B 2 2 PBC 1 0 9 9 DIV Student CopyForm 1 0 9 9 DIV 2 a Total capital gain distr 2 b Unrecap Sec 1 2 5 0 gainPAYER's federal identification number RECIPIENT'S identification number 2 c Section 1 2 0 2 gain 2 d Collectibles ( 2 8 ) gain 3 Nondividend distributions 4 Federal income tax withheld 5 Investment Expenses 6 Foreign tax paid 7 Foreign country or U S possessionCity or town, province or state, country, and ZIP or foreign postal code 8 Cash liquidation distributions 9 Noncash liquidation distributions 1 0 Exemptinterest dividendsAccount number ( see instructions ) 2 nd TIN not 1 2 State 1 3 State identification no 1 4 State tax withheldForm 1 0 9 9 DIVFor Instructional Purposes only Not an official tax form 1 1 Specified private activity bond interestdividendsLubbock, TX 7 9 4 0 1 2 2 2 3 3 4 4 4 4 RECIPIENT'S nameKourtney SmithStreet address ( including apt no ) 4 6 4 6 1 9 th St PAYER's name, street address, city or town, province or state, country, ZIP or foreignpostal code, and telephone no 1 a Total ordinary dividends 1 , 6 7 5 0 0 $ 2 0 2 4 Dividends and DistributionsMaple Incorporated 1 b Qualified dividends 2 5 8 Maple Avenue 1 , 6 7 5 0 0 $Montpelier, VT 0 5 6 0 2 USA Copy A ( 8 0 2 ) 9 9 9 8 3 8 9 B 2 3 PBC 1 0 9 9 DIV Student CopyForm 1 0 9 9 DIV 2 a Total capital gain distr 2 b Unrecap Sec 1 2 5 0 gainPAYER's federal identification number RECIPIENT'S identification number 2 c Section 1 2 0 2 gain 2 d Collectibles ( 2 8 ) gain 3 Nondividend distributions 4 Federal income tax withheld 5 Investment Expenses 6 Foreign tax paid 7 Foreign country or U S possessionCity or town, province or state, country, and ZIP or foreign postal code 8 Cash liquidation distributions 9 Noncash liquidation distributions 1 0 Exemptinterest dividendsAccount number ( see instructions ) 2 nd TIN not 1 2 State 1 3 State identification no 1 4 State tax withheldForm 1 0 9 9 DIVFor Instructional Purposes only Not an official tax form 1 1 Specified private activity bond interestdividendsLubbock, TX 7 9 4 0 1 1 1 1 2 2 3 3 3 3 RECIPIENT'S nameScott SmithStreet address ( including apt no ) 4 6 4 6 1 9 th St PAYER's name, street address, city or town, province or state, country, ZIP or foreignpostal code, and telephone no 1 a Total ordinary dividends 2 4 0 0 0 $ 2 0 2 4 Dividends and DistributionsBrinker Corporation 1 b Qualified dividends 6 8 9 0 Mesa Street 2 4 0 0 0 $Laredo, TX 7 8 0 4 0 USA Copy A ( 9 5 6 ) 8 9 0 2 3 5 6 D 1 1 PBC 1 0 9 9 B 1 Student Copy 1 b Date of acquisition 1 c Type of gain or lossShortterm Form 1 0 9 9 BLongterm 1 d Stock or other symbol 1 e Quantity sold 2 a Stocks, bonds, etc x Gross proceeds 2 bPAYER's federal identification number RECIPIENT'S identification number 3 Cost or other basis 4 Federal income tax withheld 5 Wash sale loss disallowed 6 Check if 7 Bartering a Noncovered securityb Basis reported to IRSCity, state, and ZIP code 8 DescriptionAccount number ( see instructions ) 2 nd TIN not 1 3 State 1 4 State identification no CUSIP number 1 5 State tax withheldForm 1 0 9 9 BFor Instructional Purposes only Not an official tax formPAYER's name, street address, city , state, ZIP code, and telephone no 1 a Date of sale or exchange 2 0 2 4 ABC BrokeragePark AvenueNew York, NY 1 1 1 0 5 Copy A ( 8 9 9 ) 7 7 7 6 6 6 6 1 4 , 8 0 0 0 0 $Reportedto IRS Gross proceeds lesscommissions and optionpremiums 1 1 1 2 2 3 3 3 3 2 5 0 Check if loss not allowed basedon amount in box 2 aLubbock, TX 7 9 4 0 1 RECIPIENT'S nameScott Smith 8 , 1 0 0 0 0 $Proceeds From Broker andBarter Exchange Transactions 1 0 2 2 0 2 4 2 1 2 0 1 9 X 1 0 Unrealized profit or ( loss ) on opencontracts 1 2 3 1 2 0 2 3 9 Profit or ( loss ) realized in 2 0 2 4 onclosed contractsStreet address ( including apt no ) 4 6 4 6 1 9 th St 1 1 Unrealized profit or ( loss ) on opencontracts 1 2 3 1 2 0 2 4 1 2 Aggregate profit or ( loss ) on contractsE 1 1 PBC 1 0 9 9 MISC Student CopyForm 1 0 9 9 MISC 3 Other income 4 Federal income tax withheldPAYER's federal identification number RECIPIENT'S identification numberCity or town, province or state, country, and ZIP or foreign postal code 1 1 Foreign tax paid 1 2 Foreign country or U S possessionAccount number ( see instructions ) Form 1 0 9 9 MISCFor Instructional Purposes only Not an official tax formCopy A ( 8 0 0 ) 1 2 3 4 5 6 7 PAYER's name, street address, city or town, province or state, country, ZIP or foreignpostal code, and telephone no 1 Rents 2 0 2 4 Miscellaneous IncomeHP Oil Company 2 Royalties 1 1 1 2 2 3 3 3 3 RECIPIENT'S name 7 Nonemployee compensation 2 1 8 5 Ranger Parkway 9 , 1 0 0 0 0 $Arlington, TX 7 6 0 0 1 USA 5 Fishing boat proceeds 1 6 State tax withheld 1 8 State income 1 7 State Payer ' s state no Scott SmithStreet address ( including apt no ) 4 6 4 6 1 9 th St 1 0 Crop insurance proceedsLubbock, Texas 7 9 4 0 1 1 3 Excess golden parachute payments 1 4 Gross proceeds paid to an attorney 1 5 a Section 4 0 8 A deferrals 1 5 b Section 4 0 9 A income 6 Medical and health care payments 8 Substitute payments in lieu of dividendsor interest 9 Payer made direct sales of $ 5 , 0 0 0 ormore of consumer products to a buyer ( recipient ) for resaleK 1 1 PBC K 1 Student CopyFinal K 1 Amended K 1 6 7 1 1 1 3 Schedule K 1 ( Form 1 1 2 0 S ) For calendar year 2 0 2 4 , or tax Ordinary Business income ( loss ) Creditsyear beginningending Net rental real estate income ( loss ) Shareholder ' s Share of Income, Deductions, Other net rental income ( loss ) Credits , etc See back of form and separate instructions Interest incomeA Corporation's employer identification numberOrdinary dividendsB Corporation's name, address, city, state, and ZIP codeQualified dividends Foreign TransactionsRoyaltiesNet shortterm capital gain ( loss ) C IRS Center where Corporation filed returnNet longterm capital gain ( loss ) Collectibles ( 2 8 ) gain ( loss ) D Shareholder's identifying number Unrecaptured section 1 2 5 0 gainE Shareholder's name, address, city, state, and ZIP code Net section 1 2 3 1 gain ( loss ) Other income ( loss ) Alternative minimum tax ( AMT ) itemsF Section 1 7 9 deductionOther deductionsFor Instructional Purposes only Not an official tax form 1 5 1 6 Items affecting shareholder basisLubbock, TX 7 9 4 0 1 Shareholder's percentage of stockownership for tax year 5 1 1 Brownstake, Inc 1 0 0 Main St Dallas, TX 7 5 0 0 2 1 0 5 bScott Smith 4 6 4 6 1 9 th St 8 b 8 c 9 8 a 6 7 Ogden, UT 1 1 1 2 2 3 3 3 3 Part II Information about the Shareholder 4 2 7 5 0 0 5 aPart I Information about the Corporation 1 5 , 5 0 0 0 0 2 3 7 5 2 2 2 2 2 2 2 2 0 2 4 Part III Shareholder's Share of Current Year Income, Deductions, Credits,and Other Items 1 3 For IRS Use Only See attached statement for additional information 1 2 1 4 1 7 Other informationO 1 1 PBC W 2 G Student CopySignature DateForm W 2 GFor Instructional Purposes only Not an official tax formPAYER's name, address, ZIP code, federal identification number, and telephone number 1 Gross Winnings 1 , 2 0 0 0 0 $High Rollers Casino 3 Type of wager 5 0 0 Strip AveLas Vegas, NV 8 9 1 0 6 7 5 2 1 2 1 2 1 2 ( 7 0 2 ) 5 5 5 5 5 5 5 WINNER'S name, address ( including apt no ) , 9 Winner's taxpayer identification no 1 0 Window 8 Cashier 1 1 First I D 1 2 Second I D This information is beingfurnished tothe InternalRevenue Service Copy BReport this income on yourfederal tax return If this formshows federal income taxwithheld in box 2 , attach thiscopy to your return 4 6 4 6 1 9 th St Lubbock, TX 7 9 4 0 1 CertainGamblingWinnings 7 Winnings from identical wagers 1 3 State Payer ' s state identification no 1 4 State income tax withheld 2 0 2 4 Form W 2 G 2 Federal income tax withheld 3 0 0 0 0 $ 4 Date won 9 1 5 2 0 2 4 5 Transaction 6 RaceUnder penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I have furnished correctlyidentify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments Kourtney Smith 2 2 2 3 3 4 4 4 4 W 1 1 PBC W 2 1 Student Copy 9 Last name Suff 1 3 1 5 State Employer's state ID numberFormFor Instructional Purposes only Not an official tax form 7 , 1 2 8 0 0 $ 3 , 6 8 2 8 0 $ 1 1 Nonqualified plans 7 Social security tips 4 Social security tax withheld 5 9 , 4 0 0 0 0 $ 5 Medicare wages and tips 6 Medicare tax withheld 5 9 , 4 0 0 0 0 $ 8 6 1 3 0 $ 8 Allocated tips 1 0 Dependent care benefits 2 2 2 3 3 4 4 4 4 a Employee's social security number 2 2 2 2 2 1 2 d 1 2 aCode 1 2 bCode 1 2 cCode Code 2 0 2 4 W 2 Wage and TaxStatement 1 Wages, tips, and other compensation 2 Federal income tax withheld 5 9 , 4 0 0 0 0 $ 3 Social security wages 1 9 Local income tax 2 0 Locality named Control numberb Employer identification number ( EIN ) Lubbock ISD 1 6 2 8 1 9 th StreetLubbock, TX 7 9 4 0 1 1 8 Local wages, tips, etc f Employee's address and ZIP code 1 6 State wages, tips, etc 1 7 State income tax 1 4 OtherStatutoryemployeeRetirementplanThirdpartysick payc Employer's name, address, and ZIP code 7 5 1 1 1 1 1 1 1 Kourtney Smith 4 6 4 6 1 9 th St e Employee's first name and InitialLubbock, TX 7 9 4 0 1 Form 1 0 9 8 T 2 0 2 4 TuitionStatementDepartment of the Treasury Internal Revenue ServiceCopy BFor StudentThis is importanttax informationand is beingfurnished to theIRS This formmust be used tocomplete Form 8 8 6 3 to claim educationcredits Give it to thetax preparer or use it toprepare the tax return OMB No 1 5 4 5 1 5 7 4 CORRECTEDFILERS name, street address, city or town, state or province, country, ZIP orforeign postal code, and telephone numberFILERS employer identification no STUDENTS TINSTUDENTS nameStreet address ( including apt no ) City or town, state or province, country, and ZIP or foreign postal codeService Provider Acct No ( see instr ) 1 Payments received forqualified tuition and relatedexpenses$ 2 3 4 Adjustments made for aprior year$ 5 Scholarships or grants$ 6 Adjustments toscholarships or grantsfor a prior year$ 7 Checked if the amountin box 1 includesamounts for anacademic periodbeginning JanuaryMarch 2 0 2 5 8 Checked if at leasthalf time student 9 Checked if a graduatestudent 1 0 Ins contract reimb refund$Form 1 0 9 8 T ( keep for your records ) www irs gov Form 1 0 9 8 TTexas Tech University 2 5 0 0 Broadway WayLubbock, TX 7 9 4 0 9 7 5 6 0 0 2 6 2 2 2 2 2 3 3 4 4 4 4 Kourtney Smith 4 6 4 6 1 9 th StreetLubbock, TX 7 9 4 0 1 1 1 , 5 0 0 5 , 0 0 0 PBC Business Student CopyRevenue 1 9 6 , 8 0 0 0 0 Advertising 5 , 9 0 0 0 0 Insurance professional 2 , 1 0 0 0 0 Insurance Health ( Scott ) 6 , 9 0 0 0 0 Legal fees 2 , 3 8 0 0 0 Office furniture Office expense 4 5 0 0 0 Repairs and Maintenance 1 , 9 8 0 0 0 Payroll tax 2 , 9 4 5 2 5 Meals with Clients 1 , 6 4 0 0 0 Cell phone 3 , 2 2 0 0 0 Wages landscape assistant 3 8 , 5 0 0 0 0 Draw 6 0 , 0 0 0 0 0 Supplies 2

Question

B 2   2 PBC 1 0 9 9   DIV Student CopyForm 1 0 9 9 DIV 2 a Total capital gain distr  2 b Unrecap  Sec  1 2 5 0 gainPAYER's federal identification number RECIPIENT'S identification number 2 c Section 1 2 0 2 gain 2 d Collectibles ( 2 8   ) gain 3 Nondividend distributions 4 Federal income tax withheld 5 Investment Expenses 6 Foreign tax paid 7 Foreign country or U   S   possessionCity or town, province or state, country, and ZIP or foreign postal code 8 Cash liquidation distributions 9 Noncash liquidation distributions 1 0 Exemptinterest dividendsAccount number ( see instructions ) 2 nd TIN not  1 2 State 1 3 State identification no   1 4 State tax withheldForm 1 0 9 9 DIVFor Instructional Purposes only Not an official tax form 1 1 Specified private activity bond interestdividendsLubbock, TX 7 9 4 0 1 2 2 2 3 3 4 4 4 4 RECIPIENT'S nameKourtney SmithStreet address ( including apt  no ) 4 6 4 6 1 9 th St   PAYER's name, street address, city or town, province or state, country, ZIP or foreignpostal code, and telephone no   1 a Total ordinary dividends 1 , 6 7 5   0 0 $ 2 0 2 4 Dividends and DistributionsMaple Incorporated 1 b Qualified dividends 2 5 8 Maple Avenue 1 , 6 7 5   0 0 $Montpelier, VT 0 5 6 0 2 USA Copy A ( 8 0 2 ) 9 9 9 8 3 8 9 B 2   3 PBC 1 0 9 9   DIV Student CopyForm 1 0 9 9 DIV 2 a Total capital gain distr  2 b Unrecap  Sec  1 2 5 0 gainPAYER's federal identification number RECIPIENT'S identification number 2 c Section 1 2 0 2 gain 2 d Collectibles ( 2 8   ) gain 3 Nondividend distributions 4 Federal income tax withheld 5 Investment Expenses 6 Foreign tax paid 7 Foreign country or U   S   possessionCity or town, province or state, country, and ZIP or foreign postal code 8 Cash liquidation distributions 9 Noncash liquidation distributions 1 0 Exemptinterest dividendsAccount number ( see instructions ) 2 nd TIN not  1 2 State 1 3 State identification no   1 4 State tax withheldForm 1 0 9 9 DIVFor Instructional Purposes only Not an official tax form 1 1 Specified private activity bond interestdividendsLubbock, TX 7 9 4 0 1 1 1 1 2 2 3 3 3 3 RECIPIENT'S nameScott SmithStreet address ( including apt  no ) 4 6 4 6 1 9 th St   PAYER's name, street address, city or town, province or state, country, ZIP or foreignpostal code, and telephone no   1 a Total ordinary dividends 2 4 0   0 0 $ 2 0 2 4 Dividends and DistributionsBrinker Corporation 1 b Qualified dividends 6 8 9 0 Mesa Street 2 4 0   0 0 $Laredo, TX 7 8 0 4 0 USA Copy A ( 9 5 6 ) 8 9 0 2 3 5 6 D 1   1 PBC 1 0 9 9   B 1 Student Copy 1 b Date of acquisition 1 c Type of gain or lossShortterm Form 1 0 9 9 BLongterm 1 d Stock or other symbol 1 e Quantity sold 2 a Stocks, bonds, etc  x Gross proceeds 2 bPAYER's federal identification number RECIPIENT'S identification number 3 Cost or other basis 4 Federal income tax withheld 5 Wash sale loss disallowed 6 Check if  7 Bartering a Noncovered securityb Basis reported to IRSCity, state, and ZIP code 8 DescriptionAccount number ( see instructions ) 2 nd TIN not  1 3 State 1 4 State identification no   CUSIP number 1 5 State tax withheldForm 1 0 9 9 BFor Instructional Purposes only Not an official tax formPAYER's name, street address, city , state, ZIP code, and telephone no   1 a Date of sale or exchange 2 0 2 4 ABC BrokeragePark AvenueNew York, NY 1 1 1 0 5 Copy A ( 8 9 9 ) 7 7 7 6 6 6 6 1 4 , 8 0 0   0 0 $Reportedto IRS Gross proceeds lesscommissions and optionpremiums 1 1 1 2 2 3 3 3 3 2 5 0 Check if loss not allowed basedon amount in box 2 aLubbock, TX 7 9 4 0 1 RECIPIENT'S nameScott Smith 8 , 1 0 0   0 0 $Proceeds From Broker andBarter Exchange Transactions 1 0   2   2 0 2 4 2   1   2 0 1 9 X 1 0 Unrealized profit or ( loss ) on opencontracts 1 2   3 1   2 0 2 3 9 Profit or ( loss ) realized in 2 0 2 4 onclosed contractsStreet address ( including apt  no ) 4 6 4 6 1 9 th St   1 1 Unrealized profit or ( loss ) on opencontracts 1 2   3 1   2 0 2 4 1 2 Aggregate profit or ( loss ) on contractsE 1   1 PBC 1 0 9 9   MISC Student CopyForm 1 0 9 9 MISC 3 Other income 4 Federal income tax withheldPAYER's federal identification number RECIPIENT'S identification numberCity or town, province or state, country, and ZIP or foreign postal code 1 1 Foreign tax paid 1 2 Foreign country or U   S   possessionAccount number ( see instructions ) Form 1 0 9 9 MISCFor Instructional Purposes only Not an official tax formCopy A ( 8 0 0 ) 1 2 3 4 5 6 7 PAYER's name, street address, city or town, province or state, country, ZIP or foreignpostal code, and telephone no   1 Rents 2 0 2 4 Miscellaneous IncomeHP Oil Company 2 Royalties 1 1 1 2 2 3 3 3 3 RECIPIENT'S name 7 Nonemployee compensation 2 1 8 5 Ranger Parkway 9 , 1 0 0   0 0 $Arlington, TX 7 6 0 0 1 USA 5 Fishing boat proceeds 1 6 State tax withheld 1 8 State income 1 7 State   Payer ' s state no   Scott SmithStreet address ( including apt  no ) 4 6 4 6 1 9 th St   1 0 Crop insurance proceedsLubbock, Texas 7 9 4 0 1 1 3 Excess golden parachute payments 1 4 Gross proceeds paid to an attorney 1 5 a Section 4 0 8 A deferrals 1 5 b Section 4 0 9 A income 6 Medical and health care payments 8 Substitute payments in lieu of dividendsor interest 9 Payer made direct sales of $ 5 , 0 0 0 ormore of consumer products to a buyer ( recipient ) for resaleK 1   1 PBC K   1 Student CopyFinal K 1 Amended K 1 6 7 1 1 1 3 Schedule K 1 ( Form 1 1 2 0 S ) For calendar year 2 0 2 4 , or tax Ordinary Business income ( loss ) Creditsyear beginningending Net rental real estate income ( loss ) Shareholder ' s Share of Income, Deductions, Other net rental income ( loss ) Credits , etc    See back of form and separate instructions Interest incomeA Corporation's employer identification numberOrdinary dividendsB Corporation's name, address, city, state, and ZIP codeQualified dividends Foreign TransactionsRoyaltiesNet shortterm capital gain ( loss ) C IRS Center where Corporation filed returnNet longterm capital gain ( loss ) Collectibles ( 2 8   ) gain ( loss ) D Shareholder's identifying number Unrecaptured section 1 2 5 0 gainE Shareholder's name, address, city, state, and ZIP code Net section 1 2 3 1 gain ( loss ) Other income ( loss ) Alternative minimum tax ( AMT ) itemsF   Section 1 7 9 deductionOther deductionsFor Instructional Purposes only Not an official tax form 1 5 1 6 Items affecting shareholder basisLubbock, TX 7 9 4 0 1 Shareholder's percentage of stockownership for tax year                          5 1 1 Brownstake, Inc   1 0 0 Main St   Dallas, TX 7 5 0 0 2 1 0 5 bScott Smith 4 6 4 6 1 9 th St   8 b 8 c 9 8 a 6 7 Ogden, UT 1 1 1 2 2 3 3 3 3 Part II Information about the Shareholder 4 2 7 5   0 0 5 aPart I Information about the Corporation 1 5 , 5 0 0   0 0 2 3 7 5 2 2 2 2 2 2 2 2 0 2 4 Part III Shareholder's Share of Current Year Income, Deductions, Credits,and Other Items 1 3 For IRS Use Only   See attached statement for additional information   1 2 1 4 1 7 Other informationO 1   1 PBC W   2 G Student CopySignature DateForm W 2 GFor Instructional Purposes only Not an official tax formPAYER's name, address, ZIP code, federal identification number, and telephone number 1 Gross Winnings 1 , 2 0 0   0 0 $High Rollers Casino 3 Type of wager 5 0 0 Strip AveLas Vegas, NV 8 9 1 0 6 7 5 2 1 2 1 2 1 2 ( 7 0 2 ) 5 5 5 5 5 5 5 WINNER'S name, address ( including apt  no   ) , 9 Winner's taxpayer identification no   1 0 Window 8 Cashier 1 1 First I D   1 2 Second I D   This information is beingfurnished tothe InternalRevenue Service Copy BReport this income on yourfederal tax return  If this formshows federal income taxwithheld in box 2 , attach thiscopy to your return   4 6 4 6 1 9 th St   Lubbock, TX 7 9 4 0 1 CertainGamblingWinnings 7 Winnings from identical wagers 1 3 State   Payer ' s state identification no   1 4 State income tax withheld 2 0 2 4 Form W 2 G 2 Federal income tax withheld 3 0 0   0 0 $ 4 Date won 9   1 5   2 0 2 4 5 Transaction 6 RaceUnder penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I have furnished correctlyidentify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments Kourtney Smith 2 2 2 3 3 4 4 4 4 W 1   1 PBC W   2 1 Student Copy 9 Last name Suff   1 3 1 5 State Employer's state ID numberFormFor Instructional Purposes only Not an official tax form 7 , 1 2 8   0 0 $ 3 , 6 8 2   8 0 $ 1 1 Nonqualified plans 7 Social security tips 4 Social security tax withheld 5 9 , 4 0 0   0 0 $ 5 Medicare wages and tips 6 Medicare tax withheld 5 9 , 4 0 0   0 0 $ 8 6 1   3 0 $ 8 Allocated tips 1 0 Dependent care benefits 2 2 2 3 3 4 4 4 4 a Employee's social security number 2 2 2 2 2 1 2 d 1 2 aCode 1 2 bCode 1 2 cCode Code 2 0 2 4 W 2 Wage and TaxStatement 1 Wages, tips, and other compensation 2 Federal income tax withheld 5 9 , 4 0 0   0 0 $ 3 Social security wages 1 9 Local income tax 2 0 Locality named Control numberb Employer identification number ( EIN ) Lubbock ISD 1 6 2 8 1 9 th StreetLubbock, TX 7 9 4 0 1 1 8 Local wages, tips, etc f Employee's address and ZIP code 1 6 State wages, tips, etc  1 7 State income tax 1 4 OtherStatutoryemployeeRetirementplanThirdpartysick payc Employer's name, address, and ZIP code 7 5 1 1 1 1 1 1 1 Kourtney Smith 4 6 4 6 1 9 th St   e Employee's first name and InitialLubbock, TX 7 9 4 0 1 Form 1 0 9 8   T 2 0 2 4 TuitionStatementDepartment of the Treasury   Internal Revenue ServiceCopy BFor StudentThis is importanttax informationand is beingfurnished to theIRS  This formmust be used tocomplete Form 8 8 6 3 to claim educationcredits  Give it to thetax preparer or use it toprepare the tax return OMB No   1 5 4 5   1 5 7 4 CORRECTEDFILERS name, street address, city or town, state or province, country, ZIP orforeign postal code, and telephone numberFILERS employer identification no   STUDENTS TINSTUDENTS nameStreet address ( including apt  no   ) City or town, state or province, country, and ZIP or foreign postal codeService Provider   Acct   No   ( see instr  ) 1 Payments received forqualified tuition and relatedexpenses$ 2 3 4 Adjustments made for aprior year$ 5 Scholarships or grants$ 6 Adjustments toscholarships or grantsfor a prior year$ 7 Checked if the amountin box 1 includesamounts for anacademic periodbeginning JanuaryMarch 2 0 2 5 8 Checked if at leasthalf   time student 9 Checked if a graduatestudent 1 0 Ins  contract reimb    refund$Form 1 0 9 8   T ( keep for your records ) www   irs gov   Form 1 0 9 8 TTexas Tech University 2 5 0 0 Broadway WayLubbock, TX 7 9 4 0 9 7 5   6 0 0 2 6 2 2 2 2 2   3 3   4 4 4 4 Kourtney Smith 4 6 4 6 1 9 th StreetLubbock, TX 7 9 4 0 1 1 1 , 5 0 0 5 , 0 0 0 PBC Business   Student CopyRevenue 1 9 6 , 8 0 0   0 0 Advertising 5 , 9 0 0   0 0 Insurance   professional 2 , 1 0 0   0 0 Insurance   Health ( Scott ) 6 , 9 0 0   0 0 Legal fees 2 , 3 8 0   0 0 Office furniture   Office expense 4 5 0   0 0 Repairs and Maintenance 1 , 9 8 0   0 0 Payroll tax 2 , 9 4 5   2 5 Meals with Clients 1 , 6 4 0   0 0 Cell phone 3 , 2 2 0   0 0 Wages   landscape assistant 3 8 , 5 0 0   0 0 Draw 6 0 , 0 0 0   0 0 Supplies 2

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B 2 . 2 PBC 1 0 9 9 - DIV Student CopyForm 1 0 9 9 DIV 2 a Total capital gain distr. 2

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