E\I:l.

Ili'lI

M~¢,.

'4

jSllbBUl @ou:w':s 'lam!! am ..•orial };OCOO~,i' llIummer Wo'lleJ 3_ c=l H~ nf lJoilSF.!hll;li:I (Not roon1e:d~ ~'_ Ie::! Stug!'!!!

~_ I'ililnieri 0'
C)

.ao

I'

~JI'IU~

,'.

T:BI.living. IYUI ':~potI'~ ~Not f1~!il1f of

Inn(J51!!;iUitii)

5_
.I I

~li'lrri~

Federal GIWf!mrne:J~ Bmplova9 .G. c:::::J P~irnl~ .e-~ss.l8mpbJyee

r._c:;:)

IE_dO ·~'~rM]lml.

MIJ~.~~

or p.oo!ic ~'ilIKW\Se E,mJIlG)'re

H_ c:::; Jilr;"'QdlPeI'lSiDIJllII" L.~ ~~M ~lnlj\;~18 ~ ~

m!JI'!)'
.II

~lrinQ!;S}

, (Sclredtil'e F .lliillv'
[j]o Dis!ribulable SllGJe01'1 Sfi)cral
.CJ

Dis-ln"buta'b'~ ,~ro

Oil'

"., '.. , ""-r

I

.--.---_,__ .._.,.~,•• ._. .._ •• ,,... ,.....,,•• ~_.----.

[!oj, !)ivf~OOtls'lmm~~"'ltoos

~[)"e'Me.f

El pMdertds frolllif1 ~1lDJ];; ru;d flislrmujabfe '(iI)lJislril.luiloJls rmm GO~E:miili~Ii!a1I. P ~~ Miscelra~eoos, il~oome fS1!li};mll sI) L*5~ fir.m rr~IM'Jlil " .J IlJi'lrl1rmos imm Caprlllllm'6'Slmenl or

(~ile

Il1rFMfjl!ai,Pari 1~.Ir-ne ;lAl-,~,•., F lrdvllJiOl. Pail 1, Im3Bj ._.

'ildiWlual) _._._

• : an~10) "_' , _;._"_"_"_"~. ____•,,..,,.,, ,•

..,,,:,'_'_"".__
" .."."."

;•..-.--._.-- ..-..-..---.-..-.." ,,,

,."'." ,_ ,.~ __ ..,.

c. __.

._..:, ••• ,

.I!]]s

(Sub[fl~ Sdwole F InrlilJldu'af}_._ .._.._.._.._.....

lllulii!>rm

_. __.._.._

_., ..

•••••••••

_•• _•• _••••_._ .. _._

•• _•• _, •• _,~

•••••••

}q

'!'i!li~ I.~ Alimo~.~ ffi·Cit!val:l· P.iI1'8f'~~f,i,il'iilitirib,r r~o_ _ ~ s 1'@l2(;6009-

fmli~l'ie fr:i!ll'll BJIl"iuJtles <J;ncllle!1SLons {SchOOl!llo H

_.__ __ _ __.._ ,._. ._ .._

"" ••,,

"."." ..,,_,_..
.•-..-.

J[!~ .. -..---.--.--

".. :•..,,_.,;.::.-

M} Gain (or-lnSll) from industry or ~usrJ1e<9·s· (Suw-nlt Sd~),u..,.... ; ;;....:...._ • ~. __ .._.._.._ ~ .__ " ,."., .•, ___•.._.._.._ _._.~. . 14} Gnln (or f05S~ ,rrom ra~mll1.il (Submit !.Jdredula L Inclfvidllfll) _. __._:._.._.:.;._ .._.,._..;....." .. ; . , ._ - .._.._..._..,__._.._. .__.._.._ ,_..... ~. 0) Ga'I~ r.(lT105$) "rom IJrnfil8~iO!llS .aml mIWl11ss1f]~t$ubp~IH;:ctltlclwe M IndWk'[~I). " ...,-,,--.__ .--.-..-..--.-.'-"~'.~'"~''''''''''''' p'''''''' p~Grrlrt (Ilr ~} fro!'f1 re~~1 b'usioo5s (Submil, $'w9IMa N Intlti;j'du~l) _......- ._ •• i.w."_"i.,,.,, __ r ,__ e - .. - .. - .. -_ .. ,..... _:" Galnl (or I'(!\$S)Tuml w11l o:ilf.xGr~~e:(]~ clllpula] asselS (Sti~ffin~6IlGd'Jla III looM'"duall_.____ ~·_._ . ,:~ ..•.._.._ ___._____ .. fI) IQoolEriedi plans end 'lJarl:<ibte Annul'll! 'Conlmr.1$ {suhlrHt Sch.cdlllg·.b IOOMGU:o;ll_ .. ,.. ,._._,--·--·----··-·._: .__._., .••. ,•. , ".......... S) ,~! l!ln~:Herm ea~lj<l1.gelrr on Il'i\ll9Slrnmrt Funds (Submit Sdiedutil Q1~."",••,_.~_, ..__ , ._._.;._ .__ ..__ .._ .__ ,..,,.,.." ,_,..... ,:;.Th~al GmSlS IlIIcOms (1i.'ldlili\~s.1'8. 1C nnd 2l\ IfurGi.l!Jl~. 2SJ ", ..,.•"" .....,..,~.--,-.~.-..-..-..--:,_. -_.-- ..,'" ,..,.,.." -._•..-..-.-.-.--.---., ~-Ali[ltf]n:y IP!li'~ (R~dple"l's sodal seCl:!riiy Nt). ~~ puiiglifiel'Vl !-Ill, . ~2.$) ", ... ,"

(IIQ'I--__

--_---1f"""1

rli'JI--------l""'1 (!Bl J----------f'''i,

'j~~' I~ ------+'411

011)' I

~ _ __¥"'11 --I~I "";~I

(l.'II--------1=.1 fnl "I-

~,
~Il-[3!1]

1----------1"""1

!Ul~Iu~ted Gr'oss 'il~llinlll' Silttlrar:t lirw 4 from [lne ,3) (

.~ _..____.___.__ ..

,.."."

"." ~._._.__._.._.._.._ ,........................... .

••••

_11

'JiD}j.AiF,'I?i'[!il!;;rn,B,~:~~,~~'-;:;'fU;;;-I;;t;;;,~, ~,I;;~, ~-~'J11 ij'f,)i,

~ ~~ dT~l-J:rn: 5 ~I
)'Ill

~i~I\11

di!!cII8t:l ~,ril;!d!idki~, l6I~ ,i!Ere., I[ \U!JJ ~ ill:] 001' lLmrill.) CflW ~ 1.575 7, Jd~~I' i~etTIli~ea Iiftt&UJ;'lib~ 1SG~ed~18tf" liUli~j~lf'al, i"(i'i'l I. ~~e lfi) "__ ,, ,,_,,_,,~_, ,_,_, B_:l';i~r.4n:rr! III t'~!1il1l!8:! dp.d~Ic:H(lOi~5 {Eplilr tllB lam~r ~\l lil~8 ~ m 7J _,,_,_,,_" ,,__,_,~,_,_, __ ,_ g ~oIMI, ~,:jdi'!i~n~~ D~!~I.!ilI~I'I~~tf~hf.ldlJ!:8~, l~m~1i~LI,;Lj, ant ~I, lIil!!! l2) _"., _ ,,__ ,~" __ P _, ,__ _, ,,_,," " ,,_, __ ,__ ,__ ,,_,

'i~

-~U~tJ, ~ MtorR[OO, ~

•__ .....

bO"l: j, Bnter

,_,,"

,,"_,,,_,_,_

tn_ TeJerhQmi ,~ffili:e~ ~'l'~.n'1 fc;r ~lDIIWii~..aji~ ~~h mi!'I:;i~y ~p.r_'j(ll'l~~! ln rnIl1D~'lzlm~' ~~"ea Jrl~l, u ~~~I~~ ,_~ ~,_ '_'~" ,-' ,_, :_" , __ , __ ,_ "~~" ' __ , ,_, n IlcR80NA~ f1(E:'~1110N; 11 ~rol'O!rEJ~h;e<I ~ 1 ERi2f ~J.QO~, t 601'81$,Ullf!l, i:H;D:'j, ~!1tl2'l S:U'I}), 1)0' .4: ~~lt"f S (300: :I:)!JoX 5, e~tel ~:k~rm !lw fl_ E;<£MPTlDWf [,()Il: ,[lEPEJlIJEj\lTS:' [C;~mil'e~e~~IJwu'l~ 1\1 '1!,dj"Yi,d~I,~, O!l!i!~ T:!5tr~~!~o~~' I 1\']0 \tojilil~!I'n,i~llh~-C~liJilOt~ tHJ _,_ '_' __ ' "'_, I~ i() l' ~2, Bon [II} I-------~~ ~J U~i~r!;~1~liJB8rnlT: , i::a~iigDJ!f ~U'~ _,_,_,'"_,,,_, l~\l--(l--, r :tl,['ll[) "'", -,,-- ~l'Si 1--------...j:!!~1 q Disiml~" b:i~it er ~~B5 'elr dd!i:-C'fi~~gQr'l ~J) ,,"_ ... ,-,-" ,-"'-,-, !~ - ~I ,t2.SW ""'-- ,-,- ~'!(I!------___I!!!!!!J-------...,.......I n ~ T(j!~1 :E~~rmIlLl ,for n~:rel)dlro~ ~ll,l~(I~ne."ic11,,!o, Ihrf)~~~ 1:~~} ,"---,- ,,-"-,,-,,-,,----,,-,."' 011 - - ,--,,-,-, ,,--~-~-, ,. ,., ~3_nJ~I O~~!rn'r::Llii)'I~~ ~1!~1 lE'ie'n'!~M~m~ ~A;;!~ il~~5 II, !I,. 1'0, tl and 121J~,_",'--,--,,_,,~,,' ..,---,- ,,--,-,-

,'

Ils!~r!l~!

I'~~~I'llL.olL-l.llUIla..J~!;!k~_~~~~

--,,,,,,,,,_j!~~

1:5_110: AS~I=:rt:{l)q c::JI1 ruT~~liI'! ,JC:)l ~ S)p~hilt<~a~,fj~' oapit~11g,il!~15 ,CJ, J t10<IH~$i!lc'M·1I!Wen r~, lra.d~,e1 i\~j!~~1 ~ml r[]FiI6rnllm~ l!u~.;3dlw~l.illl31it. <lI;110t!l!n ~ldlC.lI~ on ~n~ 14 Is~~flhF.r\ 'FMonj fRmEdiJia P ImrnMdual, hili! t) -,.,-,-,G !rl~IB (t, 1f;:}:e€.'~(S ~i i(lI~1~ fl.:i;~i~ T.fl~' ~",,~r IilE~U~ fall. '[Sr;1!~l~ ,0 l[ldl'iJ~Ili:J'l, PM II, rl!lt: 5] ~:S)jc" It"MI i,-fj(ltl;_, I fa, l~~\>il iRfeFe5t !5.1!l\Je!):i'lll, wj[!i~~I~il!!il t~Stlh!!rlllll& f 1rrdJuldu~l. f!;]J I. I, UlQ C.) ,_, __" "_'_'_' __'_ _, _, • -- ,-,-, ,--" ,--,-,' ,-,-,,,-," 1:1),[¢cilJl tal: 00 eilX~e'dir;itfe;,\,[~N1mlf.l<i!ilri!$llir5 di~~I~im~!$ ~ibjer::1 [0 will!I~~9 f;'kl:L<ldll~3 r iil{leVj[1\Jai.,~ IJ, ~~e~AI irn~,e:;,1ffieDl~r TO~fjsln F~I1!i1t!S~!~V1ttgeb~~Llra ;Q~),-".-,,-,---,-,-,- -"---,-,--,-,-,--,,-,---,~~",'-"-,,.'" ' ,., m-Oml §iD1If':r.w''llilnlm'P,R {:F.clJMIJI~ r~Wl\."JlI!El. P.!l[l \.!ilL IjIm 2} -, ..,,-'-"''''''''-'l~ria\lpl'. p,~[~VH,. lima j) ,-:-" .."., _-,,--,-,,-,,--,--,--,-,--,_~ :',""" ' ,--.':-'" 23_ r~~ tli,~'IF:ibl~ll!)fiS on ~jl:d ~raMfflr{rrtlml 6w,er_el'1J~1 ,F'1i311!S [8clJ,~d~'le F Ir.~i!iid~~I, P~fj V, lill~ J~ -, '-'-'---"_'-"-"-"-'-'''"''..-, ?~, ~~ri;;1 !\;Ioc 1lI1' ~i?n~l~~nE! flUli! Flito ,rulllrmSL~IJ!1II)Jf))'P(iW'b, ~m;j rrpro; ~~~S.~l:o'~~(~ E-~EI]!p1I1;J11!!I=D~e Idlli!li3! J!;(1 llS ~r .I~l {srhe~1.I18 !( Innd~.rw!, i"il[l II. lirl!~~m,m *.cllWull:l t,1 Il'Idi~lduat Pan I~, ['!lie ~) ------,-,,'-,-,,-,,-,,~,,-,--,,--~,-, ~.lnl;~!i1a ~{f rrom ~biQrlJe3!H~~Eli3\;E!~a\I '11fIIl~!S ~l~ um MfiUooil lJa~e1IJ[iU ~i!f...n (f'.mE'itm.la ~ !.:u:!l'ikllial,i"'..al \)~ Urm J(i:rmr,tll TJ\:X f.lE:rEIi!I~~rr,l!E,[l (MrJ lirn,r;S 15 IliIOfll~~~''££ ~(J;I' El~t~1 IlfiiYi~iiIbtllmt (reimil'&:tJ~d'l]:le 00 I~ lfI~,lrl~F"i.ILlle ,~H,as ,~prJi()ilPI.~} -"--,-,, ..,-,,-,-,~O. 18!1 Qilcli.l,!1i!l'oocls r~

~t~.~~ Dr ~duGaLiIljjal C.lmliil!~~~~ o:iI"JRA. ~~n~,r:lbil:il!illirjJ]:;:J!Jf imwme it r011 1lII' 111:,0, l.!i:lilr:.ihu.,lcn~'!t)< ~~r:~il].e!ll P:enii;)RersfSi:'li?!jI~I~ F

~jl'lt~1'

~hc,'

:~i ~"-~~""-"-,-,. "-,,,-" -,-",'~~, "'_"-

• R~ll.ll,jII~~ro or credit ,~[:[rilEf>')tj ill 2m.j:;i!~~[L ;FQf~aJ~rJ~

t'-T,!!C 'm~djl~ rSch~D!i~~B

~(!~,~~

f$Ghf4lWs

B 10,nnllhl~~I, PM

I, rm~ 3'] ~,~

,-'-'-"-'

v :,~

~~ :_~"

-----,--1·-1---,,·-,_,-,---,-,-,
..-,--~

Inillyldllidi, P~UL II. II~'~2f:],) ~ -'-, --"''''-' ,-,-,--"-"--,,-,,,-,,-,,--,-,~,-,,---,~,--,,,'---, ~O" T~l(!.1'4BIUTY ~ArJrnfines 26' :aJill, 2~ ~i~J ~(i~tr~e1III~e':r~ ,tor 2~, \~~,*"Ei! BPp!i~ I~'~ls IF.ssdhall ~~ra i ~i TAX ~1,In'l1H'Et:[l.MI'D, IRElrl~!3I:JI.R\>i\:Ei~'1:: ,Qfilmrr S MID Armmp~Ji'\L Gm~I)IT~ Il~l~ "'1 T8~ ~llli~e!~l (Ill 1j\1~8es I Aqn lin€'S,'~ "" ;am~ 1 t of Pall lor ii' )(If 5cl\e~~Ii;;;" C(') 'n~ !wlLlCl!ll

1~:rj)~~'l':15 W~,~'1~~1!ti'l,clll1o~~-'-'-., '-" ,- ,,--,-, ,-"-'--'

,-' ,-' -'-"

_;!;_=:=.!_

i,

f:l~ T~ 1if.LhlmW f!r.I 'awlIm;,;'n.:I ~e.Ijc'Skihs..~.~i:lJ-O'4ll!I~I H ci) ,'OIMf p!l.YFJrel!rn [nell wiUL'I1iolding5 [5ri1'~rlllia &1' ino,

l'Jl~: ,-,-, __ .,_"~"t' "

'i~)r-l ------;-::;;:;:;;£~!
11!:Il ,!-----__..==+='::;J;

OJ ~ClI\nlp~l]ii~Wi Qreff~ 'Een'1 ow (it~Xi:m~Parff;iilr:I~'t~ l~8

E) Emuploji\l1l~t QedIt [~~E:l ~~~~rl!le!io~~l ' '" "" ,. f:j :Amerinan qPPPl'LIl,llll~' T:a~ Cradit (ZLlbmi1 fi,~ p,~rilllJoo.,J Gi6llH I[SEl'131~~Mu~IIQ~r:} --""" .'"'' ,-, i II~ r~a! '1 ,a>; l.I'l"illjtrc1~, PtrII1I, fThin'QbwS,llolEf ~di!.S <!"-:liI';' ~~_AMQUNT OF VAX DUE. tIIrr~1!I-J.IH rs oo:l:;Jm !hA~ Illne}I),: er rlittl~.!1I;'f!' ihlF.re" Dlhe'N:i~. eJ~ 33_l~iS'S-: A/J!aWIl ~ p~id \~-;Ih ,~w~i1Il]fflHC' ;;J(nem;lon":ol ~il1ii'A " . .. - ...... -:, ~-~ _. '. ."" . • '~-'_ "'r.~"'!""'O:: (:l!f UCUllil! ~f IIne:li;!"I~ ra~er fu8n line ,'1 8'1t. . , ' . ffi?rp.n.r.& hMJ"'~

5~edi0,ei

i~."

IiIIl

hie

}1

.."_,-,-,.,,'-,-,,

,_,_"

..

3~_-.a.Qdit~0\1I tom HI~~.Ta:o:rm,~f;3'lrlll'l:U~O :_P<;~_Es~in]~tecfcToo IWJ;~ -cijlo'l.!B!~a}t~.~ ;1G.,S1Jl~,c'8! Add.luD n~ I, bx: lS~o j~s,rucN(ln~,} ,_"__._,,__~._. ," '_'-L~-,;",;;,,,,,;r." , __ :l'7.l,ces~~ E~~~'5 a1 TaJ:, wa~ll~'e!d;, PafJ and Rf!:ilmIDUltS~II!II"B[::r.:,Jl.~ __ ,_ iliS l<f.~.~~.ri!!m)!:!nt p;;!~ ~~~li!iiHh ~e,t~rh Qr E'le~j,[~nk Tr~.sJ8~' Ull~ou,gli :I 'C~f~med j:!,r~~aiM " ~b~ 01iMr ff;e>i;'rillioRil;, lr,B~!OiEl~ nlml~:li(;Iji ~u, :[,c~ ! n~~~~s!: _ _,_,,_,,_,~_~ ,__ ,, ,_,,_, ,_,_,_,_'''_, '_~ ,_, .. , , ,_, _

.. - --.::

.-.~ _._.-

.-.

--: :-- .. --: :----.

·1·

39_ EI,ALAt.lQE Of TAXDlJE

4'Q"AMOU)ff

[H} S'wchl!l'9.~~;uul r\l!<~a~~i~~ -"-..,-,-,, ,-,,,--~"'- .---"-' ,-, rS:(nblrild !r,",,~ H, j~~ill ,a~1l ~~~[~i~ Jiniilllll1'H5 l~ HlttK.!!l1 3& 'O~~ llmt8r ~'M di~ar?l)ee ~er.er Ilr il is I~SIS, ~a!A >lee&. ,gj:r1.er II:!e (llitJe~e~.ce:, c ~ liJfe ~IO} ••," __' ",. __'" __ ,_, __ ,,__ ,,_,:__ ,,_ :_, " ,,__ ''' ,: ,_''_" ,__ , O'I!EIilPA!CI r~~r1ipt
~Di;~: ~~H oorw:iI ~'l.31'rnpL liof.SNI,

~~ aid: ji] Inlb'e.cl;*ihJulV~1 tIIq 1100 . [(I' h

(!f,i~ ~_,_,_,,_,_,,~. "

,--,-, ,---,,-"--,"--,

,,__ ,_" ,_ !,J!Jl !--------~-;I , ~~1Jr-------'-'=~E~'1

I\) 10 'bir:r,creci1te~ 1111 i!;51im~le<i ~~' lor 2[)11 '-'-"-'---'.'---"-, I :BJ·,G:lJril~rib~UQf,J I.D it.1I:=' .S~I~ J!I~AlIJ jJJ~y f.-~hJEtr.r!f Sp~.J:ir.l f t! IfId. , TO I[lE R!~~'rl NII:JBD

,,--,-,,-,--,,-,,--,,--,-"'-, ''' .._''-'--

~~

~~

••-"---"-, "

2010

1" Wage's, CommissiDns;

,AIIUW31:Ii6:eS Ilmllip~ AHA,c!lll AlLl VO'l1IR:WIITI'IHOLD~Ir.lG STATE'lt[NliS (hll1l1i1>4Y9ifF21W ·~PR·M)f1!R.i';.{,I!.V-I!;I, I~ III W·2, [I)" appfjEllljlcl',

lQI~! nlwithh[J;ldD:l[l Tillal ,.,., "

~~!Eirn~nts''i'Jlin1 (hi's·~h:edl!llE

_"

" .. "., " ••"

,......•._

G
.

m.: .m '. ,.. , , m .. :

no

, ,, ,,_., _._ ..no _ .._

u •••••

im,l

10,;321

~J(IllllLl

7_l.:c_.7_74';;J;1OOI;;.;!n

I~II

7.F~deiOllGal;l'emmel1tWa;gl!l:> (S.~f!!ll'l1flL(tiQ!l!5-] "--w _ ~ __ rO>!lI ~I!f<!ILI s. OIher IlnClilmll (or to!l~·e5): IIj iJlll>.re,51irtf.mne fSCli~.d\ll:en~L'lfv!r.lmt:l. I\;UI !I, :ltm~ (~'G%IIIf Ilttll rntliHIJ ettall '~plius.pl..········ ... _ Hll " _._. ~ _ Ell L1i~irJlrural1tle·$JMFiHIII'f ~flel:lilll.[1BrtrL'Ilt"SilliJl'~:jlIufiJ::::(Sl1omi! St;lletJ!ule F Incli"irln"l 1tr1l'rl Sr.bctlulit rtr .. f$] _. Cl [}'l!'.lflll~~alile sJ:;IihrTI' f}.n !ip~f.t~l: pl'lftnf.:lrsll~p:5l(f!5sm; ~!illt~lIilt :::;[.ll!c!dul~rR]•••.., n" ••..__ _ _ .. ~I OJ [)'ividendsIlflOOntJllfjpor8.jiolls alld.diistribU1it:lnIS [rom parlF,"?r~hips: slIbJect {O wl!f'ittalrnl'l!:l (S(h~~II~ r Illdivldll<tl i?mlU;lioo 1,!l) (lj[}%ID'HIIl[.fr!a~!Oea,d~sr~!i~I·~l ~.--:.- o ~.,. ,.,,~ , • , •• _.W1,,',,----El m~ioc~-d'5.Jrmji mrpt!il ",'[ICt:Tls .<tliliil iili~In1b'I~j[]l~"kerrl ~~il!i~1511ips. nnJ ,!}llhj(.ICI('I} "ml~tlotl!dfri9 lSf.hr.(Ji~r: F
'-H ~_... ."

~_~IMI;;.:J1nlmllLi -,.-

====-=~[oo~ ..
,l
-r:------+700",.

DO R 1--_ DD, ~ r~D'Ill'l--

' __

OD --Pm."iJ

I . .--'Q!!.II><P+------

f I Distniil:I)lIb!~ slmlil !ill j!mrlfilsii"nm [!l~PQralinfl~ til llltli\,j~iJahj (S1i.lJrliif~r.hBt!lIfe f fm,i'liolI'i'lQ.. Gj Disbi~ulitm;s Irm'1 ~n ...~mm!lrt't<lII~I:lilr'lS (Sclmel'lI!!'! r tnct:l~irfll~I, II~illl ,~ i:tUll_ ... :.._ .._~. I r~ MiscelJlaJlE!:{IiIJI) jm::flFFlI~Irsub~mll SiClJe-.lIu[l!: r Ilnt:lnlfllll "-41 (SWA.. til 1). Ilalhm't\ rmmloor.Mi<!ill Refuemmll' I\.c.cm If1IB im!l Ed Jj

I'nontJduiiI,t

Pall II, '!t,je

3R~ ~~.()%lli

nile DIltal ttl edclll ~pm~wl_~ ..'

".

,_

_..~, ,,,_._

_...

jtI;<Of--

mu ):l; _
_

Oil

II~'I-__ "." ,., III

~~l

Ii ~:ppf!.ul.IlI~, ee'il1l')A_" S 1}'~

lot} Irt.tGI'I\e Fr'ClJl1 ;onf!uil~13 <tIlU PSl'ISiQft5 (s"C[lOO(IIr. I'1l JdJI ;t:lllIa'P~lt]i\ili, fJ,,!.!,, __ . .!. ~_ , , __ f!~ q AJllltion~ mf.f.i'l.rci:l U\;lyef's social ~i<!{:lJriil~ f/l{l_ _ ' .... :P:l'.-t..J~tP~t , _..." _ _.,. (':7 ~;\)I Gilm (111 lussll rrom in(j'UW'I vrl!!ti:l~jri!!5S, ISUllm[1 ~I'''''''''' ._ _.••.. ~, , (lS p~ Gillil {Dr l!ilss) rmm filmllll9' (Sub-mil· Sctleitt.llc· L _..•~ '" , n._ ..•...••..• _ .•. :.... . rIg Ol 'Gaim(orlo:;s) lmtrr:l pr>ll!f~ssi©rtS atld ct)lTIml~imt~. 'hooll~eM Indil,i'in:lf.~n __ """"., ,,_._ , !2il i--P) G~~n(rnrlllss) rft:JliI i,~lna1Il'1!I5r,l1e$s(~ul:ul]~~S!j;h:tl ~1~&~.i.HUfJij U: (s{l,%.(lr~h.~ 1.(I't.:~~.~ dI ~pfll]s'rl._ , I7U Q) GlIlr) COl &os'S)rmiIT'$<:Li~ mQ~~hilny(!o ,uf,capua]<lS~{S: ~Stl~~h~illirB 11] 1I\dlVldl~~~~ or l,hfll!Jlii'I 14' ~'Olcfi "

lJi\1itleml'."lrorrt G~Fl-l:allll\re~tmenfprTlJlJ[l';iIiI

FwlUl

dRlb;:

- n ,i!,r.clll.liiI~'. .

'SCl]~tIJ!l~F Inlfflliflufllj 11' ' --__ _ J: ik = mlliiJ i!il'[h sfliDu,e), n:'1--------I'!;q~

-

QfI '~llt----.~(] l)n I!!!~G~'g ~!lt_------f""aQ -I·f!!!iill!l~D~-:iJl) .'2 ,00 .tal M ~1

1,~!!1l!~
f"'o~QII

I
nn I 100 _ 00 ~
I

~!rr_-----_II".ml

Ilfi®!:u4J ~\..J

iO,

~JlI4~1
llD 'I~i-

ntI
,Il~

mo'"''

_gg

R~

oS) Nc~ [!JJl~·I.t'iiTnt.ll:tDi~[]1 bLnll}rt Irn~ll~nmer~Lfl!tr~::r (SIlIM~iISrln~t:flir~ Q1J j5Dr.'i. f:J,f'HLllI:otnJICI~ ach ~ P')~r.i~) ... a~iil_ g .. ~. rotal GWss 11I()i;ll1Jlil!! {Addllillt$ I, l::@i1d 311 thrl)\~gh lS. ul C(~Um"5 B alld 1;, ft.sl)CnlvP-ly) ......_ _ _. 17"1:-~. Alimony P,aid (1Rr.r.~pii.~i'1t's md",'S.e.curll)' No ~ __ )I~
~L

~l!~~ir! ~L;'~~~d·~;;;r~blii\~~i;;~ S'~I;~~1:~~~~ ::::~.'.'.','~',~: ...~~';r'~ct:~ r 'CS~lJrnll ".,. .>. _'.~

I,D

~,r.l--..5~'ij

I'm:,
7,a 3~2
I'

1--

111,::!1:
QC 4!l,!'lS3i DD

Vuclg-J'I1e:nl ~(I,. _ ,)U;:1J " '''.' •••• "'W '''' '~ '''_'.''.''' •••• ''.'' ',~'' _ "'" .. , " iN.1fldju'sre~ GroflS Im:omB (SlIh1iad DI185 rmm: lifl!l~, Ilr,Cf.Jilmllii'S 'El.~i1di C. resp!3~iIII'~~ ~ ..;~:: __ '.•' ~_ •.•" ,••," •. ~\I I. SIANDARD Df'DUC·TION ., _ _.. : "., .•••.••••",., .•,,-,._...............••.....•.. ,.••••., ", ,••••.•... " , - ..•...• i1I11

00 l'4,3'O.2

i~; .. .. ~-<~

_jMj~
iHli9'~, .1IDlI

aq .~~

1 5.15

Im!ni ..__

ill IlEMI ZW I)EiIilUG!~ONS ,{See..hl~nlf[lf()ns}: ~) .HDJIl'~ n:tlJiIlg<J,ge"iMlere'~t

.!..!1.""'51~5::....', ;,_OIlJ111 __

ErnIlILI:tlg Idl!1llifie:a,ll1:u1'NJ)",

iilSll

~';'~~~([:II~:I!-~IIIIIIIIl_!OOJ •• ,' ~_!!!!.I.~·!_,~O~~)I~ __ 1 _ ..~

1 _I _~..oan

g,~~§~
6~~

'gO!~11San~
.. lit" [)!i~ml f ()j'st:lllilll~ tPllLll~1

S1!l:IJJn~
($~l!

[l%J.

I~
.. .•.

F~1lS !PiJUillsI Pnjd Dire!:U'o' ] fj(;;1~~J ~ !I.fIj~ ..,,.--...... .

l;IIilJi~CliDmSl ..

___!l_[ cllIU~'i!J!1~ 1l,,~!!s;~hIIC~~~l

:IJ 1lU'(,..JI.\lIJII! d~ooll
f--

fla1d Di{.ec-!!!l.Jli~~lfn.ltl'!!l!..J~~ll!. 1Il~,'[!JUiO~lS1.- .... -. ,... " _,

c·=·:o-· ··=c

.._ HUI """"",=-_.p\"-,ll,_1

,...

"m .. ,., ••,. , ••,~.•. " ,

~ T"iT1l~.[l\&liipiy ~J!'l'SIill!; or P,atil't T~·D li,~ ~lt:I'.!i. Jlrid ~Ll~r ImID] _ =,,'''' ,.,' 11rkj'!1(II ~->d:trJ?1,

, , U""'" "..,. ,. ,... ,.,.,. ,~'" ~._.~ ,:." .. ," f~ !il!1Itl!)iagll T!:1t~i ,(EJ¥r lip. 1;i[~I~!r ~ Ul!!!l All) .ar,ll A121:1f!ll1! 10!0:"l1~ Ilf U~limm~~ BINIif t£ lI_dt~III!!»!!cIi'S, Ul.Hm C)) I'Sre iR:6t~!

!:[r ~he retl~rI w,~ lill!!' 6.:..GJ:d!JJTIil~'I] ~11~ C on1itis ;~r}",!];lI~1o:!

"...

fI"2J IOJ)

-----100 . lim
~2

:lc1l1P.6 00

n~

14,illili.

5~:,O·n no
·,r·4,.069 OUI

_ IJ~I

IO

t-~llId ~;],ie Mpa1&~~ ~~ 'D} F'xpp-n"l!~ ill~ur~M In !I,e caoe of er~iert1 1T~~1111:' ~$E!!! ills1ruWill1~1 •. :._ FI RIOIlI<lil1 jllllldlJiHJ':r; ~tl,tial S~!iurilV N'iI. r fl Pro~erl~ j;jx Drt prirndfl<ll lilSi~I(l,I~tu _ _....... ..__ _ _* ~

r.l

Uj:;~I1S~

~1[!;liil:5. :paf.ll [m <1'~~blllib!:tiil~'>

~SiRtr lot O-~f50~,"1 pWrjl1l~S, (See insHlIdiillro:;l _ .. "., ~1':.:::;~J,--__ ri1&InI'!:l~ll!rtS, 1,1~QQ - iI'I~~ uur.:r; :U,~ - Ci'lD~: mdrl1' {t.Mren; ,., 1'&]

-,!.fi!!!!.il4-llIoll
:'HlIlO

liid

I
."

". _ ~ 101 ..... _._~l.rlt~II:I:_____

" •• ,•••,.,,,,.,~

Ull !111

121U

·l,.<W6 00

Sthedule' CO'lmli'lldual . F'.a~ , prinriJl>lll'f.'S.mellf.1;! ('E}'eu' illC,[ruWOllSJ ,..,........•.... ,',' ,..... :..: f);Yi! ~) Mr.l'JkiJl,e~pel1~~5 ~SI111e-JiIl.e 11'I1f~l.'i[!ual. line ql :., _" . .l " ,,,.,, _., .._,,. ", _1111 I) QI1:llrililibie mnLi Ihuh,!c., .(StheUuM J lnt1i\iOClll~l, tlh.ell] , ,.." Cl'11 , J) Uis) IfrpcmDn~1 properl'}"il~ a fp"~'iilltof ceftall'l f.l'IsLl!ilHl:l~(Seo ~l~t[ljt:tiurlS) ,.,, '" -.,.f1",1 K) :t.~~ils:e~inJeUrmd'inHlepLIff,l1ia~~ Dr!~lllol~flic~I!lls~r"lrdn(1geqnlrmr.ntfClJ 1l;;)'rI~lli:Ji}'p~lJ}d persons, :SW;1l(;iil'ltzl~iilllre~lJmmlllr 1:III[!1ill: cli'Seasi?~ MiJt:U6)CJ.1Taxjl.wr qSpmr~ ·c:=;!3 0!1:il£i C) 4·Tir.~paYer. ?l_A1JJsre ) !iTa:p:ycr nnli QUler~ c ~ IGSp:_Uio' aiOOOH~ c:::) 1 Taltp3)(er. Sflt)U~ <lIlt! OUlers,: ,._, ..:...,:, ......, ,n., ,'..... ·_11 I) I.l Ur!~~'lden't'.s educ~~j]n~~pan5:~.P~f,i~~. S,] .500. ·oJll!;!d!:!!:J.:S3.000· tW{Im mfile !Ie,~,I,.".. p.~ M) S'olar ,cl:JU'lllfrl 11J11,eltpr.'H1s~§ ..••• , :••~" ~: :", ." _ _ ~!!l N1 ,I:i:rl~f~!paid' on·.suocle:nl$ kians alllnlll'er:5'.1.y level (So r.ll\Slnlt:lfall'$}: I:~¥i~.da. HI~sl. '.. Jdfi!\_ f@2'- • Emplr~i!f IAI'Il:~. r1a. .~mwm.
<fU'i;,;;I·i10'ri

G}' Ca'S!J1M.t IFI:g; IIIl your

S&'!y!~.

__

••

\lDII

LJ1i'

·.EI~11

_____

(liII __

011 ~.

. otal imllrf sl paid. 011sll!lidrm,l5 leans at unilmer'1iily ievl):i..,........••... ~•.,,••" ~r~1 0) C,(:InlriIiJlmolls to'· 1M rum:! for SeM::ll~ .agiilriS! Re.me(!iilbl~ ClIliiS1foJilhil'. 1Ji~"s.e~ (See il:1S1J1Jll:li(1fti)• , ,.,', r: _~~ _ : __ ,••..• , ~ ••••••• I'W
P) 101.01.1 :i~~mjz!.\d lledlIGtiO'n~. (~dd lin~~!lf!. U.liOUgl'lB 0) _ ,_..""_ ,fl~ r~lIllf:!rln eu.jullm~. [l ,~inl C'. 5.0% ,or Hie 1llJ1~' !If tille'~W ,.,.:,""." ",." ~, Slnnd'~rd or .~t~l'I1il.eld dieilU:l!:ti:DIil.S' ~En'~r '11m .IJulgt'f oJ Ili}8~ 7 r.r 1lQ.. CtlJomll!5 IJ mid C. Ie-spef.liVlr.tyj jf) P"ddilionall [I~dl:l~til{]'r:ili: A. Cmitr,iirullllJ1'itl:! ilHll!ldMflulil1 [e f£emCfl!~8t~fwm([}n miT c:ur:=ed rrilliTl$~.Il[]ll cadI'

uj

...JJ'.3"'-'-"-",'6.-,-"Il=n+-_~_' Th:i:P'AV£!l: W,,_· 10'1

co, '. " ••

FiJ1i!m:bl.Jm;L.

L@&11~~!J)z

'

'Q~~l!ilrEr I~~nl, Nw.

CmIlJilJII'imll

_--,--:-_

--(Ill} ---Ii>1) ~!!Sl

(Qil' -[d'l~ --

----

.ooaf _

_ __

._

_
~
___ -lOll !~'lt-. __

rlillJl·~flI1Irrilill'lio!JS'tlJjIL1illvicl!JalrctireJll1len1.;:rcrnu[].ls(UI~lJLll(l!h~alT:mhll'a~~jsluU iB'!V~[!f1~'fI';am~I[ltL<1f!l_ Il GGflbMb)Jvolllirohwlllts<lMll9'? m;G[]i:nllS1.'Jllh:l hi91l annual [f:e~~~lJlI! medli:J~rliiin(S~t!'lf1r~Jti.ucM nsl~

nniiAli~iQn l\~ntl~~,~I~i!~Nlllle 1lQ) __ ~!~IMiQn
_____________

---f!(I"'1Cl

f-.F.'r.Illilll Niillllicr
_________

.
[l:ll_

~1'I~oo'~er I ~ll': f{Oi

_[16]_

COI1fill100llfi

T~p;e .111" !I~l Cjj.~~l&!'l~: P.'~OOlilH U!lffib~

c::;;J 1 Inrlillit/.\f.al

c::l.!l ramllv

9
(:=;:i

?- ImIL:~ILlu!~I '. .~'r;~cr flli (':Ar~cJ..'v~ dirlfi fltlllil>," '~f' I!!I ~iJJ!.~ ...---!F'''''

I:mpt~erlrfiYJUJo,

1I.'IlI~ deductii)!e' ~11

·01 lndi'Wfual c::::;J Z· iiJJollOll;_ 1F.o~!,rVII'I.00 c li3le • .. touerase, .c::::;l. J' f <lInly ['Iiil" ~rI/~lJ~ ;tiW-'J.' ~J:hls. . T~Ia_JOOr1ll~i1m.I.l(l1l5 (~~II.ftesmaljer·lim~~IJ.I~t~e.~ecnl t_her;.~Il1M.illll!lrl ItJCllflll_. iI~ lqrf~~uF.m:l'r;wcfllml, I)'I.jrub~llll,ie O1HlQUn! II ~(lrl~~~~I1~tLll~e as la;~~~Y€ra~dhi~~OIJ5e\} '''I _'." ,.",.,"•..._ c_ ConlnbullOn1S to.fiOvemIl'lCllltdl.pilIll .1011 Ilr ril'lllfeJ;l1entsys!em) •••.... , ~I.. . .. "••_.~ , "".~_'_"""" ,. D. n.ledlll~;tip.11 rOT V'~Jnniln~ (See 'In1ru.li:1ii:ms) ••" ".,. "': :..~ _ •••• ".""" ".......... .. "" ••, ~ ,,,.,••, - ..: - '.IE. n:Ififl>lFY antl neC'ass~ry'~:t:pilt'l.oos(S6hed'ule! ~'lnIfNid.I~ l;1i:np.·8) ~"." ';." • F· fI.'ur.onlp!Jir(l'lr<0nint~r£S,I(l[)(J IiIOt ~!:!IeUlm~l i1 [(jt~I:llr$-1 ,2iOO.seejnsirJ:X;!lrmis;~.,!.'~f.~)l1!~lj,lfli~i!iliiEl~Llil.illi!Jio_~IQ~t;fiS~Jf'~e:I~1 .~ . Uillor mf
fliI)

'ypo

,.--.

jI4l._

n."JJ ·...;rno,oq'l z;:."Comrti'llJtbn4't... .., ••~ t121 !'!_!.!'~~_U!' 'HQ~

9'1,

,:in ~ ,- .

I-i. bdUl:all'OOal :(lJ1lclr~UUDn AC£Qlml (SdJ8d;ute A 1Indj~.I[ll!Ial.Pi1rll1I,IIi ~ OIlIUS-e.e ·lfi~lliIl;r.tll1':i ,.," -, ..~ C n I .•• l?sJ . I. AlJqllk~iliOff.OIrid mSlalliallilFl 01 a romplllC'r !I!';Bd l1y dfpWdcnl'S (!iE.! I05UJ'UCtlIlllS) ,.•,.•_ __ ,.•~.. p-oJ J. COj1J~rihrrtLOfls il!! ~he Endo!J'lliellllt FIUlI!D.Ilf '~l1c Uilh~er~i~.~ or PuCflCi W(;JQ "••• ,' 'n!' .._ _ •• ,." ,. ,._ •.•..'.- •.. ,,- .••, [I!11f---"K.loliil Jlti:ai~i0f1iJ,1 mjiurdloll,s (Add lill[!S HJI';. Illro!1!]1'I HU. Cr:r:lumfl!i ~ 1100C, lesp::£)cti~ciyl- ..•..."." .... ,..._ rJOI D 11, T'~leplm!'!I!!'s~nrJl:1B IpallllHlIit [groiJ.mnmflicatiilll WilBl'tililifilfY !I!!'r50dlite~ilt,comlmJ zlme ~s.-e;eil'::iIrlIHiIJll5!~ tull __ l2· P.IERS(;liNAL E.XEMPTIO N ., •••••_ ,., ," ~,. _ "" ,,,""'" """ ••.. _ ,••• ,.•,. lilI) 1.1. EXEMPTION FOil: IlE!I ENDI:rilf.S {C\I:rnpkle Sdle6IfIC A llnlllh,ltlm'll, ·s.eel!'1Sllru~f:oIJ5} ~ .. .A) N[];~.un!~erS~:¥: ·COi!t~'9.~ry. ~rIII."' •..''' ...:."" ~•...... '''..'''' ~ll _. 3: x~7#IIT _ _, •. ~I 7.SIlII oQ B) tll'lilmr.'i:lty sludBlll: C·,lile,gory'IU) ...••"" "..•••• j~jj __ ,(I, )i; S2.S0P " mJ _ OJ) C~ ~rStJ~~d, bHndi'or; EI~~"6,5 opnld~:C8le[Jjjr,Y (1:1.,.-.,_:" :"., ~~. ___jI ~$.~~OO '",.,"._. (Ji1~ _ ~.O Dli o~al nempuon. fm i! epemll!!i(lts. (ildd ~flesI ~Jl. Ilire<LJ-gh 1JC) , ,. ~.~, I ,!i'1l Ii! UC 101:1iI[r,r 50:% (i[ l!lle !~a~ijlll[ Uil~ 13D rn_ Gnl.umrns E .aM C ~ ~"•... " " , ,_ "" "..,_ ~ " ~ H. To~tilll De.dIllCHi!llils, ami E~~j'l~pt[DIiiS. ~Aodd Dn{!s 'EI\]OK. n, l:f~nlii BE, 'Ctl'lum~~t!' mod. r,;, rfi$p.ediyel'~' ., . 15, MEl INCOME' Slililmttliiie 141:i:1l11l~e it 111U1r. jS,i&r .f Il_mn.·1rn1!i. el'ller zerp .••..._ .•."...... 14 i ".."•.,••,.,_.._ I. ·-TAX '.' ~: ~l~ Q' 1 ' ,aK IIJ~le t,i:) 2.. s.p~c.la ~~iicnrU;llJP~~-I'QiI]IJ5 c:l3 I\'IOIl'mStd'eiM:t ,a~'eH ::'.•~~ ........•, ,.", •••.•·.··.··.···,.··.•..•.,', . ··..· ·······, 17. {;r,"l~iJiiJl!\djU'5!Ff'I(!i~t;l'!!.rnD~nlf[les~Jfl1i)i~ 1I;Iisl!d)u:slmelll it rhC!am0Uulrilctir;:l[j~r.I nll'lra~ 1~ is.far;ger tlhlni SJ ',~OO ill Colllflms 'B ,Dr C) (Slilh~dul~ I Irr{!i",Ili1Ir.1~ lim~' 1]. ,. ",0<>, •.•••••.• , "', , ••••••. ,., '" 11k f.}ff'J}~IS'f!fNi~UZMRI:asi.cI~~ i)'1.'er: . Tit~ ts[hedl.lla.fl' Iml'l'Jifdl,mllriIt! II~ 5} "._.............. line ..._ ..... I~· "ffiJ.i on in~~rl1!. sr~ubJ.etl til wlthllDtrr lel:1l~li! r 1~~diOj'ldm1!1. P~r'llrlil1~:i\j _ ., "..:' ,•. 20, SpeC'la!'liI:tWl.Cfflpnral,l ct.h'itloori$ <lntlll'<irlliP.r.;!lipsl.listriJlI~iriilS. ~1b'1t!(~11l ",{Inholding. ,S;:I;Jedillle F !rinividrml. P.leU!. IfuB 41!,') •• ,•• "", ; _." .. """, , _•..... -" .• """", __ ,.••• - .•... _ ~1---n. Til:t Ill'llli,vldemi5 [rolll C"fli!~lllil'/t!~jileAl (;f Hul'if;m hmd r.sllbmttSr.I\f~qtJ'c (1)", .." ,.."...... . (\I), I';>KIlIII:!VIQIf Eid1'Jc.",lim~1C:mll[ltiIJLiofl.~~~ritJiilj; ~lwLLliw~5lJnnJ::(JIT!~Iioorrr:r51lJrilc-e~~I~in.P d .R (Sthed{Jle F hlliMdlN)j, Pari VII, Uri!! .2) . " ,.. u ,.. : ,.. " " " : :•.•• " ~[fS) u, T;;~.ooIRA dit;l~bEl~[lIiS~ G'o"'llmmf!lll.p~nsil.lIH)flqSd:Jr.:dllrl] F IlI1.tlMcll,lul. Pilrt VII!• .ILlle:3) •••'''.- -.~ ..... " ••••• ~1i9l 20\, Till on dil:JdbU@lt5 and H.<l:r:J~lecirjl}lIlrjQ\'~rnmBn.I~r PJ;;r.ncSS~l1ec:fi.J!r. I t1(n~klu,aL Pm:fV. ~Re 3J ." ••,' '" ••"._....... 1];01---t f £~. ·tt"~[iiall... XCliNoot;il1~drl)m r~f1'1or·111'rr~5t.n:I,.lilr~11FrrjBtt'5, mId 'ffbm hmilll3'SI!S ~'iithJ'wl][e.xl~mpli(1n deere 11' Infigr /l;GIr3S.!'!f 1997 (Scfwllil'e KtliIdi'JidlJil!l. p~j'~U,linr.' HI OJ Sdr<;luule'N Imli~i~n;~II,I!l'M Il.lnl~·l!i] , • • 1'111-- __ 211. l"c~llle !3)( fmmM1ijorLe.ifQtle AasiaballcEams ~ml tile l).~.rol::rlil)i1ill.aa~k.if:l!I~anA!>~(j'",ritJ:n (S{.l!~dlllr· r 111 JI.'iDU!JL Part \/,1, ~Re l) .-_ " """,;,,, , ,.,.,.,,, ..""., _ ,.,."", , ._ Il~1 2;'. hill! I) e~ei'rlil[netilIIUH1Ii1d'uaT:l!¥ (Ad!! ijHE!S m ItJroougb lli;. COlll!ii1l,'i 13 mule. r~pecli\lf1;11J.....•.... -.~. ""'. ...... ....... illl ~li,_ IOTAIL TAXI[JnlER,MtN:~OlArllnliJe13IT:100lll'Sill r,.l;lILtmnS B.~lldiCdllii1e?1 ~nd ti,msler J1I.CIP.cri'~.I'ill:! 2.filj1tli ... 1111l!! FmmJ .~ n., , ..•• "',' " _._ ....• :""" ••••• ,.", __ ...•. " .....••• ""., ••._ _.,_" •••,"',." ••.. '!;!If],1.7IMl In. Part.,~ ; rr!Je' 2'~ ili i u.~ tOllg form.

G. '1Q1m~p':ap!~ ..

'I.[iillii No: _

' Ylllll

w~!t (Se[~ IflstrtJcOOlI~)..:.., :.,:,~ :,.~

. .. _

IEnlf.llGycr l;dmli111iC:8"~n N!M~~L' ~

,"..:.." ' "

::

"

:'"

-......

..

t----f------I=li,

11(.]

,,,I-------H3

-=-=

0.··., .

r~,

S{;lhedu~e A 1 IlfIdii'vj'dlLJla'l
1~.iI<'_U

DEPENDENTS ANIIJ BEN'EFICIARIIES

OIF EDUCATIONAL eO:NIIRiIBUnaNi ACOOUINiJS

,2010

l~~payerr's ame n

_:;:::nr.lnro""OOOn
r~
'II'

ISo, i""""'""j

_.
181 p~rp~&es. fhrJcf{]fe.,Jou

mar
_

Ji~fOllilJlliHliN P:ART I O(lI'lQtilnd:U,d~1Iiie snoLls~~'[\fu155nhedU'I(l'" A m~~ried~i'tir!~ffiMl1o!Ii'l!D'~wi1tdil$"lhEfl spous£ils 001 a he<llio.fllo!lSRhrildbr

lJIi9 SlPoo;sr, S narnem ~hll 1)(}";xJnr·H!.ctld'oD'f h;OIilSeM[d 'I1!llEl(]!1l).

shooltJ lurtin.diJde

~r'l~ "Claim. Uw 'l:u:<~clll!:.OOl,I5'~llDldIfilrr\9:s!<illU$., :Iru:nmla Uw llii!pnndooll1rl:1.o entillr.!5YOUI!U. da~t( 'spch s!allus mU)leHe;J{!nm 1if!'li!!iseitID[d!fIne (91), IUlt do rnO't clLum 1l1e IBll.eJllPlmn fllf 11iI1!> de~ed"iCiem.
In OldBJ (.CltiJ.ng:id'arilie,~rrall"tloo r~rfJepemlen!s~oU'mtr&tillclude

lh['$~e(Me with ymJrreHM\f1,

D3ri't.imI'I\l¥a;;r"

D'il"llrffiffl

'N

SON

lOii)

rolJ

DEC

1il

2U

t1@)

.-:
~1il9Rrl!i.MiI'

BcneiiciaJli'es ,m Educational ContrltlUtion ActO""I!!)

I'MFOIllMJ'lnmllf'A;r~'IF

(.':ice ins~J:\l~(lms)

n
ihe'e:<am;pffiDP1f&r~ependen IS. Hnwe\l'ef. ti arwqf«lesa !i;ijneliciane<Siju:allrJes a~.Yl,lllfd'"PBFl[fel'll.~u m!t;Slal's[)

w~he\Se.lb<ene'ru~<lirias F1l]]JS!nol~8!ronsidiJr:cd!lld~rn"iii1e u;l~ud~ tIllTinlMr In.Pa rll·a.f Ih'lsfionedu.le,

[I4o:C~. s~,~ ·~1jro.S:'in~ -~J

'.f:""""""..,_

~JTltlllnih~r

NOJIrJ:.;t

II

:(1)0] It.''',u.... ,,... r iJJLli~luirl~~t~:d"I'nes

_t1fl~1 01-1,a.~

..

{<O:'f~~hraw.gb'~[J~}i3n,d 1r,1lnsftlfiI)6checluleAJmfivltluaJ,
""' •• ~ •.•..• , ,._, " " ,,, •• ,' •.••• _,,_ _. __

part

II, Nne 6 mf'fJ&:bedl.l!eGO Imliwidulll,

:-"',' """" -~ '".

I' •••••

,'."

" " .. " •••• ,. ,.•• --_. :.-

'Sc:h;edlliJ1,eB
R!bV i (ILl

lnd ividli 21,1

RECAPTURE OfF CREDIJCLAil,M,ED IN EXCESS, TAX C,REDiITS, ANfQ.OTHER PAYMEN'TSI

AiN,O WIIHHOLIJINGS

201()

P'iutl

ED ~
Marne aT e[[titlj!

C_n_~I,_[ru_~_A_'·

4-~

,_ _ r._'Q_tlJ_U~_'_H_.

__

__

,~G_a!_LIi_n_n_c~

--t

E'mp.IIJ~ itI'erOOi~i}rI ~, CrecliUiJr: r(miilim [)",~I(lpm~t

Snl~ !,I!I;i!Js!,e'Oispmal

,.,,.,,.,,.,,'., .,y

"'.,•... ""'., ",..".,.. ,••" ".,., ,_.'-,., ,_,,."' __

1 C) 1't=l

""'··-110.-'

,._-.-_. __:: __ .- __

,,~
.1 ~

~)

",., .... "'-."-"'..".-,,."''''.

I' ."., "'''---" ..... "'._-•• _, •• "'--- ..---

1 c::J
2 Cli

Iml

.•_ _", .. "'., .. _, ,._,........•. "" ,,, ,.._~ Ag;ni;uEtIJJ:lll. Iw-.:.em~, ,."'._",.,., ,., ,., ,.,' _ ,-, _,_,. ,., ,., ",.. ,.. ,. ,••, "._, C<lpi~ IIl'i'E!;!tlille..ll1I-und _"...... ,,_._. . "., ..... "'."_ ..,,....•. "'~ ... , Th~mGcl Ofslrd 'Of S@n!uitIl ,_',.,_ ,.. , • "--,-, .• ,,., ,.,.. ,.. " ......• ,Fiii'm. 'In~ustl:l [)tM:itC!pml1:ll~ ._ ..•"'.._._. ..' ,., ""., ..,,,.,,.,.......•.. ,""",,,,_, . 11oll$inm l'nfr~!tLl!:il.\I.a •.,-"'.. ,'.,,_,._,.. ,' ,_.••" ,.. ,.. ,,,.,,,.,,,', ". ,•." .. ,...",.,,_.,f)ilI"iil!rm:titm a::;Relii'lbilffm[l[1 01Rall11llintl1';in~ FlrqjeclS fef L{),NOI' , M;xI~,3~ 1IItilm~:ff1!Uiilles ,.",., .. ,'~'_" '., ,.,'" ,,_.,... ,., ,., ,.. ,.,..... " ... _ A.c>1llislITQf'I(]f1lIl &emtll [:lll~llilf:..~s Ihe:Pfoc..e«'QfCbsing'iJs m ~fa1ibns ifl, Puerto fl)Ioo ""." .... ".. ,_"..,". __ , ,,,- ... ,-,,,.,,"' .._..,.,.__ ,, ,
,.h, ,,,..,,

_.._ .._

~CJ,

J'<=:!: _""'''''''''''''_ 4 ,C) _.. ._ . _ 'H=:l _"'~"' _, 6 c:::I _.._ ...._ ...~'. .~'-_ ... "' ... ....... '.. _ _" ".

,,,_

,, "_-"''''.'''

.. ,, •• ,,''''_,_,

..

J <=l
~C)

~ c:::>
Ii

~. c;.
'C::J

c:»
,-, ~-.I.__._·· ·:' __ •••

5 Ii'q J'ell
'u., ..:_
~'II - -, or' '-•__ •

90
Ui~_,,,
"CJ

,t~5~1'~<1LJ!,lO'l Ea5'elJl.ffI~ " O~I;;.

""" """''''''' "''''''' "',"'_'" ,,_

'_'

"""'''' "'

""

,,..,,, ,,.,,
_ , ... rrlll_

__

.,,_ ......_._._.,, ,

,,_ " """ •••• ' ~(l!: --..---•••_ ,."". _ ,-,,-_.

n~
,~_#~

iOel

rle ,;:.._. __ • 'o,J:..~ " _"" __'" _••• , •• ' ",,' 1Ml1--lJ.. Rec'<Jf.I'~Ufeor crer:l.1t'elillim ~d 11:1xcess paia niis yea'~ rrranster to 'fa ." e ...~~ifi~~t~n .Soe irl$lr lJen'(lIls) __...~•.. u,', jv;i) 4. EX(le_s:;lQ,fFeJd11dUe kJene%t yo,;!., if ,a:f'pliosbte. (SlID~mc:1I1nes;1alld ::I from line 1. ~mttSlror.rH)l~s),,_. ". ", ,.. .,' c nil)
111excess
u_" ._._",.~
_ _ ~ b _ _ •

1. To<t~]crooi!lc.la,inTedi[l !JX:D(lSll L ~Rec'!Ip ~yrl~o~ 'credit claimed

"._.. " ,,,,,•••••• ,,,",

paid

[il previous Y'e'a:r, if ap' ';

Tal( (;Ireduhi (Clu 'IUIH~~llld~ p,5Ijm,"~d !a~pa~meni~ In,dUlile ~h p~ym~fil'5ill F",rlIIJ Il~ !Il'i~ S~h~_\~8} __ ,.-_ Part II 1. Cre(i.it r()rtal:espaj~ to ll1e-Un~etl.sffilte.s,'its: ll$..se<tln-lO ii sand Ime[gn ,GO\.irl~~ p , ~S6l1oo1l1e tl'ldiYi'd:u(ll, Piff! lV, lin.e :lor tine t\'o'f1I'~j'W9rkshael'tuOeromtlllfl Ui e S:p~~aiMdl~analrm:, C :l~. app~cabf.e) ,•.._"" ,." .2. Credit Wor:{t21C::>1 ,Seclinn.Ma) of.Al;t 801' 19a7 aml{m c::::)~ S:ec'1~113'(b} of Ae::[135 01 997 (S~e'il'lslfLI!jffr.m:s),. 3, cre,citt'far Inlffls.tn~IEiil!AD!. .D.~~'2of 1g.99~t14~ c::J 1 Film Pr;tj~d 3JuJ{6ro N 2 'In1la5lrutl'U't',if::Pr,ojt:d {Se'€' il'lstru r;tiO,M<S} , _ 4. Credit far l!lVes IntBnt in C<lpftall rt\JeSlill'el"ll F"UIl[:I~ (lllrism prtll her :[UJlds~or T dinict mvestmlNlE (~bflllt~I100LJreO) (~iill!j,(ru-tll[]flS~,.~,"'." ••••",~~_ """ •.." .." ..._,".,." ..."" .......""'"",,,., •._ .",. ,..... _"_" ..,~,'" ••• _"". (1r. .. 5 Cred[!atlJibUlt~e ~l)!f).ssellflCapH.<J.llilves,irnen.tFtrnd, T.ourism O[()lilerfunds (Submit SrJlEdu:1;::;qalld Q i] ..,., i _-, ,-- "', " t11 It CfEltil.itfbH:oli~rrbuti(ll!ls to-the Euucafionalf cundil thi)f1for Fr'~e Sel eclion ot,S:::~onts {SHe iMIn.IC.'~b1]S), .... " __" ._,~'" .. """ IlB 7_ Credi!rOfp'",Ylllents of Memberslllp Cefllllica!t:)S by oriJIoilary afuj Extraordi~<ir~ MBmber~ of'J::mllil:!":tl':'iesLO-~JledSp~<d (:;0"I'pt,lffilions (Sec..flIllst,ruction!;) _. __ ,'''' ,__ _ ,.. _ ..,'... , ,_" ••'"_."., ", , . s O.iedit ro(lhIl:pl.!~ha-SBdIID [:[~dits (GomPfeI~ Part iV~(SeliJ'inSrruf'liotlsl_, ...,,:~,.....""""""" _ ,.._" ,'.,••.•,,'_., "'_ ' , 9. Or'ediHor fi1vestmen't in noosil'lg ill rrastl'UGture (Seol!l'shUctkms} _,,. ,.""", " .....•_" '"_,',.." ..__ , , _ ,._. ..,"" ~ 10.. 'a-e.JJf Ffir~l,\MlS~.Il:'l:En~11'1 Uilr.,Cnrl:s!ruooonmrnnaJi.1iJ<Jli('ln or renfa! lm.ushg-pl1JiI:JGlsudOi.!'xor mo~ra~e 111000..ffl(lf;'ITLllit.~~iS~ .... ~'1--f lost), ,_ 11- Oredil1on::ooslructiM investmel1l"11l U!r.i:l811lce.1'1ers (f?ee Ills'1rucli01l:;'~ ...... .. .."'.. ,__ , "''' '".~._..,' _ 12 OredlHm merdl a..n:t:s aff~~.ed by Il[ban (:f.n leiS rewltlll;!;Eil~r.DI1[;.e!:l inSfrjjctililn~) ._ , ,,_ '""',.." _" ,"" ••••""" ..... _ , ~c C-roditIII irlV~l()fs VoIhoiKxlufre an exempttmsillElSS thatls jri Uler~r6ceMrNtlL1siJ:)g ils l:!jiil(lr1:lIJ(~TI!:in P. I~ltn (SseiJl~truc-timls'l ,_ moo 111 Ccedil ra~~u:rcha£[ls of prol1.o~!~m:amJradm,et:i TnPtlcrlt'l RiclLIa~cl PlU.lf!rID Rican ,CilirfCl.lllllr~' roducts p (Sui~m[l Sch!<!d:U:l~ Eli Intl:lvitlllEill) .•-.- •••, ••••;..""" "•••. ' --.- ,','" 15 Cre.diHor (;I!]f.ltJrlliutio~sIo'Sant<l C'atnlrfl!ii':; PaliK:ePaifrOllage (See imltrut:~or~!).l_'__..,,,,' "'_ ", ,,_...•.".." ' ,..__ , _,,_ ~._ 112 ',I-------~~II 16. Cret:mrn~ estai)[ffillfllUiTt or <'~rLe-ligihleUlrl'S't.fVaoon 8ElSefIWntor ~oria!l,iO(l·of eITgfule I:a n~t{Sr.:i!lfl~tnI1[JTansJ .-:: '~'" •••,., ••~. ;.,~,,'1'----~he, 17. EXlml,Ptiofi,fbrpel"'.AltlSIng! 0pfiraffi <l:!:! boobelb {Sfle J{]slr uQlinil s] _::...._.:: _ " ".. ..__ __ _ .. ",...... . ...__ ..._._ II'!;!,I,I_ 18. Coo{liiHm trJ yeSlmeHt.j!\d No.'7Jof2DOSJ_(S~e·ill$~n{dfo:ns) ,.. ,,, ..,,..__ ~..,"'" .., ---., .., 1M,i----19 Crodil rOl"irwesWumlAdNo. ~Jol2"H1 O{Seeinsltur:tlciils} ••..."." •..,••", .•••.,.." .., ..,,'" . _. _,,_" _ _ •.• n1'1?9· Cretfli &ora1l~rlJ~le b.;Jsiuh~'MJrmn ptelJiDLJ:s-,tamtile, yai'}FS (Sr-m ir:l$l nl!l.1itHls) .: __ , " ••••• , " .. "" _ .. " "" , _ ,"~.,,,, pr.,i-_ :(1 CrediHoF ~Jia3{;qlllffiUiDnmman'llfctctu re and fnS{;;llMiPJi, 0'1 e~Gtlii:: rom equipJll®l'll(Seeiils~fW::rll)ns) ,' .. "", ••••.."", ~ ,., .:,__ prj :1.2. Crenlls COIniDa Jr1l}rrl prel.iious, year'll (Submit d(lWil) .'".,' _,._ ",.,."" ..,••""., _:., ..__ ..,,_. "',' " .., " ,,,,,.,, __ ..__-"". fl.I,I " 2.3. O~h'l)rGret!i~sl\lo:tt1(j.tl~~ffif thi\:):p~ceding lines,(Sllbliflildetai~~ (S(lcJllstrlJ cfL'fii1s) ~" ,_...._., ,., ~., .._" ,.., __ '" _~.,' '"~••"" f~5"I Oil
"c' " , " •••.• , .~" "", , •• " ••• -.. ., ".-." .. " ,- •• - •• " ••• " ,,'" ".,,- .. ~'..,. , 11_ _, ,,,, "_-'"," ,_ •• _"'" .. ••

.~9

,00

M-

J.'!1I1D~: 'I

....;~"'1
-1

'2:5_ 'foIst t:1~d[lre:rmtn ~r_1Part4.IIfi.Bi W rufU,1ll n::MJr(l)_ ,', " ( ,. 2{i- credit '~o be' claimed ~The smaller (If lill~ 2.4 a,r25_ Transfer lOlWf:le',?" PaJ'f( lme .2~ ollila; returnJ _ _ .'2.7 'C:arI)'[~r.\tardcl'roils:tSLlt;,mitrlel.-ljl) .._.. " ,_"" ",. ,,,, ,, ,',,,,._ __,,,,,,, ,,.. _ , '" " _.._ ",,,
'W"~' ", •••••• ,. _:' ', •••••• ,' _"' _" __ , •••••• ",.", ••• " ' .,_

24. Tol'ai:TaxCredits

{Ad~lline~1 'lhlfOUg~23'

__

__

"

_._"_,

.•• ,,

__

_ .•. __

"

_::,.
, .. "

_
_._, '''',

Ild:

tJi

,._ . ,,,

Hev.01.1 .Alfjan,dre "II

Part IU

,J 'Ga'lfcia P-ad'liJ.lili rO,UU!!I'

.Payments

IIndWi,Uilho:tdil'llJjS;
m" "., , " 'v' ,', -e- ••• ,.•••••••••• ., •••• , ,,' ." _.......

.i. Esttm~!edtaxpay,rnei1ts.fo'F2fHO

I" 'I~

+'-'I

l. Ta~paidittle);G~5~lnpril]rye;a:l1H.:recll'te(iitmlS'nr!1.;'Jredlax

..,....••."" ..,~.-

"',

, ,,

,;-,;

" --

'

,.,.~.- .•,.,

~'.~b-~----~l~ ~I-

·3. Taxwifuh0Ia·tQnarrresl:dlilllro. (ForJn400.SC.~_ ,._ , , <'I .. nu!'v,ii:lfih,e:ld on hlferesi (SGlioduTp. Flm'Mdmd. Pan ',line IlJ

"'
: '"''

" ..__

,', "

,,', .,
_

,",

,.,., ",_
,•.._

-+-I

:..............

""'I----~-+--f

:a. Divitl'p,llrls a .S·eMteS

5. Dllifdel'i(ls from ,wrporaUoJis ordisirib ulfolls 1imm pa;rtnifirships{Schlldll[e JrO"mG():rpor-aitioTISordi'Slrlbufi0!l'l5 from p3rhiershfjJs.Q:j)etatlng '1[1%
c:J.

F l'nd[vld'urur P iii rt II, Ijrre 5A~ , lHIDElt Act No. s'oI1 fla7 ;_ _ , " -._ ,~ , _

(Foc:m48[1.6R): 0

5%

c:>:2~

, _

., ;••........ ,' ,...............................

L~II----~--I;'-I

1. Eltvider;;ds. r~{)m GElip.iffil ifl\il~lrrlentlJr rnlMism ,FUiIlIds .(S.UbllllitScimet:iuli€!,:Q·') T re.mi~l'edb!i1ndi\lbiilua!s, (frnn14130 .6'B}

(4l!lI-------I-i1

.9. Pi'l~m oofs fOJJUljlel~I,on:r.dJ<ijiJdicJia~ i~dff.mll'iifl~nQll rFcnm il.BO.'6fi1) , ,' ._._ lR TIil:t \'li~lmnel'tln11m~l1ldaille sha'f'e af net pro'lits 10stockJIl1:1ilders nfooep:oraHms onl1~Nr{ftJals I(F(]!rm .. f!{Ul (:I} ~ ~ _ ,, "
'11. Tax ~ithhelrl on (!l$trttnJlHbte:shf'lr,e Qfnetprolits 12..

""'
u _ ;_........

-_

,...

C4~11_-__

-f---i1

111~·il--------"=.I;;;;.1

m p'':lIrtrnersrir spe'ci8l1.!l8lfilMrsllti.~s {Fom·1'4,60..6 SE) i?uerl!llRiloo

_.....

P'I'I-------I-'-'I.
~I-------I-o--I

Tax wil:hheJ(1IQIlIR:A

orEdl!calioolll

COf'l1:ri1ll!lIi(m ADco(mls dl!'i.b"ilnIHons.arincomefrom.souma-s.VIIlthih

(Forn) iI.fl'O.7 al'ldior480.7,si

· ··

'

~'
, ~""

,
' .,.. , _ ,._

13. Ta;xWi~held or:1~R:AjjJs,lrilmttons to GO\)l8mmerd pensJollEl:fS 480J) (Fnrrn

~'''H-----~.....-r9

i"l,. r~wi'lflh~1~ al~CI<1Jrce9i)1,~~<lliflel1penSilGnp,1~n,!;rlistiilmjj[ons(fO'mlil B;O.lC)

15. T<'lxwl~hl1eldlll!ldis'trlbutionsiLfidtfan'5fm lK oth'llIr~mimls andi'Mill'lhofdings H. 'lobillotho1iI~'
-

,.... t"'n-------""=FI
F,')II-------.I""-I

fro.m ~O\ftemmernlaIPlarlS [inoo 1.

(Irflrm48Q.7C) .._

ftOtiI'lGliUfledalI.thQIJ~cedini9, Ijrl9s~StlbmUd.f!!tam., , ::

·•.w··· ..·.. L~I--------ir=II·

vlltti1ri"oldil'lgs'

tS. TrallMerlo .2,

PM4.11m~ :UC oHhe .

PaJ1iV
Fill ln 1h1.'l0\roloOlfespendlng
7". : • ., I"'" II.. ' ., c;::l. 'I·OllJiSifIll i;,I·I'lVI:l~Oplil.1.e:rh
I~

(0,

'too ae,! (:01i Jilctsj. under whlt::11'Y.OU ac~i:fjr~dII: 'e,md'" :~:'

, ,

• ' . :~. '1'.1 fU .. 1",f!. n' .. .1 .::lP' 9'l11 ,,~(lS uas:pOSPlI .. 'l' .' A !;I!lCIJ II'01"81 'Inee£'!·t·· .. ,~ l!,f~)l>
c:::;)

~ "

C? .&<i~I'I~!rHr.es.!Irn!~t F~Jl(] I _

A.cqul!ii]:~EO!1 obn ElI:empt Eh.lsinll5!S Uia~ is in the Precess or'CIl'JsfngJts 'Ope~lII1iOI1~ in P uerto Rico "'" ,, , .~ E:GOJlloliJilk:lnr.entr'les (Slral.f!giG F'rojedlJ), I ~ , :~ . c::) Eicofioilfiic.IFlcenti'/es fl nc!l,I$·wjallnv:e.sl!mlili1lt) ~..~ : ell Green Energy Illcell.!j~.es(Re'Search 3!'1dDeM'el.ollmel'!'1) ..
c:::I

b ~::l';:~:~~~~.. .. .. .... .............. ~;~~~3~~~,~l~;.~: :.~.:~.-,.::.• ...... :~.·.·.-.·:::: ::~:~~~.~ :..::.- ~·.·:: . :::: ~ ~~· ::::
Olh er: . .

:.:..... . ··..·DEC···., ..q'" The.alnc,at ,0 Is!r1G1o[ Sa f1tl\lr~e "~ ,, .. , "... c=::> Fil rn Ind'II~1Jy ilellelopmfirll , ,., _ :.:•........ ,... ..• . , C) HOLlSillg infrasll:uclOfe i~................. . , c:;) CO'l:1slrucJ1().n'(JrRah<lbi~lla!iol1'ol R~'al. H,6Usil1g1Pro.le.e'fsfilir lo\vyi, :'fW~'e Im:a[1iiflEamWtl
:trQ'" ~~~:~~

'i.e:> '.. "'., . ,,-Iil'.. ~ "or" ".... i'1f ••~ _,.. _ "•.•. , : '('i-' ,.. ••••• , " . • . ~ .. , 1I.',nf..!''?'l-''!rl.'1j'"1.,.. .. 'flllt'~ "Ii'. . .,...... _n • .'I.~.,.!·~"' t , , . F<t:r.t.I;,I·.l C rrue- r.;1l"l. D . , · ·.'Otr!~lje"Y·~ 1!i- ·tl.,;S··· ·;·..·..···•..,··..··• ·

'lJUflt

. .

'Z111'··

..
~..

I"

..
..
• :•.:: :~ ::~:.:~:~.

..... ~:••..• ".

t:=I EGo:nornie Ifllr::elllive~ {Rese-aral'i and De.~el(1p.inel'll}

, , ,, ,

.. .. .. ,.•". .

C"JJ

Total credil .

:Schedul:e '1Jllndivijduai
''0/<.00 H

C.AP II AL A.SSErSGAjllN.S· ANI!]' LO;SSES

2010

Mjll'S~O a·ggjs

fE'1
SC"l'rn~ ~~ijJ~ni&d:

1" Mel' ~h.od·l!>fm r.;a'p.ilai~!Ja~1'l(elf I()$sl--_. __ '_."".,"_~·· __.._ _,·, ~""c ••,.,,, .._, ..__••••• ''' •.• I -So DiI·!arm '~a['ll.a!!lilJ:'1 I' OO~a I'e ~ f' 'h' '.' ~ J .. • fil 1ID:srufli'lOO;'<'I,',,-,JUr s""eq;.r8p~iei[(J~ "<~ ~ ,--~. "' 2 I,~e '. 'your PriIIl""pa
. . .
.

.~"

-"

.t~

~. Nen~tOliI,l1lfm -capllal gain ITrom Il1IVe!il!ti1M~ rurids [sutiillilSclrli::rlUto

.

. \~t"fff~,..,...,. ~' Dlslnl:lulaMe snare on net sllorl·lem'i ~pJt:>1 iJaln. tor kl~) from. SpoEWJ Partnl}ls' ,B 6. OisJIIi iLJlaibln S'I:i:31e: on. n.etstJOirt-fQrnil Ctlpital ~i" {~r 'I~s),,"om Cn1'poraool:l'S fit ., i~ldTirlb _. .__ ._u.

t rn~I!rlIm~'iibles~re {lillie.! :shtlrl-l.ermf.<Vli'iai gam (or loss) r~(IfJI s'labes PI Trusl'S, ..,,_.-._ot~:LS.1'/~;,;_I.I~#flo.._.,..,!" E •.;
" '.

on _~ _.,'~_".:ff~il~I.1~~.;"'I'
."'oj -

f, ,--,,-..•" ......f ,
I)~

.-- .. _.""" •••_

~
~!.,· ..---,.".,,~., ..--.~.''''••"'--, .... .•
•• ,_

II, I .1, I ..,

·······;BfC··',t,-·- '2"Or.-.--.-.... : -.--...." :.-.:..~.-,. . .

1.I0ii
1 I •• , • __ ._ •• _-,--.,, ,~,

,...1 t

_,, ... __

__ .._ .._} ••.-.. .._

__ .._ _ .•"., ._ . .._._

c ··_· -_ •• __ • ••

1, m51l1'lbutab~ sl1ar'!! 01:111,8,1slmrt·f>erm oorll~I.!lIain

8. Nelshol1-~0rlll ~frpE1;glq~ilI ,orl(ls~

(iJr loos) fIOOl6m£iloy.ecs - UlJlli'

'S~GTal CDrpo~&l1ii"S _._ ~Pifalll"lo;.'*tm(mt

Oli' j"ilr"~

_.. _.. _.•••••

",~LfibJ,i~;j;l;ile1'1 !!Irfi!~l:ilin.ve~tma nl ,ami nollttro:u

Fu.""I?_J~.

,il ile>lail)1 .__ ._.-_. _ ..•,'

__ • ,••••• _, __ ••.•

9. NElill!:ilp:lla~loss:c:a~\!~J

~Sullffilt sCIii"Eluule') ... ,.-..-.--.•••,...,..... __.~. __ , "'n •.••·-···---.,•• ,·,•• ,---···.'. . ,•••

!'<i'~~l!l--.,, ,.,' ,--~"::_~_' ,---.__...w •• ",- •. ---_. ..~., ._

m. E:x{;JlISs' dr ded~i;:nOM ()WU (he :1r'w6~1 derlv-ed 'fromilrl, :a!::~lvi'l~f!b at is 'ool1!,olir ptlm:ip.-11 un u~lf1'Il~e~.IS,Be.lt1i'iitrtLcl:iofipl ~ .",_:..: ...... ,.. 1.1. Netsh!l1'it:'I~rm: ilap:lIlil gai!1l (~l"10101$1, ~[les 1 tll.f(:rugh 10') ....... ,._...'__.." :.... _..._.__"_, [Add , . ••,,...._.. ... ,~,-.._'____,"_.,., ..._...,"..,:__ .__.... ,'''-_'__ ', . , '_"__ ..

,:seltinlJ~.r.e,-",s9

fa

---

~l'Iip~,'Tr,..-TreF

'L:::I '1"2.. Nllt Icm.g-I~rm c'aplta,1 ·gai.n [I!)F IOSffi} •• , __ , .. _ ;_ _ _.. ._.",_ .,,, __ •••_.,, ..,•••• , ..". ._ _, _ _ ,.
.

13:'· Nsllm;)_g:-terTill.'UlllircallJ,~il

(0. lc:rs~lGl\salElcf

yoor prlrn;fp~I. residoliDe 1II1I.1.i1ovsdtepfiPPn:~IQr.;!lip bu:sIDrJ>!;'

_.._.._._ ',.-..---._..,••••,.:.. --..-.._ ".•••.__ •.._

- .. --

--._.,.•,,.,"

14. DistrulUbable sham, ilflJ nel ~1'IlJ"\l:rm cB"pl!aJ g~lM 'Iirl[l!S9:J HI. lJislril:vu~able skue Oil 'net ~Dllg,term Ca~bal~irl·(fldo5"S)

rr!lrrr 6silales

'l;uTru51S ,•.,,,•.•.,--.__ .._.,,.,, •..........._._

5, IlJ1slil!1ut<lhlO'. shane: Orl11l8~1cit\'!1,tQifm C8j}Ual gall1 ~or l[)Ss} l'ra~l1Sp.aclal ParlnersitiP'S_,

", -._ _.•••,.. _-: _._, ••, m" .. ; "': ;__.• _

__._. Ii" ••_. __

NOm.Gurpnf[lliaFlS llfln.diyiduals _•.,

_.._.._... , _,-._..__...... : "......__._._•.•." _~..,' ".., _.._._ ..

:.._" ".,'"

17. DiSJtribuklbkl"st$Jfl on Mt ro:.n;g·!'eJmc:api!~~1JBln ~or lilSSj,,from Employees -O\w~t! Spildia! Cti~p(}Jfillioo5 ~,_,",., •.._. ,•••,,.... __ " , .__
18", ~Jl'llbn!J'Ir:lll1l eapbtal;gain (qr,lO-SS]l'allribu.!aj)lalodlreW:hiweslmenllID

PJlol.lhrlluWi..aCapil'3l:In';la$!fl'l~nJFrlnd fSubmllijo~aUl._,.",., ,-.._,.. " ,.,,,,, .____ ..

._.<~,.... , .. .--.--._ ...... ", ,"
< ••• ,

I '1~tE:«:ess oJ (ladl'Jd'acm5O'l'Br ,ir.€l inOOlNed~r,il)m an adi'IJl!I' loot Is, nol >'our pMndpa'l ifidI!JS.lrio[ lltl~IlSS ,f3"eP.iAl!.'lructllll\!l). IN'lil IO!'lg.(erm i:"~pjli!ll g;"~!i1 ~lir 105.'S) {fWd IInas 12 Ilmw£lh 1II) .m." _.._.._.._ _..___ . .._.._ ,.__."._.._ ". :

_". ,__•...,,._.. .__ .

I.

r:¥!I

i 21_
I

I..

.. . N'e;I.lgt'lg·llii urn Gaplt~1 g:13in ('or Im;sj, uIH'e'r

Act:

----"'~c.....:::=

[lf$blbU'lil'lIlS

Ii'<"",""

'I-'~"'_ .. .·"" 0......

~'
'c:::li
c::::)

fr,llm a~'i!"''Iled P'mls:iclll PI<lns alui·rro:m

VSl[j(l,liilleAllnultv

C'J(I=iiI'l::c:JI;[i",C::":"~'GT-

..

f.'..t.", l.;:t.($le ,:jL2il~ - Sp::!l!b1~_.-.,."". r~\i:~Mt 3J.~- f.. .•'9,_... -"-"---I . rj~ay r "~'
, Ta:~<lt 'In'%' T:<l"~P[l'!{-ili.._,_,." . T ru:~ .iii 100'1..-Spouse ,~.__
TCcllru IUIJIWSi.JJili ~lfihEl1ilJrulrram
... ,,_
.I __._. __._

1
_
..

I:
.~

,.",:;"::".,
4V-'Ili-O~-'-~-',1------' ___J~I'--"---_---F

(!jLlrJf:fip.d peM'ion pl.riJI$ {fffi::ll of (;1i~Il1T1n Cl-.- .._ ..

I_I.

.-.._ _ .._.
_. _...

lill
-. __ •

[0

----_
"" ,.,~

------~E------E3

-'=+'-'--------r;:;.

_ llJl11l}'Slim .d~lflbulians.lmlJl \t!lriabIe <!I!IiiliIUlJ' coolrOOts - biifl,lYl"'i !B(lI~lj'isllliGlinns) _ ..__._.•_, 2Ii, I..JI]rtlFNmHl.I!L!i;ttiOOlrt)lYO.~r{ll:n ~a~EibID atIhlilll~ {;!Jl11t.iK.,lS - S~OO5~ ($00. i11~lmctioosl: .._." ._. 2!l Tlltalllurnp<:;\Jillrrr.fls.iriiJulJ..orliS ij.ltllmed IlEnsi\Jll pI;:onsarul from '181i<lblB :mf'lultyoolil!l'e.cIS jAd'd ,1fI.e.s.2ilII'llo1!gh 2B 1 r<ln:s'ferlbls ..1li1llJU'Jl!!Cl from Pm12, lil'le''lRoJnu;I fe-luri'! cr t&Jin:fj',jR CuluDl!1<nsll.artn: C (JfS1]lle~ ule CO ~Rdi~idu&.as<,!jJplie.at"lle)·_._ _. ,,_. _.__'•••••, ..,.-,__,, ._.. .

••• - •• - •• -_ •• _•• __

C~llil:aljGalw~ (If tO~5e5 f(lr U~I'~rmtl:l~t1!pnd utn ,AIlIIUS,e!] (

----;--

,(>'Ill

----

·llZ. if allY

Oll1 er CUll[mn ~S~

nftl.olllrnlls

B'andDoHoctlllll)sS ill!\"Hw~Jion~) __ .,

fl"n IIIiiD 31.<3pply-UI8"'ldfll'lotbEigmlll~ -.. " ..- . ... _.,__ ".. ,,,' ..-.

1!1~

'JII, .Apply lb,tloS's:ffr'lfflllne

311.Colw.mn AprojJonia.llally (See 1115~rlJdioni~) "._. __._. '_'''._ ..._.". __ .• ..

to flue ,gfai~1S ~~i~~~~[j)l.!;l"'J: ilj _. __ .

JJ&_ ~1Iik~ tJ)~lllf Col.u.mll,$I'lEllUq, C, k~~ 35, HfjJ.lic,.cr. U 3D 111 Coo~i B"fuidG, l!OLJ ITIII~llJnl.er file K'W·atrmuilltdfline' Jt

me

""~~lil£ll:-;.J;\i.

Illnll-1EfllllllOapital

s-aiffi • .see in~lrur.tron<i _.,.

'•. _, '_' __ '_"_"'_""'"_'.''''

III
(.'ii

l!li

Ii liM :rf is i3J1SlI !oSS,'RIl!er Aer,e and-in P~rl2, fciil&1ling tlrntl~,m~s:

JlI]e.2 a ol'tn-l'l rMUrn

Iin8" 3Q

m'f)c:hedulaOO

1!1dhr.'llt.3l. <j." <lpplic.lhlf:,lne SJli1;;a!ef"Ol Fhl').

,illThe;n~ I~~ r;fIlfr.Je37~ ,n] ('T,00fl}, ~ me t¢ss >:Ja;l:~ehera~ in 1I1!lsate il[ qurlliIielJ mlllooi'li'l·iJ,'!,i.Wlf3!'!1i

·
,el
'r"""

E ,
~ e-

,
!

,.

~.

~,

0 0

:E:

;z,

a: w
:I: il-

~ ~ I
LIe iDl '::::JI.A:!'

:~

Ut

I..!.

~ Ij

'" l

1.1I

g·.::..1i 4' 'z

'" :t:.

\ \~.

f-

..... o·
w.
.,oJl)

"

c:

leU!
;pi11

-.::>' .1:: ~. ;:::;

rn

.....Q
C

.....
~ ~
'itlI c .,;

..0: ~

'" .s
"0
"t;I1

S
~
0; <D

ts

'';5 .~

.0,

:~
E
m
C

ftJ ::::J

~ .Lg
I1l

OJ

..5
II.!!..

:!l! 'i5 ~ ~. i!L ~

on

0.

J!
01 ;; (0 .,<:

.c

-g

I~

" ," 'l:i ,,.

It;;

~ ~

..

g
.",

-'" a; ,..,
EL

,;,
..QS, ];

..r:~ ~.J.I:"
13
::;:;I

c:

CI

Il~:"'Ii

'§:

15 ;J!, 1i<i. .~ 0 ~~ ~- dJ· :p ~: ri r;:1 .m oJ} 'E fii ,< J£ ill .a '" ~ -0 .~ :::0 IJ! 10 -0 '00 --' I>"- ,..~ '1'..j ~ I'd «) . ,a,
,[1:], E. ...J:,]I r.r...

"',

=< IU

E
::J

~ ~~ I::
'!.••,.

~ ~ , ~

i
~:

E ;;> c;.u·

0:::

}
~
c·

::I" .'C

til

i~ '" 9 ,. ~ .e ~
L~'

= u

{!!:

1
n, ,c.

~~:
QI
.-,;.

.n

0 '0

'

..... c

.:§
-;,:' 011'

!la

""*
"., III

~ iii

~j]~
!:

!LL ,_

-~
2-iI>
I~

ie.
:J <l

I~

'E
::::I

,J3

X
tt:

c·

...
<t

......:-<e

E;

fh
'~

::;:; ~.

':3~,d; .Li

..~

g
~ l' ~

..
,CI.

r-

~ ~
~,

'"

I!!I"

lti

;;
;J "tlI

,ij

',u

-J&

~~-~

~
Q. OJ·

~'" '(il

IX

~ ~a;
<"'§:

Jfi

~.

~ I~ ~

::§

~
f

1t9

ro

~ ~
~'

~
I

SchedUl~e I In(]Jividl1(J I
I'In.IlU1

OR01NA.RVA.'NilJ NECESSA.RV EKPiENSiES

20110
2010

De.liIIil rr.ff Expellses (See Illstrm:tians:} t, Mears and 8l'lie:llIaimneC1l1 A. To,i'ala:xpefliSeS inrnrred (!rpald:

__

,,

__
,n",;;", ••• , .• ----.,-._

" _-

•• __

• _. ""'"

----.

__•.• ,_.

".,"

".".,

11;---~

It lRe!rllbursecle;qJJiI nses (~·eals.iiiln~ ,enlaFt.(lj[nmen,tlC. lliiflE!fen~ {lffille1Be;KCiledsmrte

•.....•.. "

__._.

-. -.-~

•• ","'"

---.

:~j

1f--1---

~OO4·-1

-P0~,
I

M"ente:rllufe:xooss herei'li1ti.onSdleaumF Irltlr Wtml. Pari VII "

,"-m •• _.,'

----,..,•.•"•.... ,...
''''''' •• ,,' ,.

1Ml1----~-~r(l~~

D. iDiHer;elifcll' {1!fJine 1Aexcs<fiirlslln:e-1.B.I!J.nter l!he extess~~qtV-:m_

E_

El'lter5iJ%' o.fline 1D tSae illJSlJiucttons) ..

. ..

"'" ,•...•

,l~~:~: _ .~~.~~_.::... ;..'" ,,,'.... ........ . " __ , ,_" _,.~,

~~'. ll
r-

_.:." .

-..- _ ..

tufil I~'I-

~_+-O()-I.

-:u:r,:<;. l'j''(!l.. '9

~_.....o.:Il"'i.rJ

·,2_Olhe:r~e;;:p:ans8S

~rr. -::',;"'II "\.:L'r'J Dp/~C:'I; Pi<GAUOS

.----~~-___.r_I

A. Coslana mariflk-lI1~f1Qeofhmifiorms..,"

,, _.
I

16"

I)li~Si !l~ndHo urnillRiS.oo:![-B;gler:nemll,oo:rstiips<Jft'

rnFE:oo'ii;mal ass.nciatians- """, ...... __ _

._u ~~
._ ..",.. {r.l}

1II11=-_~

~_3_0-l0

~OO.::.j·
-ij,::;l:l::.a0l I

C- PillN,:tnas;e of -eidul'laliooal maLeriEllshyleachersc·",~

D. ,Purchas.lil

or U~chnidalhoo:kli'lel~ted to 'Ilrofesslollal '{lIte:;

~~rl'llJ\BfI'IeF!te~p;;m$aSi

'''if,

.,s.~, " ,
-O"'' :'l
(W

,)

, \~, 'to

,,"

r'l· .

d .... '"

[Io!)

4:_13-11j.;:"O;;jfl

E_ cduCaill~J1fiI.an(j

(ill Y£lnr prcor6fjs~n ,,.,"

oODUPeJHon: ....

._(" ••"" ..,_,

[I;.~l I~I__
('6] 1-

~~

__

-iI!=O~~11
-I~O(J:::iI: ~.J.ll;::O+_-t1f1j,I-_~-~_n_.

f. IJepreCia!fQ1l t,P.arUllOf this Sc'lledul!e) .,., ,

__.-_ ,

••• """.", """'._.~ .._.

•••,---- •.•....- __ ,.,.... '.' .••"" ''''

G.. oiller.i:~:qlf!iltS9S rnl1tl'ed'tll}'Ill!lrl'lrof~S1ofl!lrtJf&clJpaiinn

H_

~. 1;111...., __,_. ..•••"., ..',. ._ . ..

--r-_lI1
_3-F. ·~~·iill

Tot~l, Qtl'ililr9xpenS~ ~Ad[j tirms,lA 1I1rou,gh·2{j_Einlar total.hel1)._ ..: ,..,': I '

I. RJ3lr111~l!rsemElnlrn,llltiler,9Xp'.eJllSe.5 __ .• ,..,

,"" ,.,"

__

_ _,

, " .. ,_.._ ",

,', ,.. _---- ..__ :,

"•.".

{I!Il'.1- _~

~.oo~!

J. .DJrI'erem:e(IF !he arnolll'li

tp,ant

VI~ Ollle~l,

00 IIne21 E1XiOOCtiS ffheam.olm~·on,liM 21-1.enter !he' e'xC&S~ , here. and: Oil Sc!Jedlltl~ F lindivfdtlal. g(l·to Illn~~2K~._." .~
LL~~~~" i 1L1111I •••• ~.~n~.rrl-,~ .. !••• __ ,___,,~+"~.II1~~ ...... ~ ••• nn~·,III~ I.. ·--------.. -~ ",~ .. , "'II •• ~~ ,n.,,-,"_", "---,, .. _.II.LL ••••• ~ ••• ,ILI\lI!

[;.'llJ... -----~4I:lo1 _ {J!II'I= __ ~

1i!'l'I.,.~

K. U Dtle 2'11 ~GH.e-ds, limEl·21.:enrerthe ·excess on thf:s ~l')e _•._

,"""

---_ ,., ,,_..,," "

_ .. _•••. ..•_"
d_ ,," " _

"•••"".,,' '.'.''_'
._ .. _.

7_73--1·F'(l9g ~ 7_13_,:t:o::0~DI

::t T~IBI' OlIDrlOlI)' and neces5airy.ijXpenso~'(Add Ime!!) l' E llad.2:1<' Eoler Ib~ ammmt on lliIMIM).4. W~'9es, CommTssiol1S, JiJIIlwl<lI'lr:es GOlmRvld'wl) .-..
w •.-""

tlll,II

arid TIps: (Pm! 2, fine rEi tJ,fnhe iLm-qg F~rm or lill'E, 1B ,OF ie. ~~:itJ:1p.1iC;'lliJe.o:fSthe'duf.e, •
-- ••__ ,••••••.",,,,, •. "", ",-•• , " , .. .. __ ._ : ••_, •• ., .••. _." __ •__ ,,,........ ..

(:l'2l1'-__

-~1_3._"I"I_4':F, ,0~Ci

5,

Fidotal ~.v-,ntWll!i"(P"

2,J""lC 01U1l)

""g FOrm"I". 2Bot2C, "a~~i""l ,[SllleduJ,OOI'~,Oli~~-- ""Ir, e, .._ "'."' , ".,."' ,_ ..-_~ ,.."""' __.._ _. _ _• ".".."".,.,~.
,. ,.,.

----~~-1''Iq
~

.6.. T(itiJwages:{Adtllll1les.·N:m[Jfi}_ .._"..•~

"".,.,.-------_.,,_• _•

~I:I'__~---

1.

Mli[[j~lylble6

by 4% Bl=ld a:nIerher.e _.•__ ,_."'

,"

,,._

,.__

",'" ,._------ __ _".,

,','"

"'W-

lllliJ111r-

2...;._5_0-F0~1J •.9

·8. uc(JI!il'criol'l fr,lr m,dim!l'Y a1'ld f1ec.es:sar.y C'~Ptli"iS·e:S (En:ter here and nn S~tMule Iii. Illclivitlual, Perl U lin P., 5, or line 10E,
I

IllJillglog'etl-ier, filing ~I(I'i"'trefum·"md ii~ItI \!lim;iri{iH . ,

Column DrnG ofSche.(![JI:e CO !ndMduaJ. as Bpplica:b'la, Iha s:maneriirt'li-e {O'llrn.Ili~l.iflml)lJ!l'l:;~ Ir[\fl J, Ilml1, orup kllhe ~jm!t mS1;,5i}:O($750iryOllaTl]lmanle(Jf[ltng'sepa:l<rternlW1n~orifyl'lllJcni\l~Sl£l1I'l1!lG'p1iol1al;Gom-putation.ofi.£tfornl1'l'itJediintii\l'ldldaJS
.n" ".,
..

,., ,••.---

, '.'__ •••••••",

'F' .. __ •. ,

_.

loWi

l!.m~l,aluIJ'D ~I ,Garda
Il: 01:.'11

IPaDn;ls,

l , p~ d!5l!!~iOtiill~n r:3Si! dI;;l (I~ Ilu~ ~pedly Ihll IJl<lteil'al tJs.e~ In tl:\'iI ql~~LlCllJo.n},

z, Doo-~
~if

j_ CIl£J Qr t;lker

lriasljlc

~!Jj;elliJge tlisl

lniMt~,BiiSis flii"

cr

~_ nE!rr.f.it:i~!lon
.~imad ln £Il'iD1 ~e.-:lfS

.5_ Eisl!mated
W.miIilife,;o iiil1lnp!l~ lhe deprei;i;t1ibn,

fl_ fil1pictialililll
~lalrri1ei<1litis; lfiiar

1lLltmiJllMes. may nl'lt'il~d·fItI~ SZS,c.oo ~r

~ehlrleo._

00

II

00
O~
Oil
,Cl .

.. ,

DO 00

l!

I)

1[1

OQ
T (Ita! Trarlsfm' this 3iJlIIOUifltkl 1?3rUi'lim~2Fof1h[s Schedl1le •••••_.__
,.,!.,"" ,•.• ••••• ", ••••' ,~.__ "", .._.. ,., ••,'

,'00
•••, •. ,••,.. "••••.. ~·11l)

lI!ju

IiII 1'1

2~1'10
1ft

'WU'ma Ii PaBtram~IJ!im~'. 1:!!'-Q~:Z' ~i!;I1' _

_,.

_,.

......

,~

J___ .2!!!!
,.."..~--''',.". ~ 1l---~----iF0[l,·:1

Pfljr! I 1. Meal$.fIndl,e.1'I!terlai~mBnl kT,olalalql8ns·es.ii'toorreidorpsM ;,..••" .•,.,•_-. ,•••••••........""", ., , "'" ",.~.-.-.--., -•. -.•''''''

B. Rielmilllffioo e~pens()s (meailiiHllld 'WlfIJrI~1nm!l!i1t) C.Differefloo!If~lne-t

""

."",'"

, ,'."'" ,,,,,""..," _

" ,.•" ~
," , ,,,_..

,.,.,. tool 1-__ ~~_-:rm::;l,I,

tn,~I-------:~

B~)f.ceeds,ltoo ttl. e11rer'1hee.x~es:soreand nn $aheQul:s. F[ndf\l'ltlll'1l~T VI) h Part

D. DlfFF,:re!lloo (Irlirne, 1A e~ed$llilil'1! 18" !:l:fltQrllie ~rtessi:1ere)

,,,;;:,: " :

-~ .."..'" ..""..: ,

,,'"."

(00],

1-----~---i1Fl

~!lII___--- _ ----''9 _

, 11)'[1

t1:dll-

__

11~1I1 H:

!F • Dep:reclafiun

IlULill {P~rl.

ji.,J..j

S,.

qh!jl~IJ!eJ-:

" """'"''

,.•••..., ,,"

''''':: ,__

~1fi1,,,,,", ---~---i""'9

1,62500

G. OIlul'r e)lpeilSe5rnl'atedto~OlJr profeSsion or ocCJl!pI'Ilion -,

H_ Total D!hereX~IJIfi~s(A(jd

-. r11J,1-

~~_.J;"Il_':U+1
" .."..•.."",,,

-----~
1_.G_·~:5...,·'

r_ill

tim:ls"lA1hrough 2G.Ellte:rlrJ!a1 herej _._ ..,

_._ , , "",,,

", ..__ .,._.,

_ ,,.,, ,,,,;.: _-_

'lJ'If-' ~
I

FJOIl~'

t ~I ' II ",elm 'bt1~semE!n'a1(l\ulFe:l:pefi1591i••, • tJ· J.

;," ••••••""" .., •

.1~1~$J .Il-------:FI

D~I

D!f(ereIlOO (Ilf '11'leamOlil1l00 lIne .~.~exce-eJs !he, amt.)l;Ihilt on line 2:H;J(l<I1ler!M~ :~cess nL'3f6 ~rlti (in Sd:l'edfJle f :lndMdual, e PartVI.Olher.\r~Sjlig01[Jlline2K} "' ,.,_ _.."''' """" " " "".. ,', ,' ,, '" _._., ",i",...
el:~~SSon

I
~I- __ ~~_-:'IF'OO~· 1~",34 Fll01 __2 1_,.;3_A~_2 Fli

K. Ifline 211 el!:CllleCfs Ul11e 1. enterlh0 2 3. f ()l~l()rdfllaryand

this Itl'l~

_ ,.,."

"" "

,,", :

__ ,
".,.", ,..__ ..,

," .._.... 1~~

,
[3t]I-~

Iltl r:e%"alrye:o:p"Elll.S'f!S (Addlll'lei> 1E and ~I{' Enter lila ,alTilJllnt on IhlS ~Ilel LnT].{I Fmm

4_ Wages, Cttmmlsskms" AIIDwan Gl!ls' arid TIJlS(Paff 2, 'Ima 1B at ille

CQ 'l\ftdlviCiual} ,~ ..' ,' ".'''''''''''''''''' _ .., 5.

or Ime ~B or 1C, as appli.caht'e, or 5chooule

,~ ,,',,,",,, __ , __ , "•••, ', _ " ,., "

""

.,_

Feoora! Go~mmen' Wagas' (Part2, IlliA tc oithe Lon~ Fotn'I oriline02B Or 2e, O'ISo appllCilble, et Sd1cciule Tt::ilal age:s'(Ad{iarles'4 am! 5) .._ " w
. .

eo Imllivilf.ual) " .... "

""" ,
_

Ii

"
": : .,.',

__

,.."••..," ..,
_.., "

,;.. ,'"'''''' .."

".,'" """•."' __

_
" """.,

,
""

,'
",,,

MuUfply 6 by,4% and el'llerhem .. Une

c:;"••...•.""•••.•••• ,

~I'1
~I
FoJ.I:-

~2)1-_-~_3_·.2_!.2_9!2_. Fti-+t0

lOil

--II'""'I
1

,291 00 Ir. -------+"'''iI

1

Ii Ille,HII1c1iGil for ,ordllna rrv ,1III1d"llws,garV·,e):JlE!"lfIses (filter a ndon Sl'itmtllJle A II10ilJldual. P'mlll, line 5 ar'lb1E!1OE,. C{!11cll'!11'J or G;cifS~hedlJ'eCO :111:di'l\'idLl2l1.~ ;:lJ1lplk'aba~" lila slilia:l~ir~o.mt&fol!DWill~ 'B OII'Ii19.unu: 3.1[1[167 nne ,(Imp to-the ~mil of$1.501!J.{$150ifyolJlare ll1anr,ied Iliing separatlu1l'lutrlS;,9!"lfyoui 4hoosefhe OJ)1!)onal{lQnrlpu.t-a'11Qfl flH~xfor marrJedJndiiJlc.lLlals fll.I1ingtogeili.e.r, IliIJrtQ"811o.iIl1 rflfurdlU;li:lljjbolh WfI.I:k.ingU , ,,,••••• ,' _ " ~ "" "."'" , _ _ , ,"" , __ ,••• "".. ~

here

lOw D.Ut
I

Part II
1- Prupcrt{

[lleta'il of IDepreciatlon
11m·:m;;!erl~

1iil3s!;1fita:jiOlll tin IlaGBDf EI

IlSBm ill

~Jlding" ~df)I

2. il:J~.
:I~ill\ld

'3. lemon
f8~de

Cf

'Q~TEr ttasi!'l
ICrl..OZ:t

fhe

~rootil;j~~"

lamll, B<I~k r« ~'lJmBblIBs iI18~ 001.enSM rr~

'of

-I_

CbilprP.rlaoon
cI!ljJl1E'!1 ill! rri!il )!1iIar.;·

5. ~llm.3fffl#

~s8rul Hfi;10
d'1I'f.'l]:fJle i1~a
tJ~~~~ttD,

it O~~ofeili6Iitm d:!ilmed Ibtls. l'lli;lf-

$?5,(lOO Per

~ir;le_

Cl;lIrrent. deprec,'iati,o:n
I Auto
4.816 1]0

00"
II

o
~ ~ +~

~onllr---------~~~ -

+-------------I~

~,

,I

rotal nll1s(erlhffiamolIDtfoPalil.l1ne2fnflh,lsSdloo_1I1e),--

...•.... ,

--

",. __

""",_ .._

__ _..,; ·

-·.-.•.•"""·."' •

---r~O

PROFESSIONS ANU COMMISSIONS 'INCOME

:201'0

Part II

(Vou rnu.s;tfilJootone

s.GI::i~le

. rrorn

oo~:r.

[of!fl!ldi

6,;)UCOO-OJ,

00;) Prl}f~s."!iru,~· ,'0 4 C~l'IllJ]lWl1filS

in IlJ!l'!!:"

11lJ .. ~W(It.sI!i~l~oI'~rIi'

liu~llile5;5 c::l'

Da~_ t.lon~ftL_ Year_. em~v~1il

"" I'

5_ Gain ([Jr.losS,' (IBlisa g~ilii, 1:filtnsfertIJpagl3'~!P,art2~JjI1B2OuflheretuJi'l mline Illdbild:U'aII,<ils 1lIJipIIG<ilble_.11lI is'a loss. S96 :l.n:SII1JGliOfls) ,.. __••'..""""'-' _ ~_ .', ••••. ". PartlU
.2,

,:SclmrllJl.aqO
I. ---_" •••••••••• •• _•••••••••• _ •• --

n"

~21)o)

Opi'l.r.1Iting EJ()p'Emsffs [:Iud mher :Cos'tS

,_.' "'"'' "
--

1. SalarIes. cofllnyi!,;:sijQ.llsand allolWam::s$ to employ,f';e5,_

._
•••••••••

__ ••••,
- •• _ ~

,_.'__ _ "
__ ••• _ ••••••••••••

,,
_ _~ "

_.•,•.
••• __ ••
I ••

Comll'l~s.sl'fmS'ta.'tJlISrnesses __,....•• . _.. i"••" 3:. Payiall, ~pefl.S1f!I$. ". " _."'" "__ ._._,_..•._. ,_ " ~_._ "....• . " 4. Oon!rlbullQl'is1opensioflpl&1is:_ :"., _ ••••••...,..- _.:.; ,.. _ ,.• _ ,_..__.~ . " .. ""_, 5. dcirnlrlhu!l1fljli5 ,torlef€'rred liiloorna plans " ,,- ___....•..,..-.._ " ,.••..--_ ''','' -- " ,.,..-._--•..-__ ,-----_ . ,." fi~ Medl~(I"I'"Em~pH!lllIiU1HonrJtS~mlfilGe:.•---- , "" ---" ..-"" ---"'.-- : ~ ..-.._.., ,.__ ,,,.,,..
.1 1•• _ •••••••••••••

.
..

111.--

., ,,
"."

'7. Interesl(l'nJl:usil1es:s delbts·.

" .."

W·

..__ ._

, ••• -

__ .._

" •. ,

"

"

- .. .,_.",

- •• _..",.,

--

__

,_

,::=:=;~~~=;i~~~:::.::=::::::::::::~:=::::=:::.::=:~:·~:::==:::.:::::=:.:.::::::.::::":: ..::::.:::=:=:::=:::: ..
, 1..
1,2,.

Rl5!pairt .. __

__

~-- .."., , _."_.,,

,,.,',.•_..__ "" ,.,. .., ',"" _ _ ,.,......••

, " ,.•~

_""" ..•-._

".••_ ,' .
. .

Mcitor ~(lhtd'es.'Iill-;&)~els " .. ",,.,', _ """ _ ~,., , __ ,,'" __ "",., ._..•"'"'''' '- •.__ :' ---.. _ ._ _ _, tJ. !,JlJlililliS .., .._." .., ,,,, __ ., ".," , ,. _ ~ '"'''''' _, ~ ~ _..,.:" -.- ..__ ,----t~- 'Illsurant::e __.•" " ,." ___,.., " ,..--_ _.." ,- - , ,.,, -., ,' ,.--.__ •."" ,.--- ",.", - , ---- ".••-15.. Ad'lJerll,sing " , ,_..__.•. , _.._.•.,., ..•"._ _.•"'" '•... __ "., __ • " .. , _ ,.-.--.,••.,- _.••." ,-. -'lIt

.
.

liraueJ.e~pensas "__ "",, _ , ._ _..:..", : _ " ~., _", _ _ ,.,.... _"' .., _ , 11. MoolantI elll.e:t:'l<\ll]ment8~~ei~S'a's(if lal e;;;pellses. $ 518 o ) (Sa" jirl&truG~Ml;) .___ ...,._. " " __ , liB Prnfu.s!)-lonal SCI'IIJoos •.•• ",'., , " , __ ..••••••• " ~"""'" ••._.__ ,..'." .._ '" _ _.. " ._ _..__ , _ .. 1-a.. Mat!;!rirus alldstlppli'llOS ._.. 20. ·Ol:!<J).reclalil)1l"i'JnclOfflo.qizaUOIl (Subml! 8ohedu1e E} _ ,', ._..•.••.., '" _ ,". _ _.,._, __ " .•" .
11" __ : " •••• , ,"" .. __..__ ", , .. ".,. --- __ _. ".,' •.• _ ._.. ~ III ,,_,-..

2l Bad r:lalJl:S •__ " ••••• ,., .. ,., __ " ,. ,_ __ 22.. FedaJal selfemploymenH.!lK (Sea.:il:1st'l1JcOOnls) , ,.;.;,
e'

, -.. _

" _.. , ", ,.,.

i

- _.", ._
, ,.,,~ .. _ _

_.'•. ,
-. ~ "

-._

_••••••• ,
_

,...
".

2:3_ OtMr ll~pel'l-ses {SUbtiflilde.l'flir&l SGnedule} .••.• ,' "" ..,.••~ ".'" ~.--..•""" , -., ~ ~-," ~t Tottll (Trooolerto lPar~J~,Un(\2orfhisSchedul.el .... , :~."!' --..---,.,,, ......, ~••" ,•• ~ ,••••'._--: ,~ ,

--

,.-,---- .
_.-- ...

,.-----."""1'"

S"[A liEiMlENT A TTACIHIEI) TO AND, MADE Po PA,RT OF THE COIMM'l1NWEAl.T1-I PUERTO RICO IDND'I,VIIDUAl_NCOME TAX RETURN FOR T!HIE YE'A:REN,OIE:D 2:0.1:10

OF

Totall
Es:ti:pel1d[o !eg:jI,:;~r:!M'I1iJI Diera legis!atrua

17,-5:20 :3.1,818

A.nejo [l2 tndivi.d.uo,

tWI,I~10

cm'URIBUCH:l'N ES:PiEC:~ALS:OBRE GAN.AWCIAS NETAS DE: CAPITAL Ii. 'LARGO PLAza

201.0

2.

Ingre:m EHU'loA;JliIs<\~b(6I1CdSI;lilllo 2.llnea 5dGI:a.'p1<lfl~I~oIlneaQ,. C'oll.intlnaB 0 C d1:l1 A.1f!~joGO ~r;,dMd~o, U'J.lijJ'1 apliqm~:) ... Mel1(,]~: (l3) E:':CFlSO de SI<lTIafJcl~Jileta,ge capitaI8l~~o, p1aZIJwore 1l3:perdida:neTa d.ec~pl!aIEi ~r1.'!l , plazo (lb3<lnsiEllnslrooooflEs} " ~ ,., '.: _ _....... if.m Ir---~-'-----~I

n.YJ

fbl DJstribudgn en $lnma gldh1lt de plane.srle p®t1~itmE'ls·cli'iilli[jm'l1ios (An;e~o D IfI~~\lj(Jl!O, PErle IV, 11nea2Z(Q 6;'2:3~q.seg~CIrI.apJiqll'f!~ {Vhanse fnsfru(GipneSj n."···· _......•••..... - I~J4l-------+'--1 _ (G) Distribuci60 en sLlm.r(lllob~! depl!"lne.!\"de pel'lsi(lrl.es cllaflritadm; (A.nejo 0 "\dl~ldllO,Parte IVz Iiini9a24[G) 6 2',5 (C). slQifj;un 'aplique) Ne:af1ts~' inslruc'Gi'on.6$} - •. , ~ -..

,fOOll-----~----1R

{til Distlibm::l6:ilells,umaglobal:(/€.conlraIQs 1111)ea 012.8; :aplil;lue). _ 'lJ se_gtin

de.anualj'datl\l~rjallle(AlleJo ' ,_ •..•••." ,,_

[) IrirJiifiduo, :?at:f.~f\I',
.. : ':.,.•.... , ••....
(00]

i----------t'9

{e} EXC'e'Sodle gf'ln;)tlci!E!ne!:ol dtl~p:i!al a·[arija :I\l~~:;1!O sill'brei~ pe~fdidla flel~dle'C'.apjhfl a' CQ~to p!61lli)' al:li:bulb!~a,'las inrverslo"~s e:~:.F:Qn~~i61l~'sariOll[) Tur[sfii')o 'Y ~'()I1Ii1G d.. ,.~~~. " 11N1lVe.rer: 1 ... : '1.&1 lFK:aSll1;lOO2, 11!ma'2:SrlelaplanlnaolmlB~ .. . cqun1naBo Cool.titlltjo . .. ~~.l, ~ LWlIt-----.---f'-"'! L,t . ~ .. (I) EXC6!Sode gan<iilcla n13t~l!jBcapit~l<I !arg[}pT<lZ050blt! tEJlll~ r:[M~ . .;; 01"'. IPla:ZQ, trfb:~lb1~ails venIa da .a~iMes de un Ul~ioqLJie ..• aa .'i~~'Il!liil.iellS a lben,enrnede le:gislal)ion:espeGial.~Jeafise illslllicaiD!'JflS) .: . DEC"" ~··lilll .

~s.

.,..

sb!u~ ..~...

" __ ,_ ~ .., _.. .., ,.. ,. ' .....•... -ii'" " " " ... '. 0 f;.{~ Nota: Co:mpule flUCWffi'lfmre las dOOll~j(mes. flian:illJl1a~\lfl5.y glils'too m' . .. ..iJwil!1Pt~~~ (iSS en e Ilrs_grasQ DruID ajlJstado rll&!r;ilda eri(la, Itf1El<'l3d~es:i~..anEl'j[!.. N~a.lltira IlIn!J.t:lFl.<i ,as~ilIidiri~~abl€-ci.d.<J'5 '~il' en otrasaflejos.

{g) rota1{Smi1eJlneas,ifa)i<l,fi!l2{~)

,......•.•~

1'i'1!'I-_--::--=--=:--.--

:J.lllg.reso Bru10A~lSladQ(Uneal 'l'lenmjiifle~ 2(j)),)

'

_.. r"<T!--"'::""_-'-....."--'--....u.!"'-!i

4. DedljoofQl1;e,s.y

.emIJcI\'lll'e::s'
Iij<J_D

(a) AflOrela fU,alJordo II~ded:uoolm

<f~t~I!mIa{AeCQmpllte,die

ser

in~e.,aOO; VeanS'9 irts411..u:.c[o:rles)

,'

,.

(b) Total deducciolle5,a::l.lci!l1l ales {Em.;asillal1f13,li[lea. tI de Iaplanillao I inlla 1m( Ccilim all (l'CJeJ AnlEja CO:ll'idi\fiduo, oogun ap~qt.l~) , , , _ , t,.~·-------+.", (G) 'E:xe:n.cfu'irlpe[S)J}l1<1l (Efi(::3S~llloo3, Irml~ 11de la pla:nill~ (I I[nea 12·fIaI AN~Il'CmndMdu!OJ .. (,d) Td:;te;.rEflci:}n p!Y~enl.e:;.(Erf'....ooHarlO3, IlneoIl2DooJapfanllla 0 Iinea13E dill AnejIJ'f)Jlnd.) (-e) Tata' df.l dadmxilml.esy.e;:Ilefi;C[i:lfles (SIl!'l1e.lJnOOl3~{B) .ala 4~d)) , -_ " _...... ,.~,.~-__.:;"--..-........,,_-If-:-I 5. Illgres.QNero Sl/i~IQa Crmliilbnr:l\fll'i'{Unea 3, men:os rlnea 4 !e} Si-es mencs de,:ooro, <:iflcrle.l:eu>J-._ " .. 6. l[]e~.eJmiifla la (;Ol~liihuc[OO,SObN'i e'fil'/~ ini:iica® an 1'81 fi Se{}Uh ~a$laltlas, GQFI~bldUltas YGl115:te:ia,8'tlllr , ,' ml1l:!'a .......,.'IJ 1----__ -'- __ . 7. IMul!lpfiqlJe l!aIJl'lea 2(I!I) por20% •... " '.., : _..:" ,., _.., _ "...... tjB)I---_ iMulfi~i~1Il,le1a-suma de.ias·,lfn>e?s2{11I). 2(,;).2{d}y 2(fi..)p'or1lj% _" " "' ,~ ~·"'n·------FI ~f Mum,l!iqlJe.fa Iil1ea.p-ore,lll'llrcietdo aproh-alii'l (Esp&ri6qu;e.; %) ~ , , ,.....•..... L""lf---__ +=""'I 1O. CQl'!trlbllci~tilltillb~J:o ,ellrne.to;d'a alterQo (~urneii~'oo$ ~. ~<l~} ,_..., .., " ~.;; .

a.

2m

11. l!ngreoo.:rlif~to.s:l1Iilt(HU::an~ribtLrCrlm (El1ca!im.sdo.;'t, Ilrne<0I14 rhl ralplaniilla 0 IDit~a 15, COltHlll1aJ~ Q l~dBI ArleI() C a Imiillj'td[JlCl~ . 12:. Cc.mlrlbtlcl6n sObmlac,,"lI'llfd;'lrJIelliali[oo;<l 11 S't!1l;tJ1il tl1lhlao.;oon,triliiuliviii:l _ ,', ,.•..•. 13" COfltrl-bucitin det'eJl"mltrulda {UI' 'I'nf.:iilorde ~aIJI1~al1:0 I:i 1:t lrasla'de al~ IP~[lIil'l!a:2,l2rq~~I~iWlo 4. Unea-15 da PUlllliilla0 a Ia line1l16, Columna: B 0 C d:aiIAlle]a.Cn lndivitluo J',e.llnegrezea·{d) "ESlpf..ciai sobragal'ilalll'?iasde.c-apjLaI~si-se:.ecciono la cEmtidad remIe linea l'(j,.o (1tL]!)"Seg,un TahlC1~51SJeia'cx:]onMa~n~druj efl :lal~ni3i31~) " _....•...~ " .

~a

Anejio 02 Indh"jdulo
~1"'10

CONTRI,EiIUGI·ON ESplE.clAL SOBREGANAN(: !AS NEl AS [liE CAPiITrA!lA lAR.GO PLA,ZO

2:010

Ingtel>ollrufo Ajustaoo (I:nrosJI~do 2, II flea ,5cdel:a,pl~din[} 0 i:i~ea6, C01ll11111<lB.o C del Anelo ~,!Qli1{]ividtio.segu11i apliqlle-) ...

2. Meoo:s:
(a} Exc~S1:l~:e g(t!1!l~fltilIn!13d~,cap.i!a~i3 .larijO. pta.oos.obre pfaztl Veallise ( IllstruCCtOOOO)I._" _ ,' .,.••,.•,•• , ,"'"

!apemr~ ~l~rade ~apJl:,i ~.oorl'Ci .

'"'' ••••• _ ,, ,' , ,' ,.", ." ," ., •.••

11l3l1---.,_;;;,------1F-"i

~b) DJ~ff!rT1mci6rlen suma gJlobalcde ~arme's.,de pens'i:Q:ne:s eL~alillic~dos,.((!,l1fljo l~dlviduQ, Fclall'lijIV" D UIil'~,22rc.) II ~.3(C),segun.ap'ljque~ NoonseF.f1tskuGGi(lI'l~s}." ,.. ,, ," :: ,_.. ", '" .,',.. f.14ll--------+---i

{c} Dl$~rihuci611 ell $uularg,1o.b.a1 planes;de penslones Dllillifficadu'$.(Atlejo.'D de U~e?l(24(q6 2£{q, :segun il!¢liqtIl3~ t\)~ari!~e f.rlstruCO!Qoes}""" ." ," '"

IndMdu.Q, PaJtti.W" _~ : _._,,_...•"

f!l'il1-------il~:;,;Jj

{d) Di!;I~lbm::ioll en slJfnCl glnb..:l1(le,c()tllra!QScae allLJiOll1dad\1,1riabte{An~Jo [) IndM~'uo.Pillfu IV. m:l~ ..27li2.B.se.!ii,t;1l'I rlpIiGiue}. __ , "."" ,.", ",.,.., ", .., _ : "" .."",,, ••,,, _ "

1---------,i=I

(e) E xceso d.:e gan;<mci<l~ de capi !al a ta:rgo. pl~zo SOQTe la' perd(da !leta I1JeGapiit<tl a.corlo. plaza neia atribuiblsaiasi!1vlersTones;en FOIl.dodeDffS.a~rol'o TYFi:s.ltOOy Fl:mdo ife Capital de I,wer~il (ElIIIL<IsUiarlo 2, lirrL~<l2Smda~~m::liO~e:;:'J.3s:CGiltimna B~ G't.leI,MSfr'l QOlncli'liJrluo 'st1iI!1 ~Q1ql.ie~."~
J

1-------1-41

{~~ IExC!e$o dil,gananiia nata de Gapilal 811arQn pl<h1o; scli d:i1ierd'ida !leta p!aro,a!nlnlib:la ala wrtta,de <i.c:don1,? de tJI'lIH~gO . ~I:l !ID~anm !Ckf;eretim' '. .se d os!" . . ,i .... " ,nq.~. ... ~ benlefide· e legll amone~~T3~ {V~an5~l'iJ5Iru~~n~iS)iili~'~ltW~~(/~~~'S':'''''' ......,..,'" .'

'., .,-il?~"I{~ .":(0'

~e

ILl'

__

-==jl

{g} T(;)tal (SlJiillle IIneas2(a) ala 2(f1) " _ _, ~ .., ,:. 3, Ingr.eoo8ruto.A,i·ustadil{LTI1Jtl<ll:1 m.e1I{)~I~ln 2,{g)j .•.. ."""" " aa
: Compute rmelola!mlJIlteJa:sdpdllflcianGS pardon ejllstado f1ndjcado M!'it!U"ea :I'de es'be al'l.ElJp, Mo

EC",.,L~., '\L .. t
_

, _ ,,.",..'

" ..'",""" , ,
'"' ,,_-~
II'"

_ , , ".f.S] 1f-------......,.-1I
i ••••

",.1'".""

1----'----'-'<.-

.. o.;.;lLJI

4, Dedlloolmle;s yexenciones:
~[I) ,MotH 181rna.lfO'{,de I~l'(ledl[lccioolij:a I) det[lllaCla (Recompute aeiser heOOSmlQ" \tfir:u;r:lleinstllledtll1es} _ ,.,,.,'."'" '." '"'' .."., ,' _ : :,;.,', , •. ,""""" •••" ,"' . ~b) Total d!3d'uroo.ne$ad'icio~8Ies :(EflbasiUadot3, linea 9 ne I'l;!l pl:a:nlI1a0' llnea 1OK. CoIIt.rmJ!,iij B [l G del Al'lejp CO Illdivlduo; segun a,pliqud) """,.,'" :_ : ,;•..:""", " ..,"" ,.," •••••,••• ,,1_ {G) EMirlOO1lWrsoIlar(Em;;as~ladQ3, lirl~ 11 d~la plillflll~oJlnea 12de!lft..JllI$CIJ l'ndNldlm) ~. (d') Total'eX'et1cm prrn:!epemiert1es (E~]00b~, 'I[~1 ZIJ d~ I~planl!la OlIflGk1. '""".""",n. 11"1," ~,'" (el Tot:ll:ded'f!{hJctiQnesy'l\l\(Cjnclor!es.(SUi'OO!lllffiffi~{~a l,a4{d)J ~ -. -"' ""' ~•..... " •...- I'o'll ---lf--l Ingr.esoN!etoS.ujero'1IGonlrlllJm::iiiJ] 'Un:ea.3me[lo~ !rnM4,e). ~i~S-lnenosdeq;FOJ anor~,tNQ) :.·,,··· ·~-.· '.r ..• "••• I--~"T-'-'--+-"-I !JelermfnelaGooffibucf6n SQbJt!elllngFesoirn:ai.G:GIao en J.a ffnea.5' ~!i111]1 tablas oon!:ri~UH1JI.aE'Ij <JJi6t.e1~~'q 1_ ,.., i.t'i!l u ,.. " ... Mulliip~'quedall'n£l'a2(b)p()'(W%.' ..'.........••." :,.·,.,.' .."._ ",." ..""., ..,." ,._ ""'.,~., .,. """"" ,_ , ~ .. Mllltip~qli!l(!'JIasuma de II~sl·lne~1i 2{a) ,.2{IG), 2{djl11 4'(e) 1 Q% " par - •... ," _.._..••., _ , , _.~ "..... nSJ It-------'---II='II Mu~fipliqLJelali.lle<il2tQIIP(lrelp.orcterl!o·arrrohadQ{'EsfledrlqL!a;._~.%) ",'.,."' ~o.IJ'~------PI ·Con.hitll.Jcif6:n t~lail;baff'o;ell'lrlat'm;lo <ll~e.fflo (S""ffll;l 1rJ'le<lS 6 a 1[1 9Th "" .. ,., "' •.... _
II __ ~"" , """ .. , ,.,., .. ,,,~ •• , ••• II •••••• ~ ••• _."' , ,"""",

5.

6..

(. ·8, 'il 10.

Ane~o P hu::ilh/iduo
~ii"

t219

2JJ10
Ei;rnq]~
UI~Y{OIl

O·

1 ConlnOUfErltIF!

~::I

Con~uge'

•
~
__
F'OO"'l"

2, AJil,o!e $75):JOO {S3,1,5O,O, 51 esc1J$Mo ~U:e !'im:l,epla:rtiIIOl sep<lfad~ll !l8.arog~.aJ1 {;~fTIi~'nJ~oQPc~onal de ~a oonlnl'ln.lf:ioll en e1nasD die pemoFl;:)s casssss que \liven j(Jnta:,c, riii(/E!rI planilla GOOjun!().y qUfl embos IrawflOn (,e.6;m,p!.!l:tnj),p.ciOIl.'l'lll') ••, ,.", ,.,.....•••• ,_",., •• ,.. , , "••., ••" .. ,.. ,••,', .. "." - : ...• ,' .. '••".,,,.,.. ,ilJlf--

3, lm~a 1,menes line~':2 .,",."

"

"•.".,',., •. ,

,.,

,.. ,..",.",.. , "." •.._

, ,., ,..",.".,' .."'.. [lJ4lf--==~_..;..r_:~'~

~-r~

5. iLlmilte,.: {a) Ani)'e:$'!l,4;rul

"I.lle,_sea:nbJgaal oortrliPllto,(J~~oiia;ll

C~4,24:S si es cas<l,oo q:u e linda IlDI:anill~ SiIil,P1.lraa~,I)'

I

'"

""'.''''''''

~,.~

¢~

I- __ ~-

'F'~O,

1.

'OJ;