EFTA00283303.pdf
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charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
Recipient's Name and Address
0207 89CC3 YEIAISV) '1 4
LESLEY KATHERINE GROFF
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 alto
to view your documents securely online
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Please refer to the enclosed insert(s) for additional information.
Your Consultant
TAX YEAR 2013
FORM 1099 COMPOSITE
& YEAR-END SUMMARY
Date Prepared: February 7, 2014
Anamika Madan
VP Financial Consultant
1
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.
O2014 Charles Schwab 8 Co.. Inc. Al sigh's resanoct. IA:mbor SIPC. (0114-0018)
Page 1 of 16
EFTA00283303
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
er
TAX YEAR 2013
FORM 1099 COMPOSITE
& YEAR-END SUMMARY
Date Prepared: February 7, 2014
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 record. 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-DW
3
Form 1099-INT
5
Form 1099-B
7
Notes for your Form 1099-B
7
YEAR-END SUMMARY
10
Interest & Dividends
10
Detail Information of Dividends and Distributions
10
Detail Information of Interest Income
10
Realized Gain or (Loss)
11
Long-Term Realized Gain or (Loss)
11
Realized Gain or (Loss) Summary
12
Notes for Your Realized Gain or (Loss)
13
Cost Basis Disclosure
14
Terms and Conditions
16
O2014 Charles Schwab S Co.. Inc. Al sigh's resanoct. IA:mbor SIPC. (0114.0018)
Page 2 of 16
EFTA00283304
charles SCHWAB
Schwab Onc€ Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
FORM 1099 COMPOSITE
Recipient's Name and Address
Payer's Name and Address
LESLEY KATHERINE GROFF
Date Prepared: February 7.2014
CHARLES SCHWAB & CO., INC.
211 MAIN STREET
SAN FRANCISCO. CA 94105
Taxpayer ID
Numb
Telephone Number
Account Number
Federal ID Number
Dividends and Distributions
2013
Form 1099-DIV
Department of the Treasury-Internal Revenue Service
Copy B for Recipient (OMB No. 1545-0110)
Box
Description
la
Total Ordinary Dividends
(Includes amount shown in box lb)
lb
Qualified Dividends
368.73
2a
Total Capital Gain Distributions
0.00
(Includes amounts shown in boxes 2b, 2c and 2d)
21)
Unrecap. Sec. 1250 Gain
2c
Section 1202 Gain
2d
Collectibles (28%) Gain
3
Nondividend Distributions
4
Federal Income Tax Withheld
5
Investment Expenses
$
6
Foreign Tax Paid
$
0.00
7
Foreign Country or U.S. Possessi
8
Cash Liquidation Distributions
$
0.00
9
Noncash Liquidation Distributions
$
0.00
10
Exempt-interest Dividends
$
0.00
11
Specified Private Activity Bond Interest Dividends
$
0.00
12
State
13
State Identification No.
14
State Tax Withheld
$
0.00
Amount
Total
932.41
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. If you are required to file a return, a negligence penalty or other sanction may be imposed on
you If this income is taxable and the IRS determines that it has not been reported.
O2014 Charles Schwab it Co.. Inc. Al rights reserved. IA:mbor SIPC.40114-001B)
Page 3 of 16
EFTA00283305
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
FORM 1099 COMPOSITE
INSTRUCTIONS FOR RECIPIENTS OF FORM 1099
1099-DIV: Dividends and Distributions
Recipient's identification number.
For your protection, this form may show only the last four digits of your social security
number (SSN). individual taxpayer identification number (ITN), or adoption taxpayer
identification number (ATIN). However. the issuer has reported your complete identification
number to the IRS and, where applicable, to state and/or local governments.
Account number.
May show an account or other unique number the payer assigned to distinguish your
account.
Box la.
Shows total ordinary dividends that are taxable. Include this amount on line 9a of Form
1040 or 1040A. Also, report it on Schedule B (1040A or 1040). if required.
Box lb.
Shows the portion of the amount in box la that may be eligible for reduced capital
gains rates. See Form 1040/1040A instructions for bow to determine this amount.
Report the eligible amount on line 9b. Form 1040 or 1040A.
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 1040/1040A 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 or real
estate investment trust. Report the amounts shown in box 2a on Schedule D (Form
1040), line 13. 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 line 13 of Form 1040 (line 10 of Form 1040A) rather than Schedule D. See
the Form 1040/1040A instructions.
Box 2b.
Shows the portion of the amount in box 2a that is unrecaptured section 1250 gain
from certain depreciable real property. Report this amount on the Unrecaptured Section
1250 Gain Worksheet-Line 19 in the Schedule D instructions(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 a 50% exclusion and certain empowerment zone
business stock that may be subject to a 60% 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. Investment Income and Expenses.
Box 4.
Shows backup withholding. A payer must backup withhold on certain payments if you
did not give your taxpayer identification number 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 your share of expenses of a nonpublicly offered regulated investment company.
generally a nonpublicly offered mutual fund. If you file Form 1040. you may deduct
these expenses on the "Other expenses' line on Schedule A (Form 1040) subject to
the 2% limit. This amount is included in box la.
Box 6.
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 7.
This box should be left blank if a regulated investment company reported the foreign
tax shown in box 6.
Boxes 8 and 9.
Shows cash and noncash liquidation distributions.
Box 10.
Shows exempt-interest dividends from a mutual fund or other regulated investment
company paid to you during the calendar year. Include this amount on line 8b of
Form 1040 or 1040A as tax-exempt interest. This amount may be subject to backup
withholding. See box 4.
Box 11.
Shows exempt-interest dividends subject to the alternative minimum tax. This amount
is included in box 10. See the Instructions for Form 6251.
Boxes 12-14. 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 111S for
each of the other owners to show their share of the income. and you must furnish a
Form 1099-DIV to each. A husband or wife is not required to file a nominee return to
show amounts owned by the other. See the 2013 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.gowlonn1099div.
O2014 Charles Schwab 8 Co.. Inc. Al nghis resanoct. IA:mbor SIPC. (0114-0018)
Page 4 of 16
EFTA00283306
charles SCHWAB
Schwab Onc€ Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
FORM 1099 COMPOSITE
Recipient's Name and Address
Payer's Name and Address
LESLEY KATHERINE GROFF
Date Prepared: February 7.2014
CHARLES SCHWAB & CO., INC.
211 MAIN STREET
SAN FRANCISCO. CA 94105
Taxpayer ID Num
Telephone Number:
Account Number:
Federal ID Number:
Interest Income — 2013
Form 1099-INT
Department of the Treasury-Internal Revenue Service
Box
Description
Copy B for Recipient (OMB No. 1545-0112)
Total
1
Interest Income
0.02
3
Interest on U.S. Savings Bonds and Treasury Obligations
0.00
4
Federal Income Tax Withheld
0.00
5
Investment Expenses
$
0.00
6
Foreign Tax Paid
$
0.00
7
Foreign Country or U.S. Possession
8
Tax-Exempt Interest
0.00
9
Specified Private Activity Bond Interest
0.00
10
Tax-Exempt Bond CUSIP No.
11
State
12
State Identification No.
13
State Tax Withheld
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 if this income is taxable and the IRS determines that It has not been reported.
O2014 Charles Schwab it Co.. Inc. Al rights reserved. IA:mbor SIPC.40114-001B)
Page 5 of 16
EFTA00283307
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
FORM 1099 COMPOSITE
INSTRUCTIONS FOR RECIPIENTS OF FORM 1099
1099-INT: Interest Income
Recipient's identification number.
For your protection. this form may show only the last four digits of your social security
number (SSN). individual taxpayer identification number (ITN). or adoption taxpayer
identification number (ATIN). However. the issuer has reported your complete identification
number to the IRS and, where applicable.to state and/or local governments.
Account number.
May show an account or other unique number the payer assigned to distinguish your
account.
Box 1.
Shows taxable interest paid to you during the calendar year by the payer. This
does not include interest shown in box 3. May also show the total amount of the
credits from clean renewable energy bonds, qualified forestry conservation bonds.
new clean renewable energy bona, qualified energy conservation bonds, qualified
zone academy bonds. qualified school construction bonds, and build America
bonds that must be included in your interest income. These amounts were treated
as paid to you during 2013 on the credit allowance dates (March 15. June 15,
September 15. and December 15). For more information, see Form 8912,
Credit to Holders of Tax Credit Bonds.
Box 3.
Shows interest on U.S. Savings Bonds. Treasury bills. Treasury bonds, and Treasury
notes. This may or may not alt be taxable. See Pub. 550. This interest is exempt from
state and local income taxes. This interest is not included in box 1.
Box 4.
Shows backup withholding. Generally. a payer must backup withhold if you did not
furnish your taxpayer idenlification number (TIN) or you did not furnish the correct
TIN to the payer. See Form W-9. Include this amount on your income tax return as tax
withheld.
Box 5.
Any amount shown is your share of investment expenses of a single-class REMIC. If
you file Form 1040. you may deduct these expenses on the "Other expenses" line of
Schedule A (Form 1040) subject to the 2% limit. This amount is included in box 1.
Box 6.
Shows foreign tax paid. You may be able to claim this tax as a deduction or a credit on
your Form 1040. See your Form 1040 instructions.
Box 7.
Shows the country or U.S. possession to which the foreign tax was paid.
Box 8.
Shows tax-exempt interest paid to you during the calendar year by the payer. Report
this amount on line 8b of Form 1040 or Form 1040A. This amount may be subject to
backup withholding. See box 4.
Box 9.
Shows tax-exempt interest subject to the alternative minimum tax. This amount is
included in box 8. See the Instructions for Form 6251.
Box 10.
Shows CUSIP number(s) for tax-exempt bond(s) on which tax-exempt interest was paid
to you during the calendar year and reported in box 8. If blank. no CUSIP number was
issued for the bond(s).
Boxes 11-13.
State tax withheld reporting boxes.
Nominees.
If this form includes amounts belonging to another person(s). you are considered a
nominee recipient. Complete a Form 1099-INT for each of the other owners showing
the income allocable to each. File Copy A of the form with the IRS. Furnish Copy B To
each owner. List yourself as the "payer and the other owner(s) as the "recipient." File
Form(s) 1099-INT with Form 1096 with the Internal Revenue Service Center for your
area. On Form 1096 hst yourself as the "filer." A husband or wife is not required to file
a nominee return to show amounts owned by the other.
Future Developments.
For the latest information about developments related to Form 1099-INT
and its instructions. such as legislation enacted after they were published.
go to www.irs.govfionn1099int
O2014 Charlas Schwab 8 Co.. Inc. Al nghis resanoct. IA:mbor SIPC. (0114.0018)
Page 6 of 16
EFTA00283308
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Recipient's Name and Address
LESLEY KATHERINE GROFF
Taxpayer ID Num
Account Number:
Proceeds from Broker Transactions — 2013
Account Number
TAX YEAR 2013
FORM 1099 COMPOSITE
Date Prepared: February 7, 2014
Payer's Name and Address
CHARLES SCHWAB & CO., INC.
211 MAIN STREET
SAN FRANCISCO. CA 94105
Telephone Number:
Federal ID Number:
Form 1099-B
Department of the Treasury-Internal Revenue Service
Copy B for Recipient (OMB No. 1545-0715)
1 c-Type of gain or loss: Long-term (Report on Form 8949, Part II, with Box B checked.)
6a-Noncovered security
&Description
CUSIP Number
1d-Slock or
other symbol
lb-Date of
acquisition
la-Date
of sale or
exchange
07/24/08 $
449.54
$
3,262.45 $
0.00 $
0.00
10/01/13
1,000.00
449.54
$
3,262.45 $
0.00 $
0.00
449.54
$
3,262.45
449.54
$
3,262.45
449.54
0.00
COST BASIS IN THIS
2a-Sales price of
stocks, bonds, etc.
(less commissions
and options premiums)
le•Quantity sold
LONG-TERM HOLDING PERIOD
SECTION IS AVAILABLE BUT NOT REPORTED TO THE IRS
3-Cost or
other basis
5-Wash sale
loss disallowed
4-Federal income
tax withheld
PNI DIGITAL MEDIA INC F
69351F106
S
PNDMF
Security Subtotal
Total Long-Term (Cost basis is available but not reported to the IRS)
Total Long-Term Sales Price of Stocks, Bonds, etc.
Total Sales Price of Stocks, Bonds, etc.
Total Federal Income Tax Withheld
Notes for your Form 1099-B
Schwab has provided cost basis information whenever possible for most investments. Cost basis data may be incomplete or unavailable for some of your holdings.
When value for the report is unavailable, it is noted as follows: "Missing" or "Not Provided"
Please see the "Notes for Your Form 1099-B" section for additional explanation of this Form 1099-8 report.
This Is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on
you if this income is taxable and the IRS determines that it has not been reported.
O2014 Charles Schwab it Co.. Inc. Al rights reserved. IA:mbor SIPC.40114-001B)
Page 7 of 16
EFTA00283309
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
FORM 1099 COMPOSITE
INSTRUCTIONS FOR RECIPIENTS OF FORM 1099
1099-B: Proceeds from Broker Transactions
Brokers and barter exchanges must report proceeds from transactions to you and the
IRS on Form 1099-B. Reporting is also required when your broker knows or has reason
to know that a corporation in which you own stock has had a reportable change in
control or capital structure. You may be required to recognize gain from the receipt of
cash. stock. or other property that was exchanged for the corporation's stock. If your
broker reported this type of transaction to you.lhe corporation is identified in box 8.
Recipient's Identification number.
For your protection this form may show only the last four digits of your social
security number (S§N), individual taxpayer identification number (ITIN), or adoption
taxpayer identification number (ATIN). However, the issuer has reported your complete
identification number to the IRS and, where applicable. to state and/or local
governments.
Account number.
May show an account or other unique number the payer assigned to distinguish your
account.
CUSIP number.
For broker transactions. may show the CUSIP (Committee on Uniform Security
Identification Procedures) number or other applicable identifying number of the item
reported.
Box la.
Shows the trade date of the sale or exchange. For short sales. the date shown is the
date the security was delivered to close the short sale. For aggregate reporting in
boxes 9 through 12, no entry will be present.
Box lb.
This box may be blank if box 6a is checked or if the securities sold were acquired on a
variety of dates. For short sales, the date shown is the date you acquired the security
delivered to close the short sale.
Box 2a.
Shows the aggregate cash proceeds from transactions involving_ stocks. bonds, other
debt obligations. commodities, or forward contracts. May show the proceeds from the
disposition of your interest(s) in a widely held fixed invettment trust. May also show
the aggregate amount of cash and the fair market value of any stock or other property
received in a reportable change in control or capital structure arising from the corporate
transfer of property to a foreign corporation. Losses on forward contracts are shown in
parentheses. This box does not include proceeds from regulated futures contracts.
The broker must indicate whether the sales price or the sales price less commissions
(including transfer taxes) and option premiums was reported to the IRS. Report this
amount on Form 8949 or on Schedule D (whichever is applicable) as explained in the
instructions for Schedule D.
Box 2b.
If checked, you cannot take a loss on your tax return based on gross proceeds from a
reportable change in control or capital structure reported in box-2a. Do not report this
loss on Form 8949 or Schedule D. The broker should advise you of any losses on a
separate statement.
Box 3.
Shows the cost or other basis of securities sold. If box 6a is checked, box 3 may be
blank. See the Form 8949 instructions. Schedule D instructions, or Pub. 550 for details.
Box 4.
Shows backup withholding. Generally, a payer must backup withhold if you did not
furnish your taxpayer identification number to the payer. See Form W-9 for information
on backup withholding. Include this amount on your income tax return as tax withheld.
Box 5.
Shows the amount of nondeductible loss in a wash sale transaction. For details on
wash sales, see the Schedule D (Form 1040) instructions and Pub. 550.
Box 6a.
If checked, the securities sold were noncovered securities and boxes 1b. lc. 3, and 5
may be blank. Generally, a noncovered security means: a security other than stock:
stock purchased before 2011: stock in most mutual funds and other regulated
investment companies purchased before 2012: and stock purchased in or transferred
to a dividend reinvestment plan before 2012.
Box 6b.
If checked. the basis in box 3 has been reported to the IRS. If box 6b is checked on
Form(s) 1099-B and NO adjustment is required. see the instructions for your
Schedule D.
Box 8.
Shows a brief description of the item or service for which the proceeds or bartering
income is beinp reported. For regulated futures contracts and forward contracts. "RFC"
or other appropriate description g ay
shown. For a corporation that had a reportable
change in con rol or capital structure, this box may show the class of stock as C
(common). P (preferred), or 0 (other).
Boxes 13.15.
Shows state income tax withheld.
O2014 Charlas Schwab 8 Co.. Inc. Al nghis resanoct. IA:mbor SIPC. (01144018)
Page 8 of 16
EFTA00283310
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
TAX YEAR 2013
FORM 1099 COMPOSITE
Taxpayer ID Number: - -MI
Notes for your Form 1099-B (continued)
Date Prepared: February 7, 2014
Not
Schwab is not providing Cost Basis on this security type.
Provided
Missing
Cost Basis may be missing due to one of the following reasons:
• Cost basis data may not be available for a number of reasons (for example, the security was purchased outside of Schwab and we did not
receive cost basis from the transferring firm).
• The security was purchased more than 10 years ago.
Acquisition If there is more than one lot in a sell transaction, the acquisition date for the individual lot in the transaction can be found in the Realized Gain Loss
Date
section of the Year End Summary.
(1) If the acquisition date is blank, your sell transaction included multiple tax lots purchased on different acquisition dates within the same holding
period and covered/non-covered status. The lots in the transaction are rolled up into a single sell transaction and thus Box lb-Date of
Acquisition will be blank.
(2) If the cost basis is missing or not provided. a short-term holding period may have been applied for a position that may have been held long term.
Box (1c) Type of Gain or Loss
Long-term
Long-Term Realized Gain or Loss has a holding period greater than one year.
Short-term
Short-Term Realized Gain or Loss has a holding period of one year or less.
"Activity Codes (Not reported to the IRS)
C
= Cash in Lieu
E = Exchange
CV = Conversion
M = Cash Merger
P
= Principal
MT = Maturity
S
= Sale
T
= Tender
R
= Redemption
SS = Short Sale
• The cost basis and basis adjustments for covered securities are reported to the IRS.
• Gross Proceeds from each of your security transactions are reported individually to the IRS.
• Gross Proceeds in aggregate are not reported to the IRS and should not be so reported on your tax return.
This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on
you if this income is taxable and the IRS determines that it has not been reported.
*2014 Charles Schwab 8 Co.. Inc. Al rights resanod. tAambor SIPC. (0114-00IB)
Page 9 of 16
EFTA00283311
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
S
TAX YEAR 2013
YEAR-END SUMMARY
YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS.
Date Prepared: February 7, 2014
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.
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
Number
Paid in 2013
Paid r Adjusted In
2014 for 2013
Amount
Ordinary Dividends
Non-Qualified Dividends
JANUS GLOBAL SELECT T
471023648
SCHWAB BALANCED FUND
808509863
0.00
0.00
$
$
0.18
563.50
0.18
563.50
Total Non-Qualified Dividends (Included in Box la)
Qualified Dividends
JANUS GLOBAL SELECT T
471023648
SCHWAB BALANCED FUND
808509863
SCHWAB S&P 500 INDEX FD
808509855
S
0.00
21.49
801.79
109.13
S
$
$
$
563.68
(0.18)
(563.50)
0.00
S
$
$
$
563.68
21.31
238.29
109.13
Total Qualified Dividends (Box lb and included in Box la)
932.41
(563.68)
S
368.73
Total Ordinary Dividends (Box la)
(Total Non-Qualified Dividends, Short-Term Capital Gains and Qualified Dividends)
Detail Information of Interest Income
$
932.41 $
0.00
932.41
CUSIP
Description
Number
Paid in 2013
Paid / Adjusted in
2014 for 2013
Amount
Interest Income
DEPOSIT INTEREST
0.02 $
0.00
0.02
Total Interest Income (Included In Box 1)
0.02 $
0.00
0.02
Total Interest Income (Box 1)
0.02
0.00
0.02
O2014 Charles Schwab 8 Co.. Inc. Al sighls resanod. IA:mbor SIPC. (0114 .001B)
Page 10 of 16
EFTA00283312
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
YEAR-END SUMMARY
YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS.
Date Prepared: February 7, 2010
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.
REALIZED GAIN OR (LOSS)
The information in the following sections include all your realized gain or (loss) transactions during the tax year. They may be helpful for, but not limited to, Schedule D.
Please consult with your tax advisor or financial advisor regarding specific questions.
Long-Term Realized Gain or (Loss)
This section is for noncovered securities and corresponds to transactions reported on your 1099•B as"cost basis Is available but not reported to the IRS."Report on Form 8949. Part II. with Box B
checked.
CUSIP
Date of
Description
Number
Quantity/Par Acquisition
Date of
Sale
Total Proceeds
Cost Basis
Wash Sale
Loss Disallowed
Realized
Gain or (Loss)
PNI DIGITAL MEDIA INC F
69351F106
1,000.00
07/24/08 10/01/13 $
449.54 $
3,262.45
$
0.00 $
(2,812.91)
Security Subtotal
449.54 $
3,262.45
S
0.00 $
(2,812.91)
Total Long-Term (Cost basis is available but not reported to the IRS)
449.54 $
3,262.45
S
0.00
(2,812.91)
Total Long-Term
449.54 $
3,262.45
$
0.00 $
(2,812.91)
O 2014 Charles Schwab b Co.. Inc. Al rights reserved. IA:mbor SIPC.401140018)
Page 11 of 16
EFTA00283313
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
YEAR-END SUMMARY
YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS.
Date Prepared: February 7, 2010
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.
Realized Gain or (Loss) Summary
Total Realized Gain or (Loss)
Description
Total Proceeds
Cost Basis
Wash Sale
Loss Disallowed
Realized
Gain or (Loss)
Total Long-Term Realized Gain or (Loss) (Cost basis is available but not reported to the
IRS. Report on Form 8949. Part It a4th Box B checked.)
$
449.54 $
3,262.45
$
0.00 $
(2,812.91)
Total Long-Term Realized Gain or (Loss)
449.54 $
3,262.45
$
0.00 $
(2,812.91)
TOTAL REALIZED GAIN OR (LOSS)
449.54 $
3,262.45
$
0.00 $
(2,812.91)
0 2014 Charles Schwab 8 Co.. Inc. Al rights reserved. 14:mbor SIPC.401144018)
Page 12 of 16
sit
EFTA00283314
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
YEAR-END SUMMARY
YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS.
Date Prepared: February 7, 2014
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.
Notes for Your Realized Gain or (Loss)
Schwab has provided realized gain and loss information whenever possible for most investments. Cost basis data may be incomplete or unavailable for some of
your holdings. See Terms and Conditions.
When value for the report is unavailable, it is noted as follows: "Missing" or 'Not Provided"
Not
Schwab is not providing Cost Basis on this security type .
Provided
Missing
Cost Basis may be missing due to one of the following reasons:
• Cost basis data may not be available for a number of reasons (for example, the security was purchased outside of Schwab and we did not
receive cost basis from the transferring firm).
• The security was purchased more than 10 years ago.
Acquisition If the cost basis is missing or not provided, a short-term holding period may have been applied for a position that may have been held long term.
Date
O2014 Charles Schwab 8 Co.. Inc. Al rights resanod. IA:mbor SIPC. (0114 .001B)
Page 13 of 16
Silk:
EFTA00283315
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
TAX YEAR 2013
FORM 1099 COMPOSITE
& YEAR-END SUMMARY
COST BASIS DISCLOSURE
Changes to Cost Basis Reporting Requirements
Starting with the 2011 tax year. Charles Schwab & Co. will begin reporting adjusted
cost basis to you and the IRS on your Form 1099-B for covered securities in your
taxable brokerage accounts that you sell and that are covered by the new Emergency
Economic Stabilization Act regulations. In the event of transfers of securities. we
are also required to report adjusted cost basis information to other custodians for
covered securities transferred to them.
Schwab will treat securities as covered when they are acquired on or after the
following effective dates:
• January 1. 2011 for stocks and other equities
• January 1. 2012 for mutual funds, ETFs. and Dividend Reinvestment Plan ("DRIP")
shares
• January 1. 2014 for other securities (e.g.. fixed income and options)
Because these new reporting requirements could impact the cost basis used to
compute your taxable gains and losses, it's important to. understand when and how
they will apply to you. The information in this document is intended as informational
only and is not individualized tax advice. Schwab does not provide tax advice and
encourages you to consult with your tax professional to understand how the new
reporting requirements will affect you and your tax situation.
What Does This Mean for You
1. When you sell covered securities, as described above. Schwab will be required to
report details about your cost basis to you and the IRS on Form 1099-B. You will
continue to be responsible for reporting all cost basis information for both covered
and uncovered securities to the IRS on your tax returns.
2. Unless you've indicated otherwise, Schwab will calculate your gains and losses
using the IRS default cost basis method of Average Cost for mutual funds and FIFO
(First In. First Out) for all other securities. It is your responsibility to choose the
cost basis method appropriate to your tax situation. See 'Cost Basis Methods"
for the methods offered by Schwab.
3. When you sell a security. the cost basis method used to calculate your gain or loss
cannot be changed after your trade settles. So it's important to consider the tax
implications at the time of trade.
What is Cost Basis?
Cost basis is the original purchase price you paid for a security plus commissions
and any fees. Adjusted test basis includes any other adjustments to the price.
Adjusted cost basis also includes any adjustments due to wash sales. amortization.
accretion, and corporate actions.
Your realized gain/loss on a security is determined by subtracting the adjusted cost
basis from the sales proceeds in an account less commissions and fees.
For covered securities that were not both purchased and sold at Schwab, Schwab
calculates cost basis using data that you have provided to us or that we have
Date Prepared: February 7, 2014
obtained from third-party sources such as your prior custodian or another third-party
source. Because the accuracy of cost basis data depends upon these third-party
in.puts, we are not able to guarantee the availability. accuracy, or completeness
of such cost basis data on transactions that did not occur at Schwab. If we are
not provided with adequate information to report cost basis data for covered
securities that were not both purchased and sold at Schwab. those securities will
be considered uncovered and the cost basis will not be reported to the IRS even if
acquired after the effective date.
Cost Basis Methods
It is your responsibility to choose the cost basis method appropriate to your tax
situation. Failure to select the proper cost basis method May cause you to pay more
tax than necessary. Schwab does not provide lax advice and encourages you to
consult with your fax professional regarding this decision.
To view and change your default cost basis method on Your brokerage account, go
to the Service tab on schwab.com, then the Cost Basis Method page in Account.
Settings. You can also make a change by calling 800-435-4000. If your account is
managed by an investment advisor, please call your advisor to make a change.
Default Cost Basis Methods
We apply the IRS default method of Average Cost for your mutual funds and the
default method of FIFO (First In, First Out)lo all other securities unless you inform us
of a preferred method.
FIFO
Shares you acquired first are sold first
Average Cost
Cost is derived by dividing the total dollar amount invested
in e particular fund position by the number of shares held
prior to the trade date. Shares are removed in FIFO order.
Cost Basis Methods Offered by Schwab:
You may select a different cost basis method for your brokerage account other than
the default methods described above. The following cost basis methods are offered
by Schwab:
FIFO (First In, First Out) Shares you acquired first are sold first
LIFO (Last In, First Out) Shares you acquired last are sold first
HCOST (High Cost)
Shares with the highest cost are sold first
LCOST (Low Cost)
Shares with lowest cost are sold first
Average Cost
(mutual funds only)
Specific Identification
Cost is derived by dividing the total dollar amount invested
in e particular fund position by the number of shares held
prior to the trade date. Shares are removed in FIFO order.
The IRS allows taxpayers to identify specific lots to be
sold. Such identification must be made with the broker at
the time of trade and no later than close of business on
the day the trade settles.
O2014 Charlas Schwab S Co.. Inc. Al tighls resanoct. tAambor SIPC. 10114-00th)
Page 14 of 16
SVC
EFTA00283316
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
Account Number
COST BASIS DISCLOSURE (continued)
Tax Lot Optimizer: Lots are selected and sold with the objective of taking losses
first (short term then long-term) and gains last (long-term then short-term). Lots are
sold in this order:
Short Term Losses
Long Term Losses
Short Term No Gains
or Losses
Long Term No Gains
or Losses
Long Term Gains
Short Term Gains
Lots that reflect a short term loss are sold first, beginning
with lots that generate the greatest short term loss down
to the least short term loss
Lots that reflect a long term loss are sold. beginning with
lots that generate the greatest long term loss down to the
least long term loss
Short term lots that reflect no gain or loss
Long term lots that reflect no gain or loss
Lots that reflect a long term gain. beginning with lots that
generate the least long term gain up'to the greatest long
term gain
Lots that reflect a short term gain. beginning with lots
that generate the least short term gain up to the greatest
short term gain
The cost basis method used to determine the gain/loss of a trade cannot be
changed after the trade settles. If Schwab does not receive a specific instruction
selected
nd of settlement date, w
default
se
cost basis
cost basis method you have
for your account or the
cost basis method if you have made no
alternate selection to calculate the gainless that is reported to you and the IRS at
the end of year.
The Internal Revenue Service does not recognize LIFO. HCOST. LCOST and Tax Lot
Optimizer as accounting methods. but it doe recognize standing instructions to sell
lots as adequate identification for reporting gains/losses.
Cost Basis Adjustments
Cost basis is generally based on your purchase price plus commissions and any
fees: however the original cost basis may be subject to adjustments that increase or
decrease your basis.
Schwab will adjust the cost basis of securities in your brokerage account in the
following circumstances:
Wash Sales: If you sell shares at a loss and buy additional shares in the same
security 30 days before or after that date (61-day range). you may not claim the
loss on your tax return until you sell the new shares. ff a wash sale occurs. the loss
is disallowed for federal income tax purposes but may be added to the cost basis
of the purchased shares. Schwab will adjust the cost basis and holding period of
shares when a wash sale occurs within an account as a result of a purchase of an
identical security with the same CUSIP. It'simportant to note that the wash sale
reporting requirements for you as a taxpayer are different and broader than the
reporting requirements for Schwab. For more details on your wash sale reporting
requirertenta please see IRS publication 550 or speak with your tax professional.
TAX YEAR 2013
FORM 1099 COMPOSITE
& YEAR-END SUMMARY
Date Prepared: February 7, 2014
Corporate Actions: In some instances corporate actions can affect cost basis of your
securities. Regulations require issuers to provide statements describing the effects
of a corporate action on the cost basis of a security. Schwab will adjust cost basis for
corporate actions based on the information provided in the issuer statement.
Amortization/Accretion: Year-to-Date Amortization and Accretion is provided only for
bonds sold in your account or held on 12/31. If you purchased a bond at par or
transferred the security out of the account before year-end. no amount will be
displayed. In some cases. such as when an account is transferred, Life-to-Date
amortization values may be displayed. The amortization/accretion amount displayed
on bonds you sold is calculated through the trade date of the sale.
Return of Capital Payments: Cost basis will be reduced for any return of capital
(principal) distributiont.
Option Adjustments: Schwab will adjust the cost basis or realized gain/loss
(proceeds) of the underlying security for option assignments and exercises (by
factoring the premium paid or received).
Inheritance: Schwab will adjust the cost basis of securities that have been inherited
based on the fair market value on the date of death unless alternate instructions are
received from an authorized representative of the estate.
Gifts: Shares will be gifted based on your default cost basis method unless otherwise
specified with a given purchase date and cost prior to the gift transfer. Schwab will
track the fair market value and gift date in addition to the donor's adjusted cost basis
and will apply IRS gift rules at the time of sale to determine gain or toss.
You will still be required to track and make adjustments to your securities as it is
possible that you could have other situations that require cost basis adjustments
that Schwab is not required to report.
Restricted Stock Awards: If you filed an election pursuant to IRC Section 83(b) on a
Restricted Stock Award issued by your employer, a different cost basis may apply
to shares vested from that award than the cost basis reported on this statement.
Please consult with your personal tax advisor to understand the tax implications.
Acquisition date: If cost basis is missing or not provided, a short-term holding period
may have applied for position that may have been held long term.
Please Note: This information is not intended to be a substitute for specific
individualized tax. legal or investment planning advice. Where specific advice is
ry
necessa or appropriate. Schwab recommends consulting with a qualified tax
advisor. CPA. financial planner or investment manager. Except as noted in the
Terms and Conditions. your Investment Advisors are not affiliated with. or
supervised by Schwab.
Foreign Investors should note that the information provided is from a U.S. tax
perspective. The information provided may or may not have relevance in other
jurisdictions.
Contact Us
If you have any questions or need more information about the cost basis methods
or terminology in this Disclosure Statement, please call us at 1-800-435-4000. If
your account is managed by an investment advisor, please call Schwab Alliance at
1-800-515-2157.
S11k
O2014 Charlas Schwab 8 Co.. Inc. Al rights resanoct. tAambor SIPC. (0114-0018)
Page 15 of 16
EFTA00283317
charles SCHWAB
Schwab One® Account of
LESLEY KATHERINE GROFF
TERMS AND CONDITIONS
GENERAL INFORMATION
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-OID, and 1099-B. 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 reallotated
certain income distribution (e.g., dividends or capital gains) after we mailed our
original Form 1099. As a result, the supplemental information in Year-End Summary
may be updated.
Upon receiving the 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 b€ aware that Schwab uses the most
op-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
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 1099-B (for
example: sales and expirations of option activities. cash in lieu under $20. negative
or zero proceed sales, 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
TAX YEAR 2013
FORM 1099 COMPOSITE
& YEAR-END SUMMARY
Date Prepared: February 7, 2014
IN CASE OF OUESTIONS: 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 or 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.
O2014 Charlas Schwab S Co.. Inc. Al nghis resanoct. IA:mbor SIPC. (0114-001B)
Page 16 of 16
Silk
EFTA00283318
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