EFTA00176052 # Annual Summary and Transmittal of U.S. Information Returns **Form 1096** Department of the Treasury Internal Revenue Service --- ## FILER'S name FINANCIAL TRUST COMPANY, INC. Street address (including room or suite number) 6100 RED HOOK QTRS, B3 City, state, and ZIP code ST. THOMAS, USVI 00802-1348 For Official Use Only Name of person to contact JEANNE BRENNAN E-mail address Fax number (340) 775-2528 1. Employer identification number 66-0567418 2. Social security number 8 Total number of forms 6 4. Federal income tax withheld $ 5. Total amount reported with this Form 1095 $ 303,053.33 Enter an "X" In only one box below to indicate the type of form being filed. If this is your final return, enter an "X" here. | W-2G 92 | 1098-B1 | 1098-E8 | 1098-T6 | 1098-A8 | 1098-B70 | 1098-C85 | 1098-QAP73 | 1098-DIV81 | 1098-G86 | 1000-H71 | 1099-NT92 | 1099-LTC93 | 1099-MIBO95 | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | 1099-MBA94 | 1099-CID89 | 1099-PATR97 | 1099-Q91 | 1099-R98 | 1099-B75 | 549826 | 5498-ESA72 | 5498-MBA27 | | | | | | | 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. COLLECTION & DEPOSIT SECTION - No. 2 Signature ➤ FEB 2020 Date ▶ 2/11/2024 Instructions VIRGIN ISLANDS BUREAU OF Preaddressed Form 1096. 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. Purpose of form 1098: 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, Transmission of Information. Returns Reported Magnetically; for electronic submissions, see Pub. 1220, Specifications for Filling Forms 1098, 1099, 5498 and W-2G Electronically or Magnetically. 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. 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, 8498, 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 Coverdoll ESA, an Archer MSA (including a Medicare+Choice MSA); certain corporations; and a lander who acquires an Interest in secured property or who has reason to know that the property has been abandoned. When to file. File Form 1096 with Forms 1099, 1098, or W-2G by March 1, 2004. File Form 1096 with Forms 5498, 5498-ESA, and 5498-MSA by May 31, 2004. ## Where To File Send all information returns filed on paper with Form 1096 to the following: If your principal business, office or agency, or legal residence in the case of an individual, is located in Use the following Internal Revenue Service Center address Alabama, Arizona, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Texas, Austin, TX 73801 | Arkansas, Connecticut, Delaware, Kentucky, Maine, Massachusetts, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, West | | :--- | :--- | | Cincinnati, OH 45999 | | Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Wisconsin Kansas City, MO 64909 For more information and the Privacy Act and Paperwork Reduction Act Notice, see the 2003 General Instructions for Forms 1089, 1098, 5498, and W-2G. Cat. No. 144000 Farm 1096 (2003) FTC0042 EFTA00176053 □ VQ' ; □ CORRECTED
PAYER'S name, street address, city, state, ZIP code, and telephone no.
Financial Trust Company, Inc., 6100 NW Hook Quarter E-3
St. Thomas U.S. Virgin Islands
00102		1 RentalsOMB No. 1545-0115
2003
Form 1099-MISC		Miscellaneous Income
2 Royalties
3 Other Income
PAYER'S Federal identification number
66-0567418		RECIPIENT'S Identification number
66-0435649		4 Federal income tax withheldState Copy or Extra File Copy
RECIPIENT'S name, address, (including apt. no.), city, state, and ZIP code
Paul O'Fellman
PO Box 870
Charlotte Amalie, VI 00004-0870		6 Medical and health care payments
Account number (optional)7 Nonemployee compensation
$ 25000.00		8 Substitute payments in lieu of dividends or interest
9 Payer made direct sales of 50,000 or more consumer products to a buyer (recipient) for rentals □10 Crop insurance proceeds
1112
1813 Excess golden parachute payments14 Gross proceeds paid to an attorney
16 State tax withheld17 State/Payer's state no.18 State Income
$\cdot$$\cdot$$\cdot$
Form 1099-MISC Department of the Treasury - Internal Revenue Service □ VOID □ CORRECTED
PAYER'S name, street address, city, state, ZIP code, and telephone no.
Financial Trust Company, Inc., 6100 Red Hook Quarter B00
St. Thomas U.S. Virgin Islands 00802		1 RentalsOMB No. 1546-0118
2003
Form 1099-MISC		Miscellaneous Income
2 Royalties
3 Other Income
PAYER'S Federal Identification number
66-0567416		RECIPIENT'S Identification number
13-1456110		5 Fishing boat proceeds6 Medical and health care payments
RECIPIENT'S name, address, (including apt. no.), city, state, and ZIP code
Pell, Gotshal & Manges LLP
767 Fifty Avenue
New York, NY 10153		7 Nonemployee compensation
$22949.59		8 Substitute payments in lieu of dividends or interest
8 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▶10 Crop insurance proceeds
1112
Account number (optional)13 Excess golden parachute payments14 Gross proceeds paid to an attorney
1816 State tax withheld
$\cdot$		17 State/Payer's state no.
Form 1099-MISC Department of the Treasury - Internal Revenue Service FTC0043