Jorge Gomez is a single taxpayer. His SSN is 412-34-5670, and he lives at 5037 Circle Court, Crestview, IL 60543. His W-2 for 2016 shows gross wages of $92,600 with $5,741 of social security and $1,343 of Medicare taxes withheld. He has $17,047 of federal withholding and $2,595 in state withholding. Jorge does not itemize. He had the following stock transactions for the year:

Stock Shares		Date Purchased		Date Sold		Sale Price				Cost Basis
5,500		7/8/15			9/21/16		$	15,000		$	18,000
800		3/12/16			10/21/16			43,000			47,000
2,800		2/13/09			10/21/16			30,000			22,000

He also has interest from a savings account with Local Neighborhood Bank of $250 and a dividend from a Form 1099-DIV of $1,600 in ordinary dividends, of which $1,350 are considered qualified dividends.

Prepare a 2016 Form 1040 for Jorge and all related schedules and forms. Jorge had qualifying health care coverage at all times during the tax year.