DS9 Document EFTA01222592

❑VOID ❑CORRECTED DONEE'S name. street address. city or town. state or province. county. ZIP or foreign postal code. and telephone no. DONEE'S TIN DONOR'S TIN DONOR'S name Street address (including apt. no.) City or town. state or province. country. and ZIP or foreign postal code 1 Date of contribution 2a Odometer mileage 2b Year OMB No. 1545-1959 2018 Form 1098-C 2c Make Contributions of Motor Vehicles, Boats, and Airplanes 2d Model 3 Vehicle or other identification number 4a K Donee certifies that vehicle was sold in arm's length transaction to unrelated party 4b Date of sale 4c Gross proceeds from sale (see instnictions) $ Se K Donee certifies that vehicle wv not be transferred for money. other properly. or services before completion of materiEd improvements or significant intervening use Sb K Donee certifies that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of donee's charitable purpose Sc Dales certifies the folowing detailed description of material improvements or significant intervening use and duration of use 6a Dd you provide goods or services in exchange for the vehicle? ► Yes K No K 66 Value of goods and services provided in exchange for the vehicle 6c Describe the goods and services. if any. that were provided. If this box is checked. donee certifies that the goods and senoces consisted solely of intangible religious benefits ► K 7 Under the law. the donor may not clam a deduction of more than S500 for this vehicle if tits box is checked ► Form 1098-C Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. www.ira.gov/Fcem1098C Department of the Treasury - Internal Revenue Service EFTA01222592