Rept 399-01                                         A/P 1099 for 2022             - PlainPaper                  Page 32

                            Payer:200 Jose Management, LLC                      
                                      1  Place                               
                                      Suite 1000                                    
                                      Nowhere, LA 12345                          
                                      999-999-5101                                 
                                                                      

-------------------------------------------------------------------------------------------------------------------------------
Vendor                 Name / Address                 Federal ID    Amt.Type      1099-Amt.       FederalW/H      State W/H    
------ --------------------------------------------- ------------- ---------- ----------------- --------------- ---------------

DES100 Juan W. Doe1                               455-98-9245      Rents             $105,141.96                                
       480 Oakwood Circle                         No-1099-flag overridden                                           
       Anywhere1 ,TX 75069                                                                     

GOO100 William Harrison Garcia                     MISSING FID    Non-Empl.        $154,070.97                                
       11 Plaza                                   No-1099-flag overridden                                          
       Suite 2010                                                                            
       Anywhere2,OK 97046                                                                      

LOV100 David Lewis                                 297-82-2172   GrossAttrn        $154,234.87                                
       41 Northampton Pl                                                                
       Anywhere3 ,FL 27098                                                                      

                                                                              ----------------- --------------- ---------------
Company Total (    3 vendors) (includes reportable-1099's only)                     $413,447.80           $0.00           $0.00
                                                                              ----------------- --------------- ---------------