❑ CORRECTED (if checked) FILERS name. street address. city or town. state or province. country. ZIP FILER'S federal identification no. OMB No. 1545-2205 or foreign postal code, and telephone no. PAYEE'S to dennficancn no. to Gross amoult of payment carcVthird party network transactions $ lb Card Not Present transactions 2016 Form 1099-K Payment Card and Third Party Network Transactions Check to indicate if FILER is a (an): Payment settlement entity (PSE) ❑ Electronic Payment Facilitator (EPF)/Other third party ❑ PAYEE'S name Check to kidicate transactions reported are: Payment card Third party network 2 Merchant category code 3 Number of payment transactions 4 Federal mcome tax withheld $ Sb February $ Sd April $ SI June $ Sh August $ Si October $ SI December $ 7 State identification no. Street address (including apt. no.) City or town. state or province. country. and ZIP or foreign postal code Se January $ 5c March $ 5e May $ 5g July $ Si September $ Sk November $ 6 State PSE'S name and telephone number Copy B For Payee 'Ns 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 taxable income results from this transaction and the IRS determines that it has not been reported. Account number (see instructions) 8 State ncome tax witted $ $ Form 1099-K ((Keep for your records) www.irs.gov/form1099k Department of the Treasury - Internal Revenue Service EFTA01222599