EFTA00186316¶
| PAYER'S name, street address, city, state, ZIP code, and telephone no. JEGE, Inc. c/o George V. Delson Associates 110 East 59th Street New York New York 10022 | 1 Rents | OMB No. 1545-0115 2005 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| 2 Royalties | |||||
| 3 Other income | |||||
| PAYER'S Federal Identification number | RECIPIENT'S Identification number | 5 Fishing boat proceeds | 6 Medical and health care payments | Copy A For Internal Revenue Service Center File with Form 1096. | |
| RECIPIENT'S name | 7 Nonemployee compensation $ 3667.70 | 8 Substitute payments in lieu of dividends or interest $ | |||
| Street address (including apt. no.) | 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▷ | 10 Crop insurance proceeds $ | |||
| City, state, and ZIP code Delray Beach FL 33445 | 11 | 12 | |||
| Account number (see instructions) | 2nd TIN not. | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney $ | ||
| 15a Section 409A deferrals $ | 15b Section 409A Income $ | 16 State tax withheld $ | 17 State/Payer's state no. $ | 18 State income $ | |
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page¶
Department of the Treasury - Internal Revenue Service¶
| PAYER'S name, street address, city, state, ZIP code, and telephone no. JEGE, Inc. c/o George V. Delson Associates 110 East 59th Street New York New York 10022 | 1 Rente | OMB No. 1545-0115 2005 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalties | ||||
| 3 Other Income | ||||
| PAYER'S Federal Identification number | RECIPIENT'S Identification number | 6 Fishing boat proceeds | 4 Federal income tax withheld | Copy A For Internal Revenue Service Center File with Form 1096. |
| $ | 6 Medical and health care payments | |||
| RECIPIENT'S name | 7 Nonemployee compensation | 8 Substitute payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G. | |
| Street address (including apt. no.) | $ 2000.00 | 10 Crop insurance proceeds | ||
| City, state, and ZIP code Haddom NJ 08108 | 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▷ | 12 | ||
| Account number (see instructions) | 2nd TIN not. | 14 Gross proceeds paid to an attorney | ||
| 18a Section 409A deferrals | 18b Section 409A Income | 18 State tax withheld | 17 State/Payer's state no. | 18 State Income |
| $ | $ | $ | $ | $ |
Form 1099-MISC¶
Do Not Cut or Separate Forms on This Page¶
EFTA00186317¶
| PAYER'S name, street address, city, state, ZIP code, and telephone no.JEGE, Inc.c/o George V. Delson Associates110 East 59th StreetNew York New York 10022 | 1 Rents$ | OMB No. 1545-01152005Form 1099-MISC | MiscellaneousIncome | ||
| 2 Royalties$ | |||||
| 3 Other Income$ | |||||
| PAYER'S Federal Identification number | RECIPIENT'S Identification number | 5 Fishing boat proceeds$ | 6 Medical and health care payments$ | Copy AForInternal RevenueService CenterFile with Form 1098. | |
| RECIPIENT'S name | 7 Nonemployee compensation$4000.00 | 8 Substitute payments in lieu ofdividends or interest$ | For Privacy Actand PaperworkReduction ActNotice, see the2005 GeneralInstructions forForms 1099,1098,5498,and W-2G. | ||
| Street address(including apt. no.) | 9 Payer made direct sales of$5,000 or more of consumerproducts to a buyer(recipient) for resale | 10 Crop insurance proceeds$ | |||
| City, state, and ZIP codeJupiter FL 33478 | 11 | 12 | |||
| Account number(see instructions) | 2nd TIN not. | 18 Excess golden parachutepayments$ | 14 Gross proceeds paid toan attorney$ | ||
| 15a Section 409A deferrals$ | 15b Section 409A income$ | 16 State tax withheld$ | 17 State/Payer's state no.$ | 18 State income$ | |
Form 1099-MISC¶
Cat, No. 14425J¶
Department of the Treasury - Internal Revenue Service¶
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page¶
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1546-0116 2005 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| $ | ||||
| 2 Royalties | ||||
| $ | ||||
| 9 Other Income | $ | 4 Federal income tax withheld | Copy A For Internal Revenue Service Center File with Form 1096 | |
| PAYER'S Federal identification number | RECIPIENT'S Identification number | $ | 6 Medical and health care payments | |
| RECIPIENT'S name | $ | 8 Substitute payments in lieu of dividends or interest | ||
| Street address (including apt. no.) | $ | 10 Crop insurance proceeds | For Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G. | |
| City, state, and ZIP code | $ | 12 | ||
| Account number (see instructions) | 2nd TIN not. | 14 Gross proceeds paid to an attorney | ||
| 15a Section 409A deferrals | 15b Section 409A Income | $ | 17 State/Payer's state no. | |
Cat. No. 14425J¶
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This F¶
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