2022 Tax

CLIENT'S COPY
16400315 151260 7203CONG 2022.03000 CONGA, DORIAN 7203CON1

Tax Return Carryovers to 2023
NAME: DORIAN & KLERTA CONGA ID Number: ***-**-****
Disallowing Originating Entity/ St/
Description Amount
Form Form Activity City
SCH D SHORT-TERM CAPITAL LOSS SCH D 24,893.
SCHD AMT SHORT-TERM CAPITAL LOSS SCHD AMT 24,893.
MA B SHORT-TERM CAPITAL LOSS MA B MA 30,893.
212541 04-01-22

Two-Year Comparison Worksheet 2022
Name(s) as shown on return Social security number
DORIAN & KLERTA CONGA ***-**-****
2021 Filing Status MARRIED FILING JOINT MARRIED FILING JOINT
2022 Filing Status
2021 Tax Bracket 22.0% 2022 Tax Bracket 37.0%
Tax Year Tax Year Increase

Description
2021 2022 (Decrease)
WAGES, SALARIES, AND TIPS 14,333. 24,750. 10,417.

SCHEDULE D (CAPITAL GAIN/LOSS) -3,000. -3,000. 0.
SCH. C (BUSINESS INCOME/LOSS) 148,523. 869,286. 720,763.
TAXABLE UNEMPLOYMENT COMPENSATION 35,725. 0. -35,725.
TOTAL INCOME 195,581. 891,036. 695,455.
DEDUCTIBLE PART OF SE TAX 9,954. 19,220. 9,266.

TOTAL ADJUSTMENTS 9,954. 19,220. 9,266.
ADJUSTED GROSS INCOME 185,627. 871,816. 686,189.
TAXES 10,000. 0. -10,000.

INTEREST (DEDUCTIBLE) 16,196. 0. -16,196.
CONTRIBUTIONS 1,950. 0. -1,950.
TOTAL ITEMIZED DEDUCTIONS 28,146. 0. -28,146.
STANDARD DEDUCTION 0. 25,900. 25,900.

QUALIFIED BUSINESS INCOME DEDUCTION 27,714. 12,375. -15,339.
TOTAL DEDUCTIONS 55,860. 38,275. -17,585.
TAXABLE INCOME 129,767. 833,541. 703,774.
TAX 20,046. 242,959. 222,913.

TAX BEFORE CREDITS 20,046. 242,959. 222,913.
TAX AFTER NON-REFUNDABLE CREDITS 20,046. 242,959. 222,913.
SCHEDULE SE (SELF-EMPLOYMENT TAX) 19,908. 38,440. 18,532.

FORM 8959 (ADDITIONAL MEDICARE TAX) 0. 5,198. 5,198.
TOTAL TAX 39,954. 286,597. 246,643.
FED. INCOME TAX WITHHELD, FORM W-2 268. 3,597. 3,329.

SCH. 8812 (ADD. CHILD TAX CREDIT) 200. 0. -200.
SCH H (SICK AND FAM. LEAVE CR.) 7,110. 0. -7,110.
TOTAL PAYMENTS 7,578. 3,597. -3,981.
FORM 2210/2210F (EST. TAX PENALTY) 580. 1,295. 715.

BALANCE DUE (INCLUDING 2210/2210F) 32,956. 284,295. 251,339.
MASSACHUSETTS STATE RETURN

TAXABLE INCOME 183,781. 882,236. 698,455.
TAX 9,189. 44,112. 34,923.
PAYMENTS 0. 1,143. 1,143.
REFUNDABLE CREDITS 180. 180. 0.
BALANCE DUE INCLUDING PEN. & INT. 9,206. 43,162. 33,956.
226301 04-01-22
March 15, 2023
Dorian & Klerta Conga

115 Lynnway
Revere, MA 02151
Dear Mr. and Mrs. Conga:
Enclosed are your 2022 income tax returns.
Specific filing instructions are as follows.
FEDERAL INCOME TAX RETURN:
This return has been prepared for electronic filing and the practitioner PIN program has been elected. Please sign
and return Form 8879 to our office. We will then transmit your return electronically to the IRS. Do not mail the
paper copy of the return to the IRS.
Your check for $284,295, payable to the United States Treasury, must be paid by April 18, 2023. Be sure to include
your payment with Form 1040-V, Form 1040 Payment Voucher. Include your social security number, daytime
phone number, and the words "2022 Form 1040" on your check.
Internal Revenue Service Center

P.O. Box 931000
Louisville, KY 40293-1000
Your income tax return includes a penalty for underpayment of estimated tax from Form 2210 of $1,295.
MASSACHUSETTS INCOME TAX RETURN:
This return has been prepared for electronic filing. Please sign, date, and return Form M-8453 to our office. We
will then submit your electronic return to the MDOR. Do not mail the paper copy of the return to the MDOR.
Your check for $43,162, payable to Commonwealth of Massachusetts, must be mailed by April 18, 2023. Be sure to
attach your payment to Massachusetts Form PV, Payment Voucher. Include your social security number on your
check.
Mass. Department of Revenue

P.O. Box 419540
Boston, MA 02241-9540
Your Massachusetts return includes a penalty for underpayment of estimated tax of $373.
Your copies of the returns are enclosed for your files. We suggest that you retain these copies indefinitely.
Very truly yours,

Christopher Nash
***** THIS IS NOT A FILEABLE COPY *****
Form 8879
(Rev. January 2021)
IRS e-file Signature Authorization
OMB No. 1545-0074
Department of the Treasury | ERO must obtain and retain completed Form 8879.
Internal Revenue Service | Go to www.irs.gov/Form8879 for the latest information.
Submission Identification Number (SID)

=
Taxpayer's name Social security number
DORIAN CONGA *** ** ****
Spouse's name Spouse's social security number
KLERTA CONGA *** ** ****
Part I Tax Return Information - Tax Year Ending December 31, 2022 (Enter year you are authorizing.)
Enter whole dollars only on lines 1 through 5.
Note: Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank.
1 Adjusted gross income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 871,816.
2 Total tax ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 286,597.
3 Federal income tax withheld from Form(s) W-2 and Form(s) 1099 ~~~~~~~~~~~~~~~~~~~~~~~ 3 3,597.
4 Amount you want refunded to you ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4
5 Amount you owe 5 284,295.
Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
Under penalties of perjury, I declare that I have examined a copy of the income tax return (original or amended) I am now authorizing, and to the best of my knowledge
and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from the income tax return (original or amended) I am now
authorizing. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS
(a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any
refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial
institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial
institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the
authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 . Payment cancellation requests must be received no
later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes
to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the personal identification number
(PIN) below is my signature for the income tax return (original or amended) I am now authorizing and, if applicable, my Electronic Funds Withdrawal Consent.
Taxpayer's PIN: check one box only
X I authorize NASH CPAS LLC to enter or generate my PIN 4 7 2 0 3 as my
ERO firm name Enter five digits, but
signature on the income tax return (original or amended) I am now authorizing. don't enter all zeros
I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Your signature | ***** THIS IS NOT A FILEABLE COPY ***** Date | 03/15/2023
Spouse's PIN: check one box only

X I authorize NASH CPAS LLC to enter or generate my PIN 2 8 7 4 4 as my
ERO firm name Enter five digits, but
signature on the income tax return (original or amended) I am now authorizing. don't enter all zeros
will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box only if you
are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Spouse's signature | Date | 03/15/2023
Practitioner PIN Method Returns Only - continue below

Part III Certification and Authentication - Practitioner PIN Method Only
ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 0 4 8 0 2 9 2 2 3 8 9
Don't enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the electronic individual income tax return (original or amended) I am now
authorized to file for tax year indicated above for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the
requirements of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.
ERO's signature | Date | 03/15/2023
219995 04-01-22 ERO Must Retain This Form - See Instructions

Don't Submit This Form to the IRS Unless Requested To Do So
LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (Rev. 01-2021)
1
Tax Year 2022 e-file Jurat/Disclosure
for Form 1040 or 1040NR
using Practitioner PIN method
(with or without Electronic Funds Withdrawal)
ERO Declaration
I declare that the information contained in this electronic tax return is the information furnished to me by the taxpayer. If the
taxpayer furnished me a completed tax return, I declare that the information contained in this electronic tax return is identical
to that contained in the return provided by the taxpayer. If the furnished return was signed by a paid preparer, I declare I have
entered the paid preparer's identifying information in the appropriate portion of this electronic return. If I am the paid preparer,
under the penalties of perjury I declare that I have examined this electronic return, and to the best of my knowledge and belief,
it is true, correct, and complete. This declaration is based on all information of which I have any knowledge.
ERO Signature
I am signing this Tax Return by entering my PIN below.
ERO's PIN 04802922389

(enter EFIN plus 5 self-selected numerics)
Taxpayer Declarations
Perjury Statement
Perjury Statement (1040 and 1040NR)
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to
the best of my knowledge and belief, they are true, correct and complete. Declaration of preparer (other than the taxpayer) is
based on all information of which the preparer has any knowledge.
Perjury Statement (104X)

Under penalties of perjury, I declare that I have filed an original return and that I have examined this amended return,
including accompanying schedules and statements, and to the best of my knowledge and belief, this amended return is true,
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information about which the preparer has
any knowledge.
Consent to Disclosure
I consent to allow my Intermediate Service Provider, transmitter, or Electronic Return Originator (ERO) to send my return/form
to IRS and to receive the following information from IRS: a) an acknowledgment of receipt or reason for rejection of transmission;
b) the reason for any delay in processing or refund; and, c) the date of any refund.
Electronic Funds Withdrawal Consent

If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal
(direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my Federal taxes
owed on this return and/or payment of estimated tax, and the financial institution to debit the entry to this account. This
authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To
revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior
to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of
taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment.
I am signing this Tax Return and Electronic Funds Withdrawal Consent, if applicable, by entering my Self-Select
PIN below.
Taxpayer's PIN: 47203 Date 03152023
Spouse's PIN: 28744
219986 04-01-22
2
2022
Department of the Treasury
Form 1040-V Internal Revenue Service
FOR YOUR RECORDS

Paperwork Reduction Act Notice.
We ask for the information on Form 1040-V to help us carry
out the Internal Revenue laws of the United States. If you use
Form 1040-V, you must provide the requested information.
DO NOT FILE
Your cooperation will help us ensure that we are collecting the
right amount of tax.
You are not required to provide the information requested
on a form that is subject to the Paperwork Reduction Act
unless the form displays a valid OMB control number. Books
or records relating to a form or its instructions must be
retained as long as their contents may become material in the
administration of any Internal Revenue law. Generally, tax
returns and return information are confidential, as required by
Internal Revenue Code section 6103.
The average time and expenses required to complete and
file this form will vary depending on individual circumstances.
For the estimated averages, see the instructions for your
income tax return. If you have suggestions for making this
form simpler, we would be happy to hear from you. See the
instructions for your income tax return.
210681 05-16-22
FOR YOUR RECORDS
LHA
DO NOT FILE
L DETACH HERE L Form 1040-V (2022)
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.
11111111111111111111111111111111111111111111111111111111111111111111
OMB No. 1545-0074
2022
Internal Revenue Service Form 1040-V Payment Voucher
| Use this voucher when making a payment with Form 1040
Dollars Cents
| Do not staple this voucher or your payment to Form 1040 Enter the amount
| Make your check or money order payable to the "United States Treasury." of your payment | 284,295
| Write your social security number (SSN) on your check or money order.
1019
DORIAN & KLERTA CONGA

115 LYNNWAY P.O. BOX 931000
REVERE, MA 02151 LOUISVILLE, KY 40293-1000
********* ** **** ** * ****** ***

Department of the Treasury - Internal Revenue Service
1040 U.S. Individual Income Tax Return 2022 OMB No. 1545-0074
IRS Use Only - Do not write or staple in this space.
Filing Status Single X Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying surviving spouse (QSS)
Check only If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child's name if the qualifying person is
one box. a child but not your dependent
" "
Your first name and middle initial Last name Your social security number
*** " ** "****

If joint return, spouse's first name and middle initial Last name Spouse's social security number
KLERTA CONGA
Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
Check here if you, or your
115 LYNNWAY spouse if filing jointly, want $3 to
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code go to this fund. Checking a box
REVERE MA02151 below will not change your tax or
refund.
Foreign country name Foreign province/state/county Foreign postal code You Spouse
Digital At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell,
Assets exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Yes X No
Standard Someone can claim: You as a dependent Your spouse as a dependent
Deduction Spouse itemizes on a separate return or you were a dual-status alien
Age/Blindness You: Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind
Dependents (see instructions): (2) Social security number (3) Relationship to you (4) Check the box if qualifies for (see instr.):
If more Child tax credit Credit for other dependents
than four
(1) First name Last name
depend- LORAN CONGA ***-**-**** SON X
ents, see
instr. and
check
here
STMT 1
1 a Total amount from Form(s) W-2, box 1 (see instructions) ~~~~~~~~~~~~~~~~~~~ 1a 24,750.
Income
b Household employee wages not reported on Form(s) W-2 ~~~~~~~~~~~~~~~~~~ 1b
Attach Form(s)
W-2 here. Also c Tip income not reported on line 1a (see instructions) ~~~~~~~~~~~~~~~~~~~~~ 1c
attach Forms d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) ~~~~~~~~~~ 1d
W-2G and
1099-R if tax e Taxable dependent care benefits from Form 2441, line 26 ~~~~~~~~~~~~~~~~~~ 1e
was withheld. f Employer-provided adoption benefits from Form 8839, line 29 ~~~~~~~~~~~~~~~~ 1f
If you did not g Wages from Form 8919, line 6 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1g
get a Form
W-2, see h Other earned income (see instructions) 1h
instructions. i Nontaxable combat pay election (see instructions) ~~~~~~~
1i
z Add lines 1a through 1h 1z 24,750.
Attach 2 a Tax-exempt interest ~~~ 2a b Taxable interest ~~~~~~ 2b
Sch. B if
3 a Qualified dividends ~~~~ 3a b Ordinary dividends ~~~~~ 3b
required.
4 a IRA distributions ~~~~~ 4a b Taxable amount ~~~~~~ 4b
5 a Pensions and annuities ~~ 5a b Taxable amount ~~~~~~ 5b
Standard
Deduction for - 6 a Social security benefits ~~ 6a b Taxable amount 6b
¥ Single or Married c If you elect to use the lump-sum election method, check here (see instructions) ~~~~~
filing separately,
$12,950 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here ~~~~~ 7 -3,000.
¥ Married filing 8 Other income from Schedule 1, line 10 ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8 869,286.
jointly or
Qualifying 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income ~~~~~~~~~~~~~ 9 891,036.
surviving spouse,
10 Adjustments to income from Schedule 1, line 26 ~~~~~~~~~~~~~~~~~~~~~~ 10 19,220.
$25,900
11 Subtract line 10 from line 9. This is your adjusted gross income ~~~~~~~~~~~~~~ 11 871,816.
¥ Head of
household,
$19,400 12 Standard deduction or itemized deductions (from Schedule A) ~~~~~~~~~~~~~~ 12 25,900.
¥ If you checked 13 Qualified business income deduction from Form 8995 or Form 8995-A ~~~~~~~~~~~~ 13 12,375.
any box under
Standard 14 Add lines 12 and 13 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 14 38,275.
Deduction,
see instructions. 15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income ~~~~~~ 15 833,541.
LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2022)
213921 12-15-22
4
Form 1040 (2022) DORIAN & KLERTA CONGA ***-**-**** Page 2
Tax and 16 Tax (see instructions). Check if any from Form(s): 1 8814 2 4972 3 16 242,959.
Credits 17 Amount from Schedule 2, line 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17
18 Add lines 16 and 17 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 18 242,959.
19 Child tax credit or credit for other dependents from Schedule 8812 ~~~~~~~~~~~~~ 19
20 Amount from Schedule 3, line 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20
21 Add lines 19 and 20 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 21
22 Subtract line 21 from line 18. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~ 22 242,959.
23 Other taxes, including self-employment tax, from Schedule 2, line 21 ~~~~~~~~~~~~ 23 43,638.
24 Add lines 22 and 23. This is your total tax 24 286,597.
Payments 25 Federal income tax withheld from:
SEE STATEMENT 2
a Form(s) W-2 ~~~~~~~~~~~~~~~~~~~~~~~~ 25a 3,597.
b Form(s) 1099 ~~~~~~~~~~~~~~~~~~~~~~~~ 25b
c Other forms (see instructions) ~~~~~~~~~~~~~~~~ 25c
d Add lines 25a through 25c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 25d 3,597.
If you have a 26 2022 estimated tax payments and amount applied from 2021 return 26
qualifying child,
attach Sch. EIC.
27 Earned income credit (EIC) ~~~~~~~~~~~~~~~~~ 27
28 Additional child tax credit from Schedule 8812 ~~~~~~~ 28
29 American opportunity credit from Form 8863, line 8 ~~~~~ 29
30 Reserved for future use ~~~~~~~~~~~~~~~~~~~ 30
31 Amount from Schedule 3, line 15 ~~~~~~~~~~~~~~ 31
32 Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits ~~~ 32
33 Add lines 25d, 26, and 32. These are your total payments 33 3,597.
Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid 34
35 a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here 35a
Direct deposit? b Routing number c Type: Checking Savings
See instructions.
d Account number
36 Amount of line 34 you want applied to your 2023 estimated tax 36
Amount 37 Subtract line 33 from line 24. This is the amount you owe.
You Owe For details on how to pay, go to www.irs.gov/Payments or see instructions ~~~~~~~~~~ 37 284,295.
38 Estimated tax penalty (see instructions) 38 1,295.
Third Party Do you want to allow another person to discuss this return with the IRS? See
Designee instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ X Yes. Complete below. No
Designee's Phone Personal identification
name CHRISTOPHER NASH no. 781-286-1320 number (PIN) 22389

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true,
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign Your signature Date Your occupation If the IRS sent you an Identity
Protection PIN, enter it here
Here (see inst.)
DRIVER
Spouse's signature. If a joint return, both must sign. Date Spouse's occupation If the IRS sent your spouse
Joint return?
an Identity Protection PIN,
See instructions.
Keep a copy for enter it here (see inst.)
your records. HOMEMAKER
Phone no. 617-319-3005 Email address [email protected]
Paid Preparer's name Preparer's signature Date PTIN
Preparer Check if:

Use Only CHRISTOPHER NASH CHRISTOPHER NASH 03/15/23 P01884824 Self-employed
Phone no.
Firm's
name NASH CPAS LLC 781-286-1320
501 PROVIDENCE HWY Firm's EIN
Firm's
address NORWOOD, MA 02062 **-*******
Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2022)
213922 12-06-22
5
OMB No. 1545-0074
SCHEDULE 1 Additional Income and Adjustments to Income
(Form 1040)

Attach to Form 1040, 1040-SR, or 1040-NR. 2022
Attachment
Internal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 01
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
Part I Additional Income
1 Taxable refunds, credits, or offsets of state and local income taxes ~~~~~~~~~~~~~~~~~~~~~ 1
2a Alimony received ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2a
b Date of original divorce or separation agreement (see instructions)
3 Business income or (loss). Attach Schedule C ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 869,286.
4 Other gains or (losses). Attach Form 4797 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4
5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E ~~~~~~~~~~~ 5
6 Farm income or (loss). Attach Schedule F ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6
7 Unemployment compensation ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7
8 Other income:
a Net operating loss ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8a ( )
b Gambling ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8b
c Cancellation of debt ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8c
d Foreign earned income exclusion from Form 2555 ~~~~~~~~~~~~~~~ 8d ( )
e Income from Form 8853 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8e
f Income from Form 8889 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8f
g Alaska Permanent Fund dividends ~~~~~~~~~~~~~~~~~~~~~~ 8g
h Jury duty pay ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8h
i Prizes and awards ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8i
j Activity not engaged in for profit income ~~~~~~~~~~~~~~~~~~~~ 8j
k Stock options ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8k
l Income from the rental of personal property if you engaged in
the rental for profit but were not in the business of renting such
property ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8l
m Olympic and Paralympic medals and USOC prize money (see
instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8m
n Section 951(a) inclusion (see instructions) ~~~~~~~~~~~~~~~~~~~ 8n
o Section 951A(a) inclusion (see instructions) ~~~~~~~~~~~~~~~~~~ 8o
p Section 461(l) excess business loss adjustment ~~~~~~~~~~~~~~~~ 8p
q Taxable distributions from an ABLE account (see instructions) ~~~~~~~~~ 8q
r Scholarship and fellowship grants not reported on Form W-2 ~~~~~~~~~~ 8r
s Nontaxable amount of Medicaid waiver payments included on Form
1040, line 1a or 1d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8s ( )
t Pension or annuity from a nonqualifed deferred compensation plan or
a nongovernmental section 457 plan ~~~~~~~~~~~~~~~~~~~~~ 8t
u Wages earned while incarcerated ~~~~~~~~~~~~~~~~~~~~~~~ 8u
z Other income. List type and amount:
8z
9 Total other income. Add lines 8a through 8z ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9
10 Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 10 869,286.
LHA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040) 2022
214141 12-06-22
6
Schedule 1 (Form 1040) 2022 Page 2
Part II Adjustments to Income
11 Educator expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11
12 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach
Form 2106 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 12
13 Health savings account deduction. Attach Form 8889 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13
14 Moving expenses for members of the Armed Forces. Attach Form 3903 ~~~~~~~~~~~~~~~~~~~ 14
15 Deductible part of self-employment tax. Attach Schedule SE ~~~~~~~~~~~~~~~~~~~~~~~~ 15 19,220.
16 Self-employed SEP, SIMPLE, and qualified plans ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16
17 Self-employed health insurance deduction ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17
18 Penalty on early withdrawal of savings ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 18
" "
19 a Alimony paid 19a
b Recipient's SSN ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
c Date of original divorce or separation agreement (see instructions):
20 IRA deduction ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20
21 Student loan interest deduction ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 21
22 Reserved for future use ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 22
23 Archer MSA deduction ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 23
24 Other adjustments:
a Jury duty pay (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~ 24a
b Deductible expenses related to income reported on line 8l from
the rental of personal property engaged in for profit ~~~~~~~~~~~~~~ 24b
c Nontaxable amount of the value of Olympic and Paralympic
medals and USOC prize money reported on line 8m ~~~~~~~~~~~~~~ 24c
d Reforestation amortization and expenses ~~~~~~~~~~~~~~~~~~~ 24d
e Repayment of supplemental unemployment benefits under the
Trade Act of 1974 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 24e
f Contributions to section 501(c)(18)(D) pension plans ~~~~~~~~~~~~~ 24f
g Contributions by certain chaplains to section 403(b) plans ~~~~~~~~~~ 24g
h Attorney fees and court costs for actions involving certain
unlawful discrimination claims (see instructions) ~~~~~~~~~~~~~~~~ 24h
i Attorney fees and court costs you paid in connection with an
award from the IRS for information you provided that helped the
IRS detect tax law violations ~~~~~~~~~~~~~~~~~~~~~~~~~ 24i
j Housing deduction from Form 2555 ~~~~~~~~~~~~~~~~~~~~~~ 24j
k Excess deductions of section 67(e) expenses from Schedule K-1
(Form 1041) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 24k
z Other adjustments. List type and amount:
24z
25 Total other adjustments. Add lines 24a through 24z ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 25
26 Add lines 11 through 23 and 25. These are your adjustments to income. Enter
here and on Form 1040 or 1040-SR, line 10, or Form 1040-NR, line 10a 26 19,220.
Schedule 1 (Form 1040) 2022
214142 12-06-22
7
SCHEDULE 2 OMB No. 1545-0074
Additional Taxes
202202
(Form 1040)
Department of the Treasury Attach to Form 1040, 1040-SR, or 1040-NR.
Attachment
Internal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No.
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
Part I Tax
1 Alternative minimum tax. Attach Form 6251 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1
2 Excess advance premium tax credit repayment. Attach Form 8962 ~~~~~~~~~~~~~~~~~~~~~ 2
3 Add lines 1 and 2. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 17 3 0.
Part II Other Taxes
4 Self-employment tax. Attach Schedule SE 4 38,440.
5 Social security and Medicare tax on unreported tip income.
Attach Form 4137~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5
6 Uncollected social security and Medicare tax on wages. Attach
Form 8919 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6
7 Total additional social security and Medicare tax. Add lines 5 and 6 ~~~~~~~~~~~~~~~~~~~~~ 7
8 Additional tax on IRAs or other tax-favored accounts. Attach Form 5329 if required
If not required, check here ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8
9 Household employment taxes. Attach Schedule H ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9
10 Repayment of first-time homebuyer credit. Attach Form 5405 if required ~~~~~~~~~~~~~~~~~~~ 10
11 Additional Medicare Tax. Attach Form 8959 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11 5,198.
12 Net investment income tax. Attach Form 8960 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 12
13 Uncollected social security and Medicare or RRTA tax on tips or group-term life
insurance from Form W-2, box 12 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13
14 Interest on tax due on installment income from the sale of certain residential lots
and timeshares ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 14
15 Interest on the deferred tax on gain from certain installment sales with a sales price
over $150,000 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 15
16 Recapture of low-income housing credit. Attach Form 8611 ~~~~~~~~~~~~~~~~~~~~~~~~~ 16
(continued on page 2)
214151 12-06-22
8
Part II Other Taxes (continued)
17 Other additional taxes:
a Recapture of other credits. List type, form number, and amount
17a
b Recapture of federal mortgage subsidy, if you sold your home
see instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17b
c Additional tax on HSA distributions. Attach Form 8889 ~~~~~~~~~~~~ 17c
d Additional tax on an HSA because you didn't remain an eligible
individual. Attach Form 8889 ~~~~~~~~~~~~~~~~~~~~~~~~~ 17d
e Additional tax on Archer MSA distributions. Attach Form 8853 ~~~~~~~~~ 17e
f Additional tax on Medicare Advantage MSA distributions. Attach
Form 8853 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17f
g Recapture of a charitable contribution deduction related to a
fractional interest in tangible personal property ~~~~~~~~~~~~~~~~ 17g
h Income you received from a nonqualified deferred compensation
plan that fails to meet the requirements of section 409A ~~~~~~~~~~~~ 17h
i Compensation you received from a nonqualified deferred
compensation plan described in section 457A ~~~~~~~~~~~~~~~~ 17i
j Section 72(m)(5) excess benefits tax ~~~~~~~~~~~~~~~~~~~~~ 17j
k Golden parachute payments ~~~~~~~~~~~~~~~~~~~~~~~~~ 17k
l Tax on accumulation distribution of trusts ~~~~~~~~~~~~~~~~~~~ 17l
m Excise tax on insider stock compensation from an expatriated
corporation ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17m
n Look-back interest under section 167(g) or 460(b) from Form
8697 or 8866 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17n
o Tax on non-effectively connected income for any part of the
year you were a nonresident alien from Form 1040-NR ~~~~~~~~~~~~ 17o
p Any interest from Form 8621, line 16f, relating to distributions
from, and dispositions of, stock of a section 1291 fund ~~~~~~~~~~~~ 17p
q Any interest from Form 8621, line 24 ~~~~~~~~~~~~~~~~~~~~~ 17q
z Any other taxes. List type and amount:
17z
18 Total additional taxes. Add lines 17a through 17z ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 18
19 Reserved for future use 19
20 Section 965 net tax liability installment from Form 965-A ~~~~~~~~~~~~ 20
21 Add lines 4, 7 through 16, and 18. These are your total other taxes. Enter here
and on Form 1040 or 1040-SR, line 23, or Form 1040-NR, line 23b 21 43,638.
214152 12-06-22
9
Underpayment of Estimated Tax by
2210
OMB No.1545-0140
Form
Individuals, Estates, and Trusts
Go to www.irs.gov/Form2210 for instructions and the latest information. 2022
Attachment
Internal Revenue Service Attach to Form 1040, 1040-SR, 1040-NR, or 1041. Sequence No. 06
Name(s) shown on tax return Identifying number
Do You Have To File Form 2210?

Yes
Complete lines 1 through 7 below. Is line 4 or line 7 less than | Don't file Form 2210. You don't owe a penalty.
$1,000?
No
L
Complete lines 8 and 9 below. Is line 6 equal to or more than Yes You don't owe a penalty. Don't file Form 2210 unless box E in
|
line 9? Part II applies, then file page 1 of Form 2210.
No
L
Yes You must file Form 2210. Does box B, C, or D in Part II apply?
You may owe a penalty. Does any box in Part II below apply? |
No Yes
No | You must figure your penalty.
L L
Don't file Form 2210. You aren't required to figure your You aren't required to figure your penalty because the IRS will
penalty because the IRS will figure it and send you a bill for any figure it and send you a bill for any unpaid amount. If you want to
unpaid amount. If you want to figure it, you may use Part III figure it, you may use Part III as a worksheet and enter your
as a worksheet and enter your penalty amount on your tax penalty amount on your tax return, but file only page 1 of
return, but don't file Form 2210. Form 2210.
Part I Required Annual Payment

1 Enter your 2022 tax after credits from Form 1040, 1040-SR, or 1040-NR, line 22. (See the
instructions if not filing Form 1040.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 242,959.
2 Other taxes, including self-employment tax and, if applicable, Additional Medicare Tax and/or Net
Investment Income Tax (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 43,638.
3 Other payments and refundable credits (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 ( )
4 Current year tax. Combine lines 1, 2, and 3. If less than $1,000, stop; you don't owe a penalty. Don't file Form 2210 ~~~~ 4 286,597.
5 Multiply line 4 by 90% (0.90) ~~~~~~~~~~~~~~~~~~~~~~~~~ 5 257,937.
6 Withholding taxes. Don't include estimated tax payments. See instructions ~~~~~~~~~~~~~~~~~~~~~~ 6 3,597.
7 Subtract line 6 from line 4. If less than $1,000, stop; you don't owe a penalty. Don't file Form 2210 ~~~~~~~~~~~ 7 283,000.
8 Maximum required annual payment based on prior year's tax (see instructions) ~~~~~~~~~~~~~~~~~~~~ 8 35,908.
9 Required annual payment. Enter the smaller of line 5 or line 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9 35,908.
Next: Is line 9 more than line 6?
No. You don't owe a penalty. Don't file Form 2210 unless box E below applies.
X
Yes. You may owe a penalty, but don't file Form 2210 unless one or more boxes in Part II below applies.
¥ If box B, C, or D applies, you must figure your penalty and file Form 2210.
¥ If box A or E applies (but not B, C, or D), file only page 1 of Form 2210. You aren't required to figure your penalty; the IRS will figure it and send you
a bill for any unpaid amount. If you want to figure your penalty, you may use Part III as a worksheet and enter your penalty on your tax return, but
file only page 1 of Form 2210.
Part II Reasons for Filing. Check applicable boxes. If none apply, don't file Form 2210.
A You request a waiver (see instructions) of your entire penalty. You must check this box and file page 1 of Form 2210, but you
aren't required to figure your penalty.
B You request a waiver (see instructions) of part of your penalty. You must figure your penalty and waiver amount and file Form 2210.
C Your income varied during the year and your penalty is reduced or eliminated when figured using the annualized income installment method. You must
figure the penalty using Schedule AI and file Form 2210.
D Your penalty is lower when figured by treating the federal income tax withheld from your income as paid on the dates it was actually withheld, instead of in
equal amounts on the payment due dates. You must figure your penalty and file Form 2210.
E You filed or are filing a joint return for either 2021 or 2022, but not for both years, and line 8 above is smaller than line 5 above. You must file page 1 of
Form 2210, but you aren't required to figure your penalty (unless box B, C, or D applies).
LHA For Paperwork Reduction Act Notice, see separate instructions. Form 2210 (2022)
212501 12-13-22
10
Form 2210 (2022) ***-**-**** Page 2
Part III Penalty Computation (See the instructions if you're filing Form 1040-NR.)
Payment Due Dates
Section A - Figure Your Underpayment (a) (b) (c) (d)
4/15/22 6/15/22 9/15/22 1/15/23
10 Required installments. If box C in Part II applies,
enter the amounts from Schedule AI, line 27.
Otherwise, enter 25% (0.25) of line 9, Form 2210, in
each column. For fiscal year filers, see instructions ~~ 10 8,977. 8,977. 8,977. 8,977.
11 Estimated tax paid and tax withheld (see the
instructions). For column (a) only, also enter the
amount from line 11 on line 15, column (a). If line 11
is equal to or more than line 10 for all payment
periods, stop here; you don't owe a penalty. Don't file
Form 2210 unless you checked a box in Part II 11 899. 899. 899. 900.
Complete lines 12 through 18 of one column before going to line 12 of the next column.
12 Enter the amount, if any, from line 18 in the previous

column ~~~~~~~~~~~~~~~~~~~~~ 12
13 Add lines 11 and 12 ~~~~~~~~~~~~~~~~ 13 899. 899. 900.
14 Add the amounts on lines 16 and 17 in the previous column ~~ 14 8,078. 16,156. 24,234.
15 Subtract line 14 from line 13. If zero or less, enter -0-.
For column (a) only, enter the amount from line 11 ~~ 15 899. 0. 0. 0.
16 If line 15 is zero, subtract line 13 from line 14.
Otherwise, enter -0- ~~~~~~~~~~~~~~~~ 16 7,179. 15,257.
17 Underpayment. If line 10 is equal to or more than line
15, subtract line 15 from line 10. Then go to line 12 of
the next column. Otherwise, go to line 18~~~~~~~ 17 8,078. 8,977. 8,977. 8,977.
18 Overpayment. If line 15 is more than line 10, subtract line
10 from line 15. Then go to line 12 of the next column 18
Section B - Figure the Penalty (Use the Worksheet for Form 2210, Part III, Section B - Figure the Penalty in the instructions.)
19 Penalty. Enter the total penalty from line 14 of the Worksheet for Form 2210, Part III, Section B - Figure the
Penalty. Also include this amount on Form 1040, 1040-SR, or 1040-NR, line 38; or Form 1041, line 27.
Don't file Form 2210 unless you checked a box in Part II 19 1,295.
Form 2210 (2022)
SEE ATTACHED WORKSHEET
212502 12-13-22
11
UNDERPAYMENT OF ESTIMATED TAX WORKSHEET
Name(s) Identifying Number

(A) (B) (C) (D) (E) (F)
Adjusted Number Days Daily
*Date Amount Balance Due Balance Due Penalty Rate Penalty
-0-
04/15/22 8,977. 8,977.
04/15/22 -899. 8,078. 61 .000109589 54.
06/15/22 8,977. 17,055.
06/15/22 -899. 16,156. 15 .000109589 27.
06/30/22 0. 16,156. 77 .000136986 170.
09/15/22 8,977. 25,133.
09/15/22 -899. 24,234. 15 .000136986 50.
09/30/22 0. 24,234. 92 .000164384 366.
12/31/22 0. 24,234. 15 .000191781 70.
01/15/23 8,977. 33,211.
01/15/23 -900. 32,311. 90 .000191781 558.
Penalty Due (Sum of Column F). ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,295.
* Date of estimated tax payment, withholding

credit date or installment due date.
212511
04-01-22
12
SCHEDULE C Profit or Loss From Business OMB No. 1545-0074
(Form 1040)
(Sole Proprietorship)
Go to www.irs.gov/ScheduleC for instructions and the latest information. 202209
Attachment
Internal Revenue Service Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships must generally file Form 1065. Sequence No.
Name of proprietor Social security number (SSN)
DORIAN CONGA ***-**-****

A Principal business or profession, including product or service (see instructions) B Enter code from instructions
GENERAL TRANSPORTATION 492000

C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.)
CONGA TRANSPORTATION **-*******

E Business address (including suite or room no.) 320 LAFAYETTE ST #502
1111111111111111111111111111111111111111111111
SALEM, MA 01970
City, town or post office, state, and ZIP code
F Accounting method: X
(1) Cash (2) Accrual (3) Other (specify)
1111111111111111111111111111 X Yes No
G Did you "materially participate" in the operation of this business during 2022? If "No," see instructions for limit on losses ~~~~~~~~
H If you started or acquired this business during 2022, check here ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
I Did you make any payments in 2022 that would require you to file Form(s) 1099? See instructions ~~~~~~~~~~~~~~~~~ Yes X No
J If "Yes," did you or will you file required Form(s) 1099? Yes No
Part I Income
1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2
and the "Statutory employee" box on that form was checked ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1,724,182.
2 Returns and allowances ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2
3 Subtract line 2 from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 1,724,182.
4 Cost of goods sold (from line 42) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 697,044.
5 Gross profit. Subtract line 4 from line 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 1,027,138.
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) ~~~~~~~~~~~~~~~ 6
7 Gross income. Add lines 5 and 6 7 1,027,138.
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising ~~~~~~~~~~~ 8 305. 18 Office expense ~~~~~~~~~~~~~~ 18 72,410.
9 Car and truck expenses 19 Pension and profit-sharing plans ~~~~~~ 19
(see instructions) ~~~~~~~~~ 9 5,594. 20 Rent or lease (see instructions):
10 Commissions and fees ~~~~~~ 10 a Vehicles, machinery, and equipment ~~~~ 20a
11 Contract labor (see instructions) ~~ 11 b Other business property ~~~~~~~~~ 20b 12,000.
12 Depletion ~~~~~~~~~~~~ 12 21 Repairs and maintenance ~~~~~~~~~ 21 43.
13 Depreciation and section 179 22 Supplies (not included in Part III) ~~~~~ 22
expense deduction (not included in 23 Taxes and licenses ~~~~~~~~~~~~ 23 2,306.
Part III) (see instructions) ~~~~~ 13 24 Travel and meals:
14 Employee benefit programs (other a Travel ~~~~~~~~~~~~~~~~~ 24a 4,246.
than on line 19) ~~~~~~~~~~ 14 4,772. b Deductible meals (see
15 Insurance (other than health) ~~~~ 15 7,109. instructions)~~~~~~~~~~~~~~~ 24b 790.
16 Interest (see instructions): 25 Utilities ~~~~~~~~~~~~~~~~~ 25
a Mortgage (paid to banks, etc.) ~~~ 16a 26 Wages (less employment credits) ~~~~~ 26 24,750.
b Other ~~~~~~~~~~~~~~ 16b 1,592. 27 a Other expenses (from line 48) ~~~~~~~ 27a 7,095.
17 Legal and professional services 17 14,840. b Reserved for future use 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27a ~~~~~~~~~~~~~~~~~~~ 28 157,852.
29 Tentative profit or (loss). Subtract line 28 from line 7 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 29 869,286.
30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method. See instructions.
Simplified method filers only: Enter the total square footage of (a) your home:
and (b) the part of your home used for business: .
Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 ~~~~~~~~~~~~~~ 30
B p
31 Net profit or (loss). Subtract line 30 from line 29.
m
If a profit, enter on both Schedule 1 (Form 1040), line 3, and on Schedule SE, line 2. (If you
B o
checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. 31 869,286.
p
If a loss, you must go to line 32.
B n
m
32 If you have a loss, check the box that describes your investment in this activity. See instructions.
n
All investment
If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 3, and on Schedule 32a is at risk.
o
SE, line 2. (If you checked the box on line 1, see the line 31 instructions.) Estates and trusts, enter on 32b
Some investment
B
is not at risk.
Form 1041, line 3.
If you checked 32b, you must attach Form 6198. Your loss may be limited.
LHA For Paperwork Reduction Act Notice, see the separate instructions. Schedule C (Form 1040) 2022
220001 11-02-22
13
Schedule C (Form 1040) 2022 DORIAN CONGA ***-**-**** Page 2
Part III Cost of Goods Sold (see instructions)
33 Method(s) used to
value closing inventory: a Cost b Lower of cost or market c Other (attach explanation)
34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If "Yes," attach explanation ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No
35 Inventory at beginning of year. If different from last year's closing inventory, attach explanation ~~~~~~~~~~~~ 35
36 Purchases less cost of items withdrawn for personal use ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 36
37 Cost of labor. Do not include any amounts paid to yourself ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 37
38 Materials and supplies ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 38 91,825.
39 SEE STATEMENT 3
Other costs~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 39 605,219.
40 Add lines 35 through 39 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 40 697,044.
41 Inventory at end of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 41
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 42 697,044.
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
43 When did you place your vehicle in service for business purposes? (month/day/year) / /
44 Of the total number of miles you drove your vehicle during 2022, enter the number of miles you used your vehicle for:
a Business b Commuting c Other
45 Was your vehicle available for personal use during off-duty hours? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No
46 Do you (or your spouse) have another vehicle available for personal use? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No
47 a Do you have evidence to support your deduction? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No

b If "Yes," is the evidence written? Yes No
Part V Other Expenses. List below business expenses not included on lines 8-26 or line 30.
COMMUNICATION 472.
UNIFORMS 6,623.
48 Total other expenses. Enter here and on line 27a 48 7,095.
220002 11-02-22 Schedule C (Form 1040) 2022
14
SCHEDULE D Capital Gains and Losses OMB No. 1545-0074
(Form 1040)
Attach to Form 1040, 1040-SR, or 1040-NR.
Go to www.irs.gov/ScheduleD for instructions and the latest information.
2022
Attachment
Internal Revenue Service Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. Sequence No. 12
Name(s) shown on return Your social security number

Did you dispose of any investment(s) in a qualified opportunity fund during the tax year? Yes X No

" "
*** ** ****
If "Yes," attach Form 8949 and see its instructions for additional requirements for reporting your gain or loss.
Part I Short-Term Capital Gains and Losses - Generally Assets Held One Year or Less (see instructions)
See instructions for how to figure the amounts to (g) (h) Gain or (loss)
enter on the lines below. (d) (e) Adjustments Subtract column (e)
Proceeds Cost to gain or loss from from column (d) and
This form may be easier to complete if you round off (sales price) (or other basis) Form(s) 8949, Part I, combine the result
cents to whole dollars. line 2, column (g) with column (g)
1a Totals for all short-term transactions reported on Form 1099-B
for which basis was reported to the IRS and for which you have
no adjustments (see instructions). However, if you choose to
report all these transactions on Form 8949, leave this line blank
and go to line 1b
1b Totals for all transactions reported on Form(s)
8949 with Box A checked
2 Totals for all transactions reported on Form(s)
8949 with Box B checked
8949 with Box C checked
4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 ~~~~~~~~ 4
5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts
from Schedule(s) K-1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5
6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss
Carryover Worksheet in the instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 ( 27,893.)
7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any long-term
capital gains or losses, go to Part II below. Otherwise, go to Part III on page 2 7 <27,893.>
Part II Long-Term Capital Gains and Losses - Generally Assets Held More Than One Year (see instructions)
See instructions for how to figure the amounts to (g) (h) Gain or (loss)
enter on the lines below. (d) (e) Adjustments Subtract column (e)
Proceeds Cost to gain or loss from from column (d) and
This form may be easier to complete if you round off (sales price) (or other basis) Form(s) 8949, Part II, combine the result
cents to whole dollars. line 2, column (g) with column (g)
8a Totals for all long-term transactions reported on Form 1099-B
for which basis was reported to the IRS and for which you have
no adjustments (see instructions). However, if you choose to
report all these transactions on Form 8949, leave this line blank
and go to line 8b
8b Totals for all transactions reported on Form(s)
8949 with Box D checked
8949 with Box E checked
8949 with Box F checked
11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss)
from Forms 4684, 6781, and 8824 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11
12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from
Schedule(s) K-1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 12
13 Capital gain distributions. See the instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13
14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover
Worksheet in the instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 14 ( )
15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then, go to
Part III on page 2 15
LHA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule D (Form 1040) 2022
220511 11-08-22
15
Schedule D (Form 1040) 2022 DORIAN & KLERTA CONGA ***-**-**** Page 2
Part III Summary
16 Combine lines 7 and 15 and enter the result ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16 <27,893.>
¥ If line 16 is a gain, enter the amount from line 16 on Form 1040, 1040-SR, or 1040-NR, line 7.
Then, go to line 17 below.
¥ If line 16 is a loss, skip lines 17 through 20 below. Then, go to line 21. Also be sure to complete
line 22.
¥ If line 16 is zero, skip lines 17 through 21 below and enter -0- on Form 1040, 1040-SR, or
1040-NR, line 7. Then, go to line 22.
17 Are lines 15 and 16 both gains?

Yes. Go to line 18.
No. Skip lines 18 through 21, and go to line 22.
18 If you are required to complete the 28% Rate Gain Worksheet (see instructions), enter the
amount, if any, from line 7 of that worksheet ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 18
19 If you are required to complete the Unrecaptured Section 1250 Gain Worksheet (see
instructions), enter the amount, if any, from line 18 of that worksheet ~~~~~~~~~~~~~~~~ 19
20 Are lines 18 and 19 both zero or blank and you are not filing Form 4952?
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040, line 16. Don't complete lines 21 and 22 below.
No. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21
and 22 below.
21 If line 16 is a loss, enter here and on Form 1040, 1040-SR, or 1040-NR, line 7, the smaller of:
p
m
o
¥ The loss on line 16; or SEE STATEMENT 4
~~~~~~~~~~~~~~~~~~~~~~~~ 21 ( 3,000.)
¥ ($3,000), or if married filing separately, ($1,500)
Note: When figuring which amount is smaller, treat both amounts as positive numbers.
22 Do you have qualified dividends on Form 1040, 1040-SR, or 1040-NR, line 3a?
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040, line 16.
X
No. Complete the rest of Form 1040, 1040-SR, or 1040-NR.
Schedule D (Form 1040) 2022
220512 11-08-22
16
SCHEDULE SE Self-Employment Tax
OMB No. 1545-0074
(Form 1040)
Go to www.irs.gov/ScheduleSE for instructions and the latest information.
Attach to Form 1040, 1040-SR, or 1040-NR.
2022
Attachment
Internal Revenue Service Sequence No. 17
" "
Name of person with self-employment income (as shown on Form 1040, 1040-SR, or 1040-NR) Social security number of person
DORIAN CONGA with self-employment income *** ** ****
Part I Self-Employment Tax
Note: If your only income subject to self-employment tax is church employee income, see instructions for how to report your income
and the definition of church employee income.
A If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you had
$400 or more of other net earnings from self-employment, check here and continue with Part I ~~~~~~~~~~~~~~~~~~~~~
Skip lines 1a and 1b if you use the farm optional method in Part II. See instructions.
1a Net farm profit or (loss) from Sch. F, line 34, and farm partnerships, Sch. K-1 (Form 1065), box 14, code A ~ 1a
If you received social security retirement or disability benefits, enter the amount of Conservation Reserve
b Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code AH 1b
Skip line 2 if you use the nonfarm optional method in Part II. See instructions.
2 Net profit or (loss) from Schedule C, line 31; and Schedule K-1 (Form 1065), box 14, code A
(other than farming). See instructions for other income to report or if you are a minister or member
SEE STATEMENT 5
of a religious order ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 869,286.
3 Combine lines 1a, 1b, and 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 869,286.
4a If line 3 is more than zero, multiply line 3 by 92.35% (0.9235). Otherwise, enter amount from line 3 ~~~~~ 4a 802,786.
Note: If line 4a is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions
b If you elect one or both of the optional methods, enter the total of lines 15 and 17 here ~~~~~~~~~~ 4b
c Combine lines 4a and 4b. If less than $400, stop; you don't owe self-employment tax. Exception: If
less than $400 and you had church employee income, enter -0- and continue 4c 802,786.
5a Enter your church employee income from Form W-2. See instructions for
definition of church employee income ~~~~~~~~~~~~~~~~~~~ 5a
b Multiply line 5a by 92.35% (0.9235). If less than $100, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~ 5b
6 Add lines 4c and 5b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 802,786.
7 Maximum amount of combined wages and self-employment earnings subject to social security tax or
the 6.2% portion of the 7.65% railroad retirement (tier 1) tax for 2022 7 147,000
8a Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2)
and railroad retirement (tier 1) compensation. If $147,000 or more, skip lines
8b through 10, and go to line 11~~~~~~~~~~~~~~~~~~~~~~ 8a 24,750.
b Unreported tips subject to social security tax from Form 4137, line 10 ~~~ 8b
c Wages subject to social security tax from Form 8919, line 10
8c ~~~~~~~
d Add lines 8a, 8b, and 8c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8d 24,750.
9 Subtract line 8d from line 7. If zero or less, enter -0- here and on line 10 and go to line 11 ~~~~~~~~~~ 9 122,250.
10 Multiply the smaller of line 6 or line 9 by 12.4% (0.124) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 10 15,159.
11 Multiply line 6 by 2.9% (0.029) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11 23,281.
12 Self-employment tax. Add lines 10 and 11. Enter here and on Schedule 2 (Form 1040), line 4 ~~~~~~ 12 38,440.
13 Deduction for one-half of self-employment tax.
Multiply line 12 by 50% (0.50). Enter here and on Schedule 1 (Form 1040),
line 15 13 19,220.
Part II Optional Methods To Figure Net Earnings (see instructions)
Farm Optional Method. You may use this method only if (a) your gross farm income 1 wasn't more than
$9,060, or (b) your net farm profits 2 were less than $6,540.
14 Maximum income for optional methods ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 14 6,040
15 Enter the smaller of: two-thirds (2/3) of gross farm income 1 (not less than zero) or $6,040. Also, include
this amount on line 4b above 15
Nonfarm Optional Method. You may use this method only if (a) your net nonfarm profits 3 were less than $6,540
and also less than 72.189% of your gross nonfarm income, 4 and (b) you had net earnings from self-employment
of at least $400 in 2 of the prior 3 years. Caution: You may use this method no more than five times.
16 Subtract line 15 from line 14 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16
17 Enter the smaller of: two-thirds (2/3) of gross nonfarm income 4(not less than zero) or the amount on
line 16. Also, include this amount on line 4b above 17
1 From Sch. F, line 9; and Sch. K-1 (Form 1065), box 14, code B. 3 From Sch. C, line 31; and Sch. K-1 (Form 1065), box 14, code A.
2 From Sch. F, line 34; and Sch. K-1 (Form 1065), box 14, code A - minus the amount 4 From Sch. C, line 7; and Sch. K-1 (Form 1065), box 14, code C.
you would have entered on line 1b had you not used the optional method.
For Paperwork Reduction Act Notice, see your tax return instructions. 224501 11-16-22 LHA Schedule SE (Form 1040) 2022
17
SCHEDULE 8812 Credits for Qualifying Children OMB No. 1545-0074
2022
(Form 1040)
and Other Dependents
Attach to Form 1040, 1040-SR, or 1040-NR. Attachment
Internal Revenue Service Go to www.irs.gov/Schedule8812 for instructions and the latest information. Sequence No. 47
Part I Child Tax Credit and Credit for Other Dependents
1 Enter the amount from line 11 of your Form 1040, 1040-SR, or 1040-NR 1 871,816.
2a Enter income from Puerto Rico that you excluded ~~~~~~~~~~~~~~ 2a
b Enter the amounts from lines 45 and 50 of your Form 2555 ~~~~~~~~~2b
c Enter the amount from line 15 of your Form 4563 ~~~~~~~~~~~~~~ 2c
d Add lines 2a through 2c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2d
3 Add lines 1 and 2d 3 871,816.
4 Number of qualifying children under age 17 with the required social security number ~
4 1
5 Multiply line 4 by $2,000 5 2,000.
6 Number of other dependents, including any qualifying children who are not
under age 17 or who do not have the required social security number ~~~~ 6
Caution: Do not include yourself, your spouse, or anyone who is not a U.S. citizen, U.S. national, or
U.S. resident alien. Also, do not include anyone you included on line 4.
7 Multiply line 6 by $500 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7
8 Add lines 5 and 7 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8 2,000.
p
m
9 Enter the amount shown below for your filing status.
o
¥ Married filing jointly - $400,000
¥ All other filing statuses - $200,000 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9 400,000.
p
10 Subtract line 9 from line 3.
n
m
¥ If zero or less, enter -0-.
n
o
¥ If more than zero and not a multiple of $1,000, enter the next multiple of $1,000. For
example, if the result is $425, enter $1,000; if the result is $1,025, enter $2,000, etc. ~~~~~~~~~~ 10 472,000.
11 Multiply line 10 by 5% (0.05) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11 23,600.
12 Is the amount on line 8 more than the amount on line 11? ~~~~~~~~~~~~~~~~~~~~~~~~~~ 12 0.
X No. STOP. You cannot take the child tax credit, credit for other dependents, or additional child tax credit.
Skip Parts II-A and II-B. Enter -0- on lines 14 and 27.
Yes. Subtract line 11 from line 8. Enter the result.
13 Enter the amount from the Credit Limit Worksheet A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13
14 Enter the smaller of line 12 or 13. This is your child tax credit and credit for other dependents ~~~~~~ 14 0.
Enter this amount on Form 1040, 1040-SR, or 1040-NR, line 19.
If the amount on line 12 is more than the amount on line 14, you may be able to take the additional child tax credit
on Form 1040, 1040-SR, or 1040-NR, line 28. Complete your Form 1040, 1040-SR, or 1040-NR through line 27
(also complete Schedule 3, line 11) before completing Part II-A.
203501 11-08-22
18
Part II-A Additional Child Tax Credit for All Filers
Caution: If you file Form 2555, you cannot claim the additional child tax credit.
15 Check this box if you do not want to claim the additional child tax credit. Skip Parts II-A and II-B. Enter -0- on line 27
16a Subtract line 14 from line 12. If zero, stop here; you cannot take the additional child tax credit. Skip Parts II-A
and II-B. Enter -0- on line 27 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16a
b Number of qualifying children under 17 with the required social security number: x $1,500.
Enter the result. If zero, stop here; you cannot claim the additional child tax credit. Skip Parts II-A and II-B.
Enter -0- on line 27 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16b
TIP: The number of children you use for this line is the same as the number of children you used for line 4.
17 Enter the smaller of line 16a or line 16b 17
18 a Earned income (see instructions) 18a
b Nontaxable combat pay (see instructions) ~~ 18b
19 Is the amount on line 18a more than $2,500?
No. Leave line 19 blank and enter -0- on line 20.
Yes. Subtract $2,500 from the amount on line 18a. Enter the result ~~ 19
20 Multiply the amount on line 19 by 15% (0.15) and enter the result ~~~~~~~~~~~~~~~~~~~~~~ 20
Next. On line 16b, is the amount $4,500 or more?
No. If you are a bona fide resident of Puerto Rico, go to line 21. Otherwise, skip Part II-B and enter the
smaller of line 17 or line 20 on line 27.
Yes. If line 20 is equal to or more than line 17, skip Part II-B and enter the amount from line 17 on line 27.
Otherwise, go to line 21.
Part II-B Certain Filers Who Have Three or More Qualifying Children and Bona Fide Residents of Puerto Rico
21 Withheld social security, Medicare, and Additional Medicare taxes from
Form(s) W-2, boxes 4 and 6. If married filing jointly, include your spouse's
amounts with yours. If your employer withheld or you paid Additional Medicare
Tax or tier 1 RRTA taxes, see instructions ~~~~~~~~~~~~~~~~~~ 21
22 Enter the total of the amounts from Schedule 1 (Form 1040), line 15;
Schedule 2 (Form 1040), line 5; Schedule 2 (Form 1040), line 6; and
Schedule 2 (Form 1040), line 13 ~~~~~~~~~~~~~~~~~~~~~~~ 22
23 Add lines 21 and 22 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 23
24 1040 and
p
n
m
n
1040-SR filers: Enter the total of the amounts from Form 1040 or 1040-SR,
o
line 27, and Schedule 3 (Form 1040), line 11.
1040-NR filers: Enter the amount from Schedule 3 (Form 1040), line 11. 24
25 Subtract line 24 from line 23. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 25
26 Enter the larger of line 20 or line 25 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 26
Next, enter the smaller of line 17 or line 26 on line 27.
Part II-C Additional Child Tax Credit
27 This is your additional child tax credit. Enter this amount on Form 1040, 1040-SR, or 1040-NR, line 28 27 0.
203502 11-08-22
19
Form 8995-A Qualified Business Income Deduction OMB No. 1545-2994
Department of the Treasury Attach to your tax return. 2022

Attachment
Internal Revenue Service Go to www.irs.gov/Form8995A for instructions and the latest information. Sequence No. 55A
Name(s) shown on return Your taxpayer identification number

Note: You can claim the qualified business income deduction only if you have qualified business income from a qualified trade or
business, real estate investment trust dividends, publicly traded partnership income, or a domestic production activities deduction
passed through from an agricultural or horticultural cooperative. See instructions.
Use this form if your taxable income, before your qualified business income deduction, is above $170,050 ($340,100 if married filing
jointly), or you're a patron of an agricultural or horticultural cooperative.
Part I Trade, Business, or Aggregation Information
Complete Schedules A, B, and/or C (Form 8995-A), as applicable, before starting Part I. Attach additional worksheets when needed.
See instructions.
1 (b) Check if (c) Check if (d) Taxpayer (e) Check if
(a) Trade, business, or aggregation name specified service aggregation identification number patron
A CONGA TRANSPORTATION **-*******
B
C
Part II Determine Your Adjusted Qualified Business Income
A B C
2 Qualified business income from the trade, business, or aggregation.

See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 850,066.
3 Multiply line 2 by 20% (0.20). If your taxable income is $170,500 or less
($340,100 if married filing jointly), skip lines 4 through 12 and enter the
amount from line 3 on line 13 ~~~~~~~~~~~~~~~~~~~~~~ 3 170,013.
4 Allocable share of W-2 wages from the trade, business, or
aggregation ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 24,750.
5 Multiply line 4 by 50% (0.50) ~~~~~~~~~~~~~~~~~~~~~~ 5 12,375.
6 Multiply line 4 by 25% (0.25) ~~~~~~~~~~~~~~~~~~~~~~ 6 6,188.
7 Allocable share of the unadjusted basis immediately after
acquisition (UBIA) of all qualified property ~~~~~~~~~~~~~~~~ 7
8 Multiply line 7 by 2.5% (0.025) ~~~~~~~~~~~~~~~~~~~~~~ 8
9 Add lines 6 and 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9 6,188.
10 Enter the greater of line 5 or line 9 ~~~~~~~~~~~~~~~~~~~~ 10 12,375.
11 W-2 wage and UBIA of qualified property limitation. Enter the
smaller of line 3 or line 10 ~~~~~~~~~~~~~~~~~~~~~~~~ 11 12,375.
12 Phased-in reduction. Enter the amount from line 26, if any ~~~~~~~~ 12
13 Qualified business income deduction before patron reduction.
Enter the greater of line 11 or line 12 ~~~~~~~~~~~~~~~~~~ 13 12,375.
14 Patron reduction. Enter the amount from Schedule D (Form 8995-A),
line 6, if any. See instructions ~~~~~~~~~~~~~~~~~~~~~~ 14
15 Qualified business income component. Subtract line 14 from line 13 ~~~ 15 12,375.
16 Total qualified business income component. Add all amounts
reported on line 15 16 12,375.
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Form 8995-A (2022)
208411 01-13-23 LHA

20
Form 8995-A (2022) DORIAN & KLERTA CONGA ***-**-**** Page 2
Part III Phased-in Reduction
Complete Part III only if your taxable income is more than $170,050 but not $220,050 ($340,100 and $440,100 if married filing jointly) and line 10 is less
than line 3. Otherwise, skip Part III.
A B C
17 Enter the amounts from line 3 ~~~~~~~~~~~~~~~~~~~~~~ 17

18 Enter the amounts from line 10 ~~~~~~~~~~~~~~~~~~~~~ 18
19 Subtract line 18 from line 17 19
20 Taxable income before qualified business
income deduction ~~~~~~~~~~~~~~ 20
21 Threshold. Enter $170,050 ($340,100 if married
filing jointly) ~~~~~~~~~~~~~~~~~~ 21
22 Subtract line 21 from line 20 ~~~~~~~~~ 22
23 Phase-in range. Enter $50,000 ($100,000 if
married filing jointly) ~~~~~~~~~~~~~ 23
24 Phase-in percentage. Divide line 22 by line 23 ~ 24 %
25 Total phase-in reduction. Multiply line 19 by line 24 ~~~~~~~~~~~ 25
26 Qualified business income after phase-in reduction. Subtract line
25 from line 17. Enter this amount here and on line 12, for the
corresponding trade or business 26
Part IV Determine Your Qualified Business Income Deduction
27 Total qualified business income component from all qualified trades,
businesses, or aggregations. Enter the amount from line 16 ~~~~~~~~~~~~~~ 27 12,375.
28 Qualified REIT dividends and publicly traded partnership (PTP) income or
(loss). See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 28
29 Qualified REIT dividends and PTP (loss) carryforward from prior years ~~~~~~~~~ 29 ( )
30 Total qualified REIT dividends and PTP income. Combine lines 28 and 29. If
less than zero, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 30
31 REIT and PTP component. Multiply line 30 by 20% (0.20) ~~~~~~~~~~~~~~~ 31
32 Qualified business income deduction before the income limitation. Add lines 27 and 31 32 12,375.
33 Taxable income before qualified business income deduction ~~~~~~~~~~~~~ 33 845,916.
34 Net capital gain. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 34
35 Subtract line 34 from line 33. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 35 845,916.
36 Income limitation. Multiply line 35 by 20% (0.20) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 36 169,183.
37 Qualified business income deduction before the domestic production activities deduction (DPAD)
under section 199A(g). Enter the smaller of line 32 or line 36 ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 37 12,375.
38 DPAD under section 199A(g) allocated from an agricultural or horticultural cooperative. Don't enter
more than line 33 minus line 37 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 38
39 Total qualified business income deduction. Add lines 37 and 38 ~~~~~~~~~~~~~~~~~~~~~~~~~ 39 12,375.
40 Total qualified REIT dividends and PTP (loss) carryforward. Combine lines 28 and 29. If zero or
greater, enter -0- 40 ( )
Form 8995-A (2022)
208412 01-13-23
21
Qualified Business Income After Deductions
Activity:CONGA TRANSPORTATION
1. Qualified business income before deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 869,286.
2. Deductible part of self-employment income:
a. Net income subject to self-employment tax from this activity ~~~~~~~~~~ 869,286.
b. Total income subject to self-employment tax ~~~~~~~~~~~~~~~~~ 869,286.
c. Line 2a divided by line 2b (not greater than 1.000) ~~~~~~~~~~~~~~~ 1.000000000
d. Amount from Schedule 1 (Form 1040), line 15 ~~~~~~~~~~~~~~~~~ 19,220.
e. Line 2c times line 2d. This is the allocated deductible part of self-employment tax for this activity ~~~~~~ 19,220.
3. Self-employed SEP, SIMPLE and qualified plans:
a. Net income subject to self-employment tax from this activity ~~~~~~~~~~
b. Net earnings from ~~~~~~~~~~~~~
c. Line 3a divided by line 3b (not greater than 1.000) ~~~~~~~~~~~~~~~
d. Amount from Schedule 1 (Form 1040), line 16 ~~~~~~~~~~~~~~~~~
e. Line 3c times line 3d. This is the allocated self-employed SEP, SIMPLE and qualified plans amount for
this activity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4. Self-employed health insurance deduction:
a. Health insurance payments from this activity ~~~~~~~~~~~~~~~~~
b. Health insurance limits for activity above ~~~~~~~~~~~~~~~~~~~
c. Lesser of line 4a or line 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~
d. Reserved ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
e. Reserved ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
f. Amount from line 4c. This is the allocated SE health insurance deduction
for this activity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5. Line 1 minus lines 2e, 3e and 4f. This is the qualified business income after deductions ~~~~~~~~~~~~~ 850,066.
Activity:
1. Qualified business income before deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2. Deductible part of self-employment income:
b. Total income subject to self-employment tax ~~~~~~~~~~~~~~~~~
e. Line 2c times line 2d. This is the allocated deductible part of self-employment tax for this activity ~~~~~~
3. Self-employed SEP, SIMPLE and qualified plans:
b. Net earnings from ~~~~~~~~~~~~~
e. Line 3c times line 3d. This is the allocated self-employed SEP, SIMPLE and qualified plans amount for
this activity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4. Self-employed health insurance deduction:
a. Health insurance payments from this activity ~~~~~~~~~~~~~~~~~
b. Health insurance limits for activity above ~~~~~~~~~~~~~~~~~~~
c. Lesser of line 4a or line 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~
d. Reserved ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
e. Reserved ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
f. Amount from line 4c. This is the allocated SE health insurance deduction
for this activity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5. Line 1 minus lines 2e, 3e and 4f. This is the qualified business income after deductions ~~~~~~~~~~~~~
214841 04-01-22
22
8959
OMB No. 1545-0074
Additional Medicare Tax
2022
Form
If any line does not apply to you, leave it blank. See separate instructions.
Department of the Treasury Attach to Form 1040, 1040-SR, 1040-NR, 1040-PR, or 1040-SS. Attachment
Internal Revenue Service Sequence No. 71
Go to www.irs.gov/Form8959 for instructions and the latest information.
Part I Additional Medicare Tax on Medicare Wages
1 Medicare wages and tips from Form W-2, box 5. If you have more than one
Form W-2, enter the total of the amounts from box 5 ~~~~~~~~~~~~~~~ 1 24,750.
2 Unreported tips from Form 4137, line 6 ~~~~~~~~~~~~~~~~~~~~~ 2
3 Wages from Form 8919, line 6 ~~~~~~~~~~~~~~~~~~~~~~~~~~ 3
4 Add lines 1 through 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 24,750.
5 Enter the following amount for your filing status:
Married filing jointly ~~~~~~~~~~~~~~~~~~~~~~~~~~ $250,000
Married filing separately ~~~~~~~~~~~~~~~~~~~~~~~~ $125,000
Single, Head of household, or Qualifying surviving spouse ~~~~~~~ $200,000 5 250,000.
6 Subtract line 5 from line 4. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 0.
7 Additional Medicare Tax on Medicare wages. Multiply line 6 by 0.9% (0.009). Enter here and go to
Part II 7
Part II Additional Medicare Tax on Self-Employment Income
8 Self-employment income from Schedule SE (Form 1040), Part I, line 6. If you

had a loss, enter -0- (Form 1040-PR or 1040-SS filers, see instructions.) ~~~~~~ 8 802,786.
Single, Head of household, or Qualifying surviving spouse ~~~~~~~ $200,000 9 250,000.
10 Enter the amount from line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 10 24,750.
11 Subtract line 10 from line 9. If zero or less, enter -0- ~~~~~~~~~~~~~~~~ 11 225,250.
12 Subtract line 11 from line 8. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 12 577,536.
13 Additional Medicare Tax on self-employment income. Multiply line 12 by 0.9% (0.009). Enter here and
go to Part III 13 5,198.
Part III Additional Medicare Tax on Railroad Retirement Tax Act (RRTA) Compensation
14 Railroad retirement (RRTA) compensation and tips from Form(s) W-2, box 14
(see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 14
Single, Head of household, or Qualifying surviving spouse ~~~~~~~ $200,000 15
16 Subtract line 15 from line 14. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16
17 Additional Medicare Tax on railroad retirement (RRTA) compensation. Multiply line 16 by 0.9% (0.009).
Enter here and go to Part IV 17
Part IV Total Additional Medicare Tax
18 Add lines 7, 13, and 17. Also include this amount on Schedule 2 (Form 1040), line 11 (Form 1040-PR
or 1040-SS filers, see instructions), and go to Part V 18 5,198.
Part V Withholding Reconciliation
19 Medicare tax withheld from Form W-2, box 6. If you have more than one Form
W-2, enter the total of the amounts from box 6 ~~~~~~~~~~~~~~~~~~ 19 359.
20 Enter the amount from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20 24,750.
21 Multiply line 20 by 1.45% (0.0145). This is your regular Medicare tax
withholding on Medicare wages ~~~~~~~~~~~~~~~~~~~~~~~~~ 21 359.
22 Subtract line 21 from line 19. If zero or less, enter -0-. This is your Additional Medicare Tax
withholding on Medicare wages ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 22 0.
23 Additional Medicare Tax withholding on railroad retirement (RRTA) compensation from Form W-2, box
14 (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 23
24 Total Additional Medicare Tax withholding. Add lines 22 and 23. Also include this amount with
federal income tax withholding on Form 1040, 1040-SR, or 1040-NR, line 25c (Form 1040-PR or
1040-SS filers, see instructions) 24
223111 11-30-22 LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8959 (2022)
23
Net Investment Income Tax -
8960
OMB No. 1545-2227
2022
Form
Individuals, Estates, and Trusts
Attach to your tax return. Attachment
Internal Revenue Service Go to www.irs.gov/Form8960 for instructions and the latest information. Sequence No. 72
Name(s) shown on your tax return Your social security number or EIN
Part I Investment Income Section 6013(g) election (see instructions)
Section 6013(h) election (see instructions)
Regulations section 1.1411-10(g) election (see instructions)
1 Taxable interest (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1
2 Ordinary dividends (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2
3 Annuities (see instructions) 3
4a Rental real estate, royalties, partnerships, S corporations, trusts,
etc. (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4a 869,286.
b Adjustment for net income or loss derived in the ordinary course of
a non-section 1411 trade or business (see instructions) STATEMENT 6
~~~~~~~~~~~~ 4b -869,286.
c Combine lines 4a and 4b 4c 0.
5a Net gain or loss from disposition of property (see instructions) ~~~~~~~~~ 5a -3,000.
b Net gain or loss from disposition of property that is not subject to
net investment income tax (see instructions) ~~~~~~~~~~~~~~~~~~ 5b
c Adjustment from disposition of partnership interest or S corporation
stock (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5c
d Combine lines 5a through 5c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5d -3,000.
6 Adjustments to investment income for certain CFCs and PFICs (see instructions) ~~~~~~~~~~~~~~~ 6
7 Other modifications to investment income (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~ 7
8 Total investment income. Combine lines 1, 2, 3, 4c, 5d, 6, and 7 8 -3,000.
Part II Investment Expenses Allocable to Investment Income and Modifications
9a Investment interest expenses (see instructions) ~~~~~~~~~~~~~~~~ 9a
b State, local, and foreign income tax (see instructions) ~~~~~~~~~~~~~ 9b
c Miscellaneous investment expenses (see instructions) ~~~~~~~~~~~~~
9c
d Add lines 9a, 9b, and 9c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9d
10 Additional modifications (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 10
11 Total deductions and modifications. Add lines 9d and 10 11
Part III Tax Computation
12 Net investment income. Subtract Part II, line 11, from Part I, line 8. Individuals, complete
lines 13-17. Estates and trusts, complete lines 18a-21. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~ 12
Individuals:
13 Modified adjusted gross income (see instructions) ~~~~~~~~~~~~~~~ 13 871,816.
14 Threshold based on filing status (see instructions) ~~~~~~~~~~~~~~~ 14 250,000.
15 Subtract line 14 from line 13. If zero or less, enter -0- ~~~~~~~~~~~~~~
15 621,816.
16 Enter the smaller of line 12 or line 15 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16
17 Net investment income tax for individuals. Multiply line 16 by 3.8% (0.038). Enter here and
include on your tax return (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17
Estates and Trusts:
18a Net investment income (line 12 above) ~~~~~~~~~~~~~~~~~~~~~ 18a
b Deductions for distributions of net investment income and
deductions under section 642(c) (see instructions) ~~~~~~~~~~~~~~~ 18b
c Undistributed net investment income. Subtract line 18b from line 18a (see
instructions). If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~ 18c
19a Adjusted gross income (see instructions) ~~~~~~~~~~~~~~~~~~~ 19a
b Highest tax bracket for estates and trusts for the year (see
instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 19b
c Subtract line 19b from line 19a. If zero or less, enter -0- ~~~~~~~~~~~~~
19c
20 Enter the smaller of line 18c or line 19c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20
21 Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (0.038). Enter here
and include on your tax return (see instructions) 21
LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8960 (2022)
223121 12-08-22
24
}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}}
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FORM 1040 WAGES RECEIVED AND TAXES WITHHELD STATEMENT 1
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
FEDERAL STATE CITY

T AMOUNT TAX TAX SDI FICA MEDICARE
S EMPLOYER'S NAME PAID WITHHELD WITHHELD TAX W/H TAX TAX
} }}}}}}}}}}}}}}} }}}}}}}}}} }}}}}}}}}} }}}}}}}}} }}}}}}} }}}}}}} }}}}}}}
T CONGA TRANSPORTATION
LLC 24,750. 3,597. 1,143. 1,535. 359.
}}}}}}}}}} }}}}}}}}}} }}}}}}}}} }}}}}}} }}}}}}} }}}}}}}

TOTALS 24,750. 3,597. 1,143. 1,535. 359.
~~~~~~~~~~ ~~~~~~~~~~ ~~~~~~~~~ ~~~~~~~ ~~~~~~~ ~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FORM 1040 FEDERAL INCOME TAX WITHHELD - FORM(S) W-2 STATEMENT 2
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
T
S DESCRIPTION AMOUNT
- }}}}}}}}}}} }}}}}}}}}}}}}}
T CONGA TRANSPORTATION LLC 3,597.
}}}}}}}}}}}}}}
TOTAL TO FORM 1040, LINE 25A 3,597.
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
SCHEDULE C OTHER COSTS OF GOODS SOLD STATEMENT 3
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
DESCRIPTION AMOUNT
}}}}}}}}}}} }}}}}}}}}}}}}}
DIRECT VEHICLE COSTS 38,430.
AFFILIATE COSTS 566,789.
}}}}}}}}}}}}}}
TOTAL TO SCHEDULE C, LINE 39 605,219.
~~~~~~~~~~~~~~
25 STATEMENT(S) 1, 2, 3
}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}}
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
SCHEDULE D CAPITAL LOSS CARRYOVER STATEMENT 4
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
1. ENTER THE AMOUNT FROM FORM 1040, LINE 15 833,541.

2. ENTER THE LOSS FROM SCHEDULE D, LINE 21, AS A POSITIVE AMOUNT 3,000.
3. COMBINE LINES 1 AND 2. IF ZERO OR LESS, ENTER -0- 836,541.
4. ENTER THE SMALLER OF LINE 2 OR LINE 3 3,000.
5. ENTER THE LOSS FROM SCHEDULE D, LINE 7, AS A POSITIVE AMOUNT 27,893.

6. ENTER THE GAIN, IF ANY, FROM SCHEDULE D,
LINE 15
7. ADD LINES 4 AND 6 3,000.
8. SHORT-TERM CAPITAL LOSS CARRYOVER TO NEXT YEAR.
SUBTRACT LINE 7 FROM LINE 5. IF ZERO OR LESS, ENTER -0- 24,893.
9. ENTER THE LOSS FROM SCHEDULE D, LINE 15, AS A POSITIVE AMOUNT

10. ENTER THE GAIN, IF ANY, FROM SCHEDULE D,
LINE 7
11. SUBTRACT LINE 5 FROM LINE 4. IF ZERO OR LESS,
ENTER -0-
12. ADD LINES 10 AND 11
13. LONG-TERM CAPITAL LOSS CARRYOVER TO NEXT YEAR.
SUBTRACT LINE 12 FROM LINE 9. IF ZERO OR LESS, ENTER -0-
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
SCHEDULE SE NON-FARM INCOME STATEMENT 5
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
DESCRIPTION AMOUNT
}}}}}}}}}}} }}}}}}}}}}}}}}
GENERAL TRANSPORTATION 869,286.
}}}}}}}}}}}}}}
TOTAL TO SCHEDULE SE, LINE 2 869,286.
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FORM 8960 TRADE OR BUSINESS INCOME STATEMENT 6
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
CONGA TRANSPORTATION -869,286.

}}}}}}}}}}}}}}
AMOUNT TO FORM 8960, LINE 4B -869,286.
~~~~~~~~~~~~~~
26 STATEMENT(S) 4, 5, 6
87-12-00014
Form M-8453 2022
Individual Income Tax Declaration Massachusetts
for Electronic Filing Department of
Revenue
Please print or type. Privacy Act Notice available upon request. For the year January 1-December 31, 2022.
Your first name and initial Last name Your Social Security number
If a joint return, spouse's first name and initial Last name Spouse's Social Security number
Present street address (and apartment number)
115 LYNNWAY
City/Town/Post Office State ZIP Filing status: Single X
Married filing jointly
REVERE MA 02151 Married filing separately Head of household
Part 1. Tax Return Information for Electronic Filing
1 Total 5.0% income (from Form 1, line 10, or Form 1-NR/PY, line 12) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 894036
2 Income tax after credits (from Form 1, line 32, or Form 1-NR/PY, line 36) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 44112
3 Massachusetts use tax (from Form 1, line 34, or Form 1-NR/PY, line 38) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 3
4 Massachusetts income tax withheld (from Form 1, line 38, or Form 1-NR/PY, line 42) ~~~~~~~~~~~~~~~~~~~~ 4 1143
5 Refund amount (from Form 1, line 53, or Form 1-NR/PY, line 57) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5
6 Tax due (from Form 1, line 54, or Form 1-NR/PY, line 58) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 43162
Part 2. Declaration and Signature of Taxpayer

Under pains and penalties of perjury, I declare that I have reviewed the information on my return with the information I have provided to my Electronic Return Originator
and that the amounts above agree with the amounts shown on my 2022 Massachusetts return. To the best of my knowledge and belief this information is true, correct and
complete. I consent that my return, including this declaration and accompanying schedules, forms and statements be sent to the Massachusetts Department of Revenue
by my Electronic Return Originator. I authorize DOR to inform my Electronic Return Originator and/or the transmitter when my electronic return has been accepted. In
the event that it is rejected, I authorize DOR to identify the reasons for rejection so that the return can be corrected and re-transmitted. If I have filed a balance due return,
I understand that if DOR does not receive full and timely payment of my tax liability, I will remain liable for the tax liability and all applicable penalties and interest.
Your signature Date Spouse's signature Date
Part 3. Declaration and Signature of Electronic Return Originator (ERO)

I declare that I have reviewed the above taxpayer's return and that the entries on this M-8453 are complete and correct to the best of my knowledge. (Collectors are not
responsible for reviewing the taxpayer's return; however, they must ensure that the M-8453 accurately reflects the data on the return.) I have obtained the taxpayer's
signature before submitting this return to the Massachusetts Department of Revenue. I have provided the taxpayer with a copy of all forms and information filed with
the Massachusetts Department of Revenue. If I am also the paid preparer, under pains and penalties of perjury I declare that I have examined the above taxpayer's
return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct and complete. I declare that I have verified the
taxpayer's proof of account and it agrees with the name(s) shown on this form. This declaration of paid preparer (other than taxpayer) is based on all information of which
the preparer has any knowledge. Original Forms M-8453 should not be sent to DOR, but must instead be retained by the ERO on the ERO's business premises for a period
of three years from the date the return to which the M-8453 relates was filed.
ERO's signature and SSN or PTIN Date EIN Check if
CHRISTOPHER NASH P01884824 03 15 23 ** ******* self-employed
Firm name (or yours, if self-employed) and address City/Town State ZIP X
Check if also
NASH CPAS LLC paid preparer
501 PROVIDENCE HWY NORWOOD, MA 02062
Part 4. Declaration and Signature of Paid Preparer (if other than ERO)
Under pains and penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief it is true, correct and complete. This declaration of paid preparer (other than taxpayer) is based on all information of which the preparer has any knowledge.
Paid preparer's signature and SSN or PTIN Date EIN Check if
self-employed
Firm name (or yours, if self-employed) and address City/Town State ZIP
257261 02-08-23
1
FOR YOUR RECORDS
DO NOT FILE
FOR YOUR RECORDS

257061 02-03-23
DETACH HERE
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
2022 Form PV
Massachusetts Income Tax Payment Voucher
DO NOT FILE
Payment for period end date (mm/dd/yyyy) Tax type Voucher type ID type Vendor code
12/31/2022 053 01 005 1019
Name of taxpayer Social Security number Amount enclosed
DORIAN CONGA *** ** **** $ 43162.00
Name of taxpayer's spouse Social Security number of taxpayer's spouse
Street address City/Town State ZIP
115 LYNNWAY REVERE MA 02151
Phone E-mail Fill in if name/address changed since 2021
617 319 3005 [email protected]
Pay online at mass.gov/masstaxconnect. Or, return this voucher with check or money order payable to: Commonwealth of Massachusetts.
Mail to: Massachusetts Department of Revenue, PO Box 419540, Boston, MA 02241-9540.
************** ****** ********** *** ********* ***********

2022 Form 1
MA22001011019
Massachusetts Resident Income Tax Return
FOR FULL YEAR RESIDENTS ONLY
For the year January 1-December 31, 2022 or other taxable
Year beginning Ending

115 LYNNWAY REVERE MA 02151
Fill in if: Amended return Other jurisdiction change Enter date of change
Federal amendment Amended return due to IRS BBA Partnership Audit
State Election Campaign Fund: $1 You $1 Spouse TOTAL
Fill in if veteran of Operations Enduring Freedom, Iraqi Freedom, Noble Eagle or Sinai Peninsula You Spouse
Taxpayer deceased You Spouse
Fill in if under age 18 You Spouse
Fill if name change You Spouse
a. Total federal income 891036 Fill in if noncustodial parent
b. Federal adjusted gross income 871816 Fill in if filing Schedule TDS
1. Filing status (select one only): Single Fill in if filing Schedule FCI
X Married filing jointly Fill in if reporting crypto currency
Married filing separate return
Head of household You are a custodial parent who has released claim to exemption for child(ren)
2. Exemptions
a. Personal exemptions 2a 8800
b. Number of dependents. (Do not include yourself or your spouse.) Enter number 1 X $1,000 = 2b 1000
c. Age 65 or over before 2023 You + Spouse = X $700 = 2c
d. Blindness You + Spouse = X $2,200 = 2d
e. Medical/dental 2e
f. Adoption 2f
g. Total exemptions. Add items 2a through 2f. Enter here and on line 18 2g 9800
SIGN HERE. Under penalties of perjury, I declare that to the best of my knowledge and belief this return and enclosures are true, correct and complete.
Your signature Date Spouse's signature Date
[email protected] 6173193005
PRIVACY ACT NOTICE AVAILABLE UPON REQUEST
257001 11-15-22
MARCH 15, 2023 14:40:43

2022 Form 1, pg. 2
MA22001021019
*** ** ****
3. Wages, salaries, tips 3 24750

4. Taxable pensions and annuities 4
5. Mass. bank interest: a. - b. exemption = 5
6a. Business/profession income/loss 6a 869286
6b. Farming income/loss 6b
7. Rental, royalty and REMIC, partnership, S corp., trust income/loss 7
8a. Unemployment 8a
8b. Mass. lottery winnings 8b
9. Other income from Schedule X, line 7 9
10. TOTAL 5.0% INCOME 10 894036
11a. Amount paid to Soc. Sec., Medicare, R.R., U.S. or Mass. Retirement 11a 2000
11b. Amount your spouse paid to Soc. Sec., Medicare, R.R., U.S. or Mass. Retirement 11b
12. Reserved for future use 12
13. Reserved for future use 13
14. Rental deduction. a. ^ 2 = 14

15. Other deductions from Schedule Y, line 19 15
16. Total deductions. Add lines 11 through 15 16 2000
17. 5.0% INCOME AFTER DEDUCTIONS. Subtract line 16 from line 10. Not less than "0" 17 892036
18. Exemption amount 18 9800
19. 5.0% INCOME AFTER EXEMPTIONS. Subtract line 18 from line 17. Not less than "0" 19 882236
20. INTEREST AND DIVIDEND INCOME 20
21. TOTAL TAXABLE 5.0% INCOME. Add lines 19 and 20 21 882236
22. TAX ON 5.0% INCOME. Note: If choosing the optional 5.85% tax rate, fill in and multiply line 21 and the
amount in Schedule D, line 21 by .0585 22 44112
BE SURE TO INCLUDE THIS PAGE WITH FORM 1, PAGE 1
257011 11-15-22
MARCH 15, 2023 14:40:43

2022 Form 1, pg. 3
MA22001031019
*** ** ****
23. 12% INCOME. Not less than "0." a. 0 x .12 = 23

24. TAX ON LONG-TERM CAPITAL GAINS. Not less than "0." Fill in if filing Schedule D-IS 24
Fill in if any excess exemptions were used in calculating lines 20, 23 or 24
25. Credit recapture amount (from Credit Recapture Schedule) 25
26. Additional tax on installment sale 26
27. If you qualify for No Tax Status, fill in and enter "0" on line 28
28. TOTAL INCOME TAX. Add lines 22 through 26 28 44112
29. Limited Income Credit 29
30. Income tax due to another state or jurisdiction 30
31. Other credits from Credit Manager Schedule 31
32. INCOME TAX AFTER CREDITS. Subtract the total of lines 29 through 31 from line 28. Not less than "0" 32 44112
33. Voluntary Contributions
a. Endangered Wildlife Conservation 33a
b. Organ Transplant Fund 33b
c. Massachusetts Public Health HIV and Hepatitis Fund 33c
d. Massachusetts U.S. Olympic Fund 33d
e. Massachusetts Military Family Relief Fund 33e
f. Homeless Animal Prevention and Care 33f
Total. Add lines 33a through 33f 33
34. Use tax due on Internet, mail order and other out-of-state purchases 34
35. Health care penalty a. You + b. Spouse 35
36. Amended return only. Overpayment from original return 36
37. INCOME TAX AFTER CREDITS PLUS CONTRIBUTIONS AND USE TAX. Add lines 32 through 36 37 44112
38. a. Massachusetts income tax withheld from Form(s) W-2 38a 1143
b. Massachusetts income tax withheld from Form(s) 1099 38b
c. Massachusetts income tax withheld from other forms 38c
Total. Add lines 38a through 38c 38 1143
257012 11-15-22
MARCH 15, 2023 14:40:43

2022 Form 1, pg. 4
MA22001041019
*** ** ****
39. 2021 overpayment applied to your 2022 estimated tax 39

40. 2022 Massachusetts estimated tax payments 40
41. Payments made with extension 41
42. Amended return only. Payments made with original return. Not less than "0" 42
43. Earned Income Credit. a. Number of qualifying children b. Amount from U.S. return x .30 = 43
Note: You cannot claim the Earned Income Credit if your filing status is married filing separately unless you qualify
for an exception (see instructions). Fill in if you qualify for this exception
44. Senior Circuit Breaker Credit 44
45. Child under age 13, or disabled dependent/spouse credit 45
46. Dependent member(s) of household under age 12, or dependent(s) age 65 or over (not you or your spouse)
as of December 31, 2022 credit.
Not more than two. a. 1 x $180 = 46 180
47. Other Refundable Credits 47
48. Total Refundable Credits. Add lines 43 through 47 48 180
49. Excess Paid Family Leave Withholding 49
50. TOTAL. Add lines 38 through 42 and lines 48 and 49 50 1323
51. Overpayment. Subtract line 37 from line 50 51
52. Amount of overpayment you want applied to your 2023 estimated tax 52
53. Refund. Subtract line 52 from line 51. Mail to: Massachusetts DOR, PO Box 7000, Boston, MA 02204 53
Direct deposit of refund. Type of account checking

savings
RTN # account #
54. Tax due. Pay online at www.mass.gov/dor/payonline. Mail to: Mass. DOR, PO Box 7003, Boston, MA 02204 54 42789
Interest Penalty M-2210 amt. 373 EX enclose
Form M-2210
May the Department of Revenue discuss this return with the preparer shown here? X
I do not want preparer to file my return electronically (this may delay your refund) Paid preparer's
Print paid preparer's name Date Check if self-employed SSN/PTIN
CHRISTOPHER NASH 03 15 23 *********
Paid preparer's signature Paid preparer's phone Paid preparer's EIN
CHRISTOPHER NASH 781 286 1320 ** *******
BE SURE TO INCLUDE THIS PAGE WITH FORM 1, PAGE 1

TOTAL DUE INCLUDING UNDERPAYMENT PENALTY 43162
MARCH 15, 2023 14:40:43
257013 11-15-22
2022 Schedule DI
MA22SDI011019
Schedule DI. Dependent Information
LORAN CONGA *** ** ****

SON Is dependent a qualifying child for earned income credit? X 07 01 20
Is dependent disabled?
Is dependent a qualifying child for earned income credit?









257135 11-15-22
2022 Schedule B
MA22010011019
Part 1. Interest and Dividend Income

1. Total interest income 1
2. Total ordinary dividends 2
3. Other interest and dividends not included above 3
4. Total interest and dividends 4
5. Total interest from Massachusetts banks 5
6a. Other interest and dividends to be excluded 6a
6b. Part-year/Nonresidents only 6b
7. Subtotal 7
8. Allowable deductions from your trade or business 8
9. Subtotal 9
Part 2. Short-Term Capital Gains/Losses and Long-Term Gains on Collectibles

10. Massachusetts short-term capital gains 10
11. Massachusetts long-term capital gains on collectibles and pre-1996 installment sales 11
12. Massachusetts gain on the sale, exchange or involuntary conversion of property used in a trade or business and
held for one year or less 12
13a. Add lines 10 through 12 13a
13c. Subtract line 13b from line 13a. Not less than 0 13c
14. Allowable deductions from your trade or business 14
15. Subtotal 15
16. Massachusetts short-term capital losses 16
17. Massachusetts loss on the sale, exchange or involuntary conversion of property used in a trade or business and
held for one year or less 17
18. Prior short-term unused losses for years beginning after 1981 18 -30893
257041 11-15-22
MARCH 15, 2023 14:40:43

2022 Schedule B, pg. 2
*** ** **** MA22010021019
19a. Combine lines 15 through 18 19a -30893

19c. Exclude line 19b losses from line 19a 19c -30893
20. Short-term losses applied against interest and dividends 20
21. Available short-term losses 21 -30893
22. Short-term losses applied against long-term gains 22
23. Short-term losses available for carryover in 2023 23 -30893
24. Short-term gains and long-term gains on collectibles 24
25. Long-term losses applied against short-term gain 25
26. Subtotal 26
27. Long-term gains deduction 27
28. Short-term gains after long-term gains deduction 28
Part 3. Adjusted Gross Interest, Dividends, Short-Term Capital Gains and Long-Term Gains on Collectibles
29. Enter the amount from line 9 29
30. Short-term losses applied against interest and dividends 30
31. Subtotal interest and dividends 31
32. Long-term losses applied against interest and dividends 32
33. Adjusted interest and dividends 33
34. Enter the amount from line 28 34
35. Adjusted gross interest, dividends and certain capital gains 35
36. Excess exemptions 36
37. Subtract line 36 from line 35 37
38. Interest and dividends taxable at 5.0% 38
39. Taxable 12% capital gains 39 0
40. Available short-term losses for carryover in 2023 40 -30893
257231 11-15-22
MARCH 15, 2023 14:40:43

2022 Schedule C
MA22011011019
Massachusetts Profit or Loss From Business

CONGA TRANSPORTATION ** *******
GENERAL TRANSPORTATION 492000
320 LAFAYETTE ST 502 SALEM MA 01970
Accounting method: X Cash Accrual Other (specify) No. of employees

Fill in if you materially participated in the operation of this business during 2022 (see instructions) X
Fill in if you started or acquired this business during 2022
Fill in if you made any payments in 2022 that would require you to file Form(s) 1099
Fill in if you have any suspended PAL related to this schedule. See instructions and line 36
Fill in if you claimed the small business exemption from the sales tax on purchases of taxable energy or heating fuel during 2022
Fill in if this income was reported to you on Form W-2 and the "Statutory employee" box on that form was checked
Fill in if interest or dividend reported on U.S. Schedule C, lines 1 and/or 6
Do not include interest and dividends in Schedule C, lines 1 and 4. Enter this amount here and on Schedule B, line 3. See instructions
1. a. Gross receipts or sales 1724182
b. Returns and allowances a-b= 1 1724182
2. Cost of goods sold and/or operations 2 697044
3. Gross profit. Subtract line 2 from line 1 3 1027138
4. Other income 4
5. Total income. Add line 3 and line 4 5 1027138
6. Advertising 6 305
7. Bad debts from sales or services 7
8. Car and truck expenses 8 5594
9. a. Commissions and fees
b. Contract Labor a+b= 9
10. Depletion 10
11. Depreciation and Section 179 deduction 11
12. Employee benefit programs 12 4772
13. Insurance 13 7109
257021 11-15-22
MARCH 15, 2023 14:40:43

2022 Schedule C, pg. 2
*** ** **** MA22011021019
14. Interest
a. mortgage interest paid to financial institutions
b. other interest 1592 a + b = 14 1592
15. Legal and professional services 15 14840
16. Office expense 16 72410
17. Pension and profit-sharing 17
18. Rent or lease a. vehicles, machinery and equipment
b. other business property 12000 a + b = 18 12000
19. Repairs and maintenance 19 43
20. Supplies 20
21. Taxes and licenses 21 2306
22. Travel 22 4246
23. Deductible meals. See instructions for appropriate percentage subject to limitiations 23 790
24. Utilities 24
25. Wages 25 24750
26. Other expenses SEE STATEMENT 1 26 7095
27. Total expenses. Add lines 6 through 26 27 157852
28. Tentative profit or loss. Subtract line 27 from line 5 28 869286
29. Expenses for business use of your home 29
30. Abandoned Building Renovation Deduction 30
31. Net profit or loss. Subtract total of line 29 and line 30 from line 28 31 869286
32. Deductible loss. If you have a loss on line 31 it may be limited. See line 33 32
33. Description of your investment in this activity. If you filled in 33a enter loss on line 32 and go to 33a. All investment at risk.
line 35. If you filled in 33b see instructions for line 32 and go to line 35 33b. Some investment is not at risk.
34. Profit from line 31 34 869286
35. Total profit or loss. Combine lines 32 and 34 35 869286
36. Allowable prior-year suspended PAL you are applying 36
37. Net profit or loss. Combine line 35 and 36. Enter here and on Form 1, line 6a or Form 1 NR/PY, line 8a 37 869286
257022 11-15-22
MARCH 15, 2023 14:40:43

2022 Schedule C, pg. 3
*** ** **** MA22011031019
Schedule C-1. Cost of Goods Sold and/or Operations

Method(s) used to value closing inventory: Cost Lower of cost or market Other (specify)
Fill in if there was any change in determining quantities, costs or valuations between opening & closing inventory? If Yes, enclose explanation
Fill in and enclose explanation if inventory at beginning of year is different from last year's closing inventory
1. Inventory at beginning of year 1
2. a. Purchases
b. Items withdrawn for personal use a-b= 2
3. Cost of labor 3
4. Materials and supplies 4 91825
5. Other costs SEE STATEMENT 2 5 605219
6. Add lines 1 through 5 6 697044
7. Inventory at end of year 7
8. Cost of goods sold and/or operations. Subtract line 7 from line 6 8 697044
257023 11-15-22
MARCH 15, 2023 14:40:43

2022 Schedule HC
MA22029011019
Schedule HC, Health Care Information, must be completed by all

full-year residents and certain part-year residents (see instructions).
Note: Schedule HC must be enclosed with your Form 1 or Form
1-NR/PY. Failure to do so will delay the processing of your return.
1a. Date of birth 01141988 1b. Spouse's date of birth 03011990 1c. Family size 3
2. Federal adjusted gross income 2 871816
3. Indicate the time period that you were enrolled in a Minimum Creditable Coverage (MCC) health insurance plan(s). The Form MA 1099-HC from
your insurer will indicate whether your insurance met MCC requirements. Note: MassHealth, Medicare, and health coverage for U.S. Military,
including Veterans Administration and Tri-Care, meet the MCC requirements. If you did not receive a Form MA 1099-HC from your insurer, or
you had insurance that did not meet MCC requirements, see the special section on MCC requirements in the instructions.
See instructions if, during 2022, you turned 18, you 3a You: X Full-year MCC Part-year MCC No MCC/None
were a part-year resident or a taxpayer was deceased. 3b Spouse: X Full-year MCC Part-year MCC No MCC/None
If you filled in the full-year or part-year MCC choice, go to line 4. If you filled in No MCC/None, go to line 6.
4. Indicate the health insurance plan(s) that met the Minimum Creditable Coverage (MCC) requirements in which you were enrolled in 2022,
as shown on Form MA 1099-HC (check all that apply). If you did not receive this form, fill in line(s) 4f and/or 4g and see instructions. Fill
in if you were enrolled in private insurance and MassHealth or Commonwealth Care and enter your private insurance information in
line(s) 4f and/or 4g and go to line 5.
4a. Private insurance, including ConnectorCare (complete line(s) 4f and/or 4g below) You Spouse
4b. MassHealth. Fill in and go to line 5 X You X Spouse
4c. Medicare (including a replacement or supplemental plan). Fill in and go to line 5 You Spouse
4d. U.S. Military (including Veterans Administration and Tri-Care). Fill in and go to line 5 You Spouse
4e. Other program (enter the program name(s) only in lines 4f and/or 4g below). Note: Health You Spouse
Safety Net is not considered insurance or minimum creditable coverage.
4f. Your Health Insurance. Complete if you answered line(s) 4a or 4e and go to line 5.
4g. Spouse Health Insurance. Complete if you answered line(s) 4a or 4e and go to line 5.
5. If you had health insurance that met MCC requirements for the full-year, including private insurance, MassHealth, Commonwealth Care or ConnectorCare,
you are not subject to a penalty. Skip the remainder of this schedule and continue completing your tax return. Otherwise, go to line 6.
If you had Medicare (including a replacement or supplemental plan), U.S. Military (including Veterans Administration and Tri-Care), or other
government insurance at any point during 2022, you are not subject to a penalty. Skip the remainder of this schedule and continue
completing your tax return. Otherwise, go to line 6.
MARCH 15, 2023 14:40:43
257025 11-15-22
2022 Schedule HC, pg. 2
*** ** **** MA22029021019
You might be eligible for low- or no-cost health insurance coverage.

If you (and/or your spouse, if married filing jointly) do not have health insurance coverage, you might be eligible for health insurance coverage programs made
available by the Commonwealth of Massachusetts. By filling in the oval below, you authorize DOR to share information from your tax return and attached schedules
with the Health Connector. If you are married filing jointly, both spouses must check the box for the Health Connector to receive all of your information. The Health
Connector will assess your eligibility for those coverage options, including low- or no-cost coverage, and contact you with information. See instructions.
You: I authorize DOR to share this tax return including attached schedules with the Massachusetts Health Connector for the
the purpose of assessing my eligibility for insurance affordability programs and contacting me with information about the same.
Spouse: I authorize DOR to share this tax return including attached schedules with the Massachusetts Health Connector for the
the purpose of assessing my eligibility for insurance affordability programs and contacting me with information about the same.
Your Health Insurance
6. Was your income in 2022 at or below 150% of the federal poverty level? 6 Yes No
If you answer Yes, you are not subject to a penalty in 2022. Skip the remainder of this schedule and complete your tax return. If you answer No and
you were enrolled in a health insurance plan that met the MCC requirements for part, but not all, of 2022, go to line 7. If you answer No and you had
no insurance or you were enrolled in a plan that did not meet the MCC requirements during the period that the mandate applied, go to line 8a.
7. Complete this section only if you, and/or your spouse if married filing jointly, were enrolled in a health insurance plan(s) that met the Minimum
Creditable Coverage (MCC) requirements for part, but not all of 2022. Fill in below the months that met the MCC requirements, as shown on
Form MA 1099-HC. If you did not receive this form, fill in the months you were covered by a plan that met the MCC requirements at least
15 days or more. If, during 2022, you turned 18 , you were a part-year resident or a taxpayer was deceased, check below for the
month(s) that met the MCC requirements during the period that the mandate applied. See instructions.
You may only fill in the month(s) you had health insurance that met MCC requirements. If you had health insurance, but it did not meet MCC
requirements, you must skip this section and go to line 8a.
Months Covered By Health Insurance

You Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec.
Spouse Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec.
If you had four or more consecutive months either with no insurance or insurance that did not meet the MCC requirements (four or more blank
months in a row), go to line 8a. Otherwise, a penalty does not apply to you in 2022. Skip the remainder of this schedule and complete your tax return.
Religious Exemption and Certificate of Exemption

8a. Religious exemption: Are you claiming an exemption from the requirement to purchase health insurance based 8a You Yes No
on your sincerely held religious beliefs that cause you to object to substantially all forms of treatment covered by
health insurance? Spouse Yes No
If you answer Yes, go to line 8b. If you answer No, go to line 9.
8b. If you are claiming a religious exemption in line 8a, did you receive medical health care during the 2022 tax year? 8b You Yes No
Spouse Yes No
If you answer No to line 8b, skip the remainder of this schedule and continue completing your tax return. If you answer Yes to line 8b, go to line 9.
9. Certificate of exemption: Have you obtained a Certificate of Exemption issued by the Massachusetts Health 9 You Yes No
Connector for the 2022 tax year? Spouse Yes No
If you answer Yes, enter the certificate number, skip the remainder of this schedule and continue completing your tax
return. If you answer No to line 9, go to line 10.
MARCH 15, 2023 14:40:43
257026 11-15-22
2022 Schedule HC, pg. 3
MA22029031019
Affordability as Determined By State Guidelines

Note: This section will require the use of worksheets and tables found in the instructions. You must complete the worksheet(s) to determine if
health insurance was affordable to you during the 2022 tax year.
10. Did your employer offer affordable health insurance that met minimum creditable coverage requirements 10 You Yes No
as determined by completing the Schedule HC Worksheet for Line 10 in the instructions? Spouse Yes No
Fill in No if your employer did not offer health insurance that met minimum creditable coverage requirements, you were not eligible for health insurance
offered by your employer, you were self-employed or you were unemployed.
11. Were you eligible for government-subsidized health insurance as determined by completing the Schedule 11 You Yes No
HC Worksheet for Line 11 in the instructions? Spouse Yes No
If you answer No, go to line 12. If you answer Yes, go to the Health Care Penalty Worksheet in the instructions to calculate your penalty amount.
12. Were you able to purchase affordable private health insurance that met minimum creditable coverage 12 You Yes No
requirements as determined by completing the Schedule HC Worksheet for Line 12 in the instructions? Spouse Yes No
If you answer No, you are not subject to a penalty. Continue completing your tax return. If you answer Yes, go to the Health Care Penalty Worksheet
in the instructions to calculate your penalty amount.
Complete Only If You Are Filing An Appeal

You must complete the Health Care Penalty Worksheet to determine your penalty amount before completing this section.
You may have grounds to appeal if you were unable to obtain affordable insurance that meets the minimum creditable coverage requirements in 2022 due to a
hardship or other circumstances. The grounds for appeal are explained in more detail in the instructions. If you believe you have grounds for appealing the penalty,
fill in the field(s) below. The appeal will be heard by the Massachusetts Health Connector. By filling in the field below, you (or your spouse if married filing jointly) are
authorizing DOR to share information from your tax return, including this schedule, with the Massachusetts Health Connector for purposes of deciding your appeal.
You will receive a follow-up letter asking you to state your grounds for appeal in writing, and submit supporting documentation. Failure to respond to that
letter within the time specified in the letter will lead to dismissal of your appeal and will result in a future assessment of a penalty. Once your documentation
is received, it will be reviewed by the Massachusetts Health Connector and you may be required to attend a hearing on your case. You will be required to file your
claims under the pains and penalties of perjury.
Note: If you are filing an appeal, make sure you have calculated the penalty amount that you are appealing, but do not assess yourself or enter a
penalty amount on your Form 1 or Form 1-NR/PY. Also, do not include any hardship documentation with your original return. You will be required
to submit substantiating hardship documentation at a later date during the appeal process.
You I wish to appeal the penalty. I authorize DOR to share this tax return including this schedule with the Massachusetts Health
Connector for purposes of deciding this appeal.
Spouse I wish to appeal the penalty. I authorize DOR to share this tax return including this schedule with the Massachusetts Health
Connector for purposes of deciding this appeal.
MARCH 15, 2023 14:40:43
257027 12-08-22
2022 M-2210
MA22653011019
Underpayment of Massachusetts Estimated
Income Tax
DORIAN & KLERTA CONGA *** ** ****
You are a qualified farmer or fisherman filing and paying your full amount due on or before March 1, 2023.
You were a resident of Massachusetts for 12 months and not liable for taxes during 2021.
Your estimated payments and withholding equal or exceed your 2021 tax (where taxable year was 12 months and a return was filed).
Part 1. Figuring your underpayment

1. 2022 tax 1 44112
2. Total credits 2 180
3. Balance 3 43932
4. Enter 80% of line 3 or 66.667% of line 3 if you are a qualified farmer or fisherman 4 35146
5. Enter 2021 tax liability after credits 5 9189
6. Enter the smaller of line 4 or line 5 6 9189
7. Enter in col's. a through d (respectively) the installment dates - Installment due dates -
of the 15th day of the 4th, 6th and 9th months of the taxable a. April 15, 2022 b. June 15, 2022 c. Sept. 15, 2022 d. Jan. 15, 2023
year and the 1st month of the succeeding taxable year 7 04152022 06152022 09152022 01152023
8. Divide the amount in line 6 by the number of installments required
for the year. Enter the result in the appropriate columns 8 2297 2297 2297 2298
9. Estimated taxes paid and taxes withheld for each installment 9 286 286 286 285
10. Overpayment of previous installments 10
11. Total 11 286 286 286 285
12. Overpayment 12
13. Underpayment 13 2011 2011 2011 2013
MARCH 15, 2023 14:40:43
257141 11-15-22
2022 M-2210, pg. 2
MA22653021019
Income Tax
DORIAN & KLERTA CONGA *** ** ****
Part 2. Figuring your underpayment penalty

14. Enter the date you paid the amount in line 13 or the 15th
day of the 4th month after the close of the taxable year,
whichever is earlier 14 04152023 04152023 04152023 04152023
15. Number of days from the due date of installment to the
date shown in line 14 15 365 304 212 90
16. Number of days in line 15 after 4/15/22 and before 7/1/22 16 76 15
17. Number of days in line 15 after 6/30/22 and before 10/1/22 17 92 92 15
18. Number of days in line 15 after 9/30/22 and before 1/1/23 18 92 92 92
19. Number of days in line 15 after 12/31/22 and before 4/15/23 19 105 105 105 90
20. Underpayment in line 13 x (number of days in line 16 ^
365) x 5% 20 21 4
365) x 6% 21 30 30 5
365) x 7% 22 35 35 35
365) x 8% 23 46 46 46 40
24. Penalty. Add all amounts shown in lines 20 through 23. 24 373
MARCH 15, 2023 14:40:43
257142 02-02-23
2022 M-2210, pg. 3
MA22653031019
Income Tax
Part 3. Annualized income installment method Installment due dates

1. Taxable 5.0% income each period (including long-term Jan. 1-March 31 Jan. 1-May 31 Jan. 1-August 31 Jan. 1-Dec. 31
capital gain income taxed at 5.0%) 1
2. Annualization amount 2 4 2.4 1.5 1
3. Multiply line 1 by line 2 3
4. Tax on amount in line 3. Multiply line 3 by .05 4
5. Taxable 12% income each period 5
6. Annualization amount 6 4 2.4 1.5 1
8. Tax on amount in line 7. Multiply line 7 by .12 8
9. Total tax. Add lines 4 and 8 9
10. Total credits 10
11. Total tax after credits 11
12. Applicable percentage 12 20% 40% 60% 80%
14. Enter the combined amounts of line 20 from all preceding periods 14
15. Subtract line 14 from line 13. Not less than "0" 15
16. Divide line 6 of Form M-2210 by 4 and enter result in each
column 16
17. Enter the amount from line 19 of this worksheet for the preceding column 17
18. Add lines 16 and 17 18
19. If line 18 is more than line 15, subtract line 15 from line 18.
Otherwise enter "0" 19
20. Enter the smaller of line 15 or line 18 here and on Form
M-2210, line 8 20
257143 11-15-22
2022 Schedule INC
MA22INC011019
Form W-2 and 1099 Information

A. FEDERAL ID NUMBER B. STATE TAX WITHHELD C. STATE WAGES/INCOME D. TAXPAYER SS WITHHELD E. SPOUSE SS WITHHELD F. SOURCE OF WITHHOLDING
** ******* 1143 24750 1893 W2
TOTALS 1143 24750 1893
257271 11-15-22
}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}}
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
MA C SCHEDULE C - OTHER BUSINESS EXPENSES STATEMENT 1
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
DESCRIPTION AMOUNT
}}}}}}}}}}} }}}}}}}}}}}}}}
COMMUNICATION 472.
UNIFORMS 6,623.
}}}}}}}}}}}}}}
TOTAL TO SCHEDULE C, LINE 26 7,095.
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
MA C SCHEDULE C - OTHER COST OF GOODS SOLD STATEMENT 2
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
DESCRIPTION AMOUNT
}}}}}}}}}}} }}}}}}}}}}}}}}
DIRECT VEHICLE COSTS 38,430.
AFFILIATE COSTS 566,789.
}}}}}}}}}}}}}}
TOTAL TO SCHEDULE C-1, LINE 5 605,219.
~~~~~~~~~~~~~~
20 STATEMENT(S) 1, 2

2022 Tax

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CLIENT'S COPY

16400315 151260 7203CONG 2022.03000 CONGA, DORIAN 7203CON1

SCH D SHORT-TERM CAPITAL LOSS SCH D 24,893.

SCHD AMT SHORT-TERM CAPITAL LOSS SCHD AMT 24,893.

MA B SHORT-TERM CAPITAL LOSS MA B MA 30,893.

16400315 151260 7203CONG 2022.03000 CONGA, DORIAN 7203CON1

Tax Year Tax Year Increase

WAGES, SALARIES, AND TIPS 14,333. 24,750. 10,417.

DEDUCTIBLE PART OF SE TAX 9,954. 19,220. 9,266.

ADJUSTED GROSS INCOME 185,627. 871,816. 686,189.

TAXES 10,000. 0. -10,000.

STANDARD DEDUCTION 0. 25,900. 25,900.

TAX 20,046. 242,959. 222,913.

TAX AFTER NON-REFUNDABLE CREDITS 20,046. 242,959. 222,913.

SCHEDULE SE (SELF-EMPLOYMENT TAX) 19,908. 38,440. 18,532.

FED. INCOME TAX WITHHELD, FORM W-2 268. 3,597. 3,329.

FORM 2210/2210F (EST. TAX PENALTY) 580. 1,295. 715.

MASSACHUSETTS STATE RETURN

Dorian & Klerta Conga

Dear Mr. and Mrs. Conga:

Enclosed are your 2022 income tax returns.

Specific filing instructions are as follows.

FEDERAL INCOME TAX RETURN:

Internal Revenue Service Center

MASSACHUSETTS INCOME TAX RETURN:

Mass. Department of Revenue

Very truly yours,

Submission Identification Number (SID)

Spouse's PIN: check one box only

Spouse's signature | Date | 03/15/2023

Practitioner PIN Method Returns Only - continue below

ERO's signature | Date | 03/15/2023

219995 04-01-22 ERO Must Retain This Form - See Instructions

ERO's PIN 04802922389

Perjury Statement (104X)

Electronic Funds Withdrawal Consent

Taxpayer's PIN: 47203 Date 03152023

Spouse's PIN: 28744

FOR YOUR RECORDS

DORIAN & KLERTA CONGA

********* ** **** ** * ****** ***

*** " ** "****

name CHRISTOPHER NASH no. 781-286-1320 number (PIN) 22389

Preparer Check if:

Department of the Treasury

DORIAN & KLERTA CONGA ***-**-****

Do You Have To File Form 2210?

Part I Required Annual Payment

12 Enter the amount, if any, from line 18 in the previous

Name(s) Identifying Number

DORIAN & KLERTA CONGA ***-**-****

04/15/22 8,977. 8,977.

04/15/22 -899. 8,078. 61 .000109589 54.

06/15/22 8,977. 17,055.

06/15/22 -899. 16,156. 15 .000109589 27.

06/30/22 0. 16,156. 77 .000136986 170.

09/15/22 8,977. 25,133.

09/15/22 -899. 24,234. 15 .000136986 50.

09/30/22 0. 24,234. 92 .000164384 366.

12/31/22 0. 24,234. 15 .000191781 70.

***** * **** *

* " "****

DORIAN & KLERTA CONGA *--****

DORIAN & KLERTA CONGA *--****

DORIAN CONGA *--****

CONGA TRANSPORTATION -*****

DORIAN & KLERTA CONGA *--****

A CONGA TRANSPORTATION -*****

**** * * ***

DORIAN CONGA * ****

DORIAN CONGA * ****

LORAN CONGA * ****

DORIAN CONGA * ****

DORIAN CONGA * ****