Form Reference ID
US_2020_1099MISC_1005042176_0
ALBI FLY, LLC.
PO BOX 80683
SEATTLE, WA 98108-0683
DAVID COLLI
3943 CALIFORNIA AVE
TRACY, CA 95304
CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115
$ Miscellaneous
202
21
or foreign postal code, and telephone no. 1,545.00
ALBI FLY, LLC.
PO BOX 80683
2 Royalties Income
SEATTLE, WA 98108-0683 $ Form 1099-MISC
1-213-328-4865 3 Other income 4 Federal income tax withheld
Copy B
$ 0.00 $ 0.00
For Recipient
PAYER’S TIN RECIPIENT’S TIN 5 Fishing boat proceeds 6 Medical and health care payments
83-4466491 XXX-XX-7010 $ $ 0.00
This is important tax
RECIPIENT’S name and address 7 Payer made direct sales of 8 Substitute payments in lieu of information and is
$5,000 or more of consumer dividends or interest being furnished to
DAVID COLLI
products to a buyer the IRS. If you are
3943 CALIFORNIA AVE
(recipient) for resale $ required to file a
TRACY, CA 95304
9 Crop insurance proceeds 10 Gross proceeds paid to an return, a negligence
attorney penalty or other
sanction may be
$ $ 0.00
imposed on you if
11 12 Section 409A deferrals this income is
$ taxable and the IRS
determines that it
Account number (see instructions) FATCA filing 13 Excess golden parachute 14 Nonqualified deferred has not been
requirement payments compensation reported.
1099MISC_1005042176
$ $
15 State tax withheld 16 State/Payer’s state no. 17 State income
$ CA $
$ $
Form 1099-MISC (keep for your records) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service
Instructions for Recipient Box 4. Shows backup withholding or withholding on Indian gaming profits. Generally, a payer
Recipient’s taxpayer identification number (TIN). For your protection, this form may show must backup withhold if you did not furnish your TIN. See Form W-9 and Pub. 505 for more
only the last four digits of your social security number (SSN), individual taxpayer identification information. Report this amount on your income tax return as tax withheld.
number (ITIN), adoption taxpayer identification number (ATIN), or employer identification Box 5. An amount in this box means the fishing boat operator considers you self-employed.
number (EIN). However, the payer has reported your complete TIN to the IRS. Report this amount on Schedule C (Form 1040 or 1040-SR). See Pub. 334.
Account number. May show an account or other unique number the payer assigned to Box 6. For individuals, report on Schedule C (Form 1040 or 1040-SR).
distinguish your account. Box 7. If checked, $5,000 or more of sales of consumer products was sold to you on buy-sell,
FATCA filing requirement. If the FATCA filing requirement box is checked, the payer is deposit-commission, or other basis. A dollar amount does not have to be shown. Generally,
reporting on this Form 1099 to satisfy its chapter 4 account reporting requirement. You may report any income from your sale of these products on Schedule C (Form 1040 or 1040-SR).
also have a filing requirement. See the Instructions for Form 8938. Box 8. Shows substitute payments in lieu of dividends or tax-exempt interest received by your
Amounts shown may be subject to self-employment (SE) tax. If your net income from SE is broker on your behalf as a result of a loan of your securities. Report on the “Other income” line
$400 or more, you must file a return and compute your SE tax on Schedule SE (Form 1040 or of Schedule 1 (Form 1040 or 1040-SR), or Form 1040-NR.
1040-SR). See Pub. 334 for more information. Note: If you are still receiving payments on Box 9. Report this amount on Schedule F (Form 1040 or 1040-SR).
which no income, social security, and Medicare taxes are withheld, you should make Box 10. Shows gross proceeds paid to an attorney in connection with legal services. Report
estimated tax payments. See Form 1040-ES (or Form 1040-ES-NR). Individuals must report only the taxable part as income on your return.
these amounts as explained in the box 14 instructions on this page. Corporations, fiduciaries, Box 12. May show current year deferrals as a nonemployee under a nonqualified deferred
or partnerships must report the amounts on the proper line of their tax returns. compensation (NQDC) plan that is subject to the requirements of section 409A plus any
Form 1099-MISC incorrect? If this form is incorrect or has been issued in error, contact the earnings on current and prior year deferrals. This amount is also shown in box 1 of Form 1099-
payer. If you cannot get this form corrected, attach an explanation to your tax return and NEC.
report your income correctly. Box 13. Shows your total compensation of excess golden parachute payments subject to a
Box 1. Report rents from real estate on Schedule E (Form 1040 or 1040-SR). However, report 20% excise tax. See your tax return instructions for where to report.
rents on Schedule C (Form 1040 or 1040-SR) if you provided significant services to the tenant, Box 14. Shows income as a nonemployee under an NQDC plan that does not meet the
sold real estate as a business, or rented personal property as a business. See Pub. 527. requirements of section 409A. This amount is also included in box 1, Form 1099-NEC as
Box 2. Report royalties from oil, gas, or mineral properties; copyrights; and patents on nonemployee compensation. Any amount included in box 12 that is currently taxable is also
Schedule E (Form 1040 or 1040-SR). However, report payments for a working interest as included in this box. This income is also subject to a substantial additional tax to be reported
explained in the Schedule E (Form 1040 or 1040-SR) instructions. For royalties on timber, coal, on Form 1040, 1040-SR, or 1040-NR. See the Instructions for Forms 1040 and 1040-SR, or the
and iron ore, see Pub. 544. Instructions for Form 1040-NR.
Box 3. Generally, report this amount on the “Other income” line of Schedule 1 (Form 1040 or Boxes 15–17. Show state or local income tax withheld from the payments.
1040-SR), or Form 1040-NR and identify the payment. The amount shown may be payments Future developments. For the latest information about developments related to Form 1099-
received as the beneficiary of a deceased employee, prizes, awards, taxable damages, Indian MISC and its instructions, such as legislation enacted after they were published, go to
gaming profits, or other taxable income. See Pub. 525. If it is trade or business income, report www.irs.gov/Form1099MISC.
this amount on Schedule C or F (Form 1040 or 1040-SR).
Printed On Mar 26, 2021
Printed On Mar 26, 2021
