PAYER'SITJIUS'l!

E'S name, meet acidre11, city or town, 1tate 01

province, country, ZIP or foreign postal code, t nd i.lephone number. TAX YEAR 2019
SOUTH CAROLINA Payments From Qualified Education
FUTURE SCHOLAR 529 COLLEGE SVG PLAN
PO BOX 219812 Programs (Under Sections 529 and 530)
KANSAS CITY MO 64121-9812 {0MB No. 1645-1760)
1 (888) 244-5674
Form 1099.Q Copy B For Recipient
RECIPIENTS name, atreet tddre11 (1nclud,ng apt no). c,ty or town, Department of the Treasury-Internal Revenue Service
1tttt or province, country, and ZIP or foreign po111I code.
(keep for your records)
MB 01 024307 06955 B 68 A
This Is important tax Information and Is being furnished to the
'1 11•" •Ii I,, 1111,,, "Ii I•• 111 11 •1h11•III I11• •11 r I' II, I, 1I11
1 1 11
IRS. If you are required to file a return, a negligence penalty or
other sanction may be Imposed on you If this Income Is taxable
KENT J GEISER and the IRS determines that It has not been reported.
4781 CAUGHLIN PKWY
RENO NV 89519-0906

RECIPIENT'S XXX-XX-1775
TIN

Corrected
(if checked) PAYER'S/TRUSTEE'S
57-0882454
TIN
□
Form 1099-Q • 2019
PAYMENTS FROM QUALIFIED EDUCATION PROGRAMS (UNDER SECTIONS 529 AND 530)
(6) If this box
(4) Trustee
Coverdell ESA
(1) Gross (6) Distribution is checked, the fair market
0
Fund-Acct. no. distribution• (2) Earnings (3) Basis -to-trustee is from: recipient is not value (FMV)
.

I
transfer the designated as of 12-31-19*
beneficiary
Fund: COLUMBIA AGGRESSIVE TRACK AGE 12-13 AG .
.
5516-6000015371
I 6,000.00 I 2,559 1, I 3,440.29 1
□ I State
I □ I
.

I
Form 1099.Q • For Coverdell ESA Accounts, please see Publication 970 (Tax Benefit s for Education) for Information about how to
calculate the earnings portion of the gross d11tribution.
"* For Coverdell ESA Accounts, the earnings amount shown includes earnings on excess contribution returns only.

p ,._
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