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CLIENT'S COPY
asis k
CP4g
EFTA00026279
Tax Return Carryovers to 2016
WOE GHISLAINE MAXWELL MNumbe:
Disallowing Originating Entity/ SV
Form D -I 0 Form kOv4 City Amount
SCH D SHORT-TERM CAPITAL LOSS SCH D 176,183.
SCH D LONG-TERM CAPITAL LOSS SCH D 6,119,108.
SCHD AMTSHORT-TERM CAPITAL LOSS SCHD AMT 176,183.
SCHD AMTLONG-TERM CAPITAL LOSS SCHD AMT 6,119,108.
1116 GENERAL LIMITATION INC C/O FROM 2015 1116 1.
1116 PASSIVE INC C/O FROM 2015 1116 2,429.
GENERAL LIMITATION INC EXCESS LIMIT
1116AMT FROM 2015 1116 AMT -1.
1116AMT PASSIVE INC EXCESS LIMIT FROM 2015 1116 AMT -3,082.
INCOME LIMITATION - CARGOMETRICS
6765 TECHNOLOGIES LLC SCH E P2 2 4,540.
PASSIVE ACTIVITY LOSS - CARGOMETRICS
8582 TECHNOLOGIES LLC SCH E P2 2 122,626.
PASSIVE ACTIVITY LOSS - CARGOMETRICS
8582AMT TECHNOLOGIES LLC SCH E P2 2 122,626.
8582CR OTHER PASSIVE ACTIVITY CREDIT 8582CR 29.
8801 MINIMUM TAX CREDIT 8801 1.
TENTATIVE ADDITIONAL MINIMUM TAX
8801WKSTCREDIT 8801WKST 3.
EFTA00026280
Two-Year Comparison Worksheet 2015
Name(s) as shown on return Social security number
GHISLAINE MAXWELL
2014 Filing Status SINGLE 2015 Filing Status SINGLE
2014 Tax Bracket 25.0% 2015 Tax Bracket 25.0%
Tax Year Tax Year Increase
DescrWlon
2014 2015 (Decrease)
SCHEDULE B - TAXABLE INTEREST 64,169. 63,088. -1,081.
SCHEDULE B - ORDINARY DIVIDENDS 186,472. 182,240. -4,232.
SCHEDULE B - QUALIFIED DIVIDENDS 123,149. 119,551. -3,598.
SCH. C/C-EZ (BUSINESS INCOME/LOSS) -1,250. -500. 750.
SCHEDULE D (CAPITAL GAIN/LOSS) -3,000. -3,000.
ORM 4797 (OTHER GAINS OR LOSSES) 2. 5,310. 5,308.
SCHEDULE E (RENTAL AND PASSTHROUGH) 43. -3,642. -3,685.
THER INCOME -12,926. 0. 12,926.
TOTAL INCOME 233,510. 243,496. 9,986.
JUSTED GROSS INCOME 233,510. 243,496. 9,986.
AXES 128,301. 119,703. -8,598.
INTEREST (DEDUCTIBLE) 1. 17. 16.
ONTRIBUTIONS 0. 5,353. 5,353.
OB EXPENSES AND 2% MISC. DEDUCT. 47,167. 40,652. -6,515.
TOTAL ITEMIZED DEDUCTIONS 175,469. 165,725. -9,744.
INCOME BEFORE EXEMPTIONS 58,041. 77,771. 19,730.
PERSONAL EXEMPTIONS 0( 3,950. 4,000. 50.
TAXABLE INCOME 54,091. 73,771. 19,680.
AX 2,579. 5,448. 2,869.
ORM 6251 (ALTERNATIVE MINIMUM TAX) 32,878. 27,605. -5,273.
TAX BEFORE CREDITS --- 35,457. 33,053. -2,404.
ORM 1116 (FOREIGN TAX CREDIT) 1,120. 4,420. 3,300.
TAX AFTER NON-REFUNDABLE CREDITS 34,337. 28,633. -5,704.
ORM 8960 (NET INVEST. INCOME TAX) 1,273. 1,653. 380.
TOTAL TAX 35,610. 30,286. -5,324.
STIMATED TAX PAYMENTS 56,761. 71,151. 14,390.
ORM 4868 (EXTENSION REQUEST) 25,000. 0. -25,000.
TOTAL PAYMENTS 81,761. 71,151. -10,610.
AX OVERPAID 46,151. 40,865. -5,286.
VERPAYMENT APPLIED TO ESTIMATE 46,151. 40,865. -5,286.
EW YORK STATE RETURN
AXABLE INCOME 144,154. 151,015. 6,861.
AX 14,727. 15,433. 706.
THER TAXES 114. 127. 13.
PAYMENTS 32,349. 24,571. -7,778.
EFUNDABLE CREDITS 63. 63.
VERPAYMENT APPLIED TO ESTIMATED TAX 17,571. 9,074. -8,497.
o26301 04-01-15
EFTA00026281
Marks Paneth LLP
685 Third Avenue
New York City
Washington. DC
MARKS PANETH
New York. NY 10017 New Jersey ACCOUNTANTS A ADVISORS
P 212.503.8800 Long Island
F 212.370.3759 Westchester
www.markspaneth.com
GHISLAINE MAXWELL
C/O MARKS PANETH LLP-685 3RD AV
NEW YORK, NY
DEAR MS. MAXWELL:
ENCLOSED ARE YOUR 2015 INCOME TAX RETURNS, AS FOLLOWS...
2015 U.S. INDIVIDUAL INCOME TAX RETURN
2015 NEW YORK INDIVIDUAL INCOME TAX RETURN
IN ORDER FOR US TO ELECTRONICALLY FILE THE ABOVE RETURNS WE
MUST HAVE WRITTEN AUTHORIZATION FROM YOU. WE ARE ENCLOSING A
U.S. FORM 8879 AND NEW YORK TR-579-IT, WHICH YOU MUST SIGN TO
AUTHORIZE THE E-FILING OF YOUR TAX RETURNS. EACH AUTHORIZATION
FORM SHOULD BE SIGNED AND RETURNED TO OUR OFFICE AS SOON AS
POSSIBLE BY POSTAL SERVICE, E-MAIL, OR FAX.
THE STATUS OF YOUR 2016 INDIVIDUAL ESTIMATED TAXES FOR THE
FOURTH QUARTER WILL BE DETERMINED AT A LATER DATE.
YOUR COPY SHOULD BE RETAINED FOR YOUR FILES.
VERY TRULY YOURS,
ALAN BLECHER
MARKS PANETH LLP
Morison International
EFTA00026282
2015 TAX RETURN FILING INSTRUCTIONS
U.S. INDIVIDUAL INCOME TAX RETURN
FOR THE YEAR ENDING
DECEMBER 31, 2015
Prepared for
GHISLAINE MAXWELL
C/O MARKS PANETH LLP-685 3RD AV
NEW YORK, NY
Prepared by
MARKS PANETH LLP
685 THIRD AVENUE
NEW YORK, NY
Amount of tax Total tax 30 286aml /
1
4
Less: payments and credits S 71
Plus: interest and penalties S iu
OVERPAYMENT $ 40,868`
Miscellaneous Donations $ -14/41 0
Overpayment Credited to your estimated tax 40,865
Refunded to you \ 0
Make check NOT APPLICABLE
payable to I
Mail tax return THIS RETURN HAS BEEN PREPARED FOR ELECTRONIC FILING AND THE
and check (if PRACTITIONER PIN PROGRAM HAS BEEN ELECTED. PLEASE SIGN AND
applicable) to RETURN FORM 8879 TO OUR OFFICE. WE WILL THEN TRANSMIT YOUR
RETURN ELECTRONICALLY TO THE IRS.
Return must be
mailed on
or before RETURN FEDERAL FORM 8879 TO US BY OCTOBER 17, 2016.
Special
Instructions
52“181
04 A01 15
EFTA00026283
Tentative Credit for Prior Year Minimum Tax
Name(s) Social security number
GHISLAINE MAXWELL
Part I Net Minimum Tax on Exclusion Items
1 Combine lines 1, 6 and 10 of your 2015 Form 6251 1 77,771.
2 Enter adjustments and preferences treated as exclusion items 2 160,355.
3 Minimum tax credit net operating loss deduction 3
4 Combine lines 1, 2, and 3. If more than zero OR you filed Form 2555 for 2015, go to line 5. If zero or less
AND you did not file Form 2555 for 2015, enter 0 here and on line 15 and go to Part II. 4 238,126.
5 Enter $83,400 if married filing jointly or qualifying widow(er) for 2015; $53,600 if single or head of household for
2015; or $41,700 if married filing separately for 2015 5 53,600.
6 Enter $158,900 if married filing jointly or qualifying widow(er) for 2015; $119,200 if single or head of household
for 2015; or $79,450 if married filing separately for 2015 6 119,200.
7 Subtract lite 6 from line 4. If zero or less, enter .0• here and on line 8 and go to line 9 7 118,926.
8 Multiply line 7 by 25% (.25) 8 29,732.
9 Subtract lite 8 from line 5. If zero or less, enter 0• 9 23,868.
10 Subtract lite 9 from line 4. If zero or less, enter O here and on line 15 and go to Part II 10 214,258.
11 • If you filed Form 2555 for 2015. enter the amount from line 6 of the Foreign Earned Income Tax Worksheet.
• If for 2015 you reported capital gain distributions directly on Form 1040. line 13: you reported qualified
dividends on Form 1040, line 9b; or had a gain on both lines 15 and 16 of Schedule D (Form 1040), complete
Part III and enter the amount from line 55 here.
• All others: If line 10 is $185,400 or less ($92,700 or less if mauled filing separately for 2015). multiply line 10
by 26% (26). Otherwise, multiply line 10 by 28% (.28) and subtract $3,708 ($1.854 if married filing separately
for 2015) from the result 11 36,939.
12 Minimum tax foreign tax credit on exclusion items 12 8,309.
13 Tentative minimum tax on exclusion items. Subtract line 12 from line 11 13 28,630.
14 Enter the amount from your 2015 Fonn 6251, line 34 14 1,028.
15 Net minimum tax on exclusion items. Subtract line 14 from line 13. If zero or less, enter A• 15 27,602.
Part II Tentative Minimum Tax Credit
16 Enter the amount from your 2015 Form 6251. line 35 16 27,605.
17 Enter the amount from line 15 above 17 27,602.
18 Subtract line 17 from line 16. If less than zero, enter as a negative amount 18 3.
19 2015 minimum tax credit cartyfonvard. Enter the amount from your 2015 Form 8801, line 28 19 1.
20 Enter the 2015 unallowed qualified electric vehicle credit 20
21 Tentative minimum tax credit for 2018. Combine lines 18, 19, and 20 21 4.
Lines 22 through 26 do not apply.
514,41
10.26-15
EFTA00026284
GHISLAINE MAXWELL Page 2
I Part ill I Tax Computation Using Maximum Capital Gains Rates
27 Enter the amount from line 10. If you filed Form 2555 or 2555-EZ for 2015, enter
the amount from line 3 of the worksheet in the instructions 27 214,258.
28 Enter the amount from line 6 of your 2015 Qualified Dividends and Capital
Gain Tax Worksheet, or the amount from line 13 of your 2015 Schedule D Tax
Worksheet 26 119,551.
If you figured your 2015 tax using the 2015 Qualified Dividends and
Capital Gain Tax Worksheet, skip line 29 and enter the amount from
line 28 on line 30. Otherwise, go to line 29.
29 Enter the amount from line 19 of your 2015 Schedule D (Form 1040) 29
30 Add lines 28 and 29, and enter the smaller of that result or the amount
from line 10 of your 2015 Schedule D Tax Worksheet 30 119,551.
31 Enter the smaller of line 27 or line 30 31 119,551.
32 Subtract line 31 from line 27 32 94,707.
33 If line 32 is $185.400 or less ($92,700 or less if married filing separately for 2015), multiply line
32 by 26% (.26). Otherwise, multiply line 32 by 28% (.28) and subtract $3,708 ($1,854 if married
filing separately for 2015) from the result. ► 33 24,624.
34 Enter
• $74,900 if married filing jointly or qualifying widow(er) for 2015,
• $37,450 if single or maMed filing separately for 2015, or
• $50,200 if head of household for 2015. 34 37,450.
35 Enter the amount from line 7 of your 2015 Qualified Dividends and Capital
Gain Tax Worksheet, or the amount from line 14 of your 2015 Schedule DT
Worksheet, whichever applies. If you did not complete either
the amount from 2015 Form 1040. line 43; but not less than 4} 35
36 Subtract line 35 from line 34. If zero or less, enter .0- 36 37,450.
37 Enter the smaller of line 27 or line 28 37 119,551.
38 Enter the smaller of line 36 or line 37 38 37,450.
39 Subtract line 38 from line 37 39 82,101.
40 Enter
• $413200 if single
• $232,425 if married filing separately
• $464,850 if married filing jointly or qualifying widow(er)
• $439,000 if head of household 40 413,200.
41 Enter the amount from line 36 41 37,450.
42 Enter the amount from line 7 of your 2015 Qualified Dividends and Capital
Gain Tax Worksheet or the amount from line 19 of the Schedule D Tax
Worksheet, whichever applies (as figured for the regular tax). If you did not
complete either worksheet for the regular tax, enter the amount from 2015
Form 1040, line 43: but not less than •0•. 42
43 Add lines 41 and 42 43 37,450.
44 Subtract line 43 from line 40, but not less than 41 44 375,750.
45 Enter the smaller of line 39 or fine 44 45 82,101.
46 Multiply line 45 by 15% (.15) ► 46 12,315.
47 Add lines 38 and 45 47 119,551.
If lines 47 and 27 are the same, skip lines 48 through 52 and go to line 63 Otherwise, go to line 48.
48 Subtract line 47 from line 37 48
49 Multiply line 48 by 20% (.20) ► 49
If line 29 is zero or blank, skip lines 50 through 52 and go to line 53. Otherwise, go to line 50.
50 Add lines 32, 47, and 48 50
51 Subtract line 50 from line 27 51
52 Multiply line 51 by 25% (.25) ► 52
53 Add lines 33, 46, 49, and 52 53 36,939.
54 If line 27 is $185.400 or less ($92,700 or less if married filing separately for 2015), multiply line 27 by 26% (.26)
Otherwise, multiply line 27 by 28% (.28) and subtract $3,708 ($1,854 if married filing separately for 2015)
from the result. 54 56,284.
55 Enter the smaller of line 53 or line 54 here and on line 11. If you filed Form 2555 or 2555•EZ for 2015, do not
enter this amount on line 11. Instead, enter it on line 4 of the worksheet. 55 36,939.
EFTA00026285
Form 8879 IRS e-file Signature Authorization
► Do not send to the IRS. This is not a tax return.
OMB No. 1545 0074
Department of the Treasury
Internal Revenue Service
► Keep this form for your records.
► Information about Form 8879 and its instructions is at www.irs.govIlorm8879 .
2015
Submission Identification Number (SID)
Taxpayer's name Social securi number
OHISLAINE MAXWELL
Spouse's name Spouse's social security number
art Tax Return Information - Tax Year Ending December 31, 2015 (Whole Dollars Only)
1 Adjusted gross income (Form 1040, line 38: Form 1040A, line 22; Form 1040EZ. tine 4) 1 243,496.
2 Total tax (Form 1040. line 63: Form 1040A, line 39; Form 1040EZ. line 12) 2 30,286.
3 Federal income tax withheld (Form 1040. line 64: Form 1040A, line 40; Form 1040EZ, line 7) 3
4 Refund (Form 1040, line 76a; Form 10400. line 48a: Form 1040EZ, line 13a: Form 1040SS, Part I. line 13a) 4 0.
5 Amount you owe (Form 1040. line 78: Form 1040A. line 50: Form 1040EZ. line 14)
Part III Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements for the tax year
ending December 31, 2015, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts
from my electronic income tax return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS
and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b)the reason for any delay in processing the return or refund,
and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit)
entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax,
and the financial institution to debit the entry to this account This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to
terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1.888-353-4537. Payment cancellation requests must be
received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment
of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment I further admowledge that the personal identification
number (PIN) below is my signature for my electronic income tax return and, if applicable. my Electronic Funds Withdrawal Consent
Taxpayer's PIN: check one box only
M I authorize MARKS PANETH LLP to enter or generate my PIN
ERO firm name Enter five digits, but
as my signature on my tax year 2015 electronically filed income tax return. do not enter all zeros
I will enter my PIN as my signature on my tax year 2015 electronically filed income tax retum. Check this box only if you are entering your own
PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Your signature ► Date► 10/06/2016
Spouse's PIN: check one box only
I authorize to enter or generate my PIN
ERO firm name Enter five digits, but
as my signature on my tax year 2015 electronically filed income tax return. do not enter all zeros
I will enter my PIN as my signature on my tax year 2015 electronically filed income tax retum. Check this box only if you are entering your own
PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Spouse's signature ► Date ►
Practitioner PIN Method Returns Only - continue below
Part III I Certification and Authentication - Practitioner PIN Method Only
ERO's EFIN/PIN. Enter your six•digit EFIN followed by your five•digit self•selected PIN. II 6 II
9 8 Ell_
Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the tax year 2015 electronically filed income tax retum for the taxpayer(s)
indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Publication 1345,
Handbook for Authorized IRS e-flie Providers of Individual Income Tax Returns.
ERO's signature ► Date ►
519995 ERO Must Retain This Form - See Instructions
11.06-15
Do Not Submit This Form to the IRS Unless Requested To Do So
L.HA For Paperwork Reduction Act Notice, see your tax return instructions. Form Mtn (2015)
1
EFTA00026286
Tax Year 2015 e-file Jurat/Disciosure
for Form 1040, 1040A, or 1040EZ
using Practitioner PIN method
(with or without Electronic Funds Withdrawal)
ERO Declaration
I declare that the information contained in this electronic tax return is the information furnished to me by the taxpayer. If the
taxpayer furnished me a completed tax return, I declare that the information contained in this electronic tax return is identical
to that contained in the return provided by the taxpayer. If the furnished return was signed by a paid preparer. I declare I have
entered the paid preparer's identifying information in the appropriate portion of this electronic return. If I am the paid preparer.
under the penalties of perjury I declare that I have examined this electronic return, and to the best of my knowledge and belief.
it is true. correct, and complete. This declaration is based on all information of which I have any knowledge.
ERO Signature
I am signing this Tax Return by entering my PIN below.
ERO 's PIN 262982
(enter E.RNplus 5 self-selected numerics)
Taxpayer Declarations
Perjury Statement
Under penalties of perjury. I declare that I have examined this return, Including any accompanying statements and schedules
and. to the best of my knowledge and belief. it is true. correct, and complete.
Consent to Disclosure
I consent to allow my Intermediate Service Provider. transmitter, or Electronic Return Originator (ERO) to send my return/tom)
to IRS and to receive the following information from IRS: a) an acknowledgment of receipt or reason for rejection of transmission:
b) the reason for any delay in processing or refund: and. c) the date of any refund.
I am signing this Tax Return and Electronic Funds Withdrawal Consent, if applicable, by entering my Self-Select
PIN below.
Taxpayer's PIN: Date 10062016
Spouse's PIN:
519986
04.01.15
1.1
EFTA00026287
518711
05.12.15 ♦ DETACH HERE •
Application for Automatic Extension of Time
Fo m 4868
Department of Ina Treastoy
To File U.S. Individual Income Tax Return
inward Revenue Senna 1991 Fo cawaAr •?.i MI5 cr cfnur tax yam bAgnring 0Ii, andiro 2015
(Part I Identification Part II I Individual Income Tax
1 YCkr narralS) 4 Estimate of total tax liability for 2015 30,286.
5 Total 2015 payments 71,151.
GHISLAINE MAXWELL 6 Balance due. Subtract line 5
C/O MARKS PANETH LLP-685 3RD AV from fine 4 0.
NEW YORK, NY 10017 7 AmouM you are paying ► 0.
8 Check here if you are 'out of the country and a U.S.
'ma 3 Spouse's social security nUmbgt citizen or resident
9 Chock nye it you file Form INONR p IO4ONFI-E2 all Oki not mons
sagas as an amptoyea subjeC110115 Income tax wnwading Os 0
LX MAXW 30 0 201512 670
EFTA00026288
2015
LL1040 U.S. Individual Income Tax Returnem, co. No. 1545.00m I PS vs. Only - Do not am* or staple in MRS Space
For tna yua Jdn 'Pith 31. 2015 a mina. ter y5A Mowing 2015. Old g 20 See separate Instructions.
Your first name and initial Last name YOU Boatal sscwlty number
GHISLAINE MAXWELL
If a joint return, spouses first name and initial Last name 3P3699% Social *Kurth/ minter
1-lome address (number and street). It you have a P.U. ox. see instructions. Apt. no. tote sure me SSW abate
I
•A and on line 6C Ore cared.
C/O MARKS PANETH LLP-685 3RD AV
City. town a post Mica. State. and ZIP cone n you have a foreign add'en. So COMI6Menprioas below. Presidential biathlon Campaign
Chxlit hero if you, or your spouse
II tiling jointly. want $3 to go to
NEW YORK, NY 10017 fist ml C cot g b babe
will not change your tax a rotund.
Foreign country name Foreign province/state/county Foreign postal code
You C Spouse
1 LXJ Single 4 LJ Head of household (with qualifying person). If the qualifying
Filing Status
2 IC Married filing jointly (even if onl one had income) person i a child but not your d pendent, enter this child's
Check only 3 IC Married filing separately. Enter spouse's SSN above name he e. ►
one box. and full name here. No 5 CI Qualifying widow(er) with dependent child
Boxes checked
6a Yourself. If someone can claim you as a dependent. do not check box 6a on 6a and Etc
Exemptions
No 01 children
ialir Itud o 6c tio.
rgi Dograndonl%
Dependents: IN Offhaideni% social
relationship to tight act 17' *Pad with you
security number MINN) ro t chi
(i) First nem. Last name Ku %did not We with
nterldt you due to OlvOrCe
a Separation
InStructiathl
If more than four
dependents, see Dapanden% on 6c
not entered above
instructions and ,—,
check here pi. LJ kkr Add numbarS
on lines.,
d Total number of exemptions claimed above
7 Wages, salaries, tips, etc. Attach Form(s) W- 7
Income
8a Taxabl e interest Attach Schedule B it required 8a 63,088.
b Tax-exempt interest Do not include on line 8a - 8 5,672.
Attach Form(s)
W-2 here. Also 9a Ordinary dividends. Attach Schedule B d required- 9a 182,240.
attach Forms b Qualified dividends el 119,551.
W-2G and 10 Taxable refunds, credits, or offsets of state and local income taxes $TMT 1 $TMT 2 10 0.
1099-R if tax
was withheld. 11 Alimony received 11
12 Business income or (loss). Attach Schedule C or C-EZ 12 -500.
13 Capital gain or (loss). Attach Schedule D if required. If not required, check here
► 13 -3,000.
If you did not
get a W-2. 14 Other gains or (losses). Attach Form 4797 14 5,310.
see instructions. 15a IRA distnbutians 1 151 I b Taxable amount 15b
16a Pensions and annuities 16a b Taxable amount 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17 -3,642.
18 Farm income or (loss). Attach Schedule F 18
19 Unemployment compensation 19
20a Social security benefits p 20a j I b Taxable amount 20b
21 Other income. List type and amount 21
22 Combine the amounts in the tar right column for lines 7 through 21. This is your total Income
► 22 243,496.
23 Educator expenses 23
CaegOn business expenses of reservists. pertaming Grusin and toe-basis gonment
Adjusted 24 officials Attach Form 2 l06 or 210%62 24
Gross 25 Health savings account deduction. Attach Form 8889 25
Income 26 Moving expenses. Attach Form 3903 26
27 Deductible part of self-employment tax. Attach Schedule SE 27
28 Self-employed SEP, SIMPLE, and qualified plans 28
29 Self-employed health insurance deduction 29
30 Penalty on early withdrawal of savings 30
31a Alimony paid b Recipient's SSN 31a
32 IRA deduction 32
33 Student loan interest deduction 33
34 Tuition and fees. Attach Form 8917 34
35 Domestic production activities deduction. Attach Form 8903 35
36 Add lines 23 through 35 36
S1030I
12.30- IS 37 Subtract line 36 from line 22. This is your adjusted gross income 37 243,496.
LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions. Faro 1040 (2rns)
EFTA00026289
Earn 1040{20151 GHISLAINE MAXWELL
Tax and 38 Amount from line 37 (adjusted gross income) 38 243,496.
Credits 39a Check 0 You were born before January 2, 1951 O Blind. 1 Total boxes
a"
Detraction for - if: 0 Spouse was born before January 2, 1951, Blind. 1 checked 90, 39a
• People who b if your spouse itemizes on a separate return or you were a dual-status alien, check here IP. 39b I
aro any box
on line am or 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) 40 165,725.
3915 orwho can
be derned ail a 41 Subtract line 40 from line 38 41 77,771.
hocendent. see
Intrtuctiont 42 Exemptions. If line 38 is $154,950 or less, multiply $4,000 by the number on line 6d. Otherwise, see inst. 42 4,000.
43 Taxable income. Subtract line 42 from line 41.11line 42 is more than line 41 enter -0- 43 73,771.
44 Tax. Check if any from: a0 Form(s)Et814 b Form 4972 c LJ 44 5,448.
45 Alternative minimum tax. Attach Form 6251 45 27,605.
•
hi Otl1B18' 46 Excess advance premium tax credit repayment Attach Form 8962 46
Single or
Myriad rang 47 Add lines 44, 45, and 46 flo 47 33,053.
somww.
4.30o 48 Foreign tax credit. Attach Form 1116 if required 48 4,420.
Married MN/ 49 Credit for child and dependent care expenses. Attach Form 2441 49
jointly or
Ouartying 50 Education credits from Form 8863, line 19 50
witloolell.
SI2.6C0 51 Retirement savings contributions credit Attach Form 8880 51
Hoed et 52 Child tax credit Attach Schedule 8812, it required 52
household.
$9.250 53 Residential energy credits. Attach Form 5695 53
54 Other credits from Form: atEl 3800 b Q 8801 GO 54
55 Add lines 48 through 54. These are your total credits 55 4,420.
56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- 56 28,633.
57 Self-employment tax. Attach Schedule SE 57
Other 58 Unreported social security and Medicare tax from Form: a 0 4137 b 0 8919 58
Taxes 59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if requir 59
60a Household employment taxes from Schedule H 60a
b First-time homebuyer credit repayment Attach Form 5405 if required 60b
61 Healthcare: individual responsiaility (see instructions) Full-year coverage El 61
62 Taxes from: a 0 Form 8959 b n Form 8960 c 0 inst.; enter colde(s) 62 1,653.
63 Add lines 56 through 62. This is your total tax Oro 63 30,286.
Payments 64 Federal income tax withheld from Forms W-2 and 1099 64
65 2015 estimated lax payments and amount applied from 2014 relit 65 71,151.
Ryouhavoce
a Earned income credit (EIC) 66a
ovraryho
iris& anach b Nontaxable combat pay election 166b I
Schedule FIG.
67 Additional child tax credit Attach Schedule 8812 67
68 American opportunity credit from Form 8863, line 8 _ 68
69 Net premium tax credit. Attach Form 8962 69
70 Amount paid with request for extension to file I 70
71 Excess social security and tier 1RRTA tax withheld 71
72 Credit for federal tax on fuels. Attach Form 4136 72
73 Credits from EOM' a02439 b patsy rOc 08885 d0 73
74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments Oro 74 71,151.
Refund 75 it line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 75 40,865.
76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here lia• CI 76a
ni.,,0(1,,, it,
sea I, ' b:',' 311 II0 c im IMI MO* Shags IP' din:e41
wn'""`"" 77 Amount of line 75 you want applied to your 2016 estimated tax 0. Inl 40,865.
Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions Illo. 78
You Owe 79 Estimated tax penalty (see instructions) I 79 I
Third Party Do you want to allow another person to discuss this return with the IRS (seephinrsiyuctions)? I X I Yes. Complete below. U No
dertitbahen
Designee F„',orslo.ELECHER, ALAN 274VT ►-
()ober panaltaas of pearity. I OK:la* that I naveexamine this tam and accompanying Weenies and statements. and to me best olmylmor d they are true,
Sign correct. and complete. Declaration of predator (other tha leaseye) Is based o all intomietion d which prepare, has any knowledge.
Here Yew *peen l Date I Year occupaton Daytime phone number
Joint return?
SC* instruCtione. ONSULTANT
Keep a Dopy Spouse's sitriature. I a pint rotor,. both must sir Date I Spouse's *twee on rt the o S sent you an Ma Sy
tor yore PrOteCb011 PIN
records. onW it here
FrintaYde droixrers name Prepvos sltriature Date
Paid selhomployed
Preparer BLECHER, ALAN
Use Only v,m.sna lo.MARKS PANETH LLP
685 THIRD AVENUE
i1OJ0'Is
aXI "M .S A""S O P NEW YORK, NY 10017
EFTA00026290
OMB no. 1545.0074
SCHEDULE A Itemized Deductions
(Form 1040)
Department of the Treastoy
internal Revenue Service BM)
lab Information about Schedule A and its separate instructions is at www.irs.govischedutea .
Pe Attach to Form 1040.
2015
Attachment
Sequame No.ut
14arnelS) Shown On roan 1040 ow SOMA **Corey number
GMT SLAINE MAXWELL
Medical Caution: Do not include expenses reimbursed or paid by others.
and 1 Medical and dental expenses (see instructions) SEE STATEMENT 8 1 6,955.
Dental 2 Enter amount from Form 1040. fine 38 I 21 243,496.
Expenses 3 Multiply Me 2 by 10% (.10). But if either you or your spouse was born before
January 2. 1951. multiply line 2 by 7.5% (.075) instead 3 24,350.
4 Subtract line 3 from rile 1. If line 3 is more than line 1, enter 4/ 4 0.
Taxes You 5 State and local (check only one box):
Paid a ElIncome taxes, or SEE STATEMENT 6 6 34,571.
b 0 General sales taxes
6 Real estate taxes (see instructions) 6 85,132.
7 Personal property taxes 7
8 Other taxes. List type and amount lb.
8
9 Add lines 5 through 8 9 119,703.
Interest 10 Home mortgage interest and points reported to you on Form 1098 10
You Paid 11 Home mortgage interest not reported to you on Form 1098. If paid to the person
from whom you bought the home. see instructions and show that person's name.
identifying no.„ and address ifil• ---------__
..
Note: A ' 11
Your mortgage
interest 12 Points not reported to you on Form 1098. See instructions for special rules 12
deduction may 13 Mortgage insurance premiums (see instructions) 13
be limited (see 14 Investment itterest. Attach Form 4952 if required. (See instructions.) STMT
instructions).
7. 14 17.
15 Add lines 10 through 14 15 17 .
Gifts to is Gifts by cash or check If you made any gift of 5250 or more, see instructions 16 5,353.
Charity 17 Other than by cash or check. If any gift of $250 or more. see instructions.
If you made a You must attach Form 8283 if over 5500 17
gift and got a
benefit for it, 18 Carryover from prior year 18
see instructions. 19 Add lines 16 through 18 19 5,353.
Casualty and
Theft Losses 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) . . . . . . 20
Job Expenses 21 Unreimbursed employee expenses • job travel, union dues, job education. etc.
and Certain Attach Form 2106 or 2106-EZ if required. (See instructions.) II"
Miscellaneous
Deductions
ill iai lFr— 21
22 Tax preparation fees 22 11,000.
23 Other expenses • investment, safe deposit box, etc. Ust type and amount lir.
SEE STATEMENT 5
23 34,522.
24 Add lines 21 through 23 24 45,522.
25 Enter amount from Form 1040, line 38 1251 243,496.
26 Multiply line 25 by 2%(.02) 26 4,870.
27 Subtract line 26 from line 24. If line 26 is more than line 24. enter 0. . 27 40,652.
Other 28 Other • from list in instructions. Ust type and amount Illi•
Miscellaneous
Deductions
28
29 Is Form 1040. line 38. over 5154,9507
a3 No. Your deduction is not limited. Add the amounts in the far right column
Total for lines 4 through 28. Also. enter this amount on Form 1040. line 40. 29 165,725.
Itemized 0 Yes. Your deduction may be limited. See the Itemized Deductions
Deductions Worksheet in the instructions to figure the amount to enter.
30 If you elect to itemize deductions even though they are less than your standard deducbon
check here . . . ► i i
LHA sneer ol.ro-le For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule A (Form 1040) 2015
5
EFTA00026291
OMN No 1545.007
SCHEDULE B Interest and Ordinary Dividends
(Form 1040A or 1040)
Deoferment al IN Treasesy
► Attach to Form 1040A or 1040. 2015
Amerman:
Into/nag Revenue Service 199) ► Information about Schedule B and Its Instructions is at www.irs.gov/scheduleb SoquancoNo1/0
Normals/Shown on return as Soda 80cally rerroa
GHISLAINE MAXWELL
Part I 1 List name of payer. If any interest is from a seller-financed mortgage and the buyer used the Amount
Interest property as a personal residence, see instructions and list this interest first. Also. show that
buyer's social security number and address ►
SEE STATEMENT 9 73,088.
Note: If you
received a Form
10994NT,
Form 1099O1D,
or substitute
statement from
a brokerage firm.
list the firm's SUBTOTAL FOR LINE 1 73,088.
name as the TAX-EXEMPT INTEREST SEE STATEMENT 10 -5,672.
payer and enter
the total interest ABP ADJUSTMENT SEE STATEMENT 11 -4,328.
shown on that 2 Add the amounts on line 1 63,088.
foam
3 Exckidable interest on series EE and I U.S. savings bonds issued after 1989.
Attach Form 8815 3
4 Subtract line 3 from Me 2. Enter the result here and on Form 1040k or Form 1040, line 8a 4 63 088.
►
Note: If line 4 is over $1S00 you must complete Part III Amount
Part II 5 List name of payer ►
Ordinary UBS - Y1 23568 40,340.
Dividends UBS - Y1 23570 21,805.
UBS - Y1 23571 33,471.
UBS - Y1 23574 20,493.
UBS - Y1 23575 10,611.
UBS - Y1 2 572 54,713.
FROM K-1 - THE BLACKSTONE GROUP, LP 126.
Note: If you FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 681.
received a Form
1094DIV or
substitute
statement from
a brokerage firm.
list the firm's
name as the
payer and enter
the ordinary
dividends shown
on that form.
6 Add the amounts on line S. Enter the total here and on Form 1040k or Form 1040. line 9a 182,240.
Note: If line 6 is over $1.500. you must complete Part Ill.
You must complete this part if you (a) had over $1.500 of taxable interest or ordinary dividends: (b) had a foreign
Yes No
Part III account: or (c) received a distribution from. or were a grantor of. or a transferor to. a foreign trust.
Foreign 7a At any time during 2015, did you have a financial interest in or signature authority over a financial account (such
Accounts as a bank account, securities account, or brokerage account) located in a foreign country? See instructions.. X
and If -Yes,' are you required to file FinCEN Form 114. Report of Foreign Bank and Financial Accounts (FBAR),
Trusts to report that financial interest or signature authority? See WEN Form 114 and its instructions for filing
requirements and exceptions to those requirements X
b If you are required to file FinCen Form 114. enter the name of the foreign country where the financial account
is located ► UNITED KINGDOM
8 During 2015, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust?
52750i
0999.15 If you may have to file Form 3520. See instructions X
LHA For Paperwork Reduction Act Notice, see your tax return Instructions. Schedule B (Form 1040A or 1040) 2015
6
EFTA00026292
Interest and Dividend Summary
Name: GHISLAINE MAXWELL FEINISSN:
hwenionG4 Tax•Exempt Private Activity Oflonwism4 Ordinary Qualified Capital Gain Rxwouncome State Tax Foreign
Payer Interest SavingsSones interest Interest oiumunuoin) Dividends Dividends Distributions lent waive, Withheld Tax Paid
BARCLAYS 16,736.
CATER ALLEN PRIVATE BANK 5,519.
IMPUTED INTEREST - LOAN PROM
TERRAMAR PROJECT 1,515,
OBS - Y1 23568 40,340. 40,340.
OBS - Y1 23570 21,805. 88.
OBS - Y1 23571 33,471, 7,817. 8,868.
UBS - Y1 23574 20,493, 20,109.
UBS - Y1 23575 10,611 , 629.
UBS - Y1 23572 54,713,
UBS - Y1 23568 6.
UBS - Y1 23571 1.
UBS - Y1 23574 - INTEREST 37,673.
UBS - Y1 23574 - BOND PREMIUM -51.
UBS - Y1 23574 - TIE .
UBS - Y1 23575 12,
UBS - Y1 23572 /.
UBS - Y1 23680 17,
FROM K-1 - THE BLACKSTONE
GROUP, LP 416, 126,
FROM K-1 - CARGOMETRICS
TECHNOLOGIES LLC
FROM K-1 - ALPRAREYS
MILLENNIUM FUND, L.L.C. 269, 681, 327,
TOTALS 62,195, 182,240. 119,551. 9,497.
530191 04-01-15
EFTA00026293
Interest and Dividend Summary
Name: GHISLAINE MAXWELL FEINISSN-
wen' on vs. Tax•Exempt Private Activity original issue Ordinary Qualified Capital Gain Foam income State Tax Foreign
Payer Interest Savings Sonde interest oiscoum (old) lent witnixed
Interest Dividends Dividends Distributions Withheld Tax Paid
FROM R-1 - ALPHAKEYS
MILLENNIUM FUND, L.L . C . 893,
TOTALS
530111 04-01-15
EFTA00026294
OMB No. 1505.0024
SCHEDULE C Profit or Loss From Business
(Form 1040)
Departmeni 01 the Trent",
Interne/ Remark. Service BM
(Sole Proprietorship)
► Information about Schedule C and Its separate instructions is at www.lts.govischedulat.
Ir. Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
2015
Attachment
Sequence NO.09
Name 0 PrOMMIM Social s44vrity number ISSN)
GHISLAINE MAXWELL
A Principal business or profession, including product or service (see instructions) B Enter code from InstructiOce
CONSULTING ► 812990
C Business name. If no separate business name, leave blank. D Employer ID nucleate (EiNi.lapa
ELLMAX, LLC
E Business address (including suite or room no.) gr. 116 EAST 65TH STREET
City, town or post office, state, and ZIP code NEW YORK, NY 11021
F Accounting method: (1) LxJ Cash (2) U Accrual (3) U Other (specify) ►
13 Did you materially participate' in the operation of this business during 2015? If 'No; see instructions for limit on losses M Yes ILI No
H ff you started or acquired this business during 2015, check here Iti•
I Did you make any payments in 2015 that would require you to file Form(s) 1099? (see instructions) M Yes O No
J If 'Yes; did you or will you file required Forms 1099? M Yes O No
Part I I Income
1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2
and the -Statutory employee' box on that form was checked •.0 1
2 Returns and allowances 2
3 Subtract line 2 from line 1 3
4 Cost of goods sold (from line 42) 4
5 Bross profit. Subtract line 4 from line 3 5
6 Other income, including federal and state gasoine or fuel tax credit or refund (see instructions) 6
7 Gross income. Add lines 5 and 6 7
Part II I Expenses. Enter expenses for business use ofyour home only on line 30.
8 Advertising 8 18 Office expense 18
9 Car and truck expenses 19 Pension and profit-sharing plans 19
(see instructions) 9 44 20 Rent or lease (see instructions):
10 Commissions and fees 10 a Vehicles, machinery, and equipment 20a
11 Contract labor (see instructions) 11 b Other business properly 20b
12 Depletion 12 21 Repairs and maintenance 21
13 Depreciation and section 179 22 Supplies (not included in Part III) 22
expense deduction (not included in 23 Taxes and licenses 23
Part Ill) (see instructions) 24 Travel, meals, and entertainment
14 Employee benefit programs (other
16 Interest:
17
than on line 19)
15 Insurance (other than health)
a Mortgage (paid to banks, etc.)
b Other
Legal and professional services
ILL lea
lee
17 500.
25
26
a Travel
b Deductible meals and
entertainment (see instructions)
Utilities
Wages (less employment credits)
27 a Other expenses (from tine 48)
b Reserved for future use
24a
24b
25
26
27a
27b
28 Total expenses before expenses for business use of home. Add tines 8 through 27a 28 500.
►
29 Tentative profit or (loss). Subtract line 28 from line 7 29 500.
90 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instruc ons).
Simplified method filers only: enter the total square footage of: (a) your home:
and (b) the part of your home used for business:
Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 30
91 Net profit or (loss). Subtract line 30 from line 29.
• If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2.
(It you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. 31 -500.
• If a loss, you must go to line 32.
32 If you have a loss, check the box that describes your investment in this activity (see instructions).
Invalmeni
• If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. 32a M leaf ilLi.
Some atInvestrimpi
(It you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. 32b Q is not Fisk
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
LHA For Paperwork Reduction Act Notice, see the separate instructions. Schedule C (Form 1040) 2015
5200DI II -23-I5
7
EFTA00026295
SCHEDULED Capital Gains and Losses CAB No 1545.DOTA
(Form 1040)
Department of the Rosary
internal Revonuo Sable. Mg
► Attach to Form 1040 or Form 1040NR.
IP, Information about Schedule D and its separate instructions is at www.ks.govischeduled 2015
Attachment An
► Use Form 8949 to list your transactions for lines lb, 2, 3, 8b, 9, and 10. Sequence No. et
NameN) shown on return Ott Soya secteity number
GHISLAINE MAXWELL
Part I Short-Term Capital Gains and Losses - Assets Held One Year or Less
See instructions for how to figure the amounts to le) (h) Gain or (loss)
enter on the lines below. (d) (e) Adjustments Subtract column (e)
Proceeds Cost to gain or loss from from colurm (d) and
This form may be easier to complete if you round off (sales price) (or other basis) Form(s) 8949, Part I, combne the result
cents to whole dollars. line 2, column (g) with column (g)
la Totals tor al shOt.wm vanuctions repotted on Form 1099.8
tor which basis was Waled to the IRS and tor which you NWO
no odyeStmentS gee thStruCtkeiN. Havant. d brat 01005910
Wort all these IRMSOCIleen on Form am. leave this bie block
end go to line lb
lb Totals for all transactions reported on Forrn(s)
8949 %nth Box A checked 69,900. 70,528. <628.
2 Totals for all transactions reported on Form(s)
8949 with Box B checked 74. 74.
3 Totals for all transactions reported on Forrn(s)
8949 with Box C checked
4 Short•term gain from Form 6252 and shortterm gain or (loss) from Forms 4684. 6781. and 8824 STMT 12 4 10.
5 Net shoreterm gain or (loss) from partnerships. S corporations, estates, and trusts
from Schedule(s) K.1 SEE STATEMENT 14 5 <7.
6 Shoreterm capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss
Carryover Worksheet in the instructions 6 ( 178,6324
7 Net short-term capital gain or (loss). Combine linest a through 6 in column (h). If you have any longterm
capital gains or losses. go to Part II below. OtherwisA go to Part III on_page 2 _ 7 <179,183.
Partll Long-Term Capital Gains and Losses - Assets Held More Than One Year
See instructions for how to figure the amounts to (9) (h) Gain or (loss)
enter on the lines below. (d) (e) Adjustments Subtract column (e)
Proceeds Cost to gain or loss from from column (d) and
This form may be easier to complete if you round off (sales price) (or other basis) Foms) 8949, Part II, combne the result
cents to whole dollars. Me 2, column (g) with column (g)
8a Totals tor al Ion/Item tranaapl0nsrpM.ed us Form 10998
tor which basis was reported to the IRS anti tor wN01 you Mem
no odyeStmentS (see IrotruCtlaset. Rower. 8 you 0 . 0080 80
Nam ON these tranSOCISMS On Fpm 5849. %five this ihe blare
end go to line 8b
8b Totals for all transactions reported on FomXs)
8949 with Box D checked 3,210,287. 3,120,573. 31. 89,745.
9 Totals for all transactions reported on Forrn(s)
8949 with Box E checked 232,220. 244,272. <12,052.
10 Totals for all transactions reported on Forrn(s)
8949 with Box F checked
11 Gain from Form 4797, Part I; longterm gain from Forms 2439 and 6252: and long-term gain or (loss)
from Forms 4684. 6781. and 8824 SEE STATEMENT 13 11 362.
SEE STATEMENT 15
12 Net longterm gain or (loss) from partnerships. S corporations, estates, and trusts from Schedule(s) K-1 12 1,477.
13 Capital gain distributions SEE STATEMENT 16 13 9,497.
14 Longterm capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover
Worksheet in the instructions 14 ( 6,208,1374
15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to
Pan III on page 2 15 <6,119,108.
LHA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule D (Form 1040) 2015
5205 II
12.05-IS
8
EFTA00026296
Schedule D (Form 1040) 2015 GHISLAINE MAXWELL
Part Summary
18 Combine lines 7 and 15 and enter the result 16 <6,298,291.>
• If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13. or Form 1040NR. line 14.
Then go to line 17 below.
• If line 16 is a loss, skip fines 17 through 20 below. Then go to line 21. Also be sure to complete
line 22.
• If line 16 is zero, skip lines 17 through 21 below and enter on Form 1040. line 13. or Form
1040NR. line 14. Then go to line 22.
17 Are lines 15 and 16 both gains?
Yes. Go to line 18.
No. Skip lines 18 through 21, and go to line 22.
18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions 18
19 Enter the amount, if any, from line 18 of the Unrecaptured Section 1260 Gain Worksheet in
the instructions ► 19
20 Are lines 18 and 19 both zero or blank?
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040. line 44 (or in the instructions for Form 1040NR. line 42). Do not complete lines
21 and 22 below.
No. Complete the Schedule D Tax Worksheet in the instructions. Do not complete lines 21
and 22 below.
21 If line 16 is a loss, enter here and on Form 1040. line 13. or Form 1040NR. line 14, the smaller of:
• The loss on line 16 or SEE STATEMENT 17 21 3,000.
• ($3.000). or if married filing separately. ($1.500)
}
Note: When figuring which amount Is smaller, treat both amounts as positive numbers.
22 Do you have qualified dividends on Form 1040. line 9b. or Fonn 1040NR. line 10b?
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040. line 44 (or in the instructions for Form 1040NR, line 42).
No. Complete the rest of Form 1040 or Form 1040NR.
Schedule D (Form 1040) 2015
520512
12.05.15
9
EFTA00026297
Sales and Other Dispositions of Capital Assets OMB No. 1545 0074
Form8949 Po Information about Form 8949 and its separate instructions is at www.irs.gov/form8949.
2015
Mpanmerilelmelma(wr Attachmen: Aa .
Internar Retonta Service gri. File with your Schedule D to list your transactions for lines lb. 2, 3.8b. 9, and 10 of Schedule D. Senronre No I LA
Name(s) shown on return Social security number or
taxpayer identification no.
GHISLAINE MAXWELL
Before you check Box A. B. or C below. see whether you received any Formfs) 1099-B or substitute statements) from your br er. su slue
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
I Part I Short-Term. Transactions involving capital assets you held 1 year or less are short-term. For long-term transactions. see page 2.
I
Note: You may aggregate al short.temi transactions reported on Form(s) 1099.8 showing oasis was reported to the IRS and for which no adjustments or
codes are required. Enter the totals directly on Schedule D. kne It you aren't reguted to report these transactions on Flom 8949 (see instructions).
You must check Box A, B, or below. Check only one box. a MOM than one box *pees ler your Shin-tam tranSaCtlens, complete a separate Form 8949. page 1, lot each applicable box,
C
Oxon nave more snot-tom transactions Man will !it on this page to al e or more or the boxes. complete as many rams wan ea same pox checked as you need.
LXJ (A) Short-term transactions reported on Form(s) 1099G showing basis was reported to the IRS (see Note above)
(B) Short-term transactions reported on Form(s) 1099G showing basis was not reported to the IRS
I. (4.4 nort-term transactions not reponea to you on rorm 1UUU-li
1 (a) (b) (e) (d) (e) Adjustment, if any, to gain or (h)
Description of property Date acquired Date sold or Proceeds Cost or other Pa If you enter an amount in Gain or (loss).
(sales price) in
colcuol_unmi (9), entsra code Subtract column (e)
(Example: 100 sh. XYZ Co.) (Mo.. day. yr.) disposed of basis. See the m (f . See Instructions.
Note below and from column (d) 8
(Mo.. day. yr.)
see Column (e) in ( I) (9) combine the result
A of with column (9)
the instructions Code(s) a-djusigen't
UBS Y1 23574 -
SEE STATEMENT D-1 17. 3.M O. 14.
UBS Y1 23571 -
SEE STATEMENT D-2 38,696 40,20T)1 0. <1,510.
UBS Y1 23568 -
SEE STATEMENT D-3 - 1,545. 0.M O. 2,545.
UBS Y1 23570 -
SEE STATEMENT D-4 21711-5-. 28,107.M O. <872.
UBS Y1 23572 -
SEE STATEMENT D-5 T,407. 2,212.M O. <805.
2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line 1b (if Box A above is checked). line 2 (if Box B
above is checked). or Ilne 3 (if Box C above is checked) Illob 69,900. 70,528. <628.
Note: If you checked Box A above but the basis reported to the IRS was incorrect. en er in column (e) the basis as reported to the IRS. and enter an
adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment.
523011 1209.1s LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8949 (2015)
10
EFTA00026298
Sales and Other Dispositions of Capital Assets OMB No. 1545 0074
Form8949 ► Information about Form 8949 and its separate instructions is at www.irs.gov/form8949.
2015
Oepatimem 0 Iroaray AttadliThan: Aa .
Into/ma FUrng'pa Servos lg. File with your Schedule D to list your transactions for lines lb. 2, 3.8b. 9, and 10 of Schedule D. Sallacnro NO I cm
Name(s) shown on return Social security number or
taxpayer identification no.
GHISLAINE MAXWELL
Before you check Box A. B. or C below. see whether you received any Formfs) 1099-B or substitute statements) from your br er. su slue
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
I Part Short-Term. Transactions involving capital assets you held 1 year or less are short-term. For long-term transactions. see page 2.
I
Note: You may aggregate al short.temi transactions reported on Form(s) 1099.8 Showing basis was reported to the IRS and for which no adjustments or
codes are required. Enter the totals directly on Schedule D. kne Ia. you aren't reclined to report these transactions on Flom 8949 (see instructions).
You must check Box A, B, or below. Check only one box. a MOM than one box enrollee lot your SPC4.10,MIllagaCtiOnS. complete a separate Fain 8949. page 1, 10t eadi applicable Pm
C
It ou teve mote Vat- tam licensee:ions man will in
al mis page sot ale ot mote 01the boxes. complete as many tams min the sane box checked as you new
(A) Short-term transactions reported on Form(s) 1099G showing basis was reported to the IRS (see Note above)
(B) Short-term transactions reported on Form(s) 1099G showing basis was not reported to the IRS
i_i tr..4 nort-term transactions not reponea to you on rorm 1UUUiti
1 (a) (b) (e) (d) (e) Adjustme t, if any, to gain or (h)
Description of property Date acquired Date sold or Proceeds Cost or other Pa If you enter an amount Gain or (loss).
(sales price) in column (g), enter a code in
(Example: 100 sh. XYZ Co.) (Mo.. day. yr.) disposed of basis. See the column (f . See instructions. Subtract column (e)
Note below and from column (d) &
(Mo.. day. yr.) (9)
see Column (e) in (I) combine the result
A of with column (9)
the instructions Code(s) ailjulinten't
UBS Y1 23572 -
SEE STATEMENT D-5 74. 0.M 0. 74.
2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line lb (if Box A above is checked). line 2 (if Box B
above is checked), or line 3 (If Box C above is checked) Illob 74. 74.
Note: If you checked Box A above but the basis reported to the IRS was incorrect. en er in column (e) the basis as reported to the IRS. and enter an
adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment.
523011 12 02.1S LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8949 (2015)
11
EFTA00026299
Form 8949 (2015) Attachment Sequence No. 12A Page 2
Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side Social security number or
taxpayer Identification no.
GHISLAINE MAXWELL
Before you check Box O. E. or F below. see whether you received any Form(s)1099-B or substitute statement(s) from your br er. su siue
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
Part III Long-Term. Transactions involving capital assets you held more than 1 year are long term. For short-term transactions. see page 1.
Note: You may aggregate al long-term transactions reported on Form(s) 1099.8 showing bases was reported to the IRS and tar whtch no adjustments or
codes are required. Enter the totals directly on Schedule D. line 8a: you aren't required to report these transactions on Font, 8949 (see instructions).
You must check Box D, E, or F below. Check only one box.F mato than One box apples lot your long-tam !tameable:me complete a sopa> Fam 8949. pogo 2. tor each applicable box.
Itiyar .bave mao long.tem aansactions tnan x111 ht on Inc page tot ono or mote al the boxes. complete as many tams wen the samo box ChOCNEW as you neat
LXJ (D) Longterm transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above)
(E) Long-term transactions reported on Form(s) 1099-B showing basis was not reported to the IRS
l_i (F) Longterm transactions not reported to you on Form 1099 8
1 (a) (b) (e) (d) (e) Adjustment, if any, to gain or (h)
Description of property Date acquired Date sold or Proceeds Cost or other Pm' If you enter an amount Gain or (loss).
(sales price) in column (g), enter a code in
(Example: 100 sh. XYZ Co.) (Mo.. day, yr.) disposed of basis. See the column (f . See instructions. Subtract column (e)
Note below and _ from column (d) Si
(Mo.. day. yr.) (9)
see Column (e) in (I) combine the result
Amount of with column (9)
the instructions Code(s) adjustment
UBS Y1 23571 -
SEE STATEMENT D-2 940,510. 989,527.M 0. <48,517.
UBS Y1 23568 -
SEE STATEMENT D-3 960,832. 754,4-69.M 0. 206,423.
UBS Y1 23570 -
SEE STATEMENT D-4 922,2-27t 975,71-NTM 0. <53,497.
UBS Y1 23572 -
SEE STATEMENT D-5 3Y6,724. 401,419.MW 31. <14,664.
2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line 8b (if Box D above is checked). line 9 (if Box E
above is checked). or line 10 (if Box F above is checked) Illo 3210287. 3120573. 31. 89,745.
Note: If you checked Box D above but the basis reported to the IRS was incorrect. en er in column (e) the basis as reported to the IRS. and enter an
adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment.
523012 1202.15 Form 8949 (2015)
12
EFTA00026300
Form 8949 (2015) Attachment Sequence No. 12A Page 2
Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side Social security number or
taxpayer Identification no.
GMT SLAINE MAXWELL
Before you check Box O. E. or F below. see whether you received any Form(s)1099-B or substitute statement(s) from your br er. su siue
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
Part III Long-Term. Transactions involving capital assets you held more than 1 year are long term. For short-term transactions. see page 1.
Note: You may aggregate al long-term transactions reported on Form(s) 1099.8 showing bases was reported to the IRS and tar whtch no adjustments or
codes are required. Enter the totals directly on Schedule D. line 8a: you aren't required to report these transactions on Form 8949 (see instructions).
You must check Box D, E, or F below. Check only one box. F MVO than One box apples rot your long-term !react ins. complete a newel* FOOT 5949. pogo 2. tot each applicable box.
Iti yotbave mem longterm tonsactions man x111 to on Inc bags sot ono co mote 01 me boxes. complete as many terms wen me same box ChOCNE00 as you newt
(D) Longterm transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above)
(E) Long-term transactions reported on Form(s) 1099-B showing basis was not reported to the IRS
l_i (F) Longterm transactions not reported to you on Form 1099 8
1 (a) (b) (e) (d) (e) Adjustment, if any, to gain or (h)
Proceeds Cost or other loss. If you enter an amount Gain or (loss).
Description of property Date acquired Date sold or in column (g), enter a code in
(Example: 100 sh. XYZ Co.) (Mo.. day, yr.) disposed of (sales price) basis. See the column (f . See Instructions. Subtract column (e)
Note below and from column (d) Si
(Mo.. day. yr.) (11 (9)
see Column (e) in combine the result
the instructions crocos) Amount of with column (9)
adjustment
UBS Y1 23574 -
SEE STATEMENT D-1 232,131. 244,'572.M 0. <12,141.
UBS Y1 23574 -
SEE STATEMENT D-1 89. 0.M O. 89.
2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line 8b (if Box D above is checked). line 9 (if Box E
above is checked). or line 10 (if Box F above is checked) Igo 232,220. 244,272. <12,052.
Note: If you checked Box D above but the basis reported to the IRS was incorrect. en er in column (e) the basis as reported to the IRS. and enter an
adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment.
523012 1202.15 Form 8949 (2015)
13
EFTA00026301
Qualified Dividends and Capital Gain Tax Worksheet - Line 44 Keep for Your Records
Nameis) shown on return Your SSN
GHISLAINE MAXWELL
Before you begin: I See the instructions for line 44 to see if you can use this worksheet to figure your tax.
I Before completing this worksheet, complete Form 1040 through line 43.
I If you do not have to file Schedule D and you received capital gain distributions, be sure you
checked the box on line 13 of Form 1040.
1. Enter the amount from Form 1040. line 43. However, if you are filing Form
2555 or 2555EZ (relating to foreign earned income), enter the amount from
line 3 of the Foreign Earned Income Tax Worksheet 1. 73,771.
2. Enter the amount from Form 1040. line 9b• 2. 119,551.
3. Are you filing Schedule Dr
III Yes. siva me smaller et line is or is of
Schedule 0. If elMet lino IS of line 161e
blank a a las. site 4'
0.
C I No. Enke Ilaaarnown from Fern 1040. aro 13
4. Add lines 2 and 3 4. 119,551.
5. If filing Form 4952 (used to figure investment
interest expense deduction), enter any amount
from line 4g of that form. Otherwise, enter 0. 5. 0.
6. Subtract line 5 from line 4. If zero or less. enter 0. 6. 119,551.
7. Subtract line 6 from line 1. If zero or less, enter 0. 7. 0.
& Enter.
$ 37.450 if single or married filing separately,
$ 74.900 if manled filing jointly or qualifying widow(er). 8. 37,450.
50200 if head of household.
9. Enter the smaller of line 1 or fine 8 9. 37,450.
10. Enter the smaller of line 7 or line 9 10. 0.
11. Subtract line 10 from line 9. This amount is taxed at 0% 11. 37,450.
12. Enter the smaller of line 1 or line 6 12. 73,771.
13. Enter the amount from line 11 13. 37,450.
14. Subtract line 13 from line 12 14. 36,321.
15. Enter.
$ 413200 if single,
$ 232,425 if manled filing separately. 15. 413,200.
$ 464.850 if manled filing jointly or qualifying widow(er).
$ 439.000 if head of household.
16. Enter the smaller of line 1 or line 15 16. 73,771.
17. Add lines 7 and 11 17. 37,450.
18. Subtract line 17 from line 16. If zero or less. enter .0. 18. 36,321.
19. Enter the smaller of line 14 or Ine 18 19. 36,321.
20. Multiply line 19 by 15% (0.15) 20. 5,448.
21. Add lines 11 and 19 21. 73,771.
22. Subtract line 21 from line 12 22. 0.
23. Multiply line 22 by 20% (0.20) 23. 0.
24. Figure the tax on the amount on line 7. If the amount on line 7 is less than $100.000. use the Tax Table to
figure the tax. If the amount on line 7 Is $100,000 or more, use the Tax Computation Worksheet 24. 0.
25. Add lines 20, 23, and 24 25. 5,448.
26. Figure the tax on the amount on line 1. If the amount on line 1 Is less than $100.000, use the Tax Table to
figure the tax. If the amount on line 1 is $100.000 or more, use the Tax Computation Worksheet 26. 14,238.
27. Tax on all taxable Income. Enter the smaller of line 25 or fine 26. Also include this amount on Form
1040. line 44. If you are filing Form 2555 or 255.5•EZ, do not enter this amount on Form 1040. line 44.
Instead, enter it on line 4 of the Foreign Earned Income Tax Worksheet 27. 5,448.
'If you are filing Form 2555 or 2555-EZ see the footnote in the Foreign Earned Income Tax Worksheet before completing this line.
510.51
01.07.16
14
EFTA00026302
SCHEDULE E Supplemental Income and Loss OMB No. 15450074
(Form 1040)
Depattmeni ol the I mousy
(From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)
Olo Attach to Form 1040, 1040NR, or Form 1041. 2015
Alt:lzfmkit
NoquiarCo No 13
internal Revenue Service KR) III, Information about Schedule E and its separate instructions is at wwwits.govischedulee.
Name(s) shown on return Your social security number
GHISLAINE MAXWELL
pan I I Income or Loss From Rental Real Estate and Royalties Note: If you are in the business of renting personal property, use
Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.
A Did you make any payments in 2015 that would require you to file Form(s) 1099? (see instructions) U Yes LIU No
B If 'Yes.' did you or will you file required Forms 1099? Yes 0 No
1a Physical address of each property (street. city, state. ZIP code)
A THE BLACKSTONE GROUP, LP - ROYALTY
B
C
lb Type of Property 2 For each rental real estate property listed Fair Rental Personal O.1V
(from list below) above, report the number of fair rental and Days Use Days
personal use days. Check the WV box
A 6 only if you meet the requirements to file as A LJ
B a qualified joint venture. See instructions. B U
C C U
Type of Property:
I Single Family Residence 3 Vacation/Short•Term Rental 5 Land 7 Self Rental
2 Multi•FamiN Residence 4 Commercial 6 Royalties 8 Other describe
Income: I Properties: A B C
3 Rents received . ,,, ,,, ,,,,,,,,, ,,, , , 3
4 Royalties received ,,, ,, ,,,, ,,, , , 4 9.
Expenses:
5 Advertising 5
6 Auto and travel (see instructions) 6
7 Cleaning and maintenance 7
8 Commissions 8 —
9 Insurance 9
10 Legal and other professional fees 10
11 Management fees 11
12 Mortgage interest paid to banks, etc ee instructions) 12
13 Other interest 13
14 Repairs 14
15 Supplies 15
16 Taxes 16
17 Utilities 17
18 Depreciation expense or depletion 18
19 omorgiotAir.STMT 18 19 6.
20 Total expenses. Add lines 5 through 19 20 6.
21 Subtract line 20 from line 3 (rents) and/or 4 (royalties). If result Is a
(loss). see instructions to find out if you must file Form 6198 21 3.
22 Deductible rental real estate kiss after IMitation, if any, on
Form 8582 (see instructions) 22 1( ) I
23a Total of all amounts reported on line 3 for all rental properties 23a
b Total of all amounts reported on line 4 for all royalty properties 23b 9.
c Total of all amounts reported on line 12 for all properties 23c
d Total of all amounts reported on line 18 for all properties 23d
e Total of all amounts reported on line 20 for all properties 23e 6.
24 Income. Add positive amounts shown on line 21. Do not include any losses 24 3.
26 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here 25 I
28 Total rental real estate and royalty Income or (loss). Combine lines 24 and 25. Enter the result here. If Parts II, III,
IV. and line 40 on page 2 do not apply to you, also enter this amount on Form 1040, line 17, or Form 1040NR. line
18. Otherwise. include this amount in the total on line 41 on page 2 26 3.
LHA For Paperwork Reduction Act Notice, see the separate Instructions. Schedule E (Form 1040) 2015
521491
I2•22• 15
15
EFTA00026303
Schedule (Fam 1040) 2015 Muchmore Sequence No 13 PAC.° 2
hareem Nunn on totem lie not onus nacre and S0OAi estuary number n shown on paeo Your social security number
GHISLAINE MAXWELL
Caution. The IRS compares amounts reported on your tax return with amounts shover on Schedule(s) K-1.
Part II Income or Loss From Partnerships and S Corporations Note: If you report a loss from an at-risk activity for which
any amount is not at risk. you must check column (e) on line 28 and attach Form 6198. See eistructions.
27 Are you reporting any loss not allowed in a prior year due to the at-risk, excess farm loss, or basis limitations, a prior year unallowed loss from a
passive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses? 0 Yes al No
If you answered Yes; see instructions before completing this section.
,ft, igf c cmc3 (d)Employer le) Cluck It
MO
28 (a)Name orrz.zg pancrh identification number amount*
not at risk
A ALPHAKEYS MILLENNIUM FUND, L.L.C. P 27-5238213
B INVESTMENT INTEREST EXPENSE P 27-5238213
C CARGOMETRICS TECHNOLOGIES LLC P 90-0907396
D THE BLACKSTONE GROUP, LP P 20-8875684
Passive Income and Loss Nonpassive Income and Loss
(f)Passive loss allowed (g)Passive income (h) Nonpassive loss (i) Se tion 179 expense (j) Nonpassiv income
(attach Form 8582 if required) from Schedule K-1 from Schedule K-1 deduc on from Form 4562 from Schedule K-1
A 1,736.
B 1,985.
C 0.
PT ?I) 19. 95.
29a Totals 95.
b Totals 19. 3,721.
30 Add columns (g) an (j) of tine 29a 30 95.
31 Add columns (f), (h) and (i) of line 29b 31 ( 3,740. )
32 Total partnership a d S corporation income or (loss). Combine tines 30 and 31. Enter the
result here and include in the total on line 41 below 32 -3,645.
Part III I Income or Loss From Estates and Trusts
(b) Employer
33 (a)Name
identification number
A
B
Passive Income and Loss Nonpassive Income and Loss
(c)Passive deduction or loss allowed (d) Passive income (e) Deduction or loss (f) Other income from
(attach Form 8582 if required) from Schedule K-1 from Schedule K-1 Schedule K-1
A
B
343 Totals
b Totals -....Ens•-
35 Add columns (d) and (f) of line 34a 35
36 Add columns (c) and (e) of line 34b 36 ( )
37 Total estate and trust Income or (loss). Combine lines 35 and 36. Enter the resutt here and include in the total on line 41 below 37
Part IV Income or LOSS From Real Estate Mortgage Investment Conduiui s s - ReSidual Holder
(b) Employer (c)_Excess inclusion from (d) Taxable income (net (e) Income from
38 (a) Name identification number Schedules 12, line 2c loss) from Schedules 0, Schedules 0, line 3b
(see instructions) line lb
39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below 39
PariV Summary
40 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below 40
41 Total income or (loss). Combine Ins. 26. 32. 37, 39. end 40. Enter the Mart here and on Fain 1040.1lne IT. a Form l040NR. in, 18 41 -3,642.
42 Reconciliation of farming and fishing Income. Enter your gross farming and fishing income
reported on Form 4835, line 7; Schedule K-1 (Form 1065), box 14, code B; Schedule K-1
(Form 1120S), box 17, code V; and Schedule K-1 (Form 1041), box 14, code F (sn, instructions) 42 I
43 Reconciliation for real estate professionals. -m you were a real estate y0learonel (see instruction*
thew the net lawny or (lose) you rerealed anywhere on Form 1040 a Form 1040NR torn an rental real 0$1a10
ealviiine 'areal you mallereay oorticoalos under the Passive ante/ay lose wen 43
Schedule E (Form 1040) 2015
521501
12-22-15
16
EFTA00026304
INCOME FROM PASSTHROUGH STATEMENT.PAGE 1 2015
SCHEDULE E
Name OHISLAINE MAXWELL SSN/EIN
P000through THE BLACKSTONE GROUP, LP ID 20-8875684 TAXPAYER
PUBLICLY TRADED PARTNERSHIP
Prior Year Unallowe0 Disallowed Due to Prior Year Wallowed Disallowed Due to Prior Year Passive Disallowed Passive
OTHER PASSIVE K•I Input Basis Loss Basis Limitation At-Risk Loss At.Risk Loss Loss Tax Return
SCHEDULE E, PAGE 2
Ordinary business income (loss) 3.
Rental real estate income (loss) 19.
Other net rental income (loss)
Intangible drilling costs/dry hole costs
Self•charged passive interest expense
Guaranteed payments
Section 179 and carryover
Disallowed section 179 expense
Excess farm loss
Net income (loss) lh, 15.
First passive other 1.
Second passive other -35.
Cost depletion
Percentage depletion
Depletion carryover
Disallowed due to 65% limitation
Unreimbursed expenses (nonpassive)
Nonpassive other 95. 9h.
Total Schedule E •aee 76. 96,
Section 1231 gain (loss) 347.
Section 179 Lure on di osibon
Net short-term cap. gain (loss) -7.
Net long-term cap. gain (loss) 1,471. 1,47 1.
Section 1256 contracts & straddles
Investment interest expense • Sch. A 17.
Other net investment income 95. 9h.
Charitable contributions
Deductions related to portfolio income 21. 21.
Other
521551
C4.01-IS
EFTA00026305
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2 2015
SCHEDULE E
Name OHISLAINE MAXWELL SSN/EIN
Passthrough THE BLACKSTONE GROUP, LP ID 20-8875684 TAXPAYER
PUBLICLY TRADED PARTNERSHIP
Prior Year Unallowed Disallowed Due to Prior Year Unallowed Disallowed Due to Prior Year Passive Disallowed Passive
OTHER PASSIVE 11;•1 Input Basis Loss Basis Limitation At-Risk Loss At.Risk Loss Loss Tax Return
INTEREST AND DIVIDENDS
Interest income 416. 416.
Interest from U.S. bonds
Ordinary dividends 126. 126.
Qualified dividends 53.
Taxexempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's MIT adjustment
Depletion (other than oil)
Other 10. 10.
MISCELLANEOUS
Selfemployment earnings (lossyVYages
Gross farming & fishing inc
Royalties 9. 9.
Royalty expenses/depletion 6. 6.
Undistributed capital gains credit
7
Backup withholding
Credit for estimated tax
Cancellation of debt
Medical insurance • 1040
Dependent care benefits
Retirement plans
Qualified production activities income
Passthrough adjustment to Form 1040
Penalty on early withdrawal of savings
NOL
Other taxes/recapture of credits
Credits
Casualty and theft loss
18
521552
C4.01-15
EFTA00026306
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1 2O15
SCHEDULE E
Name GHISLAINE MAXWELL SSN/EIN
PaSSNWOugMCARGOMETRICS TECHNOLOGIES LLC ID 90-0907396 TAXPAYER
PARTNERSHIP
Prior Year Unallowed Disallowed Due to Prior Year Unallovted Disallowed Due to Prior Year Passive Disallowed Passive
OTHER PASSIVE K.1 Input Basis Loss Basis Limitation At-Risk Loss At-Risk Loss Loss Tax Return
SCHEDULE E, PAGE 2
Ordinary business income (loss) -118,351.
Rental real estate income (loss)
Other net rental income (loss)
Intangible drilling costs/dry hole costs
Self•charged passive interest expense
Guaranteed payments
Section 179 and carryover
Disallowed section 179 expense
Excess farm loss
Net income (loss) -118,351. 4,275, 122,626.
First passive other
Second passive other
Cost depletion
Percentage depletion
Depletion carryover
Disallowed due to 65% limitation
Unreimbursed expenses (nonpassive)
Nonpassive other
Total Schedule E (page 2) -118,351. 4 , 275. 122,626.
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULE D
Net short•term cap. gain (loss)
Net longterm cap. gain (loss)
Section 1256 contracts & straddles
FORM 4952
Investment interest expense Sch. A
Other net investment income
ITEMIZED DEDUCTIONS
Charitable contributions
Deductions related to portfolio income
Other
19
521551
C4.01-IS
EFTA00026307
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2 2O15
SCHEDULE E
Name GHISLAINE MAXWELL SSN/EIN
Passthrough CARGOMETRICS TECHNOLOGIES LLC ID 90-0907396 TAXPAYER
PARTNERSHIP
Prior Year Unallowed Disallowed Due to Prior Year Unallowed Disallowed Due to Prior Year Passive Disallowed Passive
OTHER PASSIVE Ict Input Basis Loss Basis Limitation At-Risk Loss At.Risk Loss Loss Tax Return
INTEREST AND DIVIDENDS
Interest income 75. 75.
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Taxexempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's MIT adjustment
Depletion (other than oil)
Other
MISCELLANEOUS
Selfemployment earnings (lossyVYages -118 351. 119 361.
Gross farming & fishing inc
Royalties
Royalty expenses/depletion
Undistributed capital gains credit
Backup withholding
Credit for estimated tax
Cancellation of debt
Medical insurance • 1040
Dependent care benefits
Retirement plans
Qualified production activities income
Passthrough adjustment to Form 1O4O
Penalty on early withdrawal of savings
NOL
Other taxes/recapture of credits
Credits 4,569. 4,569.
Casualty and theft loss
20
521552
C4.01-15
EFTA00026308
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1 2015
SCHEDULE E
Name OHISLAINE MAXWELL SSN/EIN
Passthrough ALPHAKEYS MILLENNIUM FUND L .L.C. ID 27-5238213 TAXPAYER
PARTNERSHIP
Prior Year Unalloyed Disallowed Due to Prior Year Unalloyed Disallowed Due to Prior Year Passive Disallowed Passive
NONPASSIVE K•1 Input Basis Loss Basis Limitation At-Risk Loss At-Risk Loss Loss Tax Return
SCHEDULE E, PAGE 2
Ordinary business income (loss) -1,736.
Rental real estate income (loss)
Other net rental income (loss)
Intangible drilling costs/dry hole costs
Self•charged passive interest expense
Guaranteed payments
Section 179 and carryover
Disallowed section 179 expense
Excess farm loss
Net income (loss) -1,736. -1,736.
First passive other
Second passive other
Cost depletion
Percentage depletion
Depletion carryover
Disallowed due to 65% limitation
Unreimbursed expenses (nonpassive)
Nonpassive other -1,985. 1.985.
Total Schedule E (page 2) -3,721. 3.721.
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULE D
Net short•term cap. gain (loss)
Net longterm cap. gain (loss) 6. 6.
Section 1256 contracts & straddles 25. 25.
FORM 4952
Investment interest expense Sch. A
Other net investment income
ITEMIZED DEDUCTIONS
Charitable contributions
Deductions related to portfolio income 252. 252.
Other
21
521551
C4.01-IS
EFTA00026309
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2 2015
SCHEDULE E
Name OHISLAINE MAXWELL SSN/EIN
Passthrough ALPHAKEPS MILLENNIUM FUND L.L.C. ID 27-5238213 TAXPAYER
PARTNERSHIP
Prior Year Unallowed Disallowed Due to Prior Year Unallowed Disallowed Due to Prior Year Passive Disallowed Passive
NONPASSIVE K•1 Input Basis Loss Basis Limitation At-Risk Loss At.Risk Loss Loss Tax Return
INTEREST AND DIVIDENDS
Interest income 269. 269.
Interest from U.S. bonds 893. 893.
Ordinary dividends 681. 681.
Qualified dividends 327.
Taxexempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than oil)
Other
MISCELLANEOUS
Selfemployment earnings (lossyVYages
Gross farming & fishing Inc
Royalties
Royalty expenses/depletion
Undistributed capital gains credit
Backup withholding
Credit for estimated tax
Cancellation of debt
Medical insurance • 1040
Dependent care benefits
Retirement plans
Qualified production activities income
Passthrough adjustment to Form 1040
Penalty on early withdrawal of savings
NOL
Other taxes/recapture of credits
Credits
Casualty and theft loss
22
521552
C4.01-15
EFTA00026310
Schedule E PASSTHROUGH RECAP - BASIC INFORMATION 2015
OHISLAINS MAXWELL
T Schedule K-1 Line Reference: (1065/1120S/104 I) 1/1:6 2t2/7 3i3,8 • 5/4/1 • ga/5a/2a nee 8/7/3 9a/8a/4a 4/T
TY Ordinary Rental Real Other Rental Passive MIT Passive US Treasury Shan-Tam Net Long. Gisafalt(141d
SP Entity Ad. Income Estate Income Activity Activity Loss Interest Bond Dividends Royalties Groom orm coot. Payment,'
J E No. No. Name (Loss) Inc. (Loss) (Loss) Loss C/0 G/0 Interest Daln1Loss) Gain Mos.) 10 Partner
TP 3 3 ALPHAKRYS MILLENNIUM FUND, L.L. -1,736. 269. 893. 681. 6.
TP 2 2 ZARCONETRICS TECHNOLOGIES LLC -118,351. 4,275. 4,275. 75.
77 1 1 THE BLACKSTONE GROUP, LP 3. 19. 416. 126. 9. 1,471.
Totals -120,084. :9. 4,275. 4,275. 760. 893. 807. 9.
uthamot. Scnodolo F. Schadale E.
Form 8582 1.°r° Schedule B, Schedule B, Schedule B, Soren*. E. Sctiadtaa D Saladulo D. Schecklig
Component of: Papa 2. Page 2. Papa 2 8582 Ali4T, Papa 2. .
vinous WOWS va,,,,a,„ Line 3c L ine 3c Line 1 Line 1 Line 5 Lava LMe 5 Fine 12 vinous
9Cloackie 9.1
line Petarenor
(1065/1nostioaii 10/9/* • 11/10/* nnv• 12/11/' 13/121 13,12/^ 13/12/* */* 20/17/14 13/T • 14P/4 17/15/12 T/12 /112
u.idurec.,5
Ordinary Charitable Investment Investment SE Health Wages tOf AMT Dept Minimum
Entity Act. Section 1231 Gain (Loss) Other Contributions Section 179 Ho'cl.".Aieli too Other Int. Expense Int. Expense Investment Insurance ihn Than 2" Net SE Aeon Pon Tax Exclusion
No. No. Gain (Loss) Form 4797 Income 50% Expense ,t,,,,,,12ss1 Deductions (Schedule A) (Schedule E) Income Premium shrforiowers Earnings .86, 0prey mosimora Items
3 3 5,310. 252. 1,565.
2 2 75. -118351
1 4. 21. 38.
Totals 347. 5,310. 4. 273. 38. 17. 1,985. 75. -118351
Component of: Form 4797, Form 4797, baradukti-
Perla 2.
SChOdule A. Form 4562. Schedule A, bcisAnt
Pape 2.
Schedule A. sthduNE•
Page 2.
Form 4952. Form 1040, Form 1040, smocks SE Form 6251, Form 9251. 2015
Line 2 Line 10 Welous Lille. ma 17 Line 6 Line 23 watts Line 14 WOWS Line 4a Line 29 Line 7 Line2 Fine 19 Una IS Form 8801
• - No specific Schedule K-1 line reference for these amounts.
5280T1 04.01-15
23
EFTA00026311
Schedule E PASSTHROUGH RECAP - ADDITIONAL INCOME, DEDUCTIONS, AND PRIOR YEAR CARRYOVERS 2015
OHISLAINE MAXWELL
SON:Alio K. I
Line 8919retics:
(1065/i120S/104H 17/151' 15/13/13 1511- -P110 */*/11 18/16/14 18/161" nor • . •
ST Capital
ALIT Adj. Low Income Low Income Excess Tax-exempt Other Nondeduc- Section 1231 seci,‘ :d:123i MIT MIT Form 4797 MIT 4797
Entity Act. Gain or Housing Cr Housing Cr Estate Tax oorkinkin
on • Interest Tax-exempt tible PAL Pg. PAL ST Capital LT Capital LT Capital Ordinary Ordinary
No. No. Loss Pre '08 Post '07 Deduction tomlinalion Income Income Expenses Carryover carryover CM PAL c../o Pa " PAL C/O PAL C,/0 PAL G10
3 3 3.
Totals 3.
Component of: Form 6251, Form 8586 Form 8586 Schedule A. Schedule A, Schedule 8, Schedule B. Perm emn Form 8582, rl"2 Form 8582, 4 11 f/
ATim.r, Form 13582. assFr Avn.. Form 5582.
8SSF2 AMT.
8 582 AMT,
Line 18 Line 4 Line 11 Line 28 Line 23 Line 1 Line 1 Line 4
Rook L.,.
Line 3c Line 3c Lhe 30 1119 30 Lhe 30 111930
Line3c Line3c
80890ul9 K-1
Lim R444444100:
(1055/I 1203/104 II • ir 13/12/' 13/12/* 13/12/' 131^/' 13/T 11/10/5 • 9c/8cac 20/17/" * T/9 13/12/' *
Chatitil310 Chamoble Choltot4o Other elver
Jnrecaptured hvesimem uonoaream Related ovi-noria
to
Medical
Entity Act. Section 179 Keogh SEP Ncopornollo lomo se osn'an
Conutot10.18 Contdbullons
3016 3090474
COntrbullom IRA
Portfolio Novato* Section 1250 Investment otoon portion =aymenie for
No. No. Carryover 3094 804474 2016 Payments Payments contreosane ncome (loss' income Gain Expenses cm (gen. El Amortization iinni:74) 216 O•Inet
1 95. 16.
Totals 95. 16.
Component of: Form 4562, Sch90Ao A. Scoodtto A. Schedule A. Form 1040, Form 1040, Form 1040, Scnedma1- 'mots a. Schedule D, Form 4952, Form 4952, $ChOCUO E. SCI1Odula A. Seller**, A
Line 10 Limo 16 & 17 Lines 160 I 7 Linos M a 17 Line 28 Line 28 Line 32 Page .5 2, various
Line 19 Line 5 Line 2 LIAO 33 Line n3 LOB I
1/(11101 \09029
528072 04.01-15 • - No specific Schedule K-1 line refe ence for these amounts. 24
EFTA00026312
Schedule E PASSTHROUGH RECAP - CARRYOVERS TO NEXT YEAR 2015
GHISLAINE MAXWELL
AMT AMT AMT Ordinary AMT AMI Ami . 4)Ai
schwule t Scroliee e.,. „,._:._, Section Schedule E Schedule e ST Capital m cap" LT Capital LT Capital
Entity AcL P
Ac
anivg
liwy Passive ST Capital ST Capital LT Capital LT Capital 1231 PAL Section 1231 PAL Ordinary At-Risk At-Feek At-Risk Al-RIsk At-Risk At-Risk
No. No. lai c/0 Ltkosa PAL C/O PAL C/0 PAL CI° PAL C/0 C/0 PAL CA) C./0 PAL C/0 Carryover canyon( carryover cassava, Carryover caf,„,,,,,,
2 2 122,626, 122,626.
Totals 122,626. 122,626.
ScAction 1:•,
Section 1231 SectAmr
ion 1231
Form 4797
OrOlna2
AM
1 arm 4797
Creditable
ConfrierMons
AM1
Charitable
A'! I
179
Ponlollo
Income
K0001.
SEP. RA
AM1
Keogh.
Other MAT OVA,
Entity AcL At-Risk At-Feek Al-RIsk On:Mary Al-Risk Conlfibutms EAl trA
-H7 .'
r1 ScE"(‘n.r. 40 DatirCe0e03 A1-111sk SEP. IRA At-Risk Al-RIsk
No. No. Carryover Carryover Ceerymer 4t 1415./14 GO Carryover At.R.* 0/0 CO /11.11ek CA) At-Risk C/O 0/0 Al-AS cro Carryovers carryovers
Totals
- No specific Schedule K-1 line reference for these amounts. 25
EFTA00026313
Schedule E PASSTHROUGH RECAP - ADDITIONAL INFORMATION AND PRIOR YEAR BASIS CARRYOVERS 2015
OHISLAINE MAXWELL.
SchomMeml
LineROwetim
(1055/112ovIwo 6b/5b/2b 11/10r nrr 13/12/14 13/12r 15/13r 15/13/13 15/13/13 15113r 15/13r 20/17/13 *fie
EMity Act. Qualified Sec. 1256. Dependent erection Employers U" Stnburei EmPeNtemenl m
C;(934
01esirZ New Markets Credit for SS Rcoaottee of Royalty/
capital owns zone Cr"' Research Credit & Medicare c A ticome Depletbn
No. No. Dividends Contractsa Care Benefits Activities W-2 Wages
Straddles MEMO AttivelaS Taxes i- , = iri Cram Expenses
3 3 377. 25.
7 2 4,569.
1 hr. 13.
Totals 380. 25. 4,569. 13.
Component of: Form 1040, Form 6781, Form 2441 Form 8903. Form 8903, Form 1040. Form 8844. Form 6765. Form 8874. Form 8846. Form 8611. Schedule E.
Line 9b Line 1 Line 14 Line 7 Line 15 Line 70 Line 3 Line 37 Line 2 Line 5 Line 8 Page 1 or 2
Schedule K.1
LIne Shirteremato
. . • • . .
(1065111208/10411 • '
Mai AV T MAT AMT
Schedule E schedules ST AMT LT AMT Sec. 1231 4797-Ord Other
Entity Act. 4T9T-OAT Other
ii,:, Basis Bab Basis Bale
No. No. Basis Basis Basis Basis
Carryover Basis LT Basis Basis
Carryover ii."..,,,,.., Carryover
Carryover Cenyinter Carryover Carryover Carryover carryover Carryovers cam/avers
Totals
Mims Basis tiara* !fasts Batas Flake Basis OS Bass Hass Has Basis
Component Of: UmItall0n Limitation L limitation Limitation L 'Mahan Limitation Limitation Limitation Limitation Limitation Limitanon Limitation
Worksheet Worksheet W0rkSheel Worksheet Weittheet Worksheet Wooksheet Workshop' Worksheet workmen WorkShOet Wookshoet
528076 04-01-15 - No specific Schedule K-1 line reference for these amounts. 26
EFTA00026314
Schedule E Publicly Traded Partnerships
Name of Activity: THE BLACKSTONE GROUP, LP - ACTIVITY NO. 1
Activity net income 347.
Activity net loss -19.
Prior year unallowed losses
Net income (loss) 328.
Total loss allowed from the PTP for 2015 19.
Disallowed losses from this PTP
Prior Year
Form or Schedule Gain/Loss Carryover Net Gain/Loss Unallowed Loss Allowed Loss
SCH E -19. 0. -19. 19.
FORM 4797 347. 0. 347.
328. 328. 19.
Alternative Minimum Tax
Activity net income
Activity net loss
Prior year unallowed losses
Net income (loss) 338.
Total loss allowed from the PTP for 2015 9.
Disallowed losses from this PTP
Alternative minimum tax adjustment 10 .
Prior Year
Form or Schedule Gain/Loss Carryover Net Gain/Loss Unallowed Loss Allowed Loss
SCH E 0. 9.
FORM 4797 347. 0. 347.
338. 338. 9.
510331
04.01-IS
27
EFTA00026315
Schedule of Mineral Interest Properties - Summary
ldenti in Number Taxable income including NOL carryover , 73, Ir L.
ame Plus allowable depletion
Minus cost depletion
GHISLAINE MAXWELL Taxable income before % depletion
65% of taxable income
Net Income
Property Property Gross Royalty Severance Operating IDC Dry Hole Other Depreciation Amortization Overhead
Before
Number Description Income Paid Tax Expense Expense Costs Expenses Expense
Depletion
I THE BLACKSTONE GROUP , LP 21. A, 12.
-1 OIALS 11. Z. 1- 12
% Depletion Daily Quantity % Uepfetion Prior Year % Greater of
% Depletion Allocation
. Limited 3' % DFeinpaletion
Property Property % Cost•
Depletion Limited to Production Limitation After Ouantity Depletion
Depletion Cost or %
1st Iteration Ratio Depletion I
Number Description Net Income (Barre° Rate Limitation C/O Depletion Iteration
I THE BLACKSTONE GROUP, LP 1.0DUOUC
DIALS
Net Income % Depletion Beginning Amortized " Net Income • Cost
Property Property Reallocation • Allowable Excess for Excess Excess
After CIO To Accum. Expense Depletion for Reserved Reserved
Description Ratio Depletion IDC
Number Depletion Next Year Depletion IDC E e IDC Cale. 65% Limit
I THE BLACKSTONE GROUP, LP 12,
IOIALS ll.
Beginning Beginning Cost Ending
Property Property Ending Adjusted Depletion Cost • Allowable
Recover Production Recoverable& Basis Accum. Accum. Reserved Reserved
Number Description Basis Rate Depletion Depletion
ables Depletion Depletion
I THE BLACKSTONE GROUP, LP
OIALS
"Limited % Depletion' has been limited o 65% of axable Income otal excess Intangible Onllng Cost
"Allowable Depletion" Greater of Percentage Depletion' or 'Cost Depletion' after Less 65% of Net Income fo Excess IDC Calculation
calculation for the 65% taxable income Imitations or 'Non-Oil & Gas Depletion" Excess Intangible Drilling Cost Preference
513601
03.0I-I5 "Net Income for Excess IOC CALC' - has been reduced by 'Allowable Depletion' and 'Excess IOC' has been added back.
"Cost Depletion for 65% Limitation - Used for computation of taxable income limitation statement for AMT
EFTA00026316
OMB No. 1545-0121
Foreign Tax Credit
Fans 1116 (Individual, Estate, or Trust)
P. Attach to Form 1040, 1040NR, 1041, or 990-1.
2015
Department 01 the Norman AnACIVIOnl
inhere, Revenue Service PR lb. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116. Sequence No 19
Name Identifying number x. Shown an molar you' lax Kam
GHISLAINE MAXWELL
Use a separate Form 1116 for each category of income listed below. See Categories of Income in the instructions. Check only one box on each Form 1116. Report all
amounts in U.S. dollars except where specified in Part II below.
a IM Passive category income e Section 901(j) income e Lump-sum distributions
b Q General category income d0 Certain income re-sourced by treaty
f Resident of (name of country)► UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 71. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
Forei n Country or U.S. Possession Total
A B C (Add cols. A, B, and C.)
9 Enter the name of the foreign country or U.S OTHER ITED
possession 0. COUNTRIES INGDOM
la Gross income from sources within country shown above
and of the type checked above:
51,257. 22,255. la 73,512.
b Check if line la is compensation for personal services as
an employee, your total compensation from all sources is
$250,000 or more, and you used an alternative basis to
determine its source (see instructions) .. lo. 0
Deductions and losses (Cautlorilroreistruchon4;
2 Expenses definitely relatedto iw
(attach statement) gk tili a 19 98.
3 Pro rata share of other deductions not definitely related:
a Certain itemized deductions or standard deduction 160,355. 160,355.
b Other deductions (attach statement)
c Add lines 3a and 3b 160,355. 160,355.
d Gross foreign source income 51,257. 22,255.
e Gross income from all sources 471,259. 471,259.
f Divide line 3d by line 3e .10877 .04722
g Multiply line 3c by line 3f 17,442. 7,573.
4 Pro rata share of interest expense:
a Home mortgage interest (use the Worksheet for
Home Mortgage Interest in the instructions)
b Other interest expense
5 Losses from foreign sources
6 Add lines 2.3g. 4a, 4b, and 5 17,540. 7,573. 6 25,113.
7 Subtract line 6 f om line 1a. Enter the result here and on line 5. page 2 Pa' 7 48,399.
Part II Foreign Taxes Paid or Accrued
Credit is claimed Foreign taxes paid or accrued
for taxes
(you must In foreign currency In U.S. dollars
cheek one) (r) Other (s)Total foreign
(n)Other
g (h) El Paid Taxes withheld at source on: foreign Taxes withheld at source on: foreign taxes paid or
8 (I) m.. taxes paid or taxes paid or accrued (add cols.
(1) ragard (k) DOM9ACK O) igyna4,, r (m) Interest accrued (o) DNS:Sends IN trr iatr (q) Interest
accrued (o) through (r))
A 8,307. 8,307.
B
C
8 Add lines A through C, column (s). Enter th total here and on line 9. page 2 Ill'I l3 8,307.
LHA For Paperwork Reduc ion Act Notice, see instructions. Form 1116 (2015)
511501
11.30.15
29
EFTA00026317
Form 1116 (2015) GHI SLAINE MAXWELL Page 2
rPartilli Figuring the Credit
9 Enter the amount from line 8. These are your total foreign taxes paid or accrued
for the category of income checked above Part I 9 8,307.
10 Carryback or carryover (attach detailed computation) 10
11 Add lines 9 and 10 11 8,307.
12 Reduction in foreign taxes 12
13 Taxes reclassified under high tax kickout 13
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 14 8,307.
15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United Slates (before adjustments) for the category of income checked above Part I 15 48,399.
16 Adjustments to line 15 16 14,680.
17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income.
(If the result is zero or less, you have no foreign tax credit for the category of income
you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than
one Form 1116, you must complete line 20.) 17 63,079.
18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39.
Estates and trusts: Enter your taxable income without the deduction for your
exemption 18 77,771.
Caution:If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 19 .81109
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, enter the amounts from
Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total
of Form 990-T, lines 36 and 37 20 5,448.
Caution: if you are completing line 20 for separate category° (lump-sum distributions), see Instructions.
21 Multiply line 20 by line 19 (maximum amount of credit) 21 4,419.
22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this
amount on line 28. Otherwise, complete the appropriate line in Part IV OP' 22 4,419.
Part IV I Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income I 23 4,419.
24 Credit for taxes on general category income 24 1.
25 Credit for taxes on certain income re-sourced by treaty 26
26 Credit for taxes on lump-sum distributions 28
27 Add lines 23 through 26 27 4,420.
28 Enter the smaller of line 20 or line 27 28 4,420.
29 Reduction of credit for international boycott operations 29
30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48;
Form 1040NR, line 46; Form 1041, Schedule G. line 2a; or Form 990-1, line 40a 30 4,420.
Form 1116 (2015)
511511
M3045
30
EFTA00026318
OMB No. 1545-0121
Foreign Tax Credit
Form 1116 (Individual, Estate, or Trust)
la. Attach to Form 1040, 1040NR, 1041, or 990-1.
2015
Department ol the Raman AnACIVIOnl
inmenal Revenue Service KIR ► Information about Form 1116 and its separate instructions is at www.irs.gov/form1116. Sequence No 19
Name Identifying numbers Shown co pogo I or you' lax velum
GHISLAINE MAXWELL
Use a separate Form 1116 for each category of income listed below. See Categories of income in the instructions. Check only one box on each Form 1116. Report all
amounts in U.S. dollars except where specified in Part II below.
a CI Passive category income e Section 901(j) income e Lump-sum distributions
b IM General category income d0 Certain income re-sourced by treaty
f Resident of (name of country)► UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part II. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PrVd-I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
Forel n Country or U.S. Possession Total
A B C (Add cols. A, B, and C.)
g Enter the name of the foreign country or U.S OTHER
possession go COUNTRIES
la Gross income from sources within country shown above
and of the type checked above:
19. _ la 19.
b Check if line la is compensation for personal services as
an employee, your total compensation from all sources is
$250,000 or more, and you used an alternative basis to
determine its source (see instructions) la. 0
Deductions and losses (Caut/orir grtstrucnon4:
2 Expenses definitely related to the income on line la
(attach statement)
3 Pro rata share of other deductions not definitely related:
a Certain itemized deductions or standard deduction 160,355.
b Other deductions (attach statement)
c Add fines 3a and 3b 160,37'5.
d Gross foreign source income 19.
e Gross income from all sources 471,259.
r Divide fine 3d by line 3e .00004
g Multiply line 3c by line 3f 7.
4 Pro rata share of interest expense:
a Home mortgage interest (use the Worksheet for
Home Mortgage Interest in the instructions)
b Other interest expense
5 Losses from foreign sources
6 Add fines 2. 3g. 4a, 4b, and 5 7. 6 7.
7 Subtract line 6 f om line Ia. Enter the result here and on line 15. page 2 110. 7 12.
Part II Foreign Taxes Paid or Accrued
Credit is claimed Foreign taxes paid or accrued
for taxes
(you must In foreign currency In U.S. dollars
.g. check one) (n)Other (r) Other (s)Total foreign
g (h)
o
W eald Taxes withheld at source on: foreign Taxes withheld at source on: foreign taxes paid or
L) (I) OAcauea taxes paid or taxes paid or accrued (add cols.
(k) DOM9ACK (IJ igynar accrued
(I) gtzidd (m) Interest accrued (o) Dividends tillt;i4.244 (q) Intel (o) through (r))
A 2. 2.
B
C
8 Add lines A through C, column (5). Enter th total here and on line 9, page 2 Pi' I 8 2.
LHA For Paperwork Reduc ion Act Notice, see instructions. Form 1116 (2015)
511501
11.30. IS
31
EFTA00026319
Form 1116 (2015) GHI SLAINE MAXWELL Page 2
rPartilli Figuring the Credit
9 Enter the amount from line 8. These are your total foreign taxes paid or accrued
for the category of income checked above Part I 9 2.
10 Carryback or carryover (attach detailed computation) 10
11 Add lines 9 and 10 11 2.
12 Reduction in foreign taxes 12
13 Taxes reclassified under high tax kickout 13
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 14 2.
15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United Slates (before adjustments) for the category of income checked above Part I 15 12.
16 Adjustments to line 15 16
17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income.
(If the result is zero or less, you have no foreign tax credit for the category of income
you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than
one Form 1116, you must complete line 20.) 17 12.
18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39.
Estates and trusts: Enter your taxable income without the deduction for your
exemption 18 77,771.
Ca uti on:If you figured your tax using the lower rates on qualified dividends or capital gams, see instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 19 .00015
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, enter the amounts from
Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total
of Form 990-T, lines 36 and 37 20 5,448.
Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit) 21 1.
22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this
amount on line 28. Otherwise, complete the appropriate line in Part IV OP' 22 1.
Part IV I Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income I 23
24 Credit for taxes on general category income 24
25 Credit for taxes on certain income re-sourced by treaty 25
26 Credit for taxes on lump-sum distributions 28
27 Add lines 23 through 26 27
28 Enter the smaller of line 20 or line 27 28
29 Reduction of credit for international boycott operations 29
30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48;
Form 1040NR, line 46; Form 1041, Schedule G. line 2a; or Form 990-1, line 40a 30
Form 1116 (2015)
511511
M3045
32
EFTA00026320
General Business Credit OMB No 1545-0895
For.3800 ► Information about Form 3800 and its separate instructions is at www.irs.goviform3800. 2015
Dapattmr: <4 Ireasemy Attacnmonl
WPM* Renanoe Service (9 go. You must attach all pages of Form 3800, pages 1, 2, and 3, to your tax return. Sequence Pro 22
harmer.) Wort on return tien:R ing number
GHISLAINE MAXWELL
I Part I I Current Year Credit for Credits Not Allowed Against Tentative Minimum Tax (TMT)
(See instructions and complete Part(s) Ill before Parts I and II)
1 General business credit from line 2 of all Parts III with box A checked 1
2 Passive activity credits from line 2 of all Pasts III with box Et checked I 2 I 29 .
3 Enter the applicable passive activity credits allowed for 2015 (see instructions) 3 0.
4 Carryfonvard of general business credit to 2015. Enter the amount from line 2 of Part III with
box C checked. See instructions for statement to attach 4
6 Carryback of general business credit from 2016. Enter the amount from line 2 of Part III with
box D checked 5
6 Add lines 1. 3. 4. and 5 6
art I Allowable Credit
7 Regular tax before credits:
• Individuals. Enter the sum of the amounts from Form 1040. lines 44 and 46. or
the sum of the amounts from Form 1040NR, lines 42 and 44
• Corporations. Enter the amount from Form 1120. Schedule J, Part I, line 2; or the 7 5,448.
applicable line of your return
• Estates and trusts. Enter the sum of the amounts from Form 1041, Schedulet..
lines la and 1b; or the amount from the applicable line of your return
8 Alternative minimum tax:
• Individuals. Enter the amount from Form 6251. line 35
• Corporations. Enter the amount from Form 4626, line 14 8 27,605.
• Estates and trusts. Enter the amount from Schedule I (Form 1041), line 56
9 Add lines 7 and 8 9 33,053.
10a Foreign tax credit 4,420.
b Certain allowable credits (see instructions)
e Add lines 10a and 10b 10c 4,420.
11 Net income tax. Subtract line 10c from line 9. If zero, skip lines 12 through 15 and enter O• on line 16 11 28,633.
12 Net regular tax. Subtract line 10c from line 7. If zero or less, enter O. 12 1,028.
13 Enter 25% (.25) of the excess. if any, of line 12 over $25.000 (see instructions) 13
14 Tentative minimum tax:
• Individuals. Enter the amount from Form 6251, line 33
• Corporations. Enter the amount from Form 4626. line 12 14 28,633.
• Estates and trusts. Enter the amount from Schedule I
(Form 1041), line 54
15 Enter the greater of line 13 or line 14 15 28,633.
16 Subtract line 15 from line 11. If zero or less, enter .0. 16 0.
17 Enter the smaller of line 6 or line 16 17 0.
C corporations: See the line 17 instructions if there has been an ownership change, acquisition,
or reorganization.
LHA For Paperwork Reduction Act Notice, see separate Instructions. Form 3800 (2015)
511491
I2-23-15
33
EFTA00026321
Form 3800 (2015) Page 2
Part III Allowable Credit (Continued)
Note. If you are not required to report any amounts on lines 22 or 24 below, skip lines 18 through 25 and enter -0- on line 26.
18 Multiply line 14 by 75% (.75) (see instructions) 18
19 Enter the greater of line 13 or line 18 19
20 Subtract line 19 from line 11. If zero or less, enter 20
21 Subtract line 17 from line 20. If zero or less, enter 21
22 Combine the amounts from line 3 of all Parts III with box A C, or D checked 22
23 Passive activity credit from line 3 of all Parts III with box B checked 23
24 Enter the applicable passive activity credit allowed for 2015 (see instructions) 24
25 Add lines 22 and 24 25
26 Empowerment zone and renewal community employment credit allowed. Enter the
smaller of line 21 or line 25 26 0.
27 Subtract line 13 from line 11. If zero or less, enter .0. 27 28,633.
28 Add lines 17 and 26 28
29 Subtract line 28 from line 27. If zero or less, enter 29 28,633.
30 Enter the general business credit from line 5 of all Pans III with box A checked 30
31 Reserved 31
32 Passive activity credits from line 5 of all Parts III with box 8 checked 32
33 Enter the applicable passive activity credits allowed for 2015 (see Instructions) 33
34 Carryfonvard of business credit to 2015. Enter the amount from line 5 of Part III with box C checked
and line 6 of Pan Ill with box G checked. See instructions for statement to attach 34
35 Carryback of business credit from 2016. Enter the amount from line 5 of Part III with box D checked
(see instructions) 35
36 Add lines 30, 33, 34, and 35 36
37 Enter the smaller of line 29 or line 36 37
38 Credit allowed for the current yea'. Add lines 28 and 37.
Report the amount from line 38 (if smaller than the sum of Part I. line 6. and Part II, lines 25 and 36,
see instructions) as indicated below or on the applicable brie of your return:
• Individuals. Form 1040, line 54, or Form 1040NR. line 51
• Corporations. Form 1120, Schedule J. Part I, line 5c
• Estates and trusts. Form 1041. Schedule G. line 2b 38
Form 3800 (2015)
514402
1292.15
34
EFTA00026322
Form 3800 (2015) Page 3
Memo) Sheri on return Ident I number
GHISLAINE MAXWELL
I Part 111 General Business Credits or Eligible Small Business Credits(see instructions)
Complete a separate Part III for each box checked below. (see instructions)
A General Business Credit From a NorWassive Activity E Reserved
B IM General Business Credit From a Passive Activity F Reserved
C C General Business Credit Carryforwards G Eligible Small Business Credit Canyforwanis
General Business Credit Carrybacks H Reserved
I If you are filing more than one Part III with box A or B checked, complete and attach first an additional Part III combining amounts from all
Parts III with box A or B checked. Check here if this is the consolidated Past III 10. O
tal Description of credit (b) (e)
Note. On any line where the credit Is from more than one source, a separate Part III is II donning the Weal from a
pass-IM:rugn slily, enter the EIN Enter the appropriate amount
needed for each pass•tNouoh entity.
la Investment (Form 3468, Part II only) (attach Form 3468) is
b Reserved ib
c Increasing research activities (Form 6765) STMT 20 c 90-0907396 29
d Lowincome lousing (Form 8586, Part I only) id
e Disabled access (Form 8826) (see instructions for limitation) is
f Renewable electricity. refined coal, and Indian coal production (Form 8835) 11
g Indian employment (Form 8845) 1
h Orphan drug (Form 8820) 1h
I New markets (Form 8874) i
j Small employer pension plan startup costs (Form 8881) (see instructions for limitation) 1j
k Employerprovided child care facilities and services (Form 8882) (see instructions
for limitation) 1k
I Biodlesel and renewable diesel fuels (attach Form 8864) 11
m Low sulfur diesel fuel production (Form 8896) 1m
n Distilled spirits (Form 8906) 1n
o Nonconventional source fuel to
p Energy efficient home (Form 8908) 1p
q Energy efficient appliance 1q
r Alternative motor vehicle (Form 8910) 1r
s Alternative fuel vehicle refueling property (Form 8911) is
t Reserved 1t
u Mine rescue team training (Form 8923) 1u
✓ Agricultural chemicals security (cern/tom/3rd only) 1v
w Employer differential wage payments (Form 8932) 1w
x Carbon dioxide sequestration (Form 8933) 1x
y Qualified plugin electric drive motor vehicle (Form 8936) 1y
z Qualified plug•in electric vehicle (canyforward only) 1z
aa New hire retention (canyforward only) 1aa
bb General credits from an electing large partnership (Schedule Ic1 (Form 1065.8)) lbb
zz Other lzz
2 Add lines la through lzz and enter here and on the applicable line of Part I 2 29.
3 Enter the amount from Form 8844 here and on the applicable line of Part II 3
4a Investment (Form 3468, Part III) (attach Form 3468) 4a
b Work opportunity (Form 5884) 4b
c Biofuel producer (Form 6478) 4-c
d Lowincome housing (Form 8586, Part II) 4d
e Renewable electricity. refined coal, and Indian coal production (Form 8835) 4.e
Employer social security and Medicare taxes paid on certain employee
tips (Form 8846) 41
g Qualified railroad track maintenance (Form 8900) 4g
h Small employer health insurance premiums (Form 8941) 4h
I Reserved 4i
j Reserved 4j
z Other 4z
5 Add lines 4a through 4z and enter here and on the applicable line of Part II 5
6 Add lines 2, 3. and 5 and enter here and on the applicable line of Part II 6 29.
514403 M-23-15 FG•I'l 3800 r2015I
35
EFTA00026323
1
Sales of Business Property OMB No. 1545.0184
Form4797
Deparbrienl a Ito Troosmy
(Also Involuntary Conversions and Recapture Amounts
Under Sections 179 and 280F(bX2))
Pro Attach to your tax return.
2015
Arlochmont v
Internal ROvOnue Service ► Information about Form 4797 and its separate Instructions Is at www.trs.gov/form4797. Sequoia No. n I
NamerS}Sn0wn on return I (dying number
GHISLAINE MAXWELL
1 Enter the gross proceeds from sales or exchanges reported to you for 2015 on Form(s) 1099.8 or 10995
(or substitute statement) that you are including on line 2. 10, or 20
Part I I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From
Other Than Casualty or Theft-Most Property Held More Than 1 Year (see instructions)
(e)allowed
D°Pn'aab" (f) cost a aha (g) gain or (loss)
(a)OooMpBon (b) Data 004tared CO Date*Cid (d) Gross solos or era Pkt9
01ixopety (no,. day. 5T, ) (mo.. deg. yr.) price Subfla (*tom Me
allowable soma irripr0vemante end
Sum MOB BIM (.1
2 au:Manion Maws. of solo
THE BLACKSTONE
GROUP, LP 347.
3 Gain, if any, from Form 4684. line 39 3
4 Section 1231 gain from installment sales from Form 6252. line 26 or 37 4
5 Section 1231 gain or (loss) from like-Mind exchanges from Form 8824 5
6 Gain, if any, from line 32, from other than casualty or theft 6
7 Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows: 7 347.
Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the
instructions for Form 1065, Schedule K. line 10, or Form 11205, Schedule K. line 9. Skip lines 8. 9, 11. and 12
below.
Individuals, partners, S corporation shareholders, and all others.If line 7 is zero or a loss. enter the amount
from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you did not have any prior year section
1231 losses, or they were recaptured in an earlier year. enter the gain from line 7 as a longterm capital gain on
the Schedule D filed with your return and skip lines 8. 9, 11, and 12 below.
8 Nonrecaptured net section 1231 losses from prior years (see instructions) 8
9 Subtract line 8 from line 7. If zero or less, enter 0% If line 9 is zero. enter the gain from line 7 on line 12 below. If
line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a longterm
capital gain on the Schedule D filed with your return (see instructions) .... 9
Part Ordinary Gains and Losses (see instructions)
10 Ordinary gains and losses not included on lines 11 through 16 Include property held 1 year or less):
ALPHAKEYS MILLENNIUM
FUND, L.L.C. 5,310.
11 Loss. if any, from line 7 11 ( )
12 Gain. if any, from line 7 or amount from line 8. if applicable 12
13 Gain, if any, from line 31 13
14 Net gain or (loss) from Form 4684. lines 31 and 38a 14
15 Ordinary gain from installment sales from Form 6252, erne 25 or 38 15
16 Ordinary gain or (loss) from likekind exchanges from Form 8824 . 16
17 Combine Ines 10 through 16 17 5,310.
18 For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines
a and b below. For individual returns, complete lines a and b below:
a If the loss on line 11 includes a loss from Form 4684. line 35. column (b)(ii), enter that past of the loss here. Enter
the past of the loss from incomeproducing property on Schedule A (Form 1040), line 28. and the part of the loss
from property used as an employee on Schedule A (Form 1040), line 23. Identify as from "Form 4797. line 18a."
See instructions 18a
b Redetermine the gain or (loss) on line 17 excluding the loss, if any on line 18a. Enter here and on
Form 1040. line 14 18b 5,310.
WA For Paperwork Reduction Act Notice, see separate Instructions. Form 4797 (2015)
sisal,
12.75.15
EFTA00026324
Form 4797 (2015)GHI SLAINE MAXWELL
Part III Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 (see instructions)
(b) Date acquired (c) Date sold
19 (a) Description of section 1245, 1250, 1252, 1254, or 1255 property: (rm.. day. yr.) (mo., day, yr.)
A
B
C
D
These columns relate to the properties on
lines 19A through 19O. Ili. Property A Property B Property C Property D
20 Gross sales price (Note: See line 1 before completing ) 20
21 Cost or other basis plus expense of sale 21
22 Depreciation (or depletion) allowed or allowable 22
23 Adjusted basis. Subtract line 22 from line 21 23
24 Total gain. Subtract line 23 from line 20 24
26 If section 1245 property:
a Depreciation allowed or allowable from line 22 25a
b Enter the smaller of line 24 or 25a 25b
26 If section 1250 property: If straight line depreciation
was used, enter -0- on line 26g, except for a corporation
subject to section 291.
a Additional depreciation after 1975 (see instructions) „, 26a
b Applicable percentage multiplied by the smaller
of line 24 or line 26a (see instructions) 266
c Subtract line 26a from line 24. If residential rental
property or line 24 is not more than line 26a, skip
lines 26d and 26e 26c
d Additional depreciation after 1969 and before 1976 26d 0.0 4‘
e Enter the smaller of line 26c or 26d 26e
I Section 291 amount (corporations only) 126f
g Add lines 26b. 26e, and 26f 26g
27 If section 1252 properly: Skip this section if you did not
dispose of farmland or if this form is being completed for
a partnersh0 (other than an electing large partnership) IS A
a Soil, water, and land clearing expenses 27a
b Line 27a multiplied by appkable percentage 27b
e Enter the smaller of line 24 or 27b 27c
28 If section 1254 property:
a Intangible drilling and development costs, expenditures
for development of mines and other natural deposits,
mining exploration costs, and depletion (see instructions) 28a
b Enter the smaller of line 24 or 28a 28b
29 If section 1255 property:
a Applicable percentage of payments excluded
from income under section 126 (see instructions) 29a
b Enter the smaller of line 24 or 29a (see instructions 29b
Summary of Part Ill Gains. Complete property columns A through D through line 29b before going to line 30.
30 Total gains for all properties. Add property columns A through D. line 24 30
31 Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 31
32 Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684. line 33. Enter the portion
from other than casualty or theft on Form 4797. line 6 32
I Part IV I Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less
(see instnictions)
(a) Section (b) Section
179 280F(bX2)
33 Section 179 expense deduction or depreciation allowable in prior years 33
34 Recomputed depreciation (see instructions) 34
35 Recapture amount. Subtract line 34 from line 33. See the instructions for where to report 35
510312 le-28.15 Form 4797 (2015)
37
EFTA00026325
Form 6251 Alternative Minimum Tax - Individuals
OMB No. 1545.0074
2015
► Information about Form 6251 and its separate instructions is at www.irs.govIlorm6251.
DoperImam of Its Beasley Mtadssit as
Imp/no/ Nevem. SONIC. (99) $4<pssof No 32
Ile Attach to Form 1040 or Form 1040NR.
Name(s) shown on Form 1040 or Form 1040NR Your social security number
GHISLAINE MAXWELL
Part I I Alternative Minimum Taxable Income
1 If filing Schedule A (Form 1040). enter the amount from Form 1040, line 41, and go to line 2. Otherwise, enter the
amount from Form 1040, line 38, and go to line 7. (If less than zero. enter as a negative amount.) 1 77,771.
2 Medical and dental. If you or your spouse was 65 or older, enter the smaller of Schedule A (Form 1040), line 4.
or 2.5% (.025) of Form 1040. line 38. If zero or less, enter 0- 2
3 Taxes from Schedule A (Form 1040). line 9 3 119,703.
4 Enter the home mortgage interest adjustment, If any, from line 6 of the worksheet In the instructions for this line 4
5 Miscellaneous deductions from Schedule A (Form 1040), line 27 5 40,652.
6 If Form 1040, line 38, is $154.950 or less, enter Otherwise, see Instructions 6 0.
7 Tax refund from Form 1040. line 10 or line 21 7
8 Investment Interest expense (difference between regular tax and AMT) 8
9 Depletion (difference between regular tax and AMT) 9
10 Net operating loss deduction from Form 1040, line 21. Enter as a positive amount 10
11 Alternative tax net operating loss deduction 11
12 Interest from specified private activity bonds exempt from the regular tax 12
13 Qualified small business stock, see instructions apt 13
14 Exercise of incentive stock options (excess of AMT income over regular tax income) 14
15 Estates and trusts (amount from Schedule K1 (Form 1041), box 12, code A) 15
16 Electing large partnerships (amount from Schedule K1 (Form 1065.8). box 6) 16
17 Disposition of property (difference between AMT and regular tax gain or loss) 17
18 Depreciation on assets placed in service after 1986 (difference between regular tax and AMT) 18
19 Passive activities (difference between AMT and regular tax income or loss) SEE STATEMENT 21 19 10.
20 Loss limitations (difference between AMT and regular tax income or loss) 20
21 Circulation costs (difference between regular tax and AMT) 21
22 Longterm contracts (difference between AMT and regular tax income) 22
23 Mining costs (difference between regular tax and AMT) 23
24 Research and experimental costs (difference between regular tax and AMT) 24
25 Income from certain installment sales before January 1. 1987 25
26 Intangible drilling costs preference 26
27 Other adjustments, including income-based related adjustments 27
28 Alternative minimum taxable Income. Combine lines 1 through 27. (If married fling separately and line 28 is
more than $246,250. see instructions.) 28 238,136.
Part it I Alternative Minimum Tax (AMT)
29 Exemption. (If you were under age 24 at the end of 2015. see instructions.)
IF your filing status is... AND line 28 Is not over... THEN enter on line 29...
Single or head of household $119.200 $53.600
Married filing jointly or qualifying wiclow(er) 158.900 83,400
Married filing separately 79.450 41.700 STMT 2 29 23,866.
If line 28 is over the amount shown above for your filing status, see Instructions.
30 &Ban, lino 29 from lino 28.1t mom than zero. go 101139 31. II into off lea. enter .0. nom and on loos 31.33. and 35. and 9010 lino 34 30 214,270.
31 • If you are filing Form 2555 or 2555-EZ. see instructions for the amount to enter.
• If you reported capital gain distributions directly on Form 1040, line 13; you reported qualified dividends
on Form 1040. line 9b: or you had a gain on both lines 15 and 16 of Schedule D (Form 1040) (as refigured
for the AMT, if necessary), complete Part III on page 2 and enter the amount from line 64 here.
31 36,942.
• All others: If line 30 is $185,400 or less ($92,700 or less if maMed filing separately), multiply line 30 by
26% (.26). Otherwise, multiply line 30 by 28% (.28) and subtract $3,708 ($1,854 if married filing
separately) from the result.
32 Alternative minimum tax foreign tax credit (see instructions) 32 8,309.
33 Tentative minimum tax. Subtract line 32 from line 31 33 28,633.
34 Add Form 1040. line 44 (minus any tax from Form 4972). and Form 1040, line 46. Subtract from the result any
foreign tax credit from Form 1040, line 48. If you used Sch J to figure your tax on Form 1040, line 44, refigure
that tax without using Schedule J before completing this line (see instructions) 34 1,028.
35 AMT. Subtract line 34 from line 33. If zero or less. enter -0.. Enter here and on Form 1040, line 45 35 27,605.
Misr
is LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 6251 (2015)
38
EFTA00026326
Form 625 J20 GHISLAINE MAXWELL Page 2
Part III I Tax Computation Using Maximum Capital Gains Rates
Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions.
36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 255.5EZ, enter the amount from
line 3 of the worksheet in the instructions for line 31 36 214,270.
37 Enter the amount from line 6 of the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040, line 44, or the amount from line 13 of the Schedule D Tax Worksheet in the instructions for
Schedule D (Form 1040). whichever applies (as refigured for the AMT, if necessary) (see instructions). If
you are filing Form 2555 or 2555•EZ, see instructions for the amount to enter 37 119,551.
38 Enter the amount from Schedule D Form 1040). line 19 (as refigured for the AMT, if necessary) (see
instructions). If you are filing Form 2555 or 2555•EZ, see instructions for the amount to enter 38
39 If you did not complete a Schedule D Tax Worksheet for the regular tax or the AMT. enter the amount
from line 37. Otherwise, add lines 37 and 38, and enter the smaller of that result or the amount from line
10 of the Schedule D Tax Worksheet (as refigured for the NAT, if necessary). If you are filing Form 2555 or
255.5EZ. see instructions for the amount to enter 39 119,551.
40 Enter the smaller of line 36 or line 39 40 119,551.
41 Subtract line 40 from line 36 41 94,719.
42 If line 41 is $185,400 or less ($92,700 or less if married filing separately), multiply line 41 by 26% (.26). Otherwise
multiply line 41 by 28% (.28) and subtract $3,708 ($1.854 if manled filing separately) from the result ► 42 24,627.
43 Enter:
• $74.900 if manled filing jointly or qualifying widow(er).
• $37.450 if single or married filing separately, or 43 37,450.
• $50200 if head of household.
44 Enter the amount from line 7 of the Qualified Dividends and Capital Gain Tax Worksheet in the Instructions
for Form 1040. line 44, or the amount from line 14 of the Schedule D Tax Worksheet in the instructions for
Schedule D (Form 1040), whichever applies (as figured for the regular tax). If you did not complete either
worksheet for the regular tax, enter the amount from Form 1040. line 43; if zero or less, enter 41. If you
are filing Form 2555 or 255.5EZ, see instructions for the amount to enter 44 O.
46 Subtract line 44 from line 43. If zero or less. enter 4:). 45 37,450.
46 Enter the smaller of line 36 or line 37 46 119,551.
47 Enter the smaller of line 45 or line 46. This amount is taxed at 0% 47 37,450.
48 Subtract line 47 from line 46 48 82,101.
49 Enter:
• $413200 if single
• $232,425 if maMed filing separately 49 413,200.
• $464.850 if manled filing jointly or qualifying widow(er)
• $439.000 if head of household
50 Enter the amount from line 45 50 37,450.
61 Enter the amount from line 7 of the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040. line 44. or the amount from line 19 of the Schedule D Tax Worksheet, whichever applies
(as figured for the regular tax). If you did not complete either worksheet for the regular tax, enter the
amount from Form 1040, line 43; if zero or less, enter If you are filing Form 2555 or Form 2555EZ,
see instructions for the amount to enter 51
52 Add line 50 and line 51 52 37,450.
53 Subtract line 52 from line 49. If zero or less, enter 43- 53 375,750.
54 Enter the smaller of line 48 or line 53 54 82,101.
55 Multiply line 54 by 15% (.15) Pl. 56 12,315.
56 Add lines 47 and 54 56 119,551.
If lines 56 and 36 we the same, skip lines 57 through 61 and go to line 62. Otherwise, go to line 57.
57 Subtract line 56 from line 46 57 0.
58 Multiply line 57 by 20% (.20) ► 58
II line 38 is zero or blank, skip lines 69 through 81 and go to Ilne 82. Otherwise, go to line 69.
59 Add lines 41. 56, and 57 59
60 Subtract line 59 from line 36 60
61 Multiply line 60 by 25% (.25) ► 61
62 Add lines 42. 55. 58, and 61 62 36,942.
63 If line 36 is $185,400 or less ($92,700 or less if married fill* separately), multiply line 36 by 26% (.26).
Otherwise, multiply line 36 by 28% (28) and subtract $3,708 ($1.854 if married filing separately) from the result 63 56,288.
64 Enter the smaller of line 62 or line 63 here and on line 31. If you are filing Form 2555 or 255.5EZ, do not enter
this amount on line 31. Instead, enter it on line 4 of the worksheet in the instructions for line 31 64 36,942.
519591 01-11.16 Form 6251 (2015)
39
EFTA00026327
ALTERNATIVE MINIMUM TAX RECONCILIATION REPORT
Name(s) Social Security Number
GHISLAI NE MAXWELL
Adjustment
Form
Name Dose, peon Income
Form 1
Form 6251. Line 17 Form 6251, Line 18 Form 6251. Une 19 Form 6251. Line 20
Other Adjustment
E- \THE BLACKSTONE GROUP,
LP - PTP
* REGULAR INCOME
AMT ADJUSTMENTS
19.
10.
1 10.
* AMT NET INCOME 9.
** TOTAL ADJ & PREF ** 10.
I
I
5199u
04.01.15
EFTA00026328
ALTERNATIVE MINIMUM TAX
OMB No. 1545-0121
Foreign Tax Credit
Fain 1116 (Individual, Estate, or Trust)
► Attach to Form 1040, 1040NR, 1041, or 990-1.
2015
Docortment of Ms !moon AnACIVIOnl
InNenal Rayon.. Smola BO) In. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116. Sequence No 19
Name Identifying numbers shown al molar yotr lax velum
GHISLAINE MAXWELL
Use a separate Form 1116 for each category of income listed below. See Categories of Income in the instructions. Check only one box on each Form 1116. Report all
amounts in U.S. dollars except where specified in Part II below.
a IM Passive category income e Section 901(j) income e Lump-sum distributions
b Q General category income d0 Certain income re-sourced by treaty
f Resident of (name of country)► UNITED STATES
Note:If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 11. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
Forei n Country or U.S. Possession Total
A B C (Add cols. A, B, and C.)
9 Enter the name of the foreign country or U.S OTHER ITED
possession li. COUNTRIES INGDOM
la Gross income from sources within country shown above
and of the type checked above:
51,257. 22,255. la 73,512.
b Check if line la is compensation for personal services as
an employee, your total compensation from all sources is
$250,000 or more, and you used an alternative basis to
determine its source (see instructions) .. lo. 0
Deductions and losses (Deutiorir gr ikistruchon4:
2 Expenses definitely related to the income on line 1a
(attach statement) 98.
3 Pro rata share of other deductions not definitely related:
a Certain itemized deductions or standard deduction
b Other deductions (attach statement)
c Add tines 3a and 3b
d Gross foreign source income 51,257. 22,255.
e Gross income from all sources 471,259. 471,259.
f Divide tine 3d by line 3e .10877 .04722
g Multiply line 3c by line 3f
4 Pro rata share of interest expense:
a Home mortgage interest (use the Worksheet for
Home Mortgage Interest in the instructions)
b Other interest expense
5 Losses from foreign sources
6 Add tines 2.3g. 4a, 4b, and 5 98. 6 98.
7 Subtract line 6 f om line 1a. Enter the result here and on line 15. page 2 Pa' 7 73,414.
Part II Foreign Taxes Paid or Accrued
Credit is claimed Foreign taxes paid or accrued
for taxes
(you must In foreign currency In U.S. dollars
cheek one) (r) Other (s)Total foreign
(n)Other
g (h) El Paid Taxes withheld at source on: foreign Taxes withheld at source on: foreign taxes paid or
8 (I) taxes paid or taxes paid or accrued (add cols.
U) ragard (k)
Accrued
DOM9 ACK (IJ igy2,44 (m) Interest accrued (o) ON0:tondo WI tgyn244 (q) Wenost accrued (o) through (r))
A 8,307. 8,307.
B
C
8 Add lines A through C, column (s) Enter th total here and on line 9, page 2 Ill'I l3 8,307.
LHA For Paperwork Reduc ion Act Notice, see instructions. Form 1116 (2015)
511501
11.30.15
41
EFTA00026329
ALTERNATIVE MINIMUM TAX
Form1116(2M5) GHISLAINE MAXWELL Page 2
Pbarflifl Figuring the Credit
9 Enter the amount from line 8. These are your total foreign taxes paid or accrued
for the category of income checked above Part I 9 8,307.
10 Carryback or carryover (attach detailed computation) 10
11 Add lines 9 and 10 11 8,307.
12 Reduction in foreign taxes 12
13 Taxes reclassified under high tax kickout 13
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 14 8,307.
15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United Slates (before adjustments) for the category of income checked above Part I 15 73,414.
16 Adjustments to line 15 16
17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income.
(If the result is zero or less, you have no foreign tax credit for the category of income
you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than
one Form 1116, you must complete line 20.) 17 73,414.
18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39.
Estates and trusts: Enter your taxable income without the deduction for your
exemption 18 238,136.
Ca uti on:If you figured your tax using the lower rates on qualified dividends or capital gams, see instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 19 .30829
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46.1f you are a nonresident aRen, enter the amounts from
Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total
of Form 990-T, lines 36 and 37 20 36,942.
Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit) 21 11,389.
22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this
amount on line 28. Otherwise, complete the appropriate line in Part IV OP' 22 8,307.
Part IV I Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income I 23 8,307.
24 Credit for taxes on general category income 24 2.
25 Credit for taxes on certain income re-sourced by treaty 26
26 Credit for taxes on lump-sum distributions 28
27 Add lines 23 through 26 27 8,309.
28 Enter the smaller of line 20 or line 27 28 8,309.
29 Reduction of credit for international boycott operations 29
30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48;
Form 1040NR, line 46; Form 1041, Schedule G. line 2a; or Form 990-1, line 40a 30 8,309.
Form 1116(2015)
511511
M3045
42
EFTA00026330
ALTERNATIVE MINIMUM TAX
OMB No. 1545-0121
Foreign Tax Credit
Form 1116 (Individual, Estate, or Trust)
► Attach to Form 1040, 1040NR, 1041, or 990-1.
2015
Department ol the Raman AnACIVIOnl
InNenal Revenue Service KIR In. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116. Sequence No 19
Name Identifying numbers Shown in pogo I or you lax velum
GHISLAINE MAXWELL
Use a separate Form 1116 for each category of income listed below. See Categories of income in the instructions. Check only one box on each Form 1116. Report all
amounts in U.S. dollars except where specified in Part II below.
a Q Passive category income e Section 901(j) income e Lump-sum distributions
b IM General category income d0 Certain income re-sourced by treaty
f Resident of (name of country)► UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 11. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PaVni i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
Forel n Country or U.S. Possession Total
A B C (Add cols. A, B, and C.)
g Enter the name of the foreign country or U.S OTHER
possession lo COUNTRIES
la Gross income from sources within country shown above
and of the type checked above:
1 9. _ la 19.
b Check if line la is compensation for personal services as
an employee, your total compensation from all sources is
$250,000 or more, and you used an alternative basis to
determine its source (see instructions) la. 0
Deductions and losses (Caudisrir grnstrucnon4:
2 Expenses definitely related to the income on line la
(attach statement)
3 Pro rata share of other deductions not definitely related:
a Certain itemized deductions or standard deduction
b Other deductions (attach statement)
c Add fines 3a and 3b
d Gross foreign source income 19.
e Gross income from all sources 471,259.
r Divide fine 3d by line 3e .00004
g Multiply line 3c by line 3f
4 Pro rata share of interest expense:
a Home mortgage interest (use the Worksheet for
Home Mortgage Interest in the instructions)
b Other interest expense
5 Losses from foreign sources
6 Add lines 2. 3g. 4a, 4b, and 5 6
7 Subtract line 6 f om line Ia. Enter the result here and on line 15. page 2 OP 7 19.
Part II Foreign Taxes Paid or Accrued
Credit is claimed Foreign taxes paid or accrued
for taxes
(you must In foreign currency In U.S. dollars
.g. check one) (n)Other (r) Other (s)Total foreign
g (h) LXJPaid Taxes withheld at source on: foreign Taxes withheld at source on: foreign taxes paid or
o taxes paid or taxes paid or accrued (add cols.
L1 (I) OAcauea
(I) razz% (k) DOMI9ACK (IJ V ynVer:d (m) Interest accrued (o) Dividends tin Ig ynlqad (q) Interest
accrued (o) through (r))
A 2. 2.
B
C
8 Add lines A through C, column (5). Enter th total here and on line 9, page 2 III' I 8 2.
LHA For Paperwork Reduc ion Act Notice, see instructions. Form 1116 (2015)
511501
11.30. IS
43
EFTA00026331
ALTERNATIVE MINIMUM TAX
Form 1116 (2015) GHISLAINE MAXWELL Page 2
rPartilli Figuring the Credit
9 Enter the amount from line 8. These are your total foreign taxes paid or accrued
for the category of income checked above Part I 9 2.
10 Carryback or carryover (attach detailed computation) 10
11 Add lines 9 and 10 11 2.
12 Reduction in foreign taxes 12
13 Taxes reclassified under high tax kickout 13
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 14 2.
15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United Slates (before adjustments) for the category of income checked above Part I 15 19.
16 Adjustments to line 15 16
17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income.
(If the result is zero or less, you have no foreign tax credit for the category of income
you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than
one Form 1116, you must complete line 20.) 17 19.
18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39.
Estates and trusts: Enter your taxable income without the deduction for your
exemption 18 238,136.
Ca uti on:If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 19 .00008
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, enter the amounts from
Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total
of Form 990-T, lines 36 and 37 20 36,942.
Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit) 21 3.
22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this
amount on line 28. Otherwise, complete the appropriate line in Part IV OP' 22 2.
Part IV I Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income I 23
24 Credit for taxes on general category income 24
25 Credit for taxes on certain income re-sourced by treaty 25
26 Credit for taxes on lump-sum distributions 28
27 Add lines 23 through 26 27
28 Enter the smaller of line 20 or line 27 28
29 Reduction of credit for international boycott operations 29
30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48;
Form 1040NR, line 46; Form 1041, Schedule G. line 2a; or Form 990-1, line 40a 30
Form 1116 (2015)
511511
M3045
44
EFTA00026332
CiVH Nn 1545.0101
Form 4952 Investment Interest Expense Deduction
► Information about Form 4952 and Its instructions is at www.its.govilorm4952. 2015
Department of the Treasesy Attach-Tic...it „
Internal Sevres,. Service (99) Pro Attach to your tax return. Sogance No 0 I
Nameis) shown on return Identifying number
GHISLAINE MAXWELL
Part I I Total Investment Interest Expense
1 Investment interest expense paid or accrued in 2015 (see instructions) SEE STATEMENT 23 1 2,002.
2 Disallowed investment interest expense from 2014 Form 4952, line 7. 2
3 Total Investment interest expense. Add lines 1 and 2 3 2,002.
Part II I Net Investment Income
4a Gross income from property held for investment (excluding any net
gain from the disposition of property held for investment) STMT 24 4a 245,760.
b Qualified dividends included on line 4a 4b 119,551.
c Subtract line 4b from line 4a 4c 126,209.
d Net gain from the disposition of property held for investment 4d
e Enter the smaller of line 4d or your net capital gain from the disposition
of property held for investment (see instructions) 4e
f Subtract line 4e from line 4d 41
g Enter the amount from lines 4b and 4e that you ele o Include in Investment income
(see instructions) 49
h Investment income. Add lines 4c. 4f. and 4g 4h 126,209.
5 Investment expenses (see instructions) SEE STATEMENT 25 5 34,528.
6 Net Investment income. Subtract line 5 from line 4h. If zero or less, enter .0. 6 91,681.
Part III I Investment Interest Expense Deduction
7 Disallowed investment interest expense to be carried forward to 2016. Subtract line 6 from line 3.
If zero or less. enter 7 0.
8 Investment Interest expense deduction. Enter the smaller of line 3 or 6. See instructions STMT 26 8 2,002.
LHA For Paperwork Reduction Act Notice, see separate instructions. Form 4952 (2015)
51(801
11.02.15
45
EFTA00026333
ALTERNATIVE MINIMUM TAX
CiVH Nn 1545.0101
Form 4952 Investment Interest Expense Deduction
► Information about Form 4952 and Its instructions is at www.its.govilorm4952. 2015
Department of the Treasesy
(99)
Internal Sevres,. Service
► Attach to your tax return. Attach-Tic...it
Sogance No 0 I
„
Nameis) shown on return Identifying number
GHISLAINE MAXWELL
Part I I Total Investment Interest Expense
1 Investment interest expense paid or accrued in 2015 (see instructions) SEE STATEMENT 27 1 2,002.
2 Disallowed investment interest expense from 2014 Form 4952, line 7. 2
3 Total Investment interest expense. Add lines 1 and 2 3 2,002.
Part II I Net Investment Income
4a Gross income from property held for investment (excluding any net
gain from the disposition of property held for Investment) 4a 245,760.
b Qualified dividends included on line 4a 4b 119,551.
c Subtract line 4b from line 4a 4c 126,209.
d Net gain from the disposition of property held for investment 4d
e Enter the smaller of line 4d or your net capital gain from the disposition
of property held for investment (see instructions)
f Subtract line 4e from line 4d 41
g Enter the amount from lines 4b and 4e that you ele o Include in Investment income
(see instructions) 49
h Investment income. Add lines 4c. 4f. and 4g 4h 126,209.
5 Investment expenses (see instructions) 5 6.
6 Net Investment income. Subtract line 5 from line 4h. If zero or less, enter .0. 6 126,203.
Part III I Investment Interest Expense Deduction
7 Disallowed investment interest expense to be carried forward to 2016. Subtract line 6 from kne 3.
If zero or less. enter 7 0.
8 Investment Interest expense deduction. Enter the smaller of line 3 or 6. See instructions 8 2,002.
LHA For Paperwork Reduction Act Notice, see separate instructions. Form 4952 (2015)
REGULAR FORM 4952, LINE 8 2,002.
LESS RECOMPUTED FORM 4952, LINE 8 2,002.
INTEREST ADJUSTMENT - FORM 6251, LINE 8
51(801
11.02.15
46
EFTA00026334
Net Investment Income Tax - OW No 1545.2227
Form8960 Individuals, Estates, and Trusts 2015
Dopattment 01Ito Treastay O. Attach to your tax return. Attachment
Weenie Revenue Sennett (90) Sentsanhe No. 72
lo Information about Form 8960 and its separate Instructions Is at www.irs.govirom78960.
Name(s) shown on your tax return Your social security number or EIN
GHISLAINE MAXWELL
Part I Investment Income U Section 6013(g) election (see instructions)
Section 6013(h) election (see instructions)
Regulations section 1.1411.10(g) election (see instructions)
1 Taxable interest (see Instructions) 1 63,088.
2 Ordinary dividends (see Instructions) 2 182,240.
3 Annuities (see Instructions) 3
4a Rental real estate, royalties, partnerships, S corporations, trusts,
etc. (see instructions) 4a -3,642.
b Adjustment for net income or loss derived in the ordinary course of
a nonsection 1411 trade or business (see instructions) STATEMENT 28 4b 1,736.
c Combine lines 4a and 4b 4c -1,906.
6a Net gain or loss from disposition of property (see instructions) Se 2,310.
b Net gain or loss from disposition of property that is not subject to
net investment income tax (see instructions) -5,310.
c Adjustment from disposition of partnership interest or S corporation
stock (see instructions) c
5b
d Combine lines 5a through 5c 5d -3,000.
6 Adjustments to investment income for certain CFCs and PFICs (see instructions 6
7 Other modifications to investment income (see instructions) 7
8 Total investment income. Combine lines 1. 2, 3. 4c. 5d. 6. and 7 8 240,422.
Part II Investment Expenses Allocable to Investment Income and Modifications
9a Investment interest expenses (see instructions) 9a 17.
b State, local, and foreign income tax (see instructions) 9b 34,263.
c Miscellaneous investment expenses (see instructions) 9c 34,522.
d Add lines 9a. 9b, and 9c 9d 68,802.
10 Additional modifications (see instructions) 10
11 Total deductions and modifications. Add lines 9d and 10 11 68,802.
Part III Tax Computation
12 Net investment income. Subtract Part II. line 11 from Part I, line 8. Individuals complete lines 13-
17. Estates and trusts complete lines 18a21. If zero or less, enter 12 171,620.
Individuals:
13 Modified adjusted gross income (see Instructions 13 243,496.
14 Threshold based on filing status (see instructions 14 200,000.
15 Subtract line 14 from line 13. If zero or less, enter -O. 15 43,496.
16 Enter the smaller of line 12 or line 15 16 43,496.
17 Net investment income tax for individuals. Multiply line 16 by 3.8% (.038).Enter here and
Include on your tax return (see instructions) 17 1,653.
Estates and Trusts:
18a Net investment income One 12 above) 18a
b Deductions for distributions of net investment income and
deductions under section 642(c) (see instructions) 18b
c Undistributed net investment income. Subtract line 18b from 18a (see
instructions). If zero or less, enter 0. 18c
19a Adjusted gross income (see instructions) 19a
b Highest tax bracket for estates and trusts for the year (see
instructions) 19b
c Subtract line 19b from line 19a. If zero or less, enter .0- 19c
20 Enter the smaller of line 18c or line 19c 20
21 Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (.038).Enter here
and Include on yew tax return (see instructions) 21
LHA For Paperwork Reduction Act Notice, see your tax return Instructions. Form 8960 (2015)
523121
12.10.15
47
EFTA00026335
Keep for Your Records
Lin 5a-5d - Net Gains Losses r
(A) (B) Total of columns (A) • (El)
Capital gains/posses) Ordinary gains/Oct.-sea)
Form 1040, Line 13, or Form 1040, Line 14, or
Form 1041. Line 4 Form 1041. Line 7
Enter MN amount on Ina Ss
1. Beginning Net Gains and Losses -3,000. 5,310. 2,310.
2. Gains and Losses excluded from Net Investment Income, use current year amounts for lines 2a-2g and 21.
(a) Enter net gains from the disposition of property used in a
nonsection 1411 trade or business (enter as negative
amounts):
Name of Trade or Business Amount
SEE STATEMENT 29 ( ) ( ) ( 5,310 . )
( )
(b) Enter net losses from the disposition of property used in a
nonsection 1411 trade or business (enter as positive
amounts):
Name of Trade or Business Amount
(c) Enter net losses from a former passive activity (FPA) allowed
by reason of section 469(O(1)(k)
(d) Gains recognized in the current year for payments received
on an installment sale obligation or private annuity for the
disposition of property used in a nonsection 1411 trade or
business 4
.
(e) Enter the net gain attributable to the net unrealized
appreciation (NUA) in employer securities
(I) In the case of a OEF (other than a OEF held in a section 1411
trade or business) with respect to which a section
1.1411.10(g) election is not in effect, enter the amount
treated as longterm capital gain for regular income tax
purposes under section 1293(aX10) ( i
(g) Enter any other gains and losses included ki net investment
income that are not otherwise reported on Form 8960 and
any other gains and losses excluded from net investment
income reported on line 5a (enter excluded gains as a
negative number and excluded losses as a positive number)
(h) Enter the amount reported on line 20) of this worksheet from
your prior tax year retum calculations. Enter as a positive no.
(I) If you do not have a capital loss carryover to next year, then
skip this line and go to line 20. Otherwise. enter the lesser of
(i)(1) or 0(2) as a negative number ( 0.
(I)(1) If the sum of the amounts reported on lines 2(a).2(h)
and line 3(d), column (A), is greater than zero, enter that
amount here. Otherwise, enter 0 on line 2(i) and go to
line 20)
OR
(iX2) The amount of capital loss carried over to next
year (Schedule D (Form 1040), line 16, less the amount
allowed as a current deduction on Schedule D (Form 1040).
iine 21) entered as a positive number , 6,295,291.
Emet this amount on Ins 5o
(j) Sum of lines 2(a)-2(I) -5,310. -5,310.
Emet this amount on Ins 5c
3. Adjustment for Gains and Losses attributable to the
disposition of interests in partnerships and S corporations ,
Emet this amount on We 54
Add fines 1, 26) and 3 -3,000. 0. -3,000.
47.1
EFTA00026336
Line 7 - Deduction Recoveries Worksheet Keep for Your Records
NEW YORK
1. Enter total amount of recovery included in gross income 1. 0.
• Do not include recoveries of items that are included in net Investment
income in the year of recovery (included on lines 1.6).
• Do not include recoveries of items if the amount relates to a deduction
taken in a tax year beginning before 2013.
• Do not include recoveries of items if the amount relates to a deduction
taken in a tax year beginning after 2012, and you were not subject to the
NIIT solely because your MAGI was below the applicable threshold.
This rub does not apply if you incurred a net operating loss (NOL) in such
CAUTION
year, and a portion of such NOL constitutes a section 1411 NOL.
2. Amount of the recovery that would have been included in gross income but
for the application of the tax benefit rule under section 111 2. 17,622.
3. Total amount of recovery (add lines 1 and 2) 3. 17,622.
4. Enter the percentage of the deduction allocated to net investment income
in the prior year. (If the deduction was not allocated between investment
income and non investmeM income, enter 100%.) 4.1.000000000
5. Enter the lesser of (a) line 3 muftiplied by line 4, or (b) the total amount deducted on the prior
year Form 8960 attributable to item recovered (after any deduction limitations imposed by
section 67 or 68) s. 17,622.
Calculation of recoveries when the deduction is not taken into account in computing your section 1411 NOL
6. Muftiply hne 5 by .038 . 6. 670.
7. Enter the amount of net investment income In the year of the deduction
(previous years Form 8960. line 12. unless line 12 is zero. then previous
year's Form 8960. line 8 minus line 11) 7. 152,575.
8. Add the amount of line 5 to line 7 8. 170,197.
9. Using the previous year's Form 8960. recalculate the NIIT for the year of
the deduction by replacing the amount reported on line 12 with the amount
reported on line 8 of this worksheet (do not use the net investment income
reported on that year's Form 8960. line 12). Enter your recalculated NIIT
here 9. 1,273.
10. Enter the NIIT reported for the year of the dedu 10. 1,273.
11. Subtract line 10 from line 9 11. 0.
12. Enter the smaller of line 6 or roe11 12. 0.
13. Divide line 12 by 3.8% (line 12 + .038). Enter the result here and include on
Form 8960 line 7 13. 0.
Calculation of recoveries when the deduction is taken Into account in computing your section 1411 NOL
14. Enter the amount of the section 1411 NOL in the year of the deduction
(entered as a positive number) 14.
15. Enter the amount of the section 1411 NOL in the year of the deduction
recomputed without the amount on line 5 (entered as a positive number,
but not less than zero) 15.
16. Subtract line 15 from line 14. Enter the result here and include on Form 8960. line 7 16.
523241
01.18.16
47.2
EFTA00026337
Lines 9 and 10 - Application of Itemized Deduction Limitations on
Deductions Properly Allocable to Investment Income Worksheet Keep for Your Records
Part I - Application of Section 67 to Deductions Properly Allocable to Investment Income
1. Enter the amount of Miscellaneous Itemized Deductions properly
allocable to investment income before any itemized deduction limitations
(Description and Form 8960 line number where they will be reported):
Description Line Amount
(a) SEE STATEMENT 30
(b)
2. Enter the total of all items listed in line 1 2. 34,522.
3. Enter the amount of all Miscellaneous Itemized Deductions after the
application of the section 67 limitation (Schedule A (Form 1040),
Me 27) 3. 40,652.
4. Enter the lesser of the total reported on line 2 or line 3 4. 34,522.
Part II - Application of Section 67 Limitation to Specific Deductions
rail
(B)
IF line 3 is less than
line 2. THEN divide
-- line 3 by line 2 AND
—_
enter the amount in
column (B).
(C)
IF amounts reported Multiply the
on Part I. lines 2 and individual amounts
4 are equal, THEN in column (A) by the
(A) enter 1.00 in column amount in column
Reenter the amounts and descriptions from Part I, Ine 1. (B). (6).
Description Line Amount
(a) SEE STATEMENT 31 x =
(b) X =
Individuals - Use the amounts in column (C) on Part Ill, line 1, to determine the amount of these deductions that are
TIP allowable after the appAcatIon of the section 68 limitation.
Estates or trusts - Enter the amounts in column (C) in the appropriate location on lines 9 and 10. Do not complete Parts
Ill or IV of this worksheet.
523251
01.MM
47.3
EFTA00026338
Lines 9 and 10 - Application of Itemized Deduction Limitations on
Deductions Properly Allocable to Investment Income Worksheet -
continued Keep for Your Reccros
Part Ill - Application of Section 68 to deductions property allocable to investment income (Individuals Only)
1. Enter the amount of Miscellaneous Itemized Deductions properly allocable to
investment income from column (C) of Part II:
Description, Line Amount
(a) SEE STATEMENT 32
(b)
2. Enter the amount of state, local, and foreign income taxes that are properly
allocable to investment income 2. 34,263.
3. Enter the amounts of other Itemized Deductions subject to the section 68 limitation
and properly allocable to investment income before any itemized deduction
limitations (Description and Form 8960 line number where they will be reported):
Description Line Amount
(a)
(b)
4. Enter the total deductions properly allocable to investment income subject to the section 68 limitation. Enter
the sum of lines 1 through 3 4. 68,785.
5. Enter the amount of total itemized deductions reported on Form 1040,
line 40 165,725.
6. Enter all other itemized deductions allowed but not subject to the section
deduction limitation:
(a) Investment Interest Expense
(b) Casualty Losses (other than losses described in
section 165(cX1))
(c) Medical Expenses
(d) Gambling Losses
(e) Total of lines 6(a) through 6(d) et 17.
7. Subtract line 6e from Me 5 7. 165,708.
& Enter the lesser of line 7 or line 4 8. 68,785.
This is the amount of itemized deductions that are properly allocable to investment income after the application of the sections 67
TIP and 68 deduction limitations. Use Part IV of this worksheet to reconcile this amount to the individual deduction amounts reported
on Form 8960, lines 9 and JO.
Part IV - Reconciliation of Schedule A Deductions to Form 8960, lines 9 and 10 (Individuals Only)
(B)
IF Part III, line 8 is less
than Part III. line 4,
THEN divide line 8 by (C)
line 4 AND enter the Multiply the individual
amount in column (B). amounts in column
IF the amounts (A) by the amount in
reported on Part III. column (B). Enter
lines 4 and 8 are these amounts in the
(A) equal. THEN enter appropriate location
Reenter the amounts and descriptions from Part III, lines 1 •3. 1.00 in column (81. on lines 9 and 10.
Miscellaneous Itemized Deductions properly allocable to
Investment Income:
Description Line Amount
1. (a) SEE STATEMENT 33 X
(b) X
2. State, local, and foreign income taxes 34,263. x 1.0000 = 34,263.
Itemized Deductions Subject to Section 68 included on Line
3 of Part III:
3. (a) X
(b) X
5232520M8-16
47.4
EFTA00026339
Net Investment Income Tax -
For, 8960 Individuals, Estates, and Trusts 2015
NEW YORK
Name(s) Your s cial securi number or EIN
GHISLAINE MAXWELL
Part I Investment Income U Section 6013(g) election
Regulations section 1.1411.10(g) election
1 Taxable interest (Form 1040, line 8a; or Form 1041, line 1) 1 72,195.
2 Ordinary dividends (Form 1040. line 9a; or Form 1041, line 2a) 2 182,240.
3 Annuities from nongualified plans 3
4a Rental real estate, royalties, partnerships, S corporations, trusts,
etc. (Form 1040, line 17; or Form 1041, line 5) 4a -3,642.
b Adjustment for net income or loss derived in the ordinary course of
a ncrisection 1411 trade or business 4b 1,736.
e Combine lines 4a and 4b 4c -1,906.
5a Net gain or loss from disposition of property from Form 1040,
combine lines 13 and 14; or from Form 1041, combine lines 4 and 7 5a 2,310.
b Net gain or loss from disposition of property that is not subject to
net investment income tax sb -5,310.
• Adjustment from disposition of partnership interest or S corporation
stock a keel
d Combine Ines 5a through 5c 5d -3,000.
6 Changes in investment income for certain CFCs and PFICs 6
7 Other modifications to investment income 7
8 Total investment income. Combine lines 1. 2. 3. 4c. 5d. 6. and 7 8 249,529.
Part II State Income Tax Pro-ration for 2015 Income Tax P
9 State total income 9 252,694.
10 State income tax payments for 2015 10 24,571.
11 2015 state income tax payments attributable to investment income. line 8 divided by line 9 times line 10 11 24,263.
Part III State Income Tax Pro-ration for 2014 Estimate Pa ments Made in 2015
12 State estimate payments for 2014 12
13 Percent of state income taxes attributable to investment income for 2014 13
14 2014 state estimate payments attributable to investment income. Line 12 times line 13 14
Part IV State Income Tax Pro-ration for Balance of Prior Years Tax Plus Extension Pa yments Paid in 2015
15 Balance of prior years tax plus extension payments paid in 2015 15 10,000.
16 Percent of state income taxes attributable to investment income for 2014 16 1.000000
17 10,000.
Balance of prior years tax and extension payments attributable to investment income. Line 15 times line 16
17
Part V Reduction of State Tax Deduction
18 Reduction of state tax deduction 18
19 Percent of state income taxes attributable to investment income for 2014 19
20 Reduction of state tax deduction attributable to investment income. Line 18 times line 19 20
Part VI Total State Income Tax Payments Attributable to Investment Income
21 Combine lines 11. 14. 17 and 20. Carry to Form 8960. Line 9 Worksheet. Part Ill, line 2 21 34,263.
Form 8960 (2015)
523161
07.24.15
47.5
EFTA00026340
OMB No. 1545- ID75
Credit for Prior Year Minimum Tax -
,..8801
Departmenl 01 the Treasesy
Individuals, Estates, and Trusts
► Information about Form 8801 and its separate instructions is at www.irs.govilom78801.
2015
Aztatiimani
Internal Revenue Service Cag) SaCIUAft44 NO 74
90 Attach to Form 1040, 1040NR, or 1041.
Name(s) shown on return Identifying number
GHISLAINE MAXWELL
Part I I Net Minimum Tax on Exclusion Items
1 Combine lines 1, 6. and 10 of your 2014 Form 6251. Estates and trusts, see instructions 1 58,041.
2 Enter adjustments and preferences treated as exclusion items (see instructions) 2 175,468.
3 Minimum tax credit net operating loss deduction (see instructions) 3
4 Combine lines 1, 2. and 3. If zero or less, enter 4} here and on line 15 and go to Part II. If more
than $242,450 and you were married filing separately for 2014. see instructions 4 233,509.
6 Enter: $82,100 if married filing jointly or qualifying widow(er) for 2014; $52,800 if single or head of household for
2014; or $41,050 if married filing separately for 2014. Estates and trusts, enter $23,500 5 52,800.
6 Enter: $156,500 if married filing jointly or qualifying widow(er) for 2014; 5117.300 If single or head of household
for 2014; or $78,250 if married filing separately for 2014. Estates and trusts, enter $78,250 6 117,300.
7 Subtract line 6 from line 4. If zero or less, enter •l} here and on line 8 and go to line 9 7 116,209.
8 Multiply line 7 by 25% (025) 8 29,052.
9 Subtract fine 8 from line 5. If zero or less, enter If under age 24 at the end of 2014. see Instructions 9 23,748.
10 Subtract line 9 from line 4. If zero or less, enter 4> here and on line 15 and go to Part II. Form
1040NR filers, see instructions 10 209,761.
11 • If for 2014 you filed Form 2555 or 2555.EZ. see instructions for the amount to enter.
• If for 2014 you reported capital gain distributions directly on Form 1040, line 13; you reported qualified
dividends on Form 1040, line 9b (Form 1041. line 2b(2)): or you had a gain on both lines 15 and 16 of
Schedule D (Form 1040) (lines 18a and 19, column (2). of Schedule D (Form 1041)). complete Part III of
11 35,456.
Form 8801 and enter the amount from line 55 here. Form 1040NR filers, see instructions.
• All others: If line 10 is $182.500 or less ($91,250 or less if married filing separately for 2014). multiply line 10
by 26% (026). Otherwise, multiply line 10 by 28% (0.28) and subtract $3.650 ($1.825 if married filing separately
for 2014) from the result. Form 1040NR filers, see instructions.
12 Minimum tax foreign tax credit on exclusion items (see instructions) 12 1,120.
13 Tentative minimum tax on exclusion items. Subtract line 12 from line 11 13 34,336.
14 Enter the amount from your 2014 Form 6251, line 34. or 2014 Form 1041. Schedule I. line 55 14 1,459.
15 Net minimum tax on exclusion items. Subtract line 14 from line 13. If zero or less, enter 6- 15 32,877.
LHA For Paperwork Reduction Act Notice, see Instructions. Form 8801 (2015)
519851
09.02.'5
48
EFTA00026341
Form 8801 (2015) GHISLAINE MAXWELL -Pace 2
I Part III Minimum Tax Credit and Carryforward to 2016
16 Enter the amount from your 2014 Form 6251. line 35. or 2014 Form 1041. Schedule I, line 56 16 32,878.
17 Enter the amount from line 15 17 32,877.
18 Subtract line 17 from line 16. If less than zero, enter as a negative amount 18 1 .
19 2014 credit carryforward. Enter the amount from your 2014 Form 8801, line 26 19
20 Enter your 2014 unallowed qualified electric vehicle credit (see instructions) 20
21 Combine lines 18 through 20. If zero or less. stop here and see the instructions 21 1 .
22 Enter your 2015 regular income tax liability minus allowable credits (see instructions) 22 1,028.
23 Enter the amount from your 2015 Fonn 6251. line 33. or 2015 Form 1041. Schedule I. line 54 23 28,633.
24 Subtract line 23 from line 22. If zero or less. enter 0. . 24 0.
25 Minimum tax credit. Enter the smaller of line 21 or line 24. Aso enter this amount on your 2015
Form 1040. line 54 (check box b); Form 1040Na line 51 (check box b): or Form 1041, Schedule G.
line 2c 25 0.
26 Credit carryforward to 2016. Subtract line 25 from line 21. Keep a record of this amount because
you may use it in future years 26 1 .
Form 8801 (2015)
519882
09.02.15
49
EFTA00026342
Form 8801 15) GHISLAINE MAXWELL -Pace 3
Part III Tax Computation Using Maximum Capital Gains Rates
Complete Part III only if you are required to do so by line 11 or by the Foreign Earned Income Tax Worksheet in the instructions.
Caution: If you didn't complete the 2014 Qualified Dividends and Capital Gain Tax Worksheet,
the 2014 Schedule D Tax Worksheet, or Part V of the 2014 Schedule D (Form 1041), see the
instructions before completing this part. '
27 Enter the amount from Form 8801, line 10. If you filed Form 2555 or 2555•EZ for 2014, enter the
amount from line 3 of the Foreign Earned Income Tax Worksheet in the Instructions 27 209,761.
Caution: If for 2014 you filed Form 1040NR, 1041, 2555, or 2555EZ, see the instructions before
completing lines 28, 29, and 30.
28 Enter the amount from line 6 of your 2014 Qualified Dividends and Capital Gain Tax Worksheet,
the amount from line 13 of your 2014 Schedule D Tax Worksheet, or the amount from line 26 of
the 2014 Schedule D (Form 1041), whichever applies' 28 123,149.
If you figured your 2014 tax using the 2014 Qualified Dividends and Capital Gain Tax
Worksheet, skip line 29 and enter the amount from line 28 on line 30. Otherwise, go to line
29.
29 Enter the amount from line 19 of your 2014 Schedule D (Form 1040), or line 18b. column (2), of the
2014 Schedule D (Form 1041) 29
30 Add lines 28 and 29, and enter the smaller of that result or the amount from line 10 of your 2014
Schedule D Tax Worksheet 30 123,149.
31 Enter the smaller of line 27 or line 30 31 123,149.
32 Subtract line 31 from line 27 32 86,612.
33 If line 32 is $182,500 or less ($91,250 or less if married filing separately for 2014), multiply line 32
by 26% (0.26). Otherwise, multiply line 32 by 28% (0.28) and subtract $3,650 ($1,825 if married fliir4
separately for 2014) from the result. Form 1040NR filers, see instructions i lob 33 22,519.
34 Enter
• $73,800 if married filing Jo:My or qualifying widow(er) for 2014,
• $36,900 if single or married filing separately for 2014,
• $49,400 if head of household for 2014. or > 34 36,900.
• $2,500 for an estate or trust.
Form 1040NR filers, see instructions.
36 Enter the amount from line 7 of your 2014 Qualified Dividends and Capital Gain Tax Worksheet, the
amount from lite 14 of your 2014 Schedule D Tax Worksheet, or the amount from line 27 of the 2014
Schedule D (Form 1041), whichever applies. If you didn t complete either worksheet or Part V of the
2014 Schedule D (Form 1041). enter the amount from your 2014 Form 1040, line 43. or 2014 Form
1041, line 22, whichever applies: if zero or less, enter -0. F011111040NR filers, see instructions 35
36 Subtract line 35 from line 34. If zero or less. enter 0- 38
37 Enter the smaller of line 27 or line 28 37 123,149.
38 Enter the smaller of line 36 or line 37 cl i n k 38 36,900.
39 Subtract line 38 from line 37 39 86,249.
40 Enter
• $406,750 if single for 2014,
• $228,800 if married filing separately for 2014,
• $457,600 if married filing jointly or qualifying widow(er) for 2014, 40 406,750.
• $432200 if head of household for 2014, or
• $12,150 for an estate or trust.
Form 1040NR filers. see instructions.
41 Enter the amount from line 36 41 36,900.
42 Form 1040 filers, enter the amount from line 7 of your 2014 Qualified Dividends and Capital Gain Tax
Worksheet or the amount from line 19 of your 2014 Schedule D Tax Worksheet, whichever applies. If you
didn't complete either worksheet, see instructions. Form 1041 filers, enter the amount from line 27 of your
2014 Schedule D (Form 1041) or line 18 of your 2014 Schedule D Tax Worksheet, whichever apples. If
you didn't complete either the worksheet or Part V of the 2014 Schedule D (Form 1041), enter the amount
from your 2014 Form 1041, line 22; if zero or less, enter 0.. Form 1040NR filers, see instructions 42
^ The 2014 Qualified Dividends and Capital Gain Tax Worksheet is in the 2014 Instructions for Form 1040. The 2014 Schedule D Tax Worksheet is in the 2014 Instructions
for Schedule D (Form 1040) (or the 2014 Instructions for Schedule D (Form 1041)).
Form 8801 (2015)
519883
09.02.15
50
EFTA00026343
Form 8801 2015) GHISLAINE MAXWELL -Pace 4
Part III Tax Computation Using Maximum Capital Gains Rates (continual)
43 Add lines 41 and 42 43 36,900.
44 Subtract line 43 from line 40. If zero or less, enter .0. 44 369,850.
45 Enter the smaller of line 39 or line 44 45 86,249.
46 Multiply line 45 by 15% (0.15) 46 12,937.
47 Add lines 38 and 45 47 123,149.
If lines 47 and 27 are the same, skip lines 48 through 62 and go to Une 63. Otherwise, go to
line 48.
48 Subtract line 47 from line 37 48 0.
49 Multiply line 48 by 20% (0.20) 49
If line 291s zero or blank, skip lines 60 through 62 and go to line 63. Otherwise, go to line 60.
50 Add lines 32, 47 and 48 50
51 Subtract line 50 from line 27 51
52 Multiply line 51 by 25% (0.25) 52
53 Add lines 33, 46, 49, and 52 53 35,456.
54 If line 27 is $182.500 or less ($91,250 or less if married filing separately for 2014), multiply line 27
by 26% (0.26). O0lerwise, multiply line 27 by 28% (0.28) and subtract $3,650 ($1,825 if married filing
separately for 2014) from the result. Form 1040NR filers, see instructions 54 55,083.
56 Enter the smaller of line 53 or line 54 here and on line 11. If you filed Form 2555 or 2555EZ for
2014, don't enter this amount on line 11. Instead, enter it on line 4 of the Foreign Earned Income
Tax Worksheet in the instructions for line 11 55 35,456.
Form 8801 (2015)
519854
09-02.15
51
EFTA00026344
OMB No. 1545-0121
FORM 8801 Foreign Tax Credit
Form 1116 (Individual, Estate, or Trust)
P. Attach to Form 1040, 1040NR, 1041, or 990-1.
2014
Department of tiw (moon AttelC5O111111
inmenal Revenue Swim KO) lb. Information about Form 1116 and its separate instructions Is at www.irs.gov/form1116. SMoloo0o No 19
Name Identifying number x. shown co pogo I of you' IDX MUM
GHISLAINE MAXWELL
Use a separate Form 1116 for each category of income listed below. See Categories of Income in the instructions. Check only one box on each Form 1116. Report all
amounts in U.S. dollars except where specified in Part II below.
a IM Passive category income Section 901(j) income e EJ Lump-sum distributions
b Q General category income d0 Certain income re-sourced by treaty
f Resident of (name of country)► UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 71. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
Forei n Country or U.S. Possession Total
A B C (Add cols. A, B, and C.)
9 Enter the name of the foreign country or U.S OTHER ITED
possession Ilk. COUNTRIES INGDOM
la Gross income from sources within country shown above
and of the type checked above:
106,055. 22,127. la 128,182.
b Check if line la is compensation for personal services as
an employee, your total compensation from all sources is
$250,000 or more, and you used an alternative basis to
determine its source (see instructions) .. pi. 0
Deductions and losses (Caut/ori: rristrucnon4:
2 Expenses definitely related to the income on line la
(attach statement) 11.
3 Pro rata share of other deductions not definitely related:
a Certain itemized deductions or standard deduction
b Other deductions (attach statement)
c Add lines 3a and 3b
d Gross foreign source income 1677055. 22,127.
e Gross income from all sources 369,869. 369,869.
r Divide fine 3d by line 3e .286737 .059824
g Multiply line 3c by line 3f
4 Pro rata share of interest expense:
a Home mortgage interest (use the Worksheet for
Home Mortgage Interest in the instructions)
b Other interest expense
5 Losses from foreign sources
6 Add lines 2. 3g. 4a, 4b, and 5 11. 6 11.
7 Subtract line 6 f om line la. Enter the result here and on line 15. page 2 NI, 7 128,171.
Part II Foreign Taxes Paid or Accrued
Credit is claimed Foreign taxes paid or accrued
for taxes
(you must In foreign currency In U.S. dollars
check one) (r) Other (s)Total foreign
(n)Other
g (h) Paid Taxes withheld at source on: foreign Taxes withheld at source on: foreign taxes paid or
taxes paid or
8 (I) Accrual taxes paid or
accrued
accrued (add cols.
w m e% (k) 0151d9Ath (I) Itjit .i4d (m) imagist accrued (o) Divkionds IPI132244 (q) Instil (o) through (r))
A
B
C
8 Add lines A through C, column (s). Enter the total here and on line 9, page 2 Ill'Ill
For Paperwork Redo ion Act Notice, see instructions. Form 1116 (2014)
511491
04.01.15
52
EFTA00026345
FORM 8801
Form 1116 (2014) GHISLAINE MAXWELL Page 2
Part III i Figuring the Credit
9 Enter the amount from line 8. These are your total foreign taxes paid or accrued
for the category of income checked above Part I 9 1,120.
10 Carryback or carryover (attach detailed computation) 10
11 Add lines 9 and 10 11 1,120.
12 Reduction in foreign taxes 12
13 Taxes reclassified under high tax kickout 13
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 14 1,120.
15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United Slates (before adjustments) for the category of income checked above Part I 15 128,171.
16 Adjustments to line 15 16
17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income.
(If the result is zero or less, you have no foreign tax avid for the category of income
you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than
one Form 1116, you must complete line 20.) 17 128,171.
18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39. Et'
Estates and trusts: Enter your taxable income without the deduction for your
exemption 18 233,509.
Caution:If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 19 .548891
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, enter the amounts from
Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total
of Form 990-T, lines 36 and 37 20 35,456.
Caution: if you are completing line 20 for separate category° (lump-sum distributions), see Instructions.
21 Multiply line 20 by line 19 (maximum amount of credit) 21 19,461.
22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this
amount on line 28. Otherwise, complete the appropriate line in Part IV OP' 22 1,120.
Part IV I Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income i 23
24 Credit for taxes on general category income 24
25 Credit for taxes on certain income re-sourced by treaty 25
26 Credit for taxes on lump-sum distributions 28
27 Add lines 23 through 26 27
28 Enter the smaller of line 20 or line 27 28 1,120.
29 Reduction of credit for international boycott operations 29
30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48;
Form 1040NR. line 46; Form 1041. Schedule G. line 2a; or Form 990-1, line 40a 30 1,120.
Form 1116 (2014)
511491
12.22.15
53
EFTA00026346
Form Minimum Tax Foreign Tax Credit
1116AMT - 8801 on Exclusion Items
2014 Schedule D Tax Worksheet Recalculated
Name
GHISLAINE MAXWELL
1. Enter your taxable income from Form 8801. line 10 t 209,761.
2. Enke yea qualdled dividendstom Rem 1040. line 9b 2. N/A
3. Enter the amount from
Form 4952. line 4g 3. N/A
4. Enter the amount from
Form 4952, line 4e' 4. N/A
5. Subtract line 4 from line 3. If zero or less, enter -0- 5. WA
6. Subtract line 5 from line 2. If zero or less, enter -0- 6. N/A
7. Enter the smaller of line 15 or line 16 of Sch. D 7. WA
8. Enter the smaller of line 3 or line 4 8. WA
9. Subtract line 8 from line 7. If zero or less, enter -0• 9. N/A
10. Add lines 6 and 9 10. 123,149.
11. Add lines 18 and 19 of Schedule D 11.
12. Enter the smaller of line 9 or line 11 12.
13. Subtract line 12 from line 10 13. 123,149.
14. Subtract line 13 from line 1. If zero or less, enter .0. 14. 86,612.
15. Enter:
• $36,900 if single or married filing separately:
$73,800 if married filing jointly or qualifying widow(er); or 15, 1186,900.
$49,400 if head of household
16. Enter the smaller of line 1 or line 15 16. 36,900.
17. Enter the smaller of line 14 or line 16 17. 36,900.
18. Subtract Ono 10 from Si. I. If zoo a No& enter .0. 18. 86,612.
19. Enter the larger of line 17 or line 18 P. 19. 86,612.
20. Subtract line 17 from line 16. This amount is taxed at 0% 20.
If lines 1and 16 are the same, skip lines 21 through 41 and go to line 42. Otherwise, go to line 21.
21. Enter the smaller of line 1 or line 13 21. 123,149.
22. Enter the amount from line 20 (if line 20 is blank. enter CO . 22. O.
23. Subtract line 22 from line 21. If zero or less. enter 0. pr. 33. 123,149.
24. Enter.
• $406,750 if single;
• $228,800 if married filing separates.;
• $457,600 if married filing jointly or "ng widow(er); or 24. 406,750.
• $432,200 if head of household
25. Enter the smaller of line 1 or line 24 25. 209,761.
26. Add lines 19 and 20 26. 86,612.
27. Subtract line 26 from line 25, if zero or less, enter -0- 27. 123,149.
28. Enter the smaller of line 23 or line 27 pr. 28. 123,149.
29. Multiply line 28 by 15%(.15) 29. N/A
30. Add lines 22 and 28 30. 123,149.
If lines 1and 30 are the same, skip lines 31 through 41 and go to line 42. Otherwise, go to line 31.
31. Subtract line 30 from line 21 ► 31.
32. Multiply line 31 by 20% (.20) 32. N/A
If Schedule D, line 19, is zero or blank, skip lines 33 through 38 and go to line 39. Otherwise, go to line 33.
33. Enter the smaller of line 9 above or Schedule D. line 19 33.
34, Add lines 10 and 19 34.
35, Enter the amount from line 1 above 35.
36. Subtract line 35 from line 34. If zero or less enter .0- 36.
37. Subtract line 36 from line 33. If zero or less. enter 43. I. 37.
38. Multiply line 37 by 25% (.25) N/A
If Schedule D, line 18, is zero or blank, skip lines 39 through 41 and go to line 42. Otherwise, go to line 39.
511525 ID-26.15
54
EFTA00026347
Minimum Tax Foreign Tax Credit on Exclusion Items 2014 Schedule D Tax Worksheet Recalculated - Continued
39. Add lines 19, 20, 28, 31. and 37 39.
40. Subtract line 39 from line 1 40.
41. Multiply line 40 by 28% (.28) 41.
42. Figure the tax on the amount on line 19. If the amount on line 19 Is less than $100.000. use the Tax Table to figure
the tax. If the amount on line 19 is $100,000 or more, use the Tax Computation Worksheet 42.
43. Add lines 29, 32, 38, 41. and 42 43.
44. Figure the tax on the amount on line 1. If the amount on line 1 Is less than $100,000. use the Tax Table to figure the
tax. If the amount on line 1 is $100.000 or more. use the Tax Computation Worksheet 44.
45. Tax on all taxable Income (Including capital gains and qualified dividends). Enter the smaller of tine 43 or
line 44 45.
GJ
511526
04.01- 15
55
EFTA00026348
6781 Gains Contracts
and Lossesand
From Section 1256
Straddles
OMR No. ISAS-06.44
Form
Deparnnent o+un Tialikr!
Internal Revenue Rance
► Information about Form 6781 and its instructions is at wwwits.gov/form6781.
2015
AttaCher5411
Soaance NO 82
► Attach to vour tax return.
Ramis/ Shown on tax ream Identifying nurraar
GHISLAINE MAXWELL
Chock all applicable boxes A I Mixed straddle election C LJ Mixed straddle account election
(see instructions). 13 Straddletystraddle identification election D Q Net section 1256 contracts loss election
I Part I I Section 1256 Contracts Marked to Market
(a) Identification of account (b) (Loss) (e) Gain
FROM K-1 - ALPHAKEYS MILLENNIUM
FUND, L.L.C. 25.
2 Add the amounts on line 1 in columns (b) and (c) 2 25.
3 Net gain or (loss). Combine line 2, columns (b) and (c) 3 25.
4 Form 1099.8 adjustments. See instructions and attach statement 4
5 Combine lines 3 and 4 5 25.
Note: If line 5 shows a net gain, skip line 6 and enter the gain on line 7. Partnerships and S corporations, see
instructions.
6 If you have a net section 1256 contracts loss and checked box D above, enter the amount of loss to be
carried back. Enter the loss as a positive number. If you did not check box D. enter 0- 6
7 Combine lines 5 and 6 7 25.
8 Short•term capital gain or (loss). Multiply line 7 by 40% (.40). Enter here and include on line 4 of Schedule D
or on Form 8949 (see instructions) 8 10.
9 Longterm capital gain or (loss). Multiply line 7 by 60% (.60). Enter here and include on line 11 of Schedule
D or on Form 8949 (see instructions) . . 9 15.
Part II I Gains and Losses From Straddles. Attach a separate statement listing each straddle and its components.
Section A - Losses From Straddles
PR Ima
entered into a (I) Loss gn Recognized Inds.
a:4~ aleost a If ONtenn(a)ls II column (I)
(p)Unecognited
0)pm/intim al properly PROMS. cwicr basis more inn(dl. enter gain en ottaaring Is mare than Rd.
data: let or ashes pace plus a rasnia daterence. posnions enter ditterencie.
Sold
o' sal° Otherwise. Othrewt9e. iota 4.
Mo. Day Yr enter 4.
10
11a Enter the short•term portion of losses from line 10, column (h), here and include on line 4 of Schedule D or on
Form 8949 (see instructions 11a )
b Enter the long•term portion of losses from line 10, column (h), here and include on line 11 of Schedule D or on
Form 8949 (see instructions 11b )
ctton 6 - Gains From Straddles
b1Date enterer. d) Gan. If corneal (di
nto or accuad
(0) Cost or other teals is more than (a),
la)Deemption of apacety 1cl Date closed 00 Grad sdaS Oar
plus expense of Sale enter difference.
Out a 9011
Othrewt9e. iota -0.
Mo Day Yr.
12
13 a Enter the short•term portion of gains from line 12, column (0, here and include on line 4 of Schedule D or on
Form 8949 (see instructions) 13a
b Enter the long•temi portion of gains from line 12, column (0, here and include on line 11 of Schedule D or on
Form 8949 (see instructions) 13b
Part III Unrecognized Gains From Positions Held on Last Day of Tax Year. Memo E try Only (see instructions)
;0) DMA Au, mad (C) Far mania. value c) Ilwarepaird pan t mann
(kr 04:CylptoOn of rgecaty on last brass day Of 40 poet a other CAWS
ad IGO mere I0In Wald
Leo Day Yr tax ).ailf dittftrgt Oftroist, erts. -0-
14
519701
11.25.15 LHA For Paperwork Reduction Act Notice, see Instructions. Form 8781(2015)
56
EFTA00026349
Form8582 Passive Activity Loss Limitations
ow No 1545.1008
Dopartmoni ol It* Treowy ►
► See separate instructions.
Attach to Form 1040 or Form 1041. anaoo
2015
Internal Revenue SINN* 199/ ► Information about Form 8582 and its instructions is available at wwwirs.gov/form8582. &Koonce No 88
Name(s) shown on return identifying number
GHISLAINE MAXWELL
Part I 12015 Passive Activity Loss Caution: Complete Worksheets 1, 2, and 3 before completing Pan t
Rental Real Estate Activities With Active Participation (For the definition of active participation, see
Special Allowance for Rental Real Estate Activities in the instructions.)
la Activities with net income (enter the amount from Worksheet 1,
column (a)) la
b Activities with net loss (enter the amount from Worksheet 1,
column (b)) lb ( )
c Prior years unallowed losses (enter the amount from Worksheet
1, column (c)) lc )
d Combine lines la. 1b. and lc ld
Commercial Revitalization Deductions From Rental Real Estate Activities
2a Commercial revitalization deductions from Worksheet 2, column (a) 2a )
b Prior year unallowed commercial revitalization deductions from
Worksheet 2. column (b) 2b )
e Add lines 23 and 2b 2c
All Other Passive Activities
3a Activities with net income (enter the amount from Worksheet 3,
column (a)) 3a
b Activities with net loss (enter the amount from Worksheet 3,
column (b)) 3b ( 118,3514
e Prior years unallowed losses (enter the amount from Worksheet 3,
column (c)) 3e 4,2754
d Combine lines 3a, 3b. and 3c 3d -122,626.
4 Combine lines 1d, 2c. and 3d. If this line is zero or more. stop here and include this form with your return: all
losses are allowed, including any prior year unallowed losses entered on line lc, 2b, or 3c. Report the losses on
the forms and schedules normally used 4 -122,626.
If the 4 is a loss and: • Line ld is a loss, go to Part II.
• Line 2c is a loss (and line ld is zero or more). skip Part II and go to Part III.
• Line 3cl is a loss (and lines Id and 2c are zero or more), skip Parts II and III and go to line 15.
Caution: If your filing status is married filing separately and you lived with your spouse at any time during the yearflo not complete
Part 11 or Part lit Instead. go to line 15.
Part II Special Allowance for Rental Real Estate Activities With Active Participation
Note: Enter all numbers in Part II as positive amounts. See instructions for an example.
5 Enter the smaller of the loss on line 1d or the loss on line 4 5
6 Enter $150,000. If married filing separately. see instructions 6
7 Enter modified adjusted gross income, but not less than zero (see instructions) 7
Note: If One 7 is greater than or equal to line 6, skip lines 8 and
9, enter -0- on line W. Otherwise, go to Me 8.
8 Subtract line 7 from line 6 8
9 Multiply line 8 by 50% (.5).Do not enter more than $25,000. If married filing sepa ately. see instructions 9
10 Enter the smaller of fine 5 or line 9 10
If line 2c is a loss. go to Part III. Otherwise. go to line 15.
Part Ill Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part NI as positive amounts. See the example for Part ll in the instructions.
11 Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions 11
12 Enter the loss from line 4 12
13 Reduce line 12 by the amount on line 10 13
14 Enter the smallest of line 2c (treated as a positive amount). line 11. or lie 13 14
I Part IV I Total Losses Allowed
15 Add the income. if any, on lines la and 3a and enter the total 15
16 Total losses allowed from all passive activities for 2015. Add lines 10, 14, and 15. See instructions
to find out how to report the losses on your tax return SEE STATEMENT 37 16 0.
LHA 519751 12.09-15 For Paperwork Reduction Act Notice, see Instructions. Form 8582 (2015)
57
EFTA00026350
Form 8582 (2015) GHISLAINE MAXWELL Page 2
Caution: The worksheets must be bled with your tax return. Keep a copy for your records.
Worksheet 1 - For Form 8582, Lines 1a, lb, and is (See instructions.
Current year Prior years Overall gain or loss
Name of activity
(a) Net income (b) Net loss (e) Unallowed
(d) Gain (e) Loss
(line la) (line lb) loss (line 1c)
Total. Enter on Form 8582, lines la,
lb, and lc llro
worxsneet z - ror torn 000z, Lines a ano zo (see instructions.)
(a) Current year (b) Prior year
Name of activity (c) Overall loss
deductions (line 2a) unallowed deductions (line 214
Total. Enter on Form 8582, lines 2a
and 2b Illo
Worksheet 3 - For Form 8582, Lines 3a, 3b, and 3c (See instructions
Current year Prior yea's Overall gain or loss
Name of activity
(a) Net income (b) Not loss (e) Unallowed
(d) Gain (e) Loss
(line 3a) (line 3b) loss (line 3c)
SEE ATTACHED STATEMENT FOR WORKSHEET 3
Total. Enter on Form 8582, lines 3a,
3b, and 3c Nil, -118,351. -4,275.
Worksheet 4 - Use this worksheet if an amount is shown on Form 8582, line 10 or 14 (See instructions.)
Form or schedule
and line number (c) Special (d) Subtract
Name of activity to be reported on (a) Loss (b) Ratio column (c)
allowance
(see Instructions) from column (a)
Total IP.
Worksheet 5 - Allocation of Unallowed Losses (See instructions
Form or schedule
and line number
Name of activity (a) Loss (b) Ratio (c) Unallowed loss
to be reported on
(see instructions)
SEE ATTACHED STATEMENT FOR WORKSHEET 5
Total 10. 122,626. 1.000000000 122,626.
51976) 12-501S Form 8582 (2015)
58
EFTA00026351
Form 8582 (2015) GHISLAINE MAXWELL Page 3
Worksheet 6 - Allowed Losses (See instructions
Form or schedule
and line number
Name of activity to be reported on (a) Loss (b) Unallowed loss (c) Allowed loss
(see instructions)
SEE ATTACHED STATEMENT FOR WORKSHEET 6
Total III. 122,626. 122,626.
Worksheet 7 - Activities With Losses Reported on Two or More Forms or Schedules See instruc ions.
Name of activity: (d) Unallowed
(a) (b) (c) Ratio (e) Allowed loss
loss
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule Illo
b Net income from form or
schedule Iv'
c Subtract line lb from ine la. If zero or less. enter -0. ill,
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule Pv.
b Net income from form or
schedule illo
c Subtract line I b from kne Ia. If zero or less. enter C• IIP.
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule Illo
b Net income from form or
schedule Pro
c Subtract line lb from fine Ia. If zero or less. enter -O. Ilr.
Total Ilr.
8582
519763
12.03.15
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EFTA00026352
J
Form 8582-CR Passive Activity Credit Limitations oke No. 1545.1034
(Rev. January 2012) ► See separate instructions.
Dopartmeni of treaaty AiVacnmced
Internal nevem. Swim ► Attach to Form 1040 or 1041. 50quenoe No. es
Nanwo00 Shawn on return i e Mying number
GHISLAINE MAXWELL
I Part I I Passive Activity Credits
Caution: II you have credits from a publicly tradedpartnership, seePublicly Traded Partnerships (PTPs) in the instructions.
Credits From Rental Real Estate Activities With Active Participation (Other Than Rehabilitation Credits and
Low-Income Housing Credits) (See Lines la through 1c in the instructions)
la Credits from Worksheet 1, column (a) to
b Prior year unalloyed credits from Worksheet 1, column (b) lb
c Add lines la and lb lc
Rehabilitation Credits From Rental Real Estate Activities and Low-Income Housing Credits for Property Placed in Service
Before 1990 (or From Pass-Through Interests Acquired Before 1990) (See Lines 2a through 2c in the instructions.)
2a Credits from Worksheet 2, column (a)
b Prior year unalloyed credits from Worksheet 2, column (b)
c Add lines 2a and 2b 2c
Low-Income Housing Credits for Property Placed in Service After 1989 (See Lines 3a through 9c in the instructions.)
3a Credits from Worksheet 3, column (a) f 3a
b Prior year unalloyed credits from Worksheet 3. column (b) 1st
e Add lines 3a and 3b
All Other Passive Activity Credits (See Lines 4a through 4c in the instructions.)
4a Credits from Worksheet 4, column (a) 4a 29.
b Prior year unalloyed credits from Worksheet 4, column (b)
e Add lines 4a and 4b 4c 29.
5 Add lines lc, 2c, 3c, and 4c 5 29.
6 Enter the tax attributable to net passive income (see instructions) 6 0.
7 Subtract line 6 from line 5. If line 6 is more than or equal to line 5, enter -0- and see instructions 7 29.
Note: If your filing status is married filing separately and you lived with your spouse at any time during the year.
do not complete Part N. Ill. or IV. Instead. go to line 37.
Part Special Allowance for Rental Real Estate Activities With Active Participation
Note: Complete this part only,! you have an amount on line lc. Otherwise, go to Part lit
8 Enter the smaller of line tc or line 7 8
9 Enter $150,000. If married filing separately, see instructions 9
10 Enter modified adjusted gross income, but not less than zero (see instructions).
It line 10 is equal to or more than line 9, skip lines 11
through 15 and enter -0- on line 16 10
11 Subtract line 10 from line 9 11
12 Multiply line 11 by 50% (.50). Do not enter more than $25,000. If married
filing separately, see instructions 12
13a Enter the amount, if any, from line 10 of
Form 8582 13a
b Enter the amount, it any, from ine 14 of
Form 8582 13b
c Add lines 13a and 13b 13e
14 Subtract line 13c from line 12 14
15 Enter the tax attributable to the amount on line 14 (see instructions) 15
16 Enter the smaller of line 8 or line 15 16
LHA For Paperwork Reduction Act Notice, see instructions. Form 8582-CR (Rev. 01-2012)
51977t 04-01.15
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EFTA00026353
Form 8582-CR (Rev. 01-2012) GHI SLAINE MAXWELL Page 2
part III SpeCial Allowance tar Rehabilitation Credits From Rental Heal Estate ACtiV lea an OW- nCOMe
Housing Credits for Property Placed in Service Before 1990 (or From Pass-Through Interests
Acquired Before 1990)
Note: Complete this part only if you have an amount on line 2c. Otherwise, go to Part IV.
17 Enter the amount from line 7 17
18 Enter the amount from line 16 18
19 Subtract line 18 from line 17. If zero, enter -0- here and on Ines 30 and 36, and then go to Part V 19
20 Enter the smaller of line 2c or line 19 20
21 Enter $250,000. If married filing separately, see instructions to find
out if you can skip lines 21 through 26 21
22 Enter modified adjusted gross income, but not less than zero. (See instructions for line 10.) If line
22 is equal to or more than line 21, skip lines 23 through 29 and enter -0- on tine 30 22
23 Subtract line 22 from line 21 23
24 Multiply line 23 by 50% (.50). Do not enter more than $25,000. If married
filing separately, see instructions 24
25a Enter the amount, if any, from line 10 of
Form 8582 25a
b Enter the amount, if any, from line 14 of
Form 8582 2Gb
c Add lines 25a and 25b 25c
26 Subtract line 25c from line 24 26
27 Enter the tax attributable to the amount on Nne 26 (see instructions)
28 Enter the amount, if any, from line 18
a 27
28
29 Subtract line 28 from line 27 29
30 Enter the smaller of line 20 or line 29 30
Partili Special Allowance for Low-Income Housing Credits for Property Placed in Service After 1989
Note: Complete this part only if you have an amount on hoe 3c. Otherwise. go to Part V.
31 If you completed Part III, enter the amount from line 19. Otherwise. subtract line 16 from line 7 31
32 Enter the amount from line 30 32
33 Subtract line 32 from line 31.8 zero, enter -0- here and on line 36 33
34 Enter the smaller of line 3c or line 33 34
35 Tax attributable to the remaining special allowance (see instructions) 35
36 Enter the smaller of line 34 or line 35 . 36
Part V Passive Activity Credit Allowed
37 Passive Activity Credit Allowed. Add lines 6, 16,30, and 36. See instructions to find out how to report the allowed credit on
your tax return and how to allocate allowed and unallowed credits if you have more than one credit or credits from more than one
activity. If you have any credits from a publicly traded partnership, see Publicly Traded Partnerships (PTPs) in the instructions. 37 0.
Part VI Election To Increase Basis of Credit Property
38 If you disposed of your entire interest in a passive activity or former passive activity in a fully taxable transaction, and you
elect to increase your basis in credit property used in that activity by the unallowed credit that reduced your basis in the
properly, check this box. See instructions
39 Name of passive activity disposed of ►
40 Description of the credit property for which the election is being made'''.
41 Amount of unallowed credit that reduced your basis in the property ►$
Form 8582-CR (Moe. 01.2012)
519772
04.01.15
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EFTA00026354
ALTERNATIVE MINIMUM TAX
Form8582 Passive Activity Loss Limitations
Ile See separate instructions.
ow No 1545.1008
2015
Department ol Ina Treosesy Attach to Form 1040 or Form 1041.
I84
Interne/ Revenue swim (99) I"' Information about Form 8582 and its instructions is available at www.irs.gov/form8582. soworcomiM
Name(s) shown on return identifying number
GHISLAINE MAXWELL
Part I 12015 Passive Activity Loss Caution: Complete Worksheets 1, 2, and 3 before completing Pan t
Rental Real Estate Activities With Active Participation (For the definition of active participation, see
Special Allowance for Rental Real Estate Activities in the instructions.)
la Activities with net income (enter the amount from Worksheet 1,
column (a)) la
b Activities with net loss (enter the amount from Worksheet 1,
column (b)) lb ( )
c Prior years unallowed losses (enter the amount from Worksheet
1, column (c)) lc )
d Combine lines la. 1b. and lc ld
Commercial Revitalization Deductions From Rental Real Estate Activities
2a Commercial revitalization deductions from Worksheet 2, column (a) 2a )
b Prior year unallowed commercial revitalization deductions from
Worksheet 2. column (b) 2b )
e Add lines 23 and 2b 2c
All Other Passive Activities
3a Activities with net income (enter the amount from Worksheet 3,
column (a)) 3a
b Activities with net loss (enter the amount from Worksheet 3,
column (b)) 3b ( 118,3514
e Prior years unallowed losses (enter the amount from Worksheet 3,
column (c)) 3e 4,2754
d Combine lines 3a, 3b. and 3c 3d -122,626.
4 Combine lines 1d, 2c. and 3d. If this line is zero or more. stop here and include this form with your return: all
losses are allowed, including any prior year unallowed losses entered on line lc, 2b, or 3c. Report the losses on
the fonts and schedules normally used 4 -122,626.
If the 4 is a loss and: • Line ld is a loss, go to Part II.
• Line 2c is a loss (and line ld is zero or more). skip Part II and go to Part III.
• Line 3d is a loss (and lines Id and 2c are zero or more), skip Parts II and III and go to line 15.
Caution: If your filing status is married filing separately and you lived with your spouse at any time during the yearido not complete
Part 11 or Part lit Instead. go to line 15.
Part II Special Allowance for Rental Real Estate Activities With Active Participation
Note: Enter all numbers in Part II as positive amounts. See instructions for an example.
5 Enter the smaller of the loss on line 1d or the loss on line 4 5
6 Enter $150,000.1( married filing separately. see instructions 6
7 Enter modified adjusted gross income, but not less than zero (see instructions) 7
Note: If line 7 is greater than or equal to fine 6, skip lines 8 and
9, enter -0- on line W. Otherwise, go to line 8.
8 Subtract line 7 from line 6 8
9 Multiply line 8 by 50% (.5).Do not enter more than $25,000. If married filing sepa ately. see instructions 9
10 Enter the smaller of fine 5 or line 9 10
If line 2c is a loss. go to Part III. Otherwise. go to line 15.
Part Ill Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part NI as positive amounts. See the example for Part ll in the instructions.
11 Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions 11
12 Enter the loss from line 4 12
13 Reduce line 12 by the amount on line 10 13
14 Enter the smallest of line 2c (treated as a positive amount). line 11. or lie 13 14
I Part IV I Total Losses Allowed
15 Add the income. if any, on lines la and 3a and enter the total 15
16 Total losses allowed from all passive activities for 2015. Add lines 10, 14, and 15. See instructions
to find out how to report the losses on your tax return SEE STATEMENT 44 16 0.
LHA 519761 12.09-15 For Paperwork Reduction Act Notice, see Instructions. Form 8582 (2015)
62
EFTA00026355
ALTERNATIVE MINIMUM TAX
Form 8582 (2015) GHISLAINE MAXWELL Page 2
Caution: The worksheets must be bled with your tax return. Keep a copy for your records.
Worksheet 1 - For Form 8582, Lines 1a, lb, and is (See instructions.
Current year Prior years Overall gain or loss
Name of activity
(a) Net income (b) Net loss (e) Unallowed
(d) Gain (e) Loss
(line la) (line lb) loss (line 1c)
Total. Enter on Form 8582, lines la,
lb, and lc lllo
worxsneet z - ror torn 000z, Lines a ano zo (see instructions.)
(a) Current year (b) Prior year
Name of activity (c) Overall loss
deductions (line 2a) unallowed deductions (line 214
Total. Enter on Form 8582, lines 2a
and 2b Illo
Worksheet 3 - For Form 8582, Lines 3a, 3b, and 3c (See instructions
Current year Prior yea's Overall gain or loss
Name of activity
(a) Net income (b) Not loss (e) Unallowed
(d) Gain (e) Loss
(line 3a) (line 3b) loss (line 3c)
SEE ATTACHED STATEMENT FOR WORKSHEET 3
Total. Enter on Form 8582, lines 3a,
3b, and 3c Nil, -118,351. -4,275.
Worksheet 4 - Use this worksheet if an amount is shown on Form 8582, line 10 or 14 (See instructions.)
Form or schedule
and line number (c) Special (d) Subtract
Name of activity to be reported on (a) Loss (b) Ratio column (c)
allowance
(see Instructions) from column (a)
Total IP.
Worksheet 5 - Allocation of Unallowed Losses (See instructions
Form or schedule
and line number
Name of activity (a) Loss (b) Ratio (c) Unallowed loss
to be reported on
(see instructions)
SEE ATTACHED STATEMENT FOR WORKSHEET 5
Total 10. 122,626. 1.000000000 122,626.
51976) 12-501S Form 8582 (2015)
63
EFTA00026356
ALTERNATIVE MINIMUM TAX
Form 8582(2O GHISLAINE MAXWELL Page 3
Worksheet 6 - Allowed Losses (See instructions
Form or schedule
and line number
Name of activity to be reported on (a) Loss (b) Unallowed loss (c) Allowed loss
(see instructions)
SEE ATTACHED STATEMENT FOR WORKSHEET 6
Total III. 122,626. 122,626.
Worksheet 7 - Activities With Losses Reported on Two or More Forms or Schedules See instruc ions.
Name of activity: (d) Unallowed
(a) (b) (c) Ratio (e) Allowed loss
loss
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule Illo
b Net income from form or
schedule Iv'
c Subtract line lb from ine la. If zero or less. enter -0. ill,
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule Pv.
b Net income from form or
schedule illo
c Subtract line I b from kne Ia. If zero or less. enter C• IIP.
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule Illo
b Net income from form or
schedule Pro
c Subtract line lb from fine Ia. If zero or less. enter -O. Ilr.
Total Ilr.
8582
519763
12.03.15
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EFTA00026357
OMB No 15452195
Form 8938 Statement of Specified Foreign Financial Assets
► Information about Form 8938 and its separate instructions Is at wwwirs.govIlotn78938.
2015
Deparipmemolflaun ► Attach to your tax return.
Attachment
WinvillwerunUmco For calendar year 2 015 or tax year beginning and ending Sequence No. 175
If you have attached continuation statements, check here LXJ Number of continuation statements 3
Name(s) shown on return TIN
GHISLAINE MAXWELL
Part I Foreign Deposit and Custodial Accounts Summary
1 Number of Deposit Accounts (reported on Form 8938 ► 5
2 Maximum Value of All Deposit Accounts 2,488,652.
3 Number of Custodial Accounts (reported on Form 8938) ►
4 Maximum Value of All Custodial Accounts $
5 Were any foreign deposit or custodial accounts closed during the tax year? I I Yes Lxi No
Part II Other Foreign Assets Summary
1 Number of Foreign Assets (reported on Form 8938) ► 2
2 Maximum Value of All Assets $
3 Were any foreign assets acquired or sold during the tax year? I I Yes Lxi No
Part III Summary of Tax Items Attributable to Specified Foreign Financial Assets(see instructions
(c) Amount reported on Where reported
(a) Asset Category (b) Tax item form or schedule (d) Form and line (e) Schedule and line
1 Foreign Deposit and la Interest $ 22,255. 1040/LINE 8A SCH B, LN 1
Custodial Arrnints 1b Dividends $
1c Royalties $
1d Other income $
le Gains (losses) $
1t Deductions $
10 Credits $ 3,637. 1040/LINE 48
2 Other Foreign Assets 2a Interest $
2b Dividends $
2c Royalties $
2d Other income $
2e Gains Dosses) $
2f Deductions $
2g Credits $
Part IV Excepted Specified Foreian Financial Assets(see instructions)
If you reported specified foreign financial assets on one or more of the following tams, enter the number of such forms filed. You do not need to
include these assets on Form 8938 for the tax year.
1. Number of Forms 3520 2. Number of Forms 3520•A 3. Number of Forms 5471
4. Number of Forms 8621 5. Number of Forms 8865
Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions)
If you have more than one account to report. attach a continuation statement for each additional account (see instructions).
1 Type of account LXJ Deposit LJ Custodial 2 or other designation
3 Check all that apply a I I Account opened during tax year b LJ Account closed during tax year
c ILI Account owned with use d M No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year 7, 5
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXI Yes LJ No
6 If you answered 'Yes' to line 5 complete a I that aptly.
(a) Foreign currency in which account (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
UNITED KINGDOM,POUND
LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 8938 (2015)
S2332I
11-05-15 65
EFTA00026358
Form 8938 (2015) GHISLAINE MAXWELL Page 2
Pad V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions) (continued)
7a Name of financial institution in which account is maintained b Reserved
BARCLAYS
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
8 WEST HALKIN STREET
9 City or town, state or province, and country (including postal code)
LONDON SW1X 8JE UNITED KINGDOM
Pad VI Detailed Information for Each 'Other Foreign Asset" Included In the Pad II Summary (see instructions)
Note. If you reported specified foreign financial assets on Forms 3520, 3520-A, 5471, 862 f, or 8865, you do not have to include the assets on
Form 8938. You must complete Part IV. See instructions.
If you have more than one asset to report. attach a continuation statement for each additional asset (see instructions).
1 Description of asset 2 Identifyin er designation
WEALTH AT WORK LIMITED - PENSION FUND
3 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates.
a Date asset acquired during tax year, if applicable
b Date asset disposed of during tax year. if applicable
c 0 Check if asset jointly owned with spouse d Ell Check if no tax item reported in Part III with respect to this asset
4 Maximum value of asset during ar (check box that applies)
a 0 so • $50.000 b &550,001 • $100,000 c O 6100O01 $150,000 d O $150,001 • $200,000
a If more than $200.000. list value
5 Did you use a foreign currency exchange rate to convert the value of the asset Into U.S. dollars? LIU Yes LJ No
6 If you answered 'Yes. to line 5. complete a I that apply.
(a) Foreign currency in which asset is (b) Foreign currency exchange rate used to (e) Source of exchange rate used if not from U.S.
denominated convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
UNITED KINGDOM,POUND .675000000
7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
a Name of foreign entity b Reserved
c Type of foreign entity (1) LJ Partnership (2) LJ Corporation (3) I I Trust (4) U Estate
d Mailing address of foreign entity. Number, street. and room or suite no.
e City or town, state or province, and country (Including postal code)
8 If asset reported on line 1 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
Note. If this asset has more than one Issuer or counterparty. attach a continuation statement with the same Information for each additional issuer or
counterparty (see instructions).
a Name of issuer or countemany WEALTH AT WORK LIMITED
Check if information is for LX.I Issuer t Counterparty
b Type of issuer or counterparty
(1) El Individual (2) M Partnership (3) 0 Corporation (4) El Trust (5) El Estate
c Check if issuer or counterparty is a 0 u S person LxJ Foreign person
d Mailing address of issuer or counterparty. Number, street, and room or suite no.
5 TEMPLE SQUARE, TEMPLE STREET
a City or town, state or province, and country (including postal code)
LIVERPOOL L2 5RH UNITED KINGDOM
Form 8938 (2015)
525022
11.05.15
66
EFTA00026359
Last Name or Organization Name MM. Form 8938
GHISLAINE MAXWELL
Part V Foreign Deposit and Custodial Accounts (see instructions)
1 Type of account Deposit U Custodial umber or other designation
3 Check all that apply a U Account opened during tax year b U Account closed during tax year
c ILI Account jointly owned with spouse d El No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year $ 1,164,654.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXJ Yes Li No
6 If you answered *Yee' to line 5 complete all that a
(1) Foreign currency in which account (2) Foreign currency exchange rate used to (3) Source of exchange rate used if not from U.S.
is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
UNITED KINGDOM,POUND
7a Name of financial institution in which account is maintained b Reserved
CATER ALLEN PRIVATE BANK
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
9 NELSON STREET
9 City or town. province or state, and country (including postal code)
BRADFORD BD1 5AN UNITED KINGDOM
1 Type of account LXJ Deposit LJ Custodial number or other designation
3 Check all that apply a LJ Account opened during tax year b LJ Account closed during tax year
c ILI Account jointly owned with spouse d O No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year 304,665.
Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXJ Yes Li No
6 If you answered 'Yes' to line 5. complete all that apply.
(1) Foreign currency in which account (2) Foreign currency exchange rate used to (3) Source of exchange rate used if not from U.S.
is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
UNITED KINGDOM,POUND
7a Name of financial institution in which account is mantalned b Reserved
BARCLAYS
8 Mailing address of financial institution In which account is maintained. Number. street. and room or suite no.
8 WEST HALKIN STREET
9 City or town, province or state, and country (including postal code)
LONDON SW1X 8JE UNITED KINGDOM
1 Type of account LXJ Deposit L_I Custodial umber or other designation
3 Check all that apply a I I Account opened during tax year bLJ Account closed during tax year
c ILI Account jointly owned with spouse d M No tax item reported in Part Ill with respect to this asset
4 Maximum value of account during tax year $ 55,668.
Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXJ Yes LJ No
6 If you answered 'Yes' to line 5 complete a I that a
(1) Foreign currency in which account (2) Foreign currency exchange rate used to (3) Source of exchange rate used if not from U.S.
is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
UNITED KINGDOM,POUND
7a Name of financial institution in which account is maintained b Reserved
WEALTH AT WORK LIMITED
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
5 TEMPLE SQUARE, TEMPLE STREET
9 City or town. province or state, and country (including postal code)
LIVERPOOL L2 5RH UNITED KINGDOM
573031 06-24.15 67
EFTA00026360
Last Name or Organization Name MM. Form 8938
GHISLAINE MAXWELL
Part V Foreign Deposit and Custodial Accounts (see instructions)
1 Type of account Deposit LJ Custodial umber or other designation
3 Check all that apply a U Account opened during tax year b U Account closed during tax year
c ILI Account jointly owned with spouse d El No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year $ 916,141.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXJ Yes Li No
6 If you answered *Yee' to line 5 complete all that a
(1) Foreign currency in which account (2) Foreign currency exchange rate used to (3) Source of exchange rate used if not from U.S.
is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
UNITED KINGDOM,POUND
7a Name of financial institution in which account is maintained b Reserved
BARCLAYS
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
8 WEST HALKIN STREET
9 City or town, province or state, and country (including postal code)
LONDON SW1X 8JE UNITED KINGDOM
1 Type of account I I Deposit I I Custodial 2 Account number or other designation
3 Check all that apply a LJ Account opened during tax year b LJ Account closed during tax year
c ILI Account jointly owned with spouse d C No taxi em reported in Part III with respect to this asset
4 Maximum value of account during tax year
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LJ Yes I I No
6 If you answered 'Yes' to line 5. complete all that apply.
(1) Foreign currency in which account (2) Foreign currency exchange rate used to (3) Source of exchange rate used if not from U.S.
is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
7a Name of financial institution in which account is mantalned b Reserved
•
r
8 Mailing address of financial institution In which account is maintained. Number. street. and room or suite no.
9 City or town, province or state, and country (Including postal code)
1 Type of account 1= Deposit I 1 Custodial 2 Account number or other designation
3 Check all that apply a I I Account opened during tax year bLJ Account closed during tax year
c ILI Account jointly owned with spouse d El No taxi em reported in Part III with respect to this asset
4 Maximum value of account during tax year
Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? I I Yes LJ No
6 If you answered *Yee to line 5 complete a I that apply.
(1) Foreign currency in which account (2) Foreign currency exchange rate used to (3) Source of exchange rate used if not from U.S.
is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
7a Name of financial institution in which account is maintained b Reserved
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
9 City or town, province or state, and country (including postal code)
523031 06-24.15 68
EFTA00026361
Last Name or Organization Name Form 8938
GHISLAINE MAXWELL
Part VI Other Foreign Assets
Note. you reported specified torsion financialassets on Forms 3520, 352O.,4, 5477, 8627, or 8865, you do not have to Include the assets on
Font, 8938. You must complete Part IV. See instructions.
If you have more than one asset to report. attach a continuation sheet with the same information for each additional asset (see instructions).
1 Description of asset 2 Identifying number or other designation
INVESTMENT IN GNAT & COMPANY LTD
3 Complete all that apply
a Date asset acquired during tax year, if applicable
b Date asset disposed of during tax year. if applicable
c 0 Check if asseljoiMly owned with spouse d Check if no tax Item reported in Part III with respect to this asset
4 Maximum value of asset durgi! tax year (check box that apaer
a 0 $0 • $50,000 b Li $50,001 • $100,000 c Li $100,001 • $150,000 d C $150,001 • $200,000
e If more than $200.000. list value
6 Did you use a foreign currency exchange rate to convert the value of the asset Into U.S. dollars? Yes No
8 If you answered 'Yes' to line 5, complete a I that apply.
(1) Foreign currency in which asset is (2) Foreign currency exchange rate used to (3) Source of exchange rate used if not from U.S.
denominated convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
UNITED KINGDOM,POUND
7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
a Name of foreign entity b Reserved
c Type of foreign entity (1) I I Partnership (2) Li Corporation (3) I I Trust (4) Li Estate
d Mailing address of foreign entity. Number, street. and room or suite no.
e City or town, state or province, and country (Including postal code
8 If asset reported on line 1 is not stock of a foreign entity or an interest In 'a foreign entity, enter the following information for the asset.
Note. If this asset has more than one issuer or counterparty. attach a continuation sheet with the same information for each additional issuer or
counterparty (see instructions).
a Name of issuer or counterparty GNAT & COMPANY LTD
Check if information is for LXJ Issuer Li Counterparty
b Type of issuer or counterparty
(1) ILI Individual (2) 0 Partnership 5 5) M Corporation (4) 0 Trust (6) ILI Estate
c Check if issuer or counterparty is a 0U S person Foreign person
d Mailing address of issuer or counterparty. Number, street, and room or suke no.
e City or town, province or state, and country (including postal code)
523032
06-24.15
69
EFTA00026362
Form 1116 U.S. and Foreign Source Income Summary
went
GHISLAINE MAXWELL
FOREIGN
INCOME TYPE TOTAL U.S. GENERAL PASSIVE
Compensation
Dividends/Distributions 182,240. 182,240.
Interest STMT 45 63,088. 40,833. 22,255.
Capital Gains 220,491. 220,491.
Business/Profession
RenURoyally 9. 9.
State/Local Refunds
Parthership/S Corporation 121. 121.
Trust/Estate
Other Income 5,310. -45,966. 19. 51,257.
Gross Income 471,259. 397,728. 19. 73,512.
Less:
Section 911 Exclusion lik
Capital Losses 223,491. 223,491.
Capital Gains Tax AdjustmeM
Total Income - Form 1116 19. 73,512.
Deductions:
Business/Profession Expenses
Rent/Royalty Expenses
Parthership/S Corporation Losses
Trust/Estate Losses
Capital Losses
Non-capital Losses
Individual Retirement Account
Moving Expenses
Self-employment Tax Deduction
Self-employment Health Insurance
Keogh Contributions
Alimony
Forfeited Interest
Foreign Housing Deduction
Other Adjustments -98. 98.
Capital Gains Tax Adjustment
Total Deductions 4,272. 4,174. 98.
Adjusted Gross Income 243,496. 170,063. 19. 73,414.
Less itemized Deductions:
Specifically Allocated 5,353. 5,353.
Home Mortgage Interest
Other Interest 17. 17.
Ratably Allocated 160,355. 135,333. 7. 25,015.
... Total Adjustments to Adjusted Gross Income 165,725. 140,703. 7. 25,015.
a
a Taxable Income Before Exemptions 77,771. 29,360. 12. 48,399.
70
EFTA00026363
Form 1116 Allocation of Itemized Deductions
NALIF
GHISLAINE MAXWELL
Total Itemized Deductions Form 1116
Itemized After Sec. 68
Deductions Reduction Ratable
Specifically U.S. Specificaly Foreign
Taxes 119,703. 119,703. 119,703.
Interest - Not Including Investment
Interest
Contributions 5,353. 5,353. 5,353.
Miscelaneous Deductions
Subject to 2% 40,652. 40,652. 40,652.
Other Miscellaneous Deductions -
Not Including Gambling Losses
Foreign Adjustment
Total Itemized Deductions
Subject to Sec. 68 165,708. 165,708.
Add Itemized Deductions
Not Subject to Sec. 68:
Medical/Dental
Investment Interest 17. 17. 17.
Casualty Losses
Gambling Losses
Foreign Adjustment
Total Itemized Deductions 165,725.
Total Allowed on Schedule A 165,725. 5,370. 160,355.
527871
W.01.15
71
EFTA00026364
Form 1116 Foreign Tax Credit Carryover Statement (Page 1 of 2)
mmE
GHISLAINE MAXWELL
Foreign Income Category GENERAL LIMITATION INCOME
Regular 2010 2011 2012 2013 2014 2015
1. Foreign tax paid/accrued 2.
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available 2.
5. Maximum credit allowable 1.
6. Unused foreign tax + )
or excess of knit ( - ) 1.
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining 1.
Total foreign taxes from all available years to be c rried to next year ... 1 .
2005 2006 2007 2008 2009
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax ( + )
or excess of limit - ) t
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining i ll
527115
04.01.15
72
EFTA00026365
Form 1116 Foreign Tax Credit Carryover Statement (Page 2 of 2)
NAM?
GHISLAINE MAXWELL
Foreign Income Category GENERAL LIMITATION INCOME
AMT 2010 2011 2012 2013 2014 2015
1. Foreign tax paid/accrued 2.
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available 2.
5. Maximum credit allowable 3.
6. Unused foreign tax + )
or excess of knit ( - )
7. Foreign tax carryback
8. Foreign tax carryfonvard
9. Foreign lax or excess
limit remaining
Total foreign taxes from all available years to be carried to next year
2005 2006 2007 2008 2009
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax ( + )
or excess of limit - ) t
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining i ll
527116
04.01.15
73
EFTA00026366
Form 1116 Foreign Tax Credit Carryover Statement (Page 1 of 2)
NAM?
GHISLAINE MAXWELL
Foreign Income Category PASSIVE INCOME
Regular 2010 2011 2012 2013 2014 2015
1. Foreign tax paid/accrued 8,307.
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available 8,307.
5. Maximum credit allowable 4,419.
6. Unused foreign tax + )
or excess of knit(- ) -1,459. 3,888.
7. Foreign tax carryback 1,459. 1,459.
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining 2,429.
Total foreign taxes from all available years to be c rried to next year ... 2,429.
2005 2006 2007 2008 2009
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax ( + )
or excess of limit - ) t
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining i
527115
04.01.15
74
EFTA00026367
Form 1116 Foreign Tax Credit Carryover Statement (Page 2 of 2)
NAM?
GHISLAINE MAXWELL
Foreign Income Category !PASSIVE INCOME
AMT 2010 2011 2012 2013 2014 2015
1. Foreign tax paid/accrued 8,307.
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available 8,307.
5. Maximum credit allowable 11,389.
6. Unused foreign tax + )
or excess of knit ( - ) -18,342. -3,082.
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining -18,342. -3,082.
Total foreign taxes from all available years to be carried to next year ....
2005 2006 2007 2008 2009
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax ( + )
or excess of limit - ) t
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining i ll
527116
04.01.15
75
EFTA00026368
52784104.01.15
Form 1116 Pro Rata Share of Allocated Losses
GHISLAINE MAXWELL
Allocation of Losses from Other Categories
ALLOCATED LOSS NOT
INCOME CLASSIFICATION INCOME LOSS LOSS ALLOCATED
Passive income 48,399.
Income re-sourced by treaty
General limitation income 12.
Totals 48,411.
Allocation of U.S. Losses
REMAINING U.S. ALLOCATED LOSS NOT
INCOME CLASSIFICATION INCOME LOSS LOSS ALLOCATED
Passive income 48,399.
Income re-sourced by treaty
General limitation income 12.
Totals 48,411.
Recapture of Prior Year Overall Foreign Loss
REMAINING OVERALL PRIOR YEAR RECAPTURED LOSS NOT
INCOME CLASSIFICATION INCOME LOSS LOSS RECAPTURED
Passive income 48,399.
Income re-sourced by treaty
General limitation income 12.
Totals 48,411.
Recapture percentage
Recapture of Separate Limitation Loss Accounts
REMAINING PRIOR YEAR RECHARACTERIZED LOSS NOT
INCOME CLASSIFICATION INCOME LOSS LOSS RECHARACTERIZED
Passive income 48,399.
Income re-sourced by treaty
General limitation income 12.
Totals 48,411.
Recapture of Overall Domestic Loss Prior to 2012
U.S. TAXABLE PRIOR YEAR RECAPTURED LOSS NOT
INCOME CLASSIFICATION INCOME LIMIT LOSS LOSS RECAPTURED
Passive income
Income re-sourced by treaty
General limitation income
Totals
Recapture of Overall Domestic Loss
U.S. TAXABLE PRIOR YEAR RECAPTURED LOSS NOT
INCOME CLASSIFICATION INCOME LIMIT LOSS LOSS RECAPTURED
Passive income 14,680. 19,289. 14,680. 4,609.
Income re-sourced by treaty
General limitation income
Totals 14,680. 19,289. 14,680. 4,609.
Adjustments to Form 1116, Line 15
OTHER U.S. PRIOR YEAR RECAPTURE OF DOMESTIC FORM 1116.
INC. CLASSIFICATION CATEGORIES LOSSES OVERALL LOSS ACCOUNTS RECAPTURE LINE 16
Passive 14,680. 14,680.
Re-sourced by treaty
General limitation
76
EFTA00026369
GHISLAINE MAXWELL
FORM 1040 STATE AND LOCAL INCOME TAX REFUNDS STATEMENT 1
2014 2013 2012
NEW YORK
GROSS STATE/LOCAL INC TAX REFUNDS 17,622.
LESS: TAX PAID IN FOLLOWING YEAR
NET TAX REFUNDS NEW YORK 17,622.
TOTAL NET TAX REFUNDS 17,622.
G
o
77 STATEMENT(S) 1
EFTA00026370
GHISLAINE MAXWELL
FORM 1040 TAXABLE STATE AND LOCAL INCOME TAX REFUNDS STATEMENT 2
2014 2013 2012
NET TAX REFUNDS FROM STATE AND
LOCAL INCOME TAX REFUNDS STMT. 17,622.
LESS:REFUNDS-NO BENEFIT DUE TO AMT 17,622.
-SALES TAX BENEFIT REDUCTION
1 NET REFUNDS FOR RECALCULATION
2 TOTAL ITEMIZED DEDUCTIONS
BEFORE PHASEOUT 175,469.
3 DEDUCTION NOT SUBJ TO PHASEOUT 1.
4 NET REFUNDS FROM LINE 1
5 LINE 2 MINUS LINES 3 AND 4 175,468.
6 MULT LN 5 BY APPL SEC. 68 PCT 140,374.
7 PRIOR YEAR AGI 233,510.
8 ITEM. DED. PHASEOUT THRESHOLD 254,200.
9 SUBTRACT LINE 8 FROM LINE 7 -20,690.
(IF ZERO OR LESS, SKIP LINES
10 THROUGH 15, AND ENTER
AMOUNT FROM LINE 1 ON LINE 16)
10 MULT LN 9 BY APPL SEC. 68 PCT
11 ALLOWABLE ITEMIZED DEDUCTIONS
(LINE 5 LESS THE LESSER OF
LINE 6 OR LINE 10)
12 ITEM DED. NOT SUBJ TO PHASEOUT
13A TOTAL ADJ. ITEMIZED DEDUCTIONS
13B PRIOR YR. STD. DED. AVAILABLE
14 PRIOR YR. ALLOWABLE ITEM. DED.
15 SUBTRACT THE GREATER OF LINE
13A OR LINE 13B FROM LINE 14
16 TAXABLE REFUNDS
(LESSER OF LINE 15 OR LINE 1)
17 ALLOWABLE PRIOR YR. ITEM. DED. 175,469.
18 PRIOR YEAR STD. DED. AVAILABLE 6,200.
19 SUBTRACT LINE 18 FROM LINE 17 169,269.
20 LESSER OF LINE 16 OR LINE 19
21 PRIOR YEAR TAXABLE INCOME 54,091.
22 AMOUNT TO INCLUDE ON FORM 1040, LINE 10
* IF LINE 21 IS -0- OR MORE, USE AMOUNT FROM LINE 20
* IF LINE 21 IS A NEGATIVE AMOUNT, NET LINES 20 AND 21 0.
STATE AND LOCAL INCOME TAX REFUNDS PRIOR TO 2012
TOTAL TO FORM 1040, LINE 10 0.
78 STATEMENT(S) 2
EFTA00026371
GHISLAINE MAXWELL
FORM 1040 TAX-EXEMPT INTEREST STATEMENT 3
NAME OF PAYER AMOUNT
UBS - Y1 23574 - T/E 5,672.
TOTAL TO FORM 1040, LINE 8B 5,672.
FORM 1040 QUALIFIED DIVIDENDS STATEMENT 4
ORDINARY QUALIFIED
NAME OF PAYER DIVIDENDS DIVIDENDS
UBS - Y1 23568 40,340. 40,340.
UBS - Y1 23570 21,805. 88.
UBS - Y1 23571 33,471. 7,817.
UBS - Y1 23574 20,493. 20,109.
UBS - Y1 23572 54,713. 50,817.
FROM K-1 - THE BLACKSTONE GROUP, LP 126. 53.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND,
L.L.C. 681. 327.
TOTAL INCLUDED IN FORM 1040, LINE 9B 119,551.
SCHEDULE A MISCELLANEOUS DEDUCTIONS SUBJECT TO FLOOR STATEMENT 5
DESCRIPTION AMOUNT
UBS Y1-23574 7,744.
U Y1-23571 5,074.
UBS Y1-23568 8,111.
UBS Y1-23570 4,832.
UBS Y1-23571 8,488.
FROM K-1 - THE BLACKSTONE GROUP, LP 21.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 252.
TOTAL TO SCHEDULE A, LINE 23 34,522.
79 STATEMENT(S) 3, 4, 5
EFTA00026372
GHISLAINE MAXWELL
SCHEDULE A STATE AND LOCAL INCOME TAXES STATEMENT 6
DESCRIPTION AMOUNT
NEW YORK 2ND QTR ESTIMATE PAYMENTS 2,000.
NEW YORK 3RD QTR ESTIMATE PAYMENTS 5,000.
NEW YORK PRIOR YEAR OVERPAYMENT APPLIED 17,571.
NEW YORK PRIOR YEAR BALANCE DUE AND EXTENSION PAYMENTS 10,000.
TOTAL TO SCHEDULE A, LINE 5 34,571.
SCHEDULE A INVESTMENT INTEREST STATEMENT 7
DESCRIPTION AMOUNT
FROM K-1 - THE BLACKSTONE GROUP, LP 17.
TOTAL TO SCHEDULE A, LINE 14 17.
SCHEDULE A MEDICAL AND DENTAL EXPENSES STATEMENT 8
DESCRIPTION AMOUNT
DOCTORS, DENTISTS, ETC. 6,955.
TOTAL TO SCHEDULE A, LINE 1 6,955.
I
SCHEDULE B INTEREST INCOME STATEMENT 9
NAME OF PAYER AMOUNT
BARCLAYS 16,736.
CATER ALLEN PRIVATE BANK 5,519.
IMPUTED INTEREST - LOAN FROM TERRAMAR PROJECT 1,515.
UBS - Y1 23568 6.
UBS - Y1 23571 1.
UBS - Y1 23574 - INTEREST 37,673.
UBS - Y1 23574 - BOND PREMIUM -51.
UBS - Y1 23574 - T/E 10,000.
UBS - Y1 23575 12.
UBS - Y1 23572 7.
UBS - Y1 23680 17.
FROM K-1 - THE BLACKSTONE GROUP, LP 416.
80 STATEMENT(S) 6, 7, 8, 9
EFTA00026373
GHISLAINE MAXWELL
FROM K-1 - CARGOMETRICS TECHNOLOGIES LLC 75.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 269.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 893.
TOTAL TO SCHEDULE B, LINE 1 73,088.
SCHEDULE B TAX-EXEMPT INTEREST STATEMENT 10
NAME OF PAYER AMOUNT
UBS - Y1 23574 - T/E 5,672.
TOTAL TAX-EXEMPT INTEREST TO SCHEDULE B, LINE 1 5,672.
SCHEDULE B AMORTIZABLE BOND PREMIUM ADJUSTMENT STATEMENT 11
NAME OF PAYER AMOUNT
UBS - Y1 23574 - T/E
AO
TOTAL ABP ADJUSTMENT TO SCHEDULE B, LINE 1
SCHEDULE D NET SHORT-TERM GAIN OR LOSS FROM
4,328.
4,328.
STATEMENT 12
FORMS 6252, 4684, 6781 AND 8824
DESCRIPTION OF PROPERTY GAIN OR LOSS
FORM 6781, PART I 10.
TOTAL TO SCHEDULE D, PART I, LINE 4 10.
SCHEDULE D NET LONG-TERM GAIN OR LOSS FROM FORMS STATEMENT 13
4797, 2439, 6252, 4684, 6781 AND 8824
DESCRIPTION OF PROPERTY GAIN OR LOSS 28% GAIN
FORM 6781, PART I 15.
FORM 4797 347.
TOTAL TO SCHEDULE D, PART II, LINE 11 362.
81 STATEMENT(S) 9, 10, 11, 12, 13
EFTA00026374
GHISLAINE MAXWELL
SCHEDULE D NET SHORT-TERM GAIN OR LOSS FROM STATEMENT 14
PARTNERSHIPS, S CORPORATIONS, AND FIDUCIARIES
DESCRIPTION OF ACTIVITY GAIN OR LOSS
THE BLACKSTONE GROUP, LP -7.
TOTAL TO SCHEDULE D, PART I, LINE 5 -7.
SCHEDULE D NET LONG-TERM GAIN OR LOSS FROM STATEMENT 15
PARTNERSHIPS, S CORPORATIONS, AND FIDUCIARIES
DESCRIPTION OF ACTIVITY GAIN OR LOSS 28% GAIN
THE BLACKSTONE GROUP, LP 1,471.
ALPHAKEYS MILLENNIUM FUND, L.L.C. 6.
TOTAL TO SCHEDULE D, PART II, LINE 12 1,477.
SCHEDULE D CAPITAL GAIN DISTRIBUTIONS STATEMENT 16
TOTAL
NAME OF PAYER CAPITAL GAIN 28% GAIN
UBS - Y1 23571 8,868.
UBS - Y1 23575 a 629.
TOTALS TO SCHEDULE D, LINE 13 9,497.
82 STATEMENT(S) 14, 15, 16
EFTA00026375
GHISLAINE MAXWELL
SCHEDULE D CAPITAL LOSS CARRYOVER STATEMENT 17
1. ENTER THE AMOUNT FROM FORM 1040, LINE 41 77,771.
2. ENTER THE LOSS FROM SCHEDULE D, LINE 21, AS A POSITIVE AMOUNT 3,000.
3. COMBINE LINES 1 AND 2. IF ZERO OR LESS, ENTER -0- 80,771.
4. ENTER THE SMALLER OF LINE 2 OR LINE 3 3,000.
5. ENTER THE LOSS FROM SCHEDULE D, LINE 7, AS A POSITIVE AMOUNT 179,183.
6. ENTER THE GAIN, IF ANY, FROM SCHEDULE D,
LINE 15
7. ADD LINES 4 AND 6 3,000.
8. SHORT-TERM CAPITAL LOSS CARRYOVER TO NEXT YEAR.
SUBTRACT LINE 7 FROM LINE 5. IF ZERO OR LESS, ENTER 176,183.
9. ENTER THE LOSS FROM SCHEDULE D, LINE 15, AS A POSITIVE AMOUNT 6,119,108.
10. ENTER THE GAIN, IF ANY, FROM SCHEDULE D,
LINE 7
11. SUBTRACT LINE 5 FROM LINE 4. IF ZERO OR LESS,
ENTER -0-
12. ADD LINES 10 AND 11
13. LONG-TERM CAPITAL LOSS CARRYOVER TO NEXT YEAR.
SUBTRACT LINE 12 FROM LINE 9. IF ZERO OR LESS, ENTER 6,119,108.
SCHEDULE E OTHER EXPENSES STATEMENT 18
THE BLACKSTONE GROUP, LP - ROYALTY
DESCRIPTION AMOUNT
ROYALTY INCOME DEDUCTION - THE BLACKSTONE GROUP,
LP 6.
TOTAL TO SCHEDULE E, PAGE 1, LINE 19 6.
FORM 1116 EXPENSES DIRECTLY ALLOCABLE TO FOREIGN INCOME STATEMENT 19
DESCRIPTION COUNTRY AMOUNT
OTHER EXPENSES DIRECTLY ALLOCATED OTHER COUNTRIES 98.
TOTAL TO FORM 1116, PART I, LINE 2 98.
83 STATEMENT(S) 17, 18, 19
EFTA00026376
GHISLAINE MAXWELL
FORM 3800 RESEARCH CREDIT LIMITATION STATEMENT 20
CARGOMETRICS TECHNOLOGIES LLC
1 TAXABLE INCOME ATTRIBUTABLE TO THIS ACTIVITY 75.
2 TAXABLE INCOME FROM FORM 1040, LINE 43 73,771.
3 DIVIDE LINE 1 BY LINE 2 .001016660
4 NET INCOME TAX FROM FORM 3800, LINE 11 28,633.
5 TAX LIABILITY LIMITATION (LINE 3 X LINE 4) 29.
A CURRENT YEAR CREDIT 4,569.
B CREDIT CARRIED FORWARD FROM PRIOR YEAR(S)
C TOTAL CREDITS 4,569.
CURRENT YEAR CREDIT (LESSER OF 5A OR 5 - 5B) 29.
FORM 6251 PASSIVE ACTIVITIES STATEMENT 21
NET INCOME (LOSS)
NAME OF ACTIVITY FORM AMT REGULAR ADJUSTMENT
THE BLACKSTONE GROUP, SCH E
LP - PTP -9. -19. 10.
TOTAL TO FORM 6251, LINE 19 10.
84 STATEMENT(S) 20, 21
EFTA00026377
GHISLAINE MAXWELL
FORM 6251 EXEMPTION WORKSHEET STATEMENT 22
1 ENTER: $53,600 IF SINGLE OR HEAD OF HOUSEHOLD; $83,400 IF
MARRIED FILING JOINTLY OR QUALIFYING WIDOW(ER); $41,700
IF MARRIED FILING SEPARATELY 53,600.
2 ENTER YOUR ALTERNATIVE MINIMUM TAXABLE INCOME
(AMTI) FORM 6251, LINE 28 238,136.
3 ENTER: $119,200 IF SINGLE OR HEAD OF HOUSEHOLD;
$158,900 IF MARRIED FILING JOINTLY OR
QUALIFYING WIDOW(ER); $79,450 IF MARRIED
FILING SEPARATELY 119,200.
4 SUBTRACT LINE 3 FROM LINE 2. IF ZERO OR LESS
ENTER -0- 118,936.
5 MULTIPLY LINE 4 BY 25% (.25) 29,734.
6 SUBTRACT LINE 5 FROM LINE 1. IF ZERO OR LESS, ENTER -0-. IF
ANY OF THE THREE CONDITIONS UNDER CERTAIN CHILDREN UNDER
AGE 24 APPLY TO YOU, COMPLETE LINES 7 THROUGH 10.
OTHERWISE, STOP HERE AND ENTER THIS AMOUNT ON FORM 6251,
LINE 29, AND GO TO FORM 6251, LINE 30 23,866.
7 MINIMUM EXEMPTION AMOUNT FOR CERTAIN CHILDREN UNDER AGE 24
8 ENTER YOUR EARNED INCOME, IF ANY
9 ADD LINES 7 AND 8
10 ENTER THE SMALLER OF LINE 6 OR LINE 9 HERE AND ON FORM 6251,
LINE 29, AND GO TO FORM 6251, LINE 30
FORM 4952 INVESTMENT INTEREST EXPENSE STATEMENT 23
DESCRIPTION CURRENT CARRYOVER
FROM K-1 - THE BLACKSTONE GROUP, LP 17.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 1,985.
TOTALS TO FORM 4952, LINES 1 AND 2 2,002.
FORM 4952 INCOME FROM PROPERTY HELD FOR INVESTMENT STATEMENT 24
DESCRIPTION AMOUNT
INTEREST INCOME 63,088.
DIVIDEND INCOME 182,240.
THE BLACKSTONE GROUP, LP - ROYALTY 9.
THE BLACKSTONE GROUP, LP - ACTIVITY NO. 1 328.
THE BLACKSTONE GROUP, LP 95.
TOTAL TO FORM 4952, LINE 4A 245,760.
85 STATEMENT(S) 22, 23, 24
EFTA00026378
GHISLAINE MAXWELL
FORM 4952 INVESTMENT EXPENSES STATEMENT 25
DESCRIPTION AMOUNT
THE BLACKSTONE GROUP, LP - ROYALTY 6.
SCHEDULE A DEDUCTIONS 34,522.
TOTAL TO FORM 4952, LINE 5 34,528.
FORM 4952 INVESTMENT INTEREST EXPENSE DEDUCTION SUMMARY STATEMENT 26
DISALLOWED ALLOWED
INVESTMENT INVESTMENT INVESTMENT INVESTMENT
FORM OR INTEREST INTEREST INTEREST INTEREST
NAME SCHEDULE EXPENSE EXPENSE C/O EXPENSE EXPENSE
FROM K-1 - THE BLACKST SCH A 17. 0. 0. 17.
FROM K-1 - ALPHAKEYS M SCH E 1,985. 0. 0. 1,985.
TOTALS 2,002. 0. 0. 2,002.
FORM 4952AMT INVESTMENT INTEREST EXPENSE STATEMENT 27
DESCRIPTION CURRENT CARRYOVER
FROM K-1 - THE BLACKSTONE GROUP, LP 17.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 1,985.
TOTALS TO FORM 4952AMT, LINES 1 AND 2 2,002.
FORM 8960 TRADE OR BUSINESS INCOME STATEMENT 28
ALPHAKEYS MILLENNIUM FUND, L.L.C. 1,736.
AMOUNT TO FORM 8960, LINE 4B 1,736.
86 STATEMENT(S) 25, 26, 27, 28
EFTA00026379
GHISLAINE MAXWELL
FORM 8960 NET GAINS FROM DISPOSITION OF PROPERTY USED STATEMENT 29
IN A NON-SECTION 1411 TRADE OR BUSINESS
NAME OF TRADE OR BUSINESS AMOUNT
ALPHAKEYS MILLENNIUM FUND, L.L.C. 5,310.
TOTAL TO NET GAINS AND LOSSES WORKSHEET, LINE 2A 5,310.
FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY STATEMENT 30
ALLOCABLE TO INVESTMENT INCOME BEFORE LIMITATIONS
DESCRIPTION LINE AMOUNT
UBS Y1-23574 9C 7,744.
UBS Y1-23571 9C 5,074.
UBS Y1-23568 9C 8,111.
UBS Y1-23570
UBS Y1-23571
FROM K-1 - THE BLACKSTONE GROUP, LP
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L. n
TOTAL TO LINES 9 AND 10 WORKSHEET, PART I, LINE 1
9C
9C
9C
9C
4,832.
8,488.
21.
252.
34,522.
FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY STATEMENT 31
ALLOCABLE TO INVESTMENT INCOME AFTER LIMITATION
DESCRIPTION LINE COLUMN A AMNT RATIO COLUMN C AMNT
UBS Y1-23574 9C 7,744. 1.0000 7,744.
UBS Y1-23571 9C 5,074. 1.0000 5,074.
UBS Y1-23568 9C 8,111. 1.0000 8,111.
UBS Y1-23570 9C 4,832. 1.0000 4,832.
UBS Y1-23571 9C 8,488. 1.0000 8,488.
FROM K-1 - THE BLACKSTONE GROUP, LP 9C 21. 1.0000 21.
FROM K-1 - ALPHAKEYS MILLENNIUM FUN 9C 252. 1.0000 252.
TOTAL TO LINES 9 & 10 WKST, PART II 34,522. 34,522.
87 STATEMENT(S) 29, 30, 31
EFTA00026380
GHISLAINE MAXWELL
FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY STATEMENT 32
ALLOCABLE TO INVESTMENT INCOME AFTER LIMITATION
DESCRIPTION LINE AMOUNT
UBS Y1-23574 9C 7,744.
UBS Y1-23571 9C 5,074.
UBS Y1-23568 9C 8,111.
UBS Y1-23570 9C 4,832.
UBS Y1-23571 9C 8,488.
FROM K-1 - THE BLACKSTONE GROUP, LP 9C 21.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 9C 252.
TOTAL TO LINES 9 AND 10 WORKSHEET, PART III, LINE 1 34,522.
FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY STATEMENT 33
ALLOCABLE TO INVESTMENT INCOME
DESCRIPTION LINE COLUMN A AMNT RATIO COLUMN C AMNT
UBS Y1-23574 9C 7,744. 1.0000 7,744.
UBS Y1-23571 9C 5,074. 1.0000 5,074.
UBS Y1-23568 9C 8,111. 1.0000 8,111.
UBS Y1-23570 9C141I 4,832. 1.0000 4,832.
UBS Y1-23571 9C 8,488. 1.0000 8,488.
FROM K-1 - THE BLACKSTONE GROUP, LP 9C 21. 1.0000 21.
FROM K-1 - ALPHAKEYS MILLENNIUM FUN 9C 252. 1.0000 252.
TOTAL TO LINES 9 & 10 WORKSHEET, 34,522. 34,522.
PART IV, LINE 1
FORM 8582 OTHER PASSIVE ACTIVITIES - WORKSHEET 3 STATEMENT 34
CURRENT YEAR PRIOR YEAR OVERALL GAIN OR LOSS
UNALLOWED
NAME OF ACTIVITY NET INCOME NET LOSS LOSS GAIN LOSS
CARGOMETRICS
TECHNOLOGIES LLC 0. -118,351. -4,275. -122,626.
TOTALS 0. -118,351. -4,275. -122,626.
88 STATEMENT(S) 32, 33, 34
EFTA00026381
GHISLAINE MAXWELL
FORM 8582 ALLOCATION OF UNALLOWED LOSSES - WORKSHEET 5 STATEMENT 35
FORM
OR UNALLOWED
NAME OF ACTIVITY SCHEDULE LOSS RATIO LOSS
CARGOMETRICS TECHNOLOGIES LLC SCH E 122,626. 1.000000000 122,626.
TOTALS 122,626. 1.000000000 122,626.
FORM 8582 ALLOWED LOSSES - WORKSHEET 6 STATEMENT 36
FORM
OR UNALLOWED ALLOWED
NAME OF ACTIVITY SCHEDULE LOSS LOSS LOSS
CARGOMETRICS TECHNOLOGIES LLC SCH E 122,626. 122,626.
TOTALS 122,626. 122,626.
FORM 8582 SUMMARY OF PASSIVE ACTIVITIES STATEMENT 37
R
R FORM
E OR PRIOR NET UNALLOWED ALLOWED
A NAME SCHEDULE GAIN/LOSS YEAR C/O GAIN/LOSS LOSS LOSS
CARGOMETRICS SCH E
TECHNOLOGIES LLC -118,351. -4,275. -122,626. 122,626.
TOTALS -118,351. -4,275. -122,626. 122,626.
PRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME
TOTAL TO FORM 8582, LINE 16
89 STATEMENT(S) 35, 36, 37
EFTA00026382
GHISLAINE MAXWELL
FORM 8582-CR OTHER PASSIVE ACTIVITY CREDITS STATEMENT 38
WORKSHEET 4
PRIOR YEAR
FROM CURRENT UNALLOWED TOTAL
NAME OF ACTIVITY FORM YEAR CREDITS CREDITS CREDITS
CARGOMETRICS TECHNOLOGIES6765/3800,
LLC LINE 2 29. 29.
TOTALS 29. 29.
FORM 8582-CR ALLOCATION OF UNALLOWED CREDITS - WORKSHEET 8 STATEMENT 39
FORM
REPORTED UNALLOWED
NAME OF ACTIVITY ON CREDITS RATIO CREDITS
CARGOMETRICS TECHNOLOGIES LLC FORM 3800,
LINE 3 29. 1.000000000 29.
TOTALS 29. 1.000000000 29.
FORM 8582-CR ALLOWED CREDITS - WORKSHEET 9 STATEMENT 40
ir FORM
REPORTED UNALLOWED ALLOWED
NAME OF ACTIVITY ON CREDITS CREDITS CREDITS
CARGOMETRICS TECHNOLOGIES LLC FORM 3800,
LINE 3 29. 29. 0.
TOTALS 29. 29. 0.
90 STATEMENT(S) 38, 39, 40
EFTA00026383
GHISLAINE MAXWELL
FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 41
OTHER PASSIVE ACTIVITIES - WORKSHEET 3
CURRENT YEAR PRIOR YEAR OVERALL GAIN OR LOSS
UNALLOWED
NAME OF ACTIVITY NET INCOME NET LOSS LOSS GAIN LOSS
CARGOMETRICS
TECHNOLOGIES LLC 0. -118,351. -4,275. -122,626.
TOTALS 0. -118,351. -4,275. -122,626.
FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 42
ALLOCATION OF UNALLOWED LOSSES - WORKSHEET 5
FORM
OR UNALLOWED
NAME OF ACTIVITY SCHEDULE LOSS RATIO LOSS
CARGOMETRICS TECHNOLOGIES SCH E
LLC 122,626. 1.000000000 122,626.
TOTALS 122,626. 1.000000000 122,626.
FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 43
ALLOWED LOSSES - WORKSHEET 6
NAME OF ACTIVITY k
CARGOMETRICS TECHNOLOGIES LLC
FORM
OR
SCHEDULE
SCH E
LOSS
122,626.
UNALLOWED
LOSS
122,626.
ALLOWED
LOSS
TOTALS 122,626. 122,626.
91 STATEMENT(S) 41, 42, 43
EFTA00026384
GHISLAINE MAXWELL
FORM 8582AMT SUMMARY OF PASSIVE ACTIVITIES - AMT STATEMENT 44
R
R FORM
E OR PRIOR NET UNALLOWED ALLOWED
A NAME SCHEDULE GAIN/LOSS YEAR C/O GAIN/LOSS LOSS LOSS
CARGOMETRICS SCH E
TECHNOLOGIES LLC -118,351. -4,275. -122,626. 122,626.
TOTALS -118,351. -4,275. -122,626. 122,626.
PRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME
TOTAL TO FORM 8582AMT, LINE 16
FORM 1116 U.S. AND FOREIGN SOURCE INCOME SUMMARY STATEMENT 45
FOREIGN INTEREST INCOME
DESCRIPTION AMOUNT
BARCLAYS 16,736.
CATER ALLEN PRIVATE BANK 5,519.
ION444‘l
TOTAL FOREIGN INTEREST INCOME 22,255.
FORM 1116 U.S. AND FOREIGN SOURCE INCOME SUMMARY STATEMENT 46
TOTAL PARTNERSHIP/S-CORPORATION INCOME/LOSS
DESCRIPTION INCOME LOSS
THE BLACKSTONE GROUP, LP 121.
ALPHAKEYS MILLENNIUM FUND, L.L.C. -3,721.
TOTAL PARTNERSHIP/S-CORPORATION INCOME/LOSS 121. -3,721.
92 STATEMENT(S) 44, 45, 46
EFTA00026385
2015 TAX RETURN FILING INSTRUCTIONS
NEW YORK INCOME TAX RETURN
FOR THE YEAR ENDING
DECEMBER 31, 2015
Prepared for
GHISLAINE MAXWELL
C/O MARKS PANETH LLP-685 3RD AV
NEW YORK, NY 10017
Prepared by
MARKS PANETH LLP
685 THIRD AVENUE
NEW YORK, NY 10017
Amount of tax Total tax $ 15,560 Auk
Less: payments and credits 24 634
Plus: interest and penalties 0
OVERPAYMENT 9,
.074
Miscellaneous Donations 0
Overpayment Credited to your estimated tax 9,074
Refunded to you 0
Make check NOT APPLICABLE
payable to
Mail tax return THIS RETURN HAS BEEN PREPARED FOR ELECTRONIC FILING. PLEASE
and check (if SIGN, DATE, AND RETURN FORM TR-579-IT TO OUR OFFICE. WE WILL
applicable) to SUBMIT YOUR ELECTRONIC RETURN TO THE NY TAX DEPT.
Return must be
mailed on RETURN FORM TR-579-IT TO US BY OCTOBER 17, 2016.
or before
Special
Instructions
521;081
04•01• IS
EFTA00026386
NEW Department of Taxation and Finance 588351 11.2545
YORK New York State E-File Signature Authorization for Tax Year 2015
STATE For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210
2015 Electronic return originator (ERG): do not mail this form to the Tax Department. Keep it for your records.
Taxpayers name: GHISLAINE MAXWELL Spouse's name:
(Jointly filed return only)
Purpose
Form TR57SIT must be completed to authorize an ERO toe-file a EROs must complete Part C prior to transmitting electronically filed
personal income tax return and to transmit bank account information for income tax returns (Forms IT-201, 11-201-X. IT-203, IT-20&X.17214,
the electronic funds withdrawal. NYC-208, and NYC-210).
General Instructions Both the paid preparer and the ERO are required to sign Part C.
Taxpayers must complete Part B before the ERO transmits the However, if an individual performs as both the paid preparer and the
taxpayer's electronically filed Form 11201, ResWent Income Tax ERO, he or she is only required to sign as the paid preparer. It is not
Return, IT-201-X, Amended Resident Income Tax Return,11-203, necessary to include the ERO signature in this case. Please note that
Nonresident and Part-Year Resident Income Tax Return,11-203-)( an alternative signature can be used as described in Publication 58.
Amended Nonresident and Pad-Year Resident Income Tax Return, Information for Income Tax Return Preparers. Go to our Web site at
IT-214, Claim for Real Property Tax Credit, NYC-208, Claim for New wnw.tax.ny.gov to view this document.
York City Enhanced Real Property Tax Credit, or Ny0210, Claim for Do not mall Form TR-579-IT to the Tax Department. EROs must
New York City School Tax Credit. keep this form for three years and present it to the Tax Department
upon request.
For returns filed jointly, both spouses must complete and sign
Form TR-5791T. This form is not required for electronically filed Form IT-370, Application
for Automatic Six-Month Extension of Time to File for Individuals.
See Form TR.579.14T. New York State Taxpayer Authorization for
Electronic Funds Withdrawal for Tax Year 2015 Form IT-370.
Part A - Tax return Information
1 Federal adjusted gross Income (from applicable line) 1. 243496
2 Refund 2. 0
3 Amount you owe 3.
Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210
Under penalty of perjury, I declare that I have examined the information on my 2015 New York State electronic personal income tax return, including any accompanying
schedules, attachments, and statements, and certify that my electronic return is true, correct, and complete. The ERO has my consent to send my 2015 New York State
electronic return to New York State through the Internal Revenue Service (IRS). In addition, by using a computer system and software to prepare and transmit my form
electronically, I consent to the disclosure to New York State of all information pertaining to the transmission of my tax form electronically. I understand that by executing
this Form TR-579-IT, I am authorizing the ERO to sign and file this return on my behalf and agree that the ERO's submission of my personal income tax return to the IRS.
together with this authorization, will serve as the electronic signature for the return and any authorized payment transaction. If I am paying my New York State personal
income taxes due by electronic funds withdrawal, I authorize the New York State Tax Department and its designated financial agents to initiate an electronic funds
withdrawal from the financial institution account indicated on my 2015 electronic return, and I authorize my financial institution to withdraw the amount from my account
As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may
revoke this authorization for payment only by contacting the Tax Department no later than five (5) business days prior to the payment date.
Taxpayers signature: Date:
Spouse's signature: Date:
(jointly filed return only)
Part C Declaration of electronic return originator (ERO) and paid preparer
Under penalty of perjury, I declare that the information contained in this 2015 New York State electronic personal income tax return is the information furnished to me
by the taxpayer. If the taxpayer furnished me a completed paper 2015 New York State retum signed by a paid preparer, I declare that the information contained in the
taxpayer's 2015 New York State electronic return is identical to that contained in the paper copy of the return. If I am the paid preparer, under penalty of perjury I declare
that I have examined this 2015 New York State electronic personal income tax return, and, to the best of my knowledge and belief, the return is true, correct, and
complete. I have based this declaration on all information available to me.
ERO's signature: Date:
Print name:
Paid preparer's signature: Date:
Print name: BLECHER , ALAN
TR-579-IT (12/15) 1019
1
EFTA00026387
er NEW
YORK
Department of Taxation and Finance
Application for Automatic Six-Month
IT-370
, STATE Extension of Time to File for Individuals (with instructions) 5683°°94645
2015
Instructions
New for 2015 When to file
Selfemployed individuals engaging in business within the File one completed Form 17370 on or before the filing deadline
Metropolitan Commuter Transportation District (MCTD) must for your return (extension applications filed after the filing
now submit then application for automatic six•month extension deadline for the return are invalid). Generally, the filing deadline
of time to file, along with any required payment for metropolitan is the fifteenth day of the fourth month following the close of your
commuter transportation mobility tax (MCTMT). using tax year (April 18, 2016, for calendarlear filers).
Form IT-370 rather than Form MIA?, Application for Automatic
Six-Month Extension of Time To File a Metropolitan Commuter
Transportation Mobility Tax Return. Form MTA•7 is obsolete. However, you may file Form ITS70 on or before:
• June 15, 2016, if you qualify for an automatic twomonth
General information extension of time to file your federal and New York State
income tax returns because you are out of the country (for
Purpose additional information, see When to file/Important dates on the
Ale Form IT370 on or before the due date of the return to get back cover of the instructions for the return you are filing) and
an automatic six•month extension of time to file Form IT201. you need an additional four months to file (October 17, 2016):
Resident income Tax Return, or Form 11203, Nonresident and
Pan-Year Resident Income Tax Return. • June 15, 2016. if you are a U.S. nonresident alien for federal
income tax purposes and you qualify to file your federal and
New York State Income tax returns on June 15, 2016, and you
Note: We no longer accept a copy of the federal extension form need an additional six months to file (December 15, 2016): or
in place of Form IT370.
• July 14, 2016. (if your due date is April 18, 2016) or
If you are requesting an extension of time to file using September 13, 2016 (if you are a nonresident alien and
Form IT-370, you may still file Form IT•201 or Form IT203 your due date is June 15, 2016), if you qualify for a 90.day
electronically, provided you meet the conditions for electronic extension of time to file because your spouse died within
fling as listed in the instructions for the forms. 30 days before your retum due date and you need additional
time to file. However, you must file your return on or before
It you have to file Form Y.203, Yonkers Nonresident Earnings October 17. 2016, if your due date is April 18. 2016. or on or
Tax Return, the time to file Is automatically extended when you before December 15, 2016, if you are a nonresident alien and
fie Form IT,370. For more information on who is required to file your due date is June 15. 2016.
Form Y203, see the instructions for the form.
See Special condition codes on page 2.
We cannot grant an extension of time to fie for more than If you qualify for an extension of time to file beyond six
six months if you live in the United States. However, you months. you must file Form IT•370 on or before the filing
may qualify for an extension of time to file beyond st< deadline for your return.
months under section 157.3(b)(1) of the personal income tax
regulations because you are outside the United States and llow to file
Puerto Rico, or you intend to claim nonresident status under
section 605(b)(1)(A)00 of the Tax Law (548.day rule). as
.bito Complete Form 11%370 and file it, along with payment for any tax
due, on or before the due date of your return. Use the worksheet
explained in the instructions for Form IT-203 under Additional on page 3 to determine if a payment is required.
information. Also see the special condition code instructions for
the return you will be filing (Form IT201 or Form IT-203).
V Detach (cut) here• Do not submit with your return.
NEW Department of Taxation and Finance
YORK
STATE Application for Automatic Six-Month Extension of Time to File for Individuals IT-370
2015
Paid paperer/ Mark an X In tha box and complete pegs 2 Enter your 2-climactor spacial 'Sender, Cede
Your scent sacunty number (SSM Spotc,e's SSN (only a Nog a pm room) It applicable (see InstructionM
Mark an X m the box to each tax that yOu we subject to:
•I=
Your test name and middle i111S Your last name
GHISLAINE MAXWELL NYS lax El NYC lax El Seekers tax D mcimr LI
Spouse's Wet name and middleinitial CMS's last name
Dollen Cents
Mailing address (number and *veal or PO boxl Apartment number I Sales and use tax 0
C/0 MARKS PANETH LLP -685 3RD AV
City. village. or post *Moe We inisectersi Slate ZIP coda 2 Total payment 0
NEW YORK NY 10017
E.mall:
3701151019 11111111111111111111
EFTA00026388
Page 2 of 2 IT-370 (2015) 568302 09.16-15
Spouses who file separate returns must complete separate is a charge for the use of Ilxxay and in most cases may not be
Forms IT•370. Do not include your spouse's SSN or name on waived. Interest is compounded daily and the rate is adjusted
your separate Form IT•370. quarterly.
Payment of tax • To obtain an extension of time to file. you Fee for payments returned by banks
must make full payment of the properly estimated tax balances The law allows the Tax Department to charge a $50 fee when a
due. Payment may be made by check or money order. See check, money order. or electronic payment is returned by a bank
Payment options below. for nonpayment. However• if an electronic payment is returned
as a result of an error by the bank or the department, the
Penalties department won't charge the fee. If your payment is returned,
Late payment penalty If you do not pay your tax liability when we will send a separate bill for $50 for each return or other tax
due (determined with regard to any extension of time to pay). document associated with the returned payment.
you will have to pay a penalty of 1/2 of 1% of the unpaid amount
for each month or part of a month it is not paid, up to a maximum Privacy notification
of 25%. The penalty will not be charged if you can show See our Web site or Publication 54, Privacy Notification.
reasonable cause for paying late. This penalty is in addition to
the interest charged for late payments.
Specific instructions
Reasonable cause will be presumed with respect to the addition Name and address box' Enter your name (both names if
to tax for late payment of tax if the requirements relating to filing a joint application). address and social security number(s).
extensions of time to file have been complied with, the balance Failure to provide a social security number may invalidate this
due shown on the :looms tax return, reduced by any sales or extension. If you do not have a social security number, enter do
use tax that is owed, is no greater than 10% of the total New not have one. If you do not have a social security number, but
York State, New York City, Yonkers. and MCTMT tax shown have applied for one, enter applied for.
on the income tax return, and the balance due shown on the
income tax return is paid with the return. Foreign addresses Enter the information in the following
order: city. province or state, and then country (all in the City,
village. or post office box). Follow the country's practice for
Late filing penalty • If you do not file your Form IT•201 or entering the postal code. Do not abbreviate the country name.
Form 11.203 when due (determined with regard to any extension
of time to file), or if you do not file Form IT•370 on time and
obtain an extension of time to file, you win have to pay a penalty Special condition codes • If you are out of the country and
of 5% of the tax due for each month, or part of a month, the need an additional four months to file (October 17. 2016).
return is late, up to a maximum of 25%. However• if your return enter special condition code Ed. If you are a nonresident alien
is not filed within 60 days of the time prescribed for filing a return and your filing due date is June 15, 2016. and you need an
(including extensions). this penalty win not be less than the additional six months to file (December 15. 2016), enter special
lesser of 5100 or 100% of the amount required to be shown as condition code fa If you qualified for a 9Oday extension of
tax due on the return reduced by any tax paid and by any credit time to file because your spouse died, and you need additional
that may be claimed. The penalty will not be charged if you can time to file (on or before October 17, 2016, or in the case of
show reasonable cause for filing late. a nonresident alien, on or before December 15. 2016). enter
special condition code 00. Also enter the applicable special
condition code, Ed. Ea or (19 on Form IT•201 or Form IT•203
Interest when you file your return.
Interest will be charged on income tax. MCTMT. or sales or use
tax that is not paid on or before the due date of your return. even
if you received an extension of time to file your return. Interest
• DetachIcutThere • Do not submit with Your return
IT-370 (2015) (page 2) When completing this section, enter your New York tax preparer registration
Payment options • Ful payment must be made by check or money order identification number (NYTPRIN) if you are required to have one. If you are
of any balance due with this automatic extension of time to file. Make the not required to have a NYTPRIN, enter in the NYTPRIN act code box one
check or MLR rofy order payable in U.S. funds to New York State Income Tax of the specified 2-digit codes listed below that indicates why you are exempt
and write your social security number and 2016 Income Tax on it. For online from the registration requirement. You must enter a NYTPRIN or an exclusion
payment options. see our Web site (at www.tany.goln. code. Also, you must enter your federal preparer tax identification number
Paid preparers • Under the law, all paid preparers must sign and complete (PTIN) if you have one; if not, you must enter your social security number.
he paid prepare/ section of the form. Paid preparers may be subject to Code Exemption type Code Exemption type
civil and/or criminal sanctions if they fail to complete this section in full.
01 Attorney 02 Employee of attorney
V Paid preparer must complete ova instructions) V Data: 03 CPA 04 Employee of CPA
Noon's slow. IIIP. Pro/00meg NYIPRIN 05 PA (Public Accountant) 06 Employee of PA
0 07 Enrolled agent 08 Employee of enrolled
F name (Or Mgt 6 640-001PIOYOW V Pc mars PTIN or agent
MARKS PANETH LLP 09 Volunteer lax preparer 10 tmpioyee ot business
preparing that
AddrieS e Empi“.icr ltlfintlf CATO) A.Ifill'rty business return
685 THIRD AVENUE 113518842 See ou Web site for more information about the tax preparer
NEW YORK, NY 10017 'vu ra 01 registr lion requirements.
E.rnaii:
3702151019 1111111111111
111111111
EFTA00026389
IT-370 (2015) Page 1 of 1
Worksheet Instructions Where to file
Complete the following worksheet to determine if you must make If you are enclosing a payment with Form IT-370, mail to:
a payment with Form IT-370. Extension Request
If you enter an amount on lines 1,2, 3, or 4 of this worksheet. PO Box 4125
mark an X in the appropriate box on IT-370. Binghamton NY 13902-4125
Line 1 • Enter the amount of your New York State income tax If you are not enclosing a payment with Form IT-370, mail to:
liability for 2015 that you expect to enter on Form IT-201, line 46. Extension Request-NR
or Form IT-203, line 50. PO Box 4126
Binghamton NY 13902-4126
Line 2 • Enter the amount of your New York City income tax
liability for 2015 that you expect to enter on Form IT-201, line 54. Private delivery services
or Form IT-203. line 52a.
If you choose, you may use a private delivery service. instead of
Line 3 • Enter the amount of your Yonkers income tax liability for the U.S. Postal Service, to rrei in your form and tax payment.
2015 that you expect to enter on FormIT201, lines 55.56. and However, if, at a later date, you need to establish the date you
57: or Form IT-203. lines 53 and 54. filed or paid your tax, you cannot use the date recorded by a
private delivery service unless you used a delivery service that
Line 4 • Enter the amount of your MCTMT liability for 2015 that has been designated by the U.S. Secretary of the Treasury
you expect to enter on Form 11%201, line 54b. or Form IT-203, or the Commissioner of Taxation and Finance. (Currently
line 52c. designated delivery services are listed in Publication 55,
Designated Private Delivery Services. See Need help? below
Line 5 • Enter the amount of sales and use tax, if any, that you for information on obtaining forms and publications.) If you
will be required to report when you file your 2015 return. See the have used a designated private delivery service and need
instructions for your NYS income tax return for information on to establish the date you filed your form, contact that private
how to compute your sales and use tax. Also enter this amount delivery service for instructions on how to obtain written proof of
on line 1 on IT-370. the date your form was given to the delivery service for delivery.
See Publication 55 for where to send the form covered by these
instructions.
Line 7 • Enter the amount of 2015 tax already paid that you
expect to enter on Form IT-201, line 76, or Form IT-203, line 66
(excluding the amount paid with Form IT-370).
Worksheet
1 New Yet Mato Income lax liability tot 2015 1.
2 New York City income lax liability kw 2015 2.
3 Yonkers income lax liability lot 2015 3.
4 &cum liability to 2015 4.
5 Seen anti um tax due Mt 2015 (enter ells
amount how and on the a on IT-37C6 5.
6 Total taxes (add l I though
7 Total 2015 Income tax already mkt
8 TOW payment istestract line 7 (tomMe 6 and en* tile amount hAra and an We 2
en 77-370) r Ilne 7 $ more than line 5. e0W 0
Note: You may be subject to penalties if you underestimate
the balance due. Need help?
How to claim credit for payment made with this form Visit our Web site at www.tax.ny.gov
Include the amount paid with Form IT-370 on Form IT-201. e get information and manage your taxes online
line 75, or Form 11-203. line 65. • check for new online services and features
For more information, see the line instructions for the return you
file. Telephone assistance
Automated income tax refund status: (518) 457-5149
Personal Income Tax Information Center: (518) 457-5181
To order forms and publications: (518) 457-5431
Text Telephone (TTY) Hotline (for persons with
heating and speech disabilities using a TTY): (518) 485-5082
Persons with disabilities: In compliance with the
Americans with Disabilities Act. we will ensure
that our lobbies. offices, meeting rooms, and other
facilities are accessible to persons with disabilities.
If you have questions about special accommodations for
persons with disabilities, call the information center.
558303
10-1945
EFTA00026390
Department of Taxation and Finance
NEW
YORK
STATE
Resident Income Tax Return
Now York State • New York City • Yonkers • MCTMT
IT-201
2015 For the full year January 1, 2015, through December 31, 2015, or fiscal year beginning
and ending
For help comoletinft your return, see the instructions Form 11-201-I
Your lest name All You last name PO, a pint return. enter spaces name on linebelow) Your date of birth Immdcartry) Your social seamy number
GHISLAINE MAXWELL
Spouse's first name All SAO last negro Spouse's due o both trttorldiforl Spouse's Social Wintry number
Mailing address (see InstructiOnS. page 13) Inumlow and street co PO be, ) Apayment nurnixe New Yak State county of residence
C/O MARKS PANETH LLP -685 3RD A NY
City. villagp. a post orrice State ZIP cods Country Of not li NW Slates) School district nano
NEW YORK NY 10017 MANHATTAN
Taxpayer's permanent home address onInstructions. G,V) 13)(number and start or rural route) Apartment numter
School detrict
code hurts 369
City, village. or post °Moe State al. code Infs.:150,401001h rnmO11!)0 SONSISdliCOlOtati SWAIM)/
NY pzezol
D1 Did you have a financial account
A Filing O W Single located in a foreign country? (see page 14) Yes El No El
status
(mark an D2 Yonkers residents and Yonkers part-year residents only:
X in one
box):
D (enterMarried filing joint return
spouse's social security number above) (1) Dld you receive a property tax freeze credit?
(see page 74) Yes El No El
0 ❑ (enter Married filing separate return
spouse's social security number above) (2) If Yes, enter
the amount 00
0 ❑ Head of household (with qualifyingperson) E (1) Did you or your spouse maintain living
quarters in NYC during 2015? (see page 14) Yes El No El
D Qualifying widow(er) with dependent child (2) Enter the number of days spent In NYC in 2015
B Did you itemize your deductions on (any part of a day spent in NYC Is considered a day)
your 2015 federal income tax return? Yes❑ No D F NYC residents and NYC part-year
C Can you be claimed as a dependent residents only (see page 14):
on another taxpayer's federal return? Yes D No El (1) Number of months you lived in NYC in 2015 12
(2) Number of months your spouse
lived in NYC in 2015
G Enter your 2-character special conclition
code(s) if applicable (see page 14)
H Dependent exemption information (see Page 15)
First name MI Last name Relationship Social security number Date of birth (mmddyyYY)
If more than 7 dependents. mark an X in the box.
201001151019
For office use only
EFTA00026391
Page 2 of 4 IT-201 (2015) VOX SOON ud nurrace 568002 11.1745
Federal income and adjustments (seepage 15)
Whole dollars only
1 Wages, salaries, tips, etc. 1 00
2 Taxable interest income 2 63088 00
3 Ordinary dividends 3 182240 00
4 Taxable refunds, credits, or offsets of state and local income taxes (also enter on line 25) 4 00
5 Alimony received 5 00
6 Business Income or loss (submit a copy of federal Schedule Cot C-EZ, Form 1040) 6 -500 00
7 Capital gain or loss (if required, submit a copy of federal Schedule D, Form 1040) 7 -3000 oo
8 Other gains or losses (submit a copy of federalForm 4797) a 5310 00
9 Taxable amount of IRA distriputions. If received as a beneficiary, mark an X in the box 9 00
10 Taxable amount of pensions and annuities. If received as a beneficiary. mark an X in the box 10 00
11 Rental real estate, royalties, partnerships, S corporations, trusts, etc. (submit copy of federal Schedule E, Form 1040) 11 -3642 oo
12 Rental real estate included in line 11 121 Igo
13 Farm income or loss (submit a copy of federal Schedule F, Form 1040) 13 00
14 Unemployment compensation 14 00
15 Taxable amount of social security benefits (also enter on line 27) 15 00
16 Other income Nee Papa IS) 'Identify: 16 00
17 Add lines 1 through 11 and 13 through 16 17 243496 00
18 Total federal adjustments to income gee page IS))Identlfy: 18 00
19 Federal adjusted gross Income (subtract line 18 from Ana 17) 19 243496 00
New York additions (see Page 16)
20 Interest income on state and local bonds and obligations (but not those of NYS or its local governments) 20 10000 00
21 Public employee 4140) retirement contributions from your wage and tax statements (see page 16) 21 00
22 New York's 529 college savings program distributions (see page 16) 22 00
23 Other (Form IT-225, line 9) 23 106 00
24 Add lines 19 through 23 24 253602 00
New York subtractions (see Page TV
1
25 taxable rotunda crochet oeftsets ol state and INSIncome taxes Orme 4)
26 Pensions et NYS and local governments and rite Nana government (a• page I7)
25
26
00
00
27 Taxable amount of social security benefits (from Me 15) 27 00
28 Interest income on U.S. government bonds 28 893 00
29 Pension and annuity income exclusion (see page 18) 29 00
30 New York's 529 college savings program deduction/eamIngs 30 00
31 Other Form 1T-225, line 18) 31 15 00
32 Add lines 25 through 31 32 908 00
33 New York adjusted gross Income (subtract tine 32 from fine 24) 33 252694 00
Standard deduction or itemized deduction (see page 20)
34 Enter your standard deduction (table on page 20) or your itemized deduction (from Form IT-201-D)
Mark an X in the appropriate box: Standard El Itemized 34 101679 oo
35 Subtract line 34 from line 33 (If line 34 is more than line 33, leave blank) 35 151015 oo
36 Dependent exemptions (enter the number of dependents listed in item H: see page 20) 36 000 00
37 Taxable income (subtract line 36 from line 35) 37 151015 00
Hill
EFTA00026392
sGsno3 11.17.15
Namefs) as shown on page 1 Your soc" n i r
IT-201 (2015) Page 3 of 4
GHISLAINE MAXWELL
Tax computation, credits, and other taxes
38 Taxable income (from fine 37 on page 2) 38 151015 00
39 NYS tax on line 38 amount (see page 21) 39 10042 00
40 NYS household credit (page 21, table 1, 2, or 3) 40 00
41 Resident credit (see page 22) 41 00
42 Other NYS nonrefundable credits (Form IT-201-ATT, Hne 7) 42 00
43 Add lines 40, 41, and 42 43 00
44 Subtract line 43 from line 39 Of line 43 ls more than line 39, leave blank) 44 10042 00
45 Net other NYS taxes (Form IT-201-A7T, fine 30) 45 00
46 Total New York State taxes (add lines 44 and 45) 46 10042 00
New York City and Yonkers taxes, credits, and surcharges, and MCTMT
See instructions on
47 NYC resident tax on line 38 amount (see page 22) 47 5391 00 pages 22 through 25 to
48 NYC household credit (Page 22, table 4, 5, or 6) 48 00 compute New York City and
49 Subtract line 48 from line 47 Of line 48 is more than Yonkers taxes, credits, and
surcharges, and MCTMT.
line 47, leave blank) 49 5391 00
50 Part•year NYC resident tax (Form 1T-360.1) 50 00
51 Other NYC taxes (Form IT-201-ATT, line 34) 51 00
52 Add lines 49, 50, and 51 52 5391 00
53 NYC nonrefundable credits (Form 1T-201•ATT, line 10) 53 00
54 Subtract line 53 from line 52 (if gm 531s more than
line 52, leave blank) 54 5391 00
Ma MCTMT net
earnings base Mel
54b MCTMT Mb 00
55 Yonkers resident income tax surcharge (see page 25) . 55 00
56 Yonkers nonresident earnings tax (Form V-203) 56 00
57 Part-year Yonkers resident income tax surcharge (Form lT-360.
57 00
58 Total New York City and Yonkers taxes / surcharges and MCTMT (add lines 54 and 54b through 57) sal 5391 00
59 Sales or use tax (see page 26; do not leave fine 59 ) 59 127 00
Voluntary contributions (see page 27)
60a Return a Gift to Wildlife 60a 00
60b Misstig/Exploited Children Fund 60b 00
60c Breast Cancer Research Fund 60c 00
60d Alzheimer's Fund 60d 00
60a Olympic Fund (52 or 34; see page 27) 60e 00
601 Prostate and Testicular Cancer Research and Education Fund 601 00
60g 9/11 Memorial 60g 00
60h Vaunteer Firefighting & EMS Recruitment Fund 60h 00
601 Teen Hearth Education 60i 00
60) Veterans Remembrance 60) 00
60k Homeless Veterans 60k 00
601 Mental Illness AntiStigrna Fund 601 00
60m Women's Cancers Education and Prevention Fund 60m 00
60 Total voluntary contributions (add fines 60a through 60m) too
61 Total New York State, New York City, Yonkers, and sales or use taxes, MCTMT, and
voluntary contributions (add lines 46, 58, 59, and 60) 61 15560 00
IIIIIII
201003151019
EFTA00026393
Page 4 of 4 IT-201 (2015) Your soc' securi numb r %S004 It. '? '!,
82 Enter amount from line 61 62 15560 00
Payments and refundable credltel (see page 28)
63 Empire State child credit 63 00
63a Family tax relief credit 63a 00
64 NYS/NYC child and dependent care credit 64 00
65 NYS earned income credit (EIC) 65 00
66 NYS noncustodial parent EIC 66 00
67 Real property tax credit 67 00
68 College tuition credit 68 00
69 NYC school tax credit (also complete F on page 1; see page 29) 69 63 00
70 NYC earned income credit 70 00
70a NYC enhanced real property tax credit 70a 00
71 Other refundable credits (Form 1T-201-ATT, Me 18) 71 00
72 Total New York State tax withheld 72 00
If applicable, complete Form(s) IT-2
73 Total New York City tax withheld 73 00 and/or IT-1099-R and submit them
74 Total Yonkers tax withheld 74 00 with your return (seepage 12).
76 Total estimated tax payments and amount paid with Form IT-370 75 24571 00
76 Total payments (add lines 63 through 75) 76 24634 00
Your refund, amount you owe, and account information (see pages 31 through 33)
77 Amount overpaid Of line 76 is more than line 62, subtract line 62 from line 76 77 9074 00
78 Amount of line 77 to be refunded
r direct r debit'
Mark one refund choice: Lj deposit „ p3) -or- Li card -Or- ❑ check 78 00
79 Amount of line 77 that you want applied to your See page 31 for information about
2016 estimated tax (see instructions) 79 9074 00 your three refund choices.
80 Amount you owe (illine 761s less than line 62, subtract line 76 front line 62).To pay by electronic See page 32 for payment options.
funds withdrawal, mark an X in the box D and fig in lines 83 and 84. If you pay by check
or money order you must complete Form IT2014/ and mail it with your return 80 00
81 Estimated tax penalty (include this amount in line 80
See page 35 for the proper
or reduce the overpayment on Me 77: see page 32) 00 assembly of your return.
82 Other penalties and interest (see page 32) 82 00
83 Account information for direct deposit or electronic funds withdra val (see page 33).
If the funds for your payment (or refund) would come from (or go to) an account outside the U.S., mark an X in this box (see pg. 33)
83a Account type: D Personal checking - or - DPersonal savings - or - D Business checking • or - D Business savings
83b Routing number 83c Account number
84 Electronic funds withdrawal (see page 33) Date Amount 00
Third-party Print designee's name Personal identification
desigmwonseeinstrJ BLECHER, ALAN number (PIN)
Teen( No nEmit
• Paid preparer must complete(w.nvflomi iirkrrwl I eaurode
.' 01 V Taxpayor(s) must sign here •
PrepartOS SWOOP* Preparers printed name Your signature
BLECHER, ALAN Your OCCupatiOn
Frm's name to yowl/ tl Plit-OelplOyeM Proper • PlIN or CONSULTANT
MARKS PANETH LLP Spouse's signature awl Gott/DOWD tl Pint (OWN
mews mpitypoltrilitoolionnumhor
685 THIRD AVENUE 113518842 Date
NEW YORK, NY Dal
frmI Elms
See instructions for where to mall your return.
111oIII
201004151019
EFTA00026394
04 2r,• !fi
Department of Taxation and Finance
NEW
YORK
STATE Resident Itemized Deduction Schedule 1T-201-D
2015
Submit this form with Form IT-201. See instructions for completing Form 11.201O in the instructions for Form IT•201.
Name(s) as shown on your Form IT•201 Your socl
GHISLAINE MAXWELL
Whole dollars only
1 Medical and dental expenses (federal Schedule A, line 4) 1 00
2 Taxes you paid (federal Schedule Aline 9) 2 119703 oo
3 Interest you paid (federal Schedule A, line 15) 3 1700
4 Gifts to charity (federal Schedule A, fine 19) 4 5353 00
5 Casualty and theft losses (federal Schedule A, line 20) 5 00
6 Job expenses/miscellaneous deductions (federal Schedule A, fine 27) 6 40652 00
7 Other miscellaneous deductions (federal Schedule A, line 28) 7 00
8 Enter amount from federal Schedule A, line 29 8 165725 oo
9 State. local. and foreign income taxes (or general sales tax, if appllcati
and ether subtraction adjustments (see instructions) 9 34571 00
10 Subtract line 9 from line 8 10 131154 oo
11 Addition adjustments (see instructions) STATEMENT 1 11 4418 00
12 Add lines 10 and 11 12 135572 00
13 Itemized deduction adjustment (see insatructinna) STATEMENT 2 13 33893 oo
14 Subtract line 13 frcrn line 12 ihtb. 14 101679 00
15 College tuition itemized deduction (see Form IT-272) 15 00
16 Now York State itemized deduction (add lines 14 and 15; enter on Form IT-201, line 34) 16 101679 oo
illimiliiii°IiI1
111 11111
11111 1 1 /1fr
y. ' et' h
EFTA00026395
Department of Taxation and Finance SCR-391 V•02 -L.
er nIEW
New York State Modifications
YORK
STATE Attachment to Form IT-201, IT-203, IT-204, or IT-205 1T-225
2015
Name(s) as shown on return Identifying number as shown on return
GHISLAINE MAXWELL
Complete all pals that apply to you; see Instructions (Form 11-225-I). Submit this form with Form IT-201, IT-203, IT-204, or IT-205.
Mark an X in the box identifying the return you are filing: 11201 QX 11203 ri 11-204 IT-205
Schedule A - New York State additions Omer whole dollars only)
Part 1 - Individuals, partnerships, and estates or trusts
1 New York State additions
Number A - Total amount B - NYS allocated amount
la A- 111 90 00 00
lb A- 209 16 00 00
it A- 00 00
ld A - 00 00
10 A - 00 00
if A - 00 00
Ig A - 00 00
2 Total (add column A, lines la through 1g) 2 106 00
3 Total of Schedule A, Part 1, column A amounts from additional Form(s)M225. If any 3 00
4 Add lines 2 and 3 4 106 00
Part 2 - Partners, shareholders, and beneficiaries
Form IT-201 filers: do not enter EA-103 or EA-113
Form IT-203 filers: do not enter EA•113
Form IT-205 filers: do not enter EA•113 or FA•201
5 New York State additions
Number A - Total amount B - NYS allocated amount
5a EA - 00 00
5b EA - 00 00
5e EA - 00 00
5d EA - 00 00
5e EA - 00 00
5f EA - 00 00
59 EA - 00 00
6 Total (add column A, lines 5a through 5g) 6 00
7 Total of Schedule A. Part 2, column A amounts from additional Form(s) 1225. If any 7 00
8 Add lines 6 and 7 00
9 Total additions (add lines 4 and 8; see instructions) 9 106 00
(continued)
225001151019
EFTA00026396
IT-225 (2015) (page 2) 588397 12.02.15
Schedule B - New York State subtractions (enter whole dollars only)
Part 1 - Individuals, partnerships, and estates or trusts
10 New York State subtractions
Number A - Total amount B - NYS allocated amount
10a s- 213 15 00 00
10b S- 00 00
10c S- 00 00
10cl S- 00 00
10e S- 00 00
10t S- 00 00
109 S- 00 00
11 Total (add column A, lines 10a through 10g) 11 15 00
12 Total of Schedule B. Part 1. column A amounts from additional Form(s) IT-225. if any 12 00
13 Add lines 11 and 12 13 15 00
Part 2 - Partners, shareholders, and beneficiaries
Form IT-201 filers: do not enter ES-103, ES-104, ES-106, ES-107, or ES•125
Form IT-203 filers: do not enter ES-106, ES-107, or ES•125
Form IT-205 filers: do not enter ES-125
14 New York State subtractions
Number A - Total amount B - NYS allocated amount
14a ES - 00 00
14b ES - 00 00
14c ES - 00 00
14d ES - 00 00
14e ES - 00 00
14t ES - 00 00
14g ES - 00 00
15 Total (add column A, lines 14a through 14g) 15 00
16 Total of Schedule B. Part 2. column A amounts from additional Form(s) IT-225. if any 16 00
17 Add lines 15 and 16 kid 00
18 Total subtractions (add lines 13 and 17; see instructions) 18 15 00
225002151019
EFTA00026397
NEW
YORK Underpayment of Estimated Tax
Department of Taxation and Finance
2015
STATE By Individuals and Fiduciaries
IT-2105.9
II,
Name(s) as shown on return
GHISLAINE MAXWELL
New York State • Now York City a Yonkers a MCTMT
Identification number (SSN or EiN)
art 1 - All filers must complete this part (see instructions. Form IT 2105.9.1. for assistance)
1 Total tax from your 2015 return before withholding and estimated tax payments (caution: see instructions) 15433.0o
2 Empte State child credit (from Form IT-201, fine 63) 2 .00
3 NYS/NYC child and dependent care credit (from Form IT-201, fine 64) 3 .00
4 NY State earned income credit (EIC) (from Form IT-201, Nne 65) 4 .00
5 NY State noncustodial parent EIC (from Font) IT-201, fine 66) 5 .00
6 Real property tax credit (from Form IT-201, line 67) 6 .00
7 College tuition credit (from Form IT-201, line 68) 7 .00
7a Property tax freeze credit (see Instructions) 7a .00
7b Family tax relief credit (from Form IT-201, AS 62a) 7b .00
8 NY City school tax credit (from Form IT-201, line 69, orForm IT-203, line 60) e 63.0o
9 NY City earned income credit (from Form IT-201, fine 70) 9 .00
9a NY City enhanced real property tax credit (from Form IT-201, line 7th) 9a .00
10 Other refundable credits Nom Fan, rt.201.11n0 I:Forma-203.nm CI: oFpm lr-205,M53) 10 .00
11 Add fries 2 through 10 11 63 oo
12 Current year tax (subtract AS 11 from AS 1)
Ali- 12 15370.0o
13 Multiply line 12 by 909E (.90) 131 13833.0o
14 Income taxes withheld (Iron Form IT.201. Mee 72.75.000 74; Fpm IT-203. lines 62.63.040 64: or Form 11.205. linos 34. 35. 000 36) 14 .00
15 Subtract line 14 from line 12. If the result Is less than $300, do not complete the rest of this form (see Instructions) 15370.0o
16 Enter your 2014 tax (caution: see instructions) 110% 16 16130.0o
17 Enter the smaller of line 13 or line 16 17 13833.0o
Part 2 - Short method for computing the penalty -complete lines 18 through 24 if you paid withholding tax and/or paid four equal
estimated tax installments (on the due dates), or If you made no payments of estimated tax. Otherwise, you must complete Part 3 - Regular method.
18 Enter the amount from line 14 above 18 .00
19 Enter the total amount of estimated tax payments you made (see instructions) 19 .00
20 Add lines 18 and 19 20 .00
21 Total underpayment for yea'. Subtract line 20 from line 17 (if zero or less, you do not owe the penaly) 21 .00
22 Multiply line 21 by .05000 and enter the result 22 00
23 If the amount on line 21 was paid on or alter April 15. 2016. enter 0. If the amount on line 21 was paid before
April 15, 2016, make the following computation to find the amount to enter on this line:
Amount on line 21 x number of days paid before April 15, 2016 x .00020 = 23 .00
24 Penalty. Subtract line 23 from file 22 24 I 00
Enter here and on Form IT-201, line 81: Form 11%203. line 71: or Form IT205. line 42.
Part 3 - Regular method - Schedule A - Computing your underpayment (Schedule e is on page 2)
Payment due dates A 4/15/15 B 6/15/15 C 9/15/15 D 1/15/16
25 Required installments. Enter Y. of line 17 in each
column. 47f you used the annualized income
installment method, see instructions.) 25 3458.00 3458.00 3458.00 3459.00
26 Estimated tax paid and tax withheld
(see instructions) 26 17571 .00 2000 .00 5000 .00
Complete lines 27 through 29, one column
at a time, starting in column A.
27 Overpayment or underpayment from
prior period 27 14113 .00 12655 .00 14197 au
28 It line 27 is an overpayment, add lines 26
and 27: it line 27 is an underpayment,
subtract line 27 from line 26 (see Instr.) 28 17571 .00 16113 .00 17655 .00 14197.00
29 Underpayment (subtract line 28 from line
25) or overpayment (subtract line 25
from line 28: see inst uctions) 29 14113 .00 12655 .00 14197 .00 1073800
IIII1111ci
5oliiiiii°11IIInu
EFTA00026398
IT-2105.9 (2015) (page 2) 568052 11-17-15
Part 3 - Regular method - Schedule B - Computing the penalty
Payment due dates A 4/15/15 8 6/15/15 C 9/15/15 D 1/15/16
30 Amount of underpayment (from line 29) 30 .00 .00 .00
First Installment (April 15 - June 15, 2015)
31 April 15 • June 15 =
(61 t 365) x 7.5% = .01253
April 15 •
It 365)x 7.5%= •
31
32 Multiply line 30. column A by line 31 32
Second Installment (June 15 • September 15. 2015)
33 June 15. September 15 = (92 * 365) x 7.5% = .01890
June 15. = 365) x 7.5% = •
33
34 Multiply line 30. column B by line 33 34
Third installment (September 16, 2016 - January 15, 2018)
35 September 15 • December 31 = (107 + 365) x 7.5% = .02198
January 1 • January 15 = (15 366)x 7.5% = .00306
02504 Total
September 15 - =( 365) x 7.5% =
January 1 • ( * 366) x 7,5% = •
Total
35
36 Multiply line 30. column C by line 35 36 uJ
Fourth installment (January 15 - April 15, 2018)._
37 January 15 April 15 = (91 366) x 7.5% = .01864
January 15- =(I *366)x 7.5% egg •
37
38 Multiply line 30, column D by line 37 38 .00
39 Penalty. Add lines 32, 34, 36, and 38. Enter here and on Forni IT-201. tine 81:
Form IT-203, line 71: or Form IT-205, line 42 39 0.00
059002151019 Submit this form with your New York State return.
EFTA00026399
GHISLAINE MAXWELL
NY IT-201-D ITEMIZED DEDUCTION WORKSHEET - ADDITION ADJUSTMENTS STATEMENT 1
DESCRIPTION AMOUNT
INTEREST EXP. RELATED TO U.S. OBLIGATIONS 90.
BOND PREMIUM 4,328.
TOTAL TO FORM IT-201-D, LINE 11 4,418.
14 STATEMENT(S) 1
EFTA00026400
GHISLAINE MAXWELL
NY IT-201-D WORKSHEET 3 - ITEMIZED DEDUCTION ADJUSTMENT STATEMENT 2
1. NEW YORK ADJUSTED GROSS INCOME FROM FORM IT-201,
LINE 33 OR FORM IT-203, LINE 32 252,694.
2. FILING STATUS 1 OR 3 ENTER $100,000, OR FILING
STATUS 4 ENTER $150,000, OR FILING STATUS 2 OR
5 ENTER $200,000 100,000.
3. SUBTRACT LINE 2 FROM LINE 1 152,694.
4. ENTER THE LESSOR OF LINE 3 OR $50,000 50,000.
5. DIVIDE LINE 4 BY $50,000 AND CARRY THE RESULT
TO 4 DECIMAL PLACES 1.0000
6. ENTER 25% OF FORM IT-201-D, LINE 12 (IT-203-D, LINE 13) 33,893.
7. MULTIPLY LINE 5 BY LINE 6 AND TRANSFER THIS AMOUNT TO
FORM IT-201-D LINE 13 (IT-203-D, LINE 14) 33,893.
15 STATEMENT(S) 2
EFTA00026401