Sally and Charles Colonel received the following Form 1099-DIV in 2021: D CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country, ZIP 1a Total ordinary OMB No. 1545-0110 or foreign postal code, and telephone no. dividends Divic $ 694.00 2021 Kentucky East Corporation Dis 500 Lancaster Ave. 1b Qualified dividends Richmond, KY 40475 $ 680.00 Form 1099-DIV 2a Total capital gain 2b Unrecap. Sec. 1250 gain distr $ 200.00 PAYER'S TIN RECIPIENT'S TIN 2c Section 1202 gain 2d Collectibles (28%) gain $ $ 2e Section 897 2f Section 897 capital gain ordinary dividends 45-6067473 313-13-1313 S 3 Nondividend 4 Federal income tax withheld RECIPIENT'S name distributions