IRS Form 1096 and 1099-MISC filings by a USVI trust company, 2003

EFTA00176052¶

Annual Summary and Transmittal of U.S. Information Returns¶

Form 1096 Department of the Treasury Internal Revenue Service¶

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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

3. Federal income tax withheld $

4. 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 Rentals	OMB 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 withheld	State 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
		11	12
18		13 Excess golden parachute payments	14 Gross proceeds paid to an attorney
		16 State tax withheld	17 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 Rentals	OMB 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 proceeds	6 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
	11	12
Account number (optional)		13 Excess golden parachute payments	14 Gross proceeds paid to an attorney
18		16 State tax withheld $\cdot$	17 State/Payer's state no.

Form 1099-MISC¶

Department of the Treasury - Internal Revenue Service¶

FTC0043¶