EFTA00175998
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EFTA00175998
LAW OFFICES OF
GERALD B. LEFCOURT, P.C.
A PROFESSIONAL CORPORATION
148 EAST TEP, STREET
NEW YORK, NEW YORK 10021
GERALD B. LEFCOURT TELEPHONE
![Email Redacted]
FACSIMILE
SHERYL E. REICH
reichelekowtlaw.COrn
RENATO C. STABILE
statklenlekOwIlaw.COm
FAITH A. FRIEDMAN
licieknanalekOwtlawcOm
June 12, 2007
BY FEDERAL EXPRESS
A. Marie Villafaila, 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 Or
GEEtALD B. LEE/COURT, P.C.
A. Marie Villafafia, 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 El 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
Schedule of Corporate Directors, Board Members, Shareholders
Financial Trust Co., Inc. FTC 0001
IRS Form W3 Financial Trust Co., Inc. 2006 FTC 0002
IRS Forms W2 Financial Trust Co., Inc. 2006 FTC 0003-0008
IRS Form W3 Financial Trust Co., Inc. 2005 FTC 0009
IRS Forms W2 Financial Trust Co., Inc. 2005 FTC 0010-0015
IRS Form W3 Financial Trust Co., Inc. 2004 FTC 0016
IRS Forms W2 Financial Trust Co., Inc. 2004 FTC 0017-0022
IRS Form W3 Financial Trust Co., Inc. 2003 FTC 0023
IRS Forms W2 Financial Trust Co., Inc. 2003 FTC 0024-0030
IRS Form 1096 Financial Trust Co., Inc. 2006 FTC 0031
IRS Forms 1099 Financial Trust Co., Inc. 2006 FTC 0032-0033
IRS Form 1096 Financial Trust Co., Inc. 2005 FTC 0034
IRS Forms 1099 Financial Trust Co., Inc. 2005 FTC 0035-0036
IRS Form 1096 Financial Trust Co., Inc. 2004 FTC 0037
IRS Forms 1099 Financial Trust Co., Inc. 2004 FTC 0038-0041
IRS Form 1096 Financial Trust Co., Inc. 2003 FTC 0042
IRS Forms 1099 Financial Trust Co., Inc. 2003 FTC 0043-0045
EFTA00176000
LAW OVYICCS or
GERALD B. LEarcormer, P.G.
A. Marie Villafaila, Esq.
Assistant United States Attorney
Office of the United States Attorney
Southern District of Florida
June 12, 2007
Page 3
If you have any questions, please do not hesitate to call.
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
JEVIFOLII
EFTA00176002
0 CORRECTED
Patelname, street address, city. stele, Z. dde, and telephone no. 1 Rents tarie No. 1546.0115
V:./.1ChTrr.c, Miscellaneous
(.3. vittata t?r,A.g:54
S
2 Royalties 2004 Income
F000Dal?rx:, tnC.)
Wog Et? roan 1099•MISC
rt. lila4210.4, • nEVI 00:.%02-114lt 3 Other Income 4 Waal Income lox vathheld
Copy C
PAVERS federal kleraleatlon RECPENT'S ldontifirsetion a Fishing boat proceeds 6 wddhat ird healb two min For Payer
number number
or State Copy
66-0585379 6-013 6 64.9 S
RECIPIENT'S name, address, and ZIP code 7 tionernployes oompereatNn ri Streatham payments In lint 44
For Privacy Act
dividends a intereSt
and Paperwork
I, AUL HOFFPIrsti P.C: 2c I Mt .
Reduction Act
9 Payer medi Ord sites of 10 Crop UM /no, proceeds Notice, see the
15,010 a rrOT1 or axmornet 2004 General
(necklets to a buyer
(reeplint) for resole > 0 Instructions for
Forms 1099,
1098, §498,
2nd 11N not, 13 Excess go den porocitute 14 Gross proceeds pad to and VI-2G.
payments an attorney
C
15 la State tax withheld 17 State/Payees suite no. 18 Stew Inconlo
$
Form 1099•MISC Dopaltrnent of Ihn Treasury- Intend Revenue Service •
0 VOID 0 CORRECTED
I Rents
PAYER'S name, =eel address. city. sone. ZIP °ode• and telephone no. OMB No. 1645.0116
Miscellaneous
2 Royalties 2004 Income
$ Form 1099-MISC
3 Other Income 4 Raul frame tax withheld
S Copy C
PAYERS Federal IdendkotiOn RECIPIENT'S IdOnWICalithl 6 Fishing boat proceeds 6 Meath anitethe eta opted For Payer
timber number
or State Copy
RECIPIENTS name. address, and ZIP code 7 Noncolplere companion 0 Substitute meats h Ike ni
dieends or Knot For Privacy Act
and Paperwork
S Reduction Act
9 Payer male &ea sates or 10 Crop Insurance proceeds Notice, see the
15,0(0 or intro of ecratimar 2004 General
products to a buyer
(reelable) for ogee t* 0 $ instructions for
Forms 1099,
1098, 5498,
Account number (optima 3 Excoss golden parachute 14 Gross pomade paid to and W-2G.
PaY11111.1 en attorney
$ ii
11 ts State le vAthhced 17 State/Payees ;tato ma 18 Suite Inoonm
$ S
Form 1099-MISC Department of the Treasery sterna'. Ramo SeMco
LIEVIF003
EFTA00176003
IWO. F1VO
Oo ?Int 3% 969 OW ic,
Annual Summary anti Transmittal of
ecnn logs US. infommtion Returns 2003
caccivrant of the 'Ream
• teem* ninon &Mee
i
PILER.8 name
ENCHANCED EDUC ATION
ISLANDS FOUNDATION IN . )
(J. EPSTEIN VIRGIN
number)
Street address (Including room or suite
6100 RED HOOK grss 1 133
City, state, and ZIP code
i s ST . THOMAS / USVI 00802-1348 J For Official Use Only
, En
Telephone number
Nome of parson to contact
([Phone Redacted]
JEANNE Il i
Pox number
smal address •
([Phone Redacted] Form1026
eaturlW number a Total number Of 4 Vodral Mara VN eithheld 6 Total mann repotted ail% thIS
I Enpbyer Idertfattiorl 'Viable 1 2 Sochi forms $ `$25 r 000. op
1
,_ 66-0585379
filed. If this is your final eturn, enter en where . . . le• 0
of form being
Enter an "X" In only one boa below to indicate the type [Phone Redacted]-LTO 10914/40
19094a 10294 1099•CAP 1092-ON 109045 1099-ii es
W.29 1099 10(62 1095-T 10094‘ 7a 51 GO 71 A2 95
Cuf 0 to 79 55
OA et
O O ❑ • ' O O • O O O El
• O O
1099-0 1099-R 100.0 049E 6408-EfIn 6491-m5A
100945SA 1099410 MAG-PRM 98 75 OA 72 Sr
Gil SI 97 01
O O O O •
O O O O
•
ce. Photocopies ere not acceptable.
Return this entire page to the Internal Revenue Servi
arc Inio,
end accompanying docUmarda, end, to Ihn ban o1my lowtoladoo and belial, they
1. Under penalties of penury, I dooltro that I have examined the return
Oormot, and.ComplOtO.
Title isdid r 74.
S:glItthlrel ►
ON. #0.2 or W-2G
When to fife. File Form 1096 with Fonns 1099, 1098,5498
Instructions FEB by March 1, 2004. File Form 1096 with Forms 6498, -ESA,
Forms 1099, and 6498-MSA by May 31, 2004.
Purpose of form. Usg,th to tran
1098. 6498, and W-2GZff tie avenue ice. Do not
Where To File
Ig erotically. For
use Form 1098 to trunsm the
magnetic media, area Form 4804,T 5),fiermation Send all Information returns filed on paper with Form 1036 to
Returns Report ed Magnet ically; for electro nl QLAtS lpns, eaa following:
Ki6498 and
Pub. 1220, Speolfloations for Filing Forma 1098, 1 If your principal business' Use the followIrts
W-20 Electronically or Magnetically. office or agency , or legal Internal Revenue
on Service Center
Who must file, The name, address, and TIN of the filer residence In the case of an
address'
this form must be the same as those you enter in the uppers Individual, Is located in
Include
left area of Forms 1099, 1098, 6498, or W-20. A filer (Including
a payer; a recipient of mortgage interest payments on; a
points) or student loan Interest; an edumtonal Instituti g real Alabama, Arizona, Florida, Georgia,
broker; a barter exchange; a creditor; a person reportin Louisiana, Miss1C4IpPlitialtaxl00. . Austin, TX 7330
or Issuer of any Individu al
estate transactions; a trustee MSA North Carolina, Texas,
retirement arrangement, a Coverdell ESA, an Archer tions: end a
(InoludIng a Medlcare+Cholce MSA); certain corpora has Arkansas, Connecticut, Delaware,
who acquire s an Interest in secure d propert y or who Kentuoky, Maine, Massachusetts,
lender
bean abando ned. Cinoinnati, OH 4599
reason to know that the propert y has New Hampshire, New Jersey,
Preaddrossod Form 1096, If you received a preaddressed Form New York, Ohio, Penney/Limn'
1096 from the IRS with Package 1099, use It to transmit paper Rhode Island, Vermont, WoStillill
Forme iove,1098. 5498, and W-20 to the Internal Revenu e
make Illinois, Indiana, Iowa, Kenna,
Service. If any of the preprinted Information le incorrect, Michigan, Minnesota, Missouri,
corrections on the form. Kansas City, MO 6491
Nebraska, North Dakota, OWahoma.
the filer's
If you are not using a preaddreesed form, enter South Carolina, South Dakota,
name, addres s (includi ng room, suite, or other unit number), and Tennessee, Wisconsin
TIN In the spaces provided en the form,
Reduction Act Notice, Oat. No. 144000 Form 1096 tear
For more Information and the Privacy Act and Paperworksage, and W-2O.
see the 2003 General Instructions for Forms 1090, 1098,
JEVIF004
EFTA00176004
' .
0 VC `i 0 CORRECTED
no. 1 Rents OMB No. 1545 011R
42/eornia Mb street oddrelit city, state. ZIP cobs, bad telephone
voAhtiCSD UDWATION Miscellaneous
(J. 1:103TEIV
roumcATios
Erltac::.
a Rosales 2003 Income i
slot) fan :;0011. QTRa f OS
Form 1099-MISC
.7AGKAS, van 00602-1348
3 Myr Income 4 Racal Income lox withheld
S State Copy
S
5 Fishing boot proceeds Ntellcal snd health amp:rots or Extra
PAYER'S federal identilioation RECIPIENTS Ideraircotton
number number File Copy
66-86'35379 66-0436649'
7 N000rnpcytrt comp0ODIAIon 8 Substerte portents In Intl of
PRCIPIENT'S name, address. finclualnp apt no.). thy, elate. end ZIP code (Wands or Interval
0011.074104 V.O. $25,000.00
9 Pow retie direct soles of 10 Crop lnsumnoo premeds
• 3533) or more of consumer
srodircts to a boyar
B02C (171:: bacblent) for rook in
CHIVALOTTP, .204PiLiEt, • 00804-0970
13 Excess goidernicachuni 11 Gross proceeds Fold to
Account number (optima payments on stormy
$
to State tax tnehh9ld • 17 staterPnyer's Mote no. 13 State income
15
$
Department or the Treasury - Internal Revenue Benno
Fcart 1099-MISC
❑ VOID •D CORRECTED
rnT.Ica DIOT/111,OWV4M.LAIIIIIEN Gay. %KUM, tar woe, fatly varT131.11K tie. I Rents ohitt No. 1545:0115 . 1
'
Miscellaneous
$
Royettlos 2003 Income . 1
Fano 1099-MISC
$
3 Other Income . 4 Fa ersol bane tax ettUiteld
$ S State Copy
PAYER'S Federal Identification RECIPIENT'S IdanantatiOn 8 Visiting boat monads 6 WILD andWMcm plitrAIS or Extra,
number number File Copy
$
RECIPIENT'S name, &knees. °Mud ng apt. MO), oily. Mote, end ZIP coda 7 Nonomptom conlpansallon Substitute open In feu of
dM4trds a Interest
$
0 Paw troda dirfitt soles cf 10 Crop Insurance oroceods
55033 or more ci consumer
DOCUCIS to a brier
Ifaelrleob for resole in 0 S
lit 12
Account number ktptlOnC6 13 Escape gofdcri parachute 14 Gross proceeds paid fo
payment", en attorney
15 16 State tax s1thhold 17 State/Macs state no. 18 State Income
$
Fc,,,,1009-rorsc Depanmont of the Tmancy • InteMN Rtnanue Service
JEVINE5
EFTA00176005
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
rb,,Empleyer,Identlfloation number (Elt0 1 Wages, lips, other canpense5on 2 Federal Income tax withheld
13-3643429 60000.00 6065.04
o'.Employers name, address, and ZIP code 3 Sodel security wages 4 Social security lax wIthhard
EPSTEIN INTERESTS 60000.00 3720.00
457 MADISON AVENUE 6 Medicare wages Ind Upe 6 M00ktire tail withheld
NEW YORK, NY 10022 60000.00 870.00
7 Social secudty Ups 8 Allocated rips
d Employee's social security number 9 Advance E1C payment 10 Dependent care benelitt
a Emp:oyes's first name and Initial Last name Sufi. 11 Honour:dined plan 12o Soo Instructions for box 12
•
13 tan. ° Ill Waterer .,12b
n
14 Other
n 12c
.
12d
.
f Employee's address and ZIP code rtRIWWWgitTag-WL,
15 612ga Emp'cryer's state ID number 10 Stale vines, Ups, Mo. 17 State Income lax 15 Local new, tips, Mo. 11) Local Income tax 20 Isr.ely name
i
I.
Wage and Tax Department of the Treasury—!ntemai Revenue SonAce
Form W-2 Statement
Copy D—For Employer.
2006 For Privacy Act and Paperwork Reduction
Aot Notice, see back of Copy D.
• Kt..
********************************** TOTALS w*****************************
For: Batch No. 2006/4/00859 1 TOTAL EMPLOYEES
For: Company 66/LMB 31.20 NYDD (Box 14)
1 FORMS
60,000.00 State Wagea (Box 16)
3,063.96 State Income Tax (Box 17)
E1002
EFTA00176007
, UUL/,1 ' 00/ litiD .-- I—I I OMB NO. 1645-0008 Leib UVUL
. I
.11 Employee Identification number (EN) 1 Wages, fps, other compensation 2 Federal Income tax vAttiheld
" 13-3643429 60000.00 6065.04
/
" 0 EMployees name, address, and ZIP code 3 Social security wages 4 Social seaway tax wleitaid
EPSTEIN INTERESTS 60000,00 3720.00
457 MADISON AVENUE 0 Madame, wages and dps 0 Medicare tax withheld
NEW YORK, NY 10022 60000.00 870.00
7 Social security ttpe 0 Allocated Ups
d Employee's &eclat security number 9 Advance EC payment 10 Dependent are benefits
[SSN Redacted]
c Employee's Fret name and Initial Last name Suff. 11 Nonquallead plans ,132a See Instructions for box 12
LESLEY GROFF I
120 OAK STREET 13 cri.,1. :cas. Vithe Ph
NEW CANAAN, CT 06840 n n. n .
14 Other 12c
I
?
1 I
31.20 NYDD 12d
i
I Employee's address and ZIP Code
10 Local Income tax 20 Leanly ntrAe
I
10 MS Employees state ID number 10 State waged, tpa, etc. 17 State income tax 13 Local wage,, tips, est.
60000.00 3063.96
NY 1 13-3643429
RmliA ej
r m AL
Copy D—For Employer.
MlageandTax
Statement 2006 Department of the Treasury—Internal Review. Service
Fe Privacy Act and Paperwork Reduction
Act Notice, Gee bock of Copy D.
t% .
a Control meteor
Vold
OMB No. 1545-0)08
b Employer IdenUtIcatIon number EIN) 1 Wages, tips, other compensaton 2 Federal Incans tax wIthhekt
o Employees name, address, and DP coda 3 Social security wagoe 4 Sodal security tax withheld
6 Medicare wages and tips 0 Medicare tax withheld
7 &odd security tips 0 Allocated 'pa
d Employee's social security 'lumbar 9 Advance EIC payment 10 Dependent care Innards
a Employee's lint name and initial last name Suff. 11 Nonqualltled pans 12a Sae Instructions for box 12
?,
I
13 g1121. W.,'"' liter p-ta
n
14 Other
n n i12c
I
? I
12d
1 Employee's address end ZIP coda
leSue Employers state ID number 10 Slate wages, lips, etc. 17 State Income tax 10 Local wages, Ilps, etc. 19 Local income fax 20 Laxity rams
I.
Wage and Tax
Wes t
`For Employer.
Statement 2006 Department of the Treasury—Internal Roicnie Service
For P#vacy Act and Paperwork Reduction
Act Notice, see back of Copy D.
E1093
EFTA00176008
, a, Centre number 0001
VOW a omeNo.iss-moeLM8
0001 66/LMB
1 Wages, ape, other compfentalee 2 Federal Income tax wahheld
la Employer identification number (Elio) 6834.27
13-3643429 60000.00
3 Social security wages 4 Soda) security tax withhold
G EMOWArsb&MkOMION,WdZIPON20
60000.00 • 3720.00
EPSTEIN INTERESTS
s Medicare wages and tips 8 Medicare lax withheld
--457 MADISON AVENUE
6000000 870.00
NEW YORK, NY 10022
7 Social security Ups 8 Allocated tips
9 Advance ESC payment 10 Dependent cam Ninths
d Employee's social security number
[SSN Redacted]
11 Nonquailled plans 12e See instructions for box 12
e Employee's Eat name end Initial Last name
LESLEY GROFF
13trx, .... Other
I
12b
I
120 OAK STREET OM F it Pi
NEW CANAAN, CT 06840 n i
12o
I
14 Other'
i I
28.80 NYDD 32°
I/
1 Emot/ea address and ZIP coda
18 Lealmpg, fps, att. 19 Local Income tax 20 Leaky neve
15 Fa Employer's state ID number to Slate wegek lips, eta. 11' Side Imam tax
NY 1 13-3643429 60000.00 3173.41
Department of the heasury—Intemel Revenue Service
Form Wes 2 Wage and Tax
Statement 2005 For Privacy Act and Pepenvorli Reduction
Act Node*, see back of Copy D.
Copy D—For Employer.
a Control number
O
yeti OMB No. 1515-0000
1 Wages, lips, other corratematIon 2 Federal Income lax withheld
b Employer Identification number (EIN)
3 Sodel security wages 4 Social security tax weNkeld
c Employees name, address, and ZIP code
6 Medicare wages and tips 6 Medicare tax withhe'd
7 soda security ups 8 Allocated tips
9 Advance DC payment 10 Dependent care benefits
d Employee's social security number
e En-croyee's first name end Inifel Last name ft Nonerealico pions g22, See Instructions (or box 12
I I
13 tr,ii ;Ira WA" 12b
n n I-1 i
12c
I
14 Other
I I
I Employee's address and ZIP code
18 Local wages, Ice, ales. 19 Local income tax 20 Lotaley name
16 sale Employer's state ID number 10 Slate wages, ups, etc. 17 State Income tax
J
t I
Deportment of the Treesury—Internal Revenue Service
Wage and Tax
Form1111c Statement 2005 For Privacy Act and Paperwork Reduction
Act Notice, see beck of Copy D.
Copy El—For Employer.
E1004
EFTA00176009
co ris.4
-"r 696 9 YERS' COPY
OMB Ne. 15484109
Fe..1096 Annual summary and Transmittal of
Deposing,la the Mown
Internal Revenue Berate
U.S. Information Returns 2(305
(Rev. riven 2055)
I FILER'S name 1
EPSTEIN INTERESTS
Street address (Including room or suite number)
457 MADISON AVENUE
City, state, and ZIP code
LNEW YORK, NY 1 0 02 2 I
Name of person to contact Telephone number For Official Use Only
Email address Fax number
( ) Oli
I EmptoyeriangiCation hunter 3 Total number 04
2 Soclalsecuitty number 4 Federal income lax withheld 5 Tool asothint /Opened well this Fenn 1091)
forms
11-16 41429 1 $
0 00 $ 66-7-3 0 0
Enter an X" In only one box below to indicate the type of form being flied. If this is your final return, enter an "X" hero . . . P. 0
W-20 1098 1008 0 1098-E 1098-T 10984s 10930 1099.0 1003.CAP 109,050 1000-0 1009+I loaSINT 10994.70
32 81 70 84 03 03 79 es 75 91 86 71 92 93
0 0 0 0 • • 0 0 ❑ 0 0 W 0 0 4
100551450 10994310 10994Wri 1003.0 101143 1019-S 10955A 5490 5498-ESA 549894
95 96 . 97 31 Se 75 94 28 72 27
CI ❑ MI 0 Ill N 0 II 0 ❑ 1
Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.
Under ponoltios of pertUry. I declare that I have examined this return and accompanying documents. and, to the best 01 my knowledge and ballet they are true.
correct, and complete.
Signature • Title e Date •
When to file. File Form 1096 with Forms 1099, 1098, or W2G
Instructions by February 28, 2008. Ale Form 1096 with Forms 5498, 5498-
Purpose of form. Use this form to transmit paper Forms 1099, ESA, and 5498-SA by May 31, 2006.
1096, 5498. and W-2G to the Internal Revenue Service. Do not
use Fon 1096 to transmit electronically or magnetically. For Where To. File
magnetic media, see Form 4604, Transmission of Information
Send all Information returns filed on paper with Form 1096 to the
Returns Reported Magnetically; for electronic submissions, see
Pub. 1220, Specifications for Filing Forms 1098,1099, 5498 and following:
W-20 Electronically or Magnetically. It your principal business, Use the following
Who must file. The name, address, and TIN of the filer on this office or agency, or legal Internal Revenue
form must be the same as those you enter in the upper left area residence In the case of an Service Center
of Forms 1099, 1098, 5498, or W-2G. A filer includes a payer; a individual, is located In address
recipient of mortgage Interest payments (Including points) or `err
student loan Interest; an educational Institution; a broker; a
barter exchange; a creditor; a person reporting real estate Alabama, Arizona, Florida, Georgia,
transactions; a trustee or issuer of any individual retirement Louislarta, MISsiafiPa rQ°, Austin, DC 73301
arrangement, a Coverdell ESA, an HSA, an Archer MSA North Carolina, Tema,
(Including a Medicare Advantage MSA); certain corporations;
certain donees of motor vehicles, boats, and airplanes; and a Arkansas, Connecticut, Delaware,
lender who acquires an interest in secured property or who has Kentucky, Maine, Massachusetts,
mason to know that the property has been abandoned. New Hampshire, Nekv Jersey, • Cincinnati, OH 45999
NewYork, OMo, Per nsylvani
Preaddressed Form 1096. If you received a preaddressed Form Rhode Island, Vermont, West
1096 from the IRS with Package 1099, use It to transmit paper
Forms 1099, 1098, 5498, and W-2G to the internal Revenue Illinois, Indiana, Iowa, Kansas,
Service. It any of the prepdnted Information Is Incorrect, make Michigan, Minnesota, Missouri,
corrections on the form. Nebraska, North Dakota, Oklahoma, Kansas City, MO 64999
If you are not using a preaddressed form, enter the filer e
name, address (including room, suite, or other unit number), and
TIN In the spaces provided on the form.
South Carolina, South Dakota.
Tennessee, Wisconsin
I
For more information and the Privacy Act and Paperwork Reduction Act Notice, 48.0971237 Form 1096 (Rev. 3-2005)
see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G.
E1005
EFTA00176010
9595 ❑ Vr 0 CORRECTED
PAYERS name, street address, diet, state DP and telephone no. 1 Rents OM.. to. 1645-0115
EPSTEIN INTERESTS
457 MADISON AVENUE $ Miscellaneous
NEW YORK, NY 10022 Royalties 2005 Income
$ Fon 1099-MISC
3 Other Income 4 Federal Income tax witteld
Copy A
$ For
PAYER'S Federal Identification RECIPIENTS Identlacation 6 Adam, boat proceeds 8 Medial aid beat cam ewmtett Internal Revenue
number fi:Ogi,,).7d6AUS6,1W, number .f6IVAficittit tit;:, Service Center
13-3 64 34 2 9 13-2842281 $ Ale with Form 1096.
RECIPIENT'S name 8 Subaqua paned. la Ilea of
ASSOCIATES Olviterati or Merest v For Privacy Act
U
4e ; ;E- : and Paperwork
6673.00 Reduction Act
Street address anoludhg apt. no.) 9 Payee made Mad sales of 10 Crop Instrance proceeds Notice, see the
$5.000 or more of construe 2005 General
omit& b a burr
110 EAST 59TH STREET (recipient) for male e Instructions for
City. slate. and ZIP code 11 Forms 1099,
NEW YORK, NY 10022 1098, 6498,
Account melba( (see het: hoes) 13 Eixese golden parachute 14 Grose proceeds paid to and W-20.
/A.Vbifiggaen786ZWI4 PeYments an attorney
$ $
15a Section 409A deferrals Sb Sscaon 409A Income 18 State tax ,eleNteld 17 State/Payees state no. 18 State Income
$
$ $
Fowl 1099-MISC Cat No. 1442SJ Department of the Treasay • Internal Revenue Service
Do Not Cut .or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
9595 0 VOID 0 CORRECTED
PAYER'S name. street address. dbl., stale. DP code, end telephone no. 1 ReMs OME. No. 1545-0115
$ Miscellaneous
2 Royalties 201:15 Income
Fan 1099-MISC
3 Other Income 4 Weal Nome tax withheld Copy A
For
6 Fishing bad proceeds 8 Metleated bah pre pawls Internal Revenue
trIVA4NR,74"WeiVX.:Kitlit Service Center
File with Form 1096.
RECIPIENT'S name 7 flonernployee compare 6 Substitiell oirmala CI
•X.M Ari.jek, &beads or mast ,yar,e;fi, For Privacy Act
*Y4N-YragIOYANi,V4,1:;,:Aif‘ and Paperwork
Reduction Act
$
Street address (including apt n9) 9 Pow tide direct salts of 10 Crop Insurance proceeds Notice, see the
95900 or ride or consumer 2005 General
products to a buyer Instructions for
(redolent) tor rube P.
Forms 1099,
1098, 6498,
13 Excess gcklen parachute 14 Gross proceeds paid to and W-20.
payments an attorney
$ $
15a Section 409A deferrals Sb Section 409A Income Stela lax elthhokl 7 State/Payer's state 18 State Income
$ $
$ $
Form 1099-MISC C I. No. 14425J Department of the Treasury - mama' Revenue Saab,
6Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
EDO
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
FTC0001
EFTA00176012
tp0 NOT STAPLE OR FOLD
f a Conhor number For Official Uert Only P
• 39933
0148 No. 1&45-0009
b • 94149 Mary 943 94444 1 Visas, ups, other compensation 2 Income tax withheld
Kind
IN
of
Payer
Hahld.
of 9,6„„.
Meol
Thcaro
sic po
ay
ny
3 Sodel securty
i wages
770439.00
587136.84
128484.00
4 Social acuity tax withheld
0 Totel number ol Forme 44 36402.49
0 Establishment number 5 Meeker° wageo and lips
11 e medlars tax withheld
10384.62
G timpbyet Idenasentilon number (E1N)
66-0567418
f Empbyert name
7 Social unitary tpe 7 11750.58
9 Adnonop EIC payments 10
FINANCIAL TRUST COMPANY, INC.
1 ... 11 Nenquailned plena
6100 RED HOOK QUARTER B-3 12 Dsferradcompanaellon
ST. THOMAS 00802 39945.62
13 For liardporty Wok pay us* orry
14 Income tax withhold by payer of third-pony sick
9 Employer. widows and ZIP code pay
h other EN used thb year
If
I Employer's terniodni IO number V
Contact pennon
JEANNE 13RENNAN
Telephone number
(340 ) 775-2525
For Mel Use Only
A
Eunati tddrets
F 110 ) 771-2528
Undor parolees of pottery. I oat Tox Department
they are We, COITOCA, o roPanYin2 documents, and, to the best or my knowledge and belle!,
Signature P
oleo re
Fears W-3SS Transmittal of Wage and Tax Statements 2006 Ocoorknonl Of Ontr000Vty
WomollievonunSento
Contact the Division of Revenue and Taxation. Commonwealth
Northern Marlene Islands, for the address to sand Copy 1 of of the Extension to famish Forms W4 to employees. You
Forms W-20M and extension of Eme to furnish Forms W-2 to employees by may request an
°ending a tenor to:
Shipping and mailing. If you file mote than ono typo of IRS Enterprise Computing Canter—MerUnsburg
group forme of the same typo with n separate FORM W-3SS for, please Information Reporting Program
typo. For example, send Forms W-2GLI with ono For for oach Attn: nctonalon or Time Coordinator
WSSS and 240 Mural Drive
Forms W-2AS with a second Farm W.SSS. Forms W-2AS,
W2CM, or W-2V1 era printed two forms to a go. Send KonmaysvIller WV 25430
the vole Mall your latter on or before the duo date for rembhM Forma
page of Copies A and 1 even if one of the fo g
Prepare and file Forms W-2 either alphabetic° employees. It must Include: W-2 to
names or numerically by employees social so • Yolk name and address,
staple or tape the forms together and do not fol • Your employer Identifkatton number (81N),
in a flat mailing.
• A statement thel you are requesting an extension
to furnish 'Forms W-2"
coo' V' to eMptoyees,
General Instructions for Forms W- • Reason for delay, and
W-2GU, W-2011I, and W-2VI
Fumiehing Coates El and C to omeloyeea. Furnish Cop
cAta • Your signature or that of your authorized agent.
Unciollyerablo forms. Keep for 4 wpm any employe
era of 1,o s/ copies of Forms
Fame W-2AS, W-20U, W-2CM, end *0/I to your °mato W-2AS, tli.2QU, 4.20M, or W4VI thst you triad to deliver
January 31, 2007. If employment ends before December 0 y but could not.
0, you may Do not send undeliverable Forma W-2 to the SSA.
furnish the copies any time after employment onde but no la do than
January 31, 2007. 0 the employe* ask. for the form, (umbl t‘ or Calendar year basis. Base ell entries on Forms
her the W.P.AS, W4GU, W.2CM,
completed copies MUM 30 days of the requost or Vitas W.2V1, and W4SS on a calendar year. Usa the correct year
SO days of the form.
last wage payment, whichever Is Ater. If an employee loan a for, Electronlo reporting. If you are required to No 280
`REISSUED STATEMENT' on the now copy (unless It was write or more Forrhs W4AS,
furnished. W-2GU, W-20M, or W-2VI, you must file thorn eleolrOt
tcalty.
aleotronically), but do not send Copy A of the reissued statement to
the sptcllicatione for Ring this Information otactronlealty WaitingYou can get
SSA, Employers are not prohibited (by the Internal Revenue Code) by Social
from Security's Empityer Reporting Instructrons and information
charging o foe for the Issuance of a duplicate Form W-2AS, W vntnksocrelsecurigsgoviemployer o websria at
4-2014, or W-2V1. 4GU, an SSA Employer
SOnioati Liaison Offloor (EISLO) at for tie U.S. Virgin Islands
or [Phone Redacted] for Guam and
. 93A
any typo of physical media (Magnetic tape, cartridge will no longer accept
subrrieetons of Fenn W-2 reports. , diskette, etc.)
Page 3
FTCOUG2
EFTA00176013
•
in Control number
22222 Vold
OMB No. 1543-0000
b Employer Ideal/Icarian number (PIN) 1 Wages, Spurn dna( componsetion
66-0567418 2 VI income lax withheld
95701.00 10920.00
c Employers mum oddrsao. and ZIP code
O Sock) security
FINANCIAL TRUST COMPANY, INC. 8"Ini"c" 58n00.00 a IFel l [Phone Redacted] RED HOOK QUARTER B - 3 6 Medicare vmmanchloa
ST. THOMAS MIS 00802
D. / 1. o c e ""It52.66
7 Socinisocunty tips
d Employee's to*& smelly number
0 Advance EIC payment
150- 46- 4746
Prsnfir tat name and initial
SUP, 12.1 Se0 FolynU c311n.98uolPorn
6501 RED HOOK PLAZA STE.
PMB 201
ST. THOMAS, VI, 00802
la RV.
id Other
Wynn "dyer
n
r ,L93S
.31I
g2d
ZIP do
Form W-2111 U.S. Virgin Islands
Wage and Tax Statement
Copy 1 -For VI Bureau of Intorno] Revenue or Copy D-For
2006 Deponmerd or rho Treasury—internal Revenue SarvIce
For PrNeoy Act and Paperwork Reduction Act Notice
Employe( and InatructIons, see Form W-35s.
a Control number
2E222 Vold O
OMI3 No, 1649.0008
b EmpIoyer Idontirkelion number (ON)
1 ver.900...mumpoomft 2 Vi income Box withheld
66- 0567418
o Employer's name. address. and ZIP coda 44771.16 4649.00
3 Social troo.dity Maw 4 Social murky tax vdtnhali
FINANCIAL TRUST COMPANY, INC. . 49713.02 3082.21
6100 RED HOOK QUARTER B - 3 6 MOdlOara wages end tips
Medicare tax withheld
ST. THOMAS , 00802 49713.02 720.84
7 Eyed aocurity lips
d Employees lipoid partly number
0 Advance BC payment 10
580-03- 9952
O FrrPlogni000ArWROCAdWMW LaCt name Agi
Surf. 11 Normuolified plans 12a See Form W-380 inetructSna
LEON A CASEY, SR.
S 4941.86
P.O. BOX 503032 10 lat,Itry Thkrtfq
jar. Iri 2b
ST. THOMAS, VI, 00805
14 Other
rid rl C I 294..58
12d
a address. end ZIP codo
Form W-2111 U,S. Virgin Islands
Wage and Tax Statement
Copy 1.For VI Bureau of Infant& Revenue or
2006 . Deportment of the lheasury—tnlamor Revenue
For Privacy Aot hd Popenvork Reducti
Service
Copy D-For Employer on Act Notice
and Inottocifonp, sea Form W-33S.
F-0003
EFTA00176014
e Control number
22222 OMB No. 1543-O300
b Employer IdortliPoetton (\ember (cm 1 wage°, Ups, otheraynpausion VI Income tax withheld
66-0567418 36501.0' 5365.00
• Employer's nomo, address, and ZIP code 3 Sante security ciaeii6.5 4 Soda' security tax withhekt
FINANCIAL TRUST COMPANY, INC. 2462.42
6100 RED HOOK QUARTER B-3 6 Modlowo wageiN. Medicare tax vAthhold
d_thea716.5 575.89
ST. THOMAS , 00802
d En loyeelt soClel
13-4697 security number 9 Advance DC payment
580
arnagilettftarns and Inkiel Last norno SO. 11 NonquellFred plans
CORNELIUS
6501 RED HOOK PLAZA
FMB 201
ST. THOMAS, VI, 00802 14 Othor
t E d 2le coda
Wain] U.S. Virgin Islands Deportramt of the Trassury—Intornst Remade &mos
Form Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D-For Einp!oyor
2006 For Privacy Aot and Paperwork Reduction Act Notice
and Inetruolons, see Form W,385.
a Control nwnbor
22222 ww O OMB No. 1646-0006
b Employer identlftcatron number (RIM 1 Wages, tea ether compensation 2 VI Income tat withheld
66-0567418 149125.46 28186.00
o emplowee name, addles; end VP code 3 Social aeourIty wages 4 Scent security tax ytWihee
FINANCIAL TRUST COMPANY, INC. 94200.0C 5840.40
6100 RED HOOK QUARTER 8-3 8 Modloara wapiti, end tips t"iti
159225.4E a M""ra WliW
2 3Old 7.32
ST. THOMAS r 00802
7 80clal SeCureer Upo QV
d Employee; weld comity number 9 Advance BO payment 10
58D-06-1538 • 1
7
a Employee's first an and Intel/ Last name sue. 11 Womanlike pans 174 Sc. Form W-3.98 hattuctIons
CECILE R DE JONGH IC 1184.73
repeori :roe feu
N Lig Is20
P.O. BOX 6361 1s1
ST. THOMAS, VI, 00801 110000.00
14 Other
1 I
,Rd
t Emote oo's addr s and code
Ir
Ag
U.S. Virgin Islands
Form 1,41-2VI Wage and Tax Statement
Copy i•ror VI Bureau of Internal Revenue or Copy D-For Employer
2006 Department of the Treasury—Internal Revenue Setv/oo
For Privacy Act and Paperwork Reduction Act Betio:
and Instructions, ma Form W-3S.S.
FTEDD04
EFTA00176015
2 Control nuntoor
22222 Void
OM No.1545.0308
b Employer klimftallon number (EIN) walajtm,Dthwcimpipmmo 2 VI Income Wk withheld
66-0567418 241,021.3( 65182.00
• EmplOyer's nom caldrons, and 21P code Sorge security wages 4 Social socunly tax wShltdd
FINANCIAL TRUST COMPANY, INC. 94200.0C 5840.40
6100 RED HOiiiiiiiTER ES-3 a ModlOara Warntini 3c 6 laledleeto toe withhold
a494.81
ST. THOMAS , 00802
7 Social socwtty tips
d Employee's =Al security minter 0 Advance BO payment 10
[SSN Redacted]
12511i7gandhmm umaktiN Sufi 11 Nonquellfed plans 22a See I ern W-$55 In:erection
C 3.02 1.. 28
C/O AMERICAN YACHT HARBOR 13 per 1211
6100 RED HOOK, SUITE 2 ■ ■
14 Other 120
ST. THOMAS, VI, 00802
2d
t
I Em s adores' end ZIP code
U.S. Virgin Islands
A
Fenn IN-2111 Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue, or Copy 0-For Employer
2006 Depiterwint Male Troastury.../memal Revonuo &Mee
For Privacy Act end Paperwork Reduction Act Notice
and Instructions, see Form W-3$5.
e Control number
22222 Vold O
MG No.1545-O008
b Employer Iderillacadon number (ERE Wages, tiP/,0111v compareelan 2 VI Income nix withhold
66-0567418 20380.75 2264.00
• Employer's name, addpr.4, and ZIP code 3 Redd etcority were 4 Social tectety tax withhdd
FINANCIAL TRUST COMPANY, INC. 20380.75 1263.61
6100 RED HOOK QUARTER B-3 6 Modesto taws old tips • Medicare lax Withheld
20380.75 295.52
ST. THOMAS 00802
d Employee's social sucurity number
[SSN Redacted]
o Employee'. that name and Mkt Lint name 11 Nonqualfled plan 221 Ste Form W-35$ In/toolono
TEQUASI O HENDRICKS
PO BOX 672 13l'i
Iva
I
22b
J
ST. JOHN, USVI, 00831 ri
14 Other 12c
I
12d
I Em i eels addro n a IP code
Form W-2V1 U.S. Virgin Islands
Wage and Tax Statement
Copy I -For VI Bwenu of Internal Revenue or Copy IS-For Employer
2006 Dapartment of toe Treedury—Intermit Nuance ScMco
For Privacy Act end Pap/neat Floduatton Act NotIco
and tratruotions, see Form W-359.
FTC0005
EFTA00176016
p cpettal number 22222 Void
OMB Na. 1145.0008
b Employer Idantlfeetion number ON) 1 WWI, ape, other oomponxtlIon 2 VI Income tax withhold
66-0567418 22766.01 2108.00
o Employer's name, address, and ZIP cods 3 Social Bawdy wages 4 Scelal security 1w wkhhokl
FINANCIAL TRUST COMPANY, INC. 24063.91 1491.96
6100 RED HOOK QUARTER 8-3 5 Mettlexo wngeletrbilgb . 91 6 Medicare Nut with
348.93
ST. THOMAS . 00802
7 Social sevolly OS aY
p0••
d Employee's social security number 9 Advance EIC payment 1
[SSN Redacted] ,
a ErIMOTfirriitAltrrno end Initial Last name Suff. 11 Nonavollad lane 123 Soo Form lAh.3.55 Inshvolons
MCDONALD MORRELL S 1297.84
PO BOX 306077 13 re 'Z, " Mr 120
ST. THOMAS, VI, 00803 •
14 Other 12c
0174
f 5m eels address and tpc o
/ / 4
U.S. Virgin Islands Department of I • Tremerry—Internot Revenue Witco
rnrm litl-2111 Warle and Tax Statement 2006 Far PiruaAv Att and Prmannark RneluetInn Ant Moth-A
and Instructions, see Ferri W.35.9.
Copy I .For VI Eitrreeti e internal Revenue or Copy l)-For Employer
A Control number
22222
OMB No. 1645.0008
b Empieyw Identtaelca number (FINS 1 Wagoo, ese, other compenseton 2 VI Income tax withhold
66-0567418 45986.1C 1657.00
a Worm% name, Same, and LP code 3 Soolol accurity wags* 4 Sottol security tax withhold
FINANCIAL TRUST COMPANY, INC. 47613.9S 2952.07
6 thedlootolax withheld
6100 RED HOOK QUARTER 8-3 690.40
ST. THOMAS , 00802
d Empoyee'n soca mmulty numb Advance 90 payment
580 —11 —2957,'
• RmPlOyoo• trot name and Mel Out home Sun, 11 Nonqualiked pans la Soo Farm W.OSS instructions
UNA R PASCAL 1S 11627.89
HIDDEN VALLEY BLDG. 13 APT. 239 2b
C 140.82
ST. THOMAS, VI, 00802
old
I imeo addrota and 2IP code
Form W-2111 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 Tressuni—triternai Revenue Servion
Por PrIvooy Act And Paperwork RoduatIon Act Notice
and mstruotionS, see Ponti W-0$$.
PUNE
EFTA00176017
a ContrdnuMber
•
42222 Void
OMB No.1545.0005 '
b Employer !dont160110,1IIUMW (ON) 1 IARSIR7. tip, Otter oompertation 2 VI income lax vallihsId
66-0567418 32443.4-, 203.00
Employes name, address, and 23P code 3 Scala Security W0543 4 Seal security tax wIthheld
FINANCIAL TRUST COMPANY, INC. 33689.3E 2088.74
6100 RED HOOTER
ST. THOMAS ,
B-3
00802
6 Medicare wagesa-and
3-erg. 3C
7 Social warily tips
d Employee's social larcurily number 0 Advance SIC payment
[SSN Redacted] 7 1/ //
a Employee's first name sod Lest name Suff. 11 Nonquatted plans Far TM? %teem
ANN M RODRIGUEZ
6014 ESTATE SMITHBAY 7.15
ST. • THOMAS, VI 00802
14 Other 12o
1
I Elmolovoo's address and ZIP coda
U,S. Virgin Islands
Fenn Wage and Tax Statement
Copy 1 -For VI Bureau of 'Memo! Revenue or Copy D-For Employer
2006 Depertmant of the TI•wsunh—Intomol Revenue 5m4ofo
For Privacy Act end Paperwork Reduction Act Notice
and instnalione, see Form W-33S.
e Control number
22222 Vold 0
OMB No. 15413-0000
b Employer identlfiestion number (FIN) 1 Ways, tPa, other ramp ensellon 2 1.4 Income tax withheld
66-0567418 40174.72 3502.00
a Employer's nen% address, and ZIP cede I 3 Sookfd security wages 4 Social aecuitty tax withheld
FINANCIAL TRUST COMPANY, INC. 43275.92 2683.11
5 Medicate worm and Ups 6 Metheve tax %OMEN
6100 RED HOOK QUARTER B-3 43275.92 627.50
ST. THOMAS , 00802 7 Social tecurItY II0e ar
d amployoces social eocurtty number 9 Advance EIO payment 10
[SSN Redacted] rd/
a Employee's brat name and WIN Leg name Suf. 11 Nonpuoktexl plena 12a See Form InetructIons
JERMAINE A RUAN IS 13 1.20
13 th.IA/.1414 Wiwi P4Vprr 11)
UVI FAC, E. APT.1 BLDG. 3.
ST. THOMAS, VI, 00604 n
14 Other
61 Li =2C
12e
128.34
1 I
fl u
t Em to Ms address ZIP tad
Fenn
W2V1 U.S. Virgin Islands
Wage and Tax Statement 2006 Copsrtmont of the Trentury—knemai Novenae fiervlco
For Privacy Act and Paperwork Reduction Aot Notice
Copy 1-For VI Bureau of Internal Revenue or Copy 0 -For Employer and Instructions, see Form W-395.
FTC0007
EFTA00176018
F H;72 voct
66-0567418yam
DIAS No. 1545.0000
h Employer IdentifIcatbn number
41567.9
1 Wages, bps, other cempcncal/rni 2 VI Income trot wIllthe'd
4448.00
FINANCIAL COMPANY,
TRUST INC.
o Entheayera nerne, addr0314 and ZIP ooda
-3
REDHOOKQUARTER
6100THOMAS
4 Soda' security tax Withheld
2857.17
0 Medicare tax wIthlteld
ST. 00802 a
668.21
LACE
o EniDTgi gri tivgt mire era oral
to
sun. 11 Nencluallfied plane
r
asa' re'
UQ
P.O.BOX11184
ST.THOMAS,
USVI,00801
13 tether
gram e
'33.61
14 Othcr
124
z
Employ/We satire.* and ZIP coda
Form W-2V1 U.S, Virgin islands
Wage and Tax Statement
Copy 1-P9r VI Bureau of Internal Revenue or Copy D-For Employer
2006 Department of the Treasury—Intern* liovenua Service
For Privacy Act anti Paperwork Reduction Act Notice
and Instructions, see Form W-355.
a Control number
b Employer Identificadon number [SIN)
22222 \led 0
CMS No. 1645-0009
1 %Ka tips, Cher centheneetIon 2 VI Income tax wAhheld
a Employers name, address, the ZIP coda 3 Social smutty wages Social aarnally tax witNield
0 htedlorne Wages and tips 0 Mocker° tor whithefd
T Sethi security lips
d Emozoyee's soda sootsrity number 9 Advance SIC payment 10
tU
e Employee's Est name and Initial Last nem* Suer. Nonquallaed plans 12e Sae Form W-059 In:krone
I
13 bytz creu k tarr Alb
n I'1 Ilp
14 other 12°
12d
E 10 Ito • dace and ZIP code
U.S, Virgin islands
Form
Cot y
W-2111 Wage and Tax Statement
1-For VI Sureau of Internal Revenue or Copy 0 -For Employer
2006 bcpattmant of the Treasury—internal Revenue Service
For Privacy Act and Popov/ark Reduction Act Notice
and Instruction, coo Form W-39S.
FTC0008
EFTA00176019
Ccotrot numb,: For Official Use Only P.
33333 OMB No. terts.muta
b edl.SS Military 241 1 Woos, bps, olher oompansetbn 2 Income TeX withheld
Kind
❑ Mili 0 717905.56 116884.00
of Habrd r.illadloare Thed•porty
Payer on owl. amp, Oleic 9 Sostel security wages 4 SOOlal esouttry tax Withheld
593493.31 36175.97
0 Told nurnber ol Forms W-2 d Ealeheshment number S 'indooro wages and lido 0 Moticaro toot vAlMeld
1.9 751782.06 10900.85
ci Employer Nonage/won numbafEIN) 7 Soared security lips
66-0567418 f
f Employers name 9 AthronO8 EIC (my/vents fo
FINANCIAL TRUST COMPANYt INC.
11 Nonquasited plane " Deferred compensation
6100 RED HOOK QUARTER B-3 I 33876.50
ST. THOMAS .I, 00802 13 For thmdeany sick paY use only
14 Income lax withheld by payer of thIrd.pnny stok pay
g Employers excess sod ZIP coda
h Orlwr BIN used Ns year 7/
I Employers %Hertel ID numitor
Contact person Tdophone number For Orectei Use Only
JEANDTP _B.RENNAN (no ) 7_7_6-2P525
E-rnail oddity's Fax number
(340)775-.2528
Under penollle3 01PadulY. I do
Loic%;r:cc
1—Forocom x.Deeptearndejlotthe best my itbssmastss and bow,
hay figned Ihle Co
return au of
they aro true correct, and
Signature *
Q.Assbari r Delo tr. 44/04
FormW-3SS Transmittal of Wage and Tax Statements 2 00 5 cowmen or tho Treasury
Warn& Swamp Seeks
General Instructions for Forms W-2AS, UndelNeeeble toms. Keep for 4 years any employee copies of Forms
W4GU, W-2011.4, and W-2VI W-2AS, W-20V, WECM, or W-2VI that yov tiled to deriver but could not.
Do not send undeliverable forms to the GSA,
Furnishing Copies la end 0 to employees. Furnish Copies B and G of
Ferree WEAS, W.2GU, MOM, and WWI to your employees by Calendar year basin. Base a1 Ontries on Fame W4AS, W.2GU, W-2CM,
January 31, 2006. If employment ends before December 31, 2005, you may *EA, and W-3SS on a calendar year. Use the currant year total.
furnish the copies any time allot employment enter but no later then Negneto medlareloctronlc ripening. If you Illo 250 or more Forme
January 31. 2008. If the employee asks for the form, furnish him or her tho W-20U, Wi2CM, or WEW, you must Vie them on magnetic media
completed copies within ao days of tho rawest or within 30 days of the or eleohontoally. You Can got spadrcations for ling thls Information on
last wage payment, whichever le later. If an employee loses a form, writo magnetic media or oloctronically by visiting Sodal Socurity's Employer
'REISSUED STATEMENT' on the now copy (uNeos It was furnished Reporting Instructione and Information websIte at
otoclronloally), but do not send Copy A of thuolpoyeaThg@SMIgo the InvicgoOlessouril$110y/employer or by contacting an SSA Employer
SSA. Employers are not prohibited (by the Intoth5IREWARESVIWME. Services MUM Officer (ESLO) at 7874864.574 lot the U.S. Virgin islands
charging a tee for the issuanoirnf a dupUeate Form WEAS, W-2GU,
2
No. or S10-970-8247 for Guam and ArnartconRemoa. SSA will not accept
W.2CM, or MUT. magnetic tape and cartridge submissions beginning Wth the 2005 Form
Extension to furnish Forms W4 to employeers YoflagFiat gt 05 W-2 ropons that are duo to SSA In calendar year 2005.
extension of time to provide Forms WE to ample by sending a lot r If you III& on magneto 'Wallet or ofeatronlcally, do not We the came
VIRGIN ISLAPJOS returns on paper.
IRS Enterprise Computing artratRIOn6VtalltE BUREAU OF Moto: You are encouraged to file on magneto diskette or electronkeily
Information Reporting program ST. THOMAS Vbven If ycv file fewer than 260 Forme W4.
Attn: Extension of Time Coordinator You may request a waiver on Fenn 8508, Request for Waiver From Fling
240 Murall Drive Information Returns Magneticsay. Submit Form 0508 to the IRS at least 45
Keameyeville, WV 25430 days before the duo dale of Form W4, See Form 6508 for filing
Mae your letter on or before the due Pete for fumIshIng Forms WE to Information.
employees, It must Include: Taxpayer Identification numbers. Employers use an employer
• Yam name and address, Identification number (EIN) (00.0000000). Employees Use a nodal security
• Your employer Identiecellen number (EIN), number (S9N) (000.00-0000): When you list a number, separato rho nine
• A statornemt that you aro roqueolIng en extension to furnish Forms WI digits properly to show tho kind of number.
to omplay003, Social saounly numbers are used to record employee °ambles for Mute
• Racoon for delay, and social erronty end Medicare tionolite. You must show the correct *Add
security number In box d on tho Form W-2A6, WEGU, or MY!.
• Your signature or that of your authodied ngent.
Page 3
FTC0009
EFTA00176020
o Oontrol numbor
2222E Vold
OMB No. toasome
b Employer identification number (EIN) WePes. tiPA other rempehsatIon 2 VI Income tax withheld
66-0567418 35487.81 3837.00
o 'Employer's name. address, and ZIP code 3 Social security wawa 4 Sochi' moudly lax wlthhald
FINANCIAL TRUST COMPANY, INC. 39426.92 2444.47
6100 RED HOOK QUARTER 8-3 hiergoora tirleml les 92 5 Medicare tax Thad
■ 71.69
ST. THOMAS , 00902
d Employee's social murky renter 9 Advance EIO paymoro.
[SSN Redacted]
aatr i"mrslad IVRIAN GORDON
11 Nonouelified plane ib 8.o riV4SSi ligructio‘D
May
13 re
13215 WHITE MOON COURT ;W ir t
5.82
CHARLOTTE, NC 28213 MY
14 Other
n 12o
1
12d
3
f Emobvee's address and ZIP code
Form VII-2111 U.S. Virgin Islands
Wage and Tax Statement
Copy 1 -For Ol Bureau of Internal Revenue or Copy O-For Employer
2005 Einporencht of the Treasury—Interpol Retinue &Moo
kr Privacy Act end Paperwork Reduction Aot Notice
and InotmotIons, see Form W-359.
a Control number 27222̀ Vold O
OMB No. 1545-0000
b Employer Idontelcatton number IEIN) 1 Wages. Ilea other ororipenatron 2 VI Income tax withheld
66-0567418 85718.27 8549.00
o Employers name. address, and ZIP code 4 Social secudly lex wIthlicd
FINANCIAL TRUST COMPANY, INC. 3 &did acculi olOso .00 5580.00
5 Medkaro wages end tos 6 wain'.taxnod
6100 RED HOOK QUARTER 8-3 91180.46 2.12
ST. THOMAS , 00802 7 Social °acuity tips
V 4
41 Employee" sods' mouthy number 9 Advance GIC payment
[SSN Redacted] A
• BM:401rodr. Bat name and Mal 11 Nelltrungltod plans 12d See Form noes Immo:done
JEANNE 5462.19
6501 RED HOOK PLAZA STE. 13 iga zr mr 45.04
FMB 201 "Cl
14 Otter 24
ST. THOMAS, VI, 00802
i
12d
'
i. /
e DTI no.* ectctrese and zit -••e r
U.S.VirenIMande
rorm VOigeandTexStatemmft
Copy 1-For VI Bureau of Internal Revenue or Copy D.For Employer
2005 Deportment of the 1roasury—Interncl Finance Service
For Privacy Act and Paperwork Reduction Aot Notice
and Instructions, sea Fawn Vti3SS.
FTC0010
EFTA00176021
a Cannel number
oars No.1649.0008
I
E7
vow
lEll
b Employee IdontIlkallon number (Ellia 1 Wept, fps, other oempotealbn 2 VI Income Lax v4thhold
66-056/418 43574.16 4806.00
o Ornpitmere roMe. sdatuto, end ZIP code Scala] so:tfty Wean Social mourtry Mx withheld
FINANCIAL TRUST COMPANY, INC. 48390.99 000.24
6100 RED HOOK QUARTER B-3 5 Medicare wpm and
39 Hoe
48 O .99
ST. THOMAS U.S.V.I, 00802
I Social zreeunty Ups
d Wept/yen socks murky number 0 Advance MC payment
580-03.9952
e Employee's lint nerve end innhe Last name 11 Nonquallfled DIMS 12a See Form W-3SS Instivonoml
LEON A CASEY, SR.
13 Inentik,/
p 4816.83
P.O. BOX 503032 latt Una." rb
ST. THOMAS, VI, 00805 22.21
14 Other
f Em la eohr addrobe end ZIP coda
Form W-2111 U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy b•For Employer
200.5 Deportment of the Treesury--Imernol Revenue Smiler.
Fee priveoy Act and Pepenvork IledUctIon Act Notice
and Instructions. Mte Form WASS.
a Control number
22222 old
OMB No. 1045.000a
b Employer identifiedlon number CON) 1 Wages, tko, omar compensallOn 2 VI into= tax wIthlield
66-0567418 41913.27 5754.00 '
o Employoesmmteddienandwicode 3 Social secretly wage* 4 Scold security tax wIthheld
FINANCIAL TRUST COMPANY, INC. 44630.48 2767.09
6100 RED HOOK QUARTER B-3 0 Medleere tax wthheld
ST. THOMAS .1, 00802 647.14
d Employee's metal Con* numbs, 9 Advenoc FIC Payment
[SSN Redacted]
EmPlOY0010 fat came end Inhlai Lad name 11 Nonquerrfled plena 2e Sao Form W-333 Instruellery
JAMIE I CORNELIUS 4717.21
6501 RED HOOK PLAZA
EMS 201 18.10
ST. THOMAS, VI, 00802 120 I
12d
detron end 23P coda
'4
U.S. Virgin Islands
Form 111,-2V1 Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D.For Employer
2005 Deponorr.At of the Troaeury—Inlernal Revenue Service
For Privacy Act and PeperWork Roductlan Act Notice
and InstmetIons, coo Form 9/-aSS.
FTCO011
EFTA00176022
a Orntml number
22222 Vold
OMB No. 1545-0008
b Employer identification number (EIN) 1 Wages, tip, other oompanarillon 8 VI Income tax wthhold
66-0567418 99216.23 18661.00
c Employees name, address, and ZIP code 3 Social sOtUrt4 5580Nixwithheld
4 Social etnarlty
FINANCIAL TRUST COMPANY, INC, .00
5 Netnews nog and lies Medico. taxivrsid
6100 RED ROOK QUARTER 8-3 96.99 8.41
ST. THOMAS , 00802 7 gerbil sonority tIps
d Employee's sociN security nvmbsr 9 Advance BC payment 10
[SSN Redacted]
a employee*, lint name and mom
CECILE R
tact
DEMmeoNos 11 NonqusIlled pions
P.O. 8361Box.
ST. THOMAS, VI, 00801
14 Othnr 20
i
Ed
0....7,1nuarti• 7APIran• AAA 710 inw.7.
Form VI-2111 Virgin Islands
Wage and Tax statement
Copy 1-For VI Bureau of Internal Revenue or Copy El-For Employer
2005 Department of the lIcesery—intemel Revenue Service
For Privacy Act end Paperwork RoskrcUon Ant Notice
end asstmoilonv, coo Fenn W-339
a Control number
22222 Void
WO No. 1515.0008
b Employer Idanaloattan number ION) 1 Wagon, tbe,othor earrporeolon 2 VI Incorno tax withheld
66-0567418 241021.30 65631.00
O Employees name, ockheaa, and 21P oode 3 Social aecurlt•it wages 4 Social away Itoc wit held
FINANCIAL TRUST COMPANY, INC. 90000.00 5580.00
o Medicare %kiln 81
6100 RED HOOK QUARTER 8-3 "'anM 02 1. 30
ST. THOMAS 00802 f
7 eosin] *murky tips
d employes social eeeVky number 9 Advance EIO payment
090-4448a48 •• • •
• Employee's first nom, end SSW IAN memo 11 Nonquebliod plena Rs $ee Form
is 021.28
W-33$ Instruction
JEFFREY E • EPSTEIN
13 ISavo",
C/O AMERICAN YACHT HARBOR *AI
6100 RED HOOK, SUITE 2 14 Other
ST. THOMAS, VI, 00802
2d
/Sara% Z
I U.S. Virgin Islands
Form VW Wage and Tax Statement
Copy 1-For VI Burenu of Internal Revenue cr Copy O-For Employe:
2005 Dopartmost of the Treesury—leternitl Reverses Service
Pear Privacy Act end Paperwork Reduction Act Malice
and Instructioho, SOO Form W-SSS.
FTCOM
EFTA00176023
Conant number
22222 i void OMB No. 1545.0008
b Employer WentMoron number (EIN) 1 Wages, Opt, 01lla oomparridon 2 Vi I-worm MX withheld
66-0567418 650.00 68.00
Empbpre name. address. and VP *ado 3 Social security were 4 Social vecodty tax withhold
650.00 40.30
FINANCIAL TRUST COMPANY, INC.
6100 RED HO2EMETER B-3
ST. THOMAS IIIIIII, 00802 7 Social snoUrity tips
d Empkyereo soolel co0uty nuntor 9 Advance SO payment
[SSN Redacted]
Ihriployaole list nem and InICal UM name 2n Soo Form W-386 liwtruorcort
TEQUASI 0 HENDRICKS
PO BOX 672
ST. JOHN, USVI, 00831 14 Other
f emninveree %Arleen and 235 node
Form W-2111 U.S. Virgin islands
Wage and Tax Statement
Copy 1-For VI Burnt! Of Interne] Revenue or 0opy D-For Employer
2005 Department of tho Tomeury—MIOMN Rovonut SotVICP
For Privacy Act and Paperwork Reduction Act Notice
and instructions, coo Form W-055.
a Control numbot
22222. Vold O OMB No.1846.00045
b employs/ Identilicedion number (EIN) 1 WNW/. Os, other comic:wooden 2 VI income lax withhold
66-0567418 21670.14 1815.00
c Employers nom addisee, and ZIP coda 3 Social security virrgell o Soda' seconty tax yAthheld
FINANCIAL TRUST COMPANY, INC. 22396.74 1388.60
6 Wean) wage; credito 0 Medlar tax withheld
6100 RED HOOKQUARTER B-3 22396.74 324.75
ST. THOMAS , 00802 7 Sociat MAW tips
/
d Erripewaolo Coalal acidity number 9 Advance EC payment 10
[SSN Redacted]
e ErNioyoe`e first name and tend Last name it NonquallOod piers 12e See Penn W498 inetructionS
LORETTA MCDONALD MORRELL p 126.60
er03% itlirICIOt War la
PO BOX 306077 13 WI
ST. THOMAS, VI, 00803 El I
14 Other 770
i i
12d
1 Ern lo co's addrori and ZIP code
inic2iin U.S. Virgin Islands
A
Form Wage and Tex Statement
Copy 1-For VI Bureau of Internal Revenue or Copy b•For Employer
2005 Department of the Troacury—inlemel Revenue Service
Por Of}igiev Ant and Pennaaatde !forlorn... An tln..n•
end Inatnlelkns, ace Form W- SS.
FTC0013
EFTA00176024
a Control number
22222 Void
ONO No. 15460000
b Etrployot IdenFandon number Eim 1 Woos, lip., other compentibn 2 VI Inseam tax withhold
66-0567418 41893.44 1052.00
o Employers name, address, and ZIP cods 3 $octal county wages 4 Sonl moray lax wIthhdd
FINANCIAL TRUST COMPANY, INC. 43126.06 2673.82
6 Medic/ire tax withheld
6100 RED HOOK QUARTER B-3
ST. THOMAS r 00802
'''''"1".3rir.06 62-5.33
7 Sacral smithy tips
a Employee's social sorority number 9 Advance EIC payment 10
[SSN Redacted]
o enayor ant name end mai taitt2inhrziAL tt Nonquallflod plans 2a Soo Forniit.369.Istruetion
y2:32.6
HIDDEN VALLEY BLDG. 13 APT. 239 3
r 57.32
CHARLOTTE AMALIE, VI, 00802
14 Other 2c
t Employee's address ad Zip code r
Form W-2V1 U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Bureau of Internet Revenue or Copy D-For Employer
2005 Department of the Treasity—internel Revenue SsMct
For Penney Act end PapOlwor1t Reduction Act Notice
and Instructions, coo Form Vn3SS.
o Control nurnbor
22222 void
OMB No. 1646-0006
a Employer Pannonian number (SIN) 1 Wa$, IIPS other compematipi 2 VI Income tax wIthheld
66-0567418 29819.87 4.00
o Employer's name, address, and ZIP ono 9 Social soxrIW wages 4 Sorter security tax rinheid
FINANCIAL TRUST COMPANY, INC. 30695.54 1903.12
6100 RED HOOK QUARTER B-3 ti MoOletra lex withhtid
a maakar"Tongt54 445.09
ST. THOMAS f 00802
7 Soarer security Ups 6,
d Employee's social security number a Memo° EIC payment 10
[SSN Redacted] .. ....
a Epplarine Pet norm and Inn last name 11* Nonqualleod plans
p12a Seo Emi lie-39S herniation
ANN M
6014 ESTATE SMITHBAY
RODRIGUEZ
Is rz}.7. ,„,,„ r
„„.,.. 175.67
1.03
0
Fa
ST. THOMAS, VI 00802
14 Other
I
I E 's address nd IP
U.S. Virgin Islands
Farm i~ - ~YII Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue or Copy D•For Employer
2005 Department of the Treasury—infernal Ronne° Son1ce
For Privacy Aot and Paperwork Reduction Act Bother
end Instruction', See Form W495.
FTC0014
EFTA00176025
a control number
k_._--.. •
b Employer Identification number (£IM
22222 LVed OMB No. 1545.0005
1 VAlget, toe, other cortpeceedon 2 Vi Income tax vdtbheld
66-0567418
o Employees none, address, end 2IP code 38196.15 3250.00
3 Scold security wages d $ocel smutty sae withheld
FINANCIAL TRUST COMPANY, INC. 41069.29 2546.30
6100 RED HOOK QUARTER B-3 5 Medicare me . and 29 6 cora tax wahheal
ST. THOMAS .1, 00802 595.50
7 Social security Ups 6
d Employelea imolai staidly number
9 Advance BO payment 10
[SSN Redacted]
a Employee's list mato and Iasi last norm 11 Nomma.nad pine 1R0 B4O FO NIBS InStrUCtial0
.CERMAINE A RUAN 3873.14
UVI FAC. E. APT.1 BLDG. 3.
ST.. TBOOAS, VId •00804
la rWI
i %
14 Other
4_,ihn
lA lo w r 14.03
j20
fi 1
I
$ and 21P code
Kam.IN-2111 ILS. Virgin Islands
Wade an gd Tax Statement
Copy 1-For VI Bureau of Intornel Revenue or Copy D-For EmplOyor
200.5 ForaDpartment of the Trodstny—.ntemOt Revenue Senhco
Privacy Act nd Poectwork Reduction Acrt Notice
and In-clime:dons, sari Form NOSS
(1 controlnumber
22222 Vold • O. No. 1545.0009
D Employer IdondlIcatIon number (SIM 1 Wage; 11pc,, am COMpf24:4011 2 VI Income ta4 widthcid
660567418 38744.92 3757.00
o Employees name, Wrote, and EP coda 3 Soolol Socudty wages 4 Social amity tax Sifted
FINANCIAL TRUST COMPANY, INC. 43097.29 2672.03
6 Meellearo w and Cps 0 Median tax whhhotI
6100 RED HOOK QUARTER B-3
43097.29
ages 624.91
ST. THOMAS , 00802 7 Sacral pocu4ty tras yr
y..„
d Employer's social security number 0 Advance EIO moron' 10
[SSN Redacted]
a employee's lint narrn and Iraqi Last name 11 Normusliflod piona 2a See Form W489 Inelructiona
DAPHNE L WALLACE 4352.37
is sot fa Trgr
h 12b
P.O. BOX 11184
ST. THOMAS, USVI, 00801 r) ri F 4'0.29
14 Other IR°
1
12d
f Rm co'; add sea end ZIP coda
u.s. virgin
KernW-2111 Wage islands / 4
and Tax Statement
Copy 1 -For VI Bureau of Internal Revenue or Copy D-For Employer
2005 Dapergrsont of the 7renoury—Intomml gavcours Seneca
For Privacy Act and Ptporviork Reduction Act Node.
end InStruc rt'ona, sec Form 16-36S.
FTC0015
EFTA00176026
2iNOT STAPLE OP FOLD
• carded (Sabot' For Official Ues Only P
33313
• • OMB No. 13450008
b S41.8a Mallory 940 1 Want ION Mitt copettgallim 2 •Inoomo tak vilthheld
Kind O b
O O • 732788.1)9 1.-1.3.3.6.CtaD
or
Payer 75
.
govH„,p, oar
Mad. Medicare 7119d•party 3 aodal ',multi wages
_6_00411 46
4 Sochi security as withhe'd
17925 An
e Total number of Forms W-2 d netakashment rester 5 Marlowe wages and tips 5 Mediate trot withheld
19 7_638.011-0.4
/1 A
s Employer Idente catlon number 7 Sochi semsity tips 0
66-0
I (Implant's name
8141,8
9 Admen 91C payee:min
/
/
0 r
-EINANCIA.1....TRUST..COMPANY., • INC, / 1/
.4/
. 11 NonquaMed plans 12 Dottrrod comps/imam
lq.0_19—.9.5
6100 RBA HOOK QUARTER B-3 12 For thirdparty sick pay use arty '
ST.THOMAS, usVI 00802
14 Income tax whrilidd by payer of third-party dot pay
cr Employer° address and ZP oaf,
h Othir EIN used sae year 16 Oheck the eppropriete bas
Typo k W-2A$ W-2Cal W-2OU W-2Vl
I Employer's tonitoriel ID numb& Fonn jr 0 si 0 us
zr
Contact person Telephone number For 6fliciri Use Only
.1•0.11110.—Ba. --/-3.4.0 1 -775 2526
Ihrnit addrixis Fox number
LI ( 3,0 ) 7-75
Copy A—For Social Security Administration
Uncles penalties of Polon/. I declare that I have examined tits !Own and accompanyhg documents, end, to the bast of my knowledge red beef,
try are t • coned, and complete.
gnome r. Me I- deas idac Date e• 2.4510 %
'ire WI" SS li•ansmittal of Wage and Tax. Statements 2004 Oesivanter or tes Tanury
mams{ 6rvenve (service
end this entire page with tho claim Copy A page of Forms W-2AS, W-2AU, W-20M, or W-2V1
) tho Social Security Administration (SSA). Photocoplos are not acceptable.
o not send any remittance (cash, oheaks,4 nay orders, eto.) with Forms W-2AS, W-2GU, W-20M, W-2VI, and W-2.95.
Istruotions for Forms W-2AS, W-2GU, W
nd W-38S
44,7
s/t,re
However, If you lie elootronlyely, you may file by Meroh 31, 2005. Soc the SSA
webelto et www.eoei■lsecwlty.gov/employer/for oladronlo dna optic:co.
/1O4,Extenslon to Me. You may request en extmelon of time to file Forms W-2AS,
reffon fakirs:meta me to the intern& Revenue Codo (Mises oihcerggnotfir4 1 W.2cht, or W-2Vl by Denting Form 8809, Application for Extonolon of
ems To Note 4,4m00
1/14, /SY
c p , b
TVb To File information Retune, to the address shown on that form. You must
request the extenelon by the die date at the forms for your request to be
ew nice for 2004 Forms W-2A8, W-2AU, W.2VI, and W arms considered. You will have an additional 30 days to Ito. See Form 8900 for
-2AS, W•20U, VV.2VI. end W358 wore relormetted to earforrn
id margins used In the subeiltne black end whho loser Forme W-2 en 144,4). UOp Caution: Even If you reoefre hextenAton of tkno to ate panne W-2AS, W.20(1,
'own In Exhibits; E and F of the May 2003 revision of Pub. 1141, Eltriem) HuMetaf,vats, W-2014, or W-21.4, you must Oa fumfsh the forms to your =No)om by January
id Specifications for Sabo:Hum Forms W•2 end W4, This things stows P181, 2005. But coo Extonaton to furnish Forms (V.2 to employees on Pita 3.
°grammars to mite untested oode for date entry on both the ottidol and the
tor-printed versions of the forme. Make cortnin that Copy A of your paper Whore To File Copy A
wins W-2AS, W-QU, W.2VI, and W$SS reflects these changes,
Sand the eats Bret pogo of this form (Copy P) whh the entire Copy A page of
strove! of dollar signs and shading. The dollar ergno mid shading have been Porn W-2AS, W-2CM. or W-2VI to:
moved from Copy A of Forme W.2AS.W•261U, W4VI, and W-33-5 to provide
aro Motto Do not chow dollar sign pr) when reporting monsy amounts Sooty' Security AdmInlatreflon
Data Operations Center
sw reporting code for box 12. A new code (Code W—Ernployer's contribution
Wilkes-Bane, PA 18709.9001
on anithioyoceo Health Savings Account) has been addod for use In box 12 of
Pne W-2AS, W-260, end W.2VI. See pegs S for &Axis. Note: If you arse -CortiEed Mell" to hie, Menge the ZIP code to "18769-0002.' If
you use en if7Pappmvod penile donvery service, aid -A77N: 1442 Process,
then To File tt60 E. MoUntorn Dr." to the address end change the ZP code to - 16V02-7597.°
See Ofroulor (Pub. 16), Employe,. Tat Outdo, fore let of IRSnrproved
e Copy.A of Form W-338 Wan Copy A of Form W.2AS, W.2CIU,W-2CM, or
prNeto dotNay services.
.2VI (including roporte nod on magnetic modify by February 28, 2005.
Also Deo Whore to no Copy 1 and Shipping and rnttling on pope 2.
Cot, No. 101176
FTC0016
EFTA00176027
e Control ~bar Vok OMIS
1 Mao, ilps, olhere3ingsnagell 2VIlmomobswM1158
EmEloYerldenhfOollon numbsr
66-0567418 59341.18 6418.00
3 Settel;welk6mos. 4 Soda; sacrudly trderilted
• Empioyol'a neme, aderen, and ZIP code
4 .18 82.15
FINANCIAL TRUST COMPANY, INC. Modicoto taxwIthheW
5 Mitdloara waggtg tt5 .18
610O RED HOOK QUARTER B-3 41 964.70
ST. THOMAS U.S.VIRGIN , 00802 7 Soda' securlly tips
9 AdvanoaElCpoymonl
11 Nonclualled plans Itea PlorgigVd38896.riona
tiltje PM neme wedMIMI
strrlIAN GORDON
13 mat .
P.O. BOH..115 91.22
ST. THOMAS, . VI, O0804 14 Mar 12c
2
12d
I E •to 0øo ruldrosu and ZIP coda
k
Dopertmant of Ina fressury -'mama( Revenu., Eersile
FormIN-2 11m U.S. VirgPn3slands
w.g.:*and Tax Statement 200 For Privacy Act and Paporwork Roduotion Act NoUo
and InstrucUonc. sec FOfill
Copy D - Fer Erncloyur
a Control mater
1 Watts, Wo, ahor cowpomatco 2 VI lnoorno hanyrUshold
b Employorldeulficatlon number
a 8022.00
66—e 67418
3 soolal socurkympts
1 7 11 4 Soda] escurIty tas wilhhold
o Employsts name, inham, and ZIP cal
87137.22 5402.51
FINANCIAL TRUST COMPANY, INC. 5 blacilmat wist end Ups 6 Wekere las witheid
6100 RED HOOK QUARTER 8-3 87137.22 1263.49
ST. THOMAS U.S.VIRGIN , 00802
d Employee% BOUW Securky mimiset'
[SSN Redacted]
inst neme 11 nonavolfiod plana 12.1 Sue Farm WaSS Inatnn6ons
c Employees Arst name and
JEANNE S 15220.11
6501 RED HOOK PLAZA STE. [137.25
?ms 201 14 Other 12e
ST. THOMAS, VI, 00802
12d
Employees addrols eed ZAP code
Deportmant of Mc Traesury Irdernal Royanuo Setvl
W m nag
Vorm bitl 5.(ss t8
U.S.VinVnID95and9
WeIge and Tatt Statement
200 For Privacy Aot and Paparwork Reduotion Aol Non
and Instrumiona, sec Form W45.
Copy D • For Er ploydr
FTCUOI7
EFTA00176028
a Contnn number
Vold
b Employer ideancetion number
IT O108 No.1646-0008
66-0567418 wqmocommtmalimm 2 Vi Immo lax withheld
42312.73 4328.00
▪ EmptoyereDanyk Oddlara, and ZIP code
3 Social oecurayeesbarb 4 Boded security tp6 wIthbeld
FINANCIAL TRUST COMPANY, INC. 0.63 2913.42
6100 RED HOOK QUARTER B-3 Medicare water 6 kiedleara lex ..thigg
ST. THOMAS U.S.VIRGIN , 00802 919.63 1.36
7 Social security Oa
d Employ0011 toad vacuity number
9 Advance RIC payment 10
[SSN Redacted]
• LINO naMO 0.10 toad
'Mix, SR. 11 NenounflOod plane Soo FloTerTIS Tboctions
P.O. BOX 503032 13 twr RmMnn,t nw
it
ST. THOMAS, VI, 00805 II
14 Other
I • 120,
12o
211.63
12d
f Emulovorre oddront and ZIP code
rom,W-2Vi U.S.WM, Islands 2004 Department of the Treostny - Internal Revenue Sow
Wage and Tax Statement For Privacy Act and Paperwork Reduction Act Not i
Copy D - For Employee and IntdrU011on5, Sao Farm W-3:
a Control number
Vold
OMB No. 1646400.9
b Employer Identification number 1 mvakcomomonom 2 V1Intorno bor vertliekr
66-0567418 47313.38 6 11.00
o Employees mi., address, and ZIP cod 3 sp*Isemaitymmes 4 Sodd Comity tox wdrheld
FINANCIAL TRUST COMPANY, INC. 51249.78 3177.49
6100 RED HOOK QUARTER B-3 Medicare wagesend4e 6 1/4dItem lax vAllgield
ST. THOMAS U.S.VIRGIN , 00802 51249.78 743.12
7 Sodal security 44
d Employee's social beady iwmbor 9 AchninO0 CC paymcµ
[SSN Redacted]
a aapiaroallnd name and Inicei Lest name 12a See Form W.3SS Instructions
JAMIE I CORNELIUS ! S j3936.40
6501 RED HOOK PLAZA 12b
PMB 201 :C 144.78
14 Other
ST. THOMAS, VI, 00802
Erre:ors:a oddity] Mid ZIP code
utfing
Form UM U.S. Virgin Islands
Wage and Tax Statement 2004 DOPertment of to Treasury - Internal Revenue Servlo
For Privacy Aot and Paperwork Reduction Act Natter
Copy D • For Employer and InstructIone, tee Poem 1.4-33:
FT[UUI8
EFTA00176029
a Controlnumber
Void
0Ma No. I wane
b Employer Identitiesnon number 1 Wages. Ups. crissicempemsten 2 VI Income tax wIthhotd
66-0567418 97072.89 13099.00
o Employers93mA address, and ZIP cede 4 Social murky taktabbsid
FINANCIAL TRUST COMPANY, INC.
3 "'"nlbo.00 5449.80
6 Medicare ni 8 Medicare tax elIbtahl
6100 RED HOOK QUARTER B-3 1 462T/ .80 1481.51
ST. THOMAS U.S.VIRGIN , 00802
7 Social amity ape
d Employee% modal unease number Advanos EIC payment 10
re,r e
580 - 06- 1538
e RLCtY,aoyfea and Inked
Los ' oNGH 11 Nonnuratted plan. 12aS Sea Forp31.4389InsEucaons
3 50 99
.
P.O. BOX 8361 13 .1 tleZ .,2 172.78
3
ST. THOMAS, VI, 00801
14 Other 12o
12d
f Employee's oddness and ZIP code
FormW-2VI u.s. VlagIn Islands
wage and Tax Statement 2004 Dominant of the Tresaury • internal ROVentle Son4i
For Privacy Act and Paperwork Reduction Act Roth
and Instructions, coo Form W.39
Copy D For Employer
• Control number
OMB No, 15454009
b EmploYor IdrnellIcation number Wagaiklat,ethereemperitaben 2 income Unt Withheld
6-0567418 241021.28 65884.00
c Employer's mime, addrsbN end ZIP cod, 3 Soda! sousity weber 4 Zoolel security lax withheld
FINANCIAL TRUST COMPANY, INC. 87900.00 5449.80
S Medicare wives end tips 6 Medicare tax wtitoH
6100 RED HOOK QUARTER 8-3 241021.28 3494.81
ST. THOMAS U.S.VIRGIN , 00802 7 Social security Ups
d Employee's accloi a (+corky number 9 Advance EIC payment
[SSN Redacted]
o Empeyeee8rat name end WWI Litt% mime 11 Nonqueallod plans 12a glieFerm W-336 Inertial
JEFFREY E EPSTEIN C 11021.26
13 twat niter 12b
C/O AMERICAN YACHT HARBOR
6100 RED HOOK, SUITE 2 12o
ST. THOMAS, VI, 00802 3
12d
'playas's address and ZIP coda
Form VI7-2VI
U.S. virgin Islands
Weige and Tax Statement 2004 Department of the Treasury - Internet Revenue 8ery
For Prlvaoy Aar and Paperwork Reduction Act Noll
• and Insbeletientl, see Form Welt
Copy D • For Employer
FTC0019
EFTA00176030
a Control number
Vold
OMB No.154240009
b employe, idortfleetIon number wsmimawconmilnan 2 VI Income lox wilhhald
66-0567418 2074.00 175.00
o Beciarete nem address. and VPeocle 3 Social ',curly MVOs 4soomwmowmmmici
2074.00 128.59
FINANCIAL TRUST COMPANY, INC.
S MedlOare wiges and nos 6 Median lox wehltolg
6100 RED HOOK QUARTER B-3 2074.00 0.07
- ST. THOMAS U.S.VIRGIN , 00802
7 Social °sootily bps
d oyees el WWI>. number 0 Advance EIC payment
Empl580-2 sod3— 14 52
11 NonovotOod phnn 12a Boo Form W.399 Inaauction:
TOVAlmr IstaDRIOKS
PO BOX 672 13:Pt "scam 22b
ST. JOHN, USVI, 00831
14 Olhe
112c
I employee'', address and ZIP code
Perm
u.s. *nigh)
-2VI Wage Islands
and Tax Statement
200q Department of the Treasury - Internal Revenue Serve
For Privacy Act and Paperwork Reduction AS NOW
and instructions, soo Form W-3S
Copy D - For Employer
a Control number
Veld El
OMB No. 1043-0005
b timpioyor IdonlIticsdon number 1 Vftes, x:re, other compeneallm 2 VI Income lox vAthherld
66-0567418 21460.81 1005.00
. Employee new, address. and 2IP cod , 3 Sedel scour*/ vrepes 4 Social eacurtly hnc withhold
FINANCIAL TRUST COMPANY, INC. 22108.99 1370.76
5 Medicare noon and lips 4 Medleore tax withheld
6100 RED HOOK QUARTER B-3 22108.99 320.58
ST. THOMAS U.S.VIRGIN , 00802 7 Sochi moodier Iffos
p
d Employer:re social serstSty number 9 Advent; EIC payment 10
[SSN Redacted] 7 .
c Employee's first name and mold Lost men 11 Nonqueletod plans 120 See Form W•39S 'Idea:dont
Lon TTI1, MCDONA1D MORRELL I S I 648.18
13 MIZ7A larninann"' .. " 0 2b
PO BOX 306077 :
H 2 I
ST. THOMAS, VI, 00803 14 Other 12a
1 I
12d
1
I Emproyses addr036 and ZIP o de
gam " Kg!
U.S.
VIrgin Islande
Wege and Tax Statement 2004 Department of tho Treasury - Internal Revenue Servl
For Pdvacy Act and Paporwork Reduction Act Not+
and McCue/lone, sae Form W.39
Copy D • For amplOyer
FTC0020
EFTA00176031
a Control amber
vold
OVIB No. 1645.0555
1 %pek Gpe, othercomposelca 2 VI boom° bx vAthhold
b ellsiersm00nm~ 40047.86 1586.00
• 6.6•05d674 18
3 Sodd tocuely worto 4 Soclal aeourity lax ~luid
o ancloyn Mg" edden. and Wood* 41285.35 2559.69
FINANCIAL TRUST COMPANY, INC. WOW° DevAthheld
l•mnewagaffIgpg
B B1O.„...
6100•RED ROOK'QUARTER B-3 .35 598.64
ST. THOMAS V.S.VIRGIN , 00602 7 Soda' stemde/ Opa
d ampfoyade »dal nourIty Mester
9 mvenco Elc payment
[SSN Redacted]
11 Non:0009d pleno 12o Sec Porie W-399 Inote011em
e finneoyee'a first moe ard Irdiol
UNA "MAL S 1237 . 49
I
BIDDEN VALLEY BLDG. 13 APT. 239 1 35.38
CHARLOTTE AMALIE, VI, 00802 14 Other 125
12d
I Employocio aldrene ond ZIP coda
W-2V, US.
Deportment of Dia Treaaury - Wemel RaYonuo Sereh
Perm
VIrgin islands
Wage and fax Statement
200'4 Por Privacy Act and Propere/eek Reduction Act Nottc
and Instrucdona, tee Form W49
Copy II -• For Emp:cycr
n Control neme«
Vold
0615 No. 1545.0003
b Employer IdontlhatIOn amber 1 Walles, boa, oteroomponoreol 2 VI indom* tag xithheld
66-Q56/418 27935.72 9.00
3 Soda' aeourity vage, 4 Spelel woedt,/ toe wanheld
c Iltmployete nam addna, and ZIP God,
28753.16 1782.70
FINANC/AL TRUST COMPANY, INC. 5 Mede:are wam and Ups 5 Molltare tax ~held
6100 RED HOOK QUARTER B-3 28753.16 416.92
ST. THOMAS U.S.VIRGIN , 00802 7 Scdal eeg:11y Up
rg
d Employeeilocielsocunty amber
[SSN Redacted]
I"( name
9 Advent. EIC ~tont
11 Nonquelked plm.
?)// ///2
12e Boe Foei, W-365 tratruceono
e Empkoseto Red rom end Mei
ANN M RODRIGUEZ ' S 1817.44
13 myrte p incnt Mrt/ 12b
6014 ESTATE SMITHBAY IC 13.21
ST. THOMAS, VI 00802 14 Otaer 12a
i i
1121
!
t EmpIoyee'o Beton ond ZIP odde
Form
litim29/ U.S.VirginisBands
Vage and Tax Statement 2004
A
Departnent or 11w TfCB3Uty • interne! Revocuo SON
For Pavocy Aot and Paporteerk RoductIon Act Noll
and I notrudlong, con Fonn W-3!
Copy P • For Empl yer
FTC0021
EFTA00176032
; . •
OMB No. 1049.0009
1 Wages, Ups, elnef cornea/ellen 2 VI MOMS tea V.19111010
35326.30 2832.00
o Empbyete nine, address, and ZIP code 3 Social fettlfily no•OS 4 Goal& emery bystbrd 9,
FINANCIAL TRUST COMPANY, INC. 37 983.56
6 Medicare watejlig 6 Medlcam bervathhelcl
6100 RED HOOK QUARTER B-3 3.56 Cb0.76
ST. THOMAS U.S.VIRGIN , 00802
7 SoCiAtsecurtty Ian
d E5mployee's eadal eece1ty number Advance Elepayniont
80-15-5038
e nIffitifiretNE
name end ION lest name 11 Nonqualltecl plena 12a Bee Form IVaSIS Tiros
I RUAN s
UVI FAC. E. APT.1 BLDG. 3. 1
'23.00
ST. THOMAS, VI, 00804
14 Other
12d
f Empbyee't address and ZIP code
Formal
-2111i U.S.Virgin Islands
and Tax Statement
wage
2004 Department of the Treasury .Internal Revenue ServIcy
Per Privacy pot and Poperwork Reduction Act elotier
and Instructions, see Forth
Copy P - For Eme%yer
a Control number
Void MI
OMB No.1545.0008
b EraplOyerldOntlactillon number I V 4 901. Opt. &her comae:Mika 2 VI IncOMO tax urahhokl
66-0567418 36964.83 3091.00
Emproyert namo, emote, and ZIP cod • 3 8aoh•A security wages 4 Social enmity tex withheld
FINANCIAL TRUST COMPANY, INC. 41190.09 2553.79
G ModIcerc wages end Ups 6 Medicare lax xithhold
6100 RED HOOK QUARTER B-3 41190.09 597.26
ST. THOMAS U.S.VIRGIN , 00802 7 Semi security bps V
rt
d Irnploy00% extol sweaty number
[SSN Redacted]
9 Advance EIC payment
r 10
A
• ..,,by•,.
DAPHNE L
not roma and WWI Lest name
WALLACE
11 NoneNellf,od plans 12a See Form W-386 Imeruollort.
S j4225.26
13'wt. "rm IIIT,;"Y io
P.O. BOX 11184
ST. THOMAS, USVI, 00801 tl
14 Other
ti i c 129.12
12a
i
12d 1
f Employee's addcase end ZIP code
,.,„2111 tu;,s;
Form Iii
Virgin
. v!slelds .......,
2004
L
Deportment of the Treasury • Internal Revenue ServIt
C •!. 0.1. AS An a n a ...11 A In a
and inatsuctlene, coo Perm W-33;
Copy!) • For Empkryor
FTG0022
EFTA00176033
ar STAPLE OR FOLD
f b Central weber
b 041-99
33333 •
Weary
1, eor OffMal Use ontytf
09.18 No.1asa-ootal
esa 1 Wan tip; Ober comPanaegon a Income rox vdthhold
Kind
of 0 0 $ 710836.58 $ 16848.0Q__
Payer .5
req. LIS* ~party
gov rep. aloe& a %del secudty wages
$ 574878.61
4 Social eaeurby tax Wee*
$ 35642.47
O Total number of Foons ltr.2 d Establishment number 5 Medlcore Wig« and drys 6 Medicare lax withhold •
14 $ 743059.78 $ 10774.36
• Employer IdenUllowton numbs 7 Social Kimsey tpa
6 6-056741 8
$
EmPloYea name 9 Advance RIO paymonte
FINANCIAL TRUST COMPANY, INC.
11 Nonquoliliod plans n Deferral compenealion
A
$ $ 12223 ..2.0
6100 RED HOOX QUARTER 8-3 19 For thIrdeartY bleb pay uco OW
ST. THOMAS U.S. VIRGIN ISLANDS
00802 14 1(1~0 IDX wthhold by payer of third-piny Molt pay
wmnIl~Ws nitiman rind 71P coda
ft Other EN used tit year Check the °pawed/de box
Typo k> W-2es W-203A
I Employers Watodal ID number
Form ❑ ❑ ❑ 3
Contact person Tatsphana >Nab« I Por Oilleral Use One/
Jeanne Brennan ([Phone Redacted]
Fox ~her
• t, ([Phone Redacted]
Copy A-For Social Security Administration
Under penalties of perjury, I declare that I have examined this return and e000mperwIng documents, and. to the beet of my knowledge and beset
they are true. act end complete.
Signature Date >
Perm W-3SS Transmittal of Wage and Tax Statements 2003 Drawbar:W.01/w ra
Internet Revenues.
Send this entire page with the entire Copy A page of Forms W-2AS, W-2GU, W-2CM, or W-21/I
to the Social Security Administration (SSA). Photocopies are not acceptable,
Do not send any remittance (oash, checks, money orders, etc) with Forms W-2AS, W-2GU,
W-2CM, W2VI, and W-358.
IristrucflonsforFonnsVP2AS,W-2GU,M42Vhand Where To File Copy A
W-3SS Send the entire first page of this form (Copy A) with the entire Copy A page
Section references ere to the Internal Revenue Code unless othenviyalVED W.2VI to:
of Form "AS ' " CM' or
noted. SE EPTIONIST Social Security Administration
Items to Note Data Operations Center
Wilkes-Sarre, PA 10769.0001
Reporting Code Q for box 12. FEB 2 4 203itNote: If you use 'Certified Mall' to file, change the ZIP coda to
Recent legislation has elminated the use of Code CI In box 12. -10769.0002.' Ilya, use an IRS approvedprivate delivery 'entice, add
W2 Prooess 1160 E. Mountain Or to the addreas and change the
When To Ale twitt
ER
III
NGAir nit g
i-AEN
tg U
sti
TR.T lid 18702.71207.* see Circular E Employees Tay Guide (Pub. 15)
a et of IRS approvedprivate dolAirtry setVloes. .
File Copy A of Form wass with Copy A of Form w-2AS, %SOU, W-2CM,
or W-2VI by March 1, 2004. However, if you file electronically, you may Also see Whereto file Copy 1and Shipping and mailing on page 2,
file by March 31, 2004. See the SSA Web Site at www.aea.gov/employer/ Notice to Employers In the Commonwealth of the Northern
for electronic filitcl optlane. Marlene Islands
Extension to file, You may request an extension of the to file Forme If you are en employer In the Commonwealth of the Northern Marlene
~AS, W-20U, W.2•M, or W.2VI by sending Form 9809, Request for islands; you mutt contact the Division of Revenue end Taxation, Capital
Extension of Time To File Information Returns. to the address shown on Mn, Saipan, MP 96950, tO get Fonn W-2CM and the Instructions for
that form. You must request the extension by the duo date of the forms for completing end Wng that form,
your request to be considered. If approved, you will have en additional 30
days tome. See Form arm for more details. General instructions for Form W-3SS
Caution: Even If you receive an extension of tinto to rile Forms W-2AS, Purpose of forms. use Copy A of Fenn MSS to transmit Copy A of
W-2CM, or W-21/4 you must still furnish the forms to your Fenn W.2.AS, W2GU, W-2CM, or W-2VI to the Scala, &fetidly
employees byFebruary 2, 2004. But see Extension to furnish Forms K2 Administration. File Copy 1 of Form W-3S$ end Copy I of Form W.2A5.
to employees on page a
Cat. No, 101178
FTCOD23
EFTA00176034
ecittiCfnrnhtr I 22222 or Oftkdot Unn Doly. >
. M mi% No,iim:Rion
h. InintHlratinn nilinbar 1 1.441.örneemanUen n VIIntr•rmile, 41W*1
• 66-6567418 ,4 59388.04 is 6510.00
"flaW,:lele,acgmb:arellawce 3 %atal ne." "0" .t rogg •sosully Ug: usilthtl
ti 4059.21
FINANCIAL TRUST COMPANY, INC. kt kin:Ibm-3 Ovitt,l'h•44
n Mi—cart;invZosi 7 —".
6100 RED, HOOK QUARTER B-3 65471.10 949.32
ST. THOMAS U.S.VIRGIN , 00802 Mnr.tii
4.
io
3 :f.s,tk
[SSN Redacted] ntrail:W.
e „
n crnployne'å tireinorro nl~rlintur M tau namn ib Sen PIMI Watt ilaliSintal
DALE BASTIAN GORDON I_ 8 it6083.06....._
P.O. BOX 115
ST. THOMAS, VI, 00804 [._r:r
.14 'oor
)3.
rs1
C 86. 00
Krmployaek Puldrneu and 7.3; e:0110
, Ar t
/ 7Z/A
• i P /Y;71r r
// / ,,•?:?: / 2
•
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49r;, /// / i// // i
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rtnrnIVW• " 2.•
Virgin Islands
Wage end Tan Stntannant
0
(Rev. Febninry 2002)
Clopanment ot the 'froasury • Mant& Fltv<inUe Ben
For tinvony /kot nnd Pupornorn AndtiCtian
Makk% and InctructiOnh, Cia rann W•3
Copy A tror Ttottlnl Sonortly Adintnintrotion • 8nott thta °Mint
pnoo v41h Copy A of Fonn W-383 to Vie Sootal Snoutity
Administration; photocopitits (tre not OCO8p1Ohlo. 0pt, No, 489770
ø* Net 0t4 €oki,or Stapla Forms cm This Page • an Not Cut, Foki, er Staple Forms ot\ This Pawi
o Contrulnvethur Ror Melet lim urdu P-
22E22 OMP NO. 1547•4008
h Emploi/va Idantilloatlati nainbat g VI Ineuuno lux ttfilthvid
82943.75 8697 .0(
c Empinyat'a name, addntoo, and n C.W4OWvisimi OodulivutrRi uut‘Ugthult1
FINANCIAL TRUST COMPANY, INC. $ 87000.00 ......
671,
-.~WeWW:4 --- (IM4«mtutwIlumW
6100 Rrn HOOK QUARTER B-3 87582.31 1269.9,
$
ST. THOMAS U.S.VIRGIN , 00802 7 Scott]ouewty nuh "."."" ..-
ti Ffti .;(f;t;;;;;Åsttuot
— Tritst nuntbar • Advanuu Hlt14yrntel Al.
Empiowwi firel neo %Vilt"' Luta nemt
$it Mon4wliØplxna 'tid Si dbilig
'''' 123 Rue?on VNIRO Intrwthne
JEANNE BRENNAN
13 okifija.-",,(t7f,,49.--
Pr '•
6501 RED HOOK PLAZA STE.
PMB 201 14 Olher
ECI. C.1 I
1;123.50
ST. THOMAS, VI, 00802
It(
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EFTA00176035
. •
:HAY a
2222? Ad"CI 12 TOIII410
1)Sibtsinhar OEM 119.1..MR44.18
b EMIlloye pedllea3co winter •1 We44,11pcolliscorresnolbSr f'I 4:triantic-p0045
66-0567418 ' $ 42709;71 it 4488.00
a :tor sl stoutly Want° 1 1 amid 444.thlly let in:MISS
t .. 47095.73 it 2919.94
FINANCIAL TRUST COMPANY, INC. I447irrire;4-4:Fiiikili; ii istarf;iii:4-tiV4• • - • •
6100 RED HOOK QUARTER 8-3 l; 47095.73. j; 682 . 89
ST. THOMAS U.S.VIRGIN ; 00802 -." .:3;illitru;Itirir
7 ii- ) vs
$ ,.. riff;
d Iraeli-eta aticStl ;SO sity minty* 0 •Adisitne MO psyrnsm .... •••,• lu ' 4
__r •Aivi,,?..-
[SSN Redacted] -
14.-•- iii4gra4441:i4i;;; •.. . — ... 440 .)t.':a
Lb% Est Forst WS.0.3 lasInsilons
e anonym%
ON ins bung ss4 FYN 1 Lot Mtn
A .....CASEY, SR. $ a 1St 4386 .02
wq• •••.p
Tiwet i 5, ,--
P.O. BOX 503032 C 1.97.37
ST. THOMAS, VI, 00805 14 oit;r
pir
mob serscas next tip win
,? •/•,,,-$75.57,-
4. 0r7,7,77%
// '7' / • tot
, ./
•
,7/.2. /....ta / 4.77. ,/ . , 4474(.fidad
Form Wm2E• NtinoAfirfagn Islands
giIad Tax Statement
2003
(Fay. February 2002)
nepinonont of Uw noway • Internal Rotionua Bomb
For Frlyony Act aryl Pnpnrviorlt fInenntlun
WOK( and InnteintInno, nue Form W-ES
Copy A For Sonlel 5ineutity Adminlittration • Sand thto antlfg
pane with Copy A of IFOrM W-aSS to the Social tificEltlY
ACIMInEStroton: phOtOoopler. ere not acceptable. Ont. No. 4(49770
Do Mot Cot, Fold, or stapita Forms on This Pols 00 Met Cut, Fold, or Staple Forms on This Page
22222 Vold o For Official Eno Only A
OEM No. VI45-0O0I1
it Employer lanniamtbn numbs Weentsbps, Mbar conposalen R VI Imams lay bitnhnkl
__SG-Lai/41A 6819._0
.0
a Employee. woo.viadeGO;AIM/FP7.70-cir ------ 5 Sootily:weft wages aorini
FINANCIAL TRUST COMPANY, INC. 52736.75 326__9.68
5 Maelonro WriteInd lipe •
6100 RED HOOK QUARTER B-3 52736.75 764.6E
ST. THOMAS U.S.VIRGIN , 00802 7 Sosinl security tips ti-77
•
d Employs's% notisilleykyllyometry ll—Advsneo ElC payntsm s.
2.fr
[SSN Redacted] . • - . . . [ Ecri ;WI ;.; . _ _ • 1 - • - • • ^ . -
- -
• - . • •
- . -
• - •
Nonaueleod plans
4,1 AelA
155 Ose Porm W-eae tratwelloon
JAMIE I CORNELIUS $ . 3812.08
S 3812.08
...
15 ;gr. V• inem Tate 14,
6501 RED HOOK PLAZA C 43.44
.....•
PMB 201 'I° 09tcr ri4
ST. THOMAS, VI, 00802
M
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EFTA00176036
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ri
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a Control (Kantor 22222 For Officlial ty •
'16411-7,00
1
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•
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66-0567418 5067,30 i:
" • P.a7isi stoat.nee 4 :MKS ...A,a , a: .,..tabiel
ft/natal.," MAY; ataniscana 329.08
U
5307.70
FINANCIAL TRUST COMPANY, INC. 4Xlintee wpm sal lips "'• '
6100 RED HOOK QUARTER B-3 5307.70 76.96
ST. THOMAS U.S.VIRGIN , 00802 Job) nactasty tip N08,<W/Yr
r ;•.• .•
itTC44-97$17;;;iiaaiiii;;;;r 1 14;1 ,;',444”.?".•
[SSN Redacted] t. . ifit'A;At!
Air Fon kv+Illodiormon
Ropiora ammo %mama S 240.40
KHANIA M mt4SON
Ism DA.
r Iriyarci. ._.mur.rairrwair.. PU1
P.O. BOX 907
ST. JOHN, USVI, 00831 I •• Sseir•
1,"K"
Eriddin/12 511II tddalI1 and 4P oar
% ,fiz 2 ,.„
17,77 tp, /‘.•'• /#
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Dapartrnant of ma Treaellty • !tonal Fspecrem Sioant
'U.S. Virgin 1s£amcis For Privacy Ant .40,1 PeantWOrtt /Induction A
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U.S. Information Returns 20O6 .
FILER'S name 1
2:12A1.4era.. 'raus'r CoMpmn , INC.
Street address 0nokiding room or suite number)
RELEIncligK 'ES, B— 3
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O. Til theta # CS VI 00802
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RIMINE: ER Eili41151
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Under ponallios of pcshay, I declare that I have examined this return Ond atteornaanying tioctiMente, and, to the hest of my km:Wedge and bolbf, they Pro rue, '
correct, and complete.
FILE COPY /
'Signature ra TItle paaniDENT Date a- 4 •
• -,70/
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Instructions When to file. He Perm 1098 as follows.
• With Forms 1099, 109B, or W-2G, fila by February 28, 2007. .
Purpose of form. Use this form to transmit paper Farms 1099,
1098 5498, and W-2G to the internal Revenue Service, Do not • With Forms 6498, 5498-ESA, or 6498-SA, file by May 31, 2007.
Use Fenn 1096 to transmit eleotronically or magnetically, For Where To File
magnetic media, see Form 4804, Transmittal of Information
Returns Reported Mapneticaliefor electronic submissions, 500 Except for Form 1098-C, send all Information returns tiled on
Pub. 1220, Spocilioabonalot Filinp Forms 1098, 1099, 6498, and paper with Form 1096 to the following: *. ••••
W-201 Electronically or Magnetically. If your principal buaineSS„, Use the following i•
office or agency, or legal Internal Revenue .
Who must file. The name, address, and TIN of the flier on thls
form must be the same as those you enter In the upper left areeR reeldencegn the ease of an Service Center • •
of Forms 1099, 1088, 5498, or W-20, A filer Includes a payer; aA,,* indivitLal, is Located in address
reliant of mcrtgage Interest payments Iln0luding points) or -7, "asar -irepra
stu ant loan Interest; an educational hist lotion; a broker; a ,g,z ' an)
barter exchange; a creditor; a person reporting real estate rs# • arntArizona, ArkenSas, Connecticut,
transeelfons; a trustee or Issuer of any Individual retirement -1 packs "Florida, Georgia, Kentucky,
arrangement, a Covordell ESA, an HSA, an Archer MSA . aoui Maine, Maesachusetts, .
0noluding a Medicare Advantage MSA);.certain corporaUo I, New Hampshire, New Jersey, Austin, TX 73301 •
certain domes of motor vehicles, boats, and airplanes; an Na co, New York, North Carolina,
lender who acquires an interest In secured property or wh Oh la, Rh d, Texas,
reason to know that the property has been abandoned. co ,trr rent, West
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name, address gnoluding room, suite, or other unit number), and South Dakota, Tennessee, Utah, weehington,
TIN In the spaces provided on the form. Wisconsin, Wyoming •
For more information end the Prtvaoy Act end Paperwork Reduction Act Molloy, 41-11703061 Form 1096 (Rev, 7-2005)
Gee the 2006 Gonural Instructions for Forms 1099, 1098, 5498,..and W-20.
FTCUU3I
EFTA00176042
;. .
EiCORRECTEO
P'AYER'Slumo, fl eet adetale, Myr na., ZP end Woolson. no. 1 Rent. N0,1545.015
Miscellaneous
FINANCIAL TRUST COMPA4I,
Income
000'1140 HODS CITS6 r
ST. THIRIAS, Mir 00SOZ
Porn 1099-IAISE
3 Other thoorno 4 Fedora! home lax withheld
State Copy
PAYER'S federal Nearlotion RECIPIENT'S Identification 9 Fitmag boat prooeacle 6 MINI eel NM Mne profs or Extra
number . number File Copy
-66—.0567411.8 • 66-0473433
sEopsars name, address, sad VP code 7 flOneMployee compentellon o SteIslittfirt payments b Iltu of
dMdelide or hone
WOMB ; FEIIRC019 796.64
9 Riser mere Intl fl u of 10 Crop Inseams proceed.
• $5,000 or mere of COMMlf
products to a buyer
1340 AAREN6tRG GADS (rociplent) for iude*Q$
CHARLOTTE AMALIEf VI OOOO2
Account number tone Instructions) 13 Ewoo., !Olden perlichute 14 09381 proceeds paid to
payments en ettormy
15a Section 409A deferrals 15b Leaden 409A Income 16 Stale tar withheld 17 SIINNPIWer's elate no. 18 Stele hoome
Form 1099-MISO . Depettment or the Inman - Imams Rearm Service
• .
.
O vow O0 SNEOTED
PAYER'S name, Waal address, ally/ Nate, ZIP code, and telephone no. 1 Rents VAS No. 1548.0115
compasy, Miscellaneous
FINANCIAL TRUST
6100 RSD UOOK QTRS,y-3 2006 Income
ST. 100MhS, USV1 0041
.02
Form 1099AVIISC
3 Mar Income 4 Mend Income tax swmaia
State Copy
PAYER'S rodent( identification RECIPIENT'S Identification 0 Fishing boat proocods .11 Yedad opting% eat tefineats or Extra
number number File Copy
66-O567.418 66—O5789:
.9
1
RECIPIENT'S name, Eddr909. and ZIP code 7 Irmeourleyoe compensation 8 'Stthslilele payments b get or
dPalende or Interest
6ARJOUIR RAWLS ROBERTS $ 22,373.16 ,4
9 Payer mule direct elle: et 10 Crop lames proceeds
85,000 or more of consume
product. toe Mom
VO SOX 047 ridge/it) tchonslo la $
11
ST. TSOMAS VI [Phone Redacted] .441.aa.
Account number (see Instructional 17 Eflmegordonpmomfl, 14 Grose proceeds paid to
payments oh attorney
18a &salon 409A defefreb 18b Section 400A Income ell Stale tax withheld 17 Slate/Payers stet. no. 18 Stele ;norm
$ $ $
mm 10$39-mISC Department of the Troaeury • Internal Romano. Service
FIG0[22
EFTA00176043
O1. I)
O
CORRECTED
PAYP iq shoot address, city, halo, &flea, and elephoneno. 1 Runt* MKNo.1645-0116
VIOANCiA7J.TRUST COMPOIX, INC. 2006 Miscellaneous
6100 RUD 11001( 2 Royettlos Income
P.tc THOMAS, caNt CO0c2 Form 1099-MISC
3 Other hcome 14 Federal Income tax wlthbM
State Copy
PAYER'S federal lamination Reapers Idatfleallon a Fthing boat tscaaaads 0 1,1rdtal Elf tralt are own 4 or Extra
number. nombor File Copy
66-0567418 52-074919S
FIECIPISRPS name, address. OM 7JP code 7 llonamplemas oommnsation 11 Wats mesa A Ulu 01
NvIdold1 or Inbred
PATTON BOGCS LW' $ 7,150,00 $
9 Phu wee ;greet sales of to Crop insurance proceed'
55600 or morn Of consumer
products to a buyer
2550 M. 3WREETe (molehill for resale P ❑ $
11 12
WASHItiOTON DC 20037-1350
Account number (me lain:ohms) 13 04a.10 go/den parachute 14 Gran proceeds paid to
payments an ottomoy
•
$
15a Section 409A Myna lob Sootton 409A hcome 10 Sato tax withhold 17 Slitte/Pkyie's elite 18 Stets Income
$ ..... ... : ..
$ $
Form 1099-MISC 00Putmont of the Treasury • internal Revenue Sandal I.
OVOID EDCORRECTED
PAYER'S name, street address, day, stall, ZIP coda, and leldPne` as Porno 00/18 No.1548-0115
Miscellaneous
2 Royalties 2006 Income
Fenn 100SMISC
0 Other income 4 Federal Income tax nitlthdd
State Copy
PAYER'S federal Identification RECIPIENTS landfloatIon 6 FlehIngtontprocieed$ a ataaioal halm peymhds or Extra
number number File Copy
RECIPIENT'S tamp, 000f003, and 4019000 Kottoinpleyes oompeesellod 0 SobstPito payments In lieu of
•• SS/climb or Kemal
1
9 Payer mode dlnct eats of 10 Crdp trauma proceeds •
•
56.000 or more of consumer •
Products toe bum
(redolent) far refills n$
11
Account number (an knoltuationo) 10 Excera golden perechuto 14 Gross 0111Coltdo pad to
paymonts en attorney
16e Section dOPA deferrals 1Bb SoctIon 409A Income 10 Slate tax wldrheld 17 Stato/Payeria elate no. 10 State beams
.5(
a."'"
• • • $ •
$
Pone 1099-DAISC Department of lb. tony - Intoned Flovervue Soreto
FTC0033
EFTA00176044
6969
' Cade No. 1545-01Ce
9,„„ 1091- Annual Summary and Transmittal of
Pepegreet of Ille110.0Jen,
US. Information Robins 2005
pan. Werth 2005)
Innemi gnat* a/vice
FILER'S name 1
FT:NANO:Eat 11:11.7ST C.'10f4PANT, :WC.
• Street address (Including room or suite number)
6100 RAD ROOK (..,VEIS, D3
City, stater and ZIP code
il_ Tr. 1.5*014AS, USYt 00802 J
Name of person to contaot Telephone number For Official Use Only
. JEAGra BIREERIAN ([Phone Redacted]
EMIR address Fax number
(340)
775-252 13
ri ann WI
1 filloloye Ids-MCCAW !Mbar 2 SoCkll family number 2 TOO minter a 4 Federal Income to *Mita 6 tol3I STOW! (spend elm ea Perm ife6
forms ..,
!SG — 0567 4 1 5 a $ $Z/42)23.1q
one box below to hdleate the type of fo m lasing filed. If this is your final rata n, enter an ur hem . . . * 0
Enter an r in only
1010-A 106045 1000 1089CAP 1MteCt/ 1099-G 109641 1098•Nt 10994.70
MCI 1090 10900 1095-E 10002' 71 az 93
n Al 78 04 07 so 70 05 73 91 fel
N O O O • O ❑ • O O O O • • O
1099-Mle 10004 109942 1000.2 100ea 800e 5498-ESA S49114n
109044= toece0i0 27
95 95 97 31 08 76 el a 72
vs O O O O ❑ O O O O
Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.
documents, and, to the beat of my Imcntledgo end betel, they Era MS.
Under penaltie0 of pedwy, I dedare that I have exmlined that realm end atoCcriperlying
correct, end °omelet&
FILE COPY
Title P (Passr,,n,rer I. 4—; Ci.
Signature r• zDate
• a•
Instrtictions When to tile, File Form 1098 with Forms 1099, 1098, or W-2G
by February 28, 2008. Ale Form 1096 with Forme 6498,
Purpose of form. Use this f to transmit paper Forms 1099, 6498-ESA, end 6498-SA by May 31, 2006.
1098, 6498, end W-2Q to theInternal Revenue Sel3/10,e. Do not
use Form 1098 to transmit electronically or magnetically. For Where To File
magnetic media, see.Ffrm 4804, Transmission of information send all Information returns IctilgaglitIth Form 1096 to the
Returns RepoiteciMagneticeity, for electronic submissions, see SOLIICTiONS IVO rNO.9
Pub.4220, Speoilleations fdr Piling Forms 1098, 1099, 6498, and following:
if your principal business, Use the following
W-201 Electronically pr Magnetically.
Who must the. Theoame, address, and TIN of the filer on this
office or Bonney, or legfE8 21 2006 brat at Revenue
ervida Cantor
residence In the case of n
form must be the earns es those you enter in the upper left area address
of Forms 10891'1098, 6498, or W-2G. A filer Inciudos a payer; a
Individual, is located_ IN ISLANDS
Vi etinEARg
recipient of mortgage Interest payments including points) or vMEAN 1. REVENUE, ST. TH S,
student loan Interest; an educational Institution; a broker; a Alabama, Arizona, Florida, Georgia,
barter exchange; a creditor; a person reporting real estate Louisiana, Mississippi, exico, Austin, TX 73301
transactions; a trustee or Issuer of any Individual retirement North Carolina, Texas,
errangement, a Goverdell ESA, an NSA, en Archer MSA
(including a Medicare Adventage•MSA); certain corporations; Arkansas, Connecticut, Delaware,
certain donees of motor vehicles, boats, and airplanes; and a Kentucky, Maine, Massachusetts,
lender who acquires an Interest In scoured property or who hes New Hernpshire, New Jersey, Cincinnati, OH 48999
reason to know that the property has been abandoned. New York, Ohio, Pennsylvanl
Preaddressed earn 1096. If you received a preaddreesod Form Rhode Island, Vermont, West
1096 from the IRS with Package 1099, use h to transmit paper
Forms 1099, 1098, 6498, and W-2Q to the Internal Revenue Illinois, Indiana, Iowa, Kansas,
Service. tf any of the preprinted Information Is Incorrect, mako Michigan, Minnesota, Mlesobrl,
corrections on the form. Nebraska, North Dakota, Oklahoma, Kansas City, s.40 64989
If you aro not using a preaddrossed form, enter the filer's South Carolina, South Dakota,
name, address (including room, suite, or other will number), and Tennessee, Wisconsin
TIN In the spaces provided on the for
41-1828031 Farm 1096 (FOY. 3.20)9)
For mere Inferrniallefl and the Privacy Aot and Paperwork Reduction Act Notice,
see the 2005 general instructions for Forms 1099,10(8, 5498, and W-23.
FTC0034
EFTA00176045
0 CORRECTED
PAYER'S nano, Groot address, olty, Mato, ZIE A and telephone no. OMB No.1645.0118
Drf Tri.ustr com?MiY ItiCt. Miscellaneous
Pail Alia
tb100' RISC, 000F: QTR8, 03 Roortao 2005 Income
Qr.t, Tttorib.st vx 00602
Porn 1099•MISC
CI M00T4100M 4 Federal Income tell *MAO
$ $ Copy I
PAWS'S Pederal klanticedon RECIPIENTS IdentIllostkm Plinio; boat prceileGS 6 Nesesect blahs:03 flirt For Par
number number or Slate Cor
66-0567418 13-3065114
RECIPIENT'S mane. Sams, and ZIP code 7 Noinctoyee OOMprAullon &APAR, or In Sou 04
Stet or Nast For Privacy A
and Paperwo
OttiO IIZECOURT, P Reduction A
is9.9k n1 Notice, see ti
9 Payer maid direct ptin 10 Crop !neurone* proceeds
68000 or more et corium 2005 Goner
148 EAST 70M STRCIM products to a tenor
McGlone for wale i• Instructions f.
Forms 109
1098, 549
mmtim vrmer eav I nist ,yt
/Count num et (ne 2nd TIN not. 13 Mose golden pereehute 14 Gloat proceeds paid to and W-2'
Maass in attorney
$
16a Scale 409A deafen* 15b Sidon 400A Income 10 Gate tax Medi* 17 Eltele/Payor's Butte N. 18 State Income
6 S
Pam 1099-MISC Dopemnent of too Trossury • Intermit Reuonve Ser.
0 VOID ■ CORRECTED
pAverrs name, net addmee, oily, state, ZIP cods, and tolophone no. 0610 No. 154547115
FINANCIAL TRUST. COMPANY, INC.
IVIlscellanem
6100 ROD HOOK QTRS, 53
ST, THOMAS, VI 00802 2005 Incon
Form 10$0, MISC
4 Federal locoing tax AMMO
Copy
PAYER'S Federal 0nontaoorfon RECIPIENTS trkmillicatlo 8 Rtihbp boat proceeds a Meow ars hula core prnotne For Pa;
number number
or State Cc
iT.g ASAld 1 it ..6r..-114714.12
RIC.558ENTS nano, addraa. and ZIP cods 7 Nosemploystoompeossem Sontinulo permits In la of
dIMicds or Moroi For Privacy
and Paperw.
BODGE & FRANCOIS Reduction
$ 5949.49
9 laser made dime ales of 10 Crop Insurance proceeds Notice, see •
18,000 or mom of convex, 2005 Gene
oroduots to a buyer
1340 TAARZNBERG GADS *Ai for resole Instructions
11 12 Forms 10
CHARL' A I 1098, 54
Account number en Maroaramin 14 Gross proceeds paid to and W-:
an attorney
15e Section a0CIA deferrals 16b Section 4094 Monte 15 State MX WIttheld 17 eitati/Poyer's state no. 18 State Income
3
rpm 1099-MISC ooparnnont or um tromuy • Mama Revenue Se
FTC0085
EFTA00176046
EFTA00176047
9E00311
Instructions for Payers
General and specific form Instructions Caution: Because paper forms are
are provided as separate products. The scanned during processing, you cannot
products you should use to complete file with the IRS Forms 1096, 1098,
Form 1099-MISC are the 2005 General 1099, or 5498 that you print from the
Instructions for Forms 1099, 1098, IRS website.
5498, and W-26 and the 2005 Due dates. Furnish Copy B of this
Instructions for Form 1099-MISC. A form to the recipient by January 31,
chart in the general instructions gives a 2006,
quick guide to which form must be
filed to report a particular payment. To File Copy A of this form with the IRS
order these Instructions and additional by February 28, 2006. If you file
forms, call 1-800-TAX-FORM electronically, the due date is March
([Phone Redacted]). 31, 2006. iosmtsc I COPY C
sues 1111U0A0ti 10100)10 -Atosseu.apio. pakulack0 Os1W'8601 1°'0'I
t
$ f
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0400301 inns el.
•
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11
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D_ sag 'O N 1'9020010 Malan 600 pa 10 106010.4 IDOoj nmd 6
$ 69'0ZCE1. 1 Saaaanl srsmva aztroorN
g uonoripag
cruel:led pus
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io am oil=t 11.40$ 0
)(101:1 3 OORISuothuoil 09AgIdOWell L ,i coop cla Pus 'maw jetuou 9-Uoldio3u
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Paced XI/ MOOS /110 wig µIt pipit a WOODO)d woq 6v/tow g UOPCIMUOPI 6.1N314:00111 uoReollAUOP4 lesePqA Siti3AVd
i MOO $ $
PRAIA Al itiOc0IPDPOI p MWMPW10 e
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Z 0 0 00 In ' fe4Olill. •r..,
.1,11001.li woks ;1.
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lloollefieosM 003 $
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91.1.046171 'ON VC Ivey 1 'au 06,6610161P6 46, 06 clIZ %PP AP 16MIDP• 70040 *AM SWAM
as
. wit rq love No
Foktri lifitili. ' Annual Summary and Transmittal of
U.S. Information Returns 2004
Depyrtroaril of Ihn 'Maury
Inivmal Revenue Saco
- PUFFS name 1
• '
"."..K .
Ft NANCT,A,K, • Tit(TT COMP Atia ,number)
Steel address Onclu ng room or suite
..
OMIsti likii inAEffiSocireR:71, 83
ISI!... THOMAS, USAir 09R C 2 -1348
Telephone number For Offlolal Use Only
Name of person to contact
easairsaaris.
Entail address Fax number II II
tin()) 77r,.-'RUFF S total emerge teperled wit his Form 1006
3 Total number a 4 Federal awns tax vethhdd
1 ellplayer Itlendlbetket aumbcf 2 $001al meetly number
forma
7 $ $ 147.Agi 7Q
6 6 —.8 !3fr 7411 t1
Enter an 'X" In only ono box below to indicate the pope of font being filed. If Ns is your final MU 1%, errter an `')(° bore . , , I* 1,1
1095.0W 105543 1000-H toes-Ira 109043c ¶%444190
10904 1009•A 100041 I0700 1099-CAP ss
W-25 1095 IONA
ao Is 73 91 se 71 92 es
he 01 eg es 79
• ❑ • O O O El •
O El P.
tora.san moos toireparn 1099-0 1099•p 1010.9 5535 0490-tSA Saa4MA
an 00 97 Cl oe 75 ea n 27
NI Illi C3 0 O O
Return this entire page to the internal Revenue Service. Photocopies
are not acceptable.
accompanying docrumenta, and, to lino best of my knovrierice and bo!cf, they era too,
tinder penoltlon of perjury. I &Worn that I have ex5mIned eda return and
correct, and CoriPlOtai
FILE COPY
Date 2e4 ,2c
Signature * Tide r- DORS Trtrium
When to file. File Form 1090 with Forms 1099, 1098, or W-2E1
instructio6s1 , • by February 28, 2005. File Form 1O9G with Forms 5498,
Purpose of form. Use this form to transmit paper Ferns 1099, 6498-ESA, and 5498-MSA by May 31, 2005,
1098, 6498, and W-20 to the Internal Revenue Service. Do not Where To Fite
use Form 1096 to transmit electronically or magnetically. For
Magnetic; media, see Fran\ 4804, Transmission ofnIniEggi 00D „Saud aV Information returns filed on paper with Form 1098 to the
Returns Reported Magnefichily; for eledrffi. ipaeleg 5906116ECTIOR - fltbibviing:
Pub. 1220, Specifications lot. Fling Fornir095:109 , 5498, If your principal business, Use the following
and W-2G EleetrOnicalty or Magneficaey. Erin 0 •O 9(ific office or agency, or legal Internal Revenue
of EileLfileb eh residence in the once of an .. Service Center
Who must file. The name, address, and TIN ‘
"
i.en
address '
this forth must be the same as those you enter in the upper , a, Individual, Is located in
left area of Palms 1009, 1Oah,-5498, or WeNtAttiggicadaliR5Au OF VI • •-
a payer, a recipient of mortgage interests Ph morgsT. 'THOMAS
points) or student loan Interest; an oduoall s tenon; a Alabama, Arizona, Florida, Georgia.
broker; a barter exchange; a creditor: a person reporting real Louisiana, Mississippi, are, Austin, TX 73301
estate transaotions; a trustee or issuer of any Individual North Carolina, Teats,
retirement arrangement, a Covordell ESA, an Aroher MSA
OnolUding a Medloara+Cholce MSA); certain corporations; and a Arkansas, Connecticut, Delaware,
lender who acquires an interest in scoured properly or who hos Kentucky, Maine, Maetiaohucette,
reason to know that the property has been abandoned. New Hampshire, New Jersey, Cincinnati, OH 489,99
New York, Ohio, Fiennsylvenl
Preaddressad Form 1090. If you received a preaddrossed Form Rhode Island, Vermont, West
1096 from the IRS with Package 1099, use It to transmIt.paper
Forme 1099, 1098, 5498, and W-2G to the Internal Revenue Illinois, Indiana, Iowa, Konsaa,
Service. If nny of the preprinted Information is Incorrect, make Michigan, Minnesota. Missouri,
(*motions on tOe form. Nebraska, North Dakota, Oklahoma, Kansas City, MO 84999
If you ere not using a preaddressed form, enter the filer's South Carolina, South Dakota,
name, address (nciudIng room, suite, or other unit number), and Tennessee, Wisconsin
TIN in the spaces provided on the form.
For moro Information and the Privacy Aot and Paperwork Reduction Act Notice, Form loge (2404)
see the 2004 General Instructions for Forma 1099, 1098, 6498, and W-26.
FTE0037
EFTA00176048
0 D 0 CORRECTED OM No. 1545.0115
telephone no 1 Remo
PAYER'S nerve, street address, city. Rate, Illy ode, end
nun
n .I.W.A.:ClAra COqRAY4I r INC. Miscellaneous
6.1QUAIBV- 1OOM Q'rRSI ”A 2 RoyNtbs Income
aT. TuptiAs, USVX OnWL%-ls48
?own 1080•MISC
3 other Income 4 federal income tax WORM
State Copy
5 Fishki boat proccRts 6 titscg ted hot uco metals or Extra
pAYER' S Federal Identification RECIPIENT'S Idendlicetko
number number Flle Copy
INNS; $ $
AC deka/ Aso 7 Nonertployee compensation 0 Substeutt payments In Ito or
RECIPIENTS name, address. and ZIP code d omb ot Interest
$ 1 efedifen flit
rNRRIgN K. IODYSE, ESQ. 9 Porten& eat soles of 10 Crop Insuronce proceeds
55000 or more of consumer
latcbots to e buyer
(falai) to resole le
3 ENN OOUET 12 ./
r jv wit , trrelw cg [17,1-49
Account number toptcane0 13 Excess golden perm:huts 14 Gross proceeds peel to
payment' on otlorriOy
16 State tax wahnold 17 State/Payedc state no, 16 State Income
15
$
Department et the Treasury • Internet Revenue screw
rem 1099-MISC
0 VOID ❑ CORRECTED
v. PAYER'S rnmenureet Semen ft sate, ZIP code, and tette:Rom I . 1 Rents OMB No. 1645.0115
WIMANCiAL TRUST COMPANY, XNC. Miscellaneous -
6100 RED HOOK MRS, 133 2 Royoldee 2004 Income
2T. TUOMAS, tf8VS DOS02-1345
Form 1099-MISC
$
3 Other Item° 4 federal Income tex tatted
$ State Copy
RECIPIENT'S Ida ulflontlan PlcMtg boat proceeds 6 Mcdcre ant brelllt crnt psyntnts or Extra
PAYER'S Federal Idendlicallon
number num& File Copy
66-0”7418 13-30D5114
ncsarmuor 1 u name, agoras', Ong Lir COW 7 Nonernpleyee otmecnsstion Substltute pay el Tr Ineer of
deriden4 es Inlerest
Cl.r.43.43.80 )t. LUC:CR-PAT . C $%tilion A dr
9 Payer mode area solos of 10 Crop Instrance proceeds
35,000 or nue of oallSorner
products to it burs
(reptant) foe ramie le $
1 DPW): 7J'Crl StelkFain
Aid75 2ORK. NI
Account number (ocinema)
10421_
13 Excess golden parachute 14 Grose proceeds pold to
payments an attorney
A
$
16 Stele lex wkhhc(d 17 State/Payers ateto no. 10 SHAG Income
15
$
$
Inn 1099-M1SC DepnriMent of the Tmasury • Intend Revenue Sendca
FTC0038
EFTA00176049
. ri No a CORRECTED
-, •., and totephona no.
PAYER'S name, street addreSS• elty. awe,
1 Rents 0DID No. 1545.0116
ficetAtIC.).;: Ay. TRUST coiii, Yu. ,
tut.. Miscellaneous
6100 'Aso e.00ls. - fnit8 I Bs
DOEtir. - 1:.,. 4 e
2 Royall;es 2004 Income
.1>1.• . rCIII,Mr r.: . .1:•SVY
Form 1099-MISC
$
3 0dwt Income 4 rodeo! Memo tee vhlohold
State Copy
$
RECIPIENT 3 Idomlflootion 5 Floleng boat proceeds 0 Modest and esith tea pre% or Extra
PAYER'S Federel IdertIncation
number number File Copy
AA —flit-041V f.; E, Q 17l etisti.
RECIPIENT'S nem, oddreas, and ZIP code
Nonomplc)ee coropmsatIon a Subletute poymonla In lieu of
dtvidenCS cc Interest
$ 2670 155
110D1.;15 k PRANCOIS Payer mode tired salon Of 10 Crop Insdrenee proceeds
$5,000 or more of consume'
products to a tarts
(redden° foc rode P.
1 :340 Tkran*IBERG
a.
A/%0Ufg number (optiOna9 13 EACISS golden poroohuto 14 Gross proceeds paid to
payments an attorney
10 Sesta tax vethhold 17 Stato/Poyor'0 stab, no. 1B Stew Imam*
16
$
$
Deportment or the Treasury • Internal Reverdo Service •
Form 1099-MISC
=EP
ID VOID Q CORRECTED
man rise. SWIM. 000(95% PRA NOM 4W GOOD, CC omehorea no. 1 ROMA WAD No. 1645-0116
Miscellaneous
FIN/1MM TRUST COMP:SM., INC.
6101) WOK QTRO,'313
2 Ropier*: 2004 Income
ST. TROMAS, usyx 00802-134B Form 1099-MISC
3 Other Income 4 hiders! Intorno lox ilthheLl
$ S State Copy
PAYER'S Fcderel Identification REGPIENT's IdentIttcedon 6 Fbhhg boat proceeds o Mahal eel WM prerts or Extra
number number File Copy
(.; ... !), tl $ $
meta/ co now, moms, env ZIP COM Nonamployoo compensation SOONG nemeses O litu al
&Wends or huvere
OARJORIL “WLIS ROMMTV St 73:72.0? $
a Pam mado drat solos of 70 Crop Insuronco proceeds
seam or more of consumer
products to a ewer
(rtelplont) for resale e• $
PO SO4 &347
frt40Mhil. OrM64-6'4',
ACCOUbt 11001b4t (Optional 13 Excess golden parachute 14 Gross proceeds paid to
payments an Ottomoy
10 Stan tee esithbold 7 Stote/Pararl stew no. 1$ State booms
$
Fomn 10$9-MISC D0PW1010111 of 100 beluty - Interned Revenue Senile'
FTED039
EFTA00176050
0 CORRECTED i
t. ti6AS No. 1545.0115
PAYER'S name, street address. eq. stew. 11- .0 sts. and tolopelecto
Miscellaneous
T.IMAACIAL TRUST cortilow, 1EC,
6100 am ROOK cartS? D3
Royalties 2004 Income
aeq1(12.1348
W. THOMAS. UBVT Form 1099-MISC
I Other Income 4 Feder.' Income lox vidteld
State Copy
$ or Extra
RECIPIENT'S Identif.nnon 6 Ftshlrip boot proceeds 6 Melon and hosib an swats
PAYER'S Federal Identtelko
master malty File Copy
66-0567418 66-0'136649 $
7 NonamployncaToensensn 8 Nintorle poymnst In tau of
RECIPIENT'S neme address, and ZIP code dhAlovit or Internal
front, HOVPW,M, PC S 24000.90
5 Payer made dIract en es of 10 Crop InStrance preceedS
19000ot more or =stew
products toe buyer
(riglIpIns) hr rode $
pp DOX SiO 12
11 /
CHPARLOTTS AMALIF, SIX 00I3410 -0U0
Accouns number (optional) 13 Excess golden parachute 14 Gross proceeds paid to
payment' an snorer/yr
18 State lax w1UI 17 State/Payer's state no. 19 State Income
15
S
$
NMI:Men &the Treasury • Internal Revenue San tee
Form 1 OSS-MiSC
0 VOID 0 CORRECTED
ran en a gramme auwn eOtetaa Ply. InViVe ur ma,. WY Maw 'yin, nu , 1 Rents ONO No. 1546-0110
Miscellaneous
It/stoma. TRUST COKTAMr? INC.
6100 REO 000K QTR5r.S$
2 Royalties 2©04 Income
ST. THOMAS? US.1a 00602-1348 Fawn 1099-MISC
$
2 Other 'mom a Federal Mem Cm withheld
$ S State Copy
PAYER'S Federal Ideated.", RECIPIENT'S Idontlfleetion 6 Fishing boat proceeds 5 TotIrd Ind Non an plfintnts or Extra
number number File Copy
66-056708 13-3117Z22. $
RECIPIENT'S nom., wank tem LP code 7 Nonemplayeacornsmostlen 0 &ARP& peyners In UM of
dlebleods eit*est
ROBEAT YOUD5TAAN, r.cr $81q0,00
0 Payer male direct sees of 10 Crop Insurance proceeds
15,000 Or more of ccovmer
products to s Wier
(molplent) ror resale le
19 KisT 44TE rciMM SUMS 711
_14aW__Yakk. NY 10016
Amount number (optIontro 13 ExC035 golden perechute la Gross rxooeeds paid to
payments on attorney
S
19 16 Ststo tax withhold 17 SOW/Payer's slate no. 18 Siete Income
•$
Form 1099.MISC Deportment or the Treasury • Internal Revenue Scoria)
FTC0040
EFTA00176051
ErD EJCORRECTED
PAYER'S matt Seat addrwm, obi state. DP•trade, and telephone nO. 1 Rents OMS No. 1545.0115
I tUAOCAah TEUGT COMVant t
1110, RCl7 6r/OX QTRS, E3
ZS. rePaht$r OSvX A0eo2-1346
2 Royalties 2004 Miscellaneous
income
Form 1099-MISE
3 gUar Income 4 Feeer61 income ta (Mute
$ State Copy
PAYER'S Federal Idenellemlon RECIPIENT'S Iderelacethan S Fishing boot proceeds Ci Nolte and in:3h oar MMUS or Extra
number number File Copy
46-0567418 $
RECIPIENTS mime, address, end ZIP tale 7 Nroireployre compensation Subssume parents h lieu el
dividends re Interest
WEIL. COtt;z5 tft3S.N:AETS 1:,LP C171(1 'Co
Nye- mode dirost sans of 10 Crop Insurance procreates
SOW or more or consumer
product., tte a bow
261 F:;:lrePti. AVENUE (ettplont) tor man le $
11 / 12
NEW YOU'S. '1Y 1_0 1 N1
Account number loot:emit! 13 Excess soldon parachute 14 Gross proceeds polo to
Peewit en attorney
IS 18 State tax within« '17 SteleMoyer's Mete no. 19 State Income
.1ee
Is
form 1099-MISC Department or dw Trobstrj • beans Revenue Service
Elvom ■ CORRECTED
PAYER'S soma' treet «mirrors, cay, stole, ZIP coCKI. 4441 tempnona no. 0a45 Nu. 1315.0115
Miscellaneous
2 Royalties 2004 Income
$ Form 1099-MISC
3 Merl e 4 room( income be olthrold
State Copy
PAYERS Federal Identification Ft5CIPIISIT'S Ichantlikethan S Fbleng boat proceeds 8 h4dbd nnd Motil crnpiymmtl or Extra
number number
File Copy
$
RECIPIENT'S name, address. and ZIP code 7 Nookrogoyeacoinotnsouon Subsiittle ps)merts b r
dinclert or Interest
9 Payer made climb sales et 10 Crop Insurance proceeds
SUMO or more of consumer
products toa biler
WNW) for mule I.
Account number (options Excess golden parachute 14 Groro procemds pedel to
payments on attomey
15 15 Stele tax vdthheld 17 StelteiPeyterS 51810 no. 10 stele [neon]
$
erm1099-PAISC Deportment of dm Treasury • internal R41,4"110 Ulrike
FTCONI
EFTA00176052
•
0M9 No. le.15.0im
Annual Summary and transmittal oil
Sam 10%
D.A....m a ThaTreaval
US. Information Returns 2003
hintol ROUND ?WIC.
8 FILER'S name 1
FINANCIAL TRUST COMPANY, INC.
Street address (including room or suite number)
61 00 RED HOOK QTRS , B3
City, state, end ZIP code
LsT, THOMAS, USVT 01)8112— 44R_ -,1 For Official Use Only
Nemo of person to contact Telephone number
[Phone Redacted]
TRATZ3aFi Auptawk
E-mail address Fax number =In 111
([Phone Redacted]
t Exciworldedlicaern numb 2 Social stoodry number a Total number of 4 Fedeni boom° lex withheld 6 Tom mom moods! ten the Form 1006
tonne $ $ 303 _953.33
66-0567419 6
indicate the type of form being tiled. If this la your ttnal return, enter an "X" hem , . . le 0
Enter an 3C' in on one box below to
lose 10734 10%97 Man tone 10MG 10094AP 109941V 1999-0 1000.11 100944T looll4.90 10004.4100
W.25 79 as 73 01 06 71 92 03 05
32 ei 54 53 00
O O O O O O 0 O ❑ • ❑ • O Ga
4099-MM 1019-CC 1030-IATII 1095.0 toeska foams 5490 site-Esn sweetsa
*4 as 97 St 90 75 26 72 27
❑ O O • O O
Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.
Under psnoltleo at perjury, I gm I have examlned this Mom and accompanying document,. ad, to the beat of my kneenadge and boiler, they am hue,
cortack end comatiti SWIM - No, 2 ..
ID%
Title efic Date ir• 7/4
Signature ►
When to file. File Ewa 1096 with Forms 1099,1098, or W-20
Instructing IN ISLANDS BURFAtl
OF by March 1. 2004. File Form 1096 with Forms 5498, 5498-ESA,
Purpose of t MI0EilitilEcStlatighifigpler Forme 1099, and 54.99-MSA by May 91, 2004.
1008, 6498, a (8 to the Internal Revenue Service. Do not
use Form 1096 to transmit eleotn3ntoraiy or magnetically. For Whore To File
magnetic media, see Form 4804,Transmission of Information Send all information retails tiled on paper with Form 1096 to the
Returns Reported Magnetically; for electronic submissions, see following:
Pub. 1220, Specifications for Filing Forms 1098, 1099, 8498 and Use the following
W-2G Electronically or Magnetically. If your principal business,
office or agency, or legal Internal Revenue
Who must tile. The name, address, end TIN of the filer on residence In the case of en Service Center
this form must be the same as those you enter In the upper individual, Is located In address
lett area of Forms 1099,1098;8498, or W-20. A tiler 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 Alabama, Arizona, Florida, Georgia,
Louisiana, MissIssIppl, Austin, TX 73301
estate transactions; a trustee or Issuer of any individual
retkement arrangement. a Ooverdell ESA, en Archer MSA North Carolina, Texas,
(Including a MedloweiChoice MSA); certain corporations; and a Arkansas, Connecticut, Delaware,
lender who acquires en Interest In secured property or who hes Kentuoky, Maine, Massaohusetts,
reason to know that the property has been abandoned. Cincinnati, OH 46899
New Hampshire, Now Jersey,
Preaddrassod Form 1096. If you received a preaddressed Form New York, Ohio, Pannsylvaill
1090 from the IRS with Package 1099, use it to transmit paper Rhode Island, Vermont, Weil=
Forme 1099, 1098, 5498, and SIV-2t3 to the Internal Revenue
Service. If any of the preprinted information Is Inas/cot, make Illinois, Indiana, Iowa, Kansas,
corrections on the form. • Michigan, Minnesota Missouri, Kansas City, MO 64909
Nebraska, North Dakota, Oklahoma,
If you are not using a preaddressed form, enter the South Carolina, south Dakota,
name, address (Including room, suite, or other unit number), and Tennessee, Wisconsin
T1N In the spaces provided on the form.
For more Information and the Privacy Act and Paperwork Reduction Aot Notice, cat. No.144000 Form 1096 t2003)
see the 2003 General Instructions for Forms 1009, 1098, 6498, and W-26.
FTCOB42
EFTA00176053
O vq' • O CORRECTED
telephone no 1 Rents OMB No. 1646.0115
.11713WS harm• sitter address. dth sate, ZIP mho, and
Wiltdvcia). Traat Coopauv s $ Miscellaneous
VI GO nOalt {pmet..isr 2 Roy&!cc Income
St. Vlacma.a U.S. Virgin ItaAandf.,
00102 ;
Turn 1099•MISC
Other Income 4 redact Intome tor sakMMd
State Copy
PAYER'S Federal Idontlatation RECIPIENTS kiamMtallon 5 Fishing boat proceeds 6 Bolen rye Militant prowls or Extra
number TIUMber File Copy
t.6c4Bi57411) 06-043560 $ S
RECIPIENT'S name, address. including apt. no.1, City. state, and ZIP code 7 WMMplorOCOMp:MWM a Subrtituin p bit Ilw of
dividends or Ititiost
?a'31 gcrfloaiis
$ 25000,00 S
9 Payer nude direct sales of 10 Crop Ineurence proceed
$5,000 or more of EOMInle
acts to e buyer
PO Box 870 fg
pt,t1410 for resale to O S
12
Charlotte, Amalie
At:Count number (optional
VI 00004-0370 /
1
4
11 Excess golden porechute 14 Gross proccods pcld to
poymonte on attorney
fi
13 to sure tax wIthlield 17 StatorPayars state no. 13 Stein Income
Fenn 100S-MISC Degistmonkof the Treasury • Imemal Revenue Seneca, 1
O VOID O CORRECTED
•
PAYER'S name, argot eddies, al% stoat ZIP Coat and telephone no. 1 Renee 0340146, 'methane
Financial. Trust CompanYe Inv. Miscellaneous
6100 Red Nook Ottartor BE 2 Royalties 2©03 Income'
St. Thomaa U.B. Virgin Iolanda
00802 Form 1099•MISC
3 Outtmorno 4 federal Income lax rMhtld
$ State Copy
PAYER'S Fadden, Identification RECIPIENT'S Idenrif(calkin 5 Fishing boat proceeds 6 leafed ed MIA art perunir or Extra
. number number J
Fite Copy
L6.-95.7015 13-145F:110
RECIPIENT'S none, address, finclud ng apt, no). oily, state. and ZIP code 7 acampayeo compcnstUon &tante ;pima% In lEu
dhituris rr lumps
eiot0hal & m4n3es
$ 22949.6,
1
$
8 Payer marls drat sales of 10 Crop InSUranno proceeds
35,000 or mgt of cortan
767 Vifty Avenue products to n buyer
fredplind for resale P
:cow York, wx 10153
Account number (epic
r
11
13
/1
Excess Golden paracluto 14 Gross proceeds Paid to
Payments an attorney
15 I6 Stab the 1119901d 17 statawayon stale ho. 18 State Sicolt0
rwmlos94msc hOperirlient OE Ore Tterawy • halal Revenue Servico
FTEGG43
EFTA00176054
• I
0 VOI 0 CORRECTED
telophona r4. 1 fames OMB No. 1645.0116
PAYER'S Wes, streOt address. oily, stem ZIP coda, end
MiscellaneouS
Fierdioial Toast Compare?, Income
2 RDyNISOS
6100 Red Zook Natter 6-3 •
St. Thoxiga Vtriin Imlanea
Form 10994;115C
00602
3 Other Iiicorno 4 C44149940mo tm Wirrh:71
$ State Copy
S or Extra I
6 Flailing boat proceeds Mulled ordtes1h rue pietas
PAYER'S ?Waal Idontillcotton RECIPIENT'S WentmetitIon
number number File Copy I
•I
66-0567416 53-021,022 S
and ZIP codn 7 ttortommoro compeosallon svhsathan.nymerts In ten of
R6CIPIENT S name address, Including opt no city, sou, atoonth or tottrelt
Arant "fox Wilatreac Plotkin Si
Ktarto, Z14C S
$ 60255.50
• 9 Moor mock that solo or 10 Crop Insurance proceeds
36,000 or more of consumer
1675 1$roadway, 25th Floor nets w a buyer
r elprent) lot restri9 P ❑ $
11
' orle 1011 —•1874
13 Excess °Olden porochtA0 14 Gross proceeds pod to
payrrnms on ettornoy
I
la 9S110 b201111/
i
floptalment of the Treasury - Internal ateeenue Sankt 4,
Form 1099-MISC
0 VOID 0 CORRECTED
.pAYER'5 game. street owes% ay, state, VP MA and telephone no. 1 ROMA • OMB No. 1615.0116
Winancial Truat Company, Inc. • Miscellaneous !
.6100 Red Hook Quarter B-3 2 Royaltloe :2003 Income
St. Thomas U.S. Virgin Iolanda
00802 Perm 1099-MISC
3 Other Income 4 Fedeml Income tax W01100.1
s _ State Copy
PAYER'S Federal Identification RECIPIENT'S Identlacedon • 5 fishing boot proceeds 6 Wad ono AGM ran prylninal or Extra
number rumba; File Copy i
66-056741g 13-3565114 S $
7 Nonomployot compelsoderi 8 BrOstium serener In lieu of
mecemere rb name, moron, (mono ng cpt me, cay, stow enu um coos
eM.nds or bluest
Gerald A. Cdpicourt, P,C-
$ 15126T,67
B Payer Made oho 931n of 10 Crop Insurance proceeds
$5,030 or men of comity
140 Mayt ?ath strmet products to OWN
(recipient) for roil° it-
11 13 7
Mew 'Corp., NX 10121
Account number (optional 13 Excess golden parachute 14 OroSs proceeds paid to
poymnnts en attorney
fi
16 Stain tax arlemid 17 State/PayorS slate no. to Stout Income
15
$.
$
arm 1099-MISC Deportment or the Treasury • Internal Revenue Sennee
FTC0044
EFTA00176055
C3 VC O CORRECTED
telephone no. 1' Rents OMB No. 1646-0119
PAY5fit'S namo, scot adage" dry. Mate. ZIP Coor.'and
Trost . Cr.paaptai;y: yn1c. Miscellaneous
' r i.oartoiaa
'44 (le 71.eCI Rook Ottacr.or
pteirly.
3 Royaltlas 2003 Income 1
Y.
t • ¶oOlita!I., 1J.Ss, et7 (*3,71
• OilEitia2 rem 1099.MISC
3 Other Income 4 Federal Income lax validvitd
State Copy
$ S
9 Fishing boa proceeds 6 Mural ad twalt cue poses or Extra
PAYERS Frideml idonalcallon RECIPIENT'S Identification •
number nUrnber File Copy
66 -05G711 g 6Fr-0473403 $ $
7 tionempterfoo earpensetion 8 Subsitiolo payrrenh h lieu of
RECIPIENT'S nom, address, Including apt, no.), city, Mae, and ZIP code dreamt or Wrist
if c).-?go 3 151r,ncker.iis
S 7:14.94 70
9 Payer made Olred sales of 10 Crop hluirent0 prostate
$I.900 or more d Commor
PrOdUlS to a buyer
1 340 Il'a.a:ce.riberg I;acfra tacitreal for ratan le O $
11 / 12 s'r
Chaviottt Anwai.e, NU 00'02
13 Excess golden Piracies,. 14 Gross prorAeds pad to
Account number loptItaail payments an attorney
is Start tax vnUinold 17 Sline/Pdyer's stous no. 15 Sato Incomo
15.
S
$
Deportment of the Treasury • Soma Revenue Sado/
orrn 0/39.MISC
O VOID O CORRECTED
rsycl0 name, soca 1100111/3e CIOr, DIM% LW WU% ens wrierpnanu nu. 1 ROOM oara No. 1545.Oils
FinunciAl Txuat Coxpany, Inc. Miscellaneous
6100 Bea book Quarter B-3 $
2 Royalties Income
St. Thootez U,B, tirgin islanft
00802 $ FC1111 1099-MISC
3 Other Income 4 novel Immo bx relhheld
State Copy
S
RECIPIENTS IdellItatIon Fishing boat proccads 6 itaaal and both ern spelt or Extra
PAYER'S Fedael Idendricallon
numbs number File Copy
66-0$6741ii. fiti-05 7 $9$9 $
8 %Saute faytneniS N plot
RECIPIENTS name, °daps. (baud ng opt. no.). elry, sons and ZIP code 7 Nornreployea compensation
eNaltods or Insist
Marjorie, RaWis
$ 'O4't 47 $
9 nap made OM( Sofas of 10 Crop Insurance proceeds
15„000 or tam o! comma
t: 3 47 anima toe buyer
(ral rat) (or resern la O
11
. BT i!0.(164-fi527 4
ACCOUrtt number (optional 13 0lain golden parachute 14 Gros proceeds paid to
payments on attorney
S
19 16 Sato lox MAO 17 stoto/Payorie state no. 18 state IliCOMO
$
Erin 1099-MISC Department of the Treasury Internal Revenue SenSort
FTE0045
EFTA00176056
U.S. Department of Justice
United States Attorney
Southern District of Florida
500 South Australian Ave., Suite 400
West Palm Beach, FL 33401
([Phone Redacted]
Facsimile: (56!) 8204777
June I, 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:
tat r rcr
A. Marie Villafaf1a
Assistant United States Attorney
cc: E. Nesbitt Kuyrkendall, FBI (with enclosures)
EFTA00176057
06/01/2007 10:29 FAX [Phone Redacted] USAO WPB FL Q001
iiSittSitiiit522iti5$
*xs TX REPORT ***
:*******************At
TRANSMISSION OK
TX/RX NO 4794
CONNECTION TEL [Phone Redacted]
SUBADDRESS
CONNECTION ID
ST. TIME 0' 10:23
USAGE T 6' 2
PGS. SENT 22
RESULT OK
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 7, 2007
FROM: A. Marie Villafafia
Assistant United States Attorney
([Phone Redacted], Extension 3047
([Phone Redacted] (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 Villafana
Assistant U.S. Attorney
500 S. Australian Ave, Suite 400
West Palm Beach, FL 33401
Phone [Phone Redacted]
Fax [Phone Redacted]
Tracking:
1
EFTA00176059
Recipient Read
[Email Redacted]
Lourie, Andrew (USAFLS) Read: 5/22/2007 7:28 PM
Atkinson, Karen (USAFLS) Read: 5/23/2007 9:01 AM
2
EFTA00176060
U.S. Department of Justice
United States Attorney
Southern District of Florida
500 South Australian Ave., Suite 400
West Palm Beach, FL 33401
([Phone Redacted]
Facsimile: ([Phone Redacted]
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 Villafafia
Assistant United States Attorney
cc: E. Nesbitt Kuyrkendall, FBI (with enclosures)
EFTA00176061
Page 3 of 4
Wastlaw.
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 I a 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-IIII CORPORATION SYSTEM
Address:125 LINCOLN AVE STE 223
SANTA FE, NM 87501
PRINCIPAL INFORMATION
Name:EPSTEIN, JEFFREY
Title:PRESIDENT
Name:INDYKE, DARREN
Title:SECRETARY
° 2007 Thomson/West. No Claim to Orig. U.S. Govt. Works.
htlps://web2.westlaw.com/print/printstream.aspx?prf1=HTMLE&destination=atp&sv=Full... 5/14/2007
EFTA00176062
Page 4 of 4
22279979393 Page 2
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 ([Phone Redacted])
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
0 2007 Thomson/West. No Claim to Orig. U.S. Govt. Works.
https://web2.westlaw.com/print/printstream.aspx?prf1=HTMLE&destination=atp&sv=Full... 5/14/2007
EFTA00176063
Page 1 of 14
Westlaw.
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.
0 2007 Thomson/West. No Claim to Orig. U.S. Govt. Works.
https://web2.westlaw.com/print/printstream.aspx?rs=WLW7.04&destination=alp&sv=Full... 5/14/2007
EFTA00176064
Page 2 of 14
70 EAST SSTN 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 ([Phone Redacted])
to order copies of documents related to this or other matters.
Additional charges apply.
END OF DOCUMENT
2007 Thomson/West. No Claim to Orig. U.S. Govt. Works.
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EFTA00176065
Page 3 of 4
Westlaw.
1307306 Page 1
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: J. EPSTEIN & COMPANY, INC.
Process Name: GOLD & WACHTEL, ESOS
Process Address: 10 EAST 53RD STREET
NEW YORK, NY 10022
County: NEW YORK
FILING INFORMATION
Identification Number: 1307306
Filing Date: 11/18/1988
State of Incorporation: NEW YORK
Duration: PERPETUAL
Status: INACTIVE
Status Attained Date: 04/04/2001
Corporation Type: PROFIT
Business Type: DOMESTIC BUSINESS CORPORATION
Where Filed: DEPARTMENT OF STATE/DIVISION OF CORPORATIONS
41 STATE STREET
ALBANY, NY 12231
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1307306 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 DF-747318
STOCK INFORMATION
Stock:
Authorized 200
Shares:
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OFFICIAL RECORD. CERTIFIED COPIES CAN ONLY BE OBTAINED FROM THE OFFICIAL SOURCE.
END OF DOCUMENT
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Westlaw.
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: 05/14/2007
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: JEFFREY E EPSTEIN
Title: PRESIDENT
END OF DOCUMENT
2007 Thomson/West. No Claim to Orig. U.S. Govt. Works.
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Westlaw.
FEIN RECORD
Information Current Through: 03-11-2007
Database Last Updated: 03-13-2007
Update Frequency: QUARTERLY
Source: Copyright C 2007 by Dun & Bradstreet, Inc.
Current Date: 05/14/2007
BUSINESS INFORMATION
Company Name: J EPSTEIN VIRGIN ISLANDS FOUNDATION INC
Address: 6100 RED HOOK QUARTER STE 8-3
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: PRESIDENT
END OF DOCUMENT
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VVestlaw.
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: EPSTEIN, JEFFREY
Principal Title: PRESIDENT
Principal Name: INDYKE, DARREN
Principal Title: SECRETARY
Principal Name: JEFFREY EPSTEIN
Principal Title: DIRECTOR
Registered Agent: PRENTICE-Mg CORPORATION SYSTEM
Registered Agent Address: 125 LINCOLN AVE STE 223
SANTA FE, NM 87501
BUSINESS INFORMATION
Business Name: ZORRO DEVELOPMENT CORP.
Business Address: 110 E 59TH ST- C BEM ASSOC
NEW YORK, NY 10022
OTHER INFORMATION
Filing Date: 05/21/1993
Status: ACTIVE
Business/Filing Type: CORPORATION
Identification No.: 1615137
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OFFICIAL RECORD. CERTIFIED COPIES CAN ONLY BE OBTAINED PROM THE OFFICIAL SOURCE.
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END OF DOCUMENT
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Westlaw.
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: JEFFREY EPSTEIN
Principal Title: AUTHORIZED REPRESENTATIVE
Principal Name: LESLIE H. WEXNER
Principal Title: AUTHORIZED REPRESENTATIVE
Registered Agent: CT CORPORATION SYSTEM
Registered Agent Address: 36 EAST SEVENTH STREET SUITE 2400
CINCINNATI, OH 45202
BUSINESS INFORMATION
Business Name: THE NEW ALBANY COMPANY LLC
Business Address: 5906 E DUBLIN GRANVILLE RD
NEW ALBANY, OH 43054
OTHER INFORMATION
Filing Date: 09/21/1998
Status: ACTIVE
Business/Filing Type: FOREIGN LIMITED LIABILITY CO
Identification No.: 1034132
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OFFICIAL RECORD. CERTIFIED COPIES CAN ONLY BE OBTAINED FROM THE OFFICIAL SOURCE.
END OF DOCUMENT
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Westlaw.
EXECUTIVE AFFILIATION RECORD
Database Last Updated: 05-02-2007
Current Date: 05/14/2007
Source: COPYRIGHT 0 2007 DUN & BRADSTREET, INC.
EXECUTIVE INFORMATION
Executive Name: MR JEFFREY II EPSTEIN
Executive Title: PRESIDENT
BUSINESS INFORMATION
Business Name: J EPSTEIN & CO INC
Business Address: 457 MADISON AVE
NEW YORK, NY 10022-6843
County: NEW YORK
Phone:
OTHER INFORMATION
DUNS: 62-800-9623 (Click for List of Available D&B Reports)
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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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