Untitled
Untitled
Untitled
PO BOX 3009
MONROE, WI 53566-8309
We are pleased to provide you with the enclosed Tax Information Package to assist in completing your Income Tax Return.
Amounts shown on the 1099 forms enclosed should be reported on the appropriate schedules of your Federal Income Tax
Return and, if applicable, State Income Tax Return. IRS Instructions are included for each 1099 form at the end of this
package. It is important to note that amounts shown as "Not Reported to the IRS" may still be needed in preparing your tax
return.
Document ID: you will find your Document ID located in the header of the first page of your tax form. This ID is unique to this
tax form and will simplify the upload of your tax information in a secure manner to various tax reporting applications (Turbo
Tax and H&R Block).
This page intentionally left blank.
Page 1 of 8
DIVIDENDS AND DISTRIBUTIONS 2022 1099-DIV* OMB No. 1545-0110 MISCELLANEOUS INFORMATION 2022 1099-MISC* OMB No. 1545-0115
1a- Total ordinary dividends (includes lines 1b, 5, 2e) 10,558.07 2- Royalties 0.00
1b- Qualified dividends 8,095.15 3- Other income 0.00
2a- Total capital gain distributions (includes lines 2b, 2c, 2d, 2f) 0.00 4- Federal income tax withheld 0.00
2b- Unrecaptured Section 1250 gain 0.00 8- Substitute payments in lieu of dividends or interest 0.00
2c- Section 1202 gain 0.00
2d- Collectibles (28%) gain 0.00 SECTION 1256 CONTRACTS 2022 1099-B* OMB No. 1545-0715
2e- Section 897 ordinary dividends 0.00
2f- Section 897 capital gain 0.00 8- Profit or (loss) realized in 2022 on closed contracts 0.00
3- Nondividend distributions 0.00 9- Unrealized profit or (loss) on open contracts-12/31/2021 0.00
4- Federal income tax withheld 0.00 10- Unrealized profit or (loss) on open contracts-12/31/2022 0.00
5- Section 199A dividends 0.00 11- Aggregate profit or (loss) on contracts 0.00
6- Investment expenses 0.00
If applicable, proceeds from sale transactions appear summarized below and are
8- Foreign country or US possession: 7- Foreign tax paid: 0.00
detailed in subsequent sections of this document.
9- Cash liquidation distributions 0.00
10- Noncash liquidation distributions 0.00 * This is important tax information and is being furnished to the Internal Revenue Service.
12- Exempt-interest dividends (includes line 13) 0.00 If you are required to file a return, a negligence penalty or other sanction may be imposed on
13- Specified private activity bond interest dividends (AMT) 0.00 you if this income is taxable and the IRS determines that it has not been reported.
Short A (basis reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Short B (basis not reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Short C (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Short-term 0.00 0.00 0.00 0.00 0.00
Long D (basis reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Long E (basis not reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Long F (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Long-term 0.00 0.00 0.00 0.00 0.00
Undetermined B or E (basis not reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Undetermined C or F (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Undetermined-term 0.00 0.00 0.00 0.00 0.00
Changes to dividend tax classifications processed after your original tax form is issued for 2022 may require an amended tax form.
Page 2 of 8
INTEREST INCOME 2022 1099-INT OMB No. 1545-0112 ORIGINAL ISSUE DISCOUNT AND ADJUSTMENTS
This is important tax information and is being furnished to the Internal Revenue Service. Use bond-by-bond details from the Form 1099-OID page(s) to determine amounts of
If you are required to file a return, a negligence penalty or other sanction may be Original Issue Discount income for your income tax return(s). The amounts shown in this
imposed on you if this income is taxable and the IRS determines that it has not been section are for your reference when preparing your income tax return(s).
reported. Original issue discount for the year 0.00
1- Interest income (not included in line 3) 0.00 Acquisition premium (covered lots) 0.00
2- Early withdrawal penalty 0.00 Acquisition premium (noncovered lots) 0.00
3- Interest on US Savings Bonds & Treasury obligations 0.00 Original issue discount on Treasury obligations 0.00
4- Federal income tax withheld 0.00 Acquisition premium, Treasury obligations (covered lots) 0.00
5- Investment expenses 0.00 Acquisition premium, Treasury obligations (noncovered lots) 0.00
7- Foreign country or US possession: 6- Foreign tax paid: 0.00 Tax-exempt OID 0.00
8- Tax-exempt interest (includes line 9) 0.00 Tax-exempt OID (lots not reported) 0.00
9- Specified private activity bond interest (AMT) 0.00 Acquisition premium (covered) 0.00
10- Market discount (covered lots) 0.00 Acquisition premium (lots not reported) 0.00
11- Bond premium (covered lots) 0.00 Tax-exempt OID on private activity bonds 0.00
12- Bond premium on Treasury obligations (covered lots) 0.00 Tax-exempt OID on private activity bonds (lots not reported) 0.00
13- Bond premium on tax-exempt bonds (categorized below) 0.00 Acquisition premium (AMT, covered) 0.00
Tax-exempt obligations (covered lots) 0.00 Acquisition premium (AMT, lots not reported) 0.00
Tax-exempt private activity obligations (AMT, covered lots) 0.00 Market discount (all lots) 0.00
14- Tax-exempt and tax credit bond CUSIP number Early withdrawal penalty 0.00
FATCA filing requirement [ ] Investment expenses 0.00
The following amounts are not reported to the IRS. They are presented here for your reference RECONCILIATIONS, FEES, EXPENSES AND EXPENDITURES
when preparing your tax return(s). The amounts in this section are not reported to the IRS. They are presented here for your
reference when preparing your income tax return(s).
Taxable accrued interest paid 0.00
Taxable accrued Treasury interest paid 0.00 Other Receipts & Reconciliations- Partnership distributions 0.00
Tax-exempt accrued interest paid 0.00 Other Receipts & Reconciliations- Foreign tax paid- partnership 0.00
Tax-exempt accrued interest paid (AMT) 0.00 Other Receipts & Reconciliations- Return of principal 0.00
Taxable accrued nonqualified interest paid 0.00 Other Receipts & Reconciliations- Deferred income payment 0.00
Tax-exempt accrued nonqualified interest paid 0.00 Other Receipts & Reconciliations- Deemed premium 0.00
Tax-exempt accrued nonqualified interest paid (AMT) 0.00 Other Receipts & Reconciliations- Income accrual- UIT 0.00
Nonqualified interest 0.00 Other Receipts & Reconciliations- Basis adjustments 0.00
Tax-exempt nonqualified interest 0.00 Other Receipts & Reconciliations- Foreign tax pd beyond treaty 0.00
Tax-exempt nonqualified interest (AMT) 0.00 Fees & Expenses- Margin interest 0.00
Interest shortfall on contingent payment debt 0.00 Fees & Expenses- Dividends paid on short position 0.00
Bond premium- Non Treasury obligations (noncovered lots) 0.00 Fees & Expenses- Interest paid on short position 0.00
Bond premium- Treasury obligations (noncovered lots) 0.00 Fees & Expenses- Non reportable distribution expense 0.00
Bond premium- Tax-exempt obligations (noncovered lots) 0.00 Fees & Expenses- Other expenses 0.00
Bond premium- Tax-exempt obligations (AMT, noncovered lots) 0.00 Fees & Expenses- Severance tax 0.00
Market discount (noncovered lots) 0.00 Fees & Expenses- Organizational expense 0.00
Fees & Expenses- Miscellaneous fees 0.00
STATE TAX WITHHELD Fees & Expenses- Tax-exempt investment expense 0.00
Use the details of the State Tax Withholding page(s) to determine the appropriate amounts for Foreign Exchange Gains & Losses- Foreign currency gain/loss 0.00
your income tax return(s). The amounts shown in this section are for your reference.
1099-DIV total withheld 0.00
1099-INT total withheld 0.00
1099-OID total withheld 0.00
1099-MISC total withheld 0.00
1099-B total withheld 0.00
Page 3 of 8
Federal, state and foreign tax withheld and investment expenses are presented as negative amounts but do not net against the reportable income totals. All amounts are grouped by security, with the
transactions listed in chronological order. Subtotals for each security are provided. For situations in which the tax character of a distribution (or part thereof) is different than at the time it was paid,
endnotes are provided for further explanation.
Note that a payment characterized as a “Qualified dividend” is only issuer-qualified. There is also a holder level criteria for a dividend to be treated as Qualified. If the payment is from a common stock
you are required to have held it for more than 60 days during the 121-day period that begins 60 days before the ex-dividend date of the dividend. If the dividend is from preferred shares and covers a
period greater than 366 days, you must have held the preferred stock for more than 90 days during the 181-day period that begins 90 days before the ex-dividend date of the dividend.
Amounts presented in Box 2e as Section 897 Ordinary Dividends or Box 2f as Section 897 Capital Gains apply only to foreign persons and entities whose income maintains its character when passed
through or distributed to its direct or indirect foreign owners or beneficiaries. If you are a US citizen, you should disregard this.
Security description CUSIP and/or symbol State Date Amount Transaction type Notes
VANGUARD FEDL MONEY MKT 9999100 01/31/22 0.11 Nonqualified dividend
02/28/22 0.10 Nonqualified dividend
03/31/22 0.90 Nonqualified dividend
04/29/22 2.00 Nonqualified dividend
05/31/22 5.21 Nonqualified dividend
06/30/22 8.73 Nonqualified dividend
07/29/22 13.31 Nonqualified dividend
08/31/22 18.09 Nonqualified dividend
09/30/22 19.35 Nonqualified dividend
10/31/22 24.38 Nonqualified dividend
11/30/22 29.66 Nonqualified dividend
12/30/22 31.17 Nonqualified dividend
153.01 Total Dividends & distributions
VNGRD INT TM TRSY ADML 922031828 VFIUX 01/31/22 117.57 Nonqualified dividend
02/28/22 104.67 Nonqualified dividend
03/31/22 171.62 Nonqualified dividend
04/29/22 164.33 Nonqualified dividend
05/31/22 201.19 Nonqualified dividend
06/30/22 157.87 Nonqualified dividend
07/29/22 237.75 Nonqualified dividend
08/31/22 257.66 Nonqualified dividend
09/30/22 189.66 Nonqualified dividend
10/31/22 214.06 Nonqualified dividend
Page 4 of 8
Security description CUSIP and/or symbol State Date Amount Transaction type Notes
VNGRD INT TM TRSY ADML (cont'd) 11/30/22 232.50 Nonqualified dividend
12/30/22 261.03 Nonqualified dividend
2,309.91 Total Dividends & distributions
VNGRD S&P 500 ETF 922908363 VOO 03/29/22 1,858.93 Qualified dividend 03
07/05/22 1,944.27 Qualified dividend 03
10/03/22 2,002.94 Qualified dividend 03
12/23/22 2,289.01 Qualified dividend 03
8,095.15 Total Dividends & distributions
03 The tax character of the distribution has been allocated based on information provided by the security issuer.
Page 7 of 8
Instructions for Recipient
Common Instructions for Recipient Lines 9 and 10. Show cash and noncash liquidation distributions.
Recipient's taxpayer identification number (TIN). For your protection, this form may Line 11. If the FATCA filing requirement box is checked, the payer is reporting on this
show only the last four digits of your TIN (social security number (SSN), individual Form 1099 to satisfy its account reporting requirement under chapter 4 of the Internal
taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or Revenue Code. You may also have a filing requirement. See the Instructions for Form
employer identification number (EIN)). However, the issuer has reported your complete 8938.
TIN to the IRS. Line 12. Shows exempt-interest dividends from a mutual fund or other RIC paid to you
Account number. May show an account or other unique number the payer assigned to during the calendar year. See the Instructions for Forms 1040 and 1040SR for where to
distinguish your account. report. This amount may be subject to backup withholding. See Line 4 above.
Backup Withholding. Shows backup withholding. Generally, a payer must backup Line 13. Shows exempt-interest dividends subject to the alternative minimum tax. This
withhold if you did not furnish your taxpayer identification number. See Form W-9 and amount is included in Line 12. See the Instructions for Form 6251.
Pub. 505 for more information. Report this amount on your income tax return as tax Lines 14-16. State income tax withheld reporting Lines.
withheld. Future developments. For the latest information about developments related to Form
Nominees. If this 1099 form includes amounts belonging to another person, you are 1099-DIV and its instructions, such as legislation enacted after they were published, go
considered a nominee recipient. You must file as the “payer” the respective Form 1099 to www.irs.gov/Form1099DIV.
(DIV, INT, or OID) Copy A (with a Form 1096) to the IRS for each of the other owners Free File. Go to www.irs.gov/FreeFile to see if you qualify for no-cost online federal tax
as recipient(s) to show their allocable share of the income and you must furnish the preparation, e-filing, and direct deposit or payment options.
respective Copy B Form(s) and amounts to each owner. A spouse is not required to file
a nominee return to show amounts owned by the other spouse. See the General
Instructions for Certain Information Returns.
FATCA filing requirement. If the FATCA filing requirement box is checked, the payer
is reporting on Form 1099 to satisfy its chapter 4 account reporting requirement. You
also may have a filing requirement. See the Instructions for Form 8938.