NOTE: Cash App does not report your Bitcoin cost-basis, gains, or

losses to the IRS or on this Form 1099-B. Cash App reports the total
proceeds from Bitcoin sales made on the platform.
 Block, Inc.
f/k/a Square, Inc. If you have questions contact:
1955 Broadway https://cash.app/contact
MSC 415
Oakland, CA 94612

JOSHUA W SAWDERS
306 S J St
Apt 3
Indianola, IA 50125

Instructions for Recipient Box 1f. Shows the amount of accrued market discount. For details on
Brokers and barter exchanges must report proceeds from (and in some market discount, see the Schedule D (Form 1040) instructions, the
cases, basis for) transactions to you and the IRS on Form 1099-B. Instructions for Form 8949, and Pub. 550. If box 5 is checked, box 1f may
Reporting is also required when your broker knows or has reason to know be blank.
that a corporation in which you own stock has had a reportable change in Box 1g. Shows the amount of nondeductible loss in a wash sale transaction.
control or capital structure. You may be required to recognize gain from For details on wash sales, see the Schedule D (Form 1040) instructions, the
the receipt of cash, stock, or other property that was exchanged for the Instructions for Form 8949, and Pub. 550. If box 5 is checked, box 1g may
corporation’s stock. If your broker reported this type of transaction to you, be blank.
the corporation is identified in box 1a. Box 2. The short-term and long-term boxes pertain to short-term gain or loss
Recipient’s taxpayer identification number (TIN). For your protection, and long-term gain or loss. If the "Ordinary" box is checked, your security may
this form may show only the last four digits of your TIN (social security be subject to special rules. For example, gain on a contingent payment debt
number (SSN), individual taxpayer identification number (ITIN), adoption instrument subject to the noncontingent bond method is generally treated as
taxpayer identification number (ATIN), or employer identification number ordinary interest income rather than as capital gain. See the Instructions for
(EIN)). However, the issuer has reported your complete TIN to the IRS. Form 8949, Pub. 550, or Pub. 1212 for more details on whether there are
any special rules or adjustments that might apply to your security. If box 5 is
Account number. May show an account or other unique number the payer checked, box 2 may be blank.
assigned to distinguish your account.
Box 3. If checked, proceeds are from a transaction involving collectibles or
CUSIP number. Shows the CUSIP (Committee on Uniform Security from a Qualified Opportunity Fund (QOF).
Identification Procedures) number or other applicable identifying number.
Box 4. Shows backup withholding. Generally, a payer must backup withhold
FATCA filing requirement. If the FATCA filing requirement box is if you did not furnish your TIN to the payer. See Form W-9 for information on
checked, the payer is reporting on this Form 1099 to satisfy its backup withholding. Include this amount on your income tax return as tax
account reporting requirement under chapter 4 of the Internal withheld.
Revenue Code. You may also have a filing requirement. See the Box 5. If checked, the securities sold were noncovered securities and boxes
Instructions for Form 8938. 1b, 1e, 1f, 1g, and 2 may be blank. Generally, a noncovered security means:
Applicable checkbox on Form 8949. Indicates where to report this stock purchased before 2011, stock in most mutual funds purchased before
transaction on Form 8949 and Schedule D (Form 1040), and which 2012, stock purchased in or transferred to a dividend reinvestment plan
checkbox is applicable. See the instructions for your Schedule D before 2012, debt acquired before 2014, options granted or acquired before
(Form 1040) and/or Form 8949. 2014, and securities futures contracts entered into before 2014.
Box 1a. Shows a brief description of the item or service for which amounts Box 6. If the exercise of a noncompensatory option resulted in a sale of a
are being reported. For regulated futures contracts and forward contracts, security, a checked "net proceeds" box indicates whether the amount in box
"RFC" or other appropriate description may be shown. For Section 1256 1d was adjusted for option premium.
option contracts, "Section 1256 option" or other appropriate description Box 7. If checked, you cannot take a loss on your tax return based on gross
may be shown. For a corporation that had a reportable change in control proceeds from a reportable change in control or capital structure reported in
or capital structure, this box may show the class of stock as C (common), box 1d. See the Form 8949 and Schedule D (Form 1040) instructions. The
P (preferred), or O (other). broker should advise you of any losses on a separate statement.
Box 1b. This box may be blank if box 5 is checked or if the securities sold Regulated Futures Contracts, Foreign Currency Contracts, and
were acquired on a variety of dates. For short sales, the date shown is the
date you acquired the security delivered to close the short sale. Section 1256 Option Contracts (Boxes 8 Through 11)
Box 8. Shows the profit or (loss) realized on regulated futures, foreign
Box 1c. Shows the trade date of the sale or exchange. For short sales, the currency, or Section 1256 option contracts closed during 2022.
date shown is the date the security was delivered to close the short sale.
For aggregate reporting in boxes 8 through 11, no entry will be present. Box 9. Shows any year-end adjustment to the profit or (loss) shown in box
8 due to open contracts on December 31, 2021.
Box 1d. Shows the cash proceeds, reduced by any commissions or
transfer taxes related to the sale, for transactions involving stocks, debt, Box 10. Shows the unrealized profit or (loss) on open contracts held in
commodities, forward contracts, non-Section 1256 option contracts, or your account on December 31, 2022. These are considered closed out as
securities futures contracts. May show the proceeds from the disposition of that date. This will become an adjustment reported as unrealized profit
of your interest(s) in a widely held fixed investment trust. May also show or (loss) on open contracts - 12/31/2022 in 2023.
the aggregate amount of cash and the fair market value of any stock or Box 11. Boxes 8, 9, and 10 are all used to figure the aggregate profit or
other property received in a reportable change in control or capital (loss) on regulated futures, foreign currency, or Section 1256 option
structure arising from the corporate transfer of property to a foreign contracts for the year. Include this amount on your 2022 Form 6781.
corporation. Losses on forward contracts or non-Section 1256 option Box 12. If checked, the basis in box 1e has been reported to the IRS and
contracts are shown in parentheses. This box does not include proceeds either the short-term or the long-term gain or loss box in box 2 will be
from regulated futures contracts or Section 1256 option contracts. Report checked. If box 12 is checked on Form(s) 1099-B and NO adjustment is
this amount on Form 8949 or on Schedule D (Form 1040) (whichever is required, see the instructions for your Schedule D (Form 1040) as you may
applicable) as explained in the Instructions for Schedule D (Form 1040). be able to report your transaction directly on Schedule D (Form 1040). If
the "Ordinary" box in box 2 is checked, an adjustment may be required.
Box 1e. Shows the cost or other basis of securities sold. If the securities
were acquired through the exercise of a noncompensatory option granted Box 13. Shows the cash you received, the fair market value of any property
or acquired on or after January 1, 2014, the basis has been adjusted to or services you received, and the fair market value of any trade
reflect your option premium. If the securities were acquired through the credits or scrip credited to your account by a barter exchange.
exercise of a noncompensatory option granted or acquired before January See Pub. 525.
1, 2014, your broker is permitted, but not required, to adjust the basis to Boxes 14-16. Show state(s)/local income tax information.
reflect your option premium. If the securities were acquired through the Future developments. For the latest information about any
exercise of a compensatory option, the basis has not been adjusted to developments related to Form 1099-B and its instructions, such
include any amount related to the option that was reported to you on a as legislation enacted after they were published, go to
Form W-2. If box 5 is checked, box 1e may be blank. See the Instructions www.irs.gov/Form1099B.
for Form 8949, the Instructions for Schedule D (Form 1040), or Pub. 550 Free File Program. Go to www.irs.gov/FreeFile to see if you qualify
for details. for no-cost online federal tax preparation, e-filing, and direct deposit
2H8081 2.000 or payment options.
 CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country, ZIP Applicable checkbox on Form 8949 OMB No. 1545-0715 Proceeds From
or foreign postal code, and telephone no. Broker and
Block, Inc.
X
À¾¶¶
Form 1099-B
Barter Exchange
Transactions
f/k/a Square, Inc.
1a Description of property (Example: 100 sh. XYZ Co.)
1955 Broadway
MSC 415 SEE DETAIL STATEMENT
Oakland, CA 94612 1b Date acquired 1c Date sold or disposed

11/08/2022
PAYER’S TIN RECIPIENT’S TIN 1d Proceeds 1e Cost or other basis Copy B
$ 0.81 $ For Recipient
1f Accrued market discount 1g Wash sale loss disallowed
80-0429876 530-90-3497 $ $
RECIPIENT’S name, street address (including apt. no.), city or town, state or 2 Short-term gain or loss 3 If checked, proceeds from:
province, country, and ZIP or foreign postal code
Long-term gain or loss Collectibles
JOSHUA W SAWDERS
Ordinary QOF This is important tax
306 S J St 4 Federal income tax withheld 5 If checked, noncovered information and is
Apt 3 security being furnished to
$ X the IRS. If you are
Indianola, IA 50125 6 Reported to IRS: 7 If checked, loss is not allowed
based on amount in 1d
required to file a
Gross proceeds return, a negligence
Net proceeds penalty or other
sanction may be
Account number (see instructions) 8 Profit or (loss) realized in 9 Unrealized profit or (loss) on
56F8A1B4-10643270 2022 on closed contracts open contracts - 12/31/2021
imposed on you if
this income is
CUSIP number FATCA filing taxable and the IRS
requirement $ $ determines that it
10 Unrealized profit or (loss) on 11 Aggregate profit or (loss) has not been
open contracts - 12/31/2022 on contracts reported.
14 State name 15 State identification no. 16 State tax withheld
$ $
12 If checked, basis 13 Bartering
IA $ reported to IRS $
Form 1099-B (Keep for your records) www.irs.gov/Form1099B Department of the Treasury - Internal Revenue Service

2H8026 2.000
JOSHUA W SAWDERS Account 56F8A1B4

Date Description Non Covered Security Taxable State Proceeds

11-08-2022 0.00004586 BTC $0.81