EFTA00313530.pdf

Merrill Lynch Bank of America Corporation loft2 MR DANIEL M GROFF Y K GROFF T Page 2012 TAX REPORTING STATEMENT ORIGINAL 1099 01/26/2013 Table of Contents Page Summary Pages 3 Sale Proceeds and Gain/Loss Details 7 Dividend Income Activity 9 Interest Income Activity 10 Checking and Visa Summary 11 Merrill Lynch would like you to note the followin9 item(s) that may affect your tax return. Please discuss these matters with your Tax Advisor prior to completing your return. IMPORTANT ITEMS FOR YOUR ATTENTION As a result of IRS legislation. all broker-dealers are required to report to the IRS the date of acquisition and cost basis on a sale of a "covered security." Legislation requires reporting the gross proceeds of the sales of "covered" and "noncovered" securities and the adjusted cost basis for "covered securities." Any sale of a security that is considered a "noncovered security" will be included with the adjusted cost basis but the adjusted basis will not be transmitted to the IRS. EFTA00313530 Merrill Lynch Bank of America Corporation MR DANIEL M GROFF AND Account No. Taxpayer No. Page 2012 TAX REPORTING STATEMENT THIS PAGE WAS INTENTIONALLY LEFT BLANK 2 of 12 EFTA00313531 Merrill Lynch Bank of America Corporation MR DANIEL M GROFF Y K GROFF/11M N . ORIGINAL 1099 01/26/2013 Your Financial Advisor 1000 ML DIRECT P.O. BOX 1527 PENNINGTON, NJ 08534-4125 2012 TAX REPORTING STATEMENT 1099-DIV 2012 Dividends and Distributions (OMB NO. 1545-0110) Amount la Total Ordinary Dividends Sched. B. Line 5 8/or Form 1040 Line 9a 2.842.23 lb Qualified Dividends Form 1040. Line 9b 2,835.18 2a Total Capital Gain Distributions Schad. D. Line 13 or Form 1040 Line 13 0.00 2b Unrecap. Sec. 1250 Gain Schedule D. Line 19 0.00 2c Section 1202 Gain See Schad. 0 Instructions 0.00 2d Collectibles (28%) Gain Schedule D. Line 18 0.00 3 Nondividend Distributions See Publication 550 0.00 4 Federal Income Tax Withheld Form 1040, Line 62 0.00 5 Investment Expenses Sched. A. Line 23 (Amt. inc. in Line la) 0.00 6 Foreign Tax Paid Form 1116 8/or Form 1040 Line 47 20.82 7 Foreign Country or U.S. Possession See Instructions Various 8 Liquidation Distributions Cash See Instructions 0.00 9 Liquidation Distributions Non-Cash See Instructions 0.00 10 Exempt•Interest Dividends Form 1040. Line 8b 0.00 11 Spec. Private Activity Bond Int. Div. See Instructions for Form 6251 0.00 Summary of 2012 Original Issue Discount Items Original Issue Discount See Publication 1212 OID on U.S. Treasury Obligations See Publication 1212 Amount 0.00 0.00 Amounts of Original Issue Discount are individually reported to the IRS. Refer to the 2012 Original Issue Discount detail section of this statement. Page 3 of 12 Payer: Merrill Lynch, Pierce, Fenner & Smith Inc 1800 Merrill Lynch Drive, MSC 0803 Pennington, NJ 08534.4129 Federal Identification Number 13.5674085 1099-INT 2012 Interest Income (OMB NO. 1545-0112) Amount 1 Interest Income Sched. B. Line 1 8/or Form 1040 Une 8a 33.73 2 Early Withdrawal Penalty Form 1040. Line 30 0.00 3 Int. on U.S. Savings Bonds 8 Treas. Schedule B. Line 3 0.00 4 Federal Income Tax Withheld Form 1040, Line 62 0.00 5 Investment Expenses Sched. A. Line 23 (Amt. inc. in Line 1) 0.00 6 Foreign Tax Paid Form 1116 8,/or Form 1040 Une 47 0.00 7 Foreign Country or U.S. Possession See Instructions 8 Tax-Exempt Interest Form 1040. Line ea 0.00 9 Specified Private Activity Bond Interest See Instructions for Form 6251 0.00 10 Tax-Exempt Bond CUSIP Number See Instructions Summary of 2012 Sales Proceeds Sales Proceeds Federal Income Tax Withheld Form 1040, Line 62 See Form 8949 Amount 39.574.27 0.00 Gross Proceeds from each of your 2012 securities trades are Individually reported to the IRS. Refer to the 2012 Proceeds from Broker and Barter Exchange Transactions detail section of this statement. 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. You may reach a Tax Representative at Merrill Lynch, Pierce, Fenner & Smith Incorporated (MLPF&S) is a registered broker-dealer and wholly owned subsidiary of Bank of America Corporation Member, Securities Investor Protection Corporation (SIPC) EFTA00313532 Merrill Lynch Bank of America Corporation MR DANIEL M GROFF AND Tf a 2012 TAX REPORTING STATEMENT 1099-MISC 2012 Miscellaneous Income (OMB NO. 1545-0115) Amount 2 Royalties Schedule E. Line 23b 0.00 3 Other Income Form 1040. Line 21 0.00 4 Federal Income Tax Withheld Form 1040, Line 62 0.00 8 Sub. Payments in Lieu of Div. or Int. Form 1040. Line 21 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. Palle 4 of 12 Distributions and Charges Amount Limited Partnership Income 0.00 Non-Reportable Dividends and Interest 0.00 Non-Reportable Tax-Exempt Interest 0.00 Taxable Municipal Accrued Interest Paid 0.00 Non-Taxable Municipal Accrued Int. Paid 0.00 Other Accrued Interest Paid 0.00 Margin Interest 0.00 Fees 0.00 Non-Reportable Distribution Expenses 0.00 INSTRUCTIONS FOR RECIPIENT OF FORMS 1099 - READ CAREFULLY The amounts listed on Forms 1099-DIV. 1099-INT. 1099-OID. 1099-MISC and 1099-B represent dividends. interest. miscellaneous income, original issue discount and/or gross proceeds payments made or credited to your account during the calendar year. Real Estate Mortgage Investment Conduits (REMIC's) and other Collateralized Debt Obligations (CDO's) must report interest income or OID paid or accrued during the tax year to a regular interest holder. If you are a holder of a REM1C and/or CDO obligation. such interest income or OID will not be reflected on the Form 1099-INT or 1099-OID appearing on this Tax Reporting Statement because this information is unavailable to Merrill Lynch prior to publication. Such information will be sent to you separately for inclusion on your income tax return. If you are an investor in a limited partnership. information concerning your distributive share of the partnership's taxable income or loss (Form 1065. Schedule K-1) will not appear on the Tax Reporting Statement. Such information will be sent to you directly from the limited partnership. for inclusion on your income tax return. Nominees • If your federal Taxpayer Identification Number is shown on this form and includes amounts belonging to another person. you are considered a nominee recipient. You must file Form 1099-DIV. 1099-INT. 1099.OID. 1099-MISC or 1099.8. as applicable, with the IRS. for each of the other owners to show their share of the income. and you must furnish a Form 1099-DIV. 1099-INT. 1099-OID. 1099-MISC or 1099-B to each owner. A husband or wife is not required to file a nominee return to show amounts owned by the other. See the General Instructions for Certain Information Returns. Foreign Tax Paid - You may be able to claim this foreign tax as a deduction or a credit on Form 1040. See your Form 1040 instructions. Backup Withholding - Persons not furnishing their taxpayer identification number to the payer become subject to backup withholding on certain payments at a rate of 28%. including dividends. interest. and gross proceeds from dispositions of securities. 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. 1099-MISC - Miscellaneous Income (OMB No. 1545-0115) Each royalty trust is required to provide their shareholders with detailed information regarding items of trust income and deductions. Because the information reported to shareholders by the royalty trust includes the information we report to you on Form 1099-MISC. you should be careful not to report this income on your tax return twice. Line 1 - Shows the income received from rental property. Report on Schedule E (Form 1040). Line 2 - Shows the royalty trust income paid to your account during the tax year. Report on Schedule E (Form 1040). Line 3 - Generally. report this amount on the "Other Income line of Form 1040 and identify the payment. The amount shown may be payments you received as the beneficiary of a deceased employee. prizes. awards, taxable damages, or other taxable income. See Publication 525, Taxable and Nontaxable Income. Line B - Shows substitute payments in lieu of dividends or tax-exempt interest received by your broker on your behalf after transfer of your securities for use in a short sale. Report on the "Other Income line of Form 1040. EFTA00313533 Merrill Lynch Ban, of America Co-aoration MR DANIEL M GROFF AND Account No. Tax a er No. Page 5 of 12 2012 TAX REPORTING STATEMENT 1099-DIV - DIVIDENDS AND DISTRIBUTIONS (OMB No. 1545-0110) Line 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 (Form 1040A or 1040) if required. The amount shown may be a distribution from 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. Line lb - Shows the portion of the amount on Line to that may be eligible for the 15% or zero capital gains rates. See the Form 1040/1040A instructions for how to determine this amount. Report the eligible amount on Line 9b, Form 1040 or 1040A. Line 2a - Shows total capital gain distributions (long-term) from a regulated investment company or real estate investment trust. Report the amounts shown on line 2a on Schedule D (Form 1040), Une 13. But, if no amount is shown on Lines 2b-2d and your only capital gains and losses are capital gain distributions. you may be able to report the amounts as shown on Line 2a on Une 13 of Form 1040 (Line 10 of Form 1040A) rather than Schedule D. See the Form 1040 or 1040A instructions. Line 2b - Shows the portion of the amount on Line 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 instructions for Schedule D (Form 1040). Line 2c - Shows the portion of the amount on Une 2a that is Section 1202 gain from certain small business stock that may be subject to a 50% exclusion. See the Schedule D (Form 1040) instructions. Line 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 um). Line 3 - This part of the distribution 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), you must report future distributions as capital gains. For more information, see Publication 550, investment Income and Expenses. Une 5 - My amount shown is 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 on Une 1a. Lines 8 and 9 - Shows cash and noncash liquidation distributions. Line 10 - Shows exempt-interest dividends from a mutual fund or other regulated investment company. Include this amount on line 8b of Form 1040 as tax-exempt interest. Line 11 - Shows exempt-interest dividends subject to the alternative minimum tax. This amount is included in Une 10. See the instructions for Form 6251. 10994NT • INTEREST INCOME (OMB No. 15454)112) Line 1 - Shows taxable interest paid to you during the calendar year by the payer. This does not include interest shown on Line 3. If you receive a Form 1099•INT for interest paid on a tax-exempt obligation. see the instructions for your income tax return. Line 2 - Shows interest or principal forfeited because of early withdrawal of time savings. You may deduct this amount to figure your adjusted gross income on your income tax return. See the instructions for Form 1040 to see where to take this deduction. Line 3 - Shows interest on U.S. Savings Bonds. Treasury bills, Treasury bonds. and Treasury notes. This may or may not be all taxable. See Publication 550, Investment Income and Expenses. This interest is exempt from state and local income taxes. This interest is not included on Une 1. Line 5 - My amount shown Is your share of investment expenses of Unit Investment Trust or 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 on Line 1. Line 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. Line 9 - Shows tax-exempt interest subject to the alternative minimum tax. This amount is included on Line 8. See the Instructions for Form 6251, Alternative Minimum Tax • Individuals. 1099-OID - ORIGINAL ISSUE DISCOUNT (OMB No. 1545-0117) Original Issue Discount (OID) is the excess of an obligation's stated redemption price at maturity over its issue price (acquisition price for a stripped bond or coupon). OID is taxable as interest over the life of the obligation. If you are the holder of an OID obligation, generally you must include an amount of OID in your gross income each year you hold the obligation. Obligations that may have OID include a bond. debenture, note, certificate. or other evidence of indebtedness having a term of more than t year. For example, the OID rules may apply to certificates of deposit (CDs), time deposits. bonus savings plans, and other deposit arrangements. especially if the payment of interest is deferred until maturity. In addition. the OID rules apply to Treasury inflation-Indexed securities. See Publication 550, Investment Income and Expenses, for more information. Une 1 - Shows the OID on the obligation for the pan of the year you owned it. Report the entire amount on Line 1 as interest income on your income tax return. However, depending on the type of debt instrument, the issue or acquisition date. and other factors (for example, if you paid acquisition or bond premium or if the obligation is a stripped bond or coupon), you may have to figure the correct amount of OID to report on your return. See Publication 1212, Guide to Original Issue Discount Instruments, for details on how to figure the correct OID. Une 6 - Shows OID on a U.S. Treasury obligation for the part of the year you owned it. Report this amount as interest income on your federal income tax return, and see Publication 1212 to figure any appropriate adjustments to this amount. This OID is exempt from state and local income taxes and is not included on Une 1. 1099-B - PROCEEDS FROM BROKER AND BARTER EXCHANGE TRANSACTIONS (OMB-1545-0715) Line 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. Line lb - This line may be blank if line 6a is populated 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. Line 2a - Shows the aggregate cash proceeds from transactions involving stocks, bonds, other debt obligations,commodities, or forward contracts. Une 3 - Shows the cost or other basis of securities sold. See the Schedule D (Form 1040) instructions or Publication 550 for details about basis. Line 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 Publication 550. Line 6a • If populated. the securities sold were noncovered securities and lines lb, lc, 3, and 5 may be blank. Une 6b -If populated. the basis on line 3 has been reported to the IRS. EFTA00313534 Merrill Lynch Bank of America Corporation MR DANIEL M GROFF AND Account No. Tax 2012 TAX REPORTING STATEMENT THIS PAGE WAS INTENTIONALLY LEFT BLANK Page 6 of 12 EFTA00313535 Merrill Lynch Bank of America Corporation 7 of 12 N . Page MR DANIEL M GROFF AND 2012 TAX REPORTING STATEMENT The following sections are provided to facilitate your review and the preparation of your tax return. The 2012 Proceeds from Broker and Barter Exchange Transactions section includes both sales of positions for "covered securities" and "noncovered securities". A covered security includes those with a purchase date within the following timeline: Equities acquired on or after January 1. 2011 and Mutual Funds acquired on or after January 1, 2012. Legislation requires reporting the gross proceeds of the sales of "covered" and "noncovered" securities and the adjusted cost basis for "covered securities". My sale of a security that is considered a "noncovered security" will still be Included in this section with the adjusted cost basis (where available) but the adjusted basis will not be transmitted to the IRS. In calculating gain (loss), unless otherwise noted, it was assumed that the oldest position was liquidated first, and that you have made an election to amortize the premium paid on the purchase of taxable bonds. Under the Cost Basis Reporting Regulations, brokers need not track wash sale activity for substantially identical securities, transactions across accounts, or between covered and non-covered securities. However, you as a taxpayer still have to track and report wash sales as you have in the past which would include all of the aforementioned transaction types. Securities distributed from a retirement account reflect the tax basis on the date of distribution. Other methods for calculating gain (loss) are available. The cost basis for most Original Issue Discount ("OID") obligations includes the accretion of OID. For purposes of allocating original purchase price to the components of an equity unit consisting of a purchase contract and a debt security subject to a remarketing event, we assumed that the fair market value of the debt security on purchase date was equal to its adjusted Issue price. The difference between your original cost and the amount allocable to the debt component was allocated to the purchase contract. In making adjustments to the cost basis of the purchase contract, it was assumed that the unit holder included contract adjustment payments in income when received. 1099-B 2012 PROCEEDS FROM BROKER & BARTER EXCHANGE TRANSACTIONS (OMB NO. 1545-0715) Transaction lb. Date of la. Date of Sale 5. Wash Sale le. Quantity Description Acquisition or Exchange 2a. Amount 3. Cost Basis Loss Disallowed Gain or (Loss) Remarks SHORT TERM CAPITAL GAINS AND LOSSES - 1099-B Line lc. COVERED TRANSACTIONS - 1099-B Line 6b. (cost basis reported to the IRS) LULULEMON ATHLET1CA INC CUSIP Number 550021109 300.0000 Short Sale 01/25/12 12/09/11(S) 14,249.72 18,961.50 0.00 (4.711.78) 200.0000 Short Sale 01/25/12 12/09/11(S) 9,499.82 12,642.00 0.00 (3.142.18) Security Subtotal SKECHERS U S A INC CL A CUSIP Number 830566105 23,749.54 31,60150 0.00 (7,853.96) 500.0000 Short Sale 04/26/12 08/09/10(S) 15.824.73 8.377.50 0.00 7.447.23 Covered Short Term Capital Gains and Losses Subtotal 39,574.27 39,981.00 0.00 (406.73) NET SHORT TERM CAPITAL GAINS AND LOSSES 39,574.27 39,981.00 0.00 (406.73) TOTAL SALES PROCEEDS FOR CAPITAL GAINS AND LOSSES 39,574.27 TOTAL REPORTED SALES PROCEEDS 39,574.27 (S) Short Sale EFTA00313536 Merrill Lynch Bank of America Corporation MR DANIEL M GROFF AND Account No. Tax a r No. Page 8 of 12 2012 TAX REPORTING STATEMENT 2012 REALIZED CAPITAL GAIN AND LOSS SUMMARY COVERED SHORT TERM NONCOVERED SHORT TERM COVERED LONG TERM NONCOVERED LONG TERM GAINS/LOSSES GAINS/LOSSES GAINS/LOSSES GAINS/LOSSES (406.73) 0.00 0.00 0.00 EFTA00313537 Merrill Lynch Bank of America Corporation Acc Tax a r No. Page 9 of 12 MR DANIEL M GROFF AND 2012 TAX REPORTING STATEMENT 2012 DIVIDENDS AND QUALIFIED DIVIDEND DISTRIBUTIONS Security Description Quantity Date Transaction Description Amount Qualified Dividend Remarks DISNEY (WALT) CO COM STK 2000 01/18/12 Dividend 1.200.00 1.200.00 2000 12/28/12 Dividend 1,500.00 1.500.00 Security Subtotal 2,700.00 2,700.00 MERCK AND CO INC SHS 4 01/09/12 Dividend 1.68 1.68 4 04/09/12 Dividend 1.68 1.68 4 07/09/12 Dividend 1.68 1.68 4 10/05/12 Dividend 1.68 1.68 Security Subtotal 6.72 6.72 TEMPLETON DEVELOPING 09/12/12 Dividend 2.64 2.64 MARKETS TRUST CL A 12/28/12 Foreign Dividend 132.87 125.82 12/28/12 Foreign Tax (20.82) 0.00 Security Subtotal 114.69 128.46 TOTAL DIVIDEND ACTIVITY 2,821.41 2,835.18 1A 1099-DIVJ TOTAL ORDINARY DIVIDENDS LINE TOTAL QUALIFIED DIVIDENDS LINE 1B 1099-DIV 2,842.23 2,835.18 TOTAL FEDERAL INCOME TAX ITHHELD (INCL DED IN LINE 4 1099-DIV) 0.00 TOTAL FOREIGN TAX PAID (INCLUDED IN LINE 6 1099-DIV) (20.82) EFTA00313538 Merrill Lynch Bank of America Corporation MR DANIEL M GROFF AND Acc Tax a r No. Page 10 of 12 2012 TAX REPORTING STATEMENT 2012 INTEREST INCOME Security Description Quantity Date Transaction Description Amount Remarks INTEREST MERRILL LYNCH DIRECT 01/31/12 Bank Interest 02/29/12 Bank Interest 03/30/12 Bank Interest 04/30/12 Bank Interest 05/31/12 Bank Interest 06/29/12 Bank Interest 07/31/12 Bank Interest 08/31/12 Bank Interest 09/28/12 Bank Interest 10/31/12 Bank Interest 11/30/12 Bank Interest Security Subtotal 4.81 4.26 4.40 4.54 4.47 4.19 4.16 0.89 0.80 0.95 0.26 33.73 TOTAL INTEREST ACTIVITY 33.73 TOTAL INTEREST (LINE 1 1099-INT) 33.73 TOTAL FEDERAL INCOME TAX WITHHELD (INCLUDED IN LINE 4 1099-INT) 0.00 EFTA00313539 Merrill Lynch Bank of America Corporation MR DANIEL M GROFF AND Acc Tax a r N . Page 11 of 12 2012 TAX REPORTING STATEMENT THE VISA SIGNATURE SUMMARY STATEMENT TRACKS ALL OF YOUR CARD TRANSACTIONS BY DATE AND MERCHANT CATEGORY, KEEPS YOUR CHECKS ORGANIZED NUMERICALLY AND EVEN PROVIDES A MONTH-BY-MONTH ANALYSIS OF ALL YOUR CARD AND CHECKING EXPENSES. THIS INFORMATION IS FOR PERSONAL REVIEW AND IS NOT REPORTED TO THE IRS. THIS ANNUAL SUMMARY STATEMENT CAN HELP YOU. YOUR ACCOUNTANT OR YOUR TAX ADVISOR WITH YOUR FINANCIAL PLANNING AND YOUR TAX PREPARATION. Check Number Date Written 2012 CHECKS WRITTEN/BILL PAYMENTS Date Cleared Payee Amount Client Workspace 0496 11/08 11/09 LESLEY GROFF TOTAL CHECKS WRITTEN/BILL PAYMENTS ACTIVITY 105.424.00 105,424.00 EFTA00313540 Merrill Lynch Bank of America Corporation MR DANIEL M GROFF AND Acc Tax a r N . Page 12 of 12 2012 TAX REPORTING STATEMENT EXPENSES BY MONTH JAN FEB MAR APR MAY JUN 2012 SUBTOTAL Lodging Restaurants Car Rental Air Lines/Travel Agents Entertainment/Recreation Service Stations Healthcare Education Merchandise Cash Advances ATM Cash Withdrawals Other/Unclassified VISA Credit Total Net Charges: Total Checking: Total Expenses: EXPENSES BY MONTH JUL AUG SEP OCT NOV DEC 2012 SUBTOTAL Lodging Restaurants Car Rental Air Lines/Travel Agents Entertainment/Recreation Service Stations Healthcare Education Merchandise Cash Advances ATM Cash Withdrawals Other/Unclassified VISA Credit Total Net Charges: Total Checking: Total Expenses: 14. END OF STATEMENT - 105,424.00 105,424.00 105,424.00 105,424.00 EFTA00313541