451-11-5768 | 11 Nonqualified plans | 12a See instructions for box 12 | ||||||
| 13 Statutory employees □ | Retirement plan □ | Third-party sick pay | 12b | |||||
| e Employee's first name and initial LESLEY GROFF 120 OAK STREET NEW CANAAN, CT 06840 | 14 Other 28.80 NYDD | 12c | ||||||
| f Employee's address and ZIP code | 12d | |||||||
| 15 State Employer's state ID number NY 13-3643429 | 16 State wages, tips, etc. 60000.00 | 17 State income tax 3173.41 | 18 Local wages, tips, etc. | 19 Local income tax | 20 Locality name | |||
Form W-2 Wage and Tax Statement
Department of the Treasury—Internal Revenue Service
2005
For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D.
Copy D—For Employer.
| a Control number | Void | OMB No. 1546-0008 | ||||
|---|---|---|---|---|---|---|
| b Employer identification number (EIN) | 1 Wages, tips, other compensation | 2 Federal income tax withheld | ||||
| c Employer's name, address, and ZIP code | 3 Social security wages | 4 Social security tax withheld | ||||
| 5 Medicare wages and tips | 6 Medicare tax withheld | |||||
| 7 Social security tips | 8 Allocated tips | |||||
| d Employee's social security number | 9 Advance EIC payment | 10 Dependent care benefits | ||||
| e Employee's first name and Initial Last name f Employee's address and ZIP code | 11 Nonqualified plans | 12a See Instructions for box 12 | ||||
| 13 State only Retirement plan Third-party tax pay | 12b | |||||
| 12c | ||||||
| 14 Other | 12d | |||||
| 15 State Employer's state ID number | 16 State wages, tips, etc. | 17 State income tax | 18 Local wages, tips, etc. | 19 Local income tax | 20 Locality name | |
Form W-2 Wage and Tax Statement
2005
Copy D—For Employer.
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D.
E1004
EFTA00176009
Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.
Signature ▶ Title ▶ Date ▶
Instructions
Purpose of form. Use this form to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. Do not use Form 1096 to transmit electronically or magnetically. For magnetic media, see Form 4804, Transmission of Information Returns Reported Magnetically; for electronic submissions, see Pub. 1220, Specifications for Filing Forms 1098,1099, 5498 and W-2G Electronically or Magnetically.
Who must file. The name, address, and TIN of the filer on this form must be the same as those you enter in the upper left area of Forms 1099, 1098, 5498, or W-2G. A filer includes a payer; a recipient of mortgage interest payments (including points) or student loan Interest; an educational institution; a broker; a barter exchange; a creditor; a person reporting real estate transactions; a trustee or issuer of any individual retirement arrangement; a Coverdell ESA, an HSA, an Archer MSA (Including a Medicare Advantage MSA); certain corporations; certain donees of motor vehicles, boats, and airplanes; and a lender who acquires an interest in secured property or who has reason to know that the property has been abandoned.
Preaddressed Form 1096. If you received a preaddressed Form 1096 from the IRS with Package 1099, use it to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. If any of the preprinted Information is Incorrect, make corrections on the form.
If you are not using a preaddressed form, enter the filer's name, address (including room, suite, or other unit number), and TIN In the spaces provided on the form.
Where To File
Send all information returns filed on paper with Form 1096 to the following:
When to file. File Form 1096 with Forms 1099, 1098, or W-2G by February 26, 2006. File Form 1096 with Forms 5498, 5498-ESA, and 5498-SA by May 31, 2006.
| If your principal business, office or agency, or legal residence in the case of an individual, is located in | Use the following Internal Revenue Service Center address |
| Alabama, Arizona, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Texas | Austin, TX 73301 |
| Arkansas, Connecticut, Delaware, Kentucky, Maine, Massachusetts, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, West | Cincinnati, OH 45999 |
| Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Wisconsin | Kansas City, MO 64999 |
For more information and the Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G.
49-0971237
Form 1096 (Rev. 3-2005)
E1005
EFTA00176010
| PAYER'S name, street address, city, state, ZIP code, and telephone no. EPSTEIN INTERESTS 457 MADISON AVENUE NEW YORK, NY 10022 | 1 Rents | OMC no. 1546-0115 2005 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| $ | |||||
| 3 Other income | $ | 4 Federal income tax withheld | Copy A For Internal Revenue Service Center File with Form 1096. | ||
| PAYER'S Federal Identification number 13-3643429 | RECIPIENT'S identification number 13-2842281 | 5 Fishing boat proceeds | $ | ||
| RECIPIENT'S name ASSOCIATES | 7 Nonemployee compensation $ 6673.00 | 8 Substitute payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G. | ||
| Street address (including apt. no.) 110 EAST 59TH STREET | 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▷ | 10 Crop insurance proceeds | |||
| City, state, and ZIP code NEW YORK, NY 10022 | 11 | 12 | |||
| Account number (see instructions) | 2nd TIN not. □ | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 15a Section 409A deferrals $ | 15b Section 409A Income $ | 16 State tax withheld $ | 17 State/Payer's state no. | 18 State income $ | |
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
9595 □ VOID □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1545-0115 2005 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| 2 Royalties | |||||
| 3 Other Income | 4 Federal income tax withheld | Copy A For Internal Revenue Service Center File with Form 1096. | |||
| PAYER'S Federal Identification number | RECIPIENT'S identification number | 5 Fishing boat proceeds | 6 Medical and health care payments | ||
| RECIPIENT'S name | 7 Nonemployee compensation | 8 Substitute payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G. | ||
| Street address (including apt. no.) | 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale □ | 10 Crop insurance proceeds | |||
| City, state, and ZIP code | 11 | 12 | |||
| Account number (see instructions) | 2nd TIN not. | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 15a Section 409A deferrals | 15b Section 409A Income | 16 State tax withhold | 17 State/Payer's state no. | 18 State Income | |
| $ | $ | $ | $ | $ | |
Form 1099-MISC
Department of the Treasury - Internal Revenue
E1006 Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
EFTA00176011
Response to Request No. 6 to Subpoena dated May 31, 2007, to Financial Trust Company, Inc.
Financial Trust Company, Inc.
Corporate Directors/Board Members: Jeffrey Epstein, Cecile DeJongh, Ghislaine Maxwell
Shareholders: Jeffrey Epstein
FTCO001
EFTA00176012
| a Control number | 33333 | For Official Use Only ► OMB No. 1545-0008 | ||
|---|---|---|---|---|
| b Kind of Payer | 941-SS Military 943 Third-party slok pay | 1 Wages, tips, other compensation | 770439.00 | 2 Income tax withheld 128484.00 |
| 3 Social security wages | 587136.84 | 4 Social security tax withheld 36402.49 | ||
| 5 Medicare wages and tips | 810384.62 | 6 Medicare tax withheld 11750.58 | ||
| c Total number of Forms W-2 11 | d Establishment number | |||
| e Employer Identification number (EIN) 66-0567418 | 7 Social security tips | 8 | ||
| f Employer's name FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS 00802 | 9 Advance EIC payments | 10 | ||
| 11 Nonqualified plans | 12 Deferred compensation 39945.62 | |||
| 13 For third-party slok pay use only | ||||
| 14 Income tax withheld by payer of third-party slok pay | ||||
| g Employer's address and ZIP code | ||||
| h Other EIN used this year | ||||
| i Employer's territorial ID number | ||||
| Contact person JEANNE BRENNAN | Telephone number (340) 775-2525 | For Official Use Only | ||
| E-mail address | Fax number (340) 775-2528 | |||
Form W-3SS Transmittal of Wage and Tax Statements
Department of the Treasury
Internal Revenue Service
Contact the Division of Revenue and Taxation, Commonwealth of the Northern Mariana Islands, for the address to send Copy 1 of Forms W-2OM and W-3SS.
Shipping and mailing. If you file more than one type of form, please group forms of the same type with a separate Form W-3SS for each type. For example, send Forms W-2GU with one Form W-9SS and Forms W-2AS with a second Form W-9SS. Forms W-2AS, W-2GU, W-2CM, or W-2VI are printed two forms to a page. Send the whole page of Copies A and 1 even if one of the forms is blank or "Void." Prepare and file Forms W-2 either alphabetically by employees' last names or numerically by employees' social security numbers. Do not staple or tape the forms together and do not fold them. Send the forms in a flat mailing.
General Instructions for Forms W-2
W-2GU, W-2CM, and W-2VI
Furnishing Copies B and C to employees. Furnish Copies B and C of Forms W-0248, W-0249, W-0250 and W-0251.
Forms W-2AS, W-2GU, W-2CM, and W-2VI to your employer by January 31, 2007. If employment ends before December 31, 2008, you may furnish the copies any time after employment ends but no later than January 31, 2007. If the employee asks for the form, furnish him or her the completed copies within 60 days of the request or within 30 days of the last wage payment, whichever is later. If an employee loses a form, write "REISSUED STATEMENT" on the new copy (unless it was furnished electronically), but do not send Copy A of the reissued statement to the SSA. Employers are not prohibited (by the Internal Revenue Code) from charging a fee for the issuance of a duplicate Form W-2AS, W-2GU, W-2CM, or W-2VI.
Extension to furnish Forms W-2 to employees. You may request an extension of time to furnish Forma W-2 to employees by sending a letter to:
IRS Enterprise Computing Center—Mertinsburg
Information Reporting Program
Attn: Extension of Time Coordinator
240 Murail Drive
Keameysville, WV 25430
Mail your letter on or before the due date for furnishing Forms W-2 to employees. It must include:
Your name and address,
Your employer identification number (EIN).
A statement that you are requesting an extension to furnish "Forma W-2" to employees,
Reason for delay, and
Your signature or that of your authorized agent.
Undeliverable forms. Keep for 4 years any employee copies of Forms W-2AS, W-2GU, W-2OM, or W-2VI that you tried to deliver but could not. Do not send undeliverable Forms W-2 to the SSA.
Calendar year basis. Base all entries on Forms W-2AS, W-2GU, W-2CM, W-2VI, and W-3SS on a calendar year. Use the correct year form.
Electronic reporting. If you are required to file 280 or more Forms W-2AS, W-2GU, W-2OM, or W-2VI, you must file them electronically. You can get specifications for filing this information electronically by visiting Social Security's Employer Reporting Instructions and Information website at www.socialsecurity.gov/employer or by contacting an SSA Employer Services Liaison Officer (BSLO) at for the U.S. Virgin Islands or 610-970-8247 for Guam and American Samoa. SSA will no longer accept any type of physical media (magnetic tape, cartridge, diskette, etc.) submissions of Form W-2 reports.
FTC0002
EFTA00176013
| a | Control number | 22222 | Void | OMB No. 1545-0008 | ||
|---|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 95701.00 | 2 VI income tax withheld 10920.00 | ||||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS 00802 | 3 Social security wages 94200.00 | 4 Social security tax withheld 5840.40 | ||||
| 5 Medicare wages and tips 105701.00 | 6 Medicare tax withheld 1532.66 | |||||
| 7 Social security tips | 8 | |||||
| d Employee's social security number 150-46-4746 | 9 Advance EIC payment | 10 | ||||
| e Employee's first name and initial DEANNE 6501 RED HOOK PLAZA STE. PMB 201 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a See Form W-3SS instructions S 10000.00 | ||||
| 13 Ministry employee | Statment SMN | Third-party work site | ||||
| 14 Other | 12b C 193.31 | |||||
| 12c | ||||||
| f Employee's address and ZIP code | ||||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2006
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
| a Control number | 22222 | Void | OMB No. 1645-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 44771.16 | 2 VI Income tax withheld 4649.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 49713.02 | 4 Social security tax withheld 3082.21 | |||
| 5 Medicare wages and tips 49713.02 | 6 Medicare tax withhold 720.84 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIC payment | 10 | ||||
| d Employee's social security number 580-03-9952 | 11 Nonqualified plans | 12a See Form W-SSS Instructions S | 4941.86 | |||
| e Employee's first name and initial LEON A CASEX, SR. P.O. BOX 503032 ST. THOMAS, VI, 00805 | 12b C | 294.58 | ||||
| 14 Other | 12o | ||||
| f Employee's address and ZIP code | |||||
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
FTC0003
EFTA00176014
| a Control number | 22222 | Void | OMB No. 1848-0098 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 36501.04 | 2 VI income tax withheld 5365.00 | |||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 39716.53 | 4 Social security tax withhold 2462.42 | |||
| 5 Medicare wages and tips 39716.53 | 6 Medicare tax withhold 575.89 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-13-4697 | 9 Advance EIC payment | ||||
| e Employee's first name and initial JAMIE I CORNELIUS 6501 RED HOOK PLAZA PMB 201 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a See Form W-385 instructions S 3215.49 | |||
| 13 Staffy employee plan | 12b C 53.17 | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2006
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
| a Control number | 22222 | Void | OMB No. 1548-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 149125.48 | 2 VI income tax withheld 28186.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS □, 00802 | 3 Social security wages 94200.00 | 4 Social security tax withheld 5840.40 | |||
| 5 Medicare wages and tips 159125.48 | 6 Medicare tax withheld 2307.32 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EO payment | 10 | ||||
| d Employee's social security number 580-06-1538 | 11 Nonqualified plans | 12a See Form W-3SS Instructions C | 184.73 | |||
| e Employee's first name and initial CECILE R DE JONGH P.O. BOX 8361 ST. THOMAS, VI, 00801 | 13 Insurance employee plan | 12b S | 10000.00 | |||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notices and Instructions, see Form W-3SS.
FTC0004
EFTA00176015
| a Control number | 22222 | Void | OMB No. 1545-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 241021.30 | 2 VI Income tax withheld 65182.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 8 Social security wages 94200.00 | 4 Social security tax withhold 5840.40 | |||
| 5 Medicare wages and tips 241021.30 | 6 Medicare tax withhold 3494.81 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 090-44-3348 | 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial JEFFREY E EPSTEIN C/O AMERICAN YACHT HARBOR 6100 RED HOOK, SUITE 2 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a See Form W-3SS Instructions C 1021.28 | |||
| 10 Railway employee | Retirement plan | Third party sick pay | 12b | ||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2006
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3$$.
| a Control number | 22222 | Void | OMB No. 1545-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 20380.75 | 2 VI Income tax withheld 2264.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS I, 00802 | 3 Social security wages 20380.75 | 4 Social security tax withhold 1263.61 | |||
| 5 Medicare wages end tips 20380.75 | 6 Medicare tax withhold 295.52 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-23-1452 | 10 | ||||
| e Employee's first name and initial Last name Suff. TEQUASI O HENDRICKS PO BOX 672 ST. JOHN, USVI, 00831 | 11 Nonqualified plans | 12a See Form W-3SS Instructions | |||
| 16 Railway analysis | 12b | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
EFTA00176016
| a Control number | 22222 | Void | OMB No. 1548-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 22766.07 | 2 VI Income tax withheld 2108.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 24063.91 | 4 Social security tax withhold 1491.96 | |||
| 5 Medicoaro wages and tips 24063.91 | 6 Medicare tax withhold 348.93 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-29-3823 | 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial LORETTA MCDONALD MORRELL PO BOX 306077 ST. THOMAS, VI, 00803 | 11 Nonqualified plans | 12n See Form W-2SS Instructions S 1297.84 | |||
| 13 Staffy employee [ ] Bulmeng plan [X] Workday sick pay | 12b | ||||
| 12c | |||||
| f Employee's address and ZIP code | 14 Other | 12d | |||
Form W-2VI U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3SS.
| a. Control number | 822222 | Void | OMB No. 1545-0008 | ||
|---|---|---|---|---|---|
| b. Employer identification number (EIN) 66-0567418 | 1 Wage, tips, other compensation 45986.10 | 2 VI Income tax withheld 1657.00 | |||
| c. Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 47613.99 | 4 Social security tax withheld 2952.07 | |||
| 5 Medicare wages and tips 47613.99 | 6 Medicare tax withhold 690.40 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIC payment | 10 | ||||
| d. Employee's social security number 580-11-2937 | 11 Nonqualified plans | 12a See Form W-SSS Instructions S | 1627.89 | |||
| e. Employee's first name and initial UNA R PASCAL HIDDEN VALLEY BLDG. 13 APT. 239 ST. THOMAS, VI, 00802 | 13 Secretary employee | 13b C | 40.82 | |||
| 14 Other | 12c | ||||
| 12d | |||||
| f. Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-099.
FTC0006
EFTA00176017
| a Control number | 22222 | Void | OMB No. 1545-008B | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 32443.47 | 2 VI Income tax withheld 203.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 33689.36 | 4 Social security tax withheld 2088.74 | |||
| 5 Medicare wages and tips 33689.36 | 6 Medicare tax withhold 488.50 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 066-64-1041 | 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial Last name Suft ANN M RODRIGUEZ 6014 ESTATE SMITHBAY ST. THOMAS, VI 00802 | 11 Nonqualified plans | 12a See Form W-8BS Instructions S 1245.89 | |||
| 13 Malayalam employee | 14 Malayalam employee | ||||
| 14 Other | 12b C 7.15 | ||||
| 12o | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2006
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
| a Control number | 22222 | Void | OMB No. 1548-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 40174.72 | 2 VI income tax withheld 3502.00 | |||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 43275.92 | 4 Social security tax withheld 2683.11 | |||
| 5 Medicare wages and tips 43275.92 | 6 Medicare tax withhold 627.50 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-15-5038 | 9 Advance EIO payment | 10 | |||
| a Employee's first name and initial Last name Suff. JERMAINE A RUAN UVI FAC. E. APT.1 BLDG. 3. ST. THOMAS, VI, 00804 | 11 Nonqualified plans | 12a See Form 3368 Instructions S 3101.20 | |||
| 13 Military employee | 14 Participant visa | 12b C 28.34 | |||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code. | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-28S.
EFTA00176018
| a Control number | 222222 | Void | DMB No. 1846-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 41567.91 | 2 VI Income tax withheld 4448.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS 00802 | 3 Social security wages 46083.36 | 4 Social security tax withheld 2857.17 | |||
| 5 Medicare wages and tips 46083.36 | 6 Medicare tax withhold 668.21 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIC payment | 10 | ||||
| d Employee's social security number 580-17-3729 | |||||
| e Employee's first name and initial DAFNE L WALLACE P.O. BOX 11184 ST. THOMAS, USVI, 00801 | 11 Nonqualified plans | 12a See Form W-39S Instructions S 4515.45 | |||
| 13 Emergency plan | 12b C 33.61 | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2006
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3SS.
| a Control number | 22222 | Void | CMB No. 1845-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) | 1 Wages, tips, other compensation | 2 VI income tax withheld | |||
| c Employee's name, address, and ZIP code | 3 Social security wages | 4 Social security tax withheld | |||
| 5 Medicare wages and tips | 6 Medicare tax withheld | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number | 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial Last name Suff. | 11 Nonqualified plans | 12a See Form W-8SS Instructions | |||
| 13 Retirement plan | 12b | ||||
| 14 Other | 12o | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
FTC0008
EFTA00176019
DO NOT STAPLE OR FOLD
| a | Control number | For Official Use Only ► OMB No. 1545-0008 | ||
|---|---|---|---|---|
| b | Kind of Payer | 841-SS Military Medicare govt. cmp. Third-party slok pay | 1 Wages, tips, other compensation 717905.56 | 2 Income tax withheld 116884.00 |
| 3 Social security wages 583483.31 | 4 Social security tax withheld 36175.97 | |||
| c | Total number of Forms W-2 12 | d Establishment number | 5 Medicare wages and tips 751782.06 | 8 Medicare tax withhold 10900.85 |
| e Employer identification number (EIN) 66-0567418 | 7 Social security tips | 8 | ||
| f Employer's name FINANCIAL TRUST COMPANY, INC. | 9 Advance EIC payments | 10 | ||
| 6100 RED HOOK QUARTER B-3 ST. THOMAS .I, 00802 | 11 Nonqualified plans | 12 Deferred compensation 33876.50 | ||
| 13 For third-party slok pay use only | ||||
| 14 Income tax withheld by payer of third-party slok pay | ||||
| g Employer's address and ZIP code | ||||
| h Other EIN used this year | ||||
| i Employer's territorial ID number | ||||
| ... | ||||
| Contact person JEANNE BRENNAN | ||||
| E-mail address | Telephone number (340) 775-2525 | For Official Use Only | ||
| Fax number (340) 775-2528 | ||||
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.
Signature ▶
Title > PRESIDENT
Dalo > 2/7/06
Form W-3SS Transmittal of Wage and Tax Statements
Department of the Treasury
Internal Revenue Service
General Instructions for Forms W-2AS, W-2GU, W-2CM, and W-2VI
Furnishing Copies B and C of Forms W-2AS, W-2GU, W-2CM, and W-2VI to your employees by January 31, 2006. If employment ends before December 31, 2005, you may furnish the copies any time after employment ends but no later than January 31, 2006. If the employee asks for the form, furnish him or her the completed copies within 30 days of the request or within 30 days of the last wage payment, whichever is later. If an employee loses a form, write "REISSUED STATEMENT" on the new copy (unless it was furnished electronically), but do not send Copy A of the released statement to the SSA. Employers are not prohibited by the Internal Revenue Service No. 2 charging a fee for the issuance of a duplicate Form W-2AS, W-2GU, W-2CM, or W-2VI.
Extension to furnish Forms W-2 to employees. You may request an extension of time to provide Forms W-2 to employees by sending a letter to:
IRS Enterprise Computing Information Reporting Program
Attn: Extension of Time Coordinator
240 Murall Drive
Kearneyville, WV 28420
Mail your letter on or before the due date for furnishing Forms W-2 to employees, it must include:
= Your name and address,
A statement that you are requesting an extension to furnish Forms W-2
Your employer identification number (EIN),
Undeliverable forms. Keep for 4 years any employee copies of Forms W-2AS, W-2GU, W-2CM, or W-2VI that you tried to deliver but could not. Do not send undeliverable forms to the SSA.
Calendar year baals. Base all entries on Forms W-2AS, W-2GU, W-2CM, W-2VI, and W-3SS on a calendar year. Use the current year form.
Magnetic media/electronic reporting. If you file 250 or more Forms W-2AS, W-2GU, W-2CM, or W-2VI, you must file them on magnetic media or electronically. You can get specifications for filing this information on magnetic media or electronically by visiting Social Security's Employer Reporting Instructions and Information website at www.eocialsecurity.gov/employer or by contacting an SSA Employer Services Liaison Officer (ESLO) at 787-766-5574 for the U.S. Virgin Islands or 510-970-8247 for Guam and Amagasan Samoa. SSA will not accept magnetic tape and cartridge submissions beginning with the 2005 Form W-2 reports that are due to SSA in calendar year 2005.
If you file on magnetic diskette or electronically, do not file the same returns on paper.
- Reeson for delay, and
to employees,
Note: You are encouraged to file on magnetic diskette or electronically Veven if you file fewer than 250 Forms W-2.
- Your signature or that of your authorized agent.
You may request a waiver on Form 8508, Request for Waver From Filling Information Returns Magnetically, Submit Form 8508 to the IRS at least 45 days before the due date of Form W-2, See Form 8508 for filling information.
Taxpayer identification numbers. Employers use an employer identification number (EIN) (0D-00000000). Employees use a social security number (SSN) (000-00-0000): When you list a number, separate the nine digits properly to show the kind of number.
Social security numbers are used to record employee earnings for future social security and Medicare benefits. You must show the correct social security number in box d on the Form W-2AS, W-2GU, or W-2VI.
Page 3
FTC0009
EFTA00176020
| e Control number | 22222 | Void | OMB No. 1846-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 35487.81 | 2 VI Income tax withheld 3837.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS , 00802 | 3 Social security wages 39426.92 | 4 Social security tax withhold 2444.47 | |||
| 5 Medicare wages and tips 39426.92 | 6 Medicare tax withhold 571.69 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIO payment | 10 | ||||
| d Employee's social security number 580-06-2353 | 11 Nonqualified plans | 12a See Form W-SSS Instructions S 3939.11 | |||
| 13 Holiday employees X X | 14 Other | 12b 35.82 | |||
| 12c | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
2005
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3SS.
| a Control number | 22222 | Void | OMB No. 1845-0008 | ||
|---|---|---|---|---|---|
| b Employer Identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 85718.27 | 2 VI Income tax withheld 8549.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS , 00802 | 8 Social security wages 90000.00 | 4 Social security tax withhold 5580.00 | |||
| 5 Medicare wages and tips 91180.46 | 6 Medicare tax withhold 1322.12 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 150-46-4746 | 9 Advance EIO payment | 10 | |||
| e Employee's first name and initial JEANNE 6501 RED HOOK PLAZA STE. PMB 201 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a See Form W-3SS Instructions 5462.19 | |||
| 13 Salary employee Relieving plan Third-party risk pay | 12b 145.04 | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
FTCOOIO
EFTA00176021
| a Control number | 22222 | Void | OMB No. 1848-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 43574.16 | 2 VI Income tax withheld 4506.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.V.I, 00802 | 3 Social security wages 48390.99 | 4 Social security tax withheld 3000.24 | |||
| 5 Medicare wages and tips 48390.99 | 6 Medicare tax withhold 701.67 | ||||
| 7 Social security tips | 8 | ||||
| d Employer's social security number 580-03-9952 | 9 Advance BIQ payment | 10 | |||
| e Employee's first name and initial LEON A CASEY, SR. P.O. BOX 503032 ST. THOMAS, VI, 00805 | 11 Nonqualified plans | 12a See Form W-395 Instructions 4816.83 | |||
| 13 Industry employee ☐ ☐ ☐ | 12b C 222.21 | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
2005
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-8SS.
| a Control number | 22222 | Void | OMB No. 1846-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 41913.27 | 2 VI income tax withheld 5754.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS I, 00802 | 3 Social security wages 44630.48 | 4 Social security tax withheld 2767.09 | |||
| 8 Medicare wages and tips 44630.48 | 0 Medicare tax withhold 647.14 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-13-4697 | 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial JAMIE I CORNELIUS 6501 RED HOOK PLAZA PMB 201 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a Sea Form W-3SS Instructions 2717.21 | |||
| 13 Military employee | 12b 48.10 | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-SSS.
FTCOOII
EFTA00176022
| a | Control number | 22222 | Void | OMB No. 1845-0008 | ||
|---|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 99216.23 | 2 VI income tax withheld 18661.00 | ||||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 90000.00 | 4 Social security tax withhold 5580.00 | ||||
| 5 Medicare wages and tips 106096.99 | 6 Medicare tax withhold 1538.41 | |||||
| 7 Social security tips | 8 | |||||
| 9 Advance EIC payment | 10 | |||||
| d Employee's social security number 580-06-1538 | ||||||
| e Employee's first name and initial Last name CECILE R DE JONGH P.O. BOX 8361 ST. THOMAS, VI, 00801 | 11 Nonqualified plans | 12a Sos Form W-388 Instructions 6880.76 | ||||
| 13 Summary analysis | 12b 177.95 | |||||
| 14 Other | 12a | |||||
| 12d | ||||||
| f Employee's address and ZIP code | ||||||
Form W-2VI U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3SS.
| a Control number | 22222 | Vold | OMB No. 1545-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 241021.30 | 2 VI income tax withheld 65631.00 | |||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 90000.00 | 4 Social security tax withhold 5580.00 | |||
| 5 Medicare wages and tips 241021.30 | 6 Medicare tax withhold 3494.81 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIO payment | 10 | ||||
| d Employee's social security number 090-44-3348 | |||||
| e Employee's first name and initial JEFFREY E EPSTEIN C/O AMERICAN YACHT HARBOR 6100 RED HOOK, SUITE 2 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a Snee Form W-3SS instructions C 1021.28 | |||
| 13 Subsidy employee intiminal pay third-party risk pay | 12b | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code. | |||||
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
FTC0012
EFTA00176023
| a Control number | 22222 | Void | OMB No. 1546-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 650.00 | 2 VI Income tax withheld 68.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 650.00 | 4 Social security tax withhold 40.30 | |||
| 5 Medicare wages and tips 650.00 | 6 Medicare tax withhold 9.43 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-23-1452 | 9 Advance EIO payment | 10 | |||
| e Employee's first name and initial TEQUASI O HENDRICKS PO BOX 672 ST. JOHN, USVI, 00831 | 11 Nonqualified plans | 12n See Form W-38B instructions | |||
| 13 Business employment plan | 14 National plan | 12b | |||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-355.
| a Control number | 22222 | Void | OMB No. 1845-0008 | ||
|---|---|---|---|---|---|
| b Employer Identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 21670.14 | 2 VI Income tax withheld 1815.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 22396.74 | 4 Social security tax withheld 1388.60 | |||
| 5 Medicare wages and tips 22396.74 | 6 Medicare tax withhold 324.75 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIC payment | 10 | ||||
| d Employee's social security number 580-29-3823 | |||||
| e Employee's first name and initial LORETTA MCDONALD MORRELL PO BOX 306077 ST. THOMAS, VI, 00803 | 11 Nonqualified plans | 12a See Form W-355 instructions 126.60 | |||
| 13 Sick pay employee 29 | 12b | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
FTC0013
EFTA00176024
| a Control number | 22222 | Void | OMB No. 1546-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 41893.44 | 2 VI income tax withhold 1052.00 | |||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 43126.06 | 4 Social security tax withhold 2673.82 | |||
| 5 Medicare wages and tips 43126.06 | 6 Medicare tax withhold 625.33 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIC payment | 10 | ||||
| d Employee's social security number 580-11-2937 | |||||
| e Employee's first name and initial UNA R PASCAL HIDDEN VALLEY BLDG. 13 APT. 239 CHARLOTTE AMALIE, VI, 00802 | 11 Nonqualified plans | 12a See Form W-388 Instructions S 1232.62 | |||
| 13 Highway segment Adjustment plan Traffic safety play | 12b C 37.32 | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS.
| a Control number | 22222 | Void | OMB No. 1545-000B | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 29819.87 | 2 VI Income tax withheld 4.00 | |||
| e Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 9 Social security wages 30695.54 | 4 Social security tax withheld 1903.12 | |||
| 8 ModiCare wages and tips 30695.54 | 6 ModiCare tax withhold 445.09 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIC payment | 10 | ||||
| d Employee's social security number 066-64-1041 | 11 * Nonqualified plans | 12a See Form W-365 Instructions 875.67 | |||
| e Employee's first name and initial ANN M RODRIGUEZ 6014 ESTATE SMITHBAY ST. THOMAS, VI 00802 | 12b See Form W-365 Instructions 5.03 | ||||
| 14 Other | 12a | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-BSS.
FTCO014
EFTA00176025
| a Control number | 22222 | Void | OMB No. 1545-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 38196.15 | 2 VI income tax withheld 3250.00 | |||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS I, 00802 | 3 Social security wages 41069.29 | 4 Social security tax withhold 2546.30 | |||
| 5 Medicare wages and tips 41069.29 | 6 Medicare tax withhold 595.50 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-15-5038 | 9 Advance EIO payment | 10 | |||
| e Employee's first name and initial Last name JERMAINE A RUAN UVI FAC. E. APT.1 BLDG. 3. ST. THOMAS, VI, 00804 | 11 Nonqualified plans | 12a See Form W-3SS Instructions 2873.14 | |||
| 18 Banked employee | 19 Trustee use only | ||||
| 14 Other | 18b C 24.03 | ||||
| 12c | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-SSS.
| a Control number | 22222 | Void | OMB No. 1645-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number (EIN) 66-0567418 | 1 Wages, tips, other compensation 38744.92 | 2 VI Income tax withheld 3757.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, 00802 | 3 Social security wages 43097.29 | 4 Social security tax withheld 2672.03 | |||
| 6 Medicare wages and tips 43097.29 | 6 Medicare tax withhold 624.91 | ||||
| 7 Social security tips | 8 | ||||
| 9 Advance EIO payment | 10 | ||||
| e Employee's first name and initial DAPHNE L WALLACE P.O. BOX 11184 ST. THOMAS, USVI, 00801 | 11 Nonqualified plans | 12a See Form W-38S Instructions S 4352.37 | |||
| 13 Banking employees | 12b C 30.29 | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer
2005
Department of the Treasury—Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-0SS.
FTC0015
EFTA00176026
DG-NOT STAPLE OR FOLD
| a Control number | 33333 | For Official Use Only OMB No. 1545-0008 | ||
|---|---|---|---|---|
| b Kind of Payer | 941-8B Military 94B Helid, emp. Medicare gov. emp. Third-party sick pay | 1 Wages, tips, other compensation | 2 Income tax withheld | |
| 732788.09 | 113360.00 | |||
| c Total number of Forms W-2 12 | d Establishment number | 3 Social security wages | 4 Social security tax withhold | |
| 600413.96 | 37225.68 | |||
| e Employer identification number | 5 Medicare wages and tips | 6 Medicare tax withhold | ||
| 66-0567418 | 7 Social security tips | 8 | ||
| f Employer's name FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS, USVI 00802 | 9 Advance ID payments | 10 | ||
| 11 Nonqualified plans | 12 Deferred compensation | |||
| 13 For third-party sick pay use only | 35019.95 | |||
| 14 Income tax withhold by payer of third-party sick pay | ||||
| h Other EIN used this year | 16 Check the appropriate box Type of Form W-2AG W-2OM W-2GU W-2VI | |||
| i Employer's territorial ID number | ||||
| Contact person Jeanne Brennan E-mail address | Telephone number (340) 775-2525 Fax number (340) 775-2528 | For Official Use Only | ||
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.
Title ▶ Controller
Date ▶ x / 15 / 0₅
2004
Department of the Treasury
Internal Revenue Service
end this entire page with the entire Copy A page of Forms W-2AS, W-2GU, W-2CM, or W-2VI
> the Social Security Administration (SSA). Photocopies are not acceptable.
> not send any remittance (cash, checks, money orders, etc.) with Forms W-2AS, W-2GU, W-2CM, W-2VI, and W-3SS.
Instructions for Forms W-2AS, W-2GU, W-2VK and W-3SS
Notice references are to the Internal Revenue Code unless otherwise noted.
ems To Note
new size for 2004 Forms W-2AS, W-2GU, W-2VI, and W-3SS were reformatted to conform with the guidelines used in the substitute black and white laser Forms W-2 and W-3HDMIS shown in Exhibits E and F of the May 2008 revision of Pub. 1141, General Rules and Specifications for Substitute Forms W-2 and W-3. This change allows programmers to write universal code for data entry on both the official and the laser-printed versions of the forms. Make certain that Copy A of your paper forms W-2AS, W-GU, W-2VI, and W-3SS reflects these changes.
amoval of dollar signs and shading. The dollar sign and shading have been moved from Copy A of Forms W-2AS, W-2GU, W-2VI, and W-39S to provide pro space. Do not show dollar signs ("$") when reporting money amounts.
e Copy.A of Form W-3SS with Copy A of Form W-2AS, W-2GU, W-2CM, or 2VI (including reports filed on magnetic media) by February 28, 2005.
However, if you file electronically, you may file by March 31, 2005. See the SSA webalto at www.socialsecurity.gov/employer/ for electronic filing options.
sw reporting code for box 12. A new code (Code W—Employer’s contribution on employee’s Health Savings Account) has been added for use in box 12 of arms W-2AS, W-2GU, and W-2VI. See page 5 for details.
```markdown
'hen To File
Extension to file. You may request an extension of time to file Form W-2AS, W-2GU, W-2CM, or W-2VI by sending Form 8609, Application for Extension of Time To File Information Returns, to the address shown on that form. You must request the extension by the due date of the forms for your request to be considered. You will have an additional 30 days to file. See Form 8609 for details.
Caution: Even if you receive an extension of time to file Forms W-2AS, W-2GU, W-2CM, or W-2VI, you must still furnish the forms to your employees by January 31, 2005. But see Extension to furnish Forms W-2 to employees on page 3.
## Where To File Copy A
Send the entire first page of this form (Copy A) with the entire Copy A page of Form W-2AS, W-2GU, W-2CM, or W-2VI to:
## Social Security Administration
Data Operations Center
Wilkes-Barre, PA 18769-0001
Note: If you use "Certified Mail" to file, change the ZIP code to "18769-0002." If you use an IRS-approved private delivery service, add "ATTN: W-2 Process, 1150 E. Mountain Dr." to the address and change the ZIP code to "18702-7997."
See Circular E (Pub. 15), Employer’s Tax Guide, for a list of IRS-approved private delivery services.
Also see Where to file Copy 1 and Shipping and mailing on page 2.
FTCO016
Cnt. No. 101178
```markdown
EFTA00176027
| a Control number | Void | OMB No. 1545-0008 | |||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 59341.18 | 2 VI income tax withheld 6418.00 | |||
| a Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 65841.18 | 4 Social security tax withheld 4082.15 | |||
| 5 Medicare wages and tips 65841.18 | 6 Medicare tax withheld 954.70 | ||||
| 7 Social security tips | 8 | ||||
| 8 Advance EIC payment | 10 | ||||
| d Employee's social security number 580-06-2353 | 11 Nonqualified plans | 12a See Form W-3SS instructions S 6500.00 | |||
| e Employee's first name and initial DALE BASTIAN GORDON P.O. BOX 115 ST. THOMAS, VI, 00804 | 13 Retirement plan | 12b C 91.22 | |||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Department of the Treasury - Internal Revenue Service
2004
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3S!
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 81917.11 | 2 VI Income tax withheld 8022.00 | |
|---|---|---|---|
| c Employer's name, address, and ZIP code: FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 87137.22 | 4 Social security tax withhold 5402.51 | |
| 5 Medicare wages and tips 87137.22 | 6 Medicare tax withhold 1263.49 | ||
| 7 Social security tips | 8 | ||
| d Employee's social security number 150-46-4746 | 9 Advance EIC payment | 10 | |
| c Employee's first name and initial Last name JEANNE 6501 RED HOOK PLAZA STE. PMB 201 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a San Form W-SSS Instructions S | 5220.11 | |
| 13 Retirement employee Retirement plan Third-party stock pay | 12b C | 137.25 | ||
| 14 Other | 12c | ||
| 12d | |||
| f Employee's address and ZIP code | |||
U.S. Virgin Islands
Wage and Tax Statement
2004
Department of the Treasury - Internal Revenue Servi
For Privacy Act and Paperwork Reduction Act Notices and Instructions, see Form W-35
Copy D - For Employer
FTC0017
EFTA00176028
| a Control number | Void | OMB No. 1545-0009 | ||
|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 42312.73 | 2 VI income tax withheld 4328.00 | ||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 46990.63 | 4 Social security tax withhold 2913.42 | ||
| 5 Medicare wages and taxes 46990.63 | 6 Medicare tax withhold 681.36 | |||
| 7 Social security tips | 8 | |||
| 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial LEON A CASEY, SR. P.O. BOX 503032 ST. THOMAS, VI, 00805 | 11 Nonqualified plane | 12a See Form VLASS instructions S 4677.90 | ||
| 13 Birthday employee Relationment plan Think party and play | 12b C 211.63 | |||
| 14 Other | 12o | |||
| 12d | ||||
| f Employee's address and ZIP code | ||||
Form W-2VI
U.S. Virgin Islands
Wage and Tax Statement
2004
Department of the Treasury - Internal Revenue Serv
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-35
| a Control number | Vold | OMB No. 1545-000B | ||
|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 47313.38 | 2 VI Income tax withheld 6911.00 | ||
| c Employer's name, address, and ZIP code. FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 51249.78 | 4 Social security tax withheld 3177.49 | ||
| 5 Medicare wagues end tips 51249.78 | 6 Medicare tax withheld 743.12 | |||
| 7 Social security tips | 8 | |||
| d Employee's social security number 580-13-4697 | 9 Advance EIC payment | 10 | ||
| e Employee's first name and initial Last name JAMIE I CORNELIUS 6501 RED HOOK PLAZA PMB 201 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a See Form W-3SS Instructions S | 3936.40 | ||
| 13 Retirement employee Retirement plan Third party mask pay | 12b C | 44.78 | |||
| 14 Other | 12c | |||
| 12d | ||||
| f Employee's address and ZIP code | ||||
U.S. Virgin Islands
Wage and Tax Statement
2004
Copy D • For Employer
Department of the Treasury - Internal Revenue Service
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS
FTC0018
EFTA00176029
| a Control number | Void | OMB No. 1548-0008 | ||
|---|---|---|---|---|
| b Employer Identification number 66-0567418 | 1 Wages, tips, other compensation 97072.89 | 2 VI Income tax withheld 13099.00 | ||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 87900.00 | 4 Social security tax withhold 5449.80 | ||
| 5 Medicare wages and tips 102172.80 | 6 Medicare tax withhold 1481.51 | |||
| 7 Social security tips | 8 | |||
| 8 Advance EIC payment | 10 | |||
| d Employee's social security number 580-06-1538 | ||||
| e Employee's first name and initial CECILE R P.O. BOX 8361 ST. THOMAS, VI, 00801 | 11 Nonqualified plans | 12a See Form W-335 Instructions S 5099.91 | ||
| 13 Military employee Retirement plan Third-party aid pay | 12b C 172.78 | |||
| 14 Other | 12c | |||
| 12d | ||||
| f Employee's address and ZIP code | ||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
2004
Department of the Treasury - Internal Revenue Service
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-39
| a Control number | Void | OMB No. 1545-0008 | |||
|---|---|---|---|---|---|
| b Employer Identification number 66-0567418 | 1 Wages, tips, other compensation 241021.28 | 2 Income tax withheld 65884.00 | |||
| c Employer's name, address, and ZIP code; FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B--3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 87900.00 | 4 Social security tax withhold 5449.80 | |||
| 5 Medicare wages and tips 241021.28 | 6 Medicare tax withhold 3494.81 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 090-44-3348 | 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial JEFFREY E EPSTEIN C/O AMERICAN YACHT HARBOR 6100 RED HOOK, SUITE 2 ST. THOMAS, VI, 00802 | 11 Nonqualified plans | 12a See Form W-388 Instructions C | 1021.26 | |||
| 13 Statutory employee Bounty/mortgage Their own pay | 12b | ||||
| 14 Other | 12a | ||||
| 12d | |||||
| employee's address and ZIP code | |||||
W-2WI
U.S. Virgin Islands
Wage and Tax Statement
Copy D - For Employer
2004
Department of the Treasury - Internal Revenue Serv
For Privacy Act and Paperwork Reduction Act Noti and Instructions, see Form W-3¢
FTC0019
EFTA00176030
| a | Control number | Void | OMB No. 1548-0008 | |||
|---|---|---|---|---|---|---|
| b Employee identification number 66-0567418 | 1 Wages, tips, other compensation 2074.00 | 2 VI income tax withheld 175.00 | ||||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 2074.00 | 4 Social security tax withhold 128.59 | ||||
| 5 Medicare wages and tips 2074.00 | 6 Medicare tax withhold 30.07 | |||||
| 7 Social security tips | 8 | |||||
| d Employee's social security number 580-23-1452 | 9 Advance EIC payment | 10 | ||||
| e Employee's first name and initial TEQUASI O HENDRICKS PO BOX 672 ST. JOHN, USVI, 00831 | 11 Nonqualified plans | 12a See Form W-3SS instructions | ||||
| 13 Subsidy employee | Retirement plan | Third-party employer | ||||
| 14 Other | 12b | |||||
| 12c | ||||||
| f Employee's address and ZIP code | ||||||
Form W-2VI U.S. Virgin Islands Wage and Tax Statement
Department of the Treasury - Internal Revenue Service
2004
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3S
| a Control number | Void | OMB No. 1040-0009 | |||
|---|---|---|---|---|---|
| b Employer Identification number 66-0567418 | 1 Wages, tips, other compensation 21460.81 | 2 VI Income tax withheld 1005.00 | |||
| c Employee's name, address, and ZIP code, FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 22108.99 | 4 Social security tax withheld 1370.76 | |||
| 5 Medicare wages and tips 22108.99 | 6 Medicare tax withheld 320.58 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-29-3823 | 9 Advance EIC payment | 10 | |||
| e Employee's first name and initial Last name LORETTA MCDONALD MORRELL PO BOX 306077 ST. THOMAS, VI, 00803 | 11 Nonqualified plans | 12a Sea Form W-3SS Instructions S | 648.18 | |||
| 13 Childcare employee Retirement plan Third-party care pay | 12b | ||||
| 14 Other | 12c | ||||
| 12d | |||||
| f Employee's address and ZIP code | |||||
U.S. Virgin Islands Wage and Tax Statement
2004
Department of the Treasury - Internal Revenue Servi
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form 1W-35
FTC0020
EFTA00176031
| a | Control number | Void | OMB No. 1545-0006 | |||
|---|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 40047.86 | 2 VI income tax withhold 1586.00 | ||||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 41285.35 | 4 Social security tax withhold 2559.69 | ||||
| 5 Medicare wages and tips 41285.35 | 6 Medicare tax withhold 598.64 | |||||
| 7 Social security tips | 8 | |||||
| 9 Advance BIC payment | 10 | |||||
| e Employee's first name and initial UNA R PASCAL HIDDEN VALLEY BLDG. 13 APT. 239 CHARLOTTE AMALIE, VI, 00802 | 11 Nonqualified plans | 12a See Form W-3BS Instructions S | 1237.49 | ||||
| 13 Secretary employee K | 12b C | 35.38 | |||||
| 14 Other | 12c | |||||
| 12d | ||||||
| f Employee's address and ZIP code | ||||||
Form W-2VI U.S. Virgin Islands
Wage and Tax Statement
Department of the Treasury - Internal Revenue Service
2004
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-38
| a Control number | Void | OMB No. 1845-0008 | ||
|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 27935.72 | 2 VI income tax withheld 9.00 | ||
| c Employer's name, address, and ZIP code; FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 28753.16 | 4 Social security tax withhold 1782.70 | ||
| 5 Medicare wages and tips 28753.16 | 6 Medicare tax withhold 416.92 | |||
| 7 Social security tips | 8 | |||
| d Employee's social security number 066-64-1041 | 9 Advance EIC payment | 10 | ||
| e Employee's first name and initial Last name ANN M RODRIGUEZ 6014 ESTATE SMITHBAY ST. THOMAS, VI 00802 | 11 Nonqualified plane | 12a Bee Form W-3SS instructions S | 817.44 | ||
| 13 Secretary employee Retirement plan Third-party pay | 12b C | 3.21 | |||
| 14 Other | 12c | |||
| 12d | ||||
f Employee's address and ZIP code
U.S. Virgin Islands
Wage and Tax Statement
2004
Department of the Treasury - Internal Revenue Servi
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Noti and Instructions, see Form W-35
FTC0021
EFTA00176032
| a | Control number | Void | OMB No. 1648-0008 | |||
|---|---|---|---|---|---|---|
| b Employee identification number 66-0567418 | 1 Wages, tips, other compensation 35326.30 | 2 VI income tax withhold 2832.00 | ||||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 37983.56 | 4 Social security tax withhold 2354.98 | ||||
| 5 Medicare wages and tips 37983.56 | 6 Medicare tax withhold 550.76 | |||||
| 7 Social security tips | 8 | |||||
| 9 Advance EIC payment | 10 | |||||
| d Employee's social security number 580-15-5038 | 11 Nonqualified plans | 12a See Form W-385 Instructions S | 2657.26 | ||||
| e Employee's first name and initial JERMAINE A RUAN UVI FAC. E. APT.1 BLDG. 3. ST. THOMAS, VI, 00804 | 13 Simultary employment Retirement plan Third-party aid pay | 12b C | 23.00 | ||||
| 14 Other | 12o | |||||
| 12d | ||||||
| f Employee's address and ZIP code | ||||||
Form W=2VI U.S. Virgin Islands Wage and Tax Statement
2004
Department of the Treasury - Internal Revenue Service
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS
| a Control number | Void | OMB No. 1545-0088 | |||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation 36964.83 | 2 VI income tax withheld 3091.00 | |||
| c Employee's name, address, and ZIP code; FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages 41190.09 | 4 Social security tax withheld 2553.79 | |||
| 5 Medicare wages and tips 41190.09 | 6 Medicare tax withhold 597.26 | ||||
| 7 Social security tips | 8 | ||||
| d Employee's social security number 580-17-3729 | 9 Advance EIO payment | 10 | |||
| e Employee's first name and initial Last name DAPHNE L WALLACE P.O. BOX 11184 ST. THOMAS, USVI, 00801 | 11 Nonqualified plans | 12a Saa Form W-3SS Instructions S | 4225.26 | |||
| 13 Biological employee Retirement plan Third-party risk pay | 12b C | 29.12 | ||||
| 14 Other | 12c | ||||
| 12d | |||||
f Employee's address and ZIP code
U.S. Virgin Islands Wage and Tax Statement
2004
Department of the Treasury - Internal Revenue Service
Copy D - For Employer
For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3ST
FTC0022
EFTA00176033
DO NOT STAPLE OR FOLD
| a | Control number | for Official Use Only | ||
|---|---|---|---|---|
| b | 941-89 Military 845 Kind of Payer Holding emp Medicare gov. emp. Third party slot pay | 1 Wages, tips, other compensation $ 710836.58 | 2 Income tax withheld $ 116848.00 | |
| c | 3 Social security wages $ 574878.61 | 4 Social security tax withhold $ 35642.47 | ||
| e | Total number of Forms W-2 14 | 8 Medicare wages and tips $ 743059.78 | 9 Medicare tax withhold $ 10774.36 | |
| f | Employer identification number 66-0567418 | 7 Social security tips $ | ||
| g | FINANCIAL TRUST COMPANY, INC. | 9 Advance EIO payments $ | ||
| 11 Nonqualified plans $ | 12 Obtained compensation $ 32223.20 | |||
| 13 For third-party slot pay use only | ||||
| h | Other EIN used this year | 14 Income tax withheld by payer of third-party slot pay | ||
| i | Employer's territorial ID number | 15 Check the appropriate box Type of Form W-2AS W-2OM W-2GU W-2VI | ||
| Contact person Jeanne Brennan | Telephone number (340) 775-2525 | For Official Use Only | ||
| E-mail address | Fax number (340) 775-2528 | |||
Form W-3SS Transmittal of Wage and Tax Statements 2003
Send this entire page with the entire Copy A page of Forms W-2AS, W-2GU, W-2CM, or W-2VI to the Social Security Administration (SSA). Photocopies are not acceptable.
Do not send any remittance (cash, checks, money orders, etc) with Forms W-2AS, W-2GU, W-2CM, W-2VI, and W-3SS.
Instructions for Forms W-2AS, W-2GU, W-2VI, and W-3SS
Section references are to the Internal Revenue Code unless otherwise noted.
Items to Note
Reporting Code Q for box 12.
Recent legislation has eliminated the use of Code Q in box 12.
When To File
File Copy A of Form W-3SS with Copy A of Form W-2AS, W-2GU, W-2CM, or W-2VI by March 1, 2004. However, if you file electronically, you may file by March 31, 2004. See the SSA Web Site at www.ssa.gov/employer/for electronic filing options.
Extension to file. You may request an extension of time to file Forms W-2AS, W-2GU, W-2CM, or W-2VI by sending Form 8B09, Request for Extension of Time To File Information Returns, to the address shown on that form. You must request the extension by the due date of the forms for your request to be considered. If approved, you will have an additional 30 days to file. See Form 8B09 for more details.
Where To File Copy A
Send the entire first page of this form (Copy A) with the entire Copy A page of Form W-2AS, W-2GU, W-2CM, or W-2VI to:
Social Security Administration
Data Operations Center
Wilkes-Barre, PA 19769-0001
Note: If you use "Certified Mall" to file, change the ZIP code to "18769-0002." If you use an IRS approved private delivery service, add "18702-7907." See Circular E. Employer's Tax Guide (Pub. 15) for a list of IRS approved private delivery services.
Also see Where to file Copy 1 and Shipping and mailing on page 2.
Notice to Employers In the Commonwealth of the Northern Mariana Islands
If you are an employer in the Commonwealth of the Northern Mariana Islands; you must contact the Division of Revenue and Taxation, Capitol Hill, Salpani, MP 86950, to get Form W-2CM and the instructions for completing and filing that form.
General Instructions for Form W-3SS
Purpose of forms. Use Copy A of Form W-3SS to transmit Copy A of Form W-2AS, W-2GU, W-2CM, or W-2VI to the Social Security Administration. File Copy 1 of Form W-3$$ and Copy 1 of Form W-2AS.
FTC0023
Cat. No, 10117S
EFTA00176034
| a Control number | 22222 Jd | For Official Use Only. ORM No. 10614-6088 | |||
|---|---|---|---|---|---|
| h Employer identification number 66-0567418 | 1 Wages, tips, other compensation $ 59388.04 | Ⅵ License fee waived | |||
| o Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Dental security wages $ 65471.10 | Ⅳ Social security tax waived | |||
| 4 Medicare wages and lines $ 65471.10 | Ⅴ Medicare tax waived | ||||
| 7 Social security tips $ | |||||
| 8 Adverse EIC payment $ | |||||
| d Employee's social security number 580-06-2353 | 9 Adverse EIC payment $ | 10 | |||
| e Employee's first name and initial DALE | Last name BASTIAN GORDON | 11 Nonqualified plan $ | 12a See Plan W-02A instructions S $ 6083.06 | ||
| P.O. BOX 115 ST. THOMAS, VI, 00804 | 14 Insurance expenses | 13b C $ 86.00 | |||
| 14 Other | 14c | ||||
| f Employee's address and ZIP code | |||||
U. S. Virgin Islands
Wage and Tax Statement
Department of the Treasury - Internal Revenue Ben
Copy A For Social Security Administration - Send this entire page with Copy A of Form W-388 to the Social Security Administration; photocopies are not acceptable.
[Rev. February 2002]
For Privacy Act and Paperwork Reduction Notice and Instructions, and Form W-3
Oat, No. 489770
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation $ 8294.75 | 2 VI income tax withheld $ 8697.00 | ||
|---|---|---|---|---|
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 8 Social security wages $ 87000.00 | 4 Social security tax withholding $ 5394.00 | ||
| 8 Medicare wages and tips $ 87582.31 | 8 Medicare tax withholding $ 1269.94 | |||
| 7 Social security tip $ | 9 | |||
| d Employee's social security number 150-46-4746 | 9 Advance EIC payment $ | 10 | ||
| a Employee's first name and initial JEANNE | Last name BRENNAN | 11 Nonqualified plan $ | 12a See Form VI-SRS Institution line S $4638.56 | |
| 6501 RED HOOK PLAZA STE. PMB 201 ST. THOMAS, VI, 00802 | 13 Obligatory employee x | 13b C $123.50 | ||
| 14 Other | ||||
70024
(Rev. February 2002)
EFTA00176035
a Control number
22222 Jid For Official Use Only OMR No. 1984-008
b Employee identification number 66-0567418
n Employer’s name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN ; 00802
d Employee’s social associate number 580-03-9952
e Employee’s first name and initial LEON A Last name CASEY, SR.
P.O. BOX 503032 ST. THOMAS, VI, 00805
f Employee’s address and ZIP code
1 Wage, tip, other compensation $ 42709.71
2 Social security wages $ 47095.73
3 Medicare wages and tips $ 47095.73
4 Social security tips $
9 Advance ZIC payment $
11 Nonqualified plans $
13 Advisory employee Intermediate level Non-pay
14 Other $
1 Vehicle tax withholding $ 4488.00
1 Rural activity tax withholding $ 2919.94
1 Mortgage tax withholding $ 682.89
10
12 See Form W-SS2 Instructions S $ 4386.02
13 C $ 197.37
14 $
Wage and Tax Statement
Copy A For Social Security Administration - Send this entire page with Copy A of Form W-9SS to the Social Security Administration; photocopies are not acceptable.
(Rev. February 2002)
Department of the Treasury - Internal Revenue Service
For Privacy Act and Paperwork Reduction
Notice and Instructions, see Form W-8E
Ost. No. 4189770
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
| a Control number | 22222 | Void | For Official Use Only ► OMB No. 1545-0009 | ||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation $ 48924.67 | 2 VI income tax withheld $ 6819.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages $ 52736.75 | 4 Social security tax withheld $ 3269.68 | |||
| 5 Medicare wages and tips $ 52736.75 | 6 Medicare tax withhold $ 764.68 | ||||
| 7 Social security tips $ | 8 | ||||
| 9 Advance EIC payment $ | 10 | ||||
| d Employee's social security number 580-13-4697 | 11 Nonqualified plans $ | 12n Gae Form W-BSG instructions S 3812.08 | |||
| a Employee's first name and initial JAMIE I | Last name CORNELIUS | 18 Social security benefits X | 19 C 43.44 | ||
| 6501 RED HOOK PLAZA PMB 201 ST. THOMAS, VI, 00802 | 14 Other | 15 | |||
| 1 Employer's trade mark | |||||
FTC0026
EFTA00176036
| a Control number | 22222 | id | Por Official Use Only > OMB No. 1648-7100 | ||
|---|---|---|---|---|---|
| h Employer identification number 66-0567418 | 1 Wages, tips, other compensation | $ 5067.30 | $ 391.00 | ||
| u Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 2 Social security wages | $ 5307.70 | $ 329.08 | ||
| 3 Machinery wages and tips | $ 5307.70 | $ 76.96 | |||
| 4 Social security tips | |||||
| 5 | |||||
| d Employer's social security number 580-15-0869 | 6 Advance EIC payment | ||||
| e | Employee's first name and initial KHANIA M | Last name DAWSON | 7 Nonqualified plans | S 240.40 | |
| 8 | |||||
| f Employee's address and ZIP code | 9 Security guards | Military personnel | |||
| 10 Other | Nonqualified plans | ||||
Copy A For Social Security Administration - Send this entire page with Copy A of Form W-SSS to the Social Security Administration; photocopies are not acceptable.
Department of the Treasury - Internal Revenue Service
For Privacy Act and Paperwork Reduction A Notice and Instructions, see Form W-9-E
Cat. No. 48977C
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
| a Control number | 22222 | Void | For Official Use Only OMD No. 1645-0088 | ||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation $ 96070.04 | 2 VI income tax withheld $ 12741.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages $ 87000.00 | 4 Social security tax withheld $ 5394.00 | |||
| 5 Medicare wages and tips $ 100577.64 | 6 Medicare tax withhold $ 1458.38 | ||||
| 7 Social security tips $ | 8 | ||||
| 9 Advance EIC payment $ | 10 | ||||
| d Employee's social security number 580-06-1538 | 11 Nonqualified plans $ | 12 Use Form W-980 instructions S 4507.60 | |||
| e Employee's first name and initial CECILE R | Last name DE JONGH | 13 Military service plan X | 14 Other C 151.80 | ||
| P.O. BOX 8361 ST. THOMAS, VI, 00801 | |||||
{Rev. February 2002}
EFTA00176037
| a | Control number | 22222 3rd | For Official Use Only CMB No. 1546-0300 | ||||
|---|---|---|---|---|---|---|---|
| b | Employer identification number 66-0567418 | 4 | Wagon lips, other components $ 241021.22 | 9 | Hawker lips with lid $ 67996.00 | ||
| c | Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 5 | Social security wages $ 87000.00 | 6 | social security tax withholding $ 5394.00 | ||
| 6 | Medicare wages and lips $ 241021.22 | 7 | Medicare lips with lid $ 3494.81 | ||||
| d | Employee's social security number 090-44-3348 | 7 | Social security lips $ | 8 | |||
| e | Employee's first name and initial JEFFREY E | Last name EPSTEIN | 8 | Advance FIO payment $ | 10 | ||
| C/O AMERICAN YACHT HARBOR 6100 RED HOOK, SUITE 2 ST. THOMAS, VI, 00802 | 11 | Nonqualified plane $ | 12 | See Form W-4488 Instructions C $ 1021.20 | |||
| 1 Employee's address and ZIP code | 13 | Other | 13b | ||||
| 13n | |||||||
| 13t | |||||||
W-2U U.S. Virgin Islands Wage and Tax Statement
Copy A For Social Security Administration - Send this entire page with Copy A of Form W-SSS to the Social Security Administration; photocopies are not acceptable.
Department of the Treasury - Internal Revenue Service
(Rev. February 2002)
For Privacy Act and Paperwork Reduction A
Notice and Instructions, see John W. Wade
Cet. No. 49077C
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
| a Control number | 22222 | Void | For Official Use Only ► OMB No. 1545-0000 | ||
|---|---|---|---|---|---|
| b Employer Identification number 66-0567418 | 1 Wages, tips, other compensation $ 1458.92 | 2 VI Income tax withhold $ 133.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages $ 1458.92 | 4 Social security tax withhold $ 90.45 | |||
| 5 Modiarnare wages and tips $ 1458.92 | 6 Medicare tax withhold $ 21.15 | ||||
| 7 Social security tips $ | 8 | ||||
| 9 Advance EIO payment $ | 10 | ||||
| d Employee's social security number 580-23-1452 | 11 Non-prefilled plane $ | 12n Goo Form W-3RS Instructions $ | |||
| e Employee's first name and initial TEQUASI O | Last name HENDRICKS | 13 Retirement plan Retirement plan | 14 Other | ||
| PO BOX 672 ST. JOHN, USVI, 00831 | |||||
| f Employee's social security ID code | |||||
FTC025
{Rev, February 2002}
EFTA00176038
a Control number
22222
For Official Use Only 018B No. 1074-0038
b Employee identification number 66-0567418
c Employer’s name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802
d Employee’s modal security number 580-29-3823
e Employee’s first name and initial LORETTA
f Employee’s address and ZIP code
4 Wages, tips, other compensation $ 21277.44
5 Social security wages $ 21903.98
6 Medicare wages and tips $ 21903.98
7 Social security tips $
8 Advance GIC payment $
11 Nonqualified plans
12 Security embezzlement X
13 Taxable income X
14 Other
942.00 1358.05 317.61
10
13a See Form VI-103 Instructions S $ 626.54
11
12
13
14
U. S. Virgin Islands
Wage and Tax Statement
Copy A For Social Security Administration - Send this entire page with Copy A of Form W-393 to the Social Security
(Rev. February 2002)
Department of the Treasury - Internal Revenue Service
For Privacy Act and Paperwork Reduction Motto and Instructions, see Form W-8
Administration; photocopies are not acceptable.
Cat. No. 49977C
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
| a Control number | 22222 | Vokl | Por Official Use Only © OMB No. 1645-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation $ 6070.00 | 2 VI income tax withheld $ 292.01 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages $ 6250.00 | 4 Social security tax withholding $ 387.51 | |||
| 5 Medicare wages and tips $ 6250.00 | 6 Medicare tax withholding $ 90.61 | ||||
| 7 Social security tips $ | 8 | ||||
| d Employee's social security number 580-11-2937 | 8 Advance EIC payment $ | 10 | |||
| a Employee's first name and initial UNA R | Last name PASCAL | 11 Nonqualified place $ | 12 a See Form W-10 Interactions b S $180.00 | ||
| HIDDEN VALLEY BLDG. 13 APT. 239 CHARLOTTE AMALIE, VI, 00802 | 12 Identified employee x | 13 Identified employee x | |||
| i Employee's telephone number | 14 Other | 15 Other | |||
{Rev. February 2002}
EFTA00176039
| a Control number | 22222 bad | For Official Use Only OMB No. 1845-0008 | ||
|---|---|---|---|---|
| b Employee identification number 66-0567418 | 1 Wage, tips, other compensation $ 15065.60 | 1 Wage, tips, other compensation $ 181.00 | ||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 2 Social security wages $ 15500.60 | 2 Social security wages without $ 961.04 | ||
| 3 Medicare wages and tips $ 15500.60 | 3 Medicare wages without $ 224.76 | |||
| 7 Social security tips $ | ||||
| 9 Advance EIO payment $ | ||||
| d Employee's social security number 066-64-1041 | ||||
| e Employee's first name and initial ANN M | Last name RODRIGUEZ | 10 Nonqualified plans $ | 10 Nonqualified plans S | $435.00 | |
| 6014 ESTATE SMITHBAY ST. THOMAS, VI 00802 | 11 Safety analysis [ ] [X] | 11 Safety analysis C | $0.60 | ||
| 14 Other | 14 Other | |||
| f Employee's address and ZIP code | ||||
Copy A For Social Security Administration • Send this entire page with Copy A of Form W-399 to the Social Security Administration; photocopies are not acceptable.
Department of the Treasury - Internal Revenue Serv:
(Rev. February 2002)
For Privacy Act and Paperwork Reduction J
Notices and Instructions, see Perm W-81
Cat. No. 490770
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
| a Control number | 22222 | Void | For Official Use Only © OMB No. 15418-0008 | ||
|---|---|---|---|---|---|
| b Employer identification number 66-0567418 | 1 Wages, tips, other compensation $ 38393.23 | 2 VI income tax withhold $ 2889.00 | |||
| c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages $ 40902.75 | 4 Social security tax withhold $ 2535.97 | |||
| 5 Medicare wages and tips $ 40902.75 | 6 Medicaid tax withhold $ 593.05 | ||||
| 7 Social security tips $ | 8 | ||||
| 9 Advance BIC payment $ | 10 | ||||
| d Employee's social security number 580-15-5038 | 11 Nonqualified plans $ | 13a Sea Form W-998 instructions S 2509.52 | |||
| e Employee's first name and initial JERMAINE A | Last name RUAN | 12 Savings employee X | 13b Savings employee X | ||
| UVI FAC. E. APT.1 BLDG. 3. ST. THOMAS, VI, 00804 | 14 Other | 14 Other | |||
| f Employee's address and ZIP code | |||||
EFTA00176040
| a Control number | 22222 | id | For Official Use Only OMB No. 1840-0008 | ||
|---|---|---|---|---|---|
| b Employee identification number 66-0567418 | 4 Wagon lips, other compartment $1451.86 | 1 Vehicle lips, other compartment $1451.00 | |||
| c Employee's main address and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 5 Social security wages $15212.34 | 4 Social security wages 943.15 | |||
| 6 Medicare wages and tips $15212.34 | 6 Medicare wages and tips 220.57 | ||||
| 7 Social security tips | |||||
| d Employee's social security number 580-13-7556 | 8 Advance ZIP payment | ||||
| n Employee's first name and initial KIM | Last name VAN HOLTEN | 11 Nonqualified plans | 12 New Form VI-10 instructions C $2.88 | ||
| PO BOX 9583 ST. THOMAS, VI, 00801 | 18 Stairway access X | 19 Stairway access S $660.48 | |||
| 14 Other | |||||
| f Employee's address and ZIP code | |||||
(Rev. February 2002)
For Privacy Act and Paperwork Reduction.
Noting and Instructions, www.FarmW-3
Oat. No. 499770
Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
| a Control number | 22222 | Void | For Official Use Only © OMB No. 1845-0008 | ||
|---|---|---|---|---|---|
| b Employer Identification number 66-0567418 | 1 Wages, tips, other compensation $ 37894.80 | 2 VI Income tax withholding $ 3318.00 | |||
| c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802 | 3 Social security wages $ 42038.74 | 4 Social security tax withholding $ 2606.4 | |||
| 5 Medicare wages and tips $ 42038.74 | 6 Medicare tax withholding $ 609.5 | ||||
| 7 Social security tips $ | 8 | ||||
| 9 Advance EIC payment $ | 10 | ||||
| d Employee's social security number 580-17-3729 | 11 Nonqualified plans $ | 12 See Form W-SSD instructions S $ 4143.94 | |||
| e Employee's final name and initial DAPHNE L | Last name WALLACE | 13 Business employees X X | 14 C 26.82 | ||
| P.O. BOX 11184 ST. THOMAS, USVI, 00801 | 15 Other | 16 | |||
(Rev. February 2002)
FTCO030
EFTA00176041
Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.
FILE COPY
Signature ▶
Title ▶ PRESIDENT
Date ▶ 2/23/07
Instructions
Purpose of form. Use this form to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. Do not use Form 1096 to transmit electronically or magnetically. For magnetic media, see Form 4804, Transmittal of Information Returns Reported Magnetically; for electronic submissions, see Pub. 1220, Specifications for Filing Forms 1098, 1099, 5498, and W-2G Electronically or Magnetically.
Who must file. The name, address, and TIN of the filer on this form must be the same as those you enter in the upper left area of Forms 1099, 1098, 5498, or W-2G. A filer includes a payer; a recipient of mortgage interest payments (including points) or student loan Interest; an educational Institution; a broker; a barter exchange; a creditor; a person reporting real estate transactions; a trustee or issuer of any individual retirement arrangement, a Coverdell ESA, an HSA, an Archer MSA (including a Medicare Advantage MSA); certain corporations; certain donees of motor vehicles, boats, and airplanes; and lender who acquires an interest in secured property or who reason to know that the property has been abandoned.
Preaddressed Form 1098. If you received a preaddressed Form 1096 from the IRS with Package 1099, use it to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. If any of the preprinted information is incorrect, make corrections on the form.
If you are not using a preaddressed form, enter the filer's name, address (including room, suite, or other unit number), and TIN In the spaces provided on the form.
When to file. File Form 1096 as follows,
Where To File
For more information and the Privacy Act and Paperwork Reduction Act Notice, see the 2006 General Instructions for Forms 1099, 1098, 5498, and W-2G.
FTC0031
EFTA00176042
| PAYER's name, street address, city, state, ZIP code, and telephone no. | 1 Renta | Ohio No. 1545-0115 2006 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| $ | ||||
| 2 Royalties | $ | |||
| 3 Other income | $ | |||
| PAYER's federal identification number | RECIPIENT's identification number | 5 Fishing boat proceeds | 4 Federal income tax withheld | State Copy or Extra File Copy |
| 66-0567418 | 66-0473483 | $ | 6 Medical and health care payments | |
| RECIPIENT's name, address, and ZIP code | 7 Nonemployee compensation | $ 796.64 | 8 Subsidize payments in lieu of dividends or interest | |
| 9 Payer made direct sales of $5,000 or more consumer products to a buyer (recipient) for reads □ | 10 Crop insurance proceeds | |||
| 11 | 12 | |||
| Account number (see instructions) | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 15a Section 409A deferrals | 15b Section 409A Income | 16 State tax withheld | 17 State/Payer's state no. | 18 State Income |
Department of the Treasury - Internal Revenue Service
| PAYER's name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1545-0115 2006 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| $ | |||||
| 2 Royalties | |||||
| 3 Other Income | 4 Federal income tax withheld | State Copy or Extra File Copy | |||
| $ | 6 Medical and health care payments | ||||
| PAYER's federal identification number 66-0567418 | RECIPIENT's identification number 66-0578959 | 8 Fishing boat proceeds | |||
| RECIPIENT's name, address, and ZIP code MARJORIE RAWLS ROBERTS DO BOX 6047 ST. THOMAS, VI 00804-6247 | 7 Nonemployee compensation $22,373.16 | 8 Substitute payments to lieu of dividends or interest | |||
| 8 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for, retail ▷ | 10 Crop insurance proceeds | ||||
| 11 Excess golden parachute payments | 12 Groca proceeds paid to an attorney | ||||
| Account number (see instructions) | 13 Excess golden parachute payments | 14 Groca proceeds paid to an attorney | |||
| 15a Section 409A deferrals | 15b Section 409A Income | 18 State tax withhold | 17 State/Payer's state no. | 18 State income | |
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
FTC0032
EFTA00176043
| PAYER's name, street address, city, state, ZIP code, and telephone no. | 1 Runte | OMB No. 1545-0115 2006 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| $ | ||||
| 2 Royalties | $ | |||
| 3 Other income | $ | |||
| PAYER's federal identification number | RECIPIENT's identification number | 5 Fishing boat proceeds | 4 Federal income tax withhold | State Copy or Extra File Copy |
| 66-0567418 | 52-0749196 | $ | 6 Medical and begin care payments | |
| RECIPIENT's name, address, and ZIP code | 7 Nonamptoyes compensation | $ 7,150.00 | 8 Substitute payments in lieu of dividends or interest | |
| 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (noliplant) for resale ▷ | $ | 10 Crop insurance proceeds | ||
| 11 | 12 | |||
| Account number (see instructions) | 13 Expense golden parachute payments | 14 Grose proceeds paid to an attorney | ||
| 15a Section 409A deferrals | 16b Section 409A Income | 16 State tax withhold | 17 State/Payer's state no. | 18 State Income |
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
□ VOID □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1545-0115 2006 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| $ | ||||
| 2 Royalties | $ | |||
| $ | $ | |||
| 3 Other Income | 4 Federal income tax withheld | State Copy or Extra File Copy | ||
| $ | $ | |||
| 5 Fishing-bont prooceds | 6 Medical and health care payments | |||
| $ | $ | |||
| 7 Nonemployee compensation | 8 Subsidize payments in lieu of dividends or interest | |||
| $ | $ | |||
| 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (repliant) for resale | 10 Crop insurance proceeds | |||
| $ | $ | |||
| 11 | 12 | |||
| Account number (see instructions) | 18 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| $ | ||||
| 15a Section 409A deferrals | 15b Section 409A Income | 17 State/Payer's state no. | 18 State Income | |
| $ | ||||
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
FTC0033
EFTA00176044
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.
Title ▶ \textcircled{1}$$\textcircled{2}$\textcircled{3}$\textcircled{4}$\textcircled{5}$\textcircled{6}$\textcircled{7}$\textcircled{8}$\textcircled{9}$\textcircled{10}$\textcircled{11}$\textcircled{12}$\textcircled{13}$\textcircled{14}$\textcircled{15}$\textcircled{16}$\textcircled{17}$\textcircled{18}$\textcircled{19}$\textcircled{20}$\textcircled{21}$\textcircled{22}$\textcircled{23}$\textcircled{24}$\textcircled{25}$\textcircled{26}$\textcircled{27}$\textcircled{28}$\textcircled{29}$\textcircled{30}$\textcircled{31}$\textcircled{32}$\textcircled{33}$\textcircled{34}$\textcircled{35}$\textcircled{36}$\textcircled{37}$\textcircled{38}$\textcircled{39}$\textcircled{40}$\textcircled{41}$\textcircled{42}$\textcircled{43}$\textcircled{44}$\textcircled{45}$\textcircled{46}$\textcircled{47}$\textcircled{48}$\textcircled{49}$\textcircled{50}$\textcircled{51}$\textcircled{52}$\textcircled{53}$\textcircled{54}$\textcircled{55}$\textcircled{56}$\textcircled{57}$\textcircled{58}$\textcircled{59}$\textcircled{60}$\textcircled{61}$\textcircled{62}$\textcircled{63}$\textcircled{64}$\textcircled{65}$\textcircled{66}$\textcircled{67}$\textcircled{68}$\textcircled{69}$\textcircled{70}$\textcircled{71}$\textcircled{72}$\textcircled{73}$\textcircled{74}$\textcircled{75}$\textcircled{76}$\textcircled{77}$\textcircled{78}$\textcircled{79}$\textcircled{80}$\textcircled{81}$\textcircled{82}$\textcircled{83}$\textcircled{84}$\textcircled{85}$\textcircled{86}$\textcircled{87}$\textcircled{88}$\textcircled{89}$\textcircled{90}$\textcircled{91}$\textcircled{92}$\textcircled{93}$\textcircled{94}$\textcircled{95}$\textcircled{96}$\textcircled{97}$\textcircled{98}$\textcircled{99}$\textcircled{100}$\textcircled{101}$\textcircled{102}$\textcircled{103}$\textcircled{104}$\textcircled{105}$\textcircled{106}$\textcircled{107}$\textcircled{108}$\textcircled{109}$\textcircled{110}$\textcircled{111}$\textcircled{112}$\textcircled{113}$\textcircled{114}$\textcircled{115}$\textcircled{116}$\textcircled{117}$\textcircled{118}$\textcircled{119}$\textcircled{120}$\textcircled{121}$\textcircled{122}$\textcircled{123}$\textcircled{124}$\textcircled{125}$\textcircled{126}$\textcircled{127}$\textcircled{128}$\textcircled{129}$\textcircled{130}$\textcircled{131}$\textcircled{132}$\textcircled{133}$\textcircled{134}$\textcircled{135}$\textcircled{136}$\textcircled{137}$\textcircled{138}$\textcircled{139}$\textcircled{140}$\textcircled{141}$\textcircled{142}$\textcircled{143}$\textcircled{144}$\textcircled{145}$\textcircled{146}$\textcircled{147}$\textcircled{148}$\textcircled{149}$\textcircled{150}$\textcircled{151}$\textcircled{152}$\textcircled{153}$\textcircled{154}$\textcircled{155}$\textcircled{156}$\textcircled{157}$\textcircled{158}$\textcircled{159}$\textcircled{160}$\textcircled{161}$\textcircled{162}$\textcircled{163}$\textcircled{164}$\textcircled{165}$\textcircled{166}$\textcircled{167}$\textcircled{168}$\textcircled{169}$\textcircled{170}$\textcircled{171}$\textcircled{172}$\textcircled{173}$\textcircled{174}$\textcircled{175}$\textcircled{176}$\textcircled{177}$\textcircled{178}$\textcircled{179}$\textcircled{180}$\textcircled{181}$\textcircled{182}$\textcircled{183}$\textcircled{184}$\textcircled{185}$\textcircled{186}$\textcircled{187}$\textcircled{188}$\textcircled{189}$\textcircled{190}$\textcircled{191}$\textcircled{192}$\textcircled{193}$\textcircled{194}$\textcircled{195}$\textcircled{196}$\textcircled{197}$\textcircled{198}$\textcircled{199}$\textcircled{200}$\textcircled{201}$\textcircled{202}$\textcircled{203}$\textcircled{204}$\textcircled{205}$\textcircled{206}$\textcircled{207}$\textcircled{208}$\textcircled{209}$\textcircled{210}$\textcircled{211}$\textcircled{212}$\textcircled{213}$\textcircled{214}$\textcircled{215}$\textcircled{216}$\textcircled{217}$\textcircled{218}$\textcircled{219}$\textcircled{220}$\textcircled{221}$\textcircled{222}$\textcircled{223}$\textcircled{224}$\textcircled{225}$\textcircled{226}$\textcircled{227}$\textcircled{228}$\textcircled{229}$\textcircled{230}$\textcircled{231}$\textcircled{232}$\textcircled{233}$\textcircled{234}$\textcircled{235}$\textcircled{236}$\textcircled{237}$\textcircled{238}$\textcircled{239}$\textcircled{240}$\textcircled{241}$\textcircled{242}$\textcircled{243}$\textcircled{244}$\textcircled{245}$\textcircled{246}$\textcircled{247}$\textcircled{248}$\textcircled{249}$\textcircled{250}$\textcircled{251}$\textcircled{252}$\textcircled{253}$\textcircled{254}$\textcircled{255}$\textcircled{256}$\textcircled{257}$\textcircled{258}$\textcircled{259}$\textcircled{260}$\textcircled{261}$\textcircled{262}$\textcircled{263}$\textcircled{264}$\textcircled{265}$\textcircled{266}$\textcircled{267}$\textcircled{268}$\textcircled{269}$\textcircled{270}$\textcircled{271}$\textcircled{272}$\textcircled{273}$\textcircled{274}$\textcircled{275}$\textcircled{276}$\textcircled{277}$\textcircled{278}$\textcircled{279}$\textcircled{280}$\textcircled{281}$\textcircled{282}$\textcircled{283}$\textcircled{284}$\textcircled{285}$\textcircled{286}$\textcircled{287}$\textcircled{288}$\textcircled{289}$\textcircled{290}$\textcircled{291}$\textcircled{292}$\textcircled{293}$\textcircled{294}$\textcircled{295}$\textcircled{296}$\textcircled{297}$\textcircled{298}$\textcircled{299}$\textcircled{300}$\textcircled{301}$\textcircled{302}$\textcircled{303}$\textcircled{304}$\textcircled{305}$\textcircled{306}$\textcircled{307}$\textcircled{308}$\textcircled{309}$\textcircled{310}$\textcircled{311}$\textcircled{312}$\textcircled{313}$\textcircled{314}$\textcircled{315}$\textcircled{316}$\textcircled{317}$\textcircled{318}$\textcircled{319}$\textcircled{320}$\textcircled{321}$\textcircled{322}$\textcircled{323}$\textcircled{324}$\textcircled{325}$\textcircled{326}$\textcircled{327}$\textcircled{328}$\textcircled{329}$\textcircled{330}$\textcircled{331}$\textcircled{332}$\textcircled{333}$\textcircled{334}$\textcircled{335}$\textcircled{336}$\textcircled{337}$\textcircled{338}$\textcircled{339}$\textcircled{340}$\textcircled{341}$\textcircled{342}$\textcircled{343}$\textcircled{344}$\textcircled{345}$\textcircled{346}$\textcircled{347}$\textcircled{348}$\textcircled{349}$\textcircled{350}$\textcircled{351}$\textcircled{352}$\textcircled{353}$\textcircled{354}$\textcircled{355}$\textcircled{356}$\textcircled{357}$\textcircled{358}$\textcircled{359}$\textcircled{360}$\textcircled{361}$\textcircled{362}$\textcircled{363}$\textcircled{364}$\textcircled{365}$\textcircled{366}$\textcircled{367}$\textcircled{368}$\textcircled{369}$\textcircled{370}$\textcircled{371}$\textcircled{372}$\textcircled{373}$\textcircled{374}$\textcircled{375}$\textcircled{376}$\textcircled{377}$\textcircled{378}$\textcircled{379}$\textcircled{380}$\textcircled{381}$\textcircled{382}$\textcircled{383}$\textcircled{384}$\textcircled{385}$\textcircled{386}$\textcircled{387}$\textcircled{388}$\textcircled{389}$\textcircled{390}$\textcircled{391}$\textcircled{392}$\textcircled{393}$\textcircled{394}$\textcircled{395}$\textcircled{396}$\textcircled{397}$\textcircled{398}$\textcircled{399}$\textcircled{400}$\textcircled{401}$\textcircled{402}$\textcircled{403}$\textcircled{404}$\textcircled{405}$\textcircled{406}$\textcircled{407}$\textcircled{408}$\textcircled{409}$\textcircled{410}$\textcircled{411}$\textcircled{412}$\textcircled{413}$\textcircled{414}$\textcircled{415}$\textcircled{416}$\textcircled{417}$\textcircled{418}$\textcircled{419}$\textcircled{420}$\textcircled{421}$\textcircled{422}$\textcircled{423}$\textcircled{424}$\textcircled{425}$\textcircled{426}$\textcircled{427}$\textcircled{428}$\textcircled{429}$\textcircled{430}$\textcircled{431}$\textcircled{432}$\textcircled{433}$\textcircled{434}$\textcircled{435}$\textcircled{436}$\textcircled{437}$\textcircled{438}$\textcircled{439}$\textcircled{440}$\textcircled{441}$\textcircled{442}$\textcircled{443}$\textcircled{444}$\textcircled{445}$\textcircled{446}$\textcircled{447}$\textcircled{448}$\textcircled{449}$\textcircled{450}$\textcircled{451}$\textcircled{452}$\textcircled{453}$\textcircled{454}$\textcircled{455}$\textcircled{456}$\textcircled{457}$\textcircled{458}$\textcircled{459}$\textcircled{460}$\textcircled{461}$\textcircled{462}$\textcircled{463}$\textcircled{464}$\textcircled{465}$\textcircled{466}$\textcircled{467}$\textcircled{468}$\textcircled{469}$\textcircled{470}$\textcircled{471}$\textcircled{472}$\textcircled{473}$\textcircled{474}$\textcircled{475}$\textcircled{476}$\textcircled{477}$\textcircled{478}$\textcircled{479}$\textcircled{480}$\textcircled{481}$\textcircled{482}$\textcircled{483}$\textcircled{484}$\textcircled{485}$\textcircled{486}$\textcircled{487}$\textcircled{488}$\textcircled{489}$\textcircled{490}$\textcircled{491}$\textcircled{492}$\textcircled{493}$\textcircled{494}$\textcircled{495}$\textcircled{496}$\textcircled{497}$\textcircled{498}$\textcircled{499}$\textcircled{500}$\textcircled{501}$\textcircled{502}$\textcircled{503}$\textcircled{504}$\textcircled{505}$\textcircled{506}$\textcircled{507}$\textcircled{508}$\textcircled{509}$\textcircled{510}$\textcircled{511}$\textcircled{512}$\textcircled{513}$\textcircled{514}$\textcircled{515}$\textcircled{516}$\textcircled{517}$\textcircled{518}$\textcircled{519}$\textcircled{520}$\textcircled{521}$\textcircled{522}$\textcircled{523}$\textcircled{524}$\textcircled{525}$\textcircled{526}$\textcircled{527}$\textcircled{528}$\textcircled{529}$\textcircled{530}$\textcircled{531}$\textcircled{532}$\textcircled{533}$\textcircled{534}$\textcircled{535}$\textcircled{536}$\textcircled{537}$\textcircled{538}$\textcircled{539}$\textcircled{540}$\textcircled{541}$\textcircled{542}$\textcircled{543}$\textcircled{544}$\textcircled{545}$\textcircled{546}$\textcircled{547}$\textcircled{548}$\textcircled{549}$\textcircled{550}$\textcircled{551}$\textcircled{552}$\textcircled{553}$\textcircled{554}$\textcircled{555}$\textcircled{556}$\textcircled{557}$\textcircled{558}$\textcircled{559}$\textcircled{560}$\textcircled{561}$\textcircled{562}$\textcircled{563}$\textcircled{564}$\textcircled{565}$\textcircled{566}$\textcircled{567}$\textcircled{568}$\textcircled{569}$\textcircled{570}$\textcircled{571}$\textcircled{572}$\textcircled{573}$\textcircled{574}$\textcircled{575}$\textcircled{576}$\textcircled{577}$\textcircled{578}$\textcircled{579}$\textcircled{580}$\textcircled{581}$\textcircled{582}$\textcircled{583}$\textcircled{584}$\textcircled{585}$\textcircled{586}$\textcircled{587}$\textcircled{588}$\textcircled{589}$\textcircled{590}$\textcircled{591}$\textcircled{592}$\textcircled{593}$\textcircled{594}$\textcircled{595}$\textcircled{596}$\textcircled{597}$\textcircled{598}$\textcircled{599}$\textcircled{600}$\textcircled{601}$\textcircled{602}$\textcircled{603}$\textcircled{604}$\textcircled{605}$\textcircled{606}$\textcircled{607}$\textcircled{608}$\textcircled{609}$\textcircled{610}$\textcircled{611}$\textcircled{612}$\textcircled{613}$\textcircled{614}$\textcircled{615}$\textcircled{616}$\textcircled{617}$\textcircled{618}$\textcircled{619}$\textcircled{620}$\textcircled{621}$\textcircled{622}$\textcircled{623}$\textcircled{624}$\textcircled{625}$\textcircled{626}$\textcircled{627}$\textcircled{628}$\textcircled{629}$\textcircled{630}$\textcircled{631}$\textcircled{632}$\textcircled{633}$\textcircled{634}$\textcircled{635}$\textcircled{636}$\textcircled{637}$\textcircled{638}$\textcircled{639}$\textcircled{640}$\textcircled{641}$\textcircled{642}$\textcircled{643}$\textcircled{644}$\textcircled{645}$\textcircled{646}$\textcircled{647}$\textcircled{648}$\textcircled{649}$\textcircled{650}$\textcircled{651}$\textcircled{652}$\textcircled{653}$\textcircled{654}$\textcircled{655}$\textcircled{656}$\textcircled{657}$\textcircled{658}$\textcircled{659}$\textcircled{660}$\textcircled{661}$\textcircled{662}$\textcircled{663}$\textcircled{664}$\textcircled{665}$\textcircled{666}$\textcircled{667}$\textcircled{668}$\textcircled{669}$\textcircled{670}$\textcircled{671}$\textcircled{672}$\textcircled{673}$\textcircled{674}$\textcircled{675}$\textcircled{676}$\textcircled{677}$\textcircled{678}$\textcircled{679}$\textcircled{680}$\textcircled{681}$\textcircled{682}$\textcircled{683}$\textcircled{684}$\textcircled{685}$\textcircled{686}$\textcircled{687}$\textcircled{688}$\textcircled{689}$\textcircled{690}$\textcircled{691}$\textcircled{692}$\textcircled{693}$\textcircled{694}$\textcircled{695}$\textcircled{696}$\textcircled{697}$\textcircled{698}$\textcircled{699}$\textcircled{700}$\textcircled{701}$\textcircled{702}$\textcircled{703}$\textcircled{704}$\textcircled{705}$\textcircled{706}$\textcircled{707}$\textcircled{708}$\textcircled{709}$\textcircled{710}$\textcircled{711}$\textcircled{712}$\textcircled{713}$\textcircled{714}$\textcircled{715}$\textcircled{716}$\textcircled{717}$\textcircled{718}$\textcircled{719}$\textcircled{720}$\textcircled{721}$\textcircled{722}$\textcircled{723}$\textcircled{724}$\textcircled{725}$\textcircled{726}$\textcircled{727}$\textcircled{728}$\textcircled{729}$\textcircled{730}$\textcircled{731}$\textcircled{732}$\textcircled{733}$\textcircled{734}$\textcircled{735}$\textcircled{736}$\textcircled{737}$\textcircled{738}$\textcircled{739}$\textcircled{740}$\textcircled{741}$\textcircled{742}$\textcircled{743}$\textcircled{744}$\textcircled{745}$\textcircled{746}$\textcircled{747}$\textcircled{748}$\textcircled{749}$\textcircled{750}$\textcircled{751}$\textcircled{752}$\textcircled{753}$\textcircled{754}$\textcircled{755}$\textcircled{756}$\textcircled{757}$\textcircled{758}$\textcircled{759}$\textcircled{760}$\textcircled{761}$\textcircled{762}$\textcircled{763}$\textcircled{764}$\textcircled{765}$\textcircled{766}$\textcircled{767}$\textcircled{768}$\textcircled{769}$\textcircled{770}$\textcircled{771}$\textcircled{772}$\textcircled{773}$\textcircled{774}$\textcircled{775}$\textcircled{776}$\textcircled{777}$\textcircled{778}$\textcircled{779}$\textcircled{780}$\textcircled{781}$\textcircled{782}$\textcircled{783}$\textcircled{784}$\textcircled{785}$\textcircled{786}$\textcircled{787}$\textcircled{788}$\textcircled{789}$\textcircled{790}$\textcircled{791}$\textcircled{792}$\textcircled{793}$\textcircled{794}$\textcircled{795}$\textcircled{796}$\textcircled{797}$\textcircled{798}$\textcircled{799}$\textcircled{800}$\textcircled{801}$\textcircled{802}$\textcircled{803}$\textcircled{804}$\textcircled{805}$\textcircled{806}$\textcircled{807}$\textcircled{808}$\textcircled{809}$\textcircled{810}$\textcircled{811}$\textcircled{812}$\textcircled{813}$\textcircled{814}$\textcircled{815}$\textcircled{816}$\textcircled{817}$\textcircled{818}$\textcircled{819}$\textcircled{820}$\textcircled{821}$\textcircled{822}$\textcircled{823}$\textcircled{824}$\textcircled{825}$\textcircled{826}$\textcircled{827}$\textcircled{828}$\textcircled{829}$\textcir
## Instructions
Purpose of form. Use this form to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. Do not use Form 1096 to transmit electronically or magnetically. For magnetic media, see.Form 4804, Transmission of Information Returns Reported Magnetically; for electronic submissions, see Pub.-1220, Specifications for Filing Forms 1098, 1099, 5498, and W-2G Electronically or Magnetically.
```markdown
Date ▶ $c = -7, 06$
Who must file. The name, address, and TIN of the filer on this form must be the same as those you enter in the upper left area of Forms 1099, 1098, 5498, or W-2G. A filer includes a payer; a recipient of mortgage Interest payments (including points) or student loan Interest; an educational institution; a broker; a barter exchange; a creditor; a person reporting real estate transactions; a trustee or issuer of any Individual retirement arrangement; a Coverdell ESA, an HSA, an Archer MSA (including a Medicare Advantage MSA); certain corporations; certain donees of motor vehicles, boats, and airplanes; and a lender who acquires an interest in secured property or who has reason to know that the property has been abandoned.
Preaddressed Form 1096. If you received a preaddressed Form 1096 from the IRS with Package 1099, use it to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. If any of the preprinted Information is Incorrect, make corrections on the form.
If you are not using a preaddressed form, enter the filer's name, address (including room, suite, or other unit number), and TIN in the spaces provided on the form.
When to file. File Form 1096 with Forms 1099, 1098, or W-2G by February 28, 2006. File Form 1096 with Forms 5498, 5498-ESA, and 5498-SA by May 31, 2006.
Where To File
Send all information returns file with Form 1096 to the following:
COLLECTIONS & DEPOSIT NO. 3
If your principal business, office or agency, or legal residence in the case of an individual, is located in VIRGIN ISLANDS BUREAU OF INTERNAL REVENUE, ST. THOMAS, VI
Use the following Internal Revenue Service Center address:
Alabama, Arizona, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Texas,
Austin, TX 73301
Arkansas, Connecticut, Delaware,
Kentucky, Maine, Massachusetts,
New Hampshire, New Jersey,
New York, Ohio, Pennsylvania,
Rhode Island, Vermont, West
Cincinnati, OH 45999
Illinois, Indiana, Iowa, Kansas,
Michigan, Minnesota, Missouri,
Nebraska, North Dakota, Oklahoma,
South Carolina, South Dakota,
Tennessee, Wisconsin
For more information and the Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G.
Kansas City, MO 64999
FTC0034
EFTA00176045
| PAYER's name, street address, city, state, ZIP code, and telephone no. FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QTRS, B3 ST. THOMAS, VI 00802 | 1 Ranta | OMB No. 1545-0115 Form 1099-MISC | Miscellaneous Income | |
| 2 Royalties | ||||
| 3 Other income | ||||
| 4 Federal income tax withheld | ||||
| PAYER's Federal Identification number 66-0567418 | RECIPIENT's identification number 13-3085114 | 5 Fishing boat proceeds | 6 Medical health care payments | Copy for Payer or State Copy |
| RECIPIENT's name, address, and ZIP code GERALD B. LEFCOURT, P.C. 148 EAST 78TH STREET NEW YORK, NY 10021 | 7 Nonemployees compensation 15070.07 | 8 Subsidies payments in lieu of dividends or interest | For Privacy A and Paperw/o Reduction A Notice, see the 2005 General Instructions for Forms 1098, 548 and W-2 | |
| 8 Power made direct sales of 85,000 or more consumer products to a buyer (recipient) for resale | 10 Crop insurance proceeds | |||
| 11 | 13 | |||
| 10 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |||
| Account number (see instructions) | 2nd TIN not. | 10 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |
| 19a Section 409A deferrals | 19b Section 409A Income | 10 State tax withheld | 17 State/Payer's state no. | 18 State Income |
| Form 1099-MISC Department of the Treasury - Internal Revenue Service | ||||
| PAYER's name, street address, city, state, ZIP code, and telephone no. FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QTRS, B3 ST. THOMAS, VI 00802 | 1 Rinta | OMB No. 1545-0115 Form 1099-MISC | Miscellaneous Income | |
| 2 Royalties | ||||
| 3 Other income | ||||
| 4 Federal income tax withheld | ||||
| PAYER's Federal Identification number 66-0567418 | RECIPIENT's identification number 66-0473483 | 6 Fishing boat proceeds | 8 Medical and health care payments | Copy for Payer or State Co |
| RECIPIENT's name, address, and ZIP code HODGE & FRANCOSIS 1340 TAARENBERG GADS CHARLOTTE AMALIE, VI 00802 | 7 Nonemployees compensation 5949.49 | 8 Schedule payments in lieu of dividends or interest | For Privacy A and Paperw/o Reduction A Notice, see the 2005 Gene Instructions for Forms 1098, 548 and W-2 | |
| 8 Power made direct sales of 45,000 or more consumer products to a buyer (recipient) for resale | 10 Crop insurance proceeds | |||
| 11 | 12 | |||
| 10 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |||
| Account number (see instructions) | 2nd TIN not. | 10 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |
| 16a Section 409A deferrals | 10b Section 409A Income | 10 State tax withheld | 17 State/Payer's state no. | 18 State Income |
Form 1099-MISC
FTCD035
Department of the Treasury - Internal Revenue Service
EFTA00176046
□ VOID □ CORRECTED
| PAYER's name, street address, city, state, ZIP code, and telephone no. | 1 Rentle | OMB No. 1548-0115 2005 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalities | ||||
| 3 Other Income | 4 Federal income tax withhold | |||
| $ | $ | |||
| PAYER'S Federal Identification number 66-0567418 | RECIPIENT'S Identification number 66-0578959 | 6 Fishing boat proceeds | 6 Medical and health care payments | For Privacy and Paperwork Reduction Notice, see the 2005 General Instructions for Forms 1099, 1098, 5499 and W-2 |
| RECIPIENT'S name, address, and ZIP code MAJORIE RAWLS ROBERTS PO BOX 6347 THOMAS, VI 00804-6347 | 7 Nonemployee compensation $ 13328.69 | 8 Substitute payments in lieu of dividends or interest | ||
| 9 Payer made direct sales of $5,000 or more of consumer product to a buyer (recipient) for resale | 10 Crop insurance proceeds | |||
| 11 Excess golden parachute payments | 12 Gross proceeds paid to an attorney | |||
| Account number (see instructions) | 2nd TIN not. | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |
| 18a Section 409A deferrals | 15b Section 409A Income | 16 State tax withheld | 17 State/Payer's state no. | |
| $ | $ | $ | $ | |
Form 1099-MISC
Department of the Treasury - Internal Revenue Serv
1099-MISC / COPY C
31, 2006.
electronically, the due date is March
by February 28, 2006. If you file
File Copy A of this form with the IRS
2006,
IRS website.
form to the recolpient by January 31,
Due dates. Furnish Copy B of this
Caution: Because paper forms are scanned during processing, you cannot file with the IRS Forms 1096, 1098, 1099, or 5498 that you print from the
(1-800-829-3676).
General and specific form Instructions are provided as separate products. The products you should use to complete Form 1099-MISC are the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G and the 2005 Instructions for Form 1099-MISC. A chart in the general instructions gives a quick guide to which form must be filed to report a particular payment. To order these instructions and additional forms, call 1-800-TAX-FORM (1-800-829-3676).
Instructions for Payers
FTCD036
EFTA00176047
For more Information and the Privacy Act and Paperwork Reduction Act Notice, see the 2004 General Instructions for Forms 1099, 1098, 5498, and W-2G.
FTC0037
EFTA00176048
ID CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. FINANCIAL TRUST COMPANY, INC. 6100 RAD BOOK QTRS, IA 30, THOMAS, USVI 00802-1748 | 1 Rents | OMB No. 1545-0115 2004 Form 1090-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalties | ||||
| 3 Other Income | ||||
| PAYER'S Federal Identification number | RECIPIENT'S Identification number | 5 Fishing boat proceeds | 6 Medical and health care payments | |
| 66-0567418 | 09-0540596 | 7 Nonemployee compensation | 8 Substitute payments in lieu of dividends or interest | |
| RECIPIENT'S name, address, and ZIP code PARNEN K. LINDYKE, ESQ. 2 KEAN COURT LUTKINGSTON, MT. 07039 | 9 Payee made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale | 10 Crop insurance proceeds | ||
| 11 | 12 | |||
| 13 Excess golden perchute payments | 14 Gross proceeds paid to an attorney | |||
| Account number (optional) | 16 State tax withhold | 17 State/Payer's state no. | 18 State income | |
| 15 | $... | $... | $... | |
Form 1099-MISC
□ VOID □ CORRECTED
Department of the Treasury - Internal Revenue Service
| PAYER'S name, street address, city, state, ZIP code, and telephone no. FINANCIAL TRUST COMPANY, XRC. 6100 RED HOOK QTRS, B3 ST. THOMAS, USVI 00802-1348 | 1 Rents | OMB No. 1848-0115 2004 Form 1099-MISC | Inco. | ||
|---|---|---|---|---|---|
| $ | |||||
| $ | |||||
| 2 Royalties | $ | 4 Federal income tax withhold | State Copy or Extra File Copy | ||
| 3 Other Income | $ | ||||
| 5 Fishing boat proceeds | $ | 6 Medical and health care payments | |||
| 7 Nonemployee compensation | $25500.45 | 8 Substitute payments in lieu of dividends or interest | |||
| 9 Payer made direct sales of $6,000 or more of consumer products to a buyer (recipient) for resale | $ | 10 Crop insurance proceeds | |||
| 11 | $ | 12 | |||
| 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||||
| Account number (optional) | $ | ||||
| 15 | 16 State tax withheld | 17 State/Payer's state no. | 18 State Income | ||
| $ | $ | ||||
Form 1099--MISC
Department of the Treasury • Internal Revenue Service
FTC0038
EFTA00176049
□ ▼ ID □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1545-0115 2004 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| $ | ||||
| $ | ||||
| 2 Royalties | ||||
| 3 Other Income | ||||
| 4 Federal income tax withhold | State Copy or Extra File Copy | |||
| $ | $ | |||
| PAYER'S Federal Identification number | RECIPIENT'S Identification number | 6 Fishing boat proceeds | 8 Medical and health care payments | |
| 66-0567410 | 66-0473482 | $ | $ | |
| RECIPIENT'S name, address, and ZIP code | 7 Nonemployee compensation | 8 Substitute payments in lieu of dividends or interest | ||
| HODGE & FRANCOTS | $2670.55 | $ | ||
| 1340 TAARINBERG GADE | 9 Payer made direct sales of $8,000 or more of consumer products to a buyer (recipient) for resale | 10 Crop insurance proceeds | ||
| CHARLOTTE AMALTE, V1 00802 | 11 | 12 | ||
| Account number (optional) | 13 Excess golden perchute payments | 14 Gross proceeds paid to an attorney | ||
| 15 | 16 State tax withhold. | 17 State/Payer's state no. | 18 State Income | |
| $ | $ | $ | ||
Form 1099-MISC
Department of the Treasury • Internal Revenue Service
□ VOID □ CORRECTED
| PAYER's name, street address, city, state, ZIP code, and telephone no. FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QURS, B3 ST. THOMAS, USVI 00802-1348 | 1 Rents | OMB No. 1545-0115 2004 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| $ | |||||
| 3 Other Income | 4 Federal income tax withheld | State Copy or Extra File Copy | |||
| $ | $ | ||||
| PAYER's Federal Identification number 65-0567418 | RECIPIENT's Identification number 65-0578959 | 5 Flaming boat proceeds | 6 Medical and health care payments | ||
| RECIPIENT's name, address, and ZIP code MARJORIE CAVALLE ROBERTS PO BOX 6347 ST. THOMAS, VT 00804-6247 | 7 Nonemployee compensation | 8 Subsidize payments in lieu of dividends or interest | |||
| 9 Payer made direct sales of 35,000 or more of consumer products to a buyer (recipient) for retail | 10 Crop insurance proceeds | ||||
| 11 | 12 | ||||
| Account number (optional) | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |||
| 15 | 18 State tax withheld | 17 State/Payor's stato no. | |||
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
FTC0039
EFTA00176050
| PAYER'S name, street address, city, state, ZIP code, and telephone no. FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QRS, D3 GE. THOMAS, USV 20802-1348 | 1 Rents | DMB No. 1545-0115 2004 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| $ | ||||
| $ | ||||
| PAYER'S Federal Identification number 65-0567418 | RECIPIENT'S Identification number 66-0436649 | 3 Other income | 4 Federal Income tax withheld | State Copy or Extra File Copy |
| RECIPIENT'S name, address, and ZIP code PAUL HOFFMAN, PC PO BOX 870 CHARLOTTE AMALIE, VT 00504-0870 | 5 Fishing boat proceeds | 9 Medical and health care payments | ||
| 7 Nonemployee compensation $ 24000.00 | 8 Substitute payments in lieu of dividends or internal | |||
| 9 Payer made direct sales of $8,000 or more of consumer products to a buyer (recipient) for resale | 10 Crop insurance proceeds | |||
| 11 Excess golden parachute payments | 12 Gross proceeds paid to an attorney | |||
| Account number (optional) | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 15 | 16 State tax withheld | 17 State/Payer's state no. | 19 State Income | |
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
□ VOID □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QTRS, B3 ST. THOMAS, UBVI 00802-1348 | 1 Rents | OMB No. 1546-0116 2004 Form 1099-MISC | Incon | ||
|---|---|---|---|---|---|
| 2 Royalties | |||||
| 3 Other Income | |||||
| PAYER'S Federal Identification number 66-0567410 | RECIPIENT'S Identification number 13-3117822 | 5 Fishing boat proceeds | 6 Medical and health care payments | State Copy or Extra File Copy | |
| RECIPIENT'S name, address, and ZIP code ROBERT YOUDELMAN, P.C. 19 WEST 44TH STREET SUCK 711 NEW YORK, NY 10036 | 7 Nonemployee compensation $8180.00 | 8 Substitute payments in lieu of dividends or interest | |||
| 8 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▶ | 10 Crop insurance proceeds | ||||
| 11 | 12 | ||||
| Account number (optional) | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |||
| 18 | 16 State tax withhold | 17 State/Payer's state no. | |||
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
FTC0040
EFTA00176051
| PAYER's name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1545-0115 2004 Form 1099-MISC | Miscellaneous income | |
|---|---|---|---|---|
| $ | ||||
| $ | ||||
| 2 Royalties | ||||
| 3 Other Income | 4 Federal income tax withheld | State Copy or Extra File Copy | ||
| $ | $ | |||
| PAYER's Federal Identification number | RECIPIENT'S Identification number | 5 Fishing boat proceeds | 6 Medical and health care payments | |
| 66-0567418 | 13-1456110 | $ | $ | |
| RECIPIENT'S name, address, and ZIP code | 7 Nonemployee compensation | 8 Substitute payments in lieu of dividends or interest | ||
| $10239.50 | $ | |||
| 9 Payer made direct sales of $85,000 or more of consumer products to a buyer (repliant) for resale □ | 10 Crop insurance proceeds | |||
| 767 FIFTH AVENUE NEW YORK, NY 10157 | 11 | 12 | ||
| Account number (optional) | 13 Excess golden perchute payments | 14 Gross proceeds paid to an attorney | ||
| 18 | 18 State tax withhold | 17 State/Poyer's state no. | ||
Form 1099-MISC
Department of the Treasury • Internal Revenue Service
□ VOID □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1845-0118 2004 Form 1009-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalties | ||||
| 3 Other income | ||||
| PAYER'S Federal Identification number | RECIPIENT'S Identification number | 5 Fishing boat proceeds | 6 Medical and health care payments | State Copy or Extra File Copy |
| RECIPIENT'S name, address, and ZIP code | 7 Nonemployee compensation | 8 Substitute payments in lieu of dividends or interest | ||
| 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▷ | 10 Crop insurance proceeds | |||
| 11 Excess golden parachute payments | 12 Gross proceeds paid to an attorney | |||
| Account number (optional) | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 15 | 16 State tax withheld | 17 State/Payer's stato no. | 18 State Income | |
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
FTCO041
EFTA00176052
Annual Summary and Transmittal of U.S. Information Returns
Form 1096 Department of the Treasury Internal Revenue Service
FILER'S name
FINANCIAL TRUST COMPANY, INC.
Street address (including room or suite number) 6100 RED HOOK QTRS, B3
City, state, and ZIP code ST. THOMAS, USVI 00802-1348
For Official Use Only
Name of person to contact JEANNE BRENNAN
E-mail address Fax number (340) 775-2528
Employer identification number 66-0567418
Social security number 8 Total number of forms 6
Federal income tax withheld $
Total amount reported with this Form 1095 $ 303,053.33
Enter an "X" In only one box below to indicate the type of form being filed.
If this is your final return, enter an "X" here.
| W-2G 92 | 1098-B1 | 1098-E8 | 1098-T6 | 1098-A8 | 1098-B70 | 1098-C85 | 1098-QAP73 | 1098-DIV81 | 1098-G86 | 1000-H71 | 1099-NT92 | 1099-LTC93 | 1099-MIBO95 | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| 1099-MBA94 | 1099-CID89 | 1099-PATR97 | 1099-Q91 | 1099-R98 | 1099-B75 | 549826 | 5498-ESA72 | 5498-MBA27 | | | | | | |
Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.
COLLECTION & DEPOSIT SECTION - No. 2
Signature ➤
FEB 2020
Date ▶ 2/11/2024
Instructions
VIRGIN ISLANDS BUREAU OF
Preaddressed Form 1096. If you received a preaddressed Form 1096 from the IRS with Package 1099, use it to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. If any of the preprinted Information is Incorrect, make corrections on the form.
Purpose of form 1098: Transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. Do not use Form 1096 to transmit electronically or magnetically. For magnetic media, see Form 4804, Transmission of Information. Returns Reported Magnetically; for electronic submissions, see Pub. 1220, Specifications for Filling Forms 1098, 1099, 5498 and W-2G Electronically or Magnetically.
If you are not using a preaddressed form, enter the filer's name, address (including room, suite, or other unit number), and TIN in the spaces provided on the form.
Who must file. The name, address, and TIN of the filer on this form must be the same as those you enter in the upper left area of Forms 1099, 1098, 8498, or W-2G. A filer includes a payer; a recipient of mortgage interest payments (including points) or student loan interest; an educational institution; a broker; a barter exchange; a creditor; a person reporting real estate transactions; a trustee or issuer of any individual retirement arrangement, a Coverdoll ESA, an Archer MSA (including a Medicare+Choice MSA); certain corporations; and a lander who acquires an Interest in secured property or who has reason to know that the property has been abandoned.
When to file. File Form 1096 with Forms 1099, 1098, or W-2G by March 1, 2004. File Form 1096 with Forms 5498, 5498-ESA, and 5498-MSA by May 31, 2004.
Where To File
Send all information returns filed on paper with Form 1096 to the following:
If your principal business, office or agency, or legal residence in the case of an individual, is located in
Use the following Internal Revenue Service Center address
Alabama, Arizona, Florida, Georgia,
Louisiana, Mississippi, New Mexico,
North Carolina, Texas,
Austin, TX 73801
| Arkansas, Connecticut, Delaware, Kentucky, Maine, Massachusetts, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, West |
| :--- | :--- |
| Cincinnati, OH 45999 | |
Illinois, Indiana, Iowa, Kansas,
Michigan, Minnesota, Missouri,
Nebraska, North Dakota, Oklahoma,
South Carolina, South Dakota,
Tennessee, Wisconsin
Kansas City, MO 64909
For more information and the Privacy Act and Paperwork Reduction Act Notice, see the 2003 General Instructions for Forms 1089, 1098, 5498, and W-2G.
Cat. No. 144000
Farm 1096 (2003)
FTC0042
EFTA00176053
□ VQ' ; □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. Financial Trust Company, Inc., 6100 NW Hook Quarter E-3 St. Thomas U.S. Virgin Islands 00102 | 1 Rentals | OMB No. 1545-0115 2003 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalties | ||||
| 3 Other Income | ||||
| PAYER'S Federal identification number 66-0567418 | RECIPIENT'S Identification number 66-0435649 | 4 Federal income tax withheld | State Copy or Extra File Copy | |
| RECIPIENT'S name, address, (including apt. no.), city, state, and ZIP code Paul O'Fellman PO Box 870 Charlotte Amalie, VI 00004-0870 | 6 Medical and health care payments | |||
| Account number (optional) | 7 Nonemployee compensation $ 25000.00 | 8 Substitute payments in lieu of dividends or interest | ||
| 9 Payer made direct sales of 50,000 or more consumer products to a buyer (recipient) for rentals □ | 10 Crop insurance proceeds | |||
| 11 | 12 | |||
| 18 | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 16 State tax withheld | 17 State/Payer's state no. | 18 State Income | ||
| $\cdot$ | $\cdot$ | $\cdot$ | ||
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
□ VOID □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. Financial Trust Company, Inc., 6100 Red Hook Quarter B00 St. Thomas U.S. Virgin Islands 00802 | 1 Rentals | OMB No. 1546-0118 2003 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalties | ||||
| 3 Other Income | ||||
| PAYER'S Federal Identification number 66-0567416 | RECIPIENT'S Identification number 13-1456110 | 5 Fishing boat proceeds | 6 Medical and health care payments | |
| RECIPIENT'S name, address, (including apt. no.), city, state, and ZIP code Pell, Gotshal & Manges LLP 767 Fifty Avenue New York, NY 10153 | 7 Nonemployee compensation $22949.59 | 8 Substitute payments in lieu of dividends or interest | ||
| 8 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▶ | 10 Crop insurance proceeds | |||
| 11 | 12 | |||
| Account number (optional) | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 18 | 16 State tax withheld $\cdot$ | 17 State/Payer's state no. | ||
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
FTC0043
EFTA00176054
□ VOI □ CORRECTED
| PAYER'S name, street address, city, state, ZIP code, and telephone no. Financial Trust Company, Inc. 6100 Red Zook Quarter R-3 St. Thomas U.S. Virgin Islands 00602 | 1 Rents | OMB No. 1545-0115 2003 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| $ | |||||
| 2 Royalties | |||||
| 3 Other income | 4 Federal income tax withhold | State Copy or Extra File Copy | |||
| $ | $ | ||||
| PAYER'S Federal Identification number 65-0567418 | RECIPIENT'S Identification number 53-0214920 | 5 Fishing boat proceeds | 6 Medical and health care payments | ||
| RECIPIENT'S name, address, (including opt. no.), city, state, and ZIP code Arant Fox Kintner Plotkin & Kahn, F.L.C. 1675 Broadway, 25th Floor New York, NY 10019-5874 | 7 Nonemployee compensation | 8 Substitute payments in lieu of dividends or interest | |||
| $ 60298.50 | $ | ||||
| 9 Payer made direct sales of $52,000 or more of consumer products to a layer (recipient) for resale | 10 Grop insurance proceeds | ||||
| 11 | 12 | ||||
| Account number (optional) | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |||
| 15 | 16 State tax withhold | 17 State/Payer's state no. | 18 State Income | ||
| $ | $ | $ | |||
Form 1099-MISC
□ VOID □ CORRECTED
Department of the Treasury - Insental Revenue Service
| PAYER'S name, street address, city, state, ZIP code, and telephone no. Financial Trust Company, Inc., 6100 Red Hook Quarter B-3 St. Thomas U.S. Virgin Islands 00802 | 1 Ronta | OMB No. 1548-0115 2003 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalties | ||||
| 3 Other Income | 4 Federal income tax withheld | State Copy or Extra File Copy | ||
| 5 Fishing boat proceeds | 6 Medical and health care payments | |||
| PAYER'S Federal Identification number 66-050741A | RECIPIENT'S identification number 13-3085114 | |||
| RECIPIENT'S name, address, including opt. no., city, state, end ZIP code Garald A. Liefcourt, P.C. 140 East 73th Street New York, NY 10021 | 7 Nonemployee compensation $ 151261.67 | 8 Substitute payments in lieu of dividends or interest | ||
| 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for roselo | 10 Crop insurance proceeds | |||
| 11 | 12 | |||
| Account number (optional) | 13 Excess golden parachute payments | 14 Gross proceeds paid to en attorney | ||
| 15 | 16 State tax withheld $ | 17 State/Payer's state no. | 18 State Income $ | |
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
FTC0044
EFTA00176055
□ VC , □ CORRECTED
| PAYER's name, street address, city, state, ZIP code, and telephone no. | 1. Rents | DMB No. 1545-0115 2003 Form 1069-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| $ | ||||
| 2. Royalties | $ | |||
| 3. Other Income | $ | |||
| PAYER's Federal Identification number | RECIPIENT's Identification number | 5. Fishing boat proceeds | 8. Medical and health care payments | State Copy or Extra File Copy |
| 66-0507418 | 66-0473403 | $ | $ | |
| RECIPIENT's name, address, (including apt. no.), city, state, and ZIP code Hodge 3 Francois 1340 Taunenberg Gale Charlotte Amalie, VI 00602 | 7. Nonemployee compensation | $ 23494.70 | 8. Substitute payments in lieu of dividends or interest | |
| 9. Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale | $ | 10. Crop insurance proceeds | ||
| 11. | $ | 12. | ||
| Account number (optional) | 13. Excess golden pyrachute payments | 14. Gross proceeds paid to an attorney | ||
| 15. | 16. State tax withhold | 17. State/Payer's state no, | 18. State income | |
Form 1099-MISC
VOID CORRECTED
Department of the Treasury - Internal Revenue Service
| PAYER'S name, street address, city, state, ZIP code, and telephone no. Financial Trust Company, Inc., 6100 Red Book Quarter B-3 St. Thomas U.S. Virgin Islands 00802 | 1 Rents | OMB No. 1545-0115 2003 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| $ | |||||
| 3 Other Income | 4 Federal income tax withheld | State Copy or Extra File Copy | |||
| $ | $ | ||||
| PAYER'S Federal Identification number 66-0567418 | RECIPIENT'S Identification number 66-0578932 | 5 Fishing boat proceeds | 6 Medical and health care payments | ||
| RECIPIENT'S name, address, (including opt. no.), city, state, and ZIP code Marjorie Rawle Roberts PO Box 6347 St. Thomas, VT 00044-6347 | 7 Nonemployee compensation $12043.47 | 8 Substitute payments in lieu of dividends or interest | |||
| 9 Payer made direct sales of 95,000 or more of consumer products to a buyer (recipient) for resolo ▷ | 10 Crop insurance proceeds | ||||
| 11 | 12 | ||||
| 14 Gross proceeds paid to an attorney | |||||
| Account number (optional) | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |||
| 18 | 16 Stato tax withheld | 17 Stato/Payor's state no. | |||
Form 1099-MISC
Department of the Treasury - Internal Revenue Service
FTC0045
EFTA00176056
U.S. Department of Justice
United States Attorney
Southern District of Florida
500 South Australian Ave., Suite 400
West Palm Beach, FL 33401
(561) 820-8711
Facsimile: (561) 820-8777
June 1, 2007
VIA FACSIMILE
Gerald Lefcourt, Esq.
Gerald P. Lefcourt, P.C.
148 East 78th Street
New York, NY 10021
Re: Subpoenas to J. Epstein Virgin Islands Foundation, Inc., J. Epstein & Company, Inc., Epstein Interests, and Financial Trust Company, Inc.
Dear Mr. Lefcourt:
It was a pleasure speaking with you and Ms. Sanchez. As we discussed, I have attached hereto the subpoenas to J. Epstein Virgin Islands Foundation, Inc., J. Epstein & Company Inc., Epstein Interests, and Financial Trust Company, Inc. I understand that you are representing these entities for the purpose of accepting service, but the entities may retain different counsel at a later date. None of these entities is a target of the grand jury investigation.
The subpoenas call for documentary and electronic information. I have set the date for the return of the items for Tuesday, June 12, 2007. If additional time is needed to complete the document collection, please let me know. If there are any categories for which no documents exist, please ask the Custodian of Records to provide a certificate of nonexistence of records.
Thank you again for your assistance.
Sincerely,
R. Alexander Acosta
United States Attorney
By:
A. Marie Villafaña
Assistant United States Attorney
cc: E. Nesbitt Kuyrkendall, FBI (with enclosures)
| EFTA00176057 | | :--- | :---
06/01/2007 10:29 FAX 5618021787
USAO WPB FL
☑ 001
TRANSMISSION OK
4794
| TX/RX NO |
| CONNECTION TEL |
| SUBADDRESS |
| CONNECTION ID |
| ST. TIME |
| USAGE T |
| PGS. SENT |
| RESULT |
12129886192
06/01 10:23
United States Attorney's Office Southern District of Florida 500 Australian Ave., Suite 400 West Palm Beach, FL 33401
TO: Mr. Gerald Lefcourt, Esq.
Fax #:
ORGANIZATION:
SUBJECT:
DATE: June 1, 2007
FROM: A. Marie Villafaña Assistant United States Attorney (561) 820-8711, Extension 3047 (561) 802-1787 (Fax)
NUMBER OF PAGES, INCLUDING THIS PAGE: 22
EFTA00176058
Villafana, Ann Marie C. (USAFLS)
| From: | Villafana, Ann Marie C.(USAFLS) |
| Sent: | Tuesday, May 22, 2007 7:12 PM |
| To: | GBL@lefcourtlaw.com |
| Subject: | Representation of Financial Trust Company, Inc., J. Epstein & Company, Inc., and other corporate entities |
Dear Gerry: I noticed that, at least as of July 2005, you have served as counsel to Financial Trust Company, Inc. in connection with litigation. Can you let me know if you still represent Financial Trust Company, Inc., and if you represent J. Epstein & Company, Inc., J. Epstein Virgin Islands Foundation, Inc., and/or Epstein Interests?
If you represent any or all of those entities, are you willing to accept service of subpoenas via fax?
Thank you for your assistance.
Marie
A. Marie Villafaña
Assistant U.S. Attorney
500 S. Australian Ave, Suite 400
West Palm Beach, FL 33401
Phone 561 209-1047
Fax 561 820-8777
Tracking:
1
EFTA00176059
Recipient
GBL@lefcourtlaw.com
Lourie, Andrew (USAFLS)
Read
Atkinson, Karen (USAFLS)
Read: 5/22/2007 7:28 PM
Read: 5/23/2007 9:01 AM
2
EFTA00176060
U.S. Department of Justice
United States Attorney
Southern District of Florida
| Information | Value |
| :--- | :--- |
| 500 South Australian Ave., Suite 400 | |
| West Palm Beach, FL 33401 | |
| (561) 820-8711 | |
| Facsimile: (561) 820-8777 | |
May 24, 2007
VIA FACSIMILE
Gerald Lefcourt, Esq.
Gerald P. Lefcourt, P.C.
148 East 78th Street
New York, NY 10021
Re: Subpoenas to J. Epstein Virgin Islands Foundation, Inc., J. Epstein & Company, Inc., Epstein Interests, and Financial Trust Company, Inc.
Dear Mr. Lefcourt:
It was a pleasure speaking with you and Ms. Sanchez today. As we discussed, I have attached hereto the subpoenas to J. Epstein Virgin Islands Foundation, Inc., J. Epstein & Company Inc., Epstein Interests, and Financial Trust Company, Inc. I understand that you are representing these entities for the purpose of accepting service, but the entities may retain different counsel at a later date. None of these entities is a target of the grand jury investigation.
The subpoenas call for documentary and electronic information. I have set the date for the return of the items for Tuesday, June 19, 2007. If additional time is needed to complete the document collection, please let me know. If there are any categories for which no documents exist, please ask the Custodian of Records to provide a certificate of nonexistence of records.
Thank you again for your assistance.
Sincerely,
R. Alexander Acosta
United States Attorney
By:
A. Marie Villafaña
Assistant United States Attorney
cc: E. Nesbitt Kuyrkendall, FBI (with enclosures)
EFTA00176061
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22279979393
Page 1
22279979393-LIT
LITIGATION PREPARATION RECORDS
Information Current Through:05-01-2007
Database Last Updated:05-14-2007
Update Frequency:MONTHLY
Current Date:05/14/2007
Source:AS REPORTED BY THE SECRETARY OF STATE OR OTHER OFFICIAL SOURCE
COMPANY INFORMATION
Name: ZORRO DEVELOPMENT CORP.
Address:110 E 59TH ST- G ASSOC
NEW YORK, NY 10022
FILING INFORMATION
| Filing Date:05/21/1993 |
| State of Incorporation:DELAWARE |
| Date Incorporated:05/21/1993 |
| Duration:PERPETUAL |
| Status:ACTIVE |
| Corporation Type:PROFIT |
| Business Type:CORPORATION |
| Address Type:MAILING |
| Registration ID #:1615137 |
| Where Filed:NEW MEXICO PUBLIC REGULATION COMMISSION |
| 1 STATE CAPITAL BUILDING |
| SANTA FE, NM 87503 |
REGISTERED AGENT INFORMATION
Agent Name:PRENTICE- CORPORATION SYSTEM
Address:125 LINCOLN AVE STE 223
SANTA FE, NM 87501
PRINCIPAL INFORMATION
| Name:EPSTEIN, JEFFREY |
| Title:PRESIDENT |
| Name:INDYKE, DARREN |
| Title:SECRETARY |
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Name:JEFFREY EPSTEIN
Title:DIRECTOR
ADDITIONAL DETAIL INFORMATION
Filing Office Details:REPORT CODE:REG RPT/CLEARANCE BUSINESS PURPOSE: DEVELOPMENT
Call Westlaw CourtExpress at 1-877-DOC-RETR (1-877-362-7387) to order copies of documents related to this or other matters. Additional charges apply.
THE PRECEDING PUBLIC RECORD DATA IS FOR INFORMATION PURPOSES ONLY AND IS NOT THE OFFICIAL RECORD. CERTIFIED COPIES CAN ONLY BE OBTAINED FROM THE OFFICIAL SOURCE.
END OF DOCUMENT
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Information Current Through: 05-11-2007
Database Last Updated: 05-14-2007
| Update Frequency: | DAILY |
| :--- | :--- |
Current Date: 05/14/2007
Source: NEW YORK CITY REGISTER
FILING/LIEN INFORMATION
Document Type: INITIAL UCC1
Document ID:
FT_1970006745397
Filing Date:
08/12/1999
Filing Borough:
MANHATTAN
DEBTOR INFORMATION
Debtor:
FINANCIAL TRUST COMPANY, INC.
J. EPSTEIN & COMPANY, INC.
457 MADISON AVENUE
NEW YORK, NEW YORK 10022
UNITED STATES
SECURED PARTY INFORMATION
Secured Party:
CITIBANK, N.A.
ST. JOHN & WAYNE, L.L.C.
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70 EAST 55TH STREET
NEW YORK, NEW YORK 10022
UNITED STATES
CROSS REFERENCES
Document ID: FT_1900008826990
| Document ID: | FT_1970006745397 |
| :--- | :--- |
Call Westlaw CourtExpress at 1-877-DOC-RETR (1-877-362-7387) to order copies of documents related to this or other matters. Additional charges apply.
END OF DOCUMENT
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EFTA00176065
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1307306
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1307306
CORPORATE RECORDS & BUSINESS REGISTRATIONS
| This Record Last Updated: | 04/04/2001 |
| Database Last Updated: | 05-14-2007 |
| Update Frequency: | WEEKLY |
| Current Date: | 05/14/2007 |
| Source: | AS REPORTED BY THE SECRETARY OF STATE OR OTHER OFFICIAL SOURCE |
THE FOLLOWING DATA IS NOT AN OFFICIAL RECORD OF THE DEPARTMENT OF STATE OR THE STATE OF NEW YORK AND WEST, A THOMSON BUSINESS IS NOT AN EMPLOYEE OR AGENT THEREOF. ALL WARRANTIES, EXPRESS OR IMPLIED, REGARDING THE INFORMATION PROVIDED HEREIN, ARE DISCLAIMED BY THE DEPARTMENT OF STATE.
COMPANY INFORMATION
Company Name:
Process Name:
Process Address:
J. EPSTEIN & COMPANY, INC.
GOLD & WACHTEL, ESQS
10 EAST 53RD STREET
NEW YORK, NY 10022
NEW YORK
County:
## FILING INFORMATION
<table border="1"><tr><td>Identification Number:</td><td>1307306</td></tr><tr><td>Filing Date:</td><td>11/18/1988</td></tr><tr><td>State of Incorporation:</td><td>NEW YORK</td></tr><tr><td>Duration:</td><td>PERPETUAL</td></tr><tr><td>Status:</td><td>INACTIVE</td></tr><tr><td>Status Attained Date:</td><td>04/04/2001</td></tr><tr><td>Corporation Type:</td><td>PROFIT</td></tr><tr><td>Business Type:</td><td>DOMESTIC BUSINESS CORPORATION</td></tr></table>
<table><tr><td>Where Filed:</td><td>DEPARTMENT OF STATE/DIVISION OF CORPORATIONS</td></tr><tr><td></td><td>41 STATE STREET</td></tr><tr><td></td><td>ALBANY, NY 12231</td></tr></table>
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EFTA00176066
```markdown
1307306
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Page 2
NAME INFORMATION
Former Name: JEFFREY E. EPSTEIN, INC.
AMENDMENT INFORMATION
| Amendments: | 04/04/2001 DISSOLUTION | REFER TO MICROFILM NUMBER |
|---|---|---|
| 010404000011 | ||
| 10/03/1997 NAME CHANGE | REFER TO MICROFILM NUMBER | |
| 971003000402 | ||
| 02/22/1993 ERRONEOUS ENTRY | REFER TO MICROFILM NUMBER | |
| 930222000039 | ||
| 09/23/1992 DISSOLUTION BY PROCLAMATION | REFER TO MICROFILM NUMBER DP-747315 |
STOCK INFORMATION
Stock:
Authorized 200
Shares:
Call Westlaw CourtExpress at 1-877-DOC-RETR (1-877-362-7387) to order copies of documents related to this or other matters. Additional charges apply.
THE PRECEDING PUBLIC RECORD DATA IS FOR INFORMATION PURPOSES ONLY AND IS NOT THE OFFICIAL RECORD. CERTIFIED COPIES CAN ONLY BE OBTAINED FROM THE OFFICIAL SOURCE.
```markdown
END OF DOCUMENT
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FEIN RECORD
Information Current Through: 03-11-2007
| Database Last Updated: | 03-13-2007 |
| Update Frequency: | QUARTERLY |
| :--- | :--- |
Source: Copyright © 2007 by Dun & Bradstreet, Inc.
Current Date:
BUSINESS INFORMATION
Company Name:
J EPSTEIN FOUNDATION
Address:
457 MADISON AVE
NEW YORK, NY 10022
FEIN Number:
13-3643429
D&B Source:
DEPARTMENT OF TREASURY - TAX EXEMPT
D&B Company Name:
J EPSTEIN & CO INC
DUNS Number:
62-800-9623
SIC: 62829903 INVESTMENT COUNSELORS
EXECUTIVE INFORMATION
Executive Name:
JEFREY E EPSTEIN
Title:
END OF DOCUMENT
PRESIDENT
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FEIN RECORD
Information Current Through: 03-11-2007
| Database Last Updated: | 03-13-2007 |
| Update Frequency: | QUARTERLY |
| :--- | :--- |
Source: Copyright © 2007 by Dun & Bradstreet, Inc.
Current Date:
BUSINESS INFORMATION
Company Name:
J EPSTEIN VIRGIN ISLANDS FOUNDATION INC
Address:
6100 RED HOOK QUARTER STE B-3
ST THOMAS, VI 00802
FEIN Number:
66-0585379
D&B Source: DEPARTMENT OF TREASURY - TAX EXEMPT
D&B Company Name: ISLAND RESOURCES FOUNDATION
DUNS Number: 09-031-8080
SIC: 87330203 EDUCATIONAL RESEARCH AGENCY
EXECUTIVE INFORMATION
Executive Name: BRUCE G POTTER
Title:
END OF DOCUMENT
PRESIDENT
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EXECUTIVE AFFILIATION RECORD
| Information Current Through: | 04-13-2007 |
| Database Last Updated: | 05-14-2007 |
| Update Frequency: | WEEKLY |
| Current Date: | 05/14/2007 |
| Source: | AS REPORTED BY THE SECRETARY OF STATE OR OTHER OFFICIAL SOURCE |
EXECUTIVE INFORMATION
Principal Name:
Principal Title:
EPSTEIN, JEFFREY
PRESIDENT
Principal Name:
Principal Title:
INDYKE, DARREN
SECRETARY
Principal Name:
Principal Title:
JEFFREY EPSTEIN
DIRECTOR
Registered Agent:
Registered Agent Address:
```markdown
PRENTICE CORPORATION SYSTEM
125 LINCOLN AVE STE 223
SANTA FE, NM 87501
BUSINESS INFORMATION
Business Name:
Business Address:
```markdown
ZORRO DEVELOPMENT CORP.
110 E 59TH ST- G ASSOC
NEW YORK, NY 10022
OTHER INFORMATION
| Filing Date: | 05/21/1993 |
| Status: | ACTIVE |
| Business/Filing Type: | CORPORATION |
| Identification No.: | 1615137 |
| Call Westlaw CourtExpress at 1-877-DOC-RETR(1-877-362-7387) to order copies of documents related to this or other matters. Additional charges apply. | |
THE PRECEDING PUBLIC RECORD DATA IS FOR INFORMATION PURPOSES ONLY AND IS NOT THE OFFICIAL RECORD. CERTIFIED COPIES CAN ONLY BE OBTAINED FROM THE OFFICIAL SOURCE.
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END OF DOCUMENT
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EXECUTIVE AFFILIATION RECORD
| Information Current Through: | 04-06-2007 |
| Database Last Updated: | 05-14-2007 |
| Update Frequency: | WEEKLY |
| Current Date: | 05/14/2007 |
| Source: | AS REPORTED BY THE SECRETARY OF STATE OR OTHER OFFICIAL SOURCE |
EXECUTIVE INFORMATION
Principal Name:
Principal Title:
JEFFREY EPSTEIN
AUTHORIZED REPRESENTATIVE
Principal Name:
Principal Title:
LESLIE H. WEXNER
AUTHORIZED REPRESENTATIVE
Registered Agent:
Registered Agent Address:
```markdown
CT CORPORATION SYSTEM
36 EAST SEVENTH STREET SUITE 2400
CINCINNATI, OH 45202
BUSINESS INFORMATION
Business Name:
Business Address:
THE NEW ALBANY COMPANY LLC
5906 E DUBLIN GRANVILLE RD
NEW ALBANY, OH 43054
OTHER INFORMATION
<table><tr><td>Filing Date:</td><td>09/21/1998</td></tr><tr><td>Status:</td><td>ACTIVE</td></tr><tr><td>Business/Filing Type:</td><td>FOREIGN LIMITED LIABILITY CO</td></tr><tr><td>Identification No.:</td><td>1034132</td></tr><tr><td colspan="2">Call Westlaw CourtExpress at 1-877-DOC-RETR (1-877-362-7387) to order copies of documents related to this or other matters. Additional charges apply.</td></tr></table>
THE PRECEDING PUBLIC RECORD DATA IS FOR INFORMATION PURPOSES ONLY AND IS NOT THE OFFICIAL RECORD. CERTIFIED COPIES CAN ONLY BE OBTAINED FROM THE OFFICIAL SOURCE.
```markdown
END OF DOCUMENT
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EXECUTIVE AFFILIATION RECORD
| Database Last Updated: |
| Current Date: |
| Source: |
05-02-2007
05/14/2007
COPYRIGHT © 2007 DUN & BRADSTREET, INC.
EXECUTIVE INFORMATION
Executive Name:
Executive Title:
```markdown
MR JEFFREY E EPSTEIN
PRESIDENT
BUSINESS INFORMATION
Business Name:
Business Address:
J EPSTEIN & CO INC
457 MADISON AVE
NEW YORK, NY 10022-6843
NEW YORK
OTHER INFORMATION
County:
Phone:
DUNS:
62-800-9623 (Click for List of Available D&B Reports)
Call Westlaw CourtExpress at 1-877-DOC-RETR (1-877-362-7387)
to order copies of documents related to this or other matters.
Additional charges apply.
THE PRECEDING PUBLIC RECORD DATA IS FOR INFORMATION PURPOSES ONLY AND IS NOT THE OFFICIAL RECORD. CERTIFIED COPIES CAN ONLY BE OBTAINED FROM THE OFFICIAL SOURCE.
```markdown
END OF DOCUMENT
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EFTA00176073