CUSTOMERS ONLY: In order to comply with the reporting requirements of the Internal Revenue Service, in relation to the 2019 President’s Club program (trip taken in October of 2021), we are asking all participating Customers traveling to Mexico, please complete the information requested below and securely submit no later than Friday, September 17, 2021. The taxable value of the trip is estimated to be approximately $2,300.00 per person or $4,600.00 per couple. A 1099 will be issued in January 2022 to the individual traveler or to the responsible company*.Name(s):(Required)Company Name:(Required)Address:(Required)(Where you'd like us to send the 1099 to in January) Street Number, Street Name, Other City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Phone #:(Required)Please tell us if your company is a (check one of the following):(Required) Corporation Partnership Individual / Proprietorship OtherIf Other, Please Specify:(Required)Please check one of the following and fill in the appropriate identification number:(Required) The individual traveler is responsible to pay the taxes for the 2019 President’s Club Trip, in year 2021. The company is responsible for the taxes on the 2019 President’s Club trip, in year 2021.Social Security Number:(Required)Federal Employer ID Number:(Required)Please let us know what amount the 1099 should include:(Required) The entire couple’s trip taxable value Just my individual trip’s taxable value; my guest will submit their own form.If filing separately, please have your guest complete this same form (pollock.com/1099-information-form/) and submit as an Individual using your company's name before September 17th. Failure to do so will result in the trip’s full taxable value being added to your submission. Let us know if you have any questions.*Please note: If a company is a corporation and the company will be responsible for the taxes, no 1099 will be issued.Thank you for participating and congratulations on earning the trip. If you’d like a copy of this form or have any questions or concerns, please email Pollock Orora Marketing at firstname.lastname@example.org. We look forward to seeing you in Mexico!