10/09/2014 Anne Carlson, Full Withdrawal in Stock 10/09/2014 Anne Carlson, Full Withdrawal in Stock

10/09/2014 Anne Carlson, Full Withdrawal in Stock

Report Preparation Date			09/06/2025
Member Valuation Date			10/07/2014

Unit Value			17.579450
Units Withdrawn			147.059780
Withdrawal Value			2,585.23

Cash			18.55
Investments' FMV			2,566.70
Withdrawal Fee			(0.02)
Withdrawal Value			2,585.23

Member's Basis Before Withdrawal			2,268.85
Current Income Allocation			(111.25)
(A) Adjusted basis			2,157.60

Member's Cost Basis of Property Distributed:

Cash			18.55
Stock			2,139.05
(B) Total			2,157.60

Member's Basis After Withdrawal

Gain/(Loss) Realized on Withdrawal (B)-(A)

Note- any gain/loss realized on withdrawal must be reported on Form 8949, checking box C or F, as appropriate. This report should be run as of the end of the year to ensure that all adjustments for the year have been reflected.

Qualified Dividend	Interest	Short-Term Capital Gain	Foreign Tax	Portfolio Expense	Net Profit
Tax Allocations
22.79	0.03	(125.19)	(0.65)	(8.23)	(111.25)

Investments Transferred, Market Value 10/07/2014

Name

Acquisition
Date

Shares

Price per
Share

Market
Value

Club's
Cost Basis

Member's Adj.
Cost Basis

Apple Inc (AAPL)

06/20/2011

10.000000

98.7500

987.50

445.86

781.59

Tim Hortons (THI)

11/20/2012

10.000000

78.9600

789.60

464.00

665.82

Tim Hortons (THI)

04/16/2013

10.000000

78.9600

789.60

531.90

691.64

2,566.70

1,441.76

2,139.05