Skip to content

Reserved for future use

Exhibit EE Form W-2G

Publication 1179 — General Rules and Specifications For Substitute Forms 1096, 1098, 1099, 5498, and Certain Other Information Returns · 2026-10-03 edition · updated 2026-10-04 · United States

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

Cat. No. 10138V

Department of the Treasury - Internal Revenue Service

OMB No. 1545-0238

Form W-2G

Certain Gambling

Winnings

(Rev. January 2026)

For calendar year

20

For Privacy Act and Paperwork

Reduction Act

Notice, see

Pub. 1099,

General Instructions

for Certain Information

Returns .

File with Form 1096

Copy A For Internal Revenue

Service Center

3232 VOID CORREC CTED


PAYER’S name


PAYER’S name


PAYER’S name


PAYER’S name
1 Reportable winnings
$
2 Date won
Street address Street address Room or suite no. Room or suite no. 3 Type of wager 4 Federal income tax withheld
$
City or town City or town City or town City or town 5 Transaction 6 Race
State or province Country ZIP or foreign postal code ZIP or foreign postal code 7 Winnings from identical wagers
$
8 Cashier

N
I
T

S
’
R
E
Y
A
P
.
o
n

e
n
o
h
p
ele
t
S
’
R
E
Y
A
P
.
o
n

e
n
o
h
p
ele
t
S
’
R
E
Y
A
P
.
o
n

e
n
o
h
p
ele
t
S
’
R
E
Y
A
P
9 WINNER’S TIN 10 Window
WINNER’S name WINNER’S name WINNER’S name WINNER’S name 11 First identification no. 12 Second identification no.
Street address Street address Street address Apt. no. 13 State/Payer’s state
identification no.
14 State winnings
$
City or town City or town City or town City or town City or town City or town
City or town City or town City or town City or town 15 State income tax
withheld
$
16 Local winnings
$
State or province Country ZIP or foreign postal code ZIP or foreign postal code ZIP or foreign postal code ZIP or foreign postal code
17 Local income tax
withheld
$
18 Name of locality

Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I have furnished correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.

Signature: Date:

Form W-2G (Rev. 1-2026) Created 11/24/25 Cat. No. 10138V www.irs.gov/FormW2G

66

Department of the Treasury - Internal Revenue Service

Get a plain-English answer with a citation back to this text.

Ask AI about this code
▸Contents — Publication 1179 — General Rules and Specifications For Substitute Forms 1096, 1098, 1099, 5498, and Certain Other Information Returns

GoCodebook provides public access, search, citation, multilingual explanation, and practical interpretation of legally adopted building regulations. It is not a substitute for the official ICC or California code publications.