| PAYER'S name, street address, city, state, ZIP code, and telephone no. JEGE, Inc. C/O George V. Delson & Associates 110 East 59th Street 28th Fl. New York, NY 10022 | 1 Rents | OMB No. 1545-0115 2003 Form 1099-MISC | ||
|---|---|---|---|---|
| $ 1495.20 | ||||
| 2 Royalties | ||||
| 3 Other income | $ | 4 Federal income tax withheld | Copy A For Internal Revenue Service Center File with Form 1096. | |
| 5 Fishing boat proceeds | $ | 6 Medical and health care payments | ||
| 7 Nonemployee compensation | $ 640.80 | 8 Subsidize payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2003 General Instructions for Forms 1099, 1098, 5498, and W-2G. | |
| 9 Payer made direct sales of 50,000 or more consumer products to a buyer (recipient) for resale ▶ | $ | 10 Crop insurance proceeds | ||
| 11 | 12 | |||
| 13 Excess golden parachute payments | $ | 14 Gross proceeds paid to an attorney | ||
| 15 | 15 State tax withheld | $ | 17 State/Payer's state no. | 18 State Income |
| PAYER'S name, street address, city, state, ZIP code, and telephone no. JEGE, Inc. C/O George V. Delson & Associates 110 East 59th Street 28th Fl. New York, NY 10022 | 1 Rents | OMB No. 1545-0115 2003 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 $22000.00 | 8 Subsidy payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2003 General Instructions for Forms 1099, 1098, 5498, and W-2G. | ||
| Street address (including apt. no.) | 9 Payer made direct sales of 55,000 or more of consumer products to a buyer (recipient) for resale | 10 Crop insurance proceeds | |||
| City, state, and ZIP code Delray Beach, FL 33483 | 11 | 12 | |||
| Account number (optional) | 2nd TIN not. | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 15 | 16 State tax withheld | 17 State/Payer's state no. | 18 State Income | ||
| PAYER'S name, street address, city, state, ZIP code, and telephone no.JEGE, Inc.C/O George V. Delson & Associates110 East 59th Street 28th Fl.New York, NY 10022 | 1 Rents$ | OMB No. 1545-01152003Form 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 AFor Internal Revenue Service CenterFile with Form 1096. | |
| RECIPIENT'S name | 7 Nonemployee compensation$ 5000.00 | 8 Substitute payments in lieu of dividends or interest$ | For Privacy Actand PaperworkReduction ActNotice, see the2003 GeneralInstructions forForms 1099,1098,5498,and W-2G. | ||
| 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 codeWest Palm Beach, FL 33407 | 11 | 12 | |||
| Account number(optional) | 2nd TIN not. | 13 Excess golden parachute payments$ | 14 Gross proceeds paid to an attorney$ | ||
| 15 | 16 State tax withheld$ | 17 State/Payer's state no.$ | 18 State income$ | ||
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1545-0115 2003 Form 1099-MISC | Miscellaneous Income |
|---|---|---|---|
| 2 Royalties | |||
| 3 Other Income | 4 Federal income tax withheld | ||
| 5 Fishing boat proceeds | 6 Medical and health care payments | ||
| PAYER'S Federal identification number | RECIPIENT'S identification number | File with Form 1096. | |
| RECIPIENT'S name | 7 Nonemployee compensation | 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 in a buyer (recipient) for resale | 10 Crop insurance proceeds | |
| City, state, and ZIP code | 11 | 12 | |
| Account number (optional) | 2nd TIN not. | 13 Excess golden parachute payments | |
| 15 | 16 State tax withhold | 17 State/Payer's state no. | |