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[LCORRECTED (if checked) 5200 DTC Parkway Suite 400 Greenwood Village CO 80111 ‘PAYER'S raya sect adatecs, cy o town Sala prove, county, ZP ciegerpeael copmanstegprom monary Consultant: GH Wo. 1SHE OTE Fam 1099-NEC (Pov. January 2022) Nonemployee Compensation Fer calendar your 0022 FECPENTS TN 74-3104058 PAYERS 84-1325066 is 131681.06 Decypher Technologies Inc 1317 Grand Avenue Ste 200 Glenwood Springs CO 81601 EDP Sets ely a ee arty Poona ‘SSiaswia ‘court number (608 nstuctions) is is "2 Payer ade Gree sale aang $5.0 oF ore oF consumer product recent for reals OSatePajere sate ne funstestoeiRS yo areeque eae, anager pray oe ‘Sree nn oo oes somthin at 7 Sate income iS is Form TO99-NEG (rev. -2022) (esp or your recor) ‘os. gouFormTOB9NEG ‘Deparment of he Teas ral Ravens Secs Instructions for Recipient ‘Yu cei his orm teas of Form 2 boca he pave dnt conde You {Pimple an did not tts come fae or sos) secre ano Meciare ok, you belme yous an apie ar cat ge payer ciate on, Fotm iota, 1o30-SR. 2" 1010NR You must avo comoste Frm 10 and atch ‘our rei, For ore mtomiton, 200 Pub, 1778, pendent Contactor oremeloyee Ifyou are not an employee but he amount bo sna sal-employent (SE) home fer anarpi income fom aporads ach ora hobby reper he ‘Srovmt shonn nox on the “Other neon ne fon Sehegule 1 arm TOAD) Recipion's taxpayer identieatin number (INF your otto, he ‘omimay shan ony hone ar ap of your TI aca soc senbr SSM, avout taxpayer last esi noe MN, oon taxpayer ication ‘um ATi or employer ateaonrumber (ei), However, he sue Pas Fepoted you complete To AS Account number. Hy show an account or other unica umber the payer feign to cstigush your account Box 1. Shows nonamployse compensation the amount ths box i SE Forte, por ton Senogle G oF rem 104) a sole propretr, Fon Fm 03 and Sehacule | Perm 108) 1a pariesip, ae heen eras comates Sones Se Foum TOW, ote: you me esting payments on when nea, sl ey, ‘Siar 1040-25 Form 102068 INR aval must ropor thoas ‘Sounts 2s expired these box | nsraclors, Corporations, heuer, ‘ne prinoreibe must opor Hawe amounts onthe sppeopeate tne ft ‘Box 2 checked consumer recucts totaling $5,000 ox more were sla to Your ease, n'a buy-al a dopoat-conmcson,o her bass, Goraraly Tnport ary meer em your ale of iese proton Seneca © om 1020, Bor 3. Reserved fr future use. Box Shows tacup wig. A pe ut backup nid on Requestor Taxpayer dentheaton Rumer and Gertcaton. or Interior on Sacaup itmhoging.Ietae ts amount on your neome Ae roturn os wine ‘Boxes 6-7. State income tx withheld reporting Boxes. Future developments, Fe ths att inormston about developments related {oem 1009-NeC ante nachos, sven as epiaion enacted afer tay ‘ora pubmed got wv gor P or TORNER Free File Program. Goto winitirsgovFreFie 1 sf you guy tex hovcat ong ederaltaxpreparatian: ein, 2 ret open OF Baymont options, (ivoip [| CORRECTED PAVERS pao, ae ony On lo on cot, P ia i. TeOTTe chnab kowloSamoecthaguamonary Consul fant rom 1099-NEC Nonemployes 5200 DIC Parkway Suite 400 «rex anwey 202 Compensation Greenwood Village CO 80111 ae 28022 REST ERENT Taree cpeice Copy 6 4-1325066 Ta=3104058 s 131681.06 | ge SOLE Epa ea a Chae Pena] 7 Pa Tad re els alg OD ar mw State Copy 1 Decypher Technologies Tne | cote poms rcpt esas (Se pewrmesserates 3 page ela Ene ee net coe 1317 Grand Avenue Ste 200 “Fora come x wos conan ington Is Glenwood Springs CO 81601 7 Baaxwinned | © SP are ala Sa ee Tar rab se rio) ESTAS 2 s ois s en po oONES Donate oe Tani - al Renn Sonics Fom T089-NEC (ov 1.2022) Instructions for Payer To complete Form 1099-NEC, use: + The current General Instructions for Certain Information Returns, and ‘The current Instructions for Forms 1099-MISC and 1089-NEC. To order these instructions and additional forms, 0 to www.irs.gov/EmployerForms. Caution: Because paper forms are scanned during processing, you cannot file certain Forms 1096, 1097, 1098, 1099, 3921, or 5498 that you print from the IRS website. Filing and furnishing, For filing and furnishing instructions, including due dates, and to request filing or furnishing extensions, see the current General Instructions for Certain information Returns. Need help? If you have questions about reporting ‘on Form 1099-NECG, call the information reporting customer service site tol free at 866-455-7438 or ‘804-263-8700 (not tol free). Persons with a hearing or ‘speech disabilily with access to TTY/TDD equipment ‘can call 804-579-4827 (not tol free). Ovo _[)correctep ae OMB. Te T8 ee aeeapemtmonary Consultant: Form 1099-NEC et 5200 DIC Parkway Suite 400 (rev.tmay2022| Compensation Greenwood Village CO 80111 Torta yur 22022 PAVERS TA REGRETS Tose onponon 84-1325066 74-3104058 ls 131681.06 oe Torna ious waigTOoIey —T] To be ed wih “Recount number s69 rsttons) REPENS re as Oto SMG FOP | Decypher Technologies Inc 1317 Grand Avenue Ste 200 ings CO 81601 consumorprocucs to reaper fr rosa recipient's state > income tax return, when “4 Foralincome tx wis aes Sie ajere alo 7 Siaie one s._ 7 s Fo 1099-NEC (rev. 2020) ‘eprint of the Treasury - nema Revenue Saves

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