EFTA00176040

a Control number	22222	For Official Use Only OMB No. 1840-0008
b Employee identification number 66-0567418		4 Wagon lips, other compartment $1451.86	1 Vehicle lips, other compartment $1451.00
c Employee's main address and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802		5 Social security wages $15212.34	4 Social security wages 943.15
		6 Medicare wages and tips $15212.34	6 Medicare wages and tips 220.57
		7 Social security tips

d Employee's social security number 580-13-7556		8 Advance ZIP payment
n Employee's first name and initial KIM	Last name VAN HOLTEN	11 Nonqualified plans	12 New Form VI-10 instructions C $2.88
PO BOX 9583 ST. THOMAS, VI, 00801		18 Stairway access X	19 Stairway access S $660.48
PO BOX 9583 ST. THOMAS, VI, 00801		14 Other
f Employee's address and ZIP code

(Rev. February 2002) For Privacy Act and Paperwork Reduction. Noting and Instructions, www.FarmW-3 Oat. No. 499770 Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page

a Control number	22222	For Official Use Only © OMB No. 1845-0008
b Employer Identification number 66-0567418		1 Wages, tips, other compensation $ 37894.80	2 VI Income tax withholding $ 3318.00
c Employer's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802		3 Social security wages $ 42038.74	4 Social security tax withholding $ 2606.4
		5 Medicare wages and tips $ 42038.74	6 Medicare tax withholding $ 609.5
		7 Social security tips $	8
		9 Advance EIC payment $	10
d Employee's social security number 580-17-3729		11 Nonqualified plans $	12 See Form W-SSD instructions S $ 4143.94
e Employee's final name and initial DAPHNE L	Last name WALLACE	13 Business employees X X	14 C 26.82
P.O. BOX 11184 ST. THOMAS, USVI, 00801		15 Other	16

(Rev. February 2002) FTCO030 EFTA00176041 Return this entire page to the Internal Revenue Service. Photocopies are not acceptable. Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete. FILE COPY Signature ▶ Title ▶ PRESIDENT Date ▶ 2/23/07 ## Instructions Purpose of form. Use this form to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. Do not use Form 1096 to transmit electronically or magnetically. For magnetic media, see Form 4804, Transmittal of Information Returns Reported Magnetically; for electronic submissions, see Pub. 1220, Specifications for Filing Forms 1098, 1099, 5498, and W-2G Electronically or Magnetically. Who must file. The name, address, and TIN of the filer on this form must be the same as those you enter in the upper left area of Forms 1099, 1098, 5498, or W-2G. A filer includes a payer; a recipient of mortgage interest payments (including points) or student loan Interest; an educational Institution; a broker; a barter exchange; a creditor; a person reporting real estate transactions; a trustee or issuer of any individual retirement arrangement, a Coverdell ESA, an HSA, an Archer MSA (including a Medicare Advantage MSA); certain corporations; certain donees of motor vehicles, boats, and airplanes; and lender who acquires an interest in secured property or who reason to know that the property has been abandoned. Preaddressed Form 1098. If you received a preaddressed Form 1096 from the IRS with Package 1099, use it to transmit paper Forms 1099, 1098, 5498, and W-2G to the Internal Revenue Service. If any of the preprinted information is incorrect, make corrections on the form. If you are not using a preaddressed form, enter the filer's name, address (including room, suite, or other unit number), and TIN In the spaces provided on the form. When to file. File Form 1096 as follows, ## Where To File For more information and the Privacy Act and Paperwork Reduction Act Notice, see the 2006 General Instructions for Forms 1099, 1098, 5498, and W-2G. FTC0031