De Not show 6969 Form 1096 Department of the Treasury Internal Remus Sent* Annual Summary and Transmittal of U.S. Information Returns OMB No. 1545.0108 20013 FILERS name BEB 2011 Trust Street address (ini:turfing room or suite number) 445 Park Ave., Suite 1401 City or town. province or state, country. and ZIP or foreign postal code New Yorkf NY 10022 Name of person to contact Telephone number For Official Use Only R 646-589-0101 Email address Fax number 1 Employer Identification number 45-6341048 2 Social secunty number 3 Total number of forms 1 4 Federal income tax vAthheld $ 5 Total amount mooned with this Form 1096 $ 464294 6 Enter an "A" in only one box below to indicate the type of form being Ned. 7 II this is your final return. enter an IC here Pr1 W-20 32 K 1097-870 50 00000 1098 81 1098.0 78 1098-E 84 1098.7 83 1099-A 80 K 1099.8 79 0 1099-C 85 1099.CAP1099.0Iv 73 91 II 10994 86 1099.1 71 10994NT 92 la 10994C 10 1099-LTC 93 1099- MSC 95 1099-0ID 98 0 1099. PAIR 97 1099.0 31 1099-R 98 1099.5 75 1092.64 94 3921 25 3922 26 5498 28 El 5499-ESA 72 K 5498.5A 27 0 Return this entire page to the Internal Revenue Service. Photocopies are not acceptable. Under penalties of penury. I declare that I have examined this etum and accompanying documents, and, to the best of my knowledge and bekel, they are true. correct. and complete. Signaturee Instructions Future developments. For the latest information about developments related to Form 1096. such as legislation enacted after they were published. go to tinvw.irs.govItorm1098. Reminder. The only acceptable method of filing information returns with Internal Revenue Servicennformation Returns Branch is electronically through the FIRE system. See Pub. 1220. Specifications for Filing Forms 1097. 1098. 1099, 3921. 3922, 5498, 8935. and W-20 Electronically. Purpose of form. Use this form to transmit paper Forms 1097