Robinhood Markets Consolidated Form 1099
Robinhood Markets Consolidated Form 1099
85 Willow Road
Menlo Park, CA 94025
650-940-2700
Enclosed is your 2023 Consolidated Tax Statement. 1099 Tax Forms for the following accounts are included in
this package:
678778044 - Robinhood Securities LLC
678778044C - Robinhood Crypto LLC
New for 2023 Tax Year - 1099 tax forms for Robinhood Markets Inc. will be displayed using
an aggregated format based on key tax lot criteria. We have done this to reduce the size of
your overall tax package, as well as to help make your tax documents easier to use. This
new format still provides you with all the information you need to file your taxes.
Robinhood Retirements Accounts - If you had any reportable distributions or contributions
within a Robinhood Retirement account, your 2023 tax forms 1099-R and/or 5498 will be
delivered separately. Retirement accounts will be reported under Robinhood Securities LLC
and will have their own unique Doc IDs for import to tax software providers such as
TurboTax or H&R Block.
Filing Your Taxes - If filing through tax service providers, such as TurboTax or H&R Block,
please utilize the Master Account Number and Document ID listed above. The Document ID
is necessary in order to directly import your 1099 data into the tax software so that you do
not need to manually enter each transaction. Please note that tax software providers may
have limits on the total number of transactions that can be directly imported using the
Document ID.
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Page 1 of 10
DIVIDENDS AND DISTRIBUTIONS 2023 1099-DIV* OMB No. 1545-0110 MISCELLANEOUS INFORMATION 2023 1099-MISC* OMB No. 1545-0115
1a- Total ordinary dividends (includes lines 1b, 5, 2e) 0.00 2- Royalties 0.00
1b- Qualified dividends 0.00 3- Other income 1.13
2a- Total capital gain distributions (includes lines 2b, 2c, 2d, 2f) 0.00 4- Federal income tax withheld 0.00
2b- Unrecaptured Section 1250 gain 0.00 8- Substitute payments in lieu of dividends or interest 0.00
2c- Section 1202 gain 0.00
2d- Collectibles (28%) gain 0.00 SECTION 1256 CONTRACTS 2023 1099-B* OMB No. 1545-0715
2e- Section 897 ordinary dividends 0.00
2f- Section 897 capital gain 0.00 8- Profit or (loss) realized in 2023 on closed contracts 0.00
3- Nondividend distributions 0.00 9- Unrealized profit or (loss) on open contracts-12/31/2022 0.00
4- Federal income tax withheld 0.00 10- Unrealized profit or (loss) on open contracts-12/31/2023 0.00
5- Section 199A dividends 0.00 11- Aggregate profit or (loss) on contracts 0.00
6- Investment expenses 0.00
If applicable, proceeds from sale transactions appear summarized below and are
8- Foreign country or US possession: 7- Foreign tax paid: 0.00
detailed in subsequent sections of this document.
9- Cash liquidation distributions 0.00
10- Noncash liquidation distributions 0.00 * This is important tax information and is being furnished to the Internal Revenue Service.
12- Exempt-interest dividends (includes line 13) 0.00 If you are required to file a return, a negligence penalty or other sanction may be imposed on
13- Specified private activity bond interest dividends (AMT) 0.00 you if this income is taxable and the IRS determines that it has not been reported.
Short A (basis reported to the IRS) 11,891.63 11,728.95 0.00 1.43 164.11
Short B (basis not reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Short C (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Short-term 11,891.63 11,728.95 0.00 1.43 164.11
Long D (basis reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Long E (basis not reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Long F (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Long-term 0.00 0.00 0.00 0.00 0.00
Undetermined B or E (basis not reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Undetermined C or F (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Undetermined-term 0.00 0.00 0.00 0.00 0.00
Changes to dividend tax classifications processed after your original tax form is issued for 2023 may require an amended tax form.
Page 2 of 10
INTEREST INCOME 2023 1099-INT OMB No. 1545-0112 ORIGINAL ISSUE DISCOUNT AND ADJUSTMENTS
This is important tax information and is being furnished to the Internal Revenue Service. Use bond-by-bond details from the Form 1099-OID page(s) to determine amounts of
If you are required to file a return, a negligence penalty or other sanction may be Original Issue Discount income for your income tax return(s). The amounts shown in this
imposed on you if this income is taxable and the IRS determines that it has not been section are for your reference when preparing your income tax return(s).
reported. Original issue discount for the year 0.00
1- Interest income (not included in line 3) 1.21 Acquisition premium (covered lots) 0.00
2- Early withdrawal penalty 0.00 Acquisition premium (noncovered lots) 0.00
3- Interest on US Savings Bonds & Treasury obligations 0.00 Original issue discount on Treasury obligations 0.00
4- Federal income tax withheld 0.00 Acquisition premium, Treasury obligations (covered lots) 0.00
5- Investment expenses 0.00 Acquisition premium, Treasury obligations (noncovered lots) 0.00
7- Foreign country or US possession: 6- Foreign tax paid: 0.00 Tax-exempt OID 0.00
8- Tax-exempt interest (includes line 9) 0.00 Tax-exempt OID (lots not reported) 0.00
9- Specified private activity bond interest (AMT) 0.00 Acquisition premium (covered) 0.00
10- Market discount (covered lots) 0.00 Acquisition premium (lots not reported) 0.00
11- Bond premium (covered lots) 0.00 Tax-exempt OID on private activity bonds 0.00
12- Bond premium on Treasury obligations (covered lots) 0.00 Tax-exempt OID on private activity bonds (lots not reported) 0.00
13- Bond premium on tax-exempt bonds (categorized below) 0.00 Acquisition premium (AMT, covered) 0.00
Tax-exempt obligations (covered lots) 0.00 Acquisition premium (AMT, lots not reported) 0.00
Tax-exempt private activity obligations (AMT, covered lots) 0.00 Market discount (all lots) 0.00
14- Tax-exempt and tax credit bond CUSIP number See detail Early withdrawal penalty 0.00
FATCA filing requirement [ ] Investment expenses 0.00
The following amounts are not reported to the IRS. They are presented here for your reference RECONCILIATIONS, FEES, EXPENSES AND EXPENDITURES
when preparing your tax return(s). The amounts in this section are not reported to the IRS. They are presented here for your
reference when preparing your income tax return(s).
Taxable accrued interest paid 0.00
Taxable accrued Treasury interest paid 0.00 Other Receipts & Reconciliations- Partnership distributions 0.00
Tax-exempt accrued interest paid 0.00 Other Receipts & Reconciliations- Foreign tax paid- partnership 0.00
Tax-exempt accrued interest paid (AMT) 0.00 Other Receipts & Reconciliations- Return of principal 0.00
Taxable accrued nonqualified interest paid 0.00 Other Receipts & Reconciliations- Deferred income payment 0.00
Tax-exempt accrued nonqualified interest paid 0.00 Other Receipts & Reconciliations- Deemed premium 0.00
Tax-exempt accrued nonqualified interest paid (AMT) 0.00 Other Receipts & Reconciliations- Income accrual- UIT 0.00
Nonqualified interest 0.00 Other Receipts & Reconciliations- Basis adjustments 0.00
Tax-exempt nonqualified interest 0.00 Other Receipts & Reconciliations- Foreign tax pd beyond treaty 0.00
Tax-exempt nonqualified interest (AMT) 0.00 Fees & Expenses- Margin interest 0.00
Interest shortfall on contingent payment debt 0.00 Fees & Expenses- Dividends paid on short position 0.00
Bond premium- Non Treasury obligations (noncovered lots) 0.00 Fees & Expenses- Interest paid on short position 0.00
Bond premium- Treasury obligations (noncovered lots) 0.00 Fees & Expenses- Non reportable distribution expense 0.00
Bond premium- Tax-exempt obligations (noncovered lots) 0.00 Fees & Expenses- Other expenses 40.00
Bond premium- Tax-exempt obligations (AMT, noncovered lots) 0.00 Fees & Expenses- Severance tax 0.00
Market discount (noncovered lots) 0.00 Fees & Expenses- Organizational expense 0.00
Fees & Expenses- Miscellaneous fees 0.00
STATE TAX WITHHELD Fees & Expenses- Tax-exempt investment expense 0.00
Use the details of the State Tax Withholding page(s) to determine the appropriate amounts for Foreign Exchange Gains & Losses- Foreign currency gain/loss 0.00
your income tax return(s). The amounts shown in this section are for your reference.
1099-DIV total withheld 0.00
1099-INT total withheld 0.00
1099-OID total withheld 0.00
1099-MISC total withheld 0.00
1099-B total withheld 0.00
Page 3 of 10
Several columns include both an amount and a qualifying notation to its right. Where proceeds are the result of an option exercise or assignment, there is indication of whether the amount is N (net of
option premium) or G (Gross). Accrued market discount and wash sale loss disallowed appear in the same column, identified by the letters D or W, respectively. Where you are not permitted to
recognize a loss, an indication of X (change in control or capital structure) or Z (other corporate action) is used. The change in control condition is reported to the IRS for covered lots. Neither the
disallowance of loss due to a corporate action nor the amount of gain or loss is reported to the IRS in any instance.
Some tax lots may have notations in the column of Additional Information because they require special treatment on your tax returns. Sales of securities such as Contingent Payment Debt Instruments
(CPDI) are marked as “Ordinary” because gains and losses on these instruments generally do not qualify as short- or long-term capital transactions. Similarly, lots noted as “3 - [X] Collectible” are
handled distinctly under the tax code. These conditions are reported to the IRS. You may wish to consult with your tax advisor, the IRS or your state tax authority regarding the proper treatment for
these scenarios. With further regard to Box 3, there is also a checkmark to indicate the proceeds of sale are from a Qualified Opportunity Zone Fund investment - a QOF. If the proceeds are from a QOF
the Additional Information column will reflect the following - “3 - [X] Proceeds from QOF.” The tax treatment for QOF investments can be complex and you may wish to consult your tax advisor about
such sales.
Closing of written options is presented in a distinct manner in accordance with IRS regulations. For these transactions the Cost or other basis (column 1e) is always presented as $0.00 and the
Proceeds (column 1d) is the net of the amount received when the option was written and the cost to close the position.
SHORT TERM TRANSACTIONS FOR COVERED TAX LOTS [Ordinary gains or losses are identified in the Additional information column] (Lines 2 & 5)
Report on Form 8949, Part I with Box A checked. Basis is provided to the IRS. (Line 12)
“Gain or loss (-)” is NOT reported to the IRS.
1a- Description of property/CUSIP/Symbol
1c- Date 1d- Proceeds & 1f- Accrued mkt disc (D) & Gain or loss(-) &
sold or 6- Reported 1b- Date 1e- Cost or 1g- Wash sale loss 7- Loss not allowed (X)
disposed Quantity (G)ross or (N)et acquired other basis disallowed (W) also not reported (Z) Additional information
COST 06/09/2023 CALL $690.00 / CUSIP: / Symbol:
06/09/23 21.000 0.00 Various 41.00 ... -41.00 Total of 4 transactions
COSTCO WHOLESALE CORPORATION C OMMON STOCK / CUSIP: 22160K105 / Symbol:
05/26/23 1.210 607.32 Various 600.75 ... 6.57 Total of 2 transactions
05/30/23 1.000 514.59 05/30/23 514.17 ... 0.42 Sale 25
05/30/23 1.000 509.36 05/30/23 510.79 1.43 W 0.00 Sale 25
06/02/23 1.284 661.52 Various 658.47 ... 3.05 Total of 2 transactions
06/06/23 3.120 1,612.29 Various 1,603.28 ... 9.01 Total of 3 transactions
07/28/23 4.000 2,256.62 Various 2,095.44 ... 161.18 Total of 3 transactions
08/01/23 4.000 2,233.98 07/31/23 2,244.76 ... -10.78 Sale 25
Security total: 8,395.68 8,227.66 1.43 W 169.45
* This is important tax information and is being furnished to the Internal Revenue Service. 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. Remember, taxpayers are ultimately responsible for the accuracy of their tax return(s).
Page 4 of 10
SHORT TERM TRANSACTIONS FOR COVERED TAX LOTS [Ordinary gains or losses are identified in the Additional information column] (Lines 2 & 5)
Report on Form 8949, Part I with Box A checked. Basis is provided to the IRS. (Line 12)
“Gain or loss (-)” is NOT reported to the IRS.
1a- Description of property/CUSIP/Symbol
1c- Date 1d- Proceeds & 1f- Accrued mkt disc (D) & Gain or loss(-) &
sold or 6- Reported 1b- Date 1e- Cost or 1g- Wash sale loss 7- Loss not allowed (X)
disposed Quantity (G)ross or (N)et acquired other basis disallowed (W) also not reported (Z) Additional information
FORD MOTOR COMPANY / CUSIP: 345370860 / Symbol:
07/03/23 20.000 303.80 Various 284.63 ... 19.17 Total of 6 transactions
07/17/23 17.000 248.37 06/30/23 256.95 ... -8.58 Sale 25
Security total: 552.17 541.58 ... 10.59
ISHARES 0-5 YEAR TIPS BOND ETF / CUSIP: 46429B747 / Symbol:
06/01/23 0.360 35.23 06/01/23 35.19 ... 0.04 Sale 25
QUALCOMM INCORPORATED COMMON S TOCK / CUSIP: 747525103 / Symbol:
07/17/23 2.000 244.66 Various 236.00 ... 8.66 Total of 2 transactions
SPDR S&P 500 ETF TRUST / CUSIP: 78462F103 / Symbol:
07/03/23 5.000 2,214.78 Various 2,205.00 ... 9.78 Total of 2 transactions
07/17/23 1.000 449.11 06/30/23 442.52 ... 6.59 Sale 25
Security total: 2,663.89 2,647.52 ... 16.37
Totals : 11,891.63 11,728.95 1.43 W 164.11
* This is important tax information and is being furnished to the Internal Revenue Service. 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. Remember, taxpayers are ultimately responsible for the accuracy of their tax return(s).
Page 5 of 10
To provide a complete picture of activity for each investment, we also include here nonreportable transactions such as accrued interest paid on purchases and payment or receipt of nonqualified
interest. Other amounts, such as federal, state and foreign tax withheld and investment expenses are shown as negative amounts but do not net against the reportable income totals.
Security description CUSIP and/or symbol Date Amount Transaction type Notes
INTEREST PAYMENT 01/31/23 0.06 Interest
02/28/23 0.04 Interest
03/31/23 0.03 Interest
04/28/23 0.01 Interest
05/31/23 0.18 Interest
06/26/23 0.56 Interest
06/30/23 0.15 Interest
07/31/23 0.18 Interest
1.21 Total Interest
Security description CUSIP and/or symbol Date Amount Transaction type Notes
US Dollars USDOLLARS 07/24/23 1.13 Other income
These amounts are provided here to facilitate an accounting of all amounts received during the year and are totaled in the Reconciliations, Fees, Expenses and Expenditures found in the Summary
Information at the beginning of the statement.
DIVIDENDS AND DISTRIBUTIONS 2023 1099-DIV* OMB No. 1545-0110 MISCELLANEOUS INFORMATION 2023 1099-MISC* OMB No. 1545-0115
1a- Total ordinary dividends (includes lines 1b, 5, 2e) 0.00 2- Royalties 0.00
1b- Qualified dividends 0.00 3- Other income 0.00
2a- Total capital gain distributions (includes lines 2b, 2c, 2d, 2f) 0.00 4- Federal income tax withheld 0.00
2b- Unrecaptured Section 1250 gain 0.00 8- Substitute payments in lieu of dividends or interest 0.00
2c- Section 1202 gain 0.00
2d- Collectibles (28%) gain 0.00 SECTION 1256 CONTRACTS 2023 1099-B* OMB No. 1545-0715
2e- Section 897 ordinary dividends 0.00
2f- Section 897 capital gain 0.00 8- Profit or (loss) realized in 2023 on closed contracts 0.00
3- Nondividend distributions 0.00 9- Unrealized profit or (loss) on open contracts-12/31/2022 0.00
4- Federal income tax withheld 0.00 10- Unrealized profit or (loss) on open contracts-12/31/2023 0.00
5- Section 199A dividends 0.00 11- Aggregate profit or (loss) on contracts 0.00
6- Investment expenses 0.00
If applicable, proceeds from sale transactions appear summarized below and are
8- Foreign country or US possession: 7- Foreign tax paid: 0.00
detailed in subsequent sections of this document.
9- Cash liquidation distributions 0.00
10- Noncash liquidation distributions 0.00 * This is important tax information and is being furnished to the Internal Revenue Service.
12- Exempt-interest dividends (includes line 13) 0.00 If you are required to file a return, a negligence penalty or other sanction may be imposed on
13- Specified private activity bond interest dividends (AMT) 0.00 you if this income is taxable and the IRS determines that it has not been reported.
Short A (basis reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Short B (basis not reported to the IRS) 2,013.67 2,051.90 0.00 0.00 -38.23
Short C (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Short-term 2,013.67 2,051.90 0.00 0.00 -38.23
Long D (basis reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Long E (basis not reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Long F (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Long-term 0.00 0.00 0.00 0.00 0.00
Undetermined B or E (basis not reported to the IRS) 0.00 0.00 0.00 0.00 0.00
Undetermined C or F (Form 1099-B not received) 0.00 0.00 0.00 0.00 0.00
Total Undetermined-term 0.00 0.00 0.00 0.00 0.00
Changes to dividend tax classifications processed after your original tax form is issued for 2023 may require an amended tax form.
Page 2 of 6
INTEREST INCOME 2023 1099-INT OMB No. 1545-0112 ORIGINAL ISSUE DISCOUNT AND ADJUSTMENTS
This is important tax information and is being furnished to the Internal Revenue Service. Use bond-by-bond details from the Form 1099-OID page(s) to determine amounts of
If you are required to file a return, a negligence penalty or other sanction may be Original Issue Discount income for your income tax return(s). The amounts shown in this
imposed on you if this income is taxable and the IRS determines that it has not been section are for your reference when preparing your income tax return(s).
reported. Original issue discount for the year 0.00
1- Interest income (not included in line 3) 0.00 Acquisition premium (covered lots) 0.00
2- Early withdrawal penalty 0.00 Acquisition premium (noncovered lots) 0.00
3- Interest on US Savings Bonds & Treasury obligations 0.00 Original issue discount on Treasury obligations 0.00
4- Federal income tax withheld 0.00 Acquisition premium, Treasury obligations (covered lots) 0.00
5- Investment expenses 0.00 Acquisition premium, Treasury obligations (noncovered lots) 0.00
7- Foreign country or US possession: 6- Foreign tax paid: 0.00 Tax-exempt OID 0.00
8- Tax-exempt interest (includes line 9) 0.00 Tax-exempt OID (lots not reported) 0.00
9- Specified private activity bond interest (AMT) 0.00 Acquisition premium (covered) 0.00
10- Market discount (covered lots) 0.00 Acquisition premium (lots not reported) 0.00
11- Bond premium (covered lots) 0.00 Tax-exempt OID on private activity bonds 0.00
12- Bond premium on Treasury obligations (covered lots) 0.00 Tax-exempt OID on private activity bonds (lots not reported) 0.00
13- Bond premium on tax-exempt bonds (categorized below) 0.00 Acquisition premium (AMT, covered) 0.00
Tax-exempt obligations (covered lots) 0.00 Acquisition premium (AMT, lots not reported) 0.00
Tax-exempt private activity obligations (AMT, covered lots) 0.00 Market discount (all lots) 0.00
14- Tax-exempt and tax credit bond CUSIP number Early withdrawal penalty 0.00
FATCA filing requirement [ ] Investment expenses 0.00
The following amounts are not reported to the IRS. They are presented here for your reference RECONCILIATIONS, FEES, EXPENSES AND EXPENDITURES
when preparing your tax return(s). The amounts in this section are not reported to the IRS. They are presented here for your
reference when preparing your income tax return(s).
Taxable accrued interest paid 0.00
Taxable accrued Treasury interest paid 0.00 Other Receipts & Reconciliations- Partnership distributions 0.00
Tax-exempt accrued interest paid 0.00 Other Receipts & Reconciliations- Foreign tax paid- partnership 0.00
Tax-exempt accrued interest paid (AMT) 0.00 Other Receipts & Reconciliations- Return of principal 0.00
Taxable accrued nonqualified interest paid 0.00 Other Receipts & Reconciliations- Deferred income payment 0.00
Tax-exempt accrued nonqualified interest paid 0.00 Other Receipts & Reconciliations- Deemed premium 0.00
Tax-exempt accrued nonqualified interest paid (AMT) 0.00 Other Receipts & Reconciliations- Income accrual- UIT 0.00
Nonqualified interest 0.00 Other Receipts & Reconciliations- Basis adjustments 0.00
Tax-exempt nonqualified interest 0.00 Other Receipts & Reconciliations- Foreign tax pd beyond treaty 0.00
Tax-exempt nonqualified interest (AMT) 0.00 Fees & Expenses- Margin interest 0.00
Interest shortfall on contingent payment debt 0.00 Fees & Expenses- Dividends paid on short position 0.00
Bond premium- Non Treasury obligations (noncovered lots) 0.00 Fees & Expenses- Interest paid on short position 0.00
Bond premium- Treasury obligations (noncovered lots) 0.00 Fees & Expenses- Non reportable distribution expense 0.00
Bond premium- Tax-exempt obligations (noncovered lots) 0.00 Fees & Expenses- Other expenses 0.00
Bond premium- Tax-exempt obligations (AMT, noncovered lots) 0.00 Fees & Expenses- Severance tax 0.00
Market discount (noncovered lots) 0.00 Fees & Expenses- Organizational expense 0.00
Fees & Expenses- Miscellaneous fees 0.00
STATE TAX WITHHELD Fees & Expenses- Tax-exempt investment expense 0.00
Use the details of the State Tax Withholding page(s) to determine the appropriate amounts for Foreign Exchange Gains & Losses- Foreign currency gain/loss 0.00
your income tax return(s). The amounts shown in this section are for your reference.
1099-DIV total withheld 0.00
1099-INT total withheld 0.00
1099-OID total withheld 0.00
1099-MISC total withheld 0.00
1099-B total withheld 0.00
Page 3 of 6
Several columns include both an amount and a qualifying notation to its right. Where proceeds are the result of an option exercise or assignment, there is indication of whether the amount is N (net of
option premium) or G (Gross). Accrued market discount and wash sale loss disallowed appear in the same column, identified by the letters D or W, respectively. Where you are not permitted to
recognize a loss, an indication of X (change in control or capital structure) or Z (other corporate action) is used. The change in control condition is reported to the IRS for covered lots. Neither the
disallowance of loss due to a corporate action nor the amount of gain or loss is reported to the IRS in any instance.
Some tax lots may have notations in the column of Additional Information because they require special treatment on your tax returns. Sales of securities such as Contingent Payment Debt Instruments
(CPDI) are marked as “Ordinary” because gains and losses on these instruments generally do not qualify as short- or long-term capital transactions. Similarly, lots noted as “3 - [X] Collectible” are
handled distinctly under the tax code. These conditions are reported to the IRS. You may wish to consult with your tax advisor, the IRS or your state tax authority regarding the proper treatment for
these scenarios. With further regard to Box 3, there is also a checkmark to indicate the proceeds of sale are from a Qualified Opportunity Zone Fund investment - a QOF. If the proceeds are from a QOF
the Additional Information column will reflect the following - “3 - [X] Proceeds from QOF.” The tax treatment for QOF investments can be complex and you may wish to consult your tax advisor about
such sales.
Closing of written options is presented in a distinct manner in accordance with IRS regulations. For these transactions the Cost or other basis (column 1e) is always presented as $0.00 and the
Proceeds (column 1d) is the net of the amount received when the option was written and the cost to close the position.
SHORT TERM TRANSACTIONS FOR NONCOVERED TAX LOTS [Ordinary gains or losses are identified in the Additional information column] (Line 5)
Report on Form 8949, Part I with Box B checked. Basis is NOT provided to the IRS. (Line 12)
“Date acquired,” “Cost or other basis,” "Accrued market discount," "Wash sale loss disallowed" and “Gain or loss (-)” are NOT reported to the IRS.
1a- Description of property/CUSIP/Symbol
1c- Date 1d- Proceeds & Accrued mkt disc (D) & Gain or loss(-) &
sold or 6- Reported Date Cost or Wash sale loss 7- Loss not allowed (X)
disposed Quantity (G)ross or (N)et acquired other basis disallowed (W) also not reported (Z) Additional information
Bitcoin / CUSIP: BTCUSD / Symbol:
05/30/23 0.00187415 52.19 05/25/23 49.36 ... 2.83 Sale 25
12/07/23 0.024 1,034.12 12/04/23 1,001.11 ... 33.01 Sale 25
12/11/23 0.023 927.36 12/08/23 1,001.43 ... -74.07 Sale 25
Security total: 2,013.67 2,051.90 ... -38.23
Totals : 2,013.67 2,051.90 -38.23
* This is important tax information and is being furnished to the Internal Revenue Service. 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. Remember, taxpayers are ultimately responsible for the accuracy of their tax return(s).
Page 4 of 6