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Attention:
This form is provided for informational purposes only. Copy A appears in red, similar to the
official IRS form. Do not file copy A downloaded from this website. The official printed
version of this IRS form is scannable, but the online version of it, printed from this website,
is not. A penalty may be imposed for filing forms that can’t be scanned. See part O in the
current General Instructions for Certain Information Returns for more information about
penalties.
To order official IRS forms, call 1-800-TAX-FORM (1-800-829-3676) or
Order Information
Returns and Employer Returns Online, and we’ll mail you the scannable forms and other
products.
See IRS Publications 1141, 1167, 1179 and other IRS resources for information about
printing these tax forms.
7979
VOID CORRECTED
Form 1099-B
2015
Cat. No. 14411V
Proceeds From
Broker and
Barter Exchange
Transactions
Copy A
For
Internal Revenue
Service Center
File with Form 1096.
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0715
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2015 General
Instructions for
Certain
Information
Returns.
PAYER'S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER'S federal identification number RECIPIENT'S
identification number
RECIPIENT'S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions) 2nd TIN not.
CUSIP number
Applicable check box on Form 8949
1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Code, if any 1g
Adjustments
$
2 Type of gain or loss:
Short-term
Long-term
3 Check if basis reported to
IRS
4 Federal income tax withheld
$
5 Check if noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 Check if loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2015 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2014
$
10
Unrealized profit or (loss) on
open contracts—12/31/2015
$
11 Aggregate profit or (loss)
on contracts
$
12 13 Bartering
$
14 State name 15
State identification no.
16 State tax withheld
$
$
Form 1099-B
www.irs.gov/form1099b
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
VOID CORRECTED
Form 1099-B
2015
Copy 1
For State Tax
Department
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0715
PAYER'S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER'S federal identification number RECIPIENT'S
identification number
RECIPIENT'S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
CUSIP number
Applicable check box on Form 8949
1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired
1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Code, if any 1g
Adjustments
$
2 Type of gain or loss:
Short-term
Long-term
3 If checked, basis reported
to IRS
4 Federal income tax withheld
$
5 If checked, noncovered
security
6 Reported to IRS:
Gross proceeds
7 If checked, loss is not allowed
based on amount in 1d
Net proceeds
8 Profit or (loss) realized in
2015 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2014
$
10
Unrealized profit or (loss) on
open contracts—12/31/2015
$
11 Aggregate profit or (loss)
on contracts
$
12
13 Bartering
$
Proceeds From
Broker and
Barter Exchange
Transactions
14 State name 15
State identification no.
16 State tax withheld
$
$
Form 1099-B
www.irs.gov/form1099b
CORRECTED (if checked)
Form 1099-B
2015
Proceeds From
Broker and
Barter Exchange
Transactions
Copy B
For Recipient
Department of the Treasury - Internal Revenue Service
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.
OMB No. 1545-0715
PAYER'S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER'S federal identification number RECIPIENT'S
identification number
RECIPIENT'S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
CUSIP number
Applicable check box on Form 8949
1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Code, if any 1g
Adjustments
$
2 Type of gain or loss:
Short-term
Long-term
3 If checked, basis reported
to IRS
4 Federal income tax withheld
$
5 If checked, noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 If checked, loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2015 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2014
$
10
Unrealized profit or (loss) on
open contracts—12/31/2015
$
11 Aggregate profit or (loss)
on contracts
$
12
13 Bartering
$
14 State name 15
State identification no.
16 State tax withheld
$
$
Form 1099-B (Keep for your records)
www.irs.gov/form1099b
Instructions for Recipient
Brokers and barter exchanges must report proceeds from (and in some
cases, basis for) transactions to you and the IRS on Form 1099-B.
Reporting is also required when your broker knows or has reason to know
that a corporation in which you own stock has had a reportable change in
control or capital structure. You may be required to recognize gain from
the receipt of cash, stock, or other property that was exchanged for the
corporation’s stock. If your broker reported this type of transaction to you,
the corporation is identified in box 1a.
Recipient's identification number. For your protection, this form may
show only the last four digits of your social security number (SSN),
individual taxpayer identification number (ITIN), adoption taxpayer
identification number (ATIN), or employer identification number (EIN).
However, the issuer has reported your complete identification number to
the IRS.
Account number. May show an account or other unique number the payer
assigned to distinguish your account.
CUSIP number. Shows the CUSIP (Committee on Uniform Security
Identification Procedures) number or other applicable identifying number.
Applicable check box on Form 8949. Indicates where to report this
transaction on Form 8949 and Schedule D, and which check box is
applicable. See the instructions for your Schedule D and/or Form 8949.
Box 1a. Shows a brief description of the item or service for which amounts
are being reported. For regulated futures contracts and forward contracts,
“RFC” or other appropriate description may be shown. For Section 1256
option contracts, "Section 1256 option" or other appropriate description
may be shown. For a corporation that had a reportable change in control
or capital structure, this box may show the class of stock as C (common),
P (preferred), or O (other).
Box 1b. This box may be blank if box 5 is checked or if the securities sold
were acquired on a variety of dates. For short sales, the date shown is the
date you acquired the security delivered to close the short sale.
Box 1c. Shows the trade date of the sale or exchange. For short sales, the
date shown is the date the security was delivered to close the short sale.
For aggregate reporting in boxes 8 through 11, no entry will be present.
Box 1d. Shows the cash proceeds, reduced by any commissions or
transfer taxes related to the sale, for transactions involving stocks, debt,
commodities, forward contracts, non-Section 1256 option contracts, or
securities futures contracts. May show the proceeds from the disposition
of your interest(s) in a widely held fixed investment trust. May also show
the aggregate amount of cash and the fair market value of any stock or
other property received in a reportable change in control or capital
structure arising from the corporate transfer of property to a foreign
corporation. Losses on forward contracts or non-Section 1256 option
contracts are shown in parentheses. This box does not include proceeds
from regulated futures contracts or Section 1256 option contracts. Report
this amount on Form 8949 or on Schedule D (whichever is applicable) as
explained in the instructions for Schedule D.
Box 1e. Shows the cost or other basis of securities sold. If the securities
were acquired through the exercise of a non-compensatory option granted
or acquired on or after January 1, 2014, the basis has been adjusted to
reflect your option premium. If the securities were acquired through the
exercise of a non-compensatory option granted or acquired before January
1, 2014, your broker is permitted, but not required, to adjust the basis to
reflect your option premium. If the securities were acquired through the
exercise of a compensatory option, the basis has not been adjusted to
include any amount related to the option that was reported to you on a
Form W-2. If box 5 is checked, box 1e may be blank. See the Instructions
for Form 8949, Instructions for Schedule D, or Pub. 550 for details.
Box 1f. Shows W for wash sale, C for collectibles, or D for market
discount.
Box 1g. Shows the amount of nondeductible loss in a wash sale
transaction or the amount of accrued market discount. When the sale of a
debt instrument is a wash sale and has accrued market discount, code
“W” will be in box 1f and the amount of the wash sale loss disallowed will
be in box 1g. For details on wash sales and market discount, see Schedule
D (Form 1040) instructions and Pub. 550.
Box 3. If checked, the basis in box 1e has been reported to the IRS and
one of the check boxes in box 2 must be checked. If box 3 is checked on
Form(s) 1099-B and NO adjustment is required, see instructions for your
Schedule D as you may be able to report your transaction directly on
Schedule D.
Box 4. Shows backup withholding. Generally, a payer must backup
withhold if you did not furnish your taxpayer identification number to the
payer. See Form W-9 for information on backup withholding. Include this
amount on your income tax return as tax withheld.
Box 5. If checked, the securities sold were noncovered securities and
boxes 1b, 1e, and 2 may be blank. Generally, a noncovered security
means: stock purchased before 2011, stock in most mutual funds
purchased before 2012, stock purchased in or transferred to a dividend
reinvestment plan before 2012, debt acquired before 2014, options
granted or acquired before 2014, and securities futures contracts entered
into before 2014.
(Instructions continued on the back of Copy 2.)
CORRECTED (if checked)
Form 1099-B
2015
Proceeds From
Broker and
Barter Exchange
Transactions
Copy 2
To be filed with
recipient's state
income tax return,
when required.
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0715
PAYER'S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER'S federal identification number RECIPIENT'S
identification number
RECIPIENT'S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
CUSIP number
Applicable check box on Form 8949
1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Code, if any 1g
Adjustments
$
2 Type of gain or loss:
Short-term
Long-term
3 If checked, basis reported
to IRS
4 Federal income tax withheld
$
5 If checked, noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 If checked, loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2015 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2014
$
10
Unrealized profit or (loss) on
open contracts—12/31/2015
$
11 Aggregate profit or (loss)
on contracts
$
12
13 Bartering
$
14 State name 15
State identification no.
16 State tax withheld
$
$
Form 1099-B
www.irs.gov/form1099b
Instructions for Recipient (Continued)
Box 6. If the exercise of a non-compensatory option resulted in a sale of a
security, indicates whether the amount in box 1d was adjusted for
premium.
Box 7. If checked, you cannot take a loss on your tax return based on
gross proceeds from a reportable change in control or capital structure
reported in box 1d. See the Form 8949 and Schedule D instructions. The
broker should advise you of any losses on a separate statement.
Regulated Futures Contracts, Foreign Currency Contracts, and
Section 1256 Option Contracts (Boxes 8 Through 11):
Box 8. Shows the profit or (loss) realized on regulated futures, foreign
currency, or Section 1256 option contracts closed during 2015.
Box 9. Shows any year-end adjustment to the profit or (loss) shown in box
8 due to open contracts on December 31, 2014.
Box 10. Shows the unrealized profit or (loss) on open contracts held in
your account on December 31, 2015. These are considered closed out as
of that date. This will become an adjustment reported as unrealized profit
or (loss) on open contracts–12/31/2015 in 2016.
Box 11. Boxes 8, 9, and 10 are all used to figure the aggregate profit or
(loss) on regulated futures, foreign currency, or Section 1256 option
contracts for the year. Include this amount on your 2015 Form 6781.
Box 13. Shows the cash you received, the fair market value of any property
or services you received, and the fair market value of any trade credits or
scrip credited to your account by a barter exchange. See Pub. 525.
Boxes 14-16. Shows state(s)/local income tax information.
Future developments. For the latest information about any developments
related to Form 1099-B and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/form1099b.
VOID CORRECTED
Form 1099-B
2015
Proceeds From
Broker and
Barter Exchange
Transactions
Copy C
For Payer
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0715
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2015 General
Instructions for
Certain
Information
Returns.
PAYER'S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER'S federal identification number RECIPIENT'S
identification number
RECIPIENT'S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions) 2nd TIN not.
CUSIP number
Applicable check box on Form 8949
1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Code, if any 1g
Adjustments
$
2 Type of gain or loss:
Short-term
Long-term
3 Check if basis reported to
IRS
4 Federal income tax withheld
$
5 Check if noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 Check if loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2015 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2014
$
10
Unrealized profit or (loss) on
open contracts—12/31/2015
$
11 Aggregate profit or (loss)
on contracts
$
12
13 Bartering
$
14 State name 15
State identification no.
16 State tax withheld
$
$
Form 1099-B
www.irs.gov/form1099b
Instructions for Payer
To complete Form 1099-B, use:
• the 2015 General Instructions for Certain
Information Returns, and
• the 2015 Instructions for Form 1099-B.
To order these instructions and additional forms, go
to www.irs.gov/form1099b or call 1-800-TAX-FORM
(1-800-829-3676).
Caution. Because paper forms are scanned during
processing, you cannot file with the IRS Forms 1096,
1097, 1098, 1099, 3921, 3922, or 5498 that you print
from the IRS website.
Due dates. Furnish Copy B of this form to the recipient
by February 16, 2016.
File Copy A of this form with the IRS by February 29,
2016. If you file electronically, the due date is March 31,
2016. To file electronically, you must have software that
generates a file according to the specifications in Pub.
1220, Specifications for Electronic Filing of Forms 1097,
1098, 1099, 3921, 3922, 5498, and W-2G. The IRS does
not provide a fill-in form option.
Foreign recipient. If the recipient of the proceeds is a
nonresident alien, you may have to withhold federal
income tax and file Form 1042-S, Foreign Person’s U.S.
Source Income Subject to Withholding. See the
Instructions for Form 1042-S and Pub. 515, Withholding
of Tax on Nonresident Aliens and Foreign Entities.
Need help? If you have questions about reporting on
Form 1099-B, call the information reporting customer
service site toll free at 1-866-455-7438 or 304-263-8700
(not toll free). Persons with a hearing or speech
disability with access to TTY/TDD equipment can call
304-579-4827 (not toll free).
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Completed 28 April 2021

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