2015 tax and year-end statement as of...

Account Holder Information:

Account Number: 03X-011930

Recipient's Name and Address:

PIPELINE SAFETY TRUST300 N. COMMERCIAL, SUITE BBELLINGHAM WA 98225-4002

2015 TAX andYEAR-END STATEMENT

As of 02/22/2016

of 1Seq.# (03X 33454)

Your Financial Consultant:

KAREN SLOSS103 E. HOLLY STE 412BELLINGHAM WA 98225-4728(360) 734-2041ID: WA4

General Information:

¨ This statement is being provided for informational purposes only as a COURTESY. The information on this statement WILL NOT BE FURNISHED to theInternal Revenue Service (excluding 1099-MISC substitute payments and 1099-B covered transactions for S Corporations).

¨ We generally make Courtesy 1099 tax statements available to investors in March. Certain information may not be finalized by the securities issuers at thetime that the statement is produced. We do not revise Courtesy 1099 tax statements.

¨ Transferred Accounts--If your account was transferred to us during 2015, your Tax Information Statement only includes activity (including incomeaccruals) during the time you conducted business with us. Your former financial organization should provide IRS Form 1099 for activity that occurredbefore your account was transferred.

Table of Contents

This tax statement may include the following IRS forms: 1099-B, 1099-INT, 1099-DIV, 1099-MISC and 1099-OID. Only theforms that pertain to the activity in this account are included in this tax statement. Please retain this document for taxpreparation purposes.


PIPELINE SAFETY TRUST300 N. COMMERCIAL, SUITE BBELLINGHAM WA 98225-4002


As of 02/22/2016

Seq.# (03X 33454)

Your Financial Consultant:

KAREN SLOSS103 E. HOLLY STE 412BELLINGHAM WA 98225-4728(360) 734-2041ID: WA4


1099 Form or Tax Statement Section Starting Page Number

Summary of Form 1099-B..........................................................................................................................................................................................................................................1

1099-INT Form: Interest Income................................................................................................................................................................................................................................1

1099-DIV Form: Dividends and Distributions............................................................................................................................................................................................................1

Summary of Form 1099-OID......................................................................................................................................................................................................................................1

Summary of Transactions We Do Not Report to the IRS..........................................................................................................................................................................................2

1099-B Forms: Proceeds From Broker and Barter Exchange Transactions..............................................................................................................................................................2Short-Term Covered Transactions....................................................................................................................................................................................................................................................2Long-Term Covered Transactions.....................................................................................................................................................................................................................................................2Long-Term Noncovered Transactions..............................................................................................................................................................................................................................................4

Dividends and Distributions (Details of Form 1099-DIV).........................................................................................................................................................................................8

Capital Gain Distributions (Details of Form 1099-DIV)...........................................................................................................................................................................................16

Details for Transactions We Do Not Report to the IRS...........................................................................................................................................................................................17Advisory Fees and Other Expenses................................................................................................................................................................................................................................................17


PIPELINE SAFETY TRUST300 N. COMMERCIAL, SUITE B


Recipient's IdentificationNumber: **-***9975


As of 02/22/2016

Page 1 of 18

Payer Information: PERSHING LLC Federal Identification Number: 13-2741729

Seq.# (03X 33454)

This statement is being provided for informational purposes only. The information on this statement will not be furnished to the Internal Revenue Service.

Summary of Form 1099-BDetails are reported to the IRS. Refer to the 1099-B section of this statement for those details.

AmountProceeds (For Covered and Noncovered Transactions) ................................................... 880,475.26Cost or Other Basis (For Covered Transactions Only) ..................................................... 346,416.27Federal Tax Withheld - Proceeds ................................................................. 0.00State Tax Withheld - Proceeds ................................................................................................. 0.00

Regulated Futures and Foreign Currency Forward Contracts:Profit or (Loss) Realized in 2015 ............................................................................................ 0.00Unrealized Profit or (Loss) on Open Contracts - 12/31/2014 .................................... 0.00Unrealized Profit or (Loss) on Open Contracts - 12/31/2015 .................................... 0.00Aggregate Profit or (Loss) ........................................................................................................ 0.00Fed. Tax Withheld - Reg. Futures and Foreign Curr. Forward Contracts ... 0.00State Tax Withheld - Reg. Futures and Foreign Curr. Forward Contracts ..................... 0.00

2015 1099-INT Interest Income OMB No. 1545-0112Box Amount1 Interest Income ......................................................................................................... 0.003 Interest on U.S. Savings Bonds & Treasury Obligations .................................. 0.004 Federal Income Tax Withheld ........................................................ 0.005 Investment Expenses ............................................................................................... 0.006 Foreign Tax Paid ........................................................................................................ 0.008 Tax-Exempt Interest ................................................................................................. 0.009 Specified Private Activity Bond Interest ............................................................... 0.0010 Market Discount (For Covered Transactions Only) .......................................... 0.0011 Bond Premium (For Covered Transactions Only) ............................................ 0.0013 Bond Premium on Tax-Exempt Bond (For Covered Transactions Only) .... 0.0014 Tax-Exempt and Tax Credit Bond CUSIP Number ............................................ Various15 /16 /17 State /State ID# /State Tax Withheld ..............................

FATCA Filing Requirement ....................................................................................

2015 1099-DIV Dividends and Distributions OMB No. 1545-0110Box Amount1a Total Ordinary Dividends ........................................................................................... 87,453.721b Qualified Dividends .................................................................................................... 48,110.652a Total Capital Gain Distributions ............................................................................... 6,900.862b Unrecaptured Section 1250 Gain ............................................................................ 906.112c Section 1202 Gain ....................................................................................................... 0.002d Collectibles (28%) Gain ............................................................................................. 0.003 Nondividend Distributions ........................................................................................ 219.964 Federal Income Tax Withheld .......................................................... 0.005 Investment Expenses .................................................................................................. 0.006 Foreign Tax Paid ........................................................................................................... 1,728.378 Cash Liquidation Distributions .................................................................................. 0.009 Noncash Liquidation Distributions .......................................................................... 0.0010 Exempt Interest Dividends ........................................................................................ 0.0011 Specified Private Activity Bond Interest Dividends ............................................. 0.0012/13/14 State /State ID# /State Tax Withheld ................................

FATCA Filing Requirement .........................................................................................

Summary of Form 1099-OIDDetails are reported to the IRS. Refer to the 1099-OID section of this statement for those details.

AmountOriginal Issue Discount (Non-U.S. Treasury Obligations) ............................................. 0.00Other Periodic Interest ........................................................................................................... 0.00Market Discount (For Covered Transactions Only) ......................................................... 0.00Acquisition Premium (For Covered Transactions Only).................................................. 0.00Original Issue Discount on U.S. Treasury Obligations .................................................... 0.00Investment Expenses .............................................................................................................. 0.00Federal Income Tax Withheld ................................................................... 0.00State Tax Withheld ...............................................................................................................






As of 02/22/2016

Page 2 of 18Seq.# (03X 33454)

Summary Of Transactions We Do Not Report To The IRS (See instructions for additional information)

AmountAdvisory Fees and Other Expenses ............................................................................................................................................................................................................................... (21,867.83)

2015 Form 1099-B Proceeds From Broker and Barter Exchange Transactions OMB No. 1545-0715 (For individuals, report details on Form 8949)

This section is being provided for informational purposes only. The information in this section will not be furnished to the Internal Revenue Service.Note for Exempt S Corporations Only: 1099-B records for covered transactions are reported to the IRS.

DispositionTransaction Disposition Method

Quantity(Box 1a)

DateAcquired(Box 1b)

Date Sold orDisposed(Box 1c)

Proceeds(Box 1d)

Cost orOther Basis

(Box 1e)

AdjustmentsD=Market DiscountO=Option PremiumW=Wash Sale Loss

RealizedGain or(Loss)

Short-Term Transactions for Which Basis Is Reported to the IRS - Report on Form 8949, Part I, with Box A checked.

Covered (Box 3)

Description (Box 1a): GARMIN LTD SHS ISIN# CH0114405324 CUSIP: H2906T109

SELL FIRST IN FIRST OUT 1,600 05/28/2014 04/27/2015 74,158.63 92,640.00 (18,481.37)

Description (Box 1a): AVG TECHNOLOGIES N V SHS ISIN# NL0010060 661 CUSIP: N07831105

SELL FIRST IN FIRST OUT 3,000 08/06/2015 12/28/2015 59,188.91 77,700.00 (18,511.09)

Description (Box 1a): KEURIG GREEN MTN INC COM CUSIP: 49271M100

SELL FIRST IN FIRST OUT 300 09/23/2015 12/10/2015 26,954.50 16,500.00 10,454.50

Short-Term Covered Total 160,302.04 186,840.00 (26,537.96)

Long-Term Transactions for Which Basis Is Reported to the IRS - Report on Form 8949, Part II, with Box D checked.

Covered (Box 3)

Description (Box 1a): EXPRESS SCRIPTS HLDG CO COM CUSIP: 30219G108







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Seq.# (03X 33454) Page 3 of 18

2015 Form 1099-B Proceeds From Broker and Barter Exchange Transactions OMB No. 1545-0715 (Continued) (For individuals, report details on Form 8949)


Quantity(Box 1a)



Proceeds(Box 1d)

Cost orOther Basis

(Box 1e)



Long-Term Transactions for Which Basis Is Reported to the IRS - Report on Form 8949, Part II, with Box D checked.

Covered (Box 3) (Continued)

Description (Box 1a): FIRST SOLAR INC COM CUSIP: 336433107

SELL VERSUS PURCHASE 300 10/08/2014 12/21/2015 19,799.63 17,995.20 1,804.43

Description (Box 1a): NOVO NORDISK A.S. AD R FORMERLY NOVO INDU STRIE A.S. ADR SAME CUSIP: 670100205



SECURITY TOTAL 28,032.47 17,246.80 10,785.67

Description (Box 1a): VANGUARD INTERMEDIAT E TERM CORP BOND FUN D ADMIRAL SHARES CUSIP: 922031810

SELL FIRST IN FIRST OUT 3,070.624 07/30/2013 07/31/2015 30,000.00 30,153.53 (153.53)

SELL FIRST IN FIRST OUT 5,646.817 07/30/2013 09/25/2015 55,000.00 55,451.74 (451.74)

SECURITY TOTAL 85,000.00 85,605.27 (605.27)

Description (Box 1a): VISA INC COM CL A CUSIP: 92826C839


Long-Term Covered Total 191,618.01 159,576.27 32,041.74

Covered Total 351,920.05 346,416.27 5,503.78


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Seq.# (03X 33454) Page 4 of 18



Quantity(Box 1a)



Proceeds(Box 1d)

Cost orOther Basis

(Box 1e)



Long-Term Transactions for Which Basis Is Not Reported to the IRS - Report on Form 8949, Part II, with Box E checked.

Noncovered (Box 5)

Description (Box 1a): APPLE INC COM CUSIP: 037833100


Description (Box 1a): CHURCH & DWIGHT CO I NC CUSIP: 171340102


Description (Box 1a): HEWLETT PACKARD CO C OM CUSIP: 428236103

SELL FIRST IN FIRST OUT 1,000 01/28/2004 06/29/2015 29,939.44 23,770.00 6,169.44



SALE DATE TOTAL 2,000 VARIOUS 07/28/2015 60,498.88 45,760.00 14,738.88

SECURITY TOTAL 90,438.32 69,530.00 20,908.32

Description (Box 1a): KEURIG GREEN MTN INC COM CUSIP: 49271M100



SALE DATE TOTAL 900 VARIOUS 12/10/2015 80,863.51 24,688.17 56,175.34

Description (Box 1a): LOWES COS INC COM CUSIP: 548661107







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Seq.# (03X 33454) Page 5 of 18



Quantity(Box 1a)



Proceeds(Box 1d)

Cost orOther Basis

(Box 1e)




Noncovered (Box 5) (Continued)

Description (Box 1a): MCKESSON CORP COM CUSIP: 58155Q103


Description (Box 1a): PLUM CREEK TIMBER CO INC COM CUSIP: 729251108


Description (Box 1a): SLM CORP PFD SER B B ASIS BEGINS 6/15/10 W/ A 30 DAY NOTICE CUSIP: 78442P502

SELL FIRST IN FIRST OUT 100 06/01/2007 12/28/2015 3,999.93 8,699.00 (4,699.07)

Original Cost Basis: 8,698.99












As of 02/22/2016





Seq.# (03X 33454) Page 6 of 18



Quantity(Box 1a)



Proceeds(Box 1d)

Cost orOther Basis

(Box 1e)




Noncovered (Box 5) (Continued)Description (Box 1a): SLM CORP PFD SER B B ASIS BEGINS 6/15/10 W/ A 30 DAY NOTICE CUSIP: 78442P502 (Continued)

SELL FIRST IN FIRST OUT 14 06/01/2007 12/28/2015 559.98 1,217.86 (657.88)


SALE DATE TOTAL 2,000 VARIOUS 12/28/2015 79,998.52 173,980.00 (93,981.48)

Description (Box 1a): SOVRAN SELF STORAGE INC COM CUSIP: 84610H108


Description (Box 1a): THERMO FISHER SCIENT IFIC INC COM CUSIP: 883556102


Description (Box 1a): UNITEDHEALTH GROUP I NC COM CUSIP: 91324P102


Long-Term Noncovered Total 528,555.21 401,694.83 126,860.38

Noncovered Total 528,555.21 401,694.83 126,860.38

Total 880,475.26 748,111.10 132,364.16

IRS FORM 1099-B–PROCEEDS FROM BROKER AND BARTER EXCHANGE TRANSACTIONS:The amounts in this section of your Tax Information Statement reflect proceeds from securities transactions such as sales, redemptions, tender offers, return of principal distributions, covered options, the option premium portion of reverse convertibles and bond maturities.Short-term and long-term transactions are segregated in your 1099-B form in a format comparable to IRS Form 8949, for dispositions of covered and noncovered securities. Since your financial organization subscribes to our premium Tax and Year-End Statement, the date ofacquisition, cost or other basis, type of gain or loss (short-term or long-term), whether any loss is disallowed due to a wash sale and market discount for both covered and noncovered securities transactions will be displayed when available. Such detail for noncovered transactionsis not reported to the IRS.

Type of Gain or Loss (Box 2). The section headings within the 1099-B indicate the type of gain or loss for the transactions, short-term or long-term.






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Seq.# (03X 33454) Page 7 of 18

Covered (Box 3) or Noncovered (Box 5) Security. The section headings within the 1099-B indicate whether your security transaction is or is not a covered security under the IRS cost basis reporting program. For tax return reporting purposes, you may need to makeadjustments to your cost basis information on IRS Form 8949 and Schedule D of IRS Form 1040. You may also need to take into account tax reporting rules that a reporting financial organization is not required to use when preparing your Form 1099-B, such as when reportingwash sales. As a result, you must take into account all applicable tax return reporting rules and be able to verify, from your own records, all cost basis information that is reported on your tax return. The IRS requires you to maintain all such records in case it requests that youproduce them. For gifted shares where the original cost is greater than the fair market value, if you elect to include these shares in the average calculation, you must instruct your advisor or investment professional in writing to move these shares from fair market value to theaverage.

Description and Quantity (Box 1a). Shows a brief description of the item or service for which the proceeds are being reported, as well as the number of shares included in the sale or exchange for the lot reported. If fractional shares are part of the disposition, those shares will bedisplayed to three decimal places.

CUSIP. Broker transactions may show the Committee on Uniform Security Identification Procedures (CUSIP) number of the item reported.

Disposition Transaction. This column will denote the type of transaction, for example, SELL.

Disposition Method. The method used to select which lot will be disposed, for example, first-in first-out (FIFO).

Date Acquired (Box 1b). This box represents the date you acquired the security or, for short sales, the date you opened the short sale. You may see the word VARIOUS displayed in this column if the disposition transaction includes multiple lots with various acquisition dates.

Date Sold or Disposed (Box 1c). Shows the trade date of the sale or exchange. For short sales, the date shown is the date you closed the short sale.

Proceeds (Box 1d). Gross proceeds from transactions involving stocks, bonds and other debt obligations are reported in Box 1d. These amounts do not reflect net profits and are net of transaction costs (for instance, commissions and option premiums). Report the grossproceeds from each transaction separately on IRS Form 8949 (Sales and Other Dispositions of Capital Assets) and IRS Form 1040, Schedule D (Capital Gains and Losses). See the Instructions for Form 8949 for exceptions to reporting each transaction on a separate row. Thisbox does not include proceeds from regulated futures or foreign currency forward contracts.

Cost or Other Basis (Box 1e). This box shows the original cost, or adjusted cost basis, due to a corporate action, gifted or inherited cost basis, etc. The IRS provides a detailed description of cost or other basis reporting in the 2015 Instructions for Form 1099-B, available atirs.gov.

Adjustments - Code (Box 1f): The adjustment column may display one or more of codes D, O or W:D = Market Discount. An adjustment code (D) will be displayed in Box 1f next to an amount for market discount. A market discount condition exists when the purchase cost of a bond is below the adjusted issue price of an original issue discount bond (OID bond) or below theredemption value of a non-OID bond.

O = Option Premium (Not Reportable to the IRS). An adjustment code (O) will be displayed next to the amount for an option premium within the Adjustment column. When stock is sold based upon the assignment of either a put or a call option, the proceeds of that sale areadjusted by the price of the option or the option premium. The proceeds amount is increased by the option premium received or decreased by the option premium paid.

W = Wash Sale Loss Disallowed. An adjustment code (W) will be displayed in Box 1f next to an amount for a disallowed wash sale loss within the Adjustments column. This loss is being reported as disallowed because the sale of the covered security has been adjusted under thebroker wash sale rule. This occurs when you re-purchase the identical security, as determined by CUSIP number, in the same account within the 30-day period preceding or following the date of the original loss. The wash sale loss is displayed within Box 1g as a positive amountas required by the IRS.

Adjustment Amount (Box 1g). Provides the amount of nondeductible loss in a wash sale transaction and/or the amount of accrued market discount.

Realized Gain or (Loss). The realized gain or loss for the transaction may be displayed; it is not reported to the IRS.

Sale Date Totals. If you have multiple lots with the same date sold or disposed of, you may see a line item with SALE DATE TOTAL noted in the Disposition Transaction column. The totals provided in this line item are an aggregate of the lots listed above the total line when thesecurity and sale or disposed dates are the same. For these totals, the word VARIOUS will be displayed in the Date of Acquisition column, since the total includes multiple lots with different acquisition dates. These total amounts are included to assist you with the completion of IRSForm(s) 8949.

Cost Basis on Bonds. Pershing is providing you with two different cost figures (when available) on debt instrument investments, the original cost of the bonds (which may have been provided by you or a third party) and a projection of where the adjusted current cost could be if thebonds had been amortized or accreted over the time you held the bonds. The adjusted cost for noncovered bonds was calculated without consideration of your elections and may not be the same method you chose when deciding to amortize or accrete. You or your tax professionalshould verify the amounts that have been previously calculated to adjust the cost basis of the bond and reported throughout the life of the bond starting with the original purchase price.

Income Tax Withholding. If federal and/or state income taxes were withheld from your proceeds amounts, they will be reported and displayed in this section.

Disposition Transaction. This column is provided for reference purposes only and will denote the type of transaction, for example, SELL.

Quantity. This quantity is provided for reference purposes only and is the total number of shares that may have been split and reported in earlier 1099-B sections.

Proceeds. This amount is provided for reference purposes only and is the total proceeds amount for a sale or exchange. If a sale or exchange included multiple lots, the proceeds amounts were reported at the lot level in the appropriate 1099-B section.

Date Sold or Disposed. This box shows the trade date of the sale or exchange.

Federal Income Tax Withheld (Box 4). Federal income tax withheld is 28% of gross proceeds. See the Additional Information section of these instructions.

State (Box 14). Displays the two letter postal abbreviation of the state(s) for which state income taxes are being withheld.

State ID Number (Box 15). Displays the payer's state identification number(s).

State Tax Withheld (Box 16). Displays the amount of state income tax(es) withheld.

The IRS requires us to remind taxpayers that you are ultimately responsible for the accuracy of your tax return.


As of 02/22/2016





Seq.# (03X 33454) Page 8 of 18

DIVIDENDS AND DISTRIBUTIONS (Details of Form 1099-DIV)

Supplemental information regarding the percentages of tax-exempt income on municipal bond funds by state and the percentage of government agency, directfederal and foreign source income for funds will be available by March 1, 2016, at mytaxhandbook.com.

DescriptionDatePaid

TotalOrdinaryDividends(Box 1a)

QualifiedDividends(Box 1b)

*Total CapitalGain

Distributions(Box 2a)

NondividendDistributions

(Box 3)

FederalIncome

Tax Withheld(Box 4)

InvestmentExpenses(Box 5)

ForeignTaxPaid

(Box 6)State

(Box 12)

State IDNumber(Box 13)

State TaxWithheld(Box 14)

GARMIN LTD 03/31/2015 768.00 768.00 SHS ISIN#CH0114405324 CUSIP: H2906T109 FOREIGN CORP.SWITZERLAND

ABB LTD SPONSORED 05/14/2015 1,772.48 1,772.48 ADR 08/05/2015 528.28 528.28 CUSIP: 000375204 FOREIGN CORP.OTHER

------------ ------------ 2,300.76 2,300.76

AGRIUM INC 01/21/2015 780.00 780.00 117.00COM 04/16/2015 780.00 780.00 117.00ISIN#CA0089161081 07/16/2015 875.00 875.00 131.25CUSIP: 008916108 FOREIGN CORP.CANADA 10/15/2015 875.00 875.00 131.25

------------ ------------ ------------3,310.00 3,310.00 496.50

APARTMENT INVT & 02/27/2015 310.40 100.91 560.11MGMT CO CL A 05/29/2015 445.10 144.70 487.61CUSIP: 03748R101 08/31/2015 445.10 144.70 487.61

11/30/2015 445.10 144.70 487.61------------ ------------ ------------1,645.70 535.01 2,022.94

APPLE INC COM 02/12/2015 564.00 564.00 CUSIP: 037833100 05/14/2015 520.00 520.00

08/13/2015 520.00 520.00 11/12/2015 520.00 520.00

------------ ------------






As of 02/22/2016

Seq.# (03X 33454) Page 9 of 18

DIVIDENDS AND DISTRIBUTIONS (Details of Form 1099-DIV) (Continued)

DescriptionDatePaid



*Total CapitalGain



(Box 3)

FederalIncome

Tax Withheld(Box 4)


ForeignTaxPaid

(Box 6)State

(Box 12)



2,124.00 2,124.00

CHURCH & DWIGHT CO 03/02/2015 502.50 502.50 INC 06/01/2015 502.50 502.50 CUSIP: 171340102 09/01/2015 301.50 301.50

12/01/2015 301.50 301.50 ------------ ------------ 1,608.00 1,608.00

COMCAST CORP NEW 01/28/2015 450.00 450.00 CL A SPL C/A EFF 04/22/2015 500.00 500.00 12/14/15 1 OLD/ 1 CU 07/22/2015 500.00 500.00 20030N101 COMCAST 10/28/2015 500.00 500.00 CORP CL A ------------ ------------ CUSIP: 20030N200 1,950.00 1,950.00

CORNING INC COM 03/31/2015 480.00 480.00 CUSIP: 219350105 06/30/2015 480.00 480.00

09/30/2015 600.00 600.00 12/11/2015 600.00 600.00

------------ ------------ 2,160.00 2,160.00

FEDERATED CAPITAL 0.51 RESERVES FOR TAX YEAR 2015 CUSIP: 314994237

HCP INC COM 02/24/2015 1,059.18 4.40 15.83 54.99CUSIP: 40414L109 05/26/2015 1,059.18 4.40 15.83 54.99

08/25/2015 1,059.18 4.40 15.83 54.9911/24/2015 1,059.18 4.40 15.83 54.99

------------ ------------ ------------ ------------4,236.72 17.60 63.32 219.96


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DescriptionDatePaid



*Total CapitalGain



(Box 3)

FederalIncome

Tax Withheld(Box 4)


ForeignTaxPaid

(Box 6)State

(Box 12)



HENNES & MAURITZ AB 05/26/2015 2,129.85 2,129.85 319.48ADR ISIN#US4258831050 CUSIP: 425883105 FOREIGN CORP.OTHER

HEWLETT PACKARD CO 01/07/2015 480.00 480.00 N/C EFF 11/02/2015 04/01/2015 480.00 480.00 1 OLD / 1 NEW CU 07/01/2015 528.00 528.00 40434L105 HP INC ------------ ------------ CUSIP: 428236103 1,488.00 1,488.00

HONDA MTR LTD ADR 03/05/2015 552.30 552.30 55.23REPRESENTING 2 ORD 06/25/2015 535.89 535.89 53.59SHS 09/01/2015 549.54 549.54 54.95CUSIP: 438128308 FOREIGN CORP.OTHER 12/07/2015 54.23

------------ ------------ ------------1,637.73 1,637.73 218.00

KEURIG GREEN MTN INC 02/12/2015 258.75 258.75 COM 04/30/2015 258.75 258.75 CUSIP: 49271M100 07/30/2015 258.75 258.75

10/29/2015 345.00 345.00 ------------ ------------ 1,121.25 1,121.25

KONINKLIJKE PHILIPS 06/10/2015 2,770.85 2,770.85 N V ISIN#US5004723038 CUSIP: 500472303 FOREIGN CORP.OTHER

LOWES COS INC COM 02/04/2015 460.00 460.00 CUSIP: 548661107 05/06/2015 368.00 368.00

08/05/2015 448.00 448.00 11/04/2015 448.00 448.00






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Seq.# (03X 33454) Page 11 of 18


DescriptionDatePaid



*Total CapitalGain



(Box 3)

FederalIncome

Tax Withheld(Box 4)


ForeignTaxPaid

(Box 6)State

(Box 12)



------------ ------------ 1,724.00 1,724.00

MCKESSON CORP 01/02/2015 144.00 144.00 COM 04/01/2015 144.00 144.00 CUSIP: 58155Q103 07/01/2015 144.00 144.00

10/01/2015 140.00 140.00 ------------ ------------

572.00 572.00

NOVO NORDISK A.S. 04/01/2015 1,824.95 1,824.95 492.74ADR FORMERLY NOVO INDUSTRIE A.S. ADR SAME CUSIP CUSIP: 670100205 FOREIGN CORP.OTHER

PLUM CREEK TIMBER CO 02/27/2015 880.00INC COM 05/29/2015 880.00CUSIP: 729251108 08/31/2015 880.00

------------2,640.00

SLM CORP PFD SER B 03/16/2015 982.22 982.22 BASIS BEGINS 6/15/10 06/15/2015 996.27 996.27 W/ A 30 DAY NOTICE 09/15/2015 1,015.09 1,015.09 CUSIP: 78442P502 12/15/2015 1,029.06 1,029.06

------------ ------------ 4,022.64 4,022.64

SOVRAN SELF STORAGE 01/26/2015 975.00 INC COM 04/27/2015 975.00 CUSIP: 84610H108 07/27/2015 1,105.00

10/26/2015 1,020.00 ------------ 4,075.00


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DescriptionDatePaid



*Total CapitalGain



(Box 3)

FederalIncome

Tax Withheld(Box 4)


ForeignTaxPaid

(Box 6)State

(Box 12)



THERMO FISHER 01/15/2015 150.00 150.00 SCIENTIFIC INC COM 04/15/2015 150.00 150.00 CUSIP: 883556102 07/15/2015 150.00 150.00

10/15/2015 150.00 150.00 ------------ ------------

600.00 600.00

UNILEVER NV NEW YORK 09/10/2015 656.40 656.40 98.60SHS NEW 12/09/2015 687.00 687.00 103.05CUSIP: 904784709 FOREIGN CORP.NETHERLANDS

------------ ------------ ------------1,343.40 1,343.40 201.65

UNITED PARCEL SVC 03/10/2015 876.00 876.00 INC CL B 06/03/2015 876.00 876.00 CUSIP: 911312106 09/01/2015 876.00 876.00

12/02/2015 876.00 876.00 ------------ ------------ 3,504.00 3,504.00

UNITEDHEALTH GROUP 03/24/2015 450.00 450.00 INC COM 06/24/2015 600.00 600.00 CUSIP: 91324P102 09/22/2015 500.00 500.00

12/15/2015 500.00 500.00 ------------ ------------ 2,050.00 2,050.00

VANGUARD GNMA FUND 02/02/2015 604.25 ADMIRAL SHARES 03/02/2015 651.55 CUSIP: 922031794 04/01/2015 624.54

04/01/2015 779.30 734.4505/01/2015 575.06 06/01/2015 551.57 07/01/2015 564.32 08/03/2015 575.48






As of 02/22/2016

Seq.# (03X 33454) Page 13 of 18


DescriptionDatePaid



*Total CapitalGain



(Box 3)

FederalIncome

Tax Withheld(Box 4)


ForeignTaxPaid

(Box 6)State

(Box 12)



09/01/2015 600.78 10/01/2015 622.38 11/02/2015 634.42 12/01/2015 624.89 01/04/2016 648.62

------------ ------------8,057.16 734.45

VANGUARD 02/02/2015 1,035.27 INTERMEDIATE TERM 03/02/2015 920.54 CORP BOND FUND 04/01/2015 1,028.45 382.36ADMIRAL SHARES 05/01/2015 993.66 CUSIP: 922031810 06/01/2015 1,028.39

07/01/2015 1,002.53 08/03/2015 1,028.42 09/01/2015 981.91 10/01/2015 939.39 11/02/2015 825.48 12/01/2015 793.65 12/28/2015 1,057.7901/04/2016 821.08

------------ ------------11,398.77 1,440.15

VANGUARD SHORT-TERM 02/02/2015 802.92 INVESTMENT-GRADE 03/02/2015 752.62 FUND ADMIRAL 04/01/2015 827.41 SHARES 05/01/2015 813.74 CUSIP: 922031836 06/01/2015 845.91

07/01/2015 839.71 08/03/2015 882.82 09/01/2015 924.51 10/01/2015 902.53 11/02/2015 939.13


As of 02/22/2016





Seq.# (03X 33454) Page 14 of 18


DescriptionDatePaid



*Total CapitalGain



(Box 3)

FederalIncome

Tax Withheld(Box 4)


ForeignTaxPaid

(Box 6)State

(Box 12)



12/01/2015 906.83 12/28/2015 95.08 01/04/2016 948.61

------------ 10,481.82

VISA INC COM CL A 03/03/2015 240.00 240.00 CUSIP: 92826C839 06/02/2015 240.00 240.00

09/01/2015 192.00 192.00 12/01/2015 224.00 224.00

------------ ------------ 896.00 896.00

VODAFONE GROUP PLC 02/04/2015 1,869.67 1,869.67 NEW SPONSORED ADR 08/05/2015 4,093.34 4,093.34 NO PAR ------------ ------------ CUSIP: 92857W308 FOREIGN CORP.OTHER 5,963.01 5,963.01

XYLEM INC COM 03/18/2015 422.40 422.40 CUSIP: 98419M100 06/24/2015 422.40 422.40

09/23/2015 422.40 422.40 12/02/2015 422.40 422.40

------------ ------------ 1,689.60 1,689.60

Dividends - U.S. Corporations ................ 65,405.17 26,062.10Dividends - Foreign Corporations ..........

Canada 3,310.00 3,310.00 496.50Switzerland 768.00 768.00Netherlands 1,343.40 1,343.40 201.65Other 16,627.15 16,627.15 975.99

------------ ------------ ------------Foreign Source Total 22,048.55 22,048.55 1,728.37






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Seq.# (03X 33454) Page 15 of 18


DescriptionDatePaid



*Total CapitalGain



(Box 3)

FederalIncome

Tax Withheld(Box 4)


ForeignTaxPaid

(Box 6)State

(Box 12)



Total 87,453.72 48,110.65 6,900.86 219.96 0.00 0.00 1,728.37 0.00* Refer to the Capital Gain Distributions Section for details

IRS Form 1099-DIV–Dividends and Distributions:Dividends and other distributions from corporations, mutual funds, ETFs (treated as mutual funds for tax purposes), UITs and REITs are reported in this section of your Tax Information Statement. Income derived from money market funds will also be reported in this section. Youwill receive a separate IRS Form 1099-DIV directly from a money market fund if we did not handle the processing of your funds for the entire year.

Box 1a–Total Ordinary Dividends. Ordinary dividends, which include any net short-term capital gains from a mutual fund, are fully taxable. Ordinary dividends paid by corporations, mutual funds and certain UITs are included in this section of your Tax Information Statement.Subtotals for U.S. and foreign source ordinary dividends are included at the end of this section. For mutual funds and UITs, foreign income includes any distribution that is comprised in whole or in part of foreign-sourced ordinary dividends. Report total ordinary dividends on IRSForm 1040, line 9a, or IRS Form 1040A. Also report them on IRS Form 1040, Schedule B (Interest and Ordinary Dividends), if required. See the instructions for IRS Form 1040, Schedule B (Interest and Ordinary Dividends) to determine if you are required to complete Schedule Bto report your dividends.

Box 1b–Qualified Dividends. This shows the portion of the amount in Box 1a that may be eligible for the 20%, 15% or 0% capital gains rates. See the Form 1040 or 1040A instructions for how to determine this amount. Report the eligible amount on line 9b, IRS Form 1040. Ifyou have qualified dividends, you must figure your tax by completing the Qualified Dividends and Capital Gains Tax Worksheet in the IRS Form 1040 or 1040A instructions, or the Schedule D Tax Worksheet in the Schedule D instructions, whichever applies.

Box 2a–Total Capital Gain Distributions. This shows total capital gain distributions (long term) from a regulated investment company or REIT. Report the amounts shown in Box 2a on Schedule D of IRS Form 1040, line 13. But, if no amount is shown in Boxes 2c and 2d andyour only capital gains and losses are capital gain distributions, you may be able to report the amounts shown in Box 2a on line 13 of IRS Form 1040 (line 10 or Form 1040A) rather than Schedule D. See IRS Form 1040 instructions.

Box 2b–Unrecaptured Section 1250 Gain. This shows the portion of the amount in Box 2a that is an Unrecaptured Section 1250 gain from certain depreciable real property. Use this amount when completing the Unrecaptured Section 1250 Gain Worksheet, line 19, in theinstructions for Schedule D (IRS Form 1040).

Box 2c–Section 1202 Gain. This shows the portion of the amount in Box 2a that is a Section 1202 gain from certain small business stock that may be subject to an inclusion. See the Schedule D (IRS Form 1040) instructions.

Box 2d–Collectibles (28%) Gain. This shows the 28% rate gain from sales or exchanges of collectibles. If required, use this amount when completing the 28% Rate Gain Worksheet, line 18, in the instructions for Schedule D (IRS Form 1040).

Box 3–Nondividend Distributions. This shows the part of the distribution that is nontaxable because it is a return of your cost (or other basis). You must reduce your cost (or other basis) by this amount for figuring gain or loss when you sell your investment. But if you haverecovered all your cost (or other basis), report future nontaxable distributions as capital gains, even though this form shows them as nontaxable. See IRS Publication 550, Investment Income and Expenses (Including Capital and Losses).

Box 4–Federal Income Tax Withheld. Federal income tax withheld is 28% of dividends. See the Additional Information section of these instructions.

Box 5–Investment Expenses. Your share of a UIT's and/or a WHFIT's expenses is reported in Box 5. You may deduct these expenses, subject to the 2% limit, on the Other Expenses line of IRS Form 1040, Schedule A. These expenses are included in Box 1a.

Box 6–Foreign Tax Paid. This shows the foreign tax you may be able to claim as a deduction or a credit on IRS Form 1040. See the IRS Form 1040 instructions and the Foreign Tax Paid section of these instructions.

Box 12–State. Displays the two letter postal abbreviation of the state(s) for which state income taxes are being withheld.

Box 13–State Identification No. Displays Pershing LLC payer's state identification number(s).

Box 14–State Income Tax Withheld. Displays amount of state income tax(es) withheld on interest payments reported on this form.


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Seq.# (03X 33454) Page 16 of 18

CAPITAL GAIN DISTRIBUTIONS(For individuals, report Total Capital Gain Distributions on Form 1040; Schedule D, Line 13.To report Unrecaptured Section 1250 Gain, Section 1202 Gain, and Collectibles (28%) Gain, see instructions to Form 1040, Schedule D.)

Description Date Paid

Total Capital GainDistributions

(Box 2a)

UnrecapturedSection 1250 Gain

(Box 2b)

Section 1202Gain

(Box 2c)

Collectibles(28%) Gain(Box 2d)

Long TermCapital GainDistributions

APARTMENT INVT & 02/27/2015 560.11 288.71 271.40MGMT CO CL A 05/29/2015 487.61 195.08 292.53CUSIP: 03748R101 08/31/2015 487.61 195.08 292.53

11/30/2015 487.61 195.08 292.53------------ ------------ ------------2,022.94 873.95 1,148.99

HCP INC COM 02/24/2015 15.83 8.04 7.79CUSIP: 40414L109 05/26/2015 15.83 8.04 7.79

08/25/2015 15.83 8.04 7.7911/24/2015 15.83 8.04 7.79

------------ ------------ ------------63.32 32.16 31.16

PLUM CREEK TIMBER CO 02/27/2015 880.00 880.00INC COM 05/29/2015 880.00 880.00CUSIP: 729251108 08/31/2015 880.00 880.00

------------ ------------2,640.00 2,640.00

VANGUARD GNMA FUND 04/01/2015 734.45 734.45ADMIRAL SHARESCUSIP: 922031794

VANGUARD 04/01/2015 382.36 382.36INTERMEDIATE TERM 12/28/2015 1,057.79 1,057.79CORP BOND FUND ------------ ------------ADMIRAL SHARES 1,440.15 1,440.15CUSIP: 922031810

Total 6,900.86 906.11 0.00 0.00 5,994.75

IRS Form 1099-DIV–Capital Gain Distributions:Box 2a–Total Capital Gain Distributions. This shows total capital gain distributions (long term) from a regulated investment company (RIC) or REIT. Report the amounts shown in Box 2a on Schedule D of IRS Form 1040, line 13. However, if no amount is shown in Boxes 2cand 2d and your only capital gains and losses are capital gain distributions, you may be able to report the amounts shown in Box 2a on line 13 of IRS Form 1040 (line 10 of Form 1040A) rather than Schedule D. See IRS Form 1040 instructions.






As of 02/22/2016

Seq.# (03X 33454) Page 17 of 18

Box 2b–Unrecaptured Section 1250 Gain. This shows the portion of the amount in Box 2a that is an Unrecaptured Section 1250 gain from certain depreciable real property. Use this amount when completing the Unrecaptured Section 1250 Gain Worksheet found in the line 19instructions for Schedule D (IRS Form 1040).

Box 2c–Section 1202 Gain. This shows the portion of the amount in Box 2a that is a Section 1202 gain from certain small business stock that may be subject to an exclusion. See the Schedule D (IRS Form 1040) instructions.

Box 2d–Collectibles (28%) Gain. This shows the 28% rate gain from sales or exchanges of collectibles. If required, use this amount when completing the 28% Rate Gain Worksheet, line 18, in the instructions for Schedule D (IRS Form 1040).

TRANSACTIONS WE DO NOT REPORT TO THE IRS

ADVISORY FEES AND OTHER EXPENSESDescription Date Paid AmountADVISORY FEES 01/22/2015 (5,432.74)

ADVISORY FEES 01/22/2015 1.67

ADVISORY FEES 04/16/2015 (5,608.15)

ADVISORY FEES 05/21/2015 104.71

ADVISORY FEES 07/23/2015 (5,309.24)


ADVISORY FEES 10/22/2015 (4,988.36)


FEE FGN DIV WH SRCE 05/14/2015 (60.00)






FEE FGN DIV WH SRCE 09/03/2015 11.22





Total (21,867.83)Advisory Fees and Other Expenses. Certain advisory fees and Other Expenses charged to your account during 2015 will be displayed in this section. Advisory fees are generally deductible to the extent they exceed 2% of your AGI on IRS Form 1040, Schedule A.


As of 02/22/2016





Seq.# (03X 33454) Page 18 of 18

TAX INFORMATION STATEMENT INSTRUCTIONS:The Tax Information Statement provides a detailed summary of your account transactions during 2015. It includes information related to transactions we are required to report to the IRS, as well as information that we do not report. The instructions are provided to help you prepareyour tax returns. For a more detailed explanation of your Tax Information Statement and to view the Tax Guide, please visit mytaxhandbook.com. If your account was transferred to our firm during 2015, your Tax Information Statement only includes your activity during the time youconducted business with our firm. Your former firm should provide you with IRS Form 1099 reporting for prior activity. These instructions have been tailored for use by taxpayers that are U.S. individuals who are investors for tax purposes.

Additional Information:Recipient's Identification Number. For your protection, this form shows only the last four digits of your Social Security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN) or employer identification number (EIN).However, Pershing LLC will report your complete identification number to the IRS and, where applicable, to state and/or local governments.

Account Number. A unique number the payer assigned to distinguish your account.

FATCA Filing Requirement. If the FATCA filing requirement box is checked, the payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting requirement. You also may have a filing requirement. See the Instructions to Form 8938. This box has been intentionallyleft blank.

Electronic Delivery. The IRS allows for the electronic delivery of 1099 forms, and Pershing offers electronic delivery of this Tax Information Statement. If you would like to receive electronic delivery, speak to your advisor for more information.

Nominee Recipients. If your truncated Social Security number or Employer Identification Number is shown on your Tax Information Statement, and the statement includes amounts belonging to another person, you are considered a nominee recipient. Generally, you must file IRSForm 1099 for each of the other owners, showing the income allocable to each. File the applicable IRS Form 1099, along with IRS Form 1096 (Annual Summary and Transmittal of U.S. Information Returns), with the IRS center in your area. List yourself as the payer on IRS Form1099 and as the filer on IRS Form 1096. List the other owner(s) as the recipient(s) on IRS Form 1099. You must provide a copy of each IRS Form 1099 you file to the other owner(s). Spouses are not required to file a nominee return to show amounts owned by their spouse.

Payer. The payer for all transactions on your Tax Information Statement is Pershing LLC (Taxpayer Identification Number 13-2741729). This name and Taxpayer Identification Number should be listed wherever the payer's name is requested on an IRS form with respect toamounts reported on your Tax Information Statement.

Corrections. Please review your Tax Information Statement. If it is incorrect, contact your advisor or financial organization. If necessary, we will promptly correct the information provided to the IRS and mail a Revised Tax Information Statement to you. After the initial mailing,revised statements will begin mailing in February and will be mailed at least weekly from March through the end of June.

Federal Income Tax Withheld. Federal income tax withheld is 28% of interest, dividends and proceeds from broker and barter exchange transactions, and could be reported in any of these sections of your Tax Information Statement. Backup withholding applies when certainconditions exist. If this Tax Information Statement reflects backup withholding, you may need to provide a new IRS Form W-9 (Request for Taxpayer Identification Number and Certification). See IRS Form W-9 for information on backup withholding and how to furnish yourTaxpayer Identification Number.

State and Local Tax Reporting. We are required to provide information to a number of state and local jurisdictions. This guide describes the federal tax reporting requirements. We are required to report information to California, Connecticut, Minnesota, Montana, New York andRhode Island concerning municipal bond interest income earned from bonds not issued by these states. We report certain 1099 information directly to California, Kansas, Massachusetts, North Dakota and Oklahoma. For 2015, we withheld, remitted and reported state income taxfor California, Maine, South Carolina and Vermont according to the requirements of those states. We also provided tax information to Puerto Rico as required by the Puerto Rico taxing authority. Check with your tax professional for your specific state and local tax reportingrequirements.

Cost Basis Adjustments. There are times when your cost basis reported from a broker will not match your calculations for reporting purposes. IRS Form 8949 allows you and the IRS to reconcile amounts that were reported to you and the IRS on IRS Form 1099-B with theamounts you report on your return.

Important Note Concerning Cost Basis.Your original cost basis for each security affects much of the reporting in this document. You should pay special attention to the basis of any item where we received the basis from you or a third party. If the original basis shown in this taxdocument is not correct, then the results of our calculations will likewise produce incorrect results. The IRS requires us to remind you that the taxpayer is ultimately responsible for the accuracy of your tax return.

Form 2439. If you held shares in a mutual fund or REIT that paid tax on undistributed long-term capital gains, we will issue IRS Form 2439 (Notice to Shareholder of Undistributed Long-Term Capital Gains) to you. This information is provided after the close of the fund's or theREIT's tax year and will be sent to you shortly after the information becomes available.

Foreign Tax Paid. Your Tax Information Statement may include foreign tax paid (withheld) from foreign source dividends and interest credited to your account during 2015. This information allows you to calculate and claim a foreign tax credit or deduction on your tax return, if youare eligible to do so. A foreign tax credit can be claimed either on IRS Form 1116 (Foreign Tax Credit) or, in some circumstances, by reporting it directly on IRS Form 1040. You can claim a deduction on IRS Form 1040, Schedule A (Itemized Deductions). See instructions for bothIRS Form 1116 and IRS Form 1040 for additional information on foreign tax credits and deductions. Foreign tax paid is reported in the Form 1099-INT and Form 1099-DIV sections of your Tax Information Statement. You should combine these amounts to determine your totalforeign tax credit or deduction. A foreign tax credit may be claimed only if the tax was legally owed and not eligible for a refund.

IRS Publications. IRS publications are available through your local IRS office by calling the IRS Forms Distribution Center at (800) TAX-FORM, or visiting the IRS website at irs.gov. For instance, IRS Publication 550 and IRS Publication 1212 provide useful tax information relatedto reporting securities transactions.

To receive more information regarding your Tax Information Statement and the Tax Guide, including illustrations on how to report your income, visit mytaxhandbook.com. The instructions contained in this Tax Information Statement are not intended to provide tax advisory services. We suggest that you consult with your tax professional to discuss the appropriate federal, foreign, state and local tax treatment of your transactions.These instructions, as well as your Tax Information Statement, are solely intended to help you accumulate data to prepare your income tax return and should not be interpreted or relied upon as tax advice.

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