Rahandusministeerium · 28. mai 2024
Sisu (failidest)
SEINE & CD
STATE STREET BANK AND TRUST CC
P0 BOX 5010
B0STON, MA 02206-5010
Rahanaus, fl(nlsteerium
28 -O5 ?U2t
001692 90045769522 90301 0 0000 0 000
0139
fr -1
MINISTRY 0F FINANCE 0F THE REPUBLIC 0F
ESTON
SUUR AMEERIKA 1
TALLINN, 10122
ESTONIA
1 042—S 1 Foreign Person’s U.S. Source Income Subject To Wlthholding
irs.govIFormIO42S for klsbntctiona and the lateat information.
Go to www ©23 OMBNo 1545-0096
Copy B
Department of the Treasury
Internal Revenue Service 1 01 0 1 0 1 8 1 3 1 2 4 1 0 2 UNIQUE FORM IDENTIFIER AMENDED P.MENDMENT NO.
for Recipient
1 lncome 2 Gross income 3 Chapter indicator Enter ‘3’ or «4» 3 13e Recipient’s U.S. TIN, if any 13f Ch.3 status code 36
code
3a Exemption code 05 4a Exemption code 15 13g Ch.4 status code 27
01 $82516.00
3b Tax rate 00 00 4b Tax rata 00 00 13h Recipients GIIN 131 Recipient’s foreign tax identification 13J L0B code
number, if any
5 Wthholding allowance
6 Net income
7a Federal tax withheld $0.00 13k Recipionts account number
0139
7b Check it federal tax withheld was not deposited with the IRS because
escrow procedures were applied (saa instructions) 131 Recipients date of birth (YYYYMMDD)
7c Check if withholding occurred in subsequent year with respect (0 a
partnership interest .
8 Tax withheld by other agents $0.00 14a Primary Withholding Agent’s Name (it applicable)
9 Overwithheld tax repaid to recipient pursuant to adjustment procedures (see instructions)
($0.00) 14b Primary Withholding Agents EIN
10 Total withholding credit (combine boxes 7a, 8, and 9) 15 Check if pro-rata basis reporting EI
$0.00 15a Intemiediary orflow-through entitys EIN, if any 15b Ch.3 status code 15c Ch.4 status code
11 Tax paid by withholding agent (amounts not withheld)(see instructions)
15d Intermediary or flow-through entity’s name
12a Withholding agent’s EIN 12b Ch.3 status code 12c Ch.4 status code
04-6258081 15 01
15e Intermediary orflow-through entitys GIIN
12d Withholding agent’s name 1Sf Country code 15g Foreign tax identification number, ifany
SEINE & C0
STATE STREET BANK AND TRUST C0
12e \Mthholding agent’s Giobal Intermediary Identification Number (GIIN) 15h Address (number and street)
12f Country code 12g Foreign tax 1 entification number, if any 151 City or town, state or province, country, ZIP or foreign postal code
12h Address (number and street) 16a Payeis name 16b Payers TIN
P0 BOX 5010
121 City or town, State or province, country, ZIP or foreign postal code 16c Payer’s GIIN 16d Ch 3 status code 16e Ch. 4 status code -
BOSTON MA 02206-5010
13a Recipient’s name 13b Recipient’s country code 17a State income tax withheld 17b Payer’s state tax no. 17c Name of state
MINISTRY 0F FINANCE OF THE REPUBLIC OF
EST0N EN
13c Address (number and street)
SLJURAMEERIKA1
9c,a:
13d City or town state or province Country ZIP or foreign postal code L
TALLINN EN 10122 -
(keep for your records) Form 1042—3 (2023)
Page 1 of 5
0016929004576952290301 000000000
Explanation of Godes U.S. Income Tax Filing Requlrements
Box 1. tncome Code. Generally, every nonresident alien individual, nonresident alien fiduciary, and foreign
Code Typesoflncome corporation with U.S. income, including income Ihat is effeclively connecled wilh the
hterest conduct of a Irade or business in the United States, must file a U.S. income lex retum.
01 Interest paid by U.S obligors-general However, no return is required 10 be iiled by a nonresidenl alien individual, nonresident
02 lnterest paid on real property mortgages alien fiduciary, or foreign corporalion if such person wae not engaged in a trade or business
03 Interest paid 10 controlling foreign corporations in the United States at any time during the lex year and if the lex liabilily of such person
04 Interest paid by foreign corporations was fuily satisfied by the withhoiding of U.S lex at the source. Corporalions tie Form
05 lnterest on tax-free covenant bonds 1120-1; ali olhers fiie Form 1 040-NR. You may get the return forme and inslruclions eI
22 Interesl paid on deposit with a foreign branch of a domestic corporation or 1RS.gov, at any liS. Embassy or consuiale, or by wriling 10: lnlernai Revenue Service,
partnership 1201 N. Milsubiehi Molorway, Bioominglon, IL 61705-6613
29 Deposit interest
30 Original issue discounl (OlD) En rgie gnraIe, tout tranger non-rsident, toul organisme fidrticommissaire lranger
31 Short-term OlD non-r6sidenl eI loute soci6l lrangre percevanl un revenu aux Etats-Unis, y compris loul
33 Substitute paymenl-interest revenu driv, en feit, du fonctionnement d’un commerce ou d’une affaire aux Etats-Unis,
51 Interest paid on certain actively lraded or publicly offered securities[1j doit produire une d4ciaration d’impöl sur te revenu auprs des services tiscaux des
54 Substitute payments-interest from certain actively lraded or publicly offered ElaIs-Unis Cependanl aucune d&iaration d’impöt sur te revenu n’eet exig4e d’un 6tranger
securities(1] non-rsident, dun organisme lidicommissaire rtlranger non-utsidenl, ou d’une socit4
DMdend lrangre siis n’onl pris parI å aucun commerce ou affaire aux Etate-Unis aucun momenl
06 Dividends paid by liS. corporations-general pendant I’anne fiscale et ei lee impåts donl Is sont redevabies, ont 6l enlirement
07 Dividends qualifying for direcl dividend rale acquitls per une retenue å la source sur leur selaire. Lee soci6t6s doivenl faire leur
08 Dividends paid by foreign corporatons odclaralion d’impöt en remphssanl le formulaire 1 120-F; lous lee autree redevabies doivent
34 Substilule payment-dividends rempiir te forniuiaire 1040-NR. On paul se procurer lee formuiaires de dcIeralions d’impöls
40 Olher dividend equivalenls under RC seclion 871(m) eI las instruclions y affrentes ä IRS.gov et dans toutes les smbassedes eI lous tee
52 Dividends paid on certain activeiy traded or pubiicly offered securilies[1] coneulels des Etals-Unis. Lon peul geiemenl sedreseer pour tout renseignement
53 Substilule paymenls-dividends from cerlain acliveiy traded or pubiiciy offered Internal Revenue Service, 1201 N. Milsubishi Molorway, Bioominglon, IL 61705-6613.
securites[1
56 Dividend equivaients under RC seclion 871(m) as a resuil 01 appiying the Por regia general, todo extranjero no residenle, todo organismo fideicomisario extranjero no
combined transaction rules residenle y loda sociedad enönima exlranjera que recibe ingresos en los Estados Unidos,
Oer incluyendo ingresoe reiacionedoe con ia conducciön de un negocio o comercio dentro de los
09 Capilal gains Estados Unidos, deberå presenler una deciaraciön esladounidense de impuestos sobre ei
10 Industrial royaities ingreso. Sin embargo, no se requiere deciareciön aigune a un individuo extranjero, una
11 Motion picture or television copyright royaities sociedad enönirna extranjera u organismo fideicomisario extranjero no residente, si tai
12 Other royalties (for example, copyrighl, software, broadcasting, endorsement persona no ha efectuado comercio o negocio en los Estados Unidos duranle ei arto fiscai y
payments) eila responsabiiidad con los impueslos de lal persone he sido satisfectra ptenamenle
13 Royallies paid on certain publiciy offered securities[1] mediante retenciön del impuesto de los Estados Unidos en la fuenle. Las sociededes
14 Real property ineome and natural resourees royalties anönimas envian ei Formuierio 1120-F; todos los dems contribuyentee envian ei
15 Pens,ons, annuitres, alimony, andlor insurance premiums Formulerio 1 040-NR. Se podut oblener formularios e inslrucciones en 1RS.gov y en
16 Scholarship or fellowship grants cueiquier Embejada 0 Consuledo de los Eslados Unidos 0 escribiendo directamente a:
17 Compensation for independent personal services[2j lnlernai Revenue Service, 1201 N. Miteubishi Motorway, Bioominglon, IL 61705-6613.
18 Compensalion for dependenl personal servrces[2]
19 Compensation for teaching[2J Im atgemeinen muss jede eusländische Einzelperson, jeder ausltndieche Bevolimächligle
20 Compensation during sludying and lraining[2j und jede ausländisohe Gesellscheft mit Einkommen in den Vereinigten Steelen,
23 Olher income einschhesshch des Einkommene, welches direkt mit der Aueubung von Handel oder
24 Qualified investment entity (OlE) distributions of capital gains Gewerbe innerhalb der Staelen verbunden ist, eine Einkommensteuererkiarung der
25 Twst distributions subject 10 IRC seetion 1445 Vereinigten Slaaten ebgeben. Eine Erkiärung, mues jedoch nicht von Ausländem,
26 Unsevered growing crops and limber dislribulrons by a trusl subject to ausländischen Bevotmäctrtigten oder ausi8ndischen Geselischaften in den Vereinigten
IRC section 1445 Staaten eingereichl werden, falls eine soiche Person wahrend des Steuerjshres kein
27 Publicly lraded parlriership distributions subject 10 IRC section 1446(a) Gewerbe oder Handel in den Vereiniglen Slaaten auegeubl heI und die Sleuerschuld durch
28 Gambling winnings[3] Einbehaltung der Sleuern der Vereinigten Steaten durch die Einkommensquelie abgegollen
32 Notional principal conlracl income[4) ist. Geseliechaften reichen den Vordruck 1120-F ein; alle anderen reichen das Formblett
35 Subetitute payment-other 1040-NR ein.
36 Capilal gains dislribulions Einkommensteuererklärungen und lnslruklionen können unler IRS.gov und bei den
37 Retum of capilal Botschatten und Koneulaten der Vereiniglen Slaelen eingehoit werden. Um weilere
38 Eligible deferred compensation items subject 10 IRC section 877A(d)(1) informalionen wende man sieh bitle en: Internel Revenue Servine, 1201 N. Milsubiehi
39 Dislribulions from a nongrantor lrusl subject 10 1RC section 877A(f)(1) Motorway, Bloomington, IL 61705-6613.
41 Guaranlee of indebtedness
42 Earnings as en artist or athlete-no central withholding agreement[5j
43 Earnings as an artist or alhiete-cenlral wilhholding agreemenl[5]
44 Specified federal procurement paymenls
50 lncome previously reported under escrow procedure[6]
55 Taxable death benefils on iife insurance conlracts
57 Amount reaiized under IRC seetion 1446(f)
58 Pubiiciy lraded partnership distributions-undeterminect
Boxes 3a and 4a. Exemption Code (applies Wthe tax rata enterad in box 3b or 4b ts
00.00).
Code AuyforExamptio4l
Chapter3
01 Effectiveiy connecled income
02 Exempl under 1RC[7]
03 income is not from U.S.
04 Exempl under tax lreaty
05 Portfoiio interest exempt under IRC
06 01 Ihal assumes primary wilhholding responsibility
07 WFP0rWFT
08 US. branch treated as U.S. Person
10 01 represenls ihal income is exempl
11 QSL that assumes primary withholding responsibility
12 Payee subjecled 10 chapler 4 wilhhoiding
22 QDD that essumes primary wilhholding responsibility
23 Exempt under section 897(i)
24 Exempt under section 892
See back of Copy C for sdditionai codes
[1) This code ehould only be used if the income paid is described in Regulatione seolion 1.1441 -6(c)(2) and the wilhholding agenl has reduced the rale of wilhhoiding under an income lex
treely withoul the recipienl providing a liS. or foreign TIN.
[2) lf nompeneation that otherwise wouid be covered under ineome Codes 17 lhrough 205 directly allributabie 10 Ihe recipienl’s occupalion as an ertist or athlele, usa ineome Code 42 or
43 instead.
Page 2 of 5
1 042—S 1 Foreign Person’s U.S. Source Income Subject To Withholding
©23 OMB No.
Deparlmenl of the Treasury
Inlernal Revenue Servce
1 Income 2 Gross income
I 0
for
o to ww rs.gov/FormIo42S
ndcalor. Enler ‘3” -
Insfrudlons end the Ietest Information.
1 o 1 1 o 1 8 1 3 1 2 1 4 1 0 1 2 1 UNIQUE FORM IDENTIFIER
3
L1 AMENDED
13e Recpient’s U.S. TIN, if any
AMENDMENT NO.
Copy C for Recipienl
Allach 10 any Federal lex return you file
13! Ch3 slatus code 36
code
01 3a Exemplion code 05 4a Exemption code 15 13g Ch.4 slalus code 27
$82516 00
3b Tee rata 00 00 4b Tax rale 00.00 13tt Recipients GIIN 131 Recipienls loreign lex idenhEcalion 13j LOB code
number, 4 any
5 V1lhholding allowance
6 HeI income
7a Federal lex withheld $0.00 13k RecipienFs account number
0139
7b Check 4 federal lex wilhheld was fbI deposiled with the IRS because
escrow procedures were applied (see iflSlruCtiOflS) 131 Recpient’s dale 0! birth (YYYYMMDD)
7c Check 4 wllhhotcling occurred in subsequenl year wilh respect 10 a
parlnershlp interesl
8 Tax wdhhetd by other agenls $0.00 14a Primary Wtlhholding Agenls Name (if applicable)
9 Overwilhhetd lex repaid 10 recipient pursuant 10 adjustment procedures (see nstwclions)
($0.00) 14b Primary Viiilhholding Agenls EIN
10 Tolal withholdirig credil (combine boxes 7a, 8, and 9) 15 Check 4 pro-rata basis reporling
$0 00 15a Intermediary or llow-lhrough entily’s EIN, 4 any 15b Ch.3 slalus code 5c Ch.4 slatus code
11 Tax paid by wilhhotding agenl (arrrounls fbI withheld)(see instruclions)
15d Intermediary or flow-lhrough enlity’s name
12a V1lhholding agenls EIN 12b Ch.3 slatus code 12c Ch.4 slalus code
04-6288081 15 01 ISe Inlermediary orflow-lhrough enlilys GIIN
12d V1thholding agerils narrte 151 Country code 15g Foreign lex dentificalion number, if any
SEINE & CO
STATE STREET BANK AND TRUST CO
12e V4thholding agents Giobal Intermediary ldenlihcalion Number (GIIN) 1511 Address (nuinber and street)
12! Country code 12g Foreign lex identifioalion number, 4 any 151 City or lown, slale or province, counlry, ZIP or foreign poslal code
12h Address (number and slreel) 16a Payer”s name 18b Payer’s TIN
P0 BOX 5010
121 Cily or town, sIale or province, counlry. ZIP orforeign poslal code 16c Payer’s OlIN 16d Ch. 3 Slalus code 16e Ch. 4 elatus code
BOSTON MA 02206-5010
13a Recipienls name 13b Recipienl’s eounlry code 17a SIale income tax wilhheld 17b Payer’s slate lex no. 17c Name 0! sIale
MINISTRY OF FINANCE OF THE REPUBLIC OF
ESTON EN
13c Address (number and sIteet)
SUURAMEERIKA1 .
13d Cily or lown slate or province Country ZIP or foreign poslal code
TALLINN EN 10122
r
Form 1042-8 (2023)
Page3of5
00169290045769522903020 0000 0000
Explanation of Codes continuad 09 Ragistarad Daamad-Compliant FFI-Othar
10 Cartitiad Daemad-Compliant FFt-Qthar
Chapter4 11 Cartifiad Deamad-Compliant FFt-FFI with Low Valua Accounta
13 Grandfatharad payment 12 Cartitiad Daamad-Compliant FFI-Nonragiatering Local Bank
14 Effeclivaly connactad incoma 13 Cartitiad Daamad-Compliant FFI-Sponaorad Entity
15 Payee not aubjact 10 chaptar 4 withholding 14 Cartitiad Daamad-Compliant FFI-Invaatmant Errtity that doaa not maintain
16 ExcIudad nontinancial paymant tinancial accounts
17 Foraign Entity ttiat aasumas primary w4hholding raaponsibility 15 Nonpanicipating FF1
16 11.8. Payaas-of participating FF1 or ragisterad daamad-compliant FF1 16 Ownar-Documantad FF1
19 Exampt kom withholding undar tGA(8j 17 11 5 Brench-traatad aa 11.5. paraon
20 Dormarit accouril[9] 16 liS. Branch-not traatad aa 11.5. paraon (raporting unctar saction 1471)
21 Other-paymant not subjact 10 chaptar 4 withhotding 19 Pasaiva NFFE idantitying Subalantial U.S. Ownara
20 Passiaa NFFE with no Subatantial 11.5. Ownars
Boxea 12b, 12c, 13f 13g, 15D, ISo, 18d, and 16e. WthholdktgAgent, 21 Publicly Tradad NFFE or Aifilieta ot Publicly Tradad NFFE
Reciplent Intaanadiaty, and Payer Chapter 3 and Ghapter 4 Statua Godaa. 22 Activa NFFE
23 tndividual
Gode Type of Reciplent, Wthholdfrig Agant Payer, or Intermediaiy 24 Seelion 501(c) Entitiaa
Chapter 3 Statua Codea 25 Eecaptad Tarritory NFFE
05 11.5. branch-traatad as 11 8. Parson(10j 26 Excapted NEFE-Othar
06 11.5. branch-not traatad aa 11.5 Parson[1 1] 27 Exampt Banaficial Owner
07 11.5. branch-ECI prasumption appliad 28 Entily 1AhoIIy Ownad by Exampt Banaticial Ownare
08 Partnarship othar than Withhotding Foraigri Partnarship 29 Unknown Racipiant
or Publicly Tradad Partnarahip 30 Racalcitrant Account Holdar
09 Wthholding Foraign Partnarahip 31 Nonraporting IGA FFt
10 Trust othar than Withholding Foraign Truat 32 oireet raporting NFFE
II Wthholding Foraign Trust 33 11.5. raportabia eccount
12 Qualifiad Intarmadiary 34 Nonconeanting 11.8 account
13 Qualifiad Sacuritiaa Landar-Qualitiact Intarmadiary 35 Sponsorad diract raporting NFFE
14 Qualitiad Sacuritias Landar-Othar 36 Eacaptad Intar-attiliate FF1
15 Corporation 37 Undocumantad Praaxisting Obiigation
16 Individual 38 11.8. Branch-ECt praaumption appliad
17 Estata 39 Account Holdar of Excludact Financial Account(13]
16 Privata Foundation 40 Pasaiva NFFE reportad by FFI(14]
19 International Organization 41 NFFE aub)act to 1472 withholding
20 Tax Exempt Organization (Saction 501(c) entities) 50 11.5. Withholding Agant-Eoraign branch of FI
21 Unknown Recipient Pooted Repo.Itng Godes
22 Artiat or Athlata 42 Racalcitranl Pool-No U.S. tndicia
23 Pension 43 Racalcitrent PooI-1l.5. Indicia
24 Foraign Central Bank ot lasue 44 Racalcitrent PooI-Dorment Account
25 Nonqualitied tntarmediary 45 Racalcitrant PooI-U.S. Paraona
26 Hybrid arttity making Traaty Ctaim 48 Racalcitrant Pool-Paasiva NFFEa
35 Qualifiad Derivativea Daalar 47 Nonperticipatirrg FFt Pool
38 Foraign Govarnment-Intagral ParI 48 liS. Payaas Pool
37 Foraign Govarnmant-Controllad Entity 49 Qt-Racalcitrant PooI-Ganaral[1 5]
38 Publicly Tradad Partnarahip
39 Diaclosing Qualitiad Intarmediary Box 13]. LOS Gode (antar Itte code IlmI best desoribes the appllcebla limitatton on benefits
Pooled Reportlrtg Codes[12) (LOS) cetegoty thst qual Sas the taxpeyer for the requested treaty benefits).
27 Wthholding Rata Pool-Ganaral LOS Code LOS Treaty Gategoty
28 Withholding Rata PooI-Exampl Organination 02 Govarnmant contracting atata!political aubdiviaionllocal authority
-
29 PAI Withholding Rata Pool-Ganaral 03 Tax asampt pansion truatlPanaion (und
30 PAI Vdthholding Rata PooI-Exampt Organization 04 Tee asamptlCharitabla organization
31 Agancy Wtthholding Rata Pool-Ganaral 05 Publicly tradad corporalion
32 Agancy Wthholding Rata PooI-Exampt Organiaalion 08 Subaidiary ot publicly tradad corporation
07 Company that maata tha ownamhip and baaa aroaion taat
Chapter 4 Statua Godes 08 Company that maata tha darivaliva banatita taat
01 U.5. Wthholding Agant-FI 09 Company with an itam ot incoma that maata tha activa trada or buainaaa taat
02 11.5 Wthtrolding Agant-Othar 10 Diacretionary datarmination
03 Tarritory Ft-not traatad es 11.8 Paraon 11 Othar
04 Tamtory Ft-traatad ea 11.5. Parson 12 No LOS articla in traaty
05 Participating FFt-Othar
08 Participating FFt-Raporting Modal 2 FF1
07 Ragiatarad Daamad-Compliant FFI-Raporting Modal 1 FFt
08 Ragiaterad Daamad-Cornpliant FFI-Sponaorad Entity
[31 Subject lo 30% wilhholding rata unleaa the recipient ia kom one of the treety countriea liated under Gambling winninge (Inccma Code 28) in Pub, 515.
(4] Usa appropriate tntereat Income Code for embedded intereat in a notional principal contract
[5] tncome Code 43 ahoutd only be uaed 4 Letter 4492, Venua Notification, haa been iaaued by the tnternal Revenue Semice )otherwiae, uae Income Code 42 for eaminga aa en ertiat or ethlete).
tf Income Code 42 or 43 ia uaed, Recipient Code 22 (ertiat or ethlete) ehould be ueed ineteed ot Recipient Code 16 (individual), 15 (corporation(, cr08 (partnerahip other then withholding foreign
pertnerehip or publicly treded pertrrerehip).
[6) Usa only te report groaa income the tee for which ia baing depoaited in the current yeer becauae auch tee wea praviouely eecrowed for cheptare 3 and 4 and the withhotding agant
previoualy raported the grosa incoma in e prior yaar and checked the box to raport the lex ee not dapoaited under the eacrow procedure, Saa the inatructione te thia form for further explanetion.
[7] Thia code should only ba uaed if no olher apecific chepter 3 exemption code appliea.
[8] Uaa only te report e 11 5. reponable account or nonconaenting U.5. eccount thet ia receiving e payment eub)ect to chepter 3 withholding.
[9] Usa only 4 epptying the aacrow procedure for dorment accounta under Regulationa eeclion 11471 -4(b)(6) tf tex waa withheld and depoaited under chepter 3, do not check box 7b
(“tax not depoaited with IRS purauent te aacrow procedure”). You muat inetaad entar “3” in box 3 and complete box 3b.
[10] Thia code een be uaed by e Territory EI thet ia treeted aa a 11.5. peraon.
[11] Thie code een be uaed by e Territory EI Ihet ia not treated ea e U.S peraon
[12] Codee 27 through 32 ahould only he uaad by e 01, QSL, WP, or wr. AlI acting ase 000 may usa only code 27 or 28
[13] Thie code ehould only be ueed if income ia peid te en eccount thet ie eecluded from the detinition ot tinanciel eccount undar Reguletiona aaclion 1.1471 -5)b)(2) or ender Annex II of the
appticeble Modet 1 IGA or Modet 2 IGA.
[14] Thie code ahould only he uaed when the withholding egent haa racaived a cartitication on the EEI withholding atatement ot e perticipeting FF1 or ragietared deemed-compliant EEI thet
mainteina the eccount thet the FF1 hea reported the eccount held by the peasive NEEE ea e 11.8. eccount (or U.S. raporteble eccount) under te EATCA raquirementa. The wittrtrotding agent
muet report the neme and GIIN of auch FF1 in boxea 15d and 15a.
[15] Thie code ahould only he uaed by e withholding egent that ia reporting a peyment (or portion ote peyment) made tee ei with reepect te the Ola recalcitrent ecccunt hoidere.
Pege4of5
1 042S 11 FeiWI Peon’s U.S. Source Income Subject To Withholding
Go to www.Irs.govIFom1042S for Insbudlons and the test infofmatlon. ©23
l OMB No 1545-0096
Copy D for Recipient
Department of the Treasury
1 1 1 Attach to any state tax retum you Se
Internal Revenue Service 0 01 0 0 1 8 3 1 2 1 41 0 21 UNIQUE FORM IDENTIFIER AMENDED AMENDMENT NO.
1 tncome 2 Gross income 3 Chapter indicator Enter’ or 4 3 13e Recipienrs U S TIN, if any 13f Ch 3 status code 36
code
3a Exemption code 05 4a Exemphon code 15 13g Ch 4 status code 27
0-1 $82516 00
3b Tax rate 00 00 4b Tee rate 00 96 13tt Recipients OlIN 131 Recipients foregn tax ident4ication 13J LOS code
number, 4 any
5 V1thholding allowarice
6 Net income
7a Federal lex withheld $0 00 13k Recipients account number
0139
7b Check 1 federal tax withheld was fbI deposited with the IRS because
escrow procedures were applied (see Instructions) ......... 131 Recipient’s date of birth (YYYYMMDD)
7c Check if withholding occurred in subsequent year with respect 10 a
partnership interest
8 Tax withhelct by other agents $0.00 14a Primary Withholding Agents Name (if applicable)
9 Overwithheld tax repaid 10 recipent pursuant 10 adjustment procedures (see instructions)
($0.00> 14b Primary Withholding Agents EIN
10 Total withhoIdng credit (combine boxes 7a, 8, and 9> 15 Check 1 pro-rata basis reporting
soo
15a Intermediary or ftow-through entitys EIN, 4 any 15b Ch 3 status code 15c Ch.4 status code
11 Tax paid by withholding agent (amounts not withheld)(see instructions)
15d Intermediary orflow-through entitys narne
12a Wtthholding agents EIN 12b Ch.3 status code 12c Ch.4 status code
04-6288081 15 01
15e Intermediary or ftow-through entity s GIIN
12d Wthholding agents name 1Sf Country code 15g Foreign tax identification number, 4 any
SEINE & Cl
STATE STREET BANK AND TRUST Cl
12e Withholding agents GIobal Intermediary Identification Number (GIIN) 15tt Address (number and street)
12f Country code 12g Foreign tax identification nuriber, 4 any 151 City or town, state or province, country, ZIP or foreign postal code
12h Address (number and street> 16a Payeis name 16b Payes TIN
P0 BOX 5010
121 City or town, state or province, country, ZIP or foreign postal code 16c Payer’s GIIN 16d Ch. 3 status code 16e Ch. 4 status code
BOSTON MA 02206-5010
13a Recipient’s name 13b Recipients country code 17a State income tax withheld 17b Payer’s state tee no. 17c Name of state
MtNtSTRY OF FINANCE OF THE REPUBLIC IF
ESTIN EN
13c Address (number and street> .
SUUR AMEERIKA 1
13d City or town state or province country ZIP or foreign postal code
TALLINN EN 10122
Form 1042-8 (2023)
Page 5 of 5
0016929004576952290303 1 0000 0000