EFTA00283295.pdf
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chades
SCHWA B
Schwab One® Account of
LESLEY KATHERINE GROFF
DESIGNATED BENE PLAN/TOD
Recipient's Name and Address
02,08.67565.YEIA1507 '1-5
LESLEY KATHERINE GROFF
DESIGNATED BENE PLAN/TOD
Items for Attention
•
Schwab provides your Form 1099 tax information as early and as accurately as
possible. However, some issuers may provide new information about their
securities after the IRS Form 1099 mailing deadline. If Schwab receives updated
information from issuers of securities you-hold. we are required by the IRS to send
you a CORRECTED Form 1099 with changes clearly highlighted. Please plan your
tax preparation accordingly.
•
You can also log into schwab.com/reports to view your documents securely online
and visit schwab.comigopapedess to manage your delivery preferences.
•
Please refer to the enclosed insert(s) for additional information.
Account Number
Your Consultant
TAX YEAR 2018
FORM 1099 COMPOSITE
& YEAR-END SUMMARY
Date Prepared: February 8, 2019
Anamika Madan
VP. Financial Consultant
Important Official IRS Form(s) 1099 Enclosed
The report in this package contains your income tax return documents and
year-end summary. Please retain this package for tax preparation purposes.
For tax advice, please consult with a qualified tax advisor, CPA. or financial
planner.
To contact Schwab:
If you have any questions or need additional information about your Form(s)
1099 or your year-end summary, please call 1-800-435-4000, 24 hours a day,
7 days a week. We're always here for you.
To contact the IRS:
Tax questions for individuals: 1-800-829-1040
Tax questions for businesses: 1-800-829-4933
To order tax forms or publications: 1-800-829-3676
To pay taxes by credit card: 1-888-272-9829
For additional information and to print forms and publications, visit www.irs.gov.
O2019 Charles Schwab S Co.. Inc. Al sigh's reserved. IA:mbor SIPC. (0119-9174)
Page 1 of 7
EFTA00283295
charles
SCIIIVAB
Schwab One& Account of
LESLEY KATHERINE GROFF
DESIGNATED BENE PLAN/TOD
Account Number
TAX YEAR 2018
FORM 1099 COMPOSITE
& YEAR-END SUMMARY
Date Prepared: February 8, 2019
Your Form 1099 Composite may include the following Internal Revenue Service (IRS) forms: 1099-DIV, 1099-INT, 1099-MISC, 1099-B and 1099.OID. You'll only receive the form(s) that
apply to your particular financial situation and please keep for your records. Please note that Information in the Year-End Summary is not provided to the IRS. It is provided to you as
additional tax reporting information you may need to complete your tax return.
Table of Contents
Page
FORM 1099 COMPOSITE
3
Form 1099-DIV
3
YEAR-END SUMMARY
5
Interest & Dividends
5
Detail Information of Dividends and Distributions
5
Terms and Conditions
7
O2019 Charles Schwab S Co.. Inc. Al sigh's resanoct. IA:mbor SIPC. (0119-9174)
Page 2 of 7
EFTA00283296
Charles
SCHWAB
Schwab One.; Account of
LESLEY KATHERINE GROFF
DESIGNATED BENE PLANTOD
Account Number
Recipient's Name and Address
Payer's Name and Address
LESLEY KATHERINE GROFF
DESIGNATED BENE PLAN/TOD
Taxpayer ID Number
TAX YEAR 2018
FORM 1099 COMPOSITE
CHARLES SCHWAB & CO., INC.
211 MAIN STREET
SAN FRANCISCO. CA 94105
Telephone Number:
Account Number:
MII
Federal ID Number:
Date Prepared: February 8. 2019
Dividends and Distributions— 2018
Form 1099-DIV
Department of the Treasury-Internal Revenue Service
Copy B for Recipient (OMB No. 1545-0110)
Box
Description
1a
Total Ordinary Dividends
(Includes amount shown in box 1b
lb
Qualified Dividends
2a
Total Capital Gain Distributions
(Includes amounts shown in boxes 2b, 2c and 2d)
2b
Unrecap. Sec. 1250 Gain
2c
Section 1202 Gain
2d
Collectibles (28%) Gain
3
Nondividend Distributions
4
Federal Income Tax Withheld
5
Section 199A Dividends
6
Investment Expenses
7
Foreign Tax Paid
8
Foreign Country or U.S. Possession
9
Cash Liquidation Distributions
10
Noncash Liquidation Distributions
11
Exempt-interest Dividends
12
Specified Private Activity Bond Interest Dividends
13
State
14
State Identification No.
15
State Tax Withheld
FATCA Filing Requirement K
Amount
Total
2,160.03
918.22
3,967.22
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
This Is Important tax information and is being furnished to the Internal Revenue Service. II you are required to file a return, a negligence penalty or other sanction may be imposed
on you it this income is taxable and the IRS determines that it has not been reported.
2019 Charles Schwab it Co.. Inc. Al rights reserved. IA:mbor SIPC.40119-9114)
Page 3 of 7
EFTA00283297
Schwab One® Account of
Account Number
TAX YEAR 2018
chades
LESLEY KATHERINE GROFF
DESIGNATED BENE PLAN/TOD
FORM 1099 COMPOSITE
SCHWAB
INSTRUCTIONS FOR RECIPIENTS OF FORM 1099
1099-DIV: Dividends and Distributions
Recipient's taxpayer Identification number (TIN). For your protection, this form may show only
the last four digits of your TIN (social security number (SSN). individual taxpayer identification
number (ITIN), adoption taxpayer identification number (ATIN). or employer identification number
(EIN)). However, the issuer has reported your complete TIN to the IRS.
FATCA filing requIrement.if the FATCA filing requirement box is checked. the payer is reporting
on this Form 1099 to satisfy its chapter 4 account reporting requirement. You also may have a
filing requirement. See the Instructions for Form 8938.
Account number. May show an account or other unique number the payer assigned to
distinguish your account.
Box 1a. Shows total ordinary dividends that are taxable. Include this amount on the 'Ordinary
dividends' line of Form 1040. Also, report it on Schedule B (1040). if required.
Box 1b. Shows the portion of the amount in box la that may be eligible for reduced capital gains
rates. See the Form1040 instructions for how to determine this amount and where to report.
The amount shown may be dividends a corporation paid directly to you as a participant (or
beneficiary of a participant) in an employee stock ownership plan (ESOP). Report it as a dividend
on your Form 1040 but treat it as a plan distribution. not as investment income. for any other
purpose.
Box 2a. Shows total capital gain distributions from a regulated investment company (RIC) or
real estate investment trust (REIT). See How To Report in the Instructions for Schedule D
(Form 1040). But, if no amount is shown in boxes 2c-2d and your only capital gains and losses
are capital gain distributions. you may be able to report the amounts shown in box 2a on your
Form 1040 rather than Schedule D. See the Form 1040 instructions.
Box 2b. Shows the portion of the amount in box 2a that is unrecaptured section 1250 gain from
certain depreciable real property. See the Unrecaptured Section 1250 Gain Worksheet-Line 19
in the Instructions for Schedule D (Form 1040).
Box 2c. Shows the portion of the amount in box 2a that is section 1202 gain from certain small
business stock that may be subject to an exclusion. See the Schedule D (Form 1040) instructions.
Box 2d. Shows 28% rate gain from sales or exchanges of collectibles. If required.
use this amount when completing the 28% Rate Gain Worksheet-Line 18 in the Instructions for
Schedule D (Form 1040)
Box 3. Shows the part of the distribution that is nontaxable because it is a return of your cost (or
other basis). You must reduce your cost (or other basis) by this amount for figuring gain or loss when
you sell your stock. But if you get back all your cost (or other basis). report future distributions as
capital gains. See Pub. 550.
Box 4. Shows backup withholding. A payer must backup withhold on certain payments if you did not
give your TIN to the payer. See Form W-9. Request for Taxpayer Identification Number and
Certification, for information on backup withholding. Include this amount on your income tax return
as tax withheld.
Box 5. Shows dividends eligible for the 20% qualified business income deduction under section
199A. See the Instructions for Form 1040.
Box 6. Shows your share of expenses of a nonpublicly offered RIC. generally a nonpublicly offered
mutual fund. This amount is included in box 1 a.
Box 7. Shows the foreign tax that you may be able to claim as a deduction or a credit on Form 1040.
See the Form 1040 instructions.
Box 8. This box should be left blank if a RIC reported the foreign tax shown in box 7.
Boxes 9 and 10.Shows cash and noncash liquidation distributions.
Box 11. Shows exempt-interest dividends from a mutual fund or other RIC paid to you during the
calendar year. See the Instructions for Form 1040 for where to report. This amount may be subject to
backup withholding. See Box 4 above.
Box 12. Shows exempt-interest dividends subject to the altemative minimum tax. This amount is
included in box 11. See the Instructions for Form 6251.
Boxes 13.15. State income tax withheld reporting boxes.
Nominees. If this form includes amounts belonging to another person. you are considered a
nominee recipient. You must file Form 1099-DIV (with a Form 1096) with the IRS for each of the
other owners to show their share of the income. and you must furnish a Form 1099.DIV to each. A
spouse is not required to file a nominee return to show amounts owned by the other spouse. See the
2018 General Instructions for Certain Information Returns.
Future developments. For the latest information about the developments related to Form 1099.DIV
and its instructions, such as legislation enacted after they were published, go to
www.irs.gov/Fonn109901V
O2019 Charles Schwab a Co.. Inc. Al tighls resanoct. IA:mbor SIPC. (0119-9174)
Page 4 of 7
EFTA00283298
Schwab One.; Account of
Account Number
TAX YEAR 2018
LESLEY KATHERINE GROFF
(17a
St !MAR
DESIGNATED BENE PLANITOD
YEAR-END SUMMARY
YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS.
Date Prepared: February 8, 2019
The Information in this and all subsequent sections is not provided to the IRS by Chades Schwab. It is provided to you as additional tax reporting information you may need to complete your tax return.
INTEREST & DIVIDENDS
The information in the following sections may be helpful for, but not limited to, Schedule B. Please consult with your tax advisor or financial advisor regarding specific
questions.
Detail Information of Dividends and Distributions
CUSIP
Description
Symbol
Number
Paid/Adjusted In
Paid in 2018
2019 for 2018
Amount
Ordinary Dividends
Non•Qualified Dividends
JANUS HENDERSON GLBL
JORNX
471023648
$
0.00 $
6.75
$
6.75
SCHWAB BALANCED FUND
SWOBX
808509863
$
0.00 $
1,208.02
$
1,208.02
SCHWAB S&P 500 INDEX FD
SWPPX
808509855
$
0.00 $
7.35
$
7.35
Total Non-Qualified Dividends (Included in Box la)
$
0.00 $
1,222.12
$
1,222.12
Short-Term Capital Gains
JANUS HENDERSON GLBL
JORNX
471023648
$
0.00 $
17.97
17.97
SCHWAB BALANCED FUND
SWOBX
808509863
$
2.47 $
(0.82)
1.65
SCHWAB S&P 500 INDEX FD
SWPPX
808509855
$
2.20 $
(2.13)
0.07
Total Short-Term Capital Gains (Included in Box la)
$
4.67 $
15.02
19.69
Qualified Dividends
JANUS HENDERSON GLBL
JORNX
471023648
$
123.04 $
(24.72)
98.32
SCHWAB BALANCED FUND
SWOBX
808509863
$
1,818.48 $
(1,207.20)
611.28
SCHWAB S&P 500 INDEX FD
SWPPX
808509855
$
213.84 $
(5.22)
208.62
Total Qualified Dividends (Box lb and included in Box la)
$
2,155.36 $
(1,237.14)
918.22
Total Ordinary Dividends (Box la)
2,160.03 $
0.00
2,160.03
(Total Non-Qualified Dividends, Short-Term Capital Gains and Qualified Dividends)
O 2019 Charbs Schwab b Co.. Inc. Al rights reserved. Mamba SIPC. 40119.9114)
Pages of 7
EFTA00283299
charles
sci INVAB
Schwab One® Account of
LESLEY KATHERINE GROFF
DESIGNATED BENE PLAN/TOD
Account Number
TAX YEAR 2018
YEAR-END SUMMARY
YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS.
Date Prepared: February 8, 2019
The information in this and all subsequent sections is not provided to the IRS by Charles Schwab. It is provided to you as additional tax reporting information you may need to complete your tax return.
Detail Information of Dividends and Distributions (continued)
CUSIP
Paid/Adjusted In
Description
Symbol
Number
Paid In 2018
2019 for 2018
Amount
Capital Gain Distributions
Long-Term Gain
JANUS HENDERSON GLBL
JORNX
471023648
892.98 $
0.00
892.98
SCHWAB BALANCED FUND
SWOBX
808509863
3,031.30 $
0.00
3,031.30
SCHWAB S&P 500 INDEX FD
SWPPX
808509855
42.94 $
0.00
42.94
Total Long-Term Gain (Included in Box 2a)
3,967.22 $
0.00
3,967.22
Total Capital Gain Distributions (Box 2a)
3,967.22 $
0.00
3,967.22
O 2019 Charles Schwab b Co.. Inc. Al rights reserved. IA:mbor SIPC.40119-9114)
Page 6 of 7
EFTA00283300
Charles
SCHWAB
TERMS AND CONDITIONS
GENERAL INFORMATION
Schwab One. Account of
LESLEY KATHERINE GROFF
DESIGNATED BENE PLANTOD
Form 1099-Composite
For U.S. taxpayers, the information reported to you on Form 1099 is given to the Internal Revenue
Service (IRS). Form 1099-Composite is comprised of the following substitute forms: 1099-DIV,
1099-INT, 1099-MISC. 1099-0ID, and 1099-8. The form(s) you receive in Form 1099 Composite
depends on the income reportable to the IRS.
Year-End Summary
The information in the Year-End Summary is provided to you as a courtesy, should you need
additional information when completing your tax return. When relevant, IRS box numbers are
referenced to indicate individual items that make up the totals appearing on your Form(s) 1099. With
the exception of the totals reported In the IRS box numbers referenced. Charles Schwab does not
provide the details of the Year-End Summary to the IRS.
We recommend that all customers consult their investment and tax advisors prior to using this
information.
Corrected Form 1099 and Year-End Summary
We are required to send you a corrected form with the revisions clearly marked when we receive
updates or revisions to Information contained In the form. This generally occurs if one or more of the
issuers of the securities in your account reallocated certain income distribution (e.g., dividends or
capital gains) after we mailed your original Form 1099. Asa result, the supplemental Information in
Year-End Summary may be updated.
Upon receiving a corrected form, you may want to consider filing an amended return based on the
changes in your taxable income as reported on your corrected Form 1099. We suggest that you
consult with a qualified tax advisor. CPA. financial planner, or investment manager before you
proceed.
Duplicate Form 1099 and Year-End Summary
If you request a duplicate Form 1099. please be aware that Schwab uses the most up-to•date
information available at the time of the production. Thus. your duplicate Form 1099 and Year-End
Summary may have more up•to-date information than the original Form 1099.
Realized Gain or (Loss) in Year-End Summary
The Realized Gain or (Loss) section provides Information for all your realized gain or (loss)
transactions during the tax year. It contains all transactions included in the Form 1099-B as well as
transactions that are not reported on Form 10998 (for example: sales and expirations of noncovered
option activities, cash in lieu under $20. bankruptcy, and worthless securities). This supplemental
information is believed to be accurate as of the date the data was compiled but they may not be
updated for any corrections after the data was initially compiled.
Account Number
4856-6718
TAX YEAR 2018
FORM 1099 COMPOSITE
& YEAR-END SUMMARY
Date Prepared: February 8. 2019
IN CASE OF QUESTIONS:If you have questions about this report or about specific Schwab
accounts or Schwab One transactions (other than wire transfers or check transactions), contact
Schwab at 1.800.435.4000. If you have a complaint regarding your Schwab statement or our
products and services, please write to the Client Advocacy Team at Charles Schwab & Co., Inc.,
Attention: Client Advocacy Team, 211 Main St.. San Francisco, CA 94105. Outside of the U.S., call
+1.415.667-5009.
O 2019 Charles Schwab b Co.. Inc. Al rights reserved. lAmbor SIPC.40119-9174)
Page 7 of 7
EFTA00283301
charles
SCI !WA B
EFTA00283302
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| Filename | EFTA00283295.pdf |
| File Size | 435.3 KB |
| OCR Confidence | 85.0% |
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| Text Length | 16,334 characters |
| Indexed | 2026-02-11T12:48:55.348911 |