STA TOD RULES 8000 SOUTH FEDERAL WAY BOISE, ID 83716 Tax Identification Number: XXX-XX-0972 Account Number: 870-384864 TD AMERITRADE DIVISION OF TD AMERITRADE INC PO BOX 2209 OMAHA, NE 68103-2209 For 1099 questions, please call: 800-823-2835 This 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 this income is taxable and the IRS determines that it has not been reported. TD Ameritrade Clearing, Inc., Federal Tax Identification Number: 47-0533629 02/08/11 870-384864 Page 1 of 3 2010 ConsolidatedForms 1099 Form 1099-DIV Dividends and Distributions (OMB No: 1545-0110) Line # Category Amount 1a Total Ordinary Dividends $96.53 1b Qualified Dividends 96.53 2a Total Capital Gains Distributions (Includes Lines 2b, 2c, 2d) 0.00 2b Unrecaptured Section 1250 Gain 0.00 2c Section 1202 Gain 0.00 2d Collectibles (28%) Gain 0.00 3 Nontaxable Distributions 0.00 4 Federal Income Tax Withheld 0.00 5 Investment Expenses 0.00 6 Foreign Tax Paid 3.63 7 Foreign Country or U.S. Possession See Details 8 Liquidation Distribution - Cash 0.00 9 Liquidation Distribution - Noncash 0.00 Details of Form 1099-DIV - Dividends and Distributions (OMB No: 1545-0110) **indicates a correction. 02/08/11 870-384864 Page 2 of 3 2010 ConsolidatedForms 1099 LINE #1a ORDINARY DIVIDENDS (INCLUDING QUALIFIED DIVIDENDS) DATE DESCRIPTION SYMBOL CUSIP INFORMATION AMOUNT SUBTOTAL 03/01/10 INTEL CORP COM INTC 458140100 QUALIFIED DIVIDEND
7.88 - 06/01/10 INTEL CORP COM INTC 458140100 QUALIFIED DIVIDEND
7.88 - 09/01/10 INTEL CORP COM INTC 458140100 QUALIFIED DIVIDEND
7.88 - 12/01/10 INTEL CORP COM INTC 458140100 QUALIFIED DIVIDEND
7.88 31.52 05/28/10 NOKIA CORP ADR NOK 654902204 QUALIFIED DIVIDEND
24.17 24.17 03/15/10 TIME WARNER CABLE INC COM TWC 88732J207 QUALIFIED DIVIDEND
3.20 - 06/15/10 TIME WARNER CABLE INC COM TWC 88732J207 QUALIFIED DIVIDEND
3.20 - 09/15/10 TIME WARNER CABLE INC COM TWC 88732J207 QUALIFIED DIVIDEND
3.20 - 12/15/10 TIME WARNER CABLE INC COM TWC 88732J207 QUALIFIED DIVIDEND
3.20 12.80 03/15/10 TIME WARNER INC COM TWX 887317303 QUALIFIED DIVIDEND
7.01 - 06/15/10 TIME WARNER INC COM TWX 887317303 QUALIFIED DIVIDEND
7.01 - 09/15/10 TIME WARNER INC COM TWX 887317303 QUALIFIED DIVIDEND
7.01 - 12/15/10 TIME WARNER INC COM TWX 887317303 QUALIFIED DIVIDEND
7.01 28.04 TOTAL LINE #1a $ 96.53 96.53 LINE #6 FOREIGN TAX PAID DATE DESCRIPTION SYMBOL CUSIP COUNTRY ( LINE #7) AMOUNT SUBTOTAL 05/28/10 NOKIA CORP ADR NOK 654902204 FINLAND
3.63 3.63 TOTAL LINE #6 $ 3.63 3.63 2010 ConsolidatedForms 1099 02/08/11 870-384864 Page 3 of 3