This is important tax information and is being furnished to the Internal Revenue Service (except as indicated)
If you are required to file a return, a negligence penalty or other sanction
may be imposed on you if this income is taxable and the IRS determines that it has not been reported
This is important tax information and is being furnished to the Internal Revenue Service (except as indicated)
If you are required to file a return, a negligence penalty or other sanction
may be imposed on you if this income is taxable and the IRS determines that it has not been reported
This is important tax information and is being furnished to the Internal Revenue Service (except as indicated)
If you are required to file a return, a negligence penalty or other sanction
may be imposed on you if this income is taxable and the IRS determines that it has not been reported
Edwardjones.com
Broker
INVESCO LTD
Maryland Heights, MO
11.2008 - 07.2019
B Proceeds From, and Barter Exchange Transactions - 2021 - Statement for Recipient (Copy B) (OMB NO
1545-0715)
Long-Term Transactions for Which Basis is Reported to the IRS; Report on Form 8949, Part II, with Box D checked
(continued)
Long Term (Box 2)
Covered (Box 12)
Description of Property (Box 1a) / CUSIP / Symbol
Activity Type Quantity Sold
(Box 1a, Sold or
Disposed
(Box 1c)
Proceeds (Box 1d)
Gross Proceeds
Reported to the IRS
(Box 6) (X)
Cost or Other
Basis (Box 1e)
Unadjusted
Gain/Loss
Accrued
Market
Discount
(Box 1f)
Wash Sale
Loss
Disallowed
(Box 1g)
Federal
Income Tax
Withheld
(Box 4)
Loss Not
Allowed
Based on
Amount in
Box 1d
(Box 7)
MFS GROWTH R6 / 552985673 / MFEKX (continued)
Sale 0.23100 03/, /2021 46.77 25.09 21.68 0.00 0.00 0.00
Sale 0.26800 03/, This is not a Form 1099
The supplemental information below may contain foreign source income or state exclusions
You may be able to claim as a deduction on your tax
return a portion of your foreign tax paid
If you have state exclusions that report the amount of income derived from federal, municipal and U.S
Territory obligations, a portion of
this amount may be excludable from state taxable income based upon the state's law
The information includes the state of issuance of the municipal bond or the state from which
income is derived
This state is presumed to be your state of residency
Consult your tax professional as to how this information may impact your tax return
Denotes additional reportable information related to transaction listed immediately above
We will report cost basis for "covered" shares to the IRS
We will not report cost basis for "noncovered" shares to the IRS
Unadjusted Gain/Loss equals Proceeds (Box 1d) minus Cost or Other Basis
(Box 1e) and has not been adjusted for Accrued Market Discount (Box 1f), Wash Sale Disallowed (Box 1g), gain/loss considered Ordinary (Box 2), or gain/loss attributed to Proceeds from Collectibles
(Box 3)
The cost basis for sales of stock received from compensatory options granted after 2013 is the exercise price only and has not been adjusted for any ordinary income recognized upon grant or
exercise
The IRS may require you to report the Proceeds, Cost or Other Basis, and any adjustments from your Form 1099-B on Form 1040, Schedule D (Capital Gains and Losses) and/or Form 8949
(Sales and Other Dispositions of Capital Assets)
Refer to the Instructions for Form 1040, Schedule D, and Form 8949 to determine how to report this information on your tax return
LT indicates a long-term gain/(loss), ST indicates a short-term gain/(loss), and Unknown indicates that we did not have enough information to determine the cost basis and/or holding period
Ordinary"
indicates that some or all the Unadjusted Gain/Loss may be treated as ordinary income or loss
Collectibles" indicates that proceeds are from a transaction involving collectibles or from a sale of a
security that holds collectibles (e.g
A Grantor Trust UIT)
2021 CONSOLIDATED 1099 STATEMENT
Payer's Identification Number:1591643
Information as of February 06, 2022
Recipient's Name:
ANDREA KERKOVE
Edward Jones Account Number:23277-1-7
FIGURES ARE FINAL
Page 7 of 8
edwardjones.com, Important Information Regarding Your Form 1099-B (continued)
The Average Cost method is used as our default method to calculate cost basis for domestic open-end mutual funds
The FIFO (first-in, first-out) method is used for all other securities unless otherwise
indicated at the time of sale
If you have used any other cost basis calculation method or lot relief methods for noncovered security transactions, do not rely on these figures
Also, we are required to
calculate and report amortization and accretion adjustments for covered taxable and tax-exempt bonds using "default" methods specified by IRS regulations
We make cost basis adjustments on
non-covered taxable and tax-exempt bonds for amortization and accretion
The cost basis information for non-covered securities transactions is believed to be reliable, but its accuracy and completeness
are not guaranteed
Therefore, this information should not be relied upon for tax preparation without independent verification by your qualified tax advisor
Edward Jones, its employees and financial
advisors cannot provide tax or legal advice
Payer's Identification Number:1591643
Recipient's Name:
ANDREA KERKOVE
FIGURES ARE FINAL
Edward Jones Account Number:23277-1-7
Page 8 of 8
Information as of February 06, 2022
De
Edward Jones
Maryland Heights, MO
01.2018 - 04.2018
Notice of, Minimus Safe Harbor for Revised Forms
If there is an incorrect dollar amount on your tax form
Edward Jones is not required to correct it if the error differs
from the correct amount by no more than $100 (or $25 in
the case of tax withheld)
You may elect to receive all
corrected forms regardless of the dollar amount by calling
us at 1-800-282-0829
Notice of Tax Information for California Residents
Edward Jones is required to report to California residents
income earned on non-California state bonds and
proceeds from broker exchange transactions reported on
Form 1099-B
If you are a resident of California and
received either of these types of income during 2021, we
report this information to you, the IRS and the California
Franchise Tax Board
Questions?
Preparing your tax return: Contact your tax professional, call the IRS at 800-829-1040 or visit the IRS website (www.irs.gov)
Edward Jones does not provide tax advice
Using Turbo Tax or H&R Block at Home software: Contact Turbo Tax or H&R Block at Home customer support
Edward Jones does not provide support for tax
preparation software
Understanding this tax document: Call Edward Jones at 800-282-0829
Associates are available (Central time):
Tax Season, ): Monday - Friday, 7 a.m
To 7 p.m
And Saturdays, (Feb
19 - April 16), 9 a.m
To 2 p.m
Outside Tax Season: Monday - Friday, 8 a.m
To 6 p.m
The information reported on your Consolidated 1099 Tax Statement is reported to you and the IRS
Please retain for your records
Edward Jones, its employees and
financial advisors cannot provide tax or legal advice
You should consult your attorney or qualified tax advisor regarding your situation
This is important tax information and is being furnished to the Internal Revenue Service (except as indicated)
If you are required to file a return, a negligence penalty or other sanction
may be imposed on you if this income is taxable and the IRS determines that it has not been reported
Edwardjones.com, -DIV Dividends and Distributions - 2021 Statement for recipient
(Copy B )(OMB NO
This is important tax information and is being furnished to the Internal Revenue Service (except as indicated)
If you are required to file a return, a negligence penalty or other sanction
may be imposed on you if this income is taxable and the IRS determines that it has not been reported
Edwardjones.com
Financial Advisor
Edward Jones
Maryland Heights, MO
- 01.2006
Page 1 of 8
Payer's Identification Number:1591643
Information, Your 2021 Consolidated 1099 Tax Statement
FIGURES ARE FINAL
edwardjones.comProgress Parkway, Online Resources
Visit www.edwardjones.com/taxcenter for guides, tax
reporting information and answers to common questions
Online Access Features
View, print and download your tax forms any time after
they are generated
Share your tax forms securely with your tax
professional from the Documents screen
To get
started, select the forms to share and click "Send to
Tax Preparer"
Import your Consolidated 1099 and Form 1099-R tax
data into Turbo Tax, H&R Block at Home or other
tax preparation software
Visit www.edwardjones.com/access to learn more
about these services
Restrictions may apply
Ask Your Branch to Share Your Tax Forms Securely
At your request, your Edward Jones branch team can
share your tax forms securely with your tax professional
Turbo Tax or other Tax Preparation Software
You can import your Edward Jones tax information from
within Turbo Tax or H&R Block at Home using the
software's import feature
Instructions for manually
entering certain items of supplemental information are
available at www.edwardjones.com/turbotax
Download
options for other tax preparation software also are
available via Online Access
Edward Jones does not
provide support for tax preparation software
Please
contact the software provider for assistance
Official Tax Document - What Is My Income?
The 1099 forms included in this document are the official
records of income reported to the IRS and should be used
to prepare your tax return
Information provided in the
supplemental sections is not sent to the IRS
This
document may not match your December statement due to
reclassifications of income occurring after year end.
Accomplishments
Potential State Tax Exclusions from Governmental Obligations
Federal Obligations Federal Home Loan Banks Federal Farm Credit Banks
Security Name CUSIP Income
Percent of
Income
Exclusion
Amount
Percent of
Income
Exclusion
Amount
Percent of
Income
Exclusion
Amount
JH BOND R6 410223606 $285.45 6.59297% $18.82 0.00
Totals $18.82
Total Income from exempt governmental obligations owned by you indirectly: $18.82
This additional tax information has been supplied to Edward Jones by outside sources
While we cannot assure the accuracy of this information, we believe it to be
correct
This information is intended as a general guide and does not constitute tax advice
You should consult your tax professional or state tax authority to
determine how this information may apply to your specific situation
Thank you for doing business with Edward Jones
This is the end of your 2021 tax reporting information
If you have any questions concerning any matter,
especially errors or omissions, contact your branch team at 641-673-1470 immediately or contact us
Additional Information
to Recipients
Recipient's taxpayer identification number - (TIN). For your protection, this form may show only the last four digits of your TIN (social security number (SSN), individual taxpayer identification number
(ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN)). However, the issuer has reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting requirement. You also may have a filing
requirement. See the instructions for Form 8938.
Account number. May show an account or other unique number the payer assigned to distinguish your account.
Please visit www.irs.gov for the most complete and current forms, instructions and other information.
Form 1099-DIV
Box 1a. Shows total ordinary dividends that are taxable. Include
this amount on the "Ordinary dividends" line of Form 1040 or
1040-SR. Also, report it on Schedule B (Form 1040 or 1040-SR),
if required.
Box 1b. Shows the portion of the amount in box 1a that may be
eligible for reduced capital gains rates. See the Instructions for
Forms 1040 and 1040-SR for how to determine this amount and
where to report.
The amount shown may be dividends a corporation paid directly
to you as a participant (or beneficiary of a participant) in an
employee stock ownership plan (ESOP). Report it as a dividend
on your Form 1040 or 1040-SR but treat it as a plan distribution,
not as investment income, for any other purpose.
Box 2a. Shows total capital gain distributions from a regulated
investment company (RIC) or real estate investment trust (REIT).
See How To Report in the Instructions for Schedule D (Form 1040
or 1040-SR). But, if no amount is shown in boxes 2b, 2c, 2d and
2f and your only capital gains and losses are capital gain
distributions, you may be able to report the amounts shown in box
2a on your Form 1040 or 1040-SR rather than Schedule D. See
the Instructions for Forms 1040 and 1040-SR.
Box 2b. Shows the portion of the amount in box 2a that is
unrecaptured section 1250 gain from certain depreciable real
property. See the Unrecaptured Section 1250 Gain Worksheet in
the Instructions for Schedule D (Form 1040).
Box 2c. Shows the portion of the amount in box 2a that is section
1202 gain from certain small business stock that may be subject
to an exclusion. See the Schedule D (Form 1040) instructions.
Box 2d. Shows the portion of the amount in box 2a that is 28%
rate gain from sales or exchanges of collectibles. If required, use
this amount when completing the 28% Rate Gain Worksheet in
the Instructions for Schedule D (Form 1040).
Box 2e. Shows the portion of the amount in box 1a that is section
897 gain attributable to disposition of U.S. real property interests
(USRPI).
Box 2f. Shows the portion of the amount in box 2a that is section
897 gain attributable to disposition of USRPI.
Note: Boxes 2e and 2f apply only to foreign persons and entities
whose income maintains its character when pased through or
distributed to its direct or indirect foreign owners or beneficiaries.
It is generally treated as effectively connected to a trade or
business within the Untied States. See the instructions for your
tax return.
Box 3. Shows a return of capital. To the extent of your cost (or
other basis) in the stock, the distribution reduces your basis and is
not taxable. Any amount received in excess of your basis is
taxable to you as capital gain. See Pub. 550.
Box 4. Shows backup withholding. A payer must backup withhold
on certain payments if you did not give your TIN to the payer. See
Form W-9, for information on backup withholding. Include this
amount on your income tax return as tax withheld.
Box 5. Shows the portion of the amount in box 1a that may be
eligible for the 20% qualified business income deduction under
section 199A. See the instructions for Form 8995 and Form
8995-A.
Box 6. Shows your share of expenses of a nonpublicly offered
RIC, generally a nonpublicly offered mutual fund. This amount is
included in box 1a.
Box 7. Shows the foreign tax that you may be able to claim as a
deduction or a credit on Form 1040 or 1040-SR. See the
Instructions for Forms 1040 and 1040-SR.
Box 8. This box should be left blank if a RIC reported the foreign
tax shown in box 7.
Boxes 9 and 10. Shows cash and noncash liquidation
distributions.
Box 11. Shows exempt-interest dividends from a mutual fund or
other RIC paid to you during the calendar year. See the
Instructions for Forms 1040 and 1040-SR for where to report. This
amount may be subject to backup withholding. See Box 4 above.
Box 12. Shows exempt-interest dividends subject to the
alternative minimum tax. This amount is included in box 11. See
the Instructions for Form 6251.
Boxes 13-15. State income tax withheld reporting boxes.
Nominees. If this form includes amounts belonging to another
person, you are considered a nominee recipient. You must file
Form 1099-DIV (with a Form 1096) with the IRS for each of the
other owners to show their share of the income, and you must
furnish a Form 1099-DIV to each. A spouse is not required to file
a nominee return to show amounts owned by the other spouse.
See the 2021 General Instructions for Certain Information
Returns.
Future developments. For the latest information about
developments related to Form 1099-DIV and its instructions, such
as legislation enacted after they were published, go to
www.irs.gov/Form1099DIV.
Form 1099-B
Brokers and barter exchanges must report proceeds from (and in
some cases, basis for) transactions to you and the IRS on Form
1099-B. Reporting is also required when your broker knows or
has reason to know that a corporation in which you own stock has
had a reportable change in control or capital structure. You may
be required to recognize gain from the receipt of cash, stock, or
other property that was exchanged for the corporation's stock. If
your broker reported this type of transaction to you, the
corporation is identified in box 1a.
CUSIP number. Shows the CUSIP (Committee on Uniform
Security Identification Procedures) number or other applicable
identifying number.
Applicable checkbox on Form 8949. Indicates where to report
this transaction on Form 8949 and Schedule D, (Form 1040), and
which checkbox is applicable. See the instructions for your
Schedule D (Form 1040) and/or Form 8949.
Box 1a. Shows a brief description of the item or service for which
amounts are being reported. For regulated futures contracts and
forward contracts, "RFC" or other appropriate description may be
shown. For Section 1256 option contracts, "Section 1256 option"
or other appropriate description may be shown. For a corporation
that had a reportable change in control or capital structure, this
box may show the class of stock as C (common), P (preferred), or
O (other).
Box 1b. This box may be blank if box 5 is checked or if the
securities sold were acquired on a variety of dates. For short
sales, the date shown is the date you acquired the security
delivered to close the short sale.
Box 1c. Shows the trade date of the sale or exchange. For short
sales, the date shown is the date the security was delivered to
close the short sale. For aggregate reporting in boxes 8 through
11, no entry will be present.
Box 1d. Shows the cash proceeds, reduced by any commissions
or transfer taxes related to the sale, for transactions involving
stocks, debt, commodities, forward contracts, non-Section 1256
option contracts, or securities futures contracts. May show the
proceeds from the disposition of your interest(s) in a widely held
fixed investment trust. May also show the aggregate amount of
cash and the fair market value of any stock or other property
received in a reportable change in control or capital structure
arising from the corporate transfer of property to a foreign
corporation. Losses on forward contracts or non-Section 1256
option contracts are shown in parentheses. This box does not
include proceeds from regulated futures contracts or Section 1256
option contracts. Report this amount on Form 8949 or on
Schedule D (Form 1040) (whichever is applicable) as explained in
the Instructions for Schedule D (Form 1040).edwardjones.com
201 Progress Parkway
Box 1e. Shows the cost or other basis of securities sold. If the
securities were acquired through the exercise of a
noncompensatory option granted or acquired on or after January
1, 2014, the basis has been adjusted to reflect your option
premium. If the securities were acquired through the exercise of a
noncompensatory option granted or acquired before January 1,
2014, your broker is permitted, but not required, to adjust the
basis to reflect your option premium. If the securities were
acquired through the exercise of a compensatory option, the basis
has not been adjusted to include any amount related to the option
that was reported to you on a Form W-2. If box 5 is checked, box
1e may be blank. See the Instructions for Form 8949, the
Instructions for Schedule D, (Form 1040), or Pub. 550 for details.
Box 1f. Shows the amount of accrued market discount. For
details on market discount, see the Schedule D (Form 1040)
instructions, the Instructions for Form 8949, and Pub. 550. If box
5 is checked, box 1f may be blank.
Box 1g. Shows the amount of nondeductible loss in a wash sale
transaction. For details on wash sales, see the Schedule D (Form
1040) instructions, the Instructions for Form 8949, and Pub. 550.
If box 5 is checked, box 1g may be blank.
Box 2. The short-term and long-term boxes pertain to short-term
gain or loss and long-term gain or loss. If the "Ordinary" box is
checked, your security may be subject to special rules. For
example, gain on a contingent payment debt instrument subject to
the noncontingent bond method is generally treated as ordinary
interest income rather than as capital gain. See the Instructions
for Form 8949, Pub. 550, or Pub. 1212 for more details on
whether there are any special rules or adjustments that might
apply to your security. If box 5 is checked, box 2 may be blank.
Box 3. If checked, proceeds are from a transaction involving
collectibles or from a Qualified Opportunity Fund (QOF).
Box 4. Shows backup withholding. Generally, a payer must
backup withhold if you did not furnish your TIN to the payer. See
Form W-9 for information on backup withholding. Include this
amount on your income tax return as tax withheld.
Box 5. If checked, the securities sold were noncovered securities
and boxes 1b, 1e, 1f, 1g, and 2 may be blank. Generally, a
noncovered security means: stock purchased before 2011, stock
in most mutual funds purchased before 2012, stock purchased in
or transferred to a dividend reinvestment plan before 2012, debt
acquired before 2014, options granted or acquired before 2014,
and securities futures contracts entered into before 2014.
Box 6. If the exercise of a noncompensatory option resulted in a
sale of a security, a checked "net proceeds" box indicates
whether the amount in box 1d was adjusted for option premium.
Box 7. If checked, you cannot take a loss on your tax return
based on gross proceeds from a reportable change in control or
capital structure reported in box 1d. See the Form 8949 and
Schedule D (Form 1040) instructions. The broker should advise
you of any losses on a separate statement.
Regulated Futures Contracts, Foreign Currency Contracts,
and Section 1256 Option Contracts (Boxes 8 Through 11)
Box 8. Shows the profit or (loss) realized on regulated futures,
foreign currency, or Section 1256 option contracts closed during
2021.
Box 9. Shows any year-end adjustment to the profit or (loss)
shown in box 8 due to open contracts on December 31, 2020.
Box 10. Shows the unrealized profit or (loss) on open contracts
held in your account on December 31, 2021. These are
considered closed out as of that date. This will become an
adjustment reported as unrealized profit or (loss) on open
contracts - 12/31/2021 in 2022.
Box 11. Boxes 8, 9, and 10 are all used to figure the aggregate
profit or (loss) on regulated futures, foreign currency, or Section
1256 option contracts for the year. Include this amount on your
2021 Form 6781.
Box 12. If checked, the basis in box 1e has been reported to the
IRS and either the short-term or the long-term gain or loss box in
box 2 will be checked. If box 12 is checked on Form(s) 1099-B
and NO adjustment is required, see the instructions for your
Schedule D (Form 1040) as you may be able to report your
transaction directly on Schedule D (Form 1040). If the "Ordinary"
box in box 2 is checked, an adjustment may be required.
Box 13. Shows the cash you received, the fair market value of
any property or services you received, and the fair market value
of any trade credits or scrip credited to your account by a barter
exchange. See Pub. 525.
Boxes 14-16. Show state(s)/local income tax information.
Future developments. For the latest information about any
developments related to Form 1099-B and its instructions, such
as legislation enacted after they were published, go to
www.irs.gov/Form1099B.
FreeFile. Go to www.irs.gov/FreeFile to see if you qualify for
no-cost online federal tax preparation, e-filing, and dirct deposit or
payment options.
Gastroenterology Nurse Educator at Mercy Hospital St. Louis, Gastroenterology LabGastroenterology Nurse Educator at Mercy Hospital St. Louis, Gastroenterology Lab