EFTA01100198.pdf

raw 2Jr;} 861 tn. Tray" rn 2 Information ne Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund ormnems“ou fleet mem Min o Mu...atAram Soma Information about Form $621 end its separate instruct°II LI , Sknoloco r., 69 Name of shareholder Wirddymenumberisce Nx. s) THE HAZE TRUST 13-7185414 • Number, erect, and room or suite ro. (Oa P.O. box, see Instructions.) annotoner lax year: an* ,.n2012 et ore tzt bervile0 6100 RED HOOK QUARTER, B3 .nor aging City or town, stale, and ZIP Code 0Counter ST THOMAS, VI 00802 Check type ci shareholder ling Parttime LJ la4ividwl LJ Corporation Li Partnership s Corporation LJ Nongrantm Trust LJ Estate Name of passive foreign Investmew. company (PFIC) a malted testing fund (OEF) Employer idendlicadon member (it my) HIGHBRIDGE CAPITAL CORPORATION 98-0538848 Address (Enter number, street, dyer test, and county.) Re itleICe ID number (set ketructiors) PO BOK 309, UGLAND HOUSE, GEORGE TOWN GRAND CAYMAN, CAYMAN ISLANDS Tax year of PFIC or OFF: calendar year 2012 win spryer begirning and tang I. Part I.1 Summary of Annual Information Part I is reserved for future use (see instruction). Provide the ha:being information with respect to an stares of the PFIC Held by the shareholder. 1 Description of each cans of snares held by the shareholder. CD Check if shares loIntly owned with spouse. 2 Dale shares acquired duringthe taxable year, it applicable: 3 Number of shares held at the end of the taxable year: 4 Slake of shares held at the ead of the Maple year (check the appropriate box, II agalabteK (a) CD 30-53,000 (I) IL) $50,001.100,000 (a) I= SICO.00I.160,000 (d) O S150,0131.200,000 (e) II more than 5200.000, ist vac 6 Type of PRC and amount of any wa:ess crelributon or gain treated as en excess diseibuten under section 1291, irclusioe under secion 1293, or inclusion Or &Mitten under Section 1296: (a) 0Section 1291 $ (b) CD Section 1293 (Osalifled Betting Fund) S (e) CI Section 1296 (Mark to Market) S l',Partil I Elections (See instructions.) A LXJ Election To Treat me PFIC as a OEF. I, a shareholder of a SIC.Pal to treat tie PFIC as e OEF. Compaq. Wks 6e through 7c of Part Id B CD Election To Extend Time For Payment of Tax. I, a shareholder of Ai:Sc.elect to extend the time for payment of lax on me undistiOund earnhos and Drafts of me Off until the eir.tion 6 terrnhatel Complete goes 8a through 9c of Pan M to calculate the tax that may be deferred. Note: if any portion of line 6a or one 7a of Part M is Includible under section 951, you maync,4 make this election. Abp, see sections 1294(c) and 1294(0 and tee related reguistions for events that terminate this election. C Recline To Mertmo-learket PFIC Stock. I, a shareholder of a PFIC. elect to mark-to-market the PFIC stook that is marketable witin the meaning of section 1296(e). Complete Pan IV. D Deemed Sole McRae. I, a shareholder on the irst day orb PFIC's lest tax year as a GEE, recto recognize gen on the darned sale of my Interest in the PFIC. Enter gain &foss on Me 751ofPart V. E 0 Canned MvIdend Elution. a shareholder on the lag day of a PFIC's (*situ year as a Cif that Is a confr0ded Imign corporation ( C), elect to teat an amount equal 10 my shire of Pte pcst.1986 earnings and moths of the Cr-Cas an excess detibutte Enter this amount on fire 15e of Parr, V. the excess distribution is greater than zero, also complete line 16 alPart V. F 0 Election To Recognize Bain en Deemed Sale of PFIC. I, a shareholder °reformer PFIC or a PFIC to which section 1297(d) apples, elect to west as an excess diStritution the gain recognized on the deemed sale of my interest in the PFIC on the last dry of Its last tax yer as a PFIC under motion 1297(a). Enter gain on one 15f of Pert V. Deemed Dividend Election With Respect to a Section 1297(e) PFIC. I, a sharcholde of a wetter 1297(e) PAC, within the meaning el Regulations semen a CD 1.1297.3(a). elect to mare a teemed dividend eleellon with respect to the Secton 1297(e) PFIC. My holding period in the stock of the Section 1297(i) PRO includes me CFC qualification date, as deemed In Reputations Mellen 1.12,37-3(d). Enter the excess distribution on Me 15e, Pan V. It the excess dIstnbutice is greeter than zero, also compete ono 16, Part V. Deemed Dividend Election With Respect to a Former PFIC. I, a shareholder or a former PFIC, vahin the meaning of Regutuers section 1.1298-3;a), H elect to nuke a deernes dividend action with respect to the former PFIC. My toldkm period in the stock of the former PFIC names me lorrination dale, as defined in Regulations section 1.1298-3(4 Enter the excess distribution an Me 15e, Part V. If the excess arstribrition is greater than zero, also complete tine 16, Pm V. o r•20-13 LRA Far Disclosure, Privacy Act, and Paperwork Redocgoe Act Notice, see separate instructions. Form 8621(Rev. 12012) 15 EFTA01100198 Form 8621 (Rev. 12.2012) THE HAZE TRUST 13-7185414 P442 KPaftIlli Income From a Qualified Electing Fund (QEF).AIICE: srizre:moes cOniete lines 6a through k II Yee are Making faction B, also complete toes Ba through 9c. (See instructions.) a Enier your pro ram share of to armory earnings of me OEF lea 1 3,015,046. h Enter the portion of line 6a teet is included in imams under setdan 951er that may tie excluded under section 1293(g) . . ... 6b I Subsacl Sno 6b from he 6a. Enter this amount on your taxreturn as ordinary income Be 3,015,046. la Enter your mo ins shme of the total net capital gain of the BEE ; 7a I b Enter inb portion of line 7a list Is included in income under section 951a That may be excluded under section 1293(g) I 7b c Subtract line 7b from Ina 7a. This amount is a net lonetem capital gab. Enter the ammo In Part II of Me Schedule used for your Income tax ratan. (See instructions.) Te a kW MeS k and 7c ,. 8a Enter the total amount of cash and tut lair market value Of other property distributed a deemed distributed 13 you during the tax yet of the OEF. (See instructions.) c hie the [onionof line 8a netabbacy Inobriet in line & that is atiributabb tones in IN CEP Mat ycu disposedof, pledged.« olnenvlse transferred during the tax year d Add Ines Bo and & 81 e Subtract hoe 84 from Me 8a,and enter the «faience (d zero or less, enter amount In bladets) S. ,- Imprintif Me S. is greater than zero, and nopatio of tita 6a or la Is Inoknlible in income under section Pe, you may make Election B with respect to the account on tine 8e. 9a Enter the total lax tor the lax year (See Instructions.) IM I b Enter tne soul tax for the ax year deterraked valour regard tote amount ensred <mine& 90 e Subtract Me 9b from Me 9a. This Is the deferred lax, the demo for payment of ditch le totted* by making }.:43.artiV:1 Gain or (Loss) From Mark-to-Market Election (See Instructions.) 10a Enler the IS market value of your PET, stock at Me end of the tax year toa b Enter your aijusted basis in tre stock at the end of the tax yr..; 10t c Subtract Me 10b tom me 10t. It a gain, do not compete iirm Ilan* 12. Include this *MOW as Ordinary Income on your tax return. If a bis, go to line lit 10e 11 Enter any on:soused inclusions (as ((alined In section 1296(0)) 11 12 Enter the toss from Une tgc, but only to the extent of urreversed inclusions on Me 11. matade the ainotam es an Ordinary loss cn your tax return 12 13 11 you sold er otherwise Olsen« of my Maw 1206 stod (see lastreelleas) during lie fax yew Enter the tak market vaka of be stock on the date of sale or deposition 13a b Enter the atittelco as of the stock on the dale el sae or depositon +30 e Subtract We 13b tom Inc 1k If a gain, do not compete line 14.1ncludelbb mount at calhery income on your tax return. r a.bass, go to One 14 13s 141 Erna any unreversed Incanicos (as defined In section 1296(d)) 14a 0 Enter the loss Iron line 13c, bid only to the extent of preowned infusions on are Ide. Include the amount es an ordinary loss on your tax return. h the bss on line 13c exceeds unreversed inclusions on line lea, complete Me 14c bib c Enter the amount by Mich the loss en Me 13c exceeds unreversed inclusions en line 145. Include this amount on your me return according to the rubs omen)/ enfeeble for losses provided elsewhere 11 the Code and re20009e ........ 14e Note. See instructions b costal multiple dispostons. Form 8021(Are. 12.2012) 2120U 0141•A 16 EFTA01100199 Form 8621(Rev. 12.2012) THE HAZE TRUST 13-7185414 Pena I. Part V j Distributions From and Dispositions of Stock of a Section 1291 Fund(See instructions.) Comore* coneale Pa V lot each excess distaution (see instationst. 16 e Enter your total aulbutons hom the secton 1291 fund durMg me suttee tax year YAM respect to the applicable std.if the holding prod of the stock bean in the arrant tax year, see instructions • 15a Enter the sow distributions (reduced by the portions of sun eistribubons that were excess distributions out not included in income under SeCtOn 1291(aX1)(8)) made by the fund with respect to the applicable rock to cam of the 3 years preceding the current tax year (or If shorter, the podia ci the shareholOes holang period before the curter tax yea) 150 c Divide line 15b by 3. (See Instructions If the number of orececing tax years .s less 'run 3.) 150 0 mufti* ant 15C by 125% (1.25) 156 e Subtract are 150 for lie 15a. This amount, t more than to, is tie excess tuba:ion vat respect to die applicable Slat II zero or less and you did not dispose of rock during the tax year, de netcorrplete to rest of Part V. See instructions 6 you • receired more than one distrtution during the orient tax year. Also, see instrttbons for roles for reporting a rteiteXCOSS distribution on your income tar return lee I Enter gain er toss from die Orsposltro 01 stock of a section t291 fund or former section 1291 fund. If a gain, complete fine 16. lea loss, show It in traders and do not comptete ins 16 151 18 a Attach a statement for each ckstrIbuton oral disposition. Show your holding pedal for each snare of store or block of shares held. Allocate the excess distribution to each day in your holding period. Add at anoints rut.r. • ,. frt.:1 ; that are allocated to days In earl tax year. in It Enter the total of the amaints deterrrtned line 15a that are allocable to me current tax year and tax years ,;' tt.S.5.• before the foreign corporation tecarne a PFIC (pre4ifIC tax pars). Enter Mese amounts on your Income tax .44 return as over Income c Enter mo Mega, IncreasesSI tax (before erodes) for each tax yea in your holding period (other than the anent tax yea and pre-FfIC years). (See instructions.) 18c 0 Foreign tax cede. (See lostnuctions.) 184 e Subtract ine 16d from be 16c. Enter this amount on your Income tax reign aradditional tax' (See instructions.) 18e Determine merest on each ne Increase in tax determined on line 16e usbig the rates and methods of section 6621. Enter the aggregate arrant of interest here. (See insrucilans) , 161 Virtyli Status of Prior Year Section 1294 Elections and Termination of Section 1294 Elections Compete a separate cokmn lot each outstanding election. Convene ones 25 and 26 only if there is a partial enninatkin of the socton 1294 tn (I) (ii) (lit) (Iv) (a) Mt 17 Tax year of outstanding election SEE STATEMENT 13 18 tbdismbuted earnings to which rtw election reales IP Deterred lax 20 rinse setrurs co *AMP lax Ono 19) as d IS 1Crtg err 21 Event armirrring election 22 Simms* atafrauffid et area cistAbutied Otsig It. ,al yet• 23 Deferred lax due err this . return 24 Accrued interest due with MIS return . . 25 orwrowiarembwini. istr '. i • ": r ; 71 ..;•:.• ' r %Zia... ..-r ja ett vi.itt %.• tt".,: ,..e.„.;4•••;.'„; • • ta . „ 3 j Lelia Serninaben of &action 28 IllefOSI accrued alter pareal termination of eleckn .. . form 8621(Rev. 12.2012) 214%3 01.203 17 EFTA01100200  THE HAZE TRUST 13-7185414 FORM 8621 PART VI STATEMENT 13 (2) (4) (5) UNDISTRIB- (3) INTEREST EVENT (6) (7) (1) UTED DEFERRED ACCRUED ON TERMINATING EARNINGS DEFERRED TAX YEAR EARNINGS TAX DEFERRED TAX ELECTION DISTRIBUTED TAX DUE (10) ACCRURED (8) (9) INTEREST ACCRUED DEFERRED PARTIAL INTEREST TAX PARTIAL TERM- DUE TERMINATION INATION 12/31/99 2,358,296. 683,166. 745,291. 12/31/00 3,645,274. 1,511,432. 1,378,598. 12/31/01 1,966,961. 792,154. 621,264. 12/31/02 1,460,330. 408,982. 280,240. 12/31/03 2,043,631. 572,216. 349,577. 12/31/04 1,549,218. 542,226. 290,488. 12/31/05 912,475. 255,493. 112,039. 12/31/065,934,112. 2,076,939. 686,847. 28 STATEMENT(S) 13 EFTA01100201  1 I Information Return by a Shareholder of a Passive Foreign CMS No. ISIS. /Ca Pas 86? Investment Company or Qualified Electing Fund A moat Ural AMMO SMICO IOW Imormsoon about Form 8621 and its separate Instructions is at t,„, s.wfleeNn 69 Name of staretiolder latently a p number (see nstrunOns) THE HAZE TRUST 13-7185414 Number, skeet, end roam or suite co. (If a P.O. box, see inst.tide's.) yaw monde yome2 012 a. test tax rale beta.o 6100 RED HOOK QUARTER, B3 and eftdire Clly or town, state, and ZIP Code or country ST THOMAS, VI 00802 Check type of shareholder Iikig thereturrc U laillvida U Corporadon LJ Partner hi U S Corporation 1..J Yongranlor Trust U Estate Name of passive foreign Investmentconvoy (PFIC) or otathed e cling fund (OEF) Employer IdentifIcadon lumber (if my) HB MULTI—STRATEGY HOLDINGS, LTD 98-0606203 Address (Entet number, snatchyor town, and county.) Reference ID number (see instructiers) PO BOX 309, UGLAND HOUSE, GEORGE TOWN GRAND CAYMAN, CAYMAN ISLANDS Tax year of PFIC o: DEE: calendar year 2012 atone, lax yes beginning arid engine r Partici Summery of Annual Information Part I is reserved for future use (see instructions). Prof* the hallowing Information nth respect to aft stores of the PFIC held by the shareholder. 1 Desalption of each class of shares held by the snarcholdes: 0 Check if shares pritly owned with spouse. 2 Date shares acmered during the taxable year, if aPPlIcable: 3 Number of shares he'd at the end of the salable year: 4 Value of shares held at the end of the taxable year (check the appreyiat box, if aopkable): (A) $0.50.000 (I) 0 sso,00moo,000 (c) El $iOo,001.150,000 (d) 0 6150,301.200,000 (e) If more than $203.000, 1st vete: 6 Type of PFIC and amount of any excess distribution cr gain keeled as an excess distribution under secton 1291, Ircluslon under sect on 1293,0r inclusion or deduction under section 1296: (al 0 Secdon 1291 $ (el C Section 1293 (0alitied Electing Fund) $ (c) 0 Section 12% (Mat to Markel) $ tPart II Elections (See instructions.) A Elecdon To beet the EPIC as tlEf. I, shareholdee of a PM, time to treat tee Fr C as a OEF. Complete ants de through 7c of Part Ifs. B Finesse Te Extend Tlree For Payment of Tax. 4 a shareholder of sr DEF, elect to extend the time for payment of tax on the undatibuted earrings and profits of the Off until tris election is terminated. Complete ones 8a through Sc or Part la to ukulele the fax that may be deleted. NOte:ff orline 6e or bre 7a ofPart Itt is nfiblis under sectran 951, su maynot make this election. Al o, see sections 126401and 12640 and the Weed regulerions for events that terminate this elochon. Election To Man-to-Market PFIC Stock. I, a shut/1°14er of a PFIC, elect lo mark-to-marketIt, PFIC stock that is marketable within the meaning of section C 0 1296(e). Complete Pmt N. O C Deenied Sale Election. I, a WV °holder on the fest day of a pelts rest tax yeas as a OEF, elect to recognize gain on the deemed solo of my intefeSt in the MC. Enter gain or toss onMe 151ofPert V. E 0 Deemed Dividend Elective. L a snuenotler on the lest day of a PfIC's lust ax year as a 0EF that is a controted foreign tapontion sect to teal an amount equal to my share of to post-1986 earnings and profs of the CFC as an excess erstribution. Enter this amount on line 75e of Pert V. If the excess deiribution is °tester than zero also complete Me 76 ofPart V F 0 Eleven To Recognize Dem en Deemed Sale of PFIC.1, a sharehnIder er a formes PFIC or a PFIC to which section 1297(d) apples, elect to treat as an excess dist:Dutton the gain recognized on the deemed sale of my interest in the PFIC on the bst day el its bst a)i year as a PFIC under section 1297(a). Enter gain on erne 15f of Put V. Deemed Dividend Election VAM Respect to a Section 1297(e) PFIC. 1, a shareholder of a section 1297(e) PFIC, withal the meaning of Regulations section G 1.1297-3(a), elect to make a deemed dividend Mellon with respect to the Section 1297(e) PEW. My holding period in the sixk of the Seeben 1297(e) PflC includes the crc thatiltation rate, as deified in Regulations section 1.1297-3(4 Enter the excess distribution on ine 150, Part V. tf the excess distribution is greater than zero, also complete Ono 16. Part V. H Deemed Dividend Election Vdth Respect to a Farmer PFIC. a shareholder of a former PAC vidin De meaning of Regulations section 1.1296-30), Heel to make a deemed dividend election with respect to the termer PFIC. My bolding period in be stock of the loaner PFIC Includes toe Maritally date, as defined In Regulations section 1.1298-30). Enter the excess distribution on !The 15e, Part V. If the excess distautkan is greater Man zero, also complete Me 16, Pad V. Of.29.13 LHA For Disclosure, Pitney Act, ead Papeovort Redection Act Notice, see separate instroctions. Form 8821 (Rev. 12-2(12) 18 EFTA01100202 Faro 8821(Rev. 124012) THE HAZE TRUST 13-7185414 Page 2 Part lei Income From a Qualified Electing Fund (QEF). All OE; shar okiers complete kites 6,1 througth 7c. If yme are making Becton 8, also COMMA Ines 8a through Sc. (Set rostrations.) 8a Enter your pro ram share ofta ordinary earnings of the Off ea Enter de portion of In. 6a that is included ki ir,wme under section 951« that maybe excluded vedel section 1293(8) I lb c Subtact roe 6b kom Me 6a. Enter this amount on your tax return as Orinery hicome Bt 7a Enter your pro ran share of rte told net capital pain 0 Me OEF 17a i 149,305. Enter the Donlon Milne 7a that ta included In Income under section 951 or that maybe exeMided uncle section 1293(0) lad c Subtract Wie ?b from ire 7a. This amount is a net longeerre apbal gain- Ent& tilt re= ek Pan 0Ile &hoed% used for your income tax eel«. (See instructions.) 149,305. 8a Add kites SC and IC 841 Emu the but amouM etc/am and he fah markat yaks of ocher property distributed or deemed distributed to youdwIng the tax yea of INDEF. (See nstructions,) ,,,„, 86 ; c Enter the portion of line 8a not already induded in Me& MU Is a2ribubble to shares .yy al me Ott that you disposed ot, pledged. or Wherein transferredduring tne tax year es Add ilnes 80 and 8c 80 e Subtract km 80 kom Line 8a.and tier true difference (If zero or less, e» amount In brackets) e Importantif fins Bos cheer Man :ere and no portion «fine Geer 7a is hciudible In income ends' section 951 you maymake Election e with respect to the amount on has Se. 9 a Enter the total tax for de tax gar (See enstrucrons.) 9a b Erne( the batartm for the lax year determined without regent to the amount tittered ' a' •' - on Meet 96 c Subtract Ike 90 born Ine 9a. This If the deferred trut. the ache fee payment el which la Wend' by making Election 8 itPartAl Gain or (Loss) From Mark-to•Market Election (See Instructions.) 10e Enter the la: market value of your PRC stock at the end of the tax year 10a k Enter your adjusted basis In tie sloe< al the end of the tax year 104 Subtract tine WO from lee Kla. II a pain, do not complete lines 1a and It Include Ws Invent as ordinary Income on you lax return. If a loss, go to One II 10e 11 Enter any unreversed in:snots (as defined In section 1290(4)) 11 12 Enter me toes from one Wc, tire only to the extent of urreversed Inclusions on the 11. Include IMs amourd at en ordinary lesson your tax return 12 18 II you gold er otherwise disarmed et any section 1288 Mod (see lestructiona) during lure tax year. a Enter the fair market value of die stods on the dSe Of sale or deposition 13a b Enter the ad»sted bass Mho stock an the date at saie or climOSItion 136 c Subtract Inre 131) trom ene 13a If a gain, do not complete he Ia.IncludeIles anion' as ordinary ISOM on WI Ox rearrn.ra tom. go to ina 14 130 14e Enter any urreversed Inclusions (as alined In seaCal 129600) 14a Enter the loss hoe line 13c, tat ony to the Mere 01 unr/versed intrusions on the 144 Include this amount as an Ongnary toss cn your tax rearm. I the toss on line 13c exceeds unreversed inclusions on Gm 14a, complete line 14c lab c Enter the amount Dy winch Me kiss on line 13c exceeds untevased inclusions on late 14e. Include this amount on year tax return according to the rules TneJaw imp:cable tor tosse6 provided elsewhere in the Code aid regulations 14c Note. See instruclons in case of mukple dispositions Form 8821(Hm. 12-2012) 212.12 19 EFTA01100203  .. . km 8621(Retr. 124012) THE HAZE TRUST 13 - 7185414 Papa l.'Partlfki Distributions From and Dispositions of Stock of a Section 1291 Fund(See instructions.) Comorew e •ASIIMA Pan V tor each excess distribution (see nstvetions). 15 a Enter your total distlihrions torn the Sedan 1291 lund during the current lax year with reader:410 the aPPlicaDia stock IiMe holding period of the stock began in the current tax year, see instructions 15a 0 Enter the total distributions (reduced by the portions of surni elletnbubons that were rotess distributions but not included in income under section 1291(aX1(8)) made by Me fund with respect to the applicable stock for cam of the 3 years preceding Me current tax year (or if short% the portion of the shareholders holding period before Me Current tax yes) 151 Divide line 150 by 3. (See Instructbns if the number of preceding tax years is less than 3.) 15e 4 Mutely lift 15c by 125%(1.25) 164 e Subtract ire 150 from km 15a. This amount, It more mun zero, is the excess distrbution we respect to the aposcade sI0d If zero or less and you did not dispose of Mock during Me tu year, do notconiele the rest of Part V. See instructions if you retched more than one eistrbution duringthe current tax year. Also, see instroettors ler rules tor renottng a nonexeess distribution on your Income tax ren urn 16e I Enter gain or less from Me disposition of stock el a section 1291 fund or former section 1291 fund. If a gain, complete lire 16.:1a loss, showier brackets and do not complete Me 16 1St 18 a attach a statement for each 6sklbution art disposition. Show your holing period for each share of slott or block of shares held. Moak the excess chstr6utIon to ett day in your borne period. P4cl all amounts that are *Mee to days in lax year. Enter Vie foul of die arrounts determined n One 163 tree are allocable to the tureor tax year and tax years • vst. •.1,: ' S j4;`;'::.;14: f:tr be the foreign corporation became a Pf1C (pre-PFIC tax years). Enter these amounts on your income tax • -2••• return as oiler Income 1136 c Enter nie aggregate increases in tax (before crab) for each tax year in your hoofing period (other than the cu-rem tax year and pre•PFIC years). (See inttlitibatt.) _..... .... .... ....... ...... 16e Forum tax erect (See instructions.) 164 e Subtract hoe 166 tom ;be 16: Enter this amount on your income tax return as ackttonal Me (See ifbtructiOrtS.) 164 '1 Determine interest on each net increase it us determined on une 16e using the rates and 1111O005 of section 6621. Eno* the aggregate amount o' interest here. (See instructions.) let LP SW I Status of Prior Year Section 1294 Elections and Termination of Section 1294 Elections Complete a separate column lot each outstanding election. Consist. foes 25 anc126 only, ö there is a NOW .ormnetton of the section 1294 election. (I) OH (fu) (iv) Id) (vi) 17 Tax year of outstanding election 15 Unchsetubed earrings to whim the election relates 19 Deferred lax 20 wen,rand on denied tu pn• lea ea a( tn• Bing OS 21 Event mania:trine Vendee 22 Lunn. dialtlemed to 0~ • dkairbse Map lha Um nit 23 Deferred tax due wilt this return 24 Accrued Interest doe with this return 26 onus rea ~wag after "S• free. -61. -'. PT :1: -A; . loksiC9 esi.?••'S '..\. -•. " • . *-.-ct-i)r, YA:741" .W.S11:fte2;:221:4,05,-.. partial apern,raion al«aka 28 Intrust accrued otter partial *unladen of Meehan Form 8621(Rev. 12.2012) 212613 0149.13 20 EFTA01100204  INTEREST AND PENALTY DETAIL REPORT Taxlnterest Version 2013.3 Taxpayer name... : 09-10-13 Taxpayer ID# '"tox ?CR" — 1 VII Page 1 Event Date Events Date Amount Balance (1) Tax 04-15-00 683,166.00 683,166.00 Interest Computation Date 09-16-13 1,428,456.97 (1) Balance includes any interest and penalties accrued as of the Event Date Interest Detail Event Date Rate Base Interest Balance Tax 04-15-00 683,166.00 683,166.00 Interest 06-30-00 9.00 683,166.00 12,885.81 696,051.81 Interest 09-30-00 9.00 696,051.81 15,924.24 711,976.05 Interest 12-31-00 9.00 711,976.05 16,288.55 728,264.60 Interest 03-31-01 9.00 728,264.60 16,340.11 744,604.71 Interest 06-30-01 8.00 744,604.71 14,998.73 759,603.44 Interest 09-30-01 7.00 759,603.44 13,519.94 773,123.38 Interest 12-31-01 7.00 773,123.38 13,760.58 786,883.96 Interest 03-31-02 6.00 786,883.96 11,727.14 798,611.10 Interest 06-30-02 6.00 798,611.10 12,035.15 810,646.25 Interest 09-30-02 6.00 810,646.25 12,351.79 822,998.04 Interest 12-31-02 6.00 822,998.04 12,539.99 835,538.03 Interest 03-31-03 5.00 835,538.03 10,364.20 845,902.23 Interest 06-30-03 5.00 845,902.23 10,610.08 856,512.31 Interest 09-30-03 5.00 856,512.31 10,861.96 867,374.27 Interest 12-31-03 4.00 867,374.27 8,783.78 876,163.05 Interest 03-31-04 4.00 876,163.05 8,756.75 884,919.80 Interest 06-30-04 5.00 884,919.80 11,063.96 895,988.76 Interest 09-30-04 4.00 895,988.76 9,053.79 905,042.55 Interest 12-31-04 5.00 905,042.55 11,445.85 916,488.40 Interest 03-31-05 5.00 916,488.40 11,368.33 927,856.73 Interest 06-30-05 6.00 927,856.73 13,982.89 941,839.62 Interest 09-30-05 6.00 941,839.62 14,350.77 956,190.39 Interest 12-31-05 7.00 956,190.39 17,018.93 973,209.32 Interest 03-31-06 7.00 973,209.32 16,942.03 990,151.35 Interest 06-30-06 7.00 990,151.35 17,430.16 1,007,581.51 Interest 09-30-06 8.00 1,007,581.51 20,521.21 1,028,102.72 Interest 12-31-06 8.00 1,028,102.72 20,939.17 1,049,041.89 Interest 03-31-07 8.00 1,049,041.89 20,896.56 1,069,938.45 Interest 06-30-07 8.00 1,069,938.45 21,552.00 1,091,490.45 Interest 09-30-07 8.00 1,091,490.45 22,230.17 1,113,720.62 Interest 12-31-07 8.00 1,113,720.62 22,682.93 1,136,403.55 Interest 03-31-08 7.00 1,136,403.55 19,949.58 1,156,353.13 Interest 06-30-08 6.00 1,156,353.13 17,378.39 1,173,731.52 Interest 09-30-08 5.00 1,173,731.52 14,843.89 1,188,575.41 Interest 12-31-08 6.00 1,188,575.41 18,060.43 1,206,635.84 Interest 03-31-09 5.00 1,206,635.84 14,967.38 1,221,603.22 Interest 06-30-09 4.00 1,221,603.22 12,242.84 1,233,846.06 EFTA01100205 INTEREST AND PENALTY DETAIL REPORT Taxlnterest Version 2013.3 Taxpayer name...: 09-10-13 Taxpayer ID# Page 2 Interest Detail Event Date Rate Base Interest Balance Interest 09-30-09 4.00 1,233,846.06 12,502.11 1,246,348.17 interest 12-31-09 4.00 1,246,348.17 12,628.79 1,258,976.96 Interest 03-31-10 4.00 1,258,976.96 12,478.06 1,271,455.02 Interest 06-30-10 4.00 1,271,455.02 12,742.45 1,284,197.47 Interest 09-30-10 4.00 1,284,197.47 13,012.30 1,297,209.77 Interest 12-31-10 4.00 1,297,209.77 13,144.15 1,310,353.92 Interest 03-31-11 3.00 1,310,353.92 9,728.57 1,320,082.49 Interest 06-30-11 4.00 1,320,082.49 13,229.79 1,333,312.28 Interest 09-30-11 4.00 1,333,312.28 13,509.96 1,346,822.24 Interest 12-31-11 3.00 1,346,822.24 10,222.37 1,357,044.61 Interest 03-31-12 3.00 1,357,044.61 10,159.64 1,367,204.25 Interest 06-30-12 3.00 1,367,204.25 10,235.71 1,377,439.96 Interest 09-30-12 3.00 1,377,439.96 10,426.09 1,387,866.05 Interest 12-31-12 3.00 1,387,866.05 10,505.00 1,398,371.05 Interest 03-31-13 3.00 1,398,371.05 10,382.04 1,408,753.09 Interest 06-30-13 3.00 1,408,753.09 10,575.77 1,419,328.86 Interest 09-16-13 3.00 1,419,328.86 9,128.11 1,428,456.97 Summary as of 09-16-13 Amount Payments Deposits Balance / Tax 683,166.00 0.00 0.00 683,166.00 Interest 745,290.97 0.00 0.00 745,290.97/ Totals 1,428,456.97 0.00 0.00 1,428,456.97 Prepared using: FEDERAL IRS Interest Rates Table end date: 09-30-13 TVS Table Tax Yen,- II", 0••••••••• an.•••••===.00 EFTA01100206  INTEREST AND PENALTY DETAIL REPORT Taxlnterest Version 2013.3 Taxpayer name...: 09-10-13 Taxpayer ID# T toter if tele -'2-00 Page 1 Event Date Events Date - Amount Balance (1) Tax 04-15-01 1,511,432.00 1,511,432.00 Interest Computation Date 09-16-13 2,890,029.82 (1) Balance includes any interest and penalties accrued as of the Event Date Interest Detail Event Date Rate Base Interest Balance Tax 04-15-01 1,511,432.00 1,511,432.00 Interest 06-30-01 8.00 1,511,432.00 25,384.79 1,536,816.79 Interest 09-30-01 7.00 1,536,816.79 27,353.32 1,564,170.11 Interest 12-31-01 7.00 1,564,170.11 27,840.17 1,592,010.28 Interest 03-31-02 6.00 1,592,010.28 23,726.15 1,615,736.43 Interest 06-30-02 6.00 1,615,736.43 . 24,349.31 1,640,085.74 Interest 09-30-02 6.00 1,640,085.74 24,989.92 1,665,075.66 Interest 12-31-02 6.00 1,665,075.66 25,370.69 1,690,446.35 Interest 03-31-03 5.00 1,690,446.35 20,968.68 1,711,415.03 Interest 06-30-03 5.00 1,711,415.03 21,466.13 1,732,881.16 .Interest 09-30-03 5.00 1,732,881.16 21,975.73 1,754,856.89 Interest 12-31-03 4.00 1,754,856.89 17,781.32 1,772,638.21 Interest 03-31-04 4.00 1,772,638.21 17,716.50 1,790,354.71 Interest 06-30-04 5.00 1,790,354.71 22,304.52 1,812,749.23 Interest 09-30-04 4.00 1,812,749.23 18,317.48 1.831,066.71 Interest 12-31-04 5.00 1,831,066.71 23,157.04 1,854,223.75 Interest 03-31-05 5.00 1,854,223.75 23,000.21 1,877,223.96 Interest 06-30-05 6.00 1,877,223.96 28,289.95 1,905,513.91 Interest 09-30-05 6.00 1,905,513.91 29,034.24 1,934,548.15 Interest 12-31-05 7.00 1,934,548.15 34,432.41 1,968,980.56 Interest 03-31-06 7.00 1,968,980.56 34,276.82 2,003,257.38 Interest 06-30-06 7.00 2,003,257.38 35,264.40 2,038,521.78 Interest 09-30-06 8.00 2,038,521.78 41,518.17 2,080,039.95 Interest 12-31-06 8.00 2,080,039.95 42,363.77 2,122,403.72 Interest 03-31-07 8.00 2,122,403.72 42,277.57 2,164,681.29 Interest 06-30-07 8.00 2,164,681.29 43,603.63 2,208,284.92 Interest 09-30-07 8.00 2, 08,284.92 44,975.71 2,253,260.63 Interest 12-31-07 8.00 2,253,260.63 45,891.72 2,299,152.35 Interest 03-31-08 7.00 2,299,152.35 40,361.66 2,339,514.01 Interest 06-30-08 6.00 2,339,514.01 35,159.67 2,374,673.68 Interest 09-30-08 5.00 2,374,673.68 30,031.90 2,404,705.58 Interest 12-31-08 6.00 2,404,705.58 36,539.55 2,441,245.13 Interest 03-31-09 5.00 2,441,245.13 30,281.75 2,471,526.88 Interest 06-30-09 4.00 2,471,526.88 24,169.50 2,496,296.38 Interest 09-30-09 4.00 2,496,296.38 25,294.05 2,521,590.43 Interest 12-31-09 4.00 2,521,590.43 25,550.34 2,547,140.77 Interest 03-31-10 4.00 2,847,140.77 25,245.39 2,572,386.16 Interest 06-30-10 4.00 2,572,386.16 25,780.31 2,598,166.47 EFTA01100207 INTEREST AND PENALTY DETAIL REPORT Taxlnterest Version 2013.3 Taxpayer name...: 09-10-13 Taxpayer toil Page 2 Interest Detail Event Date Rate Base Interest Balance Interest 09-30-10 4.00 2,598,166.47 26,326.26 2,624,492.73 Interest 12-31-10 4.00 2,624,492.73 26,593.01 2,651,085.74 Interest 03-31-11 3.00 2,651,085.74 19,682.67 2,670,768.41 Interest 06-30-11 4.00 2,670,768.41 26,766.29 2,697,534.70 Interest 09-30-11 4.00 2,697,534.70 27,333.12 2,724,867.82 Interest 12-31-11 3.00 2,724,867.82 20,681.73 2,745,549.55 Interest 03-31-12 3.00 2,745,549.55 20,554.82 2,766,104.37 Interest 06-30-12 3.00 2,766,104.37 20,708.71 2,786,813.08 Interest 09-30-12 3.00 2,786,813.08 21,093.88 2,807,906.96 Interest 12-31-12 3.00 2,807,906.96 21,253.54 2,829,160.50 Interest 03-31-23 3.00 2,829,160.50 21,004.77 2,850,165.27 Interest 06-30-13 3.00 2,850,165.27 21,396.71 2