2021 Form 1099-B

1 Attention: Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of Copy A of this IRS form is scannable, but the online version of it, printed from this website, is not. Do not print and file copy A downloaded from this website; a penalty may be imposed for filing with the IRS. information return forms that can't be scanned. See part O in the current General Instructions for Certain Information Returns, available at , for more information about penalties. Please note that Copy B and other copies of this form, which appear in black, may be downloaded and printed and used to satisfy the requirement to provide the information to the recipient. To order official IRS information returns, which include a scannable Copy A for filing with the IRS and all other applicable copies of the form, visit Click on Employer and Information Returns, and we'll mail you the forms you request and their instructions, as well as any publications you may order.

2 Information returns may also be filed electronically using the IRS Filing Information Returns Electronically (FIRE) system (visit ) or the IRS Affordable Care Act Information Returns (AIR) program (visit ). See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms. 7979 VOID CORRECTED. PAYER'S name, street address, city or town, state or province, country, ZIP Applicable checkbox on Form 8949 OMB No. 1545-0715 Proceeds From or foreign postal code, and telephone no. 2021 Broker and Barter Exchange Form 1099-B . Transactions 1a Description of property (Example: 100 sh. XYZ Co.). 1b Date acquired 1c Date sold or disposed PAYER'S TIN RECIPIENT'S TIN 1d Proceeds 1e Cost or other basis Copy A. $ $. 1f Accrued market discount 1g Wash sale loss disallowed For $ $ Internal Revenue RECIPIENT'S name 2 Short-term gain or loss 3 Check if proceeds from: Service Center Long-term gain or loss Collectibles File with Form 1096.

3 Ordinary QOF. Street address (including apt. no.) 4 Federal income tax withheld 5 Check if noncovered security $. 6 Reported to IRS: 7 Check if loss is not allowed For Privacy Act based on amount in 1d and Paperwork City or town, state or province, country, and ZIP or foreign postal code Gross proceeds Net proceeds Reduction Act Notice, see the 8 Profit or (loss) realized in 9 Unrealized profit or (loss) on 2021 on closed contracts open contracts 12/31/2020 2021 General Account number (see instructions) 2nd TIN not. Instructions for $ $ Certain CUSIP number FATCA filing 10 Unrealized profit or (loss) on 11 Aggregate profit or (loss) Information requirement open contracts 12/31/2021 on contracts Returns. 14 State name 15 State identification no. 16 State tax withheld $ $. $ 12 Check if basis reported to 13 Bartering IRS.

4 $ $. Form 1099-B Cat. No. 14411V 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 VOID CORRECTED. PAYER'S name, street address, city or town, state or province, country, ZIP Applicable checkbox on Form 8949 OMB No. 1545-0715 Proceeds From or foreign postal code, and telephone no. 2021 Broker and Barter Exchange Form 1099-B . Transactions 1a Description of property (Example: 100 sh. XYZ Co.). 1b Date acquired 1c Date sold or disposed PAYER'S TIN RECIPIENT'S TIN 1d Proceeds 1e Cost or other basis Copy 1. $ $ For State Tax 1f Accrued market discount 1g Wash sale loss disallowed Department $ $. RECIPIENT'S name 2 Short-term gain or loss 3 If checked, proceeds from: Long-term gain or loss Collectibles Ordinary QOF. Street address (including apt.)

5 No.) 4 Federal income tax withheld 5 If checked, noncovered security $. 6 Reported to IRS: 7 If checked, loss is not allowed based on amount in 1d City or town, state or province, country, and ZIP or foreign postal code Gross proceeds Net proceeds 8 Profit or (loss) realized in 9 Unrealized profit or (loss) on 2021 on closed contracts open contracts 12/31/2020. Account number (see instructions). $ $. CUSIP number FATCA filing 10 Unrealized profit or (loss) on 11 Aggregate profit or (loss). requirement open contracts 12/31/2021 on contracts 14 State name 15 State identification no. 16 State tax withheld $ $. $ 12 If checked, basis reported 13 Bartering to IRS. $ $. Form 1099-B Department of the Treasury - Internal Revenue Service CORRECTED (if checked). PAYER'S name, street address, city or town, state or province, country, ZIP Applicable checkbox on Form 8949 OMB No.

6 1545-0715 Proceeds From or foreign postal code, and telephone no. 2021 Broker and Barter Exchange Form 1099-B . Transactions 1a Description of property (Example: 100 sh. XYZ Co.). 1b Date acquired 1c Date sold or disposed PAYER'S TIN RECIPIENT'S TIN 1d Proceeds 1e Cost or other basis Copy B. $ $ For Recipient 1f Accrued market discount 1g Wash sale loss disallowed $ $. RECIPIENT'S name 2 Short-term gain or loss 3 If checked, proceeds from: Long-term gain or loss Collectibles Ordinary QOF This is important tax Street address (including apt. no.) 4 Federal income tax withheld 5 If checked, noncovered information and is security being furnished to $. 6 Reported to IRS: 7 If checked, loss is not allowed the IRS. If you are based on amount in 1d required to file a City or town, state or province, country, and ZIP or foreign postal code Gross proceeds return, a negligence Net proceeds penalty or other 8 Profit or (loss) realized in 9 Unrealized profit or (loss) on sanction may be 2021 on closed contracts open contracts 12/31/2020 imposed on you if Account number (see instructions).

7 This income is $ $ taxable and the IRS. CUSIP number FATCA filing 10 Unrealized profit or (loss) on 11 Aggregate profit or (loss) determines that it requirement open contracts 12/31/2021 on contracts has not been reported. 14 State name 15 State identification no. 16 State tax withheld $ $. $ 12 If checked, basis reported 13 Bartering to IRS. $ $. Form 1099-B (Keep for your records) Department of the Treasury - Internal Revenue Service Instructions for Recipient Brokers and barter exchanges must report proceeds from (and in some Box 1b. This box may be blank if box 5 is checked or if the securities cases, basis for) transactions to you and the IRS on Form 1099-B . sold were acquired on a variety of dates. For short sales, the date Reporting is also required when your broker knows or has reason to shown is the date you acquired the security delivered to close the know that a corporation in which you own stock has had a reportable short sale.

8 Change in control or capital structure. You may be required to Box 1c. Shows the trade date of the sale or exchange. For short recognize gain from the receipt of cash, stock, or other property that sales, the date shown is the date the security was delivered to close was exchanged for the corporation's stock. If your broker reported this the short sale. For aggregate reporting in boxes 8 through 11, no entry type of transaction to you, the corporation is identified in box 1a. will be present. Recipient's taxpayer identification number (TIN). For your Box 1d. Shows the cash proceeds, reduced by any commissions or protection, this form may show only the last four digits of your TIN transfer taxes related to the sale, for transactions involving stocks, (social security number (SSN), individual taxpayer identification debt, commodities, forward contracts, non-Section 1256 option number (ITIN), adoption taxpayer identification number (ATIN), or contracts, or securities futures contracts.)

9 May show the proceeds from employer identification number (EIN)). However, the issuer has the disposition of your interest(s) in a widely held fixed investment reported your complete TIN to the IRS. trust. May also show the aggregate amount of cash and the fair market Account number. May show an account or other unique number the value of any stock or other property received in a reportable change in payer assigned to distinguish your account. control or capital structure arising from the corporate transfer of CUSIP number. Shows the CUSIP (Committee on Uniform Security property to a foreign corporation. Losses on forward contracts or non- Identification Procedures) number or other applicable identifying Section 1256 option contracts are shown in parentheses. This box number. does not include proceeds from regulated futures contracts or Section 1256 option contracts.

10 Report this amount on Form 8949 or on FATCA filing requirement. If the FATCA filing requirement box is Schedule D (Form 1040) (whichever is applicable) as explained in the checked, the payer is reporting on this Form 1099 to satisfy its Instructions for Schedule D (Form 1040). chapter 4 account reporting requirement. You may also have a filing requirement. See the Instructions for Form 8938. Box 1e. Shows the cost or other basis of securities sold. If the securities were acquired through the exercise of a noncompensatory Applicable checkbox on Form 8949. Indicates where to report this option granted or acquired on or after January 1, 2014, the basis has transaction on Form 8949 and Schedule D (Form 1040), and which been adjusted to reflect your option premium. If the securities were checkbox is applicable.