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I Detach Here and Mail With Your Payment I

Calendar Year '


Department of the Treasury
Internal Revenue Service Due 04/18/2017 2017 Form 1040-ES Payment Voucher 1
File only if you are making a payment of estimated tax by check or money order. Mail this
voucher with your check or money order payable to the 'United States Treasury.' Write
Amount of estimated tax
your social security number and ' 2017 Form 1040-ES' on your check or money order. Do not you are paying by check
send cash. Enclose, but do not staple or attach, your payment with this voucher. or money order . . . . . . . . . G 677.
REV 01/25/17 PRO 1555
626-84-4682 560-53-6322
ANTHONY H BRADING INTERNAL REVENUE SERVICE
AMY N BRADING PO BOX 510000
1050 PINE LANE SAN FRANCISCO CA 94151-5100
LAFAYETTE CA 94549

626844682 AW BRAD 30 0 201712 430


I Detach Here and Mail With Your Payment I
Calendar Year'
Department of the Treasury
Internal Revenue Service Due 06/15/2017 2017 Form 1040-ES Payment Voucher 2
File only if you are making a payment of estimated tax by check or money order. Mail this
voucher with your check or money order payable to the 'United States Treasury.' Write
Amount of estimated tax
your social security number and '2017 Form 1040-ES' on your check or money order. Do not you are paying by check
send cash. Enclose, but do not staple or attach, your payment with this voucher. or money order . . . . . . . . . G 677.
REV 01/25/17 PRO 1555
626-84-4682 560-53-6322
ANTHONY H BRADING INTERNAL REVENUE SERVICE
AMY N BRADING PO BOX 510000
1050 PINE LANE SAN FRANCISCO CA 94151-5100
LAFAYETTE CA 94549

626844682 AW BRAD 30 0 201712 430


I Detach Here and Mail With Your Payment I
Calendar Year'
Department of the Treasury
Internal Revenue Service Due 09/15/2017 2017 Form 1040-ES Payment Voucher 3
File only if you are making a payment of estimated tax by check or money order. Mail this
voucher with your check or money order payable to the 'United States Treasury.' Write
Amount of estimated tax
your social security number and ' 2017 Form 1040-ES' on your check or money order. Do not you are paying by check
send cash. Enclose, but do not staple or attach, your payment with this voucher. or money order . . . . . . . . . G 677.
REV 01/25/17 PRO 1555
626-84-4682 560-53-6322
ANTHONY H BRADING INTERNAL REVENUE SERVICE
AMY N BRADING PO BOX 510000
1050 PINE LANE SAN FRANCISCO CA 94151-5100
LAFAYETTE CA 94549

626844682 AW BRAD 30 0 201712 430


I Detach Here and Mail With Your Payment I
Calendar Year'
Department of the Treasury
Internal Revenue Service Due 01/16/2018 2017 Form 1040-ES Payment Voucher 4
File only if you are making a payment of estimated tax by check or money order. Mail this
voucher with your check or money order payable to the 'United States Treasury.' Write
Amount of estimated tax
your social security number and ' 2017 Form 1040-ES' on your check or money order. Do not you are paying by check
send cash. Enclose, but do not staple or attach, your payment with this voucher. or money order . . . . . . . . . G 677.
REV 01/25/17 PRO 1555
626-84-4682 560-53-6322
ANTHONY H BRADING INTERNAL REVENUE SERVICE
AMY N BRADING PO BOX 510000
1050 PINE LANE SAN FRANCISCO CA 94151-5100
LAFAYETTE CA 94549

626844682 AW BRAD 30 0 201712 430


Form 8879 IRS e-file Signature Authorization OMB No. 1545-0074

Department of the Treasury


a
Don’t send to the IRS. This isn’t a tax return.
a Keep this form for your records.
2016
Internal Revenue Service a Information about Form 8879 and its instructions is at www.irs.gov/form8879.

F
Submission Identification Number (SID) 6804072017187005sim6
Taxpayer’s name Social security number

ANTHONY H BRADING 626-84-4682


Spouse’s name Spouse’s social security number

AMY N BRADING 560-53-6322


Part I Tax Return Information — Tax Year Ending December 31, 2016 (Whole dollars only)
1 Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4; Form 1040NR,
line 37) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 122,085.
2 Total tax (Form 1040, line 63; Form 1040A, line 39; Form 1040EZ, line 12; Form 1040NR, line 61) . . 2 12,321.
3 Federal income tax withheld from Forms W-2 and 1099 (Form 1040, line 64; Form 1040A, line 40;
Form 1040EZ, line 7; Form 1040NR, line 62a) . . . . . . . . . . . . . . . . . . . 3 9,616.
4 Refund (Form 1040, line 76a; Form 1040A, line 48a; Form 1040EZ, line 13a; Form 1040-SS, Part I, line 13a;
Form 1040NR, line 73a) . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4,078.
5 Amount you owe (Form 1040, line 78; Form 1040A, line 50; Form 1040EZ, line 14; Form 1040NR, line 75) 5
Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements
for the tax year ending December 31, 2016, and to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income
I received during the tax year. I further declare that the amounts in Part I above are the amounts from my electronic income tax return. I consent to allow my
intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement
of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I
authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution
account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial
institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the
authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be
received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic
payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the
personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only


I authorize MARION B. ILES CPA to enter or generate my PIN 4 4 6 8 2
ERO firm name Enter five digits, but
as my signature on my tax year 2016 electronically filed income tax return. don’t enter all zeros

I will enter my PIN as my signature on my tax year 2016 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Your signature a Date a

Spouse’s PIN: check one box only


I authorize MARION B. ILES CPA to enter or generate my PIN 3 6 3 2 2
ERO firm name Enter five digits, but
as my signature on my tax year 2016 electronically filed income tax return. don’t enter all zeros

I will enter my PIN as my signature on my tax year 2016 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Spouse’s signature a Date a

Practitioner PIN Method Returns Only—continue below


Part III Certification and Authentication — Practitioner PIN Method Only

ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 6 8 0 4 0 7
Don’t enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the tax year 2016 electronically filed income tax return for
the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN
method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.
ERO’s signature a Date a

ERO Must Retain This Form — See Instructions


Don’t Submit This Form to the IRS Unless Requested To Do So
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 01/25/17 PRO Form 8879 (2016)
Department of the Treasury - Internal Revenue Service
Form 9325 Acknowledgement and General Information for
(January 2017)
Taxpayers Who File Returns Electronically
Thank you for participating in IRS e-file.
626-84-4682
Taxpayer name ANTHONY H & AMY N BRADING

Taxpayer address (optional)


1050 PINE LANE
LAFAYETTE CA 94549

1. Your federal income tax return for 2016 was filed electronically with the Fresno
Submission Processing Center. The electronic filing services were provided by MARION B. ILES CPA .

2. Your return was accepted on 07/06/2017 using a Personal Identification Number (PIN) as your electronic
signature. You entered a PIN or authorized the Electronic Return Originator (ERO) to enter or generate a PIN
for you. The Submission ID assigned to your return is 6804072017187005sim6 .

3. Your return was accepted on Allow 4 to 6 weeks for the processing of your return.
The Earned Income Credit or a dependent's exemption on your return may be reduced or disallowed due to a
child's name and social security number mismatch.

4. Your electronic funds withdrawal payment request was accepted for processing.

5. Your electronic funds withdrawal payment request was not accepted for processing. Refer to the "If You Owe
Tax" section.

6. Your Form 4868, Application for Automatic Extension of Time to File U.S. Individual Income Tax Return, was
accepted on . The Submission ID assigned to your extension
is .

DO NOT SEND A PAPER COPY OF YOUR RETURN TO THE IRS.


IF YOU DO, IT WILL DELAY THE PROCESSING OF THE RETURN.

If You Need to Make a Change to Your Return


If you need to make a change or correct the return you filed electronically, you should send a Form 1040X, Amended U.S.
Individual Income Tax Return, to the IRS Submission Processing Center that processes paper returns for your area. The
address is available at www.irs.gov, or you can call the IRS toll-free at 1-800-829-1040.

If You Need to Ask About Your Refund


The IRS notifies your Electronic Return Originator (ERO) when your return is accepted, usually within 48 hours. If your
return was not accepted, the IRS notifies your ERO of the reasons for rejection. If it has been more than three weeks
since the IRS accepted your return and you have not received your refund, go to www.irs.gov and click on "Where's My
Refund?" to view your refund status. Exception: If box 3 above is checked, allow 4 to 6 weeks for processing of your
return. A notice will be sent to you advising of changes to your return.

Also, you can call the TeleTax line at 1-800-829-4477, for automated refund information. You should have available the
first social security number shown on your return, your filing status, and the exact amount of the refund you expect.
TeleTax gives you the date for mailing or depositing your refund. You should receive your refund check within 30 days of
the date given by TeleTax, or within one week of that date, if you chose direct deposit. If you do not receive it by then, or if
TeleTax does not give your refund information, call the Refund Hotline at 1-800-829-1954.
BAA REV 01/25/17 PRO Form 9325 (Rev. 1-2017)
The IRS uses refunds to cover overdue taxes and notifies you when this occurs. The Fiscal Service offsets refunds
through the Treasury Offset Program to cover past due child support, federal agency non-tax debts such as student loans
and state income tax obligations. Fiscal Service sends you an offset notice if it applies your refund or part of your refund
to non-tax debts. If you have questions about the offset, contact the agency identified in the notice. You may also call the
Treasury Offset Program Call Center at 1-800-304-3107, if you have additional questions.

If You Owe Tax


If your return has a balance due, you must pay the amount you owe by the prescribed due date. If you paid by electronic
funds withdrawal (direct debit) or by credit card, no voucher is needed. The credit card service providers will charge a
convenience fee based on the amount of taxes you are paying. The fees and the type of credit or debit cards accepted
may vary between providers. You will be told the amount of the fee during the transaction and you will be given the option
to either continue or end the transaction. For information on paying your taxes electronically, including by credit or debit
card, go to www.irs.gov/e-pay.

If you are not paying electronically you may use Form 1040-V, Payment Voucher, which you can obtain from your
Electronic Return Originator. If the IRS does not receive your payment by the prescribed due date, you will receive a
notice that requests full payment of the tax due, plus penalties and interest. If you can not pay the amount in full, complete
Form 9465, Installment Agreement Request, which you may file electronically. To apply for an installment agreement
online, go to www.irs.gov. You may also order Form 9465 by calling 1-800-TAX-FORM (1-800-829-3676). If approved, the
IRS charges a user fee to set up an installment agreement.

If You Need to Inquire About Your Electronic Funds Withdrawal Payment


You may call 1-888-353-4537 to inquire about the status of your electronic funds withdrawal payment. If there is a change
to the bank account information included on your return, you should call this number to cancel a scheduled payment. You
should have available the social security number of the first person listed on the tax return, the payment amount, and the
bank account number. Cancellation requests must be received no later than 11:59 p.m. E.T. two business days prior to
the scheduled payment date.

Tax Refund Related Financial Products

Financial institutions offer a variety of financial products to taxpayers based on their refunds. Contracts for financial
products are between you and the financial institution. The IRS is not associated with the contract. If you have questions
about tax refund related products, contact your Electronic Return Originator or the lender.

You have requested direct deposit of your refund into your account.
You can generally expect your refund within 21 days. For the
latest information on the status of your refund go to www.irs.gov
and select the 'Where's My Refund?' link under Refunds.

Catalog Number 12901K BAA www.irs.gov REV 01/25/17 PRO Form 9325 (Rev. 1-2017)
Form
1040 Department of the Treasury—Internal Revenue Service

U.S. Individual Income Tax Return


(99)
2016 OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning , 2016, ending , 20 See separate instructions.
Your first name and initial Last name Your social security number

ANTHONY H BRADING 626-84-4682


If a joint return, spouse’s first name and initial Last name Spouse’s social security number

AMY N BRADING 560-53-6322


Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) above
c
and on line 6c are correct.
1050 PINE LANE
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign
LAFAYETTE CA 94549 Check here if you, or your spouse if filing
jointly, want $3 to go to this fund. Checking
Foreign country name Foreign province/state/county Foreign postal code
a box below will not change your tax or
refund. You Spouse

1 Single 4 Head of household (with qualifying person). (See instructions.) If


Filing Status
2 Married filing jointly (even if only one had income) the qualifying person is a child but not your dependent, enter this
Check only one 3 Married filing separately. Enter spouse’s SSN above child’s name here. a
box. and full name here. a 5 Qualifying widow(er) with dependent child

Exemptions 6a
b
Yourself. If someone can claim you as a dependent, do not check box 6a .
Spouse . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
} Boxes checked
on 6a and 6b
No. of children
2
c Dependents: (2) Dependent’s (3) Dependent’s (4)  if child under age 17 on 6c who:
social security number relationship to you qualifying for child tax credit • lived with you 2
(1) First name Last name (see instructions) • did not live with
you due to divorce
HEATHER BRADING 602-57-1939 Daughter or separation
If more than four TRUE BRADING 602-57-1938 Son (see instructions)
dependents, see Dependents on 6c
instructions and not entered above
check here a Add numbers on
d Total number of exemptions claimed . . . . . . . . . . . . . . . . . lines above a 4
7 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . 7 106,114.
Income
8a Taxable interest. Attach Schedule B if required . . . . . . . . . . . . 8a 873.
b Tax-exempt interest. Do not include on line 8a . . . 8b
Attach Form(s)
W-2 here. Also
9a Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . 9a 312.
attach Forms b Qualified dividends . . . . . . . . . . . 9b 312.
W-2G and 10 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . 10 0.
1099-R if tax 11 Alimony received . . . . . . . . . . . . . . . . . . . . . 11
was withheld.
12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . 12 -7,236.
13 Capital gain or (loss). Attach Schedule D if required. If not required, check here a 13 22,022.
If you did not 14 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . 14
get a W-2,
see instructions. 15a IRA distributions . 15a b Taxable amount . . . 15b
16a Pensions and annuities 16a b Taxable amount . . . 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17 0.
18 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . 18
19 Unemployment compensation . . . . . . . . . . . . . . . . . 19
20a Social security benefits 20a b Taxable amount . . . 20b
21 Other income. List type and amount 21
22 Combine the amounts in the far right column for lines 7 through 21. This is your total income a 22 122,085.
23 Educator expenses . . . . . . . . . . . 23
Adjusted 24 Certain business expenses of reservists, performing artists, and
Gross fee-basis government officials. Attach Form 2106 or 2106-EZ 24
Income 25 Health savings account deduction. Attach Form 8889 . 25
26 Moving expenses. Attach Form 3903 . . . . . . 26
27 Deductible part of self-employment tax. Attach Schedule SE . 27
28 Self-employed SEP, SIMPLE, and qualified plans . . 28
29 Self-employed health insurance deduction . . . . 29
30 Penalty on early withdrawal of savings . . . . . . 30
31a Alimony paid b Recipient’s SSN a 31a
32 IRA deduction . . . . . . . . . . . . . 32
33 Student loan interest deduction . . . . . . . . 33
34 Tuition and fees. Attach Form 8917 . . . . . . . 34
35 Domestic production activities deduction. Attach Form 8903 35
36 Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . 36
37 Subtract line 36 from line 22. This is your adjusted gross income . . . . . a 37 122,085.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. BAA REV 01/25/17 PRO Form 1040 (2016)
Form 1040 (2016) Page 2
38 Amount from line 37 (adjusted gross income) . . . . . . . . . . . . . . 38 122,085.
Tax and
Credits
39a Check
if:
{ You were born before January 2, 1952,
Spouse was born before January 2, 1952,
Blind.
Blind.
} Total boxes
checked a 39a
b If your spouse itemizes on a separate return or you were a dual-status alien, check here a 39b
Standard 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . 40 12,600.
Deduction 109,485.
for— 41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . 41
• People who 42 Exemptions. If line 38 is $155,650 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions 42 16,200.
check any
box on line 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . 43 93,285.
39a or 39b or 44 Tax (see instructions). Check if any from: a Form(s) 8814 b Form 4972 c 44 12,417.
who can be
claimed as a 45 Alternative minimum tax (see instructions). Attach Form 6251 . . . . . . . . . 45
dependent,
see 46 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . 46
instructions. 47 Add lines 44, 45, and 46 . . . . . . . . . . . . . . . . . . . a 47 12,417.
• All others:
48 Foreign tax credit. Attach Form 1116 if required . . . . 48
Single or
Married filing 49 Credit for child and dependent care expenses. Attach Form 2441 49 96.
separately,
$6,300 50 Education credits from Form 8863, line 19 . . . . . 50
Married filing 51 Retirement savings contributions credit. Attach Form 8880 51
jointly or
Qualifying 52 Child tax credit. Attach Schedule 8812, if required . . . 52
widow(er), 53 Residential energy credits. Attach Form 5695 . . . . 53
$12,600
Head of 54 Other credits from Form: a 3800 b 8801 c 54
household, 55 Add lines 48 through 54. These are your total credits . . . . . . . . . . . . 55 96.
$9,300
56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- . . . . . . a 56 12,321.
57 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . 57
Other 58 Unreported social security and Medicare tax from Form: a 4137 b 8919 . . 58
59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . 59
Taxes 60a Household employment taxes from Schedule H . . . . . . . . . . . . . . 60a
b First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . 60b
61 Health care: individual responsibility (see instructions) Full-year coverage . . . . . 61
62 Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) 62
63 Add lines 56 through 62. This is your total tax . . . . . . . . . . . . . a 63 12,321.
Payments 64 Federal income tax withheld from Forms W-2 and 1099 . . 64 9,616.
65 2016 estimated tax payments and amount applied from 2015 return 65 6,783.
If you have a
66a Earned income credit (EIC) . . . . . . . . . . 66a
qualifying
child, attach b Nontaxable combat pay election 66b
Schedule EIC. 67 Additional child tax credit. Attach Schedule 8812 . . . . . 67
68 American opportunity credit from Form 8863, line 8 . . . 68
69 Net premium tax credit. Attach Form 8962 . . . . . . 69
70 Amount paid with request for extension to file . . . . . 70
71 Excess social security and tier 1 RRTA tax withheld 71 . . . .
72 Credit for federal tax on fuels. Attach Form 4136 72 . . . .
73 Credits from Form: a 2439 b Reserved c 8885 d 73
74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments . . . . . a 74 16,399.
Refund 75 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 75 4,078.
76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here . a 76a 4,078.
a bRouting number 1 2 1 0 4 2 8 8 2 a c Type: Checking Savings
Direct deposit?
See a dAccount number 9 1 4 2 2 6 7 9 6 3
instructions.
77 Amount of line 75 you want applied to your 2017 estimated tax a 77
Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions a 78
You Owe 79 Estimated tax penalty (see instructions) . . . . . . . 79
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No
Designee’s Phone Personal identification
Designee name a no. a number (PIN) a
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and
Sign accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here Your signature Date Your occupation Daytime phone number
F

Joint return? See


instructions. FAMILY RESOURCE CTR MGR
Keep a copy for Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent you an Identity Protection
your records. PIN, enter it
BUSINESS OWNER here (see inst.)
Print/Type preparer’s name Preparer’s signature Date PTIN
Paid Check if
self-employed
Preparer
Firm’s name a MARION B. ILES CPA Firm’s EIN a94-2801677
Use Only
Firm’s address a 2950 BUSKIRK AVENUE, SUITE 120 WALNUT CREEK CA 94597 Phone no. (925)284-2292
www.irs.gov/form1040 REV 01/25/17 PRO Form 1040 (2016)
SCHEDULE B OMB No. 1545-0074
Interest and Ordinary Dividends
2016
(Form 1040A or 1040)
(Rev. January 2017) a Attach to Form 1040A or 1040.
Department of the Treasury a Information Attachment
Internal Revenue Service (99) about Schedule B and its instructions is at www.irs.gov/scheduleb. Sequence No. 08
Name(s) shown on return Your social security number
ANTHONY H & AMY N BRADING 626-84-4682
Part I 1 List name of payer. If any interest is from a seller-financed mortgage and the Amount
buyer used the property as a personal residence, see instructions on back and list
Interest this interest first. Also, show that buyer’s social security number and address a
CHASE 300.
WELLS FARGO BANK, N.A. 106.
(See instructions WELLS FARGO BANK, N.A. 354.
on back and the
instructions for IRS 113.
Form 1040A, or
Form 1040, 1
line 8a.)

Note: If you
received a Form
1099-INT, Form
1099-OID, or
substitute
statement from
a brokerage firm,
list the firm’s
name as the 2 Add the amounts on line 1 . . . . . . . . . . . . . . . . . . 2 873.
payer and enter
the total interest 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
shown on that Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . 3
form. 4 Subtract line 3 from line 2. Enter the result here and on Form 1040A, or Form
1040, line 8a . . . . . . . . . . . . . . . . . . . . . . a 4 873.
Note: If line 4 is over $1,500, you must complete Part III. Amount
Part II 5 List name of payer a UPS-TB 156.
UPS-AB 156.
Ordinary
Dividends
(See instructions
on back and the
instructions for
Form 1040A, or
Form 1040, 5
line 9a.)

Note: If you
received a Form
1099-DIV or
substitute
statement from
a brokerage firm,
list the firm’s
name as the
payer and enter
the ordinary 6 Add the amounts on line 5. Enter the total here and on Form 1040A, or Form
dividends shown
on that form. 1040, line 9a . . . . . . . . . . . . . . . . . . . . . . a 6 312.
Note: If line 6 is over $1,500, you must complete Part III.
You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a
foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes No

Part III 7a At any time during 2016, did you have a financial interest in or signature authority over a financial
account (such as a bank account, securities account, or brokerage account) located in a foreign
Foreign country? See instructions . . . . . . . . . . . . . . . . . . . . . . . .
Accounts
If “Yes,” are you required to file FinCEN Form 114, Report of Foreign Bank and Financial
and Trusts Accounts (FBAR), to report that financial interest or signature authority? See FinCEN Form 114
(See and its instructions for filing requirements and exceptions to those requirements . . . . . .
instructions on b If you are required to file FinCEN Form 114, enter the name of the foreign country where the
back.)
financial account is located a UK U.K. (England, N Ireland, Scotland and Wales)
8 During 2016, did you receive a distribution from, or were you the grantor of, or transferor to, a
foreign trust? If “Yes,” you may have to file Form 3520. See instructions on back . . . . . .
For Paperwork Reduction Act Notice, see your tax return instructions. Schedule B (Form 1040A or 1040) 2016
BAA REV 01/25/17 PRO
SCHEDULE C Profit or Loss From Business OMB No. 1545-0074
(Form 1040)
Department of the Treasury
a Information
(Sole Proprietorship)
about Schedule C and its separate instructions is at www.irs.gov/schedulec. 2016
Attachment
Internal Revenue Service (99) a Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09
Name of proprietor Social security number (SSN)
AMY N BRADING 560-53-6322
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
SALES OF HEALTH CARE UNIFORMS a 4 2 4 3 0 0
C Business name. If no separate business name, leave blank. D Employer ID number (EIN), (see instr.)
WELLMADE UNIFORMS 4 6 5 1 2 6 0 5 4
E Business address (including suite or room no.) a 1050 PINE LANE
City, town or post office, state, and ZIP code LAFAYETTE, CA 94549
F Accounting method: (1) Cash (2) Accrual (3) Other (specify) a
G Did you “materially participate” in the operation of this business during 2016? If “No,” see instructions for limit on losses . Yes No
H If you started or acquired this business during 2016, check here . . . . . . . . . . . . . . . . . a

I Did you make any payments in 2016 that would require you to file Form(s) 1099? (see instructions) . . . . . . . . Yes No
J If "Yes," did you or will you file required Forms 1099? . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Income
1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . a 1 169,069.
2 Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . 3 169,069.
4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . . . . 4 126,113.
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . 5 42,956.
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . 6
7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . a 7 42,956.
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising . . . . . 8 2,849. 18 Office expense (see instructions) 18
9 Car and truck expenses (see 19 Pension and profit-sharing plans . 19
instructions) . . . . . 9 0. 20 Rent or lease (see instructions):
10 Commissions and fees . 10 a Vehicles, machinery, and equipment 20a
11 Contract labor (see instructions) 11 b Other business property . . . 20b
12 Depletion . . . . . 12 21 Repairs and maintenance . . . 21
13 Depreciation and section 179 22 Supplies (not included in Part III) . 22 1,710.
expense deduction (not
included in Part III) (see 23 Taxes and licenses . . . . . 23 2,307.
instructions) . . . . . 13 0. 24 Travel, meals, and entertainment:
14 Employee benefit programs a Travel . . . . . . . . . 24a 410.
(other than on line 19) . . 14 b Deductible meals and
15 Insurance (other than health) 15 1,740. entertainment (see instructions) . 24b 604.
16 Interest: 25 Utilities . . . . . . . . 25 672.
a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) . 26 28,846.
b Other . . . . . . 16b 1,057. 27a Other expenses (from line 48) . . 27a 9,432.
17 Legal and professional services 17 565. b Reserved for future use . . . 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . . a 28 50,192.
29 Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . 29 -7,236.
30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instructions).
Simplified method filers only: enter the total square footage of: (a) your home:
and (b) the part of your home used for business: . Use the Simplified
Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . 30
31 Net profit or (loss). Subtract line 30 from line 29.
• If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2.
(If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3.
• If a loss, you must go to line 32.
} 31 -7,236.

}
32 If you have a loss, check the box that describes your investment in this activity (see instructions).
• If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and
on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and 32a All investment is at risk.
trusts, enter on Form 1041, line 3. 32b Some investment is not
at risk.
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
For Paperwork Reduction Act Notice, see the separate instructions. BAA REV 01/25/17 PRO Schedule C (Form 1040) 2016
Schedule C (Form 1040) 2016 Page 2
Part III Cost of Goods Sold (see instructions)

33 Method(s) used to
value closing inventory: a Cost b Lower of cost or market c Other (attach explanation)
34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

35 Inventory at beginning of year. If different from last year’s closing inventory, attach explanation . . . 35 51,885.

36 Purchases less cost of items withdrawn for personal use . . . . . . . . . . . . . . 36 43,102.

37 Cost of labor. Do not include any amounts paid to yourself . . . . . . . . . . . . . . 37

38 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . 38 1,551.

39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 78,586.

40 Add lines 35 through 39 . . . . . . . . . . . . . . . . . . . . . . . . 40 175,124.

41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . 41 49,011.

42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 .
. . . . . 42 126,113.
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.

43 When did you place your vehicle in service for business purposes? (month, day, year) a

44 Of the total number of miles you drove your vehicle during 2016, enter the number of miles you used your vehicle for:

a Business b Commuting (see instructions) c Other

45 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . Yes No

46 Do you (or your spouse) have another vehicle available for personal use?. . . . . . . . . . . . . . Yes No

47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . Yes No

b If “Yes,” is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . Yes No


Part V Other Expenses. List below business expenses not included on lines 8–26 or line 30.

AUTO MILEAGE (3050 MILES @.54) 1,647.

AUTO EXPENSES 2.

BANK CARD CHARGES 1,367.

BANK CHARGES 66.

CLUB MEMBERSHIP 795.

COMPUTER AND INTERNET 798.

COMPUTER TECH SERVICES 650.

CONVENTIONS 1,950.

See Line 48 Other Expenses 2,157.


48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . . 48 9,432.
REV 01/25/17 PRO Schedule C (Form 1040) 2016
SCHEDULE D OMB No. 1545-0074
(Form 1040) Capital Gains and Losses

Department of the Treasury a


a Attach to Form 1040 or Form 1040NR.
Information about Schedule D and its separate instructions is at www.irs.gov/scheduled.
2016
Attachment
Internal Revenue Service (99) a Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. Sequence No. 12

Name(s) shown on return Your social security number


ANTHONY H & AMY N BRADING 626-84-4682
Part I Short-Term Capital Gains and Losses—Assets Held One Year or Less

See instructions for how to figure the amounts to enter on the (g) (h) Gain or (loss)
lines below. (d) (e) Adjustments Subtract column (e)
Proceeds Cost to gain or loss from from column (d) and
This form may be easier to complete if you round off cents to (sales price) (or other basis) Form(s) 8949, Part I, combine the result with
whole dollars. line 2, column (g) column (g)

1a Totals for all short-term transactions reported on Form


1099-B for which basis was reported to the IRS and for
which you have no adjustments (see instructions).
However, if you choose to report all these transactions
on Form 8949, leave this line blank and go to line 1b .
1b Totals for all transactions reported on Form(s) 8949 with
Box A checked . . . . . . . . . . . . .
2 Totals for all transactions reported on Form(s) 8949 with
Box B checked . . . . . . . . . . . . .
3 Totals for all transactions reported on Form(s) 8949 with
Box C checked . . . . . . . . . . . . .

4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . 4
5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from
Schedule(s) K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover
Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . 6 ( )
7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any long-
term capital gains or losses, go to Part II below. Otherwise, go to Part III on the back . . . . . 7
Part II Long-Term Capital Gains and Losses—Assets Held More Than One Year

See instructions for how to figure the amounts to enter on the (g) (h) Gain or (loss)
lines below. (d) (e) Adjustments Subtract column (e)
Proceeds Cost to gain or loss from from column (d) and
This form may be easier to complete if you round off cents to (sales price) (or other basis) Form(s) 8949, Part II, combine the result with
whole dollars. line 2, column (g) column (g)

8a Totals for all long-term transactions reported on Form


1099-B for which basis was reported to the IRS and for
which you have no adjustments (see instructions).
However, if you choose to report all these transactions
on Form 8949, leave this line blank and go to line 8b .
8b Totals for all transactions reported on Form(s) 8949 with
Box D checked . . . . . . . . . . . . .
9 Totals for all transactions reported on Form(s) 8949 with
Box E checked . . . . . . . . . . . . . 22,022. 0. 22,022.
10 Totals for all transactions reported on Form(s) 8949 with
Box F checked . . . . . . . . . . . . . .
11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss)
from Forms 4684, 6781, and 8824 . . . . . . . . . . . . . . . . . . . . . . 11

12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 12

13 Capital gain distributions. See the instructions . . . . . . . . . . . . . . . . . . 13


14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover
Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . 14 ( )
15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to Part III on
the back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 22,022.
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 01/25/17 PRO Schedule D (Form 1040) 2016
Schedule D (Form 1040) 2016 Page 2

Part III Summary

16 Combine lines 7 and 15 and enter the result . . . . . . . . . . . . . . . . . . 16 22,022.

• If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13, or Form 1040NR, line
14. Then go to line 17 below.
• If line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete
line 22.
• If line 16 is zero, skip lines 17 through 21 below and enter -0- on Form 1040, line 13, or Form
1040NR, line 14. Then go to line 22.

17 Are lines 15 and 16 both gains?


Yes. Go to line 18.
No. Skip lines 18 through 21, and go to line 22.

18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions . . a 18

19 Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in the
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 19

20 Are lines 18 and 19 both zero or blank?


Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040, line 44 (or in the instructions for Form 1040NR, line 42). Don't complete lines
21 and 22 below.

No. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21
and 22 below.

21 If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of:

• The loss on line 16 or


• ($3,000), or if married filing separately, ($1,500) } . . . . . . . . . . . . . . . 21 ( )

Note: When figuring which amount is smaller, treat both amounts as positive numbers.

22 Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b?

Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040, line 44 (or in the instructions for Form 1040NR, line 42).

No. Complete the rest of Form 1040 or Form 1040NR.

REV 01/25/17 PRO Schedule D (Form 1040) 2016


Form 8949 (2016) Attachment Sequence No. 12A Page 2
Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side Social security number or taxpayer identification number
ANTHONY H & AMY N BRADING 626-84-4682
Before you check Box D, E, or F below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
Part II Long-Term. Transactions involving capital assets you held more than 1 year are long term. For short-term
transactions, see page 1.
Note: You may aggregate all long-term transactions reported on Form(s) 1099-B showing basis was reported
to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line
8a; you aren't required to report these transactions on Form 8949 (see instructions).
You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete
a separate Form 8949, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or
more of the boxes, complete as many forms with the same box checked as you need.
(D) Long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above)
(E) Long-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS
(F) Long-term transactions not reported to you on Form 1099-B
Adjustment, if any, to gain or loss.
1 (e) If you enter an amount in column (g), (h)
(c) (d) Cost or other basis. enter a code in column (f). Gain or (loss).
(a) (b) See the separate instructions.
Date sold or Proceeds See the Note below Subtract column (e)
Description of property Date acquired
disposed of (sales price) and see Column (e) from column (d) and
(Example: 100 sh. XYZ Co.) (Mo., day, yr.)
(Mo., day, yr.) (see instructions) in the separate (f) (g) combine the result
instructions Code(s) from Amount of with column (g)
instructions adjustment

100 CLASS A COMMON UPS Various 07/27/16 11,011. 0. 11,011.

100 CLASS A COMMON UPS Various 07/27/16 11,011. 0. 11,011.

2 Totals. Add the amounts in columns (d), (e), (g), and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D, line 8b (if Box D above is checked), line 9 (if Box E
above is checked), or line 10 (if Box F above is checked) a 22,022. 0. 22,022.
Note: If you checked Box D above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an
adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment.
Form 8949 (2016)

REV 01/25/17 PRO


Schedule E (Form 1040) 2016 Attachment Sequence No. 13 Page 2
Name(s) shown on return. Do not enter name and social security number if shown on other side. Your social security number

ANTHONY H & AMY N BRADING 626-84-4682


Caution: The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1.
Part II Income or Loss From Partnerships and S Corporations Note: If you report a loss from an at-risk activity for which
any amount is not at risk, you must check the box in column (e) on line 28 and attach Form 6198. See instructions.
27 Are you reporting any loss not allowed in a prior year due to the at-risk, excess farm loss, or basis limitations, a prior year
unallowed loss from a passive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses? If
you answered “Yes,” see instructions before completing this section. Yes No
(b) Enter P for (c) Check if (d) Employer (e) Check if
28 (a) Name partnership; S foreign identification any amount is
for S corporation partnership number not at risk
A HI Q LLC P 91-2155895
B
C
D
Passive Income and Loss Nonpassive Income and Loss
(f) Passive loss allowed (g) Passive income (h) Nonpassive loss (i) Section 179 expense (j) Nonpassive income
(attach Form 8582 if required) from Schedule K-1 from Schedule K-1 deduction from Form 4562 from Schedule K-1

A 0.
B
C
D
29a Totals
b Totals 0.
30 Add columns (g) and (j) of line 29a . . . . . . . . . . . . . . . . . . . . . 30
31 Add columns (f), (h), and (i) of line 29b . . . . . . . . . . . . . . . . . . . 31 ( 0. )
32 Total partnership and S corporation income or (loss). Combine lines 30 and 31. Enter the
result here and include in the total on line 41 below . . . . . . . . . . . . . . . 32 0.
Part III Income or Loss From Estates and Trusts
(b) Employer
33 (a) Name
identification number

A
B
Passive Income and Loss Nonpassive Income and Loss
(c) Passive deduction or loss allowed (d) Passive income (e) Deduction or loss (f) Other income from
(attach Form 8582 if required) from Schedule K-1 from Schedule K-1 Schedule K-1

A
B
34a Totals
b Totals
35 Add columns (d) and (f) of line 34a . . . . . . . . . . . . . . . . . . . . 35
36 Add columns (c) and (e) of line 34b . . . . . . . . . . . . . . . . . . . . 36 ( )
37 Total estate and trust income or (loss). Combine lines 35 and 36. Enter the result here and
include in the total on line 41 below . . . . . . . . . . . . . . . . . . . . 37
Part IV Income or Loss From Real Estate Mortgage Investment Conduits (REMICs)—Residual Holder
(b) Employer identification (c) Excess inclusion from (d) Taxable income (net loss) (e) Income from
38 (a) Name number Schedules Q, line 2c from Schedules Q, line 1b Schedules Q, line 3b
(see instructions)

39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below 39
Part V Summary
40 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below . . . . . . 40
41 Total income or (loss). Combine lines 26, 32, 37, 39, and 40. Enter the result here and on Form 1040, line 17, or Form 1040NR, line 18 a 41 0.
42 Reconciliation of farming and fishing income. Enter your gross
farming and fishing income reported on Form 4835, line 7; Schedule K-1
(Form 1065), box 14, code B; Schedule K-1 (Form 1120S), box 17, code
V; and Schedule K-1 (Form 1041), box 14, code F (see instructions) . . 42
43 Reconciliation for real estate professionals. If you were a real estate
professional (see instructions), enter the net income or (loss) you reported
anywhere on Form 1040 or Form 1040NR from all rental real estate activities
in which you materially participated under the passive activity loss rules . . 43
REV 01/25/17 PRO Schedule E (Form 1040) 2016
Form 2441 Child and Dependent Care Expenses 1040
..........
1040A `
OMB No. 1545-0074

2016
..........
a Attach to Form 1040, Form 1040A, or Form 1040NR. 1040NR
Department of the Treasury a Information about Form 2441 and its separate instructions is at 2441 Attachment
Internal Revenue Service (99) www.irs.gov/form2441. Sequence No. 21
Name(s) shown on return Your social security number

ANTHONY H & AMY N BRADING 626-84-4682


Part I Persons or Organizations Who Provided the Care—You must complete this part.
(If you have more than two care providers, see the instructions.)
1 (a) Care provider’s (b) Address (c) Identifying number (d) Amount paid
name (number, street, apt. no., city, state, and ZIP code) (SSN or EIN) (see instructions)

2851 PARK AVENUE


VIA WEST RESPITE CAMP SANTA CLARA CA 95050 94-1212130 100.
301 N. SAN CARLOS DR
WALNUT CREEK SPECIAL RECREATION WALNUT CREEK CA 94598 94-6000450 228.
See Additional Child Care Providers
Did you receive No a Complete only Part II below.
dependent care benefits? Yes a Complete Part III on the back next.
Caution: If the care was provided in your home, you may owe employment taxes. If you do, you cannot file Form 1040A. For details,
see the instructions for Form 1040, line 60a, or Form 1040NR, line 59a.
Part II Credit for Child and Dependent Care Expenses
2 Information about your qualifying person(s). If you have more than two qualifying persons, see the instructions.
(a) Qualifying person’s name (b) Qualifying person’s social (c) Qualified expenses you
security number incurred and paid in 2016 for the
First Last person listed in column (a)

HEATHER BRADING 602-57-1939 478.

3 Add the amounts in column (c) of line 2. Do not enter more than $3,000 for one qualifying
person or $6,000 for two or more persons. If you completed Part III, enter the amount
from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . 3 478.
4 Enter your earned income. See instructions . . . . . . . . . . . . . . . 4 64,418.
5 If married filing jointly, enter your spouse’s earned income (if you or your spouse was a
student or was disabled, see the instructions); all others, enter the amount from line 4 . 5 34,460.
6 Enter the smallest of line 3, 4, or 5 . . . . . . . . . . . . . . . . . . 6 478.
7 Enter the amount from Form 1040, line 38; Form
1040A, line 22; or Form 1040NR, line 37 . . . . . 7 122,085.
8 Enter on line 8 the decimal amount shown below that applies to the amount on line 7
If line 7 is: If line 7 is:
But not Decimal But not Decimal
Over over amount is Over over amount is
$0—15,000 .35 $29,000—31,000 .27
15,000—17,000 .34 31,000—33,000 .26
17,000—19,000 .33 33,000—35,000 .25 8 X .20
19,000—21,000 .32 35,000—37,000 .24
21,000—23,000 .31 37,000—39,000 .23
23,000—25,000 .30 39,000—41,000 .22
25,000—27,000 .29 41,000—43,000 .21
27,000—29,000 .28 43,000—No limit .20
9 Multiply line 6 by the decimal amount on line 8. If you paid 2015 expenses in 2016, see
the instructions . . . . . . . . . . . . . . . . . . . . . . . . . 9 96.
10 Tax liability limit. Enter the amount from the Credit
Limit Worksheet in the instructions. . . . . . . 10 12,417.
11 Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10
here and on Form 1040, line 49; Form 1040A, line 31; or Form 1040NR, line 47 . . . . 11 96.
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 01/25/17 PRO Form 2441 (2016)
Form 8582 Passive Activity Loss Limitations
a See separate instructions.
OMB No. 1545-1008

2016
a Attachto Form 1040 or Form 1041.
Department of the Treasury Attachment
Internal Revenue Service (99) a Information about Form 8582 and its instructions is available at www.irs.gov/form8582. Sequence No. 88
Name(s) shown on return Identifying number
ANTHONY H & AMY N BRADING 626-84-4682
Part I 2016 Passive Activity Loss
Caution: Complete Worksheets 1, 2, and 3 before completing Part I.
Rental Real Estate Activities With Active Participation (For the definition of active participation, see
Special Allowance for Rental Real Estate Activities in the instructions.)
1a Activities with net income (enter the amount from Worksheet 1,
column (a)) . . . . . . . . . . . . . . . . . . 1a
b Activities with net loss (enter the amount from Worksheet 1, column
(b)) . . . . . . . . . . . . . . . . . . . . . 1b ( )
c Prior years unallowed losses (enter the amount from Worksheet 1,
column (c)) . . . . . . . . . . . . . . . . . . 1c ( )
d Combine lines 1a, 1b, and 1c . . . . . . . . . . . . . . . . . . . . . . 1d
Commercial Revitalization Deductions From Rental Real Estate Activities
2a Commercial revitalization deductions from Worksheet 2, column (a) . 2a ( )
b Prior year unallowed commercial revitalization deductions from
Worksheet 2, column (b) . . . . . . . . . . . . . . 2b ( )
c Add lines 2a and 2b . . . . . . . . . . . . . . . . . . . . . . . . . 2c ( )
All Other Passive Activities
3a Activities with net income (enter the amount from Worksheet 3,
column (a)) . . . . . . . . . . . . . . . . . . 3a 0.
b Activities with net loss (enter the amount from Worksheet 3, column
(b)) . . . . . . . . . . . . . . . . . . . . . 3b ( 4. )
c Prior years unallowed losses (enter the amount from Worksheet 3,
column (c)) . . . . . . . . . . . . . . . . . . 3c ( 8. )
d Combine lines 3a, 3b, and 3c . . . . . . . . . . . . . . . . . . . . . . 3d -12.
4 Combine lines 1d, 2c, and 3d. If this line is zero or more, stop here and include this form with
your return; all losses are allowed, including any prior year unallowed losses entered on line 1c,
2b, or 3c. Report the losses on the forms and schedules normally used . . . . . . . . 4 -12.
If line 4 is a loss and: • Line 1d is a loss, go to Part II.
• Line 2c is a loss (and line 1d is zero or more), skip Part II and go to Part III.
• Line 3d is a loss (and lines 1d and 2c are zero or more), skip Parts II and III and go to line 15.
Caution: If your filing status is married filing separately and you lived with your spouse at any time during the year, do not complete
Part II or Part III. Instead, go to line 15.
Part II Special Allowance for Rental Real Estate Activities With Active Participation
Note: Enter all numbers in Part II as positive amounts. See instructions for an example.
5 Enter the smaller of the loss on line 1d or the loss on line 4 . . . . . . . . . . . . 5
6 Enter $150,000. If married filing separately, see instructions . . 6
7 Enter modified adjusted gross income, but not less than zero (see instructions) 7
Note: If line 7 is greater than or equal to line 6, skip lines 8 and 9,
enter -0- on line 10. Otherwise, go to line 8.
8 Subtract line 7 from line 6 . . . . . . . . . . . . . 8
9 Multiply line 8 by 50% (0.5). Do not enter more than $25,000. If married filing separately, see instructions 9
10 Enter the smaller of line 5 or line 9 . . . . . . . . . . . . . . . . . . . . 10 0.
If line 2c is a loss, go to Part III. Otherwise, go to line 15.
Part III Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part III as positive amounts. See the example for Part II in the instructions.
11 Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions 11
12 Enter the loss from line 4 . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Reduce line 12 by the amount on line 10 . . . . . . . . . . . . . . . . . . 13
14 Enter the smallest of line 2c (treated as a positive amount), line 11, or line 13 . . . . . . 14
Part IV Total Losses Allowed
15 Add the income, if any, on lines 1a and 3a and enter the total . . . . . . . . . . . . 15 0.
16 Total losses allowed from all passive activities for 2016. Add lines 10, 14, and 15. See
instructions to find out how to report the losses on your tax return . . . . . . . . . . . 16 0.
For Paperwork Reduction Act Notice, see instructions. BAA REV 01/25/17 PRO Form 8582 (2016)
Form 8582 (2016) Page 2
Caution: The worksheets must be filed with your tax return. Keep a copy for your records.
Worksheet 1—For Form 8582, Lines 1a, 1b, and 1c (See instructions.)
Current year Prior years Overall gain or loss
Name of activity
(a) Net income (b) Net loss (c) Unallowed
(d) Gain (e) Loss
(line 1a) (line 1b) loss (line 1c)

Total. Enter on Form 8582, lines 1a, 1b,


and 1c . . . . . . . . . . . a
Worksheet 2—For Form 8582, Lines 2a and 2b (See instructions.)
(a) Current year (b) Prior year
Name of activity (c) Overall loss
deductions (line 2a) unallowed deductions (line 2b)

Total. Enter on Form 8582, lines 2a and


2b . . . . . . . . . . . . a
Worksheet 3—For Form 8582, Lines 3a, 3b, and 3c (See instructions.)
Current year Prior years Overall gain or loss
Name of activity
(a) Net income (b) Net loss (c) Unallowed
(d) Gain (e) Loss
(line 3a) (line 3b) loss (line 3c)
HI Q LLC 0. 4. 8. 12.

Total. Enter on Form 8582, lines 3a, 3b,


and 3c . . . . . . . . . . . a 0. 4. 8.
Worksheet 4—Use this worksheet if an amount is shown on Form 8582, line 10 or 14 (See instructions.)
Form or schedule
(d) Subtract
and line number (c) Special
Name of activity (a) Loss (b) Ratio column (c) from
to be reported on allowance
column (a)
(see instructions)

Total . . . . . . . . . . . . . . . . . a 1.00
Worksheet 5—Allocation of Unallowed Losses (See instructions.)
Form or schedule
and line number
Name of activity (a) Loss (b) Ratio (c) Unallowed loss
to be reported on
(see instructions)
HI Q LLC E Ln 28A 12. 1.00000000 12.

Total . . . . . . . . . . . . . . . . . . . a 12. 1.00 12.


REV 01/25/17 PRO Form 8582 (2016)
Form 8582 (2016) Page 3
Worksheet 6—Allowed Losses (See instructions.)
Form or schedule
and line number to
Name of activity (a) Loss (b) Unallowed loss (c) Allowed loss
be reported on (see
instructions)
HI Q LLC E Ln 28A 12. 12. 0.

Total . . . . . . . . . . . . . . .
12. . . . .
12. a 0.
Worksheet 7—Activities With Losses Reported on Two or More Forms or Schedules (See instructions.)
Name of activity: (d) Unallowed
(a) (b) (c) Ratio (e) Allowed loss
loss
Form or schedule and line number
to be reported on (see
instructions):
1a Net loss plus prior year unallowed
loss from form or schedule . a
b Net income from form or
schedule . . . . . . . a

c Subtract line 1b from line 1a. If zero or less, enter -0- a


Form or schedule and line number
to be reported on (see
instructions):
1a Net loss plus prior year unallowed
loss from form or schedule . a
b Net income from form or
schedule . . . . . . . a

c Subtract line 1b from line 1a. If zero or less, enter -0- a


Form or schedule and line number
to be reported on (see
instructions):
1a Net loss plus prior year unallowed
loss from form or schedule . a
b Net income from form or
schedule . . . . . . . a

c Subtract line 1b from line 1a. If zero or less, enter -0- a

Total . . . . . . . . . . . . . . . . . . a 1.00
REV 01/25/17 PRO Form 8582 (2016)
8938 Statement of Specified Foreign Financial Assets OMB No. 1545-2195

2016
Form
a Information about Form 8938 and its separate instructions is at www.irs.gov/form8938.
a Attach to your tax return.
Department of the Treasury Attachment
Internal Revenue Service For calendar year 20 16 or tax year beginning , 20 and ending , 20 Sequence No. 175
If you have attached continuation statements, check here Number of continuation statements 5

1 Name(s) shown on return 2 TIN


ANTHONY H & AMY N BRADING 626-84-4682
3 Type of filer
a Specified individual b Partnership c Corporation d Trust
4 If you checked box 3a, skip this line 4. If you checked box 3b or 3c, enter the name and TIN of the specified individual who closely holds
the partnership or corporation. If you checked box 3d, enter the name and TIN of the specified person who is a current beneficiary of the
trust. (See instructions for definitions and what to do if you have more than one specified individual or specified person to list.)
a Name b TIN
Part I Foreign Deposit and Custodial Accounts Summary
1 Number of Deposit Accounts (reported in Part V) . . . . . . . . . . . . . . . . . . a 4
2 Maximum Value of All Deposit Accounts . . . . . . . . . . . . . . . . . . . . . $ 3,921.
3 Number of Custodial Accounts (reported in Part V) . . . . . . . . . . . . . . . . . a
2
4 Maximum Value of All Custodial Accounts . . . . . . . . . . . . . . . . . . . . . $ 20,828.
5 Were any foreign deposit or custodial accounts closed during the tax year? . . . . . . . . . . Yes No
Part II Other Foreign Assets Summary
1 Number of Foreign Assets (reported in Part Vl) . . . . . . . . . . . . . . . . . . a
2
2 Maximum Value of All Assets (reported in Part Vl) . . . . . . . . . . . . . . . . . . . $ 128,377.
3 Were any foreign assets acquired or sold during the tax year? . . . . . . . . . . . . . . Yes No
Part III Summary of Tax Items Attributable to Specified Foreign Financial Assets (see instructions)
(c) Amount reported on Where reported
(a) Asset Category (b) Tax item form or schedule (d) Form and line (e) Schedule and line
1 Foreign Deposit and 1a Interest $
Custodial Accounts 1b Dividends $
1c Royalties $
1d Other income $
1e Gains (losses) $
1f Deductions $
1g Credits $
2 Other Foreign Assets 2a Interest $
2b Dividends $
2c Royalties $
2d Other income $
2e Gains (losses) $
2f Deductions $
2g Credits $
Part IV Excepted Specified Foreign Financial Assets (see instructions)
If you reported specified foreign financial assets on one or more of the following forms, enter the number of such forms filed. You do
not need to include these assets on Form 8938 for the tax year.
1. Number of Forms 3520 2. Number of Forms 3520-A 3. Number of Forms 5471
4. Number of Forms 8621 5. Number of Forms 8865

Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions)
If you have more than one account to report in Part V, attach a continuation statement for each additional account (see instructions).
1 Type of account Deposit Custodial 2 Account number or other designation
51203610799
3 Check all that apply a Account opened during tax year b Account closed during tax year
c Account jointly owned with spouse d No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year . . . . . . . . . . . . . . . . . . . . . $ 260.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
account is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
POUND STERLING .8150
For Paperwork Reduction Act Notice, see the separate instructions. Form 8938 (2016)
BAA REV 01/25/17 PRO
Form 8938 (2016) Page 2
Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions) (continued)
7a Name of financial institution in which account is maintained b Global Intermediary Identification Number (GIIN) (Optional)
SCOTTISH WIDOWS BANK
8 Mailing address of financial institution in which account is maintained. Number, street, and room or suite no.
67 MORRISON STREET
9 City or town, state or province, and country (including postal code)
EDINBURGH UK EH3 8YJ
Part VI Detailed Information for Each “Other Foreign Asset” Included in the Part II Summary (see instructions)
If you have more than one asset to report in Part VI, attach a continuation statement for each additional asset (see instructions).
1 Description of asset 2 Identifying number or other designation
LIFE INSURANCE M561J054
3 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates.
a Date asset acquired during tax year, if applicable . . . . . . . . . . . . . . . . . .
b Date asset disposed of during tax year, if applicable . . . . . . . . . . . . . . . . .
c Check if asset jointly owned with spouse d Check if no tax item reported in Part III with respect to this asset
4 Maximum value of asset during tax year (check box that applies)
a $0 - $50,000 b $50,001 - $100,000 c $100,001 - $150,000 d $150,001 - $200,000
e If more than $200,000, list value . . . . . . . . . . . . . . . . . . . . . . . . $
5 Did you use a foreign currency exchange rate to convert the value of the asset into U.S. dollars? . . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which asset (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
is denominated convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
POUND STERLING .8150
7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
a Name of foreign entity b GIIN (Optional)
c Type of foreign entity (1) Partnership (2) Corporation (3) Trust (4) Estate
d Mailing address of foreign entity. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

8 If asset reported on line 1 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the
asset.
Note: If this asset has more than one issuer or counterparty, attach a continuation statement with the same information for
each additional issuer or counterparty (see instructions).
a Name of issuer or counterparty PRUDENTIAL
Check if information is for Issuer Counterparty

b Type of issuer or counterparty


(1) Individual (2) Partnership (3) Corporation (4) Trust (5) Estate

c Check if issuer or counterparty is a U.S. person Foreign person


d Mailing address of issuer or counterparty. Number, street, and room or suite no.
LANCING BUSINESS PARK
e City or town, state or province, and country (including postal code)
LANCING ENGLAND UK BN15 8GB
REV 01/25/17 PRO Form 8938 (2016)
Form 8938 (2016) Page 3

(Continuation Statement)
Name(s) shown on return TIN

ANTHONY H & AMY N BRADING 626-84-4682


Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions)
1 Type of account Deposit Custodial 2 Account number or other designation
70135735
3 Check all that apply a Account opened during tax year b Account closed during tax year
c Account jointly owned with spouse d No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year . . . . . . . . . . . . . . . . . . . . . $ 38.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
account is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
POUND STERLING .8150
7a Name of financial institution in which account is maintained b GIIN (Optional)
CLYDESDALE BANK
8 Mailing address of financial institution in which account is maintained. Number, street, and room or suite no.
1 CROALL PLACE
9 City or town, state or province, and country (including postal code)
EDINBURGH SCOTLAND UK EH7 4LT
Part VI Detailed Information for Each “Other Foreign Asset” Included in the Part II Summary (see instructions)
1 Description of asset 2 Identifying number or other designation
50% BENEFICIAL INTEREST IN HELEN BRADING POA TRUST 000551936
3 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates.
a Date asset acquired during tax year, if applicable . . . . . . . . . . . . . . . . . .
b Date asset disposed of during tax year, if applicable . . . . . . . . . . . . . . . . .
c Check if asset jointly owned with spouse d Check if no tax item reported in Part III with respect to this asset
4 Maximum value of asset during tax year (check box that applies)
a $0 - $50,000 b $50,001 - $100,000 c $100,001 - $150,000 d $150,001 - $200,000
e If more than $200,000, list value . . . . . . . . . . . . . . . . . . . . . . . . $
5 Did you use a foreign currency exchange rate to convert the value of the asset into U.S. dollars? . . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which asset (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
is denominated convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
POUND STERLING .8150
7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
a Name of foreign entity HELEN BRADING POA TRUST b GIIN (Optional)
c Type of foreign entity (1) Partnership (2) Corporation (3) Trust (4) Estate
d Mailing address of foreign entity. Number, street, and room or suite no.
12 GREENDALE COURT
e City or town, state or province, and country (including postal code)
BEDALE N. YORKSHIRE UK DL8 1FB
8 If asset reported on line 1 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the
asset.
a Name of issuer or counterparty
Check if information is for Issuer Counterparty

b Type of issuer or counterparty


(1) Individual (2) Partnership (3) Corporation (4) Trust (5) Estate

c Check if issuer or counterparty is a U.S. person Foreign person


d Mailing address of issuer or counterparty. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

REV 01/25/17 PRO Form 8938 (2016)


Form 8938 (2016) Page 4

(Continuation Statement)
Name(s) shown on return TIN

ANTHONY H & AMY N BRADING 626-84-4682


Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions)
1 Type of account Deposit Custodial 2 Account number or other designation
00504590
3 Check all that apply a Account opened during tax year b Account closed during tax year
c Account jointly owned with spouse d No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year . . . . . . . . . . . . . . . . . . . . . $ 1,709.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
account is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
POUND STERLING .8150
7a Name of financial institution in which account is maintained b GIIN (Optional)
HALIFAX BANK
8 Mailing address of financial institution in which account is maintained. Number, street, and room or suite no.
16 NORTHBROOK STREET
9 City or town, state or province, and country (including postal code)
NEWBERRY BERKSHIRE UK RG14 1DJ
Part VI Detailed Information for Each “Other Foreign Asset” Included in the Part II Summary (see instructions)
1 Description of asset 2 Identifying number or other designation

3 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates.
a Date asset acquired during tax year, if applicable . . . . . . . . . . . . . . . . . .
b Date asset disposed of during tax year, if applicable . . . . . . . . . . . . . . . . .
c Check if asset jointly owned with spouse d Check if no tax item reported in Part III with respect to this asset
4 Maximum value of asset during tax year (check box that applies)
a $0 - $50,000 b $50,001 - $100,000 c $100,001 - $150,000 d $150,001 - $200,000
e If more than $200,000, list value . . . . . . . . . . . . . . . . . . . . . . . . $
5 Did you use a foreign currency exchange rate to convert the value of the asset into U.S. dollars? . . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which asset (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
is denominated convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service

7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
a Name of foreign entity b GIIN (Optional)
c Type of foreign entity (1) Partnership (2) Corporation (3) Trust (4) Estate
d Mailing address of foreign entity. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

8 If asset reported on line 1 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the
asset.
a Name of issuer or counterparty
Check if information is for Issuer Counterparty

b Type of issuer or counterparty


(1) Individual (2) Partnership (3) Corporation (4) Trust (5) Estate

c Check if issuer or counterparty is a U.S. person Foreign person


d Mailing address of issuer or counterparty. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

REV 01/25/17 PRO Form 8938 (2016)


Form 8938 (2016) Page 5

(Continuation Statement)
Name(s) shown on return TIN

ANTHONY H & AMY N BRADING 626-84-4682


Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions)
1 Type of account Deposit Custodial 2 Account number or other designation
10561366
3 Check all that apply a Account opened during tax year b Account closed during tax year
c Account jointly owned with spouse d No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year . . . . . . . . . . . . . . . . . . . . . $ 1,914.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
account is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
POUND STERLING .8150
7a Name of financial institution in which account is maintained b GIIN (Optional)
HALIFAX BANK
8 Mailing address of financial institution in which account is maintained. Number, street, and room or suite no.
16 NORTHBROOK STREET
9 City or town, state or province, and country (including postal code)
NEWBERRY BERKSHIRE UK RG14 1DJ
Part VI Detailed Information for Each “Other Foreign Asset” Included in the Part II Summary (see instructions)
1 Description of asset 2 Identifying number or other designation

3 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates.
a Date asset acquired during tax year, if applicable . . . . . . . . . . . . . . . . . .
b Date asset disposed of during tax year, if applicable . . . . . . . . . . . . . . . . .
c Check if asset jointly owned with spouse d Check if no tax item reported in Part III with respect to this asset
4 Maximum value of asset during tax year (check box that applies)
a $0 - $50,000 b $50,001 - $100,000 c $100,001 - $150,000 d $150,001 - $200,000
e If more than $200,000, list value . . . . . . . . . . . . . . . . . . . . . . . . $
5 Did you use a foreign currency exchange rate to convert the value of the asset into U.S. dollars? . . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which asset (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
is denominated convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service

7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
a Name of foreign entity b GIIN (Optional)
c Type of foreign entity (1) Partnership (2) Corporation (3) Trust (4) Estate
d Mailing address of foreign entity. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

8 If asset reported on line 1 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the
asset.
a Name of issuer or counterparty
Check if information is for Issuer Counterparty

b Type of issuer or counterparty


(1) Individual (2) Partnership (3) Corporation (4) Trust (5) Estate

c Check if issuer or counterparty is a U.S. person Foreign person


d Mailing address of issuer or counterparty. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

REV 01/25/17 PRO Form 8938 (2016)


Form 8938 (2016) Page 6

(Continuation Statement)
Name(s) shown on return TIN

ANTHONY H & AMY N BRADING 626-84-4682


Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions)
1 Type of account Deposit Custodial 2 Account number or other designation
0006057747
3 Check all that apply a Account opened during tax year b Account closed during tax year
c Account jointly owned with spouse d No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year . . . . . . . . . . . . . . . . . . . . . $ 10,427.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
account is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
POUND STERLING .8150
7a Name of financial institution in which account is maintained b GIIN (Optional)
INVESCO PERPETUAL FUND
8 Mailing address of financial institution in which account is maintained. Number, street, and room or suite no.
PERPETUAL PARK, PERPETUAL PARK DRIVE
9 City or town, state or province, and country (including postal code)
HENLEY-ON-THAMES OXFORDSHIRE, ENGLAND UK RG9 1HH
Part VI Detailed Information for Each “Other Foreign Asset” Included in the Part II Summary (see instructions)
1 Description of asset 2 Identifying number or other designation

3 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates.
a Date asset acquired during tax year, if applicable . . . . . . . . . . . . . . . . . .
b Date asset disposed of during tax year, if applicable . . . . . . . . . . . . . . . . .
c Check if asset jointly owned with spouse d Check if no tax item reported in Part III with respect to this asset
4 Maximum value of asset during tax year (check box that applies)
a $0 - $50,000 b $50,001 - $100,000 c $100,001 - $150,000 d $150,001 - $200,000
e If more than $200,000, list value . . . . . . . . . . . . . . . . . . . . . . . . $
5 Did you use a foreign currency exchange rate to convert the value of the asset into U.S. dollars? . . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which asset (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
is denominated convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service

7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
a Name of foreign entity b GIIN (Optional)
c Type of foreign entity (1) Partnership (2) Corporation (3) Trust (4) Estate
d Mailing address of foreign entity. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

8 If asset reported on line 1 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the
asset.
a Name of issuer or counterparty
Check if information is for Issuer Counterparty

b Type of issuer or counterparty


(1) Individual (2) Partnership (3) Corporation (4) Trust (5) Estate

c Check if issuer or counterparty is a U.S. person Foreign person


d Mailing address of issuer or counterparty. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

REV 01/25/17 PRO Form 8938 (2016)


Form 8938 (2016) Page 7

(Continuation Statement)
Name(s) shown on return TIN

ANTHONY H & AMY N BRADING 626-84-4682


Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary
(see instructions)
1 Type of account Deposit Custodial 2 Account number or other designation
0006057747
3 Check all that apply a Account opened during tax year b Account closed during tax year
c Account jointly owned with spouse d No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year . . . . . . . . . . . . . . . . . . . . . $ 10,401.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
account is maintained convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service
POUND STERLING .8150
7a Name of financial institution in which account is maintained b GIIN (Optional)
INVESCO PERPETUAL FUND
8 Mailing address of financial institution in which account is maintained. Number, street, and room or suite no.
PERPETUAL PARK, PERPETUAL PARK DRIVE
9 City or town, state or province, and country (including postal code)
HENLEY-ON-THAMES OXFORDSHIRE, ENGLAND UK RG9 1HH
Part VI Detailed Information for Each “Other Foreign Asset” Included in the Part II Summary (see instructions)
1 Description of asset 2 Identifying number or other designation

3 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates.
a Date asset acquired during tax year, if applicable . . . . . . . . . . . . . . . . . .
b Date asset disposed of during tax year, if applicable . . . . . . . . . . . . . . . . .
c Check if asset jointly owned with spouse d Check if no tax item reported in Part III with respect to this asset
4 Maximum value of asset during tax year (check box that applies)
a $0 - $50,000 b $50,001 - $100,000 c $100,001 - $150,000 d $150,001 - $200,000
e If more than $200,000, list value . . . . . . . . . . . . . . . . . . . . . . . . $
5 Did you use a foreign currency exchange rate to convert the value of the asset into U.S. dollars? . . . Yes No
6 If you answered “Yes” to line 5, complete all that apply.
(a) Foreign currency in which asset (b) Foreign currency exchange rate used to (c) Source of exchange rate used if not from U.S.
is denominated convert to U.S. dollars Treasury Department's Bureau of the Fiscal Service

7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset.
a Name of foreign entity b GIIN (Optional)
c Type of foreign entity (1) Partnership (2) Corporation (3) Trust (4) Estate
d Mailing address of foreign entity. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

8 If asset reported on line 1 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the
asset.
a Name of issuer or counterparty
Check if information is for Issuer Counterparty

b Type of issuer or counterparty


(1) Individual (2) Partnership (3) Corporation (4) Trust (5) Estate

c Check if issuer or counterparty is a U.S. person Foreign person


d Mailing address of issuer or counterparty. Number, street, and room or suite no.

e City or town, state or province, and country (including postal code)

REV 01/25/17 PRO Form 8938 (2016)


ANTHONY H & AMY N BRADING 626-84-4682 1

Additional information from your 2016 Federal Tax Return

Schedule C (SALES OF HEALTH CARE UNIFORMS): Profit or Loss from Business


Ln 36a: Purchases Itemization Statement
Description Amount
FABRIC 17,528.
READY MADE UNIFORMS 25,148.
INVENTORY CHANGE per P&L 3,300.
CHANGE IN 2015 INVENTORY ADJUSTED IN 2016 -2,874.
Total 43,102.

Schedule C (SALES OF HEALTH CARE UNIFORMS): Profit or Loss from Business


Line 8 Itemization Statement
Description Amount
ADVERTISING AND PROMOTION 1,000.
ADVERTISING 1,849.
Total 2,849.

Schedule C (SALES OF HEALTH CARE UNIFORMS): Profit or Loss from Business


Line 22 Itemization Statement
Description Amount
OFFICE SUPPLIES 1,670.
ORDER FORMS 40.
Total 1,710.

Schedule C (SALES OF HEALTH CARE UNIFORMS): Profit or Loss from Business


Line 38 Itemization Statement
Description Amount
BUTTONS 976.
LABELS 575.
Total 1,551.

Schedule C (SALES OF HEALTH CARE UNIFORMS): Profit or Loss from Business


Line 39 Itemization Statement
Description Amount
EMBROIDERING 16,425.
SCREEN PRINTING 59.
FREIGHT 5,315.
FREIGHT 833.
FREIGHT/SHIPPING 254.
SEWING 53,444.
POSTAGE 1,220.33
OTHER 1,140.
ANTHONY H & AMY N BRADING 626-84-4682 2

Schedule C (SALES OF HEALTH CARE UNIFORMS): Profit or Loss from Business


Line 39 Itemization Statement
Description Amount
INVENTORY ADJUSTMENT -104.
Total 78,586.

Schedule C (SALES OF HEALTH CARE UNIFORMS): Profit or Loss from Business


Line 48 Other Expenses Continuation Statement
Description Amount
SUBSCRIPTIONS 1,013.
TELEPHONE 1,144.
Total 2,157.

Form 2441: Child and Dependent Care Expenses


Additional Child Care Providers Continuation Statement
Amount
Name Address City, State, ZIP ID No. Paid
CAMP KREM 102 BROOK LN BOULDER CREEK CA 95006 94-6104601 150.
Total 150.
Form at bottom of page.
Payment Form 1 – File and Pay by April 18, 2017. If amount of payment is zero, do not
mail this form.
When the due date falls on a weekend or holiday, the deadline to file and pay without penalty is
extended to the next business day.
*Due to the federal Emancipation Day holiday observed on April 17, 2017, tax returns filed and
payments mailed or submitted on April 18, 2017, will be considered timely.

WHERE TO FILE: Using black or blue ink, make check or money order payable to the
“Franchise Tax Board.” Write the taxpayer’s social security number (SSN)
or individual taxpayer identification number (ITIN) and “2017 Form 540-ES”
on the check or money order. Detach the form below. Enclose, but do not
staple, payment with the form and mail to:

FRANCHISE TAX BOARD


PO BOX 942867
SACRAMENTO CA 94267- 0008
Make all checks or money orders payable in U.S. dollars and drawn against a
U.S. financial institution.

ONLINE SERVICES: Use Web Pay and enjoy the ease of our free online payment service.
Go to ftb.ca.gov for more information. You can schedule your payments
up to one year in advance.
Do not mail this form if you use Web Pay.

앻 DETACH HERE IF NO PAYMENT IS DUE, DO NOT MAIL THIS FORM DETACH HERE 야
CAUTION: You may be required to pay electronically. See instructions. File and Pay by April 18, 2017
TAXABLE YEAR CALIFORNIA FORM

2017 Estimated Tax for Individuals 540-ES


626-84-4682 BRAD 560-53-6322 17 APE 0
ANTHONY H BRADING
AMY N BRADING

1050 PINE LANE


LAFAYETTE CA 94549

Amount of Payment 185.

For Privacy Notice, get FTB 1131 ENG/SP. 175 1201176 REV 01/25/17 PRO Form 540-ES 2016
Form at bottom of page.

Payment Form 2 – File and Pay by June 15, 2017. If amount of payment is zero, do not
mail this form.
When the due date falls on a weekend or holiday, the deadline to file and pay without penalty is
extended to the next business day.

WHERE TO FILE: Using black or blue ink, make check or money order payable to the
“Franchise Tax Board.” Write the taxpayer’s social security number (SSN)
or individual taxpayer identification number (ITIN) and “2017 Form 540-ES”
on the check or money order. Detach the form below. Enclose, but do not
staple, payment with the form and mail to:

FRANCHISE TAX BOARD


PO BOX 942867
SACRAMENTO CA 94267- 0008
Make all checks or money orders payable in U.S. dollars and drawn against a
U.S. financial institution.

ONLINE SERVICES: Use Web Pay and enjoy the ease of our free online payment service.
Go to ftb.ca.gov for more information. You can schedule your payments
up to one year in advance.
Do not mail this form if you use Web Pay.

앻 DETACH HERE IF NO PAYMENT IS DUE, DO NOT MAIL THIS FORM DETACH HERE 야
CAUTION: You may be required to pay electronically. See instructions. File and Pay by June 15, 2017
TAXABLE YEAR CALIFORNIA FORM

2017 Estimated Tax for Individuals 540-ES


626-84-4682 BRAD 560-53-6322 17 APE 0
ANTHONY H BRADING
AMY N BRADING

1050 PINE LANE


LAFAYETTE CA 94549

Amount of Payment 246.

For Privacy Notice, get FTB 1131 ENG/SP. 175 1201176 REV 01/25/17 PRO Form 540-ES 2016
Form at bottom of page.

Payment Form 4 – File and Pay by Jan. 16, 2018. If amount of payment is zero, do not
mail this form.
When the due date falls on a weekend or holiday, the deadline to file and pay without penalty is
extended to the next business day.

WHERE TO FILE: Using black or blue ink, make check or money order payable to the
“Franchise Tax Board.” Write the taxpayer’s social security number (SSN)
or individual taxpayer identification number (ITIN) and “2017 Form 540-ES”
on the check or money order. Detach the form below. Enclose, but do not
staple, payment with the form and mail to:

FRANCHISE TAX BOARD


PO BOX 942867
SACRAMENTO CA 94267- 0008
Make all checks or money orders payable in U.S. dollars and drawn against a
U.S. financial institution.

ONLINE SERVICES: Use Web Pay and enjoy the ease of our free online payment service.
Go to ftb.ca.gov for more information. You can schedule your payments
up to one year in advance.
Do not mail this form if you use Web Pay.

앻 DETACH HERE IF NO PAYMENT IS DUE, DO NOT MAIL THIS FORM DETACH HERE 야
CAUTION: You may be required to pay electronically. See instructions. File and Pay by Jan. 16, 2018
TAXABLE YEAR CALIFORNIA FORM

2017 Estimated Tax for Individuals 540-ES


626-84-4682 BRAD 560-53-6322 17 APE 0
ANTHONY H BRADING
AMY N BRADING

1050 PINE LANE


LAFAYETTE CA 94549

Amount of Payment 185.

For Privacy Notice, get FTB 1131 ENG/SP. 175 1201176 REV 01/25/17 PRO Form 540-ES 2016
175
DO NOT MAIL THIS FORM TO THE FTB
TAXABLE YEAR FORM

2016 California e-file Signature Authorization for Individuals 8879


Your name Your SSN or ITIN

ANTHONY H BRADING 626-84-4682


Spouse’s/RDP’s name Spouse’s/RDP’s SSN or ITIN

AMY N BRADING 560-53-6322


Part I Tax Return Information (whole dollars only)
1 California Adjusted Gross Income (Form 540, line 17; Form 540 2EZ, line 16; Long Form 540NR, line 32;
or Short Form 540NR, line 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 121,625.
2 Amount You Owe (Form 540, line 111; Form 540 2EZ, line 31; Long Form 540NR, line 121; or Short Form 540NR, line 121) . . . . . . 2 615.
3 Refund or No Amount Due (Form 540, line 115; Form 540 2EZ, line 32; Long Form 540NR, line 125;
or Short Form 540NR, line 125) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Part II Taxpayer Declaration and Signature Authorization (Be sure you obtain and keep a copy of your return.)
Under penalties of perjury, I declare that I have examined a copy of my individual income tax return and accompanying schedules and statements for the tax
year ending December 31, 2016, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the information I provided
to my electronic return originator (ERO), transmitter, or intermediate service provider (including my name, address, and social security number or individual
tax identification number) and the amounts shown in Part I above agree with the information and amounts shown on the corresponding lines of my electronic
income tax return. If applicable, I authorize an electronic funds withdrawal of the amount on line 2 and/or the estimated tax payments as shown on my return
and on form FTB 8455, California e-file Payment Record for Individuals, or a comparable form. If applicable, I declare that direct deposit refund amount on line 3
agrees with the direct deposit authorization stated on my return. If I have filed a joint return, this is an irrevocable appointment of the other spouse/RDP as an
agent to authorize an electronic funds withdrawal or direct deposit. I authorize my ERO, transmitter, or intermediate service provider to transmit my complete
return to the Franchise Tax Board (FTB). If the processing of my return or refund is delayed, I authorize the FTB to disclose to my ERO, intermediate service
provider, and/or transmitter the reason(s) for the delay or the date when the refund was sent. If I am filing a balance due return, I understand that if the FTB
does not receive full and timely payment of my tax liability, I remain liable for the tax liability and all applicable interest and penalties. I acknowledge that I have
read and consent to the Electronic Funds Withdrawal Consent included on the copy of my electronic income tax return. I have selected a personal identification
number (PIN) as my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only

Ƒ I authorize MARION B. ILES CPA


ERO firm name
to enter my PIN 4 4 6 8 2
Do not enter all zeros
as my signature on my 2016 e-filed California individual income tax return.

Ƒ I will enter my PIN as my signature on my 2016 e-filed California individual income tax return. Check this box only if you are entering your own PIN and your
return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Your signature  Date 

Spouse’s/RDP’s PIN: check one box only

Ƒ I authorize MARION B. ILES CPA to enter my PIN 3 6 3 2 2


ERO firm name Do not enter all zeros
as my signature on my 2016 e-filed California individual income tax return.

Ƒ I will enter my PIN as my signature on my 2016 e-filed California individual income tax return. Check this box only if you are entering your own PIN
and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Spouse’s/RDP’s signature  Date 

Practitioner PIN Method Returns Only -- continue below


Part III Certification and Authentication — Practitioner PIN Method Only

ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 6 8 0 4 0 7
Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the 2016 California individual income tax return for the taxpayer(s) indicated above. I
confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and FTB Pub. 1345, 2016 e-file Handbook for Authorized
e-file Providers.

ERO’s signature  Date 

For Privacy Notice, get FTB 1131 ENG/SP. REV 01/25/17 PRO FTB 8879 C2 2016
Voucher at bottom of page.

DO NOT MAIL A PAPER COPY OF YOUR TAX RETURN WITH THE PAYMENT VOUCHER.
If amount of payment is zero, do not mail this voucher.

WHERE TO FILE: Using black or blue ink, make your check or money order payable
to the “Franchise Tax Board.” Write the taxpayer’s social security
number (SSN) or individual taxpayer identification number (ITIN)
and “2016 FTB 3582” on the check or money order. Detach the
voucher below. Enclose, but do not staple, payment with the
voucher and mail to:
FRANCHISE TAX BOARD
PO BOX 942867
SACRAMENTO CA 94267-0008
Make all checks or money orders payable in U.S. dollars and drawn against a
U.S. financial institution.

WHEN TO FILE: Calendar Year – File and pay by April 18, 2017.
When the due date falls on a weekend or holiday, the deadline to file and pay without
penalty is extended to the next business day.
Due to the federal Emancipation Day holiday observed on April 17, 2017, tax returns
filed and payments mailed or submitted on April 18, 2017, will be considered timely.

ONLINE SERVICES: Use Web Pay and enjoy the ease of our free online payment service.
Go to ftb.ca.gov for more information.
Do not mail this voucher if you use Web Pay.

앻 DETACH HERE IF NO PAYMENT IS DUE, DO NOT MAIL THIS VOUCHER DETACH HERE 야
CAUTION: You may be required to pay electronically. See instructions.
TAXABLE YEAR
Payment Voucher for CALIFORNIA FORM

2016 Individual e-filed Returns 3582 (e-file)


626-84-4682 BRAD 560-53-6322 16
ANTHONY H BRADING
AMY N BRADING

1050 PINE LANE


LAFAYETTE CA 94549

Amount of Payment 615.

For Privacy Notice, get FTB 1131 ENG/SP. 175 1251166 REV 01/25/17 PRO FTB 3582 2016
TAXABLE YEAR FORM

2016 California Resident Income Tax Return 540


APE ATTACH FEDERAL RETURN
A
626-84-4682 BRAD 560-53-6322 16 PBA 424300 R
ANTHONY H BRADING RP
AMY N BRADING

1050 PINE LANE


LAFAYETTE CA 94549

07-20-1964 06-17-1963

1 Single 4 Head of household (with qualifying person). See instructions.


Status

2 Married/RDP filing jointly. See inst. 5 Qualifying widow(er) with dependent child. Enter year spouse/RDP died
Filing

3 Married/RDP filing separately. Enter spouse’s/RDP’s SSN or ITIN above and full name here

If your California filing status is different from your federal filing status, check the box here . . . . . . . . . . . . . .

6 If someone can claim you (or your spouse/RDP) as a dependent, check the box here. See inst . . . . . . . 쐌 6

왘 For line 7, line 8, line 9, and line 10: Multiply the amount you enter in the box by the pre-printed dollar amount for that line. Whole dollars only
7 Personal: If you checked box 1, 3, or 4 above, enter 1 in the box. If you checked
box 2 or 5, enter 2, in the box. If you checked the box on line 6, see instructions . . 쐌 7 2 X $111 = 쐌 $ 222
8 Blind: If you (or your spouse/RDP) are visually impaired, enter 1;
if both are visually impaired, enter 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 8 X $111 = 쐌 $
9 Senior: If you (or your spouse/RDP) are 65 or older, enter 1;
if both are 65 or older, enter 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 9 X $111 = 쐌 $
Exemptions

10 Dependents: Do not include yourself or your spouse/RDP.


Dependent 1 Dependent 2 Dependent 3
First Name
쐌 HEATHER 쐌 TRUE 쐌
Last Name
쐌 BRADING 쐌 BRADING 쐌
SSN
쐌 6 0 2 5 7 1 9 3 9 쐌 6 0 2 5 7 1 9 3 8 쐌
Dependent's
relationship 쐌 DAUGHTER 쐌 SON 쐌
to you

Total dependent exemptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 10


2
X $344 = 쐌 $ 688

11 Exemption amount: Add line 7 through line 10. Transfer this amount to line 32. . . . . . . . . . . . . . . . . . . . . 쐌 11 $ 910

REV 03/20/17 PRO

175 3101164 Form 540 C1 2016 Side 1


Your name: B R A D I N G Your SSN or ITIN: 626-84-4682

12 State wages from your Form(s) W-2, box 16 . . . . . . . . . . . . . . . . . . . . . . . . 쐌 12 106114 . 00

13 Enter federal adjusted gross income from Form 1040, line 37; 1040A, line 21; or 1040EZ, line 4 . . . . . . . . 쐌 13 122085 . 00

14 California adjustments – subtractions. Enter the amount from Schedule CA (540), line 37, column B . . . . 쐌 14 460 . 00

15 Subtract line 14 from line 13. If less than zero, enter the result in parentheses. See instructions . . . . . . . . 15 121625 . 00
Taxable Income

16 California adjustments – additions. Enter the amount from Schedule CA (540), line 37, column C . . . . . . . 쐌 16 . 00
17 California adjusted gross income. Combine line 15 and line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 17 121625 . 00

{ {
18 Enter the Your California itemized deductions from Schedule CA (540), line 44; OR
larger of Your California standard deduction shown below for your filing status:
• Single or Married/RDP filing separately. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,129
• Married/RDP filing jointly, Head of household, or Qualifying widow(er) . . . . . . . $8,258
If Married/RDP filing separately or the box on line 6 is checked, STOP. See instructions . . . 쐌 18 8258 . 00

19 Subtract line 18 from line 17. This is your taxable income. If less than zero, enter -0- . . . . . . . . . . . . . . . 쐌 19 113367 . 00

31 Tax. Check the box if from: Tax Table Tax Rate Schedule

쐌 FTB 3800 쐌 FTB 3803 . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 31 5390 . 00

32 Exemption credits. Enter the amount from line 11. If your federal AGI is more than $182,459,
see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 32 910 . 00
Tax

33 Subtract line 32 from line 31. If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 33 4480 . 00

34 Tax. See instructions. Check the box if from: 쐌 Schedule G-1 쐌 FTB 5870A . . . . . . . . . . . 쐌 34 . 00
35 Add line 33 and line 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 35 4480 . 00

40 Nonrefundable Child and Dependent Care Expenses Credit. See instructions . . . . . . . . . . . . . . . . . . . . . . . 쐌 40 . 00


43 Enter credit name code 쐌 and amount . . . . 쐌 43 . 00
Special Credits

44 Enter credit name code 쐌 and amount . . . . 쐌 44 . 00


45 To claim more than two credits, see instructions. Attach Schedule P (540). . . . . . . . . . . . . . . . . . . . . . . . . 쐌 45 . 00
46 Nonrefundable renter’s credit. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 46 . 00
47 Add line 40 through line 46. These are your total credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 47 . 00
48 Subtract line 47 from line 35. If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 48 4480 . 00

61 Alternative minimum tax. Attach Schedule P (540) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 61 . 00


Other Taxes

62 Mental Health Services Tax. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 62 . 00


63 Other taxes and credit recapture. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 63 . 00
64 Add line 48, line 61, line 62, and line 63. This is your total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 64 4480 . 00

REV 03/20/17 PRO

Side 2 Form 540 C1 2016 175 3102164


Your name: B R A D I N G Your SSN or ITIN: 626-84-4682

71 California income tax withheld. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 71 3865 . 00

72 2016 CA estimated tax and other payments. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 72 0 . 00


Payments

73 Withholding (Form 592-B and/or 593). See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 73 . 00


74 Excess SDI (or VPDI) withheld. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 74 . 00
75 Earned Income Tax Credit (EITC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 75 . 00
76 Add lines 71 through 75. These are your total payments. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 76 3865 . 00
Use
Tax

91 Use Tax. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 91 . 00

92 Payments balance. If line 76 is more than line 91, subtract line 91 from line 76 . . . . . . . . . . . . . . . . . . . . . 쐌 92 3865 . 00
Overpaid Tax/Tax Due

93 Use Tax balance. If line 91 is more than line 76, subtract line 76 from line 91 . . . . . . . . . . . . . . . . . . . . . . 쐌 93 . 00
94 Overpaid tax. If line 92 is more than line 64, subtract line 64 from line 92 . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 94 . 00
95 Amount of line 94 you want applied to your 2017 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 95 . 00
96 Overpaid tax available this year. Subtract line 95 from line 94 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 96 . 00
97 Tax due. If line 92 is less than line 64, subtract line 92 from line 64 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 97 615 . 00

REV 03/20/17 PRO

175 3103164 Form 540 C1 2016 Side 3


Your name: B R A D I N G Your SSN or ITIN: 626-84-4682

Code Amount

California Seniors Special Fund. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 400 . 00

Alzheimer’s Disease/Related Disorders Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 401 . 00

Rare and Endangered Species Preservation Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 403 . 00

California Breast Cancer Research Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 405 . 00

California Firefighters’ Memorial Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 406 . 00

Emergency Food for Families Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 407 . 00

California Peace Officer Memorial Foundation Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 408 . 00

California Sea Otter Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 410 . 00

California Cancer Research Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 413 . 00


Contributions

RESERVED (DO NOT USE). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

School Supplies for Homeless Children Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 422 . 00

State Parks Protection Fund/Parks Pass Purchase. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 423 . 00

Protect Our Coast and Oceans Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 424 . 00

Keep Arts in Schools Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 425 . 00

State Children’s Trust Fund for the Prevention of Child Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 430 . 00

Prevention of Animal Homelessness and Cruelty Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 431 . 00

Revive the Salton Sea Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 432 . 00

California Domestic Violence Victims Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 433 . 00

Special Olympics Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 434 . 00

Type 1 Diabetes Research Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 435 . 00


110 Add code 400 through code 435. This is your total contribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 110 . 00

REV 03/20/17 PRO

Side 4 Form 540 C1 2016 (REV 03-17) 175 3104164


Your name: B R A D I N G Your SSN or ITIN: 626-84-4682

111 AMOUNT YOU OWE. If you do not have an amount on line 96, add line 93, line 97, and line 110. See instructions. Do not send cash.
You Owe
Amount

Mail to: FRANCHISE TAX BOARD


PO BOX 942867
SACRAMENTO CA 94267-0001 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 111 615 . 00
Pay online – Go to ftb.ca.gov for more information.
Interest and

. 00
Penalties

112 Interest, late return penalties, and late payment penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112

113 Underpayment of estimated tax. Check the box: 쐌 FTB 5805 attached 쐌 FTB 5805F attached 쐌 113 . 00
114 Total amount due. See instructions. Enclose, but do not staple, any payment . . . . . . . . . . . . . . . . . . . . . . . . . 114 615 . 00

115 REFUND OR NO AMOUNT DUE. Subtract the sum of line 110, line 112 and line 113 from line 96. See instructions.
Mail to: FRANCHISE TAX BOARD
PO BOX 942840
SACRAMENTO CA 94240-0001 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 115 . 00
Fill in the information to authorize direct deposit of your refund into one or two accounts. Do not attach a voided check or a deposit slip. See instructions.
Refund and Direct Deposit

Have you verified the routing and account numbers? Use whole dollars only.
All or the following amount of my refund (line 115) is authorized for direct deposit into the account shown below:

쐌 Type

쐌 Routing number Checking 쐌 Account number 쐌 116 Direct deposit amount

Savings
. 00
The remaining amount of my refund (line 115) is authorized for direct deposit into the account shown below:
쐌 Type
쐌 Routing number Checking 쐌 Account number 쐌 117 Direct deposit amount

Savings
. 00
IMPORTANT: See the instructions to find out if you should attach a copy of your complete federal tax return.
To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov and
search for privacy notice. To request this notice by mail, call 800.852.5711. Under penalties of perjury, I declare that I have examined this tax return, including
accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.
Your signature Date Spouse’s/RDP’s signature (if a joint tax return, both must sign)

쐌 Your email address. Enter only one email address. 쐌 Preferred phone number
Sign ( )
Here Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)
It is unlawful
to forge a
spouse’s/RDP’s
signature.
Firm’s name (or yours, if self-employed) 쐌 PTIN
MARION B. ILES CPA
Joint tax return?
(See instructions)
Firm’s address 쐌 FEIN
2950 BUSKIRK AVENUE, SUITE 120 WALNUT CREEK CA 94597 9 4 2 8 0 1 6 7 7

Do you want to allow another person to discuss this tax return with us? See instructions. . . 쐌 Yes 쐌 No
Print Third Party Designee’s Name Telephone Number

REV 03/20/17 PRO

175 3105164 Form 540 C1 2016 Side 5


TAXABLE YEAR SCHEDULE

2016 California Adjustments — Residents CA (540)


Important: Attach this schedule behind Form 540, Side 5 as a supporting California schedule.
Names(s) as shown on tax return SSN or ITIN

A N T H O N Y H & A M Y N B R A D I N G 6 2 6 8 4 4 6 8 2
Part I Income Adjustment Schedule A Federal Amounts
(taxable amounts from
your federal tax return)
B Subtractions
See instructions C Additions
See instructions
Section A – Income
7 Wages, salaries, tips, etc. See instructions before making an entry in column B or C . . . . 7 쐌 106,114. 쐌 쐌
8 Taxable interest (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8(a) 쐌 873. 쐌 460. 쐌
9 Ordinary dividends. See instructions. (b) 312. . . . . . . . . . . . . . 9(a) 쐌 312. 쐌 쐌
10 Taxable refunds, credits, offsets of state and local income taxes . . . . . . . . . . . . . . . . . . . 10 쐌 0. 쐌 0.
11 Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 쐌 쐌
12 Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 쐌 -7,236. 쐌 쐌
13 Capital gain or (loss). See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 쐌 22,022. 쐌 쐌
14 Other gains or (losses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 쐌 쐌 쐌
15 IRA distributions. See instructions. (a) . . . . . . . . . . . . . . . 15(b) 쐌 쐌 쐌
16 Pensions and annuities. See instructions. (a) . . . . . . . . . 16(b) 쐌 쐌 쐌
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc . . . . . . . . . . . . . . . 17 쐌 0. 쐌 쐌
18 Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 쐌 쐌 쐌
19 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 쐌 쐌
20 Social security benefits (a) 쐌 . . . . . . . . . . . . . . . . . . . . . . . 20(b) 쐌 쐌
21 Other income. a 쐌 a

{
a California lottery winnings e NOL from FTB 3805D, 3805Z, b 쐌 b
b Disaster loss deduction from FTB 3805V 3806, 3807, or 3809 21 쐌 c c 쐌
c Federal NOL (Form 1040, line 21) f Other (describe): d 쐌 d
d NOL deduction from FTB 3805V 쐌 e 쐌 e
f 쐌 f 쐌
22 Total. Combine line 7 through line 21 in column A. Add line 7 through line 21f in
column B and column C. Go to Section B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 쐌 122,085. 쐌 460. 쐌

Section B – Adjustments to Income


23 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 쐌 쐌
24 Certain business expenses of reservists, performing artists, and fee-basis
government officials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 쐌 쐌 쐌
25 Health savings account deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 쐌 쐌
26 Moving expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 쐌
27 Deductible part of self-employment tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 쐌
28 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 쐌
29 Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 쐌
30 Penalty on early withdrawal of savings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 쐌
31a Alimony paid. (b) Recipient’s: SSN 쐌 – –

Last name 쐌 . . 31a 쐌 쐌


32 IRA deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 쐌
33 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 쐌 쐌
34 Tuition and fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 쐌 쐌
35 Domestic production activities deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 쐌 쐌

36 Add line 23 through line 31a and line 32 through line 35 in columns A, B, and C.
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 쐌 쐌 쐌

37 Total. Subtract line 36 from line 22 in columns A, B, and C. See instructions . . . . . . . . . 37 쐌 122,085. 쐌 460. 쐌
REV 01/25/17 PRO

For Privacy Notice, get FTB 1131 ENG/SP. 175 7731164 Schedule CA (540) 2016 Side 1
Part II Adjustments to Federal Itemized Deductions

38 Federal itemized deductions. Enter the amount from federal Schedule A (Form 1040), lines 4, 9, 15, 19, 20, 27, and 28 . . . . . . . 쐌 38 4,815.

39 Enter total of federal Schedule A (Form 1040), line 5 (State Disability Insurance, and state and local income tax, or
General Sales Tax) and line 8 (foreign income taxes only). See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 39 4,625.

40 Subtract line 39 from line 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 40 190.

41 Other adjustments including California lottery losses. See instructions. Specify . . . . . . . . . 쐌 41

42 Combine line 40 and line 41 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 42 190.

43 Is your federal AGI (Form 540, line 13) more than the amount shown below for your filing status?
Single or married/RDP filing separately . . . . . . . . . . . . . . . . . . . . . . . . . . . $182,459
Head of household . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $273,692
Married/RDP filing jointly or qualifying widow(er) . . . . . . . . . . . . . . . . . . . $364,923
No. Transfer the amount on line 42 to line 43.

Yes. Complete the Itemized Deductions Worksheet in the instructions for Schedule CA (540), line 43 . . . . . . . . . . . . . . . . . . . . . 쐌 43 190.

44 Enter the larger of the amount on line 43 or your standard deduction listed below
Single or married/RDP filing separately. See instructions. . . . . . . . . . . . . . . . $4,129
Married/RDP filing jointly, head of household, or qualifying widow(er) . . . . . $8,258

Transfer the amount on line 44 to Form 540, line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 쐌 44 8,258.

Side 2 Schedule CA (540) 2016 175 7732164 REV 01/25/17 PRO


TAXABLE YEAR CALIFORNIA FORM

2016 Passive Activity Loss Limitations 3801


Attach to Form 540, Long Form 540NR, Form 541, or Form 100S (S Corporations).
Name(s) as shown on tax return SSN, ITIN, FEIN, or CA. corporation no.

A N T H O N Y H & A M Y N B R A D I N G 6 2 6 8 4 4 6 8 2
Part I 2016 Passive Activity Loss
See the instructions for Worksheet 1 and Worksheet 3 for federal Form 8582 before completing Part I. Be sure to use California amounts.
Rental Real Estate Activities with Active Participation

 1a Activities with net income from Worksheet 1, column (a) . . . . . . . . . . . . . . . . . . . . . 1a 00

 1b Activities with net loss from Worksheet 1, column (b) . . . . . . . . . . . . . . . . . . . . . . . 1b ( ) 00

 1c Prior year unallowed losses from Worksheet 1, column (c). . . . . . . . . . . . . . . . . . . . 1c ( ) 00

 1d Combine line 1a, line 1b, and line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d 00


All Other Passive Activities

 2a Activities with net income from Worksheet 2, column (a) . . . . . . . . . . . . . . . . . . . . 2a 00


0.

 2b Activities with net loss from Worksheet 2, column (b) . . . . . . . . . . . . . . . . . . . . . . 2b ( -4. ) 00

 2c Prior year unallowed losses from Worksheet 2, column (c). . . . . . . . . . . . . . . . . . . 2c ( -8. ) 00

 2d Combine line 2a, line 2b, and line 2c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d -12. 00


 3 Combine line 1d and line 2d. If the result is net income or zero, see the instructions for line 3. If line 3 and
line 1d are losses, go to line 4. Otherwise, enter -0- on line 9 and go to line 10. See instructions . . . . . . . . . . . . . . . . . . 3 -12. 00
Part II Special Allowance for Rental Real Estate with Active Participation
Enter all numbers in Part II as positive amounts. See instructions.

 4 Enter the smaller of losses from line 1d or line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 00



 5 Enter $150,000. If married/RDP filing a separate tax return, see instructions . . . . . 5 00
 6 Enter federal modified adjusted gross income, but not less than zero.
See instructions.
If line 6 is equal to or more than line 5, skip line 7 and line 8, enter -0-
on line 9, and then go to line 10. Otherwise, go to line 7 . . . . . . . . . . . . . . . . . . . . . 6 00

 7 Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 00

 8 Multiply line 7 by 50% (.50). Do not enter more than $25,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 00

 9 Enter the smaller of line 4 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    9 0. 00

Part III Total Losses Allowed

10 Add the income, if any, from line 1a and line 2a and enter the total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 0. 00

11 Total losses allowed from all passive activities for 2016. Add line 9 and line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 0. 00
See the instructions on Page 2 to find out how to report the losses on your tax return.

For Privacy Notice, get FTB 1131 ENG/SP. 175 7451164 REV 01/25/17 PRO FTB 3801  2016  Side 1
California Worksheets Attach Side 2 to your California tax return.

California Passive Activity Worksheet (See General Instructions for Step 1.)
Use this worksheet to figure California income (loss) from passive activities before application of passive activity loss (PAL) rules.
(a) (b) (c) (d) (e) (f)
Passive Activity Federal Schedule California Schedule Federal Amount California Adjustment California Amount
Enter a description of the Enter the name of the Enter the name of the Enter your current year Enter any adjustment Combine column (d) and
activity federal form or schedule on California form or schedule, federal net income (loss) resulting from differences in column (e)
which you reported the if any, used to calculate the before application of the federal and California law
activity California adjustment PAL rules

HI Q LLC SCH E N/A -4. 0. -4.

California Adjustment Worksheets (See General Instructions for Step 4.)


Use these worksheets to figure your California adjustments after application of the PAL rules.
(a) (b) (c) (d) (e)
Activities Passive or Nonpassive California Amount Federal Amount California Adjustment
Enter a description of the Enter the character of Enter the California net Enter the federal net Subtract the Total amount of column (d) from the Total
activity. Group activities by the activity as passive or income (loss) from the income (loss) from the amount of column (c) and enter the difference in
the federal schedules on nonpassive for California activity after application of activity after application of column (e) below. Individuals should transfer this amount
which they were reported purposes the PAL rules the PAL rules to Schedule CA (540 or 540NR) as follows:

(a) (b) (c) (d) (e)


Schedule C Activities Passive or Nonpassive California Amount Federal Amount California Adjustment
WELLMADE UNIFORMS NONPASSIVE -7,236. -7,236. If the amount below is positive, transfer the
amount to Schedule CA (540 or 540NR),
line 12, column C.

If the amount below is negative, transfer the


amount to Schedule CA (540 or 540NR),
(as a positive amount) line 12, column B.
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1(c) -7,236. 1(d)* 1(e)
-7,236. 0.

(a) (b) (c) (d) (e)


Schedule E Activities Passive or Nonpassive California Amount Federal Amount California Adjustment
If the amount below is positive, transfer the
amount to Schedule CA (540 or 540NR),
line 17, column C.

If the amount below is negative, transfer the


amount to Schedule CA (540 or 540NR),
(as a positive amount) line 17, column B.
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2(c) 2(d)** 2(e)

(a) (b) (c) (d) (e)


Schedule F Activities Passive or Nonpassive California Amount Federal Amount California Adjustment
If the amount below is positive, transfer the
amount to Schedule CA (540 or 540NR),
line 18, column C.

If the amount below is negative, transfer the


amount to Schedule CA (540 or 540NR),
(as a positive amount) line 18, column B.
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3(c) 3(d)*** 3(e)
* This amount should be the same as the amount reported on Schedule CA (540 or 540NR), line 12, column A.
** This amount should be the same as the amount reported on Schedule CA (540 or 540NR), line 17, column A.
* ** This amount should be the same as the amount reported on Schedule CA (540 or 540NR), line 18, column A.

Side 2  FTB 3801  2016 175 7452164 REV 01/25/17 PRO


ANTHONY BRADING * * * For E-File Only - Do Not Mail * * * 626-84-4682
FinCEN Form 114 REPORT OF FOREIGN BANK 1 This report is for calendar
AND FINANCIAL ACCOUNTS year ended 12/31
Department of the Treasury
OMB no. 1506-0009
Do NOT file with your Federal Tax Return 2016
(Rev September 2013) Do not use previous editions of this form Amended

Part I Filer information


2 Type of Filer

a X Individual b Partnership c Corporation d Consolidated e Fiduciary or Other ' Enter type

3 U.S. Taxpayer Identification Number 3 a TIN type 4 Foreign identification (Complete only if item 3 is not applicable) 5 Individual’s date of birth
MM/DD/YYYY
626-84-4682 X SSN/ITIN a Type: Passport Foreign TIN Other
If filer has no U.S. Identification
Number complete Item 4 EIN b Number c Country of Issue 07/20/1964
6 Last Name or Organization Name 7 First Name 8 Middle Initial 8 a Suffix

BRADING ANTHONY H
9 Mailing address (number, street, and apartment or suite number)

1050 PINE LANE


10 City 11 State 12 ZIP/Postal Code 13 Country

LAFAYETTE CA 94549 United States of America (the)


14 a Does the filer have a financial interest in 25 or more financial accounts?
Yes Enter total number of accounts Do not complete Part II or Part III, but maintain records of the information.

X No
14 b Does the filer have signature authority over but no financial interest in 25 or more financial accounts?

Yes Enter total number of accounts Complete Part IV, items 34 through 43 for each person on whose behalf the filer has signature authority.

X No
Part II Information on financial account(s) owned separately
15 Maximum value of account during calendar year 15 a Amount 16 Type of account a Bank b Securities c Other ' Enter type below
(See instructions under Monetary amounts, step 2) unknown

17 Name of Financial Institution in which account is held

See Part II, Information on Financial Account(s) Owned Separately


18 Account number or other designation 19 Mailing address (number, street, or suite number) of financial institution in which account is held

20 City 21 State, if known 22 Foreign postal code, if known 23 Country

Signature 44a Check here X if this report is completed by a third party preparer and complete the third party preparer section.

44 Filer Signature 45 Filer Title, if not reporting a personal account 46 Date (MM/DD/YYYY)
The report will be electronically This date will auto-fill when the
signed when filed FBAR is electronically signed
47 Preparer’s last name 48 First name 49 MI 50 Check if 51 TIN 51a TIN type PTIN

self-employed SSN/ITIN Foreign

Third Party 52 Contact phone no. 52a Ext 53 Firm’s name 54 Firm’s TIN 54a TIN type
X EIN

Preparer Foreign
Use Only (925) 284-2292 MARION B. ILES CPA 94-2801677
55 Mailing address (number, street, apartment or suite number) 56 City 57 State 58 ZIP/Postal Code 59 Country

2950 BUSKIRK AVENUE, SUITE 120 WALNUT CREEK CA 94597 US


This form should be used to report a financial interest in, signature authority, or other authority over one or more financial accounts in foreign countries, as required by the Department of the
Treasury Regulations 31 CFR 1010.350. No report is required if the aggregate value of the accounts did not exceed $10,000. See instructions for definitions.

PRIVACY ACT AND PAPERWORK REDUCTION ACT NOTICE


Pursuant to the requirements of Public Law 93-579 (Privacy Act of 1974), notice is hereby given that the authority to collect information on FinCEN Form 114 in accordance with 5 USC 552a (e)
is Public Law 91-508; 31 USC 5314; 5 USC 301; 31 CFR 1010.350. The principal purpose for collecting the information is to assure maintenance of reports where such reports or records have a
high degree of usefulness in criminal, tax, or regulatory investigations or proceedings. The information collected may be provided to those officers and employees of any constituent unit of the
Department of the Treasury who have a need for the records in the performance of their duties. The records may be referred to any other department or agency of the United States upon the
request of the head of such department or agency for use in a criminal, tax, or regulatory investigation or proceeding. The information collected may also be provided to appropriate state, local,
and foreign law enforcement and regulatory personnel in the performance of their official duties. Disclosure of this information is mandatory. Civil and criminal penalties, including in certain
circumstances a fine of not more than $500,000 and imprisonment of not more than five years, are provided for failure to file a report, for failure to supply information, and for filing a false or
fraudulent report. Disclosure of the Social Security number is mandatory. The authority to collect is 31 CFR 1010.350. The Social Security number will be used as a means to identify the
individual who files the report. The estimated average burden associated with this collection of information is 60 minutes per respondent or record keeper, depending on individual
circumstances. Comments regarding the accuracy of this burden estimate, and suggestions for reducing the burden should be directed to the Financial Crimes Enforcement Network, P.O. Box
39, Vienna, VA 22183, Attn: Office of Regulatory Policy.

BAA FBAA0201 03/05/14 Rev 5.7 - 6/3/2013


* * * For E-File Only - Do Not Mail * * *
ANTHONY BRADING * * * For E-File Only - Do Not Mail * * * 626-84-4682
Part III Information on financial account(s) owned jointly FinCEN Form 114
Complete a separate block for each account owned jointly Page Number
Add an additional Part III page as many times as necessary in order to provide information on all accounts 3 of 5
1 Filing for calendar year 3-4 Check appropriate identification number 6 Last name or organization name
X Taxpayer Identification Number

2016 Foreign identification number BRADING


Enter identification number here:

626-84-4682
15 a Amount
15 Maximum value of account during calendar year
unknown 16 Type of account a Bank b X Securities c Other ' Enter type below
(See instructions under Monetary amounts, step 2)

20,828.
17 Name of financial institution in which account is held

INVESCO PERPETUAL FUND


18 Account number or other designation 19 Mailing address (number, street, apartment or suite number) of financial institution in which account is held

0006057747 PERPETUAL PARK, PERPETUAL PARK DRIVE


20 City 21 State, if known 22 Foreign postal code, if known 23 Country

HENLEY-ON-THAMES, OXFORDSHIRE RG9 1HH United Kingdom of Great Britain and Northern Ireland (the)
24 Number of joint owners for this account 25 Taxpayer Identification Number (TIN) of principal joint owner, if known. See instructions. 25a TIN type EIN

SSN/ITIN Foreign
1 UNKNOWN X
26 Last name or organization name of principal joint owner 27 First name of principal joint owner, if known 28 Middle initial, if known 28 a Suffix

BRADING HELEN M
29 Mailing address (number, street, apartment or suite number) of principal joint owner, if known

12 GREENDALE CT
30 City, if known 31 State, if known 32 ZIP/Postal Code, if known 33 Country, if known

BEDALE, N. YORKSHIRE DL8 1FB United Kingdom of Great Britain and Northern Ireland (the)
15 a Amount
15 Maximum value of account during calendar year
unknown
16 Type of account a Bank b Securities c Other ' Enter type below
(See instructions under Monetary amounts, step 2)

17 Name of financial institution in which account is held

18 Account number or other designation 19 Mailing address (number, street, apartment or suite number) of financial institution in which account is held

20 City 21 State, if known 22 Foreign postal code, if known 23 Country

24 Number of joint owners for this account 25 Taxpayer Identification Number (TIN) of principal joint owner, if known. See instructions. 25a TIN type EIN

SSN/ITIN Foreign

26 Last name or organization name of principal joint owner 27 First name of principal joint owner, if known 28 Middle initial, if known 28a Suffix

29 Mailing address (number, street, apartment or suite number) of principal joint owner, if known

30 City, if known 31 State, if known 32 ZIP/Postal Code, if known 33 Country, if known

FBAA0201 03/05/14

* * * For E-File Only - Do Not Mail * * *


ANTHONY BRADING * * * For E-File Only - Do Not Mail * * * 626-84-4682
Part IV Information on financial account(s) where filer has signature authority or FinCEN Form 114
other authority but no financial interest in the account(s) Page Number
Complete a separate block for each account 4 of 5
Add an additional Part IV page as many times as necessary in order to provide information on all accounts
1 Filing for calendar year 3-4 Check appropriate identification number 6 Last name or organization name

X Taxpayer Identification Number

2016 Foreign identification number BRADING


Enter identification number here:

626-84-4682
15 Maximum value of account during calendar year 15 a Amount 16 Type of account a Bank b Securities c Other ' Enter type below
(See instructions under Monetary amounts, step 2) unknown

17 Name of financial institution in which account is held

18 Account number or other designation 19 Mailing address (number, street, apartment or suite number) of financial institution in which account is held

20 City 21 State, if known 22 Foreign postal code, if known 23 Country

34 Last name or organization name of account owner 35 Taxpayer identification number of account owner 35a TIN type EIN

SSN/ITIN Foreign

36 First Name 37 Middle initial 37 a Suffix 38 Mailing address (number, street, and apartment or suite number)

39 City 40 State 41 ZIP/Postal Code 42 Country

43 Filer’s title with this owner

15 Maximum value of account during calendar year 15 a Amount 16 Type of account a Bank b Securities c Other ' Enter type below
(See instructions under Monetary amounts, step 2) unknown

17 Name of financial institution in which account is held

18 Account number or other designation 19 Mailing address (number, street, apartment or suite number) of financial institution in which account is held

20 City 21 State, if known 22 Foreign postal code, if known 23 Country

34 Last name or organization name of account owner 35 Taxpayer identification number of account owner 35a TIN type EIN

SSN/ITIN Foreign

36 First Name 37 Middle initial 37 a Suffix 38 Mailing address (number, street, and apartment or suite number)

39 City 40 State 41 ZIP/Postal Code 42 Country

43 Filer’s title with this owner

FBAA0201 03/05/14

* * * For E-File Only - Do Not Mail * * *


ANTHONY BRADING * * * For E-File Only - Do Not Mail * * * 626-84-4682
Part V Information on financial account(s) where filer is filing a FinCEN Form 114
consolidated report Page Number
Complete a separate block for each account 5 of 5
Add an additional Part V page as many times as necessary in order to provide information on all accounts
1 Filing for calendar year 3-4 Check appropriate identification number 6 Last name or organization name

X Taxpayer Identification Number

2016 Foreign identification number BRADING


Enter identification number here:

626-84-4682
15 Maximum value of account during calendar year 15 a Amount 16 Type of account a Bank b Securities c Other ' Enter type below
(See instructions under Monetary amounts, step 2) unknown

17 Name of financial Institution in which account is held

18 Account number or other designation 19 Mailing address (number, street, apartment or suite number) of financial institution in which account is held

20 City 21 State, if known 22 Foreign postal code, if known 23 Country

34 Organization name of account owner 35 Taxpayer identification number of account owner 35a TIN type EIN

SSN/ITIN Foreign

38 Mailing address (number, street, apartment or suite number)

39 City 40 State 41 ZIP/Postal Code 42 Country

15 Maximum value of account during calendar year 15 a Amount 16 Type of account a Bank b Securities c Other ' Enter type below
(See instructions under Monetary amounts, step 2) unknown

17 Name of financial Institution in which account is held

18 Account number or other designation 19 Mailing address (number, street, apartment or suite number) of financial institution in which account is held

20 City 21 State, if known 22 Foreign postal code, if known 23 Country

34 Organization name of account owner 35 Taxpayer identification number of account owner 35a TIN type EIN

SSN/ITIN Foreign

38 Mailing address (number, street, apartment or suite number)

39 City 40 State 41 ZIP/Postal Code 42 Country

FBAA0201 03/05/14

* * * For E-File Only - Do Not Mail * * *


ANTHONY BRADING 626-84-4682 1

Form 114, Report of Foreign Bank and Financial Accounts


Part II, Information on Financial Account(s) Owned Separately

Maximum value of account during calendar year 260.


Amount unknown
Type of account:
X Bank
Securities
Other ' enter type
Name of Financial institution SCOTTISH WIDOWS BANK
Account number or other designation 51203610799
Mailing address 67 MORRISON STREET
City EDINBURGH
State
Foreign postal code EH 3 8YJ
Country United Kingdom of Great Britain and Northern Ireland (the)
Maximum value of account during calendar year 38.
Amount unknown
Type of account:
X Bank
Securities
Other ' enter type
Name of Financial institution CLYDESDALE BANK
Account number or other designation 70135735
Mailing address 1 CROALL PLACE
City EDINBURGH, SCOTLAND
State
Foreign postal code EH7 4LT
Country United Kingdom of Great Britain and Northern Ireland (the)
Maximum value of account during calendar year 1,709.
Amount unknown
Type of account:
X Bank
Securities
Other ' enter type
Name of Financial institution HALIFAX BANK
Account number or other designation 00504590
Mailing address 16 NORTHBROOK STREET
City NEWBURY, BERKSHIRE
State
Foreign postal code RG14 1DJ
Country United Kingdom of Great Britain and Northern Ireland (the)
Maximum value of account during calendar year 1,914.
Amount unknown
Type of account:
X Bank
Securities
Other ' enter type
Name of Financial institution HALIFAX BANK
Account number or other designation 10561366
Mailing address 16 NORTHBROOK STREET
City NEWBURY
State
Foreign postal code RG14 IDJ
Country United Kingdom of Great Britain and Northern Ireland (the)
ANTHONY BRADING 626-84-4682 2

Form 114, Report of Foreign Bank and Financial Accounts Continued


Part II, Information on Financial Account(s) Owned Separately

Maximum value of account during calendar year 10,111.


Amount unknown
Type of account:
Bank
Securities
X Other ' enter type BONDS
Name of Financial institution PRUDENTIAL
Account number or other designation M561J054
Mailing address LANCING BUSINESS PARK
City LANCING
State
Foreign postal code BN15 8GB
Country United Kingdom of Great Britain and Northern Ireland (the)
Maximum value of account during calendar year 20,828.
Amount unknown
Type of account:
X Bank
Securities
Other ' enter type
Name of Financial institution INVESCO PERPETUAL FUND
Account number or other designation 0006057747
Mailing address PERPETUAL PARK, PERPETUAL PARK DRIVE
City HENLEY-ON-THAMES, OXFORDSHIRE
State
Foreign postal code RG9 1HH
Country United Kingdom of Great Britain and Northern Ireland (the)