CORRECTED (if checked)

1 Rents OMB No. 1545-0115

PAYER'S name, street address, city or town, state or province, country,
ZIP or foreign postal code, and telephone no.
UBER TECHNOLOGIES

1455 MARKET ST., SUITE 400

2 Royalties
2017 Miscellaneous
Income
SAN FRANCISCO, CA 94103
Form 1099-MISC
3 Other income 4 Federal income tax withheld Copy B
For Recipient
PAYER'S federal identification number RECIPIENT'S identification number 5 Fishing boat proceeds 6 Medical and health care payments

452647441 XXXXXXX59

RECIPIENT'S name 7 Nonemployee compensation 8 Substitute payments in lieu of This is important tax
dividends or interest information and is
MAURICIO LOPEZ $1,388.57 being furnished to
the Internal
Revenue
9 Payer made direct sales of 10 Crop insurance proceeds Service. If you are
$5,000 or more of consumer required to file a
Street address (including apt. no.)
products to a buyer return, a negligence
10339 ATLANTIC AVE E (recipient) for resale penalty or other
11 12 sanction may be
imposed on you if
this income is
City or town, state or province, country, and ZIP or foreign postal code taxable and the IRS
determines that it
SOUTHGATE, CA 90280 has not been
reported.
Account number (see instructions) FATCA filing 13 Excess golden parachute 14 Gross proceeds paid to an
requirement payments attorney
UYF9TPZOOJMOYPOQG9XE

15a Section 409A deferrals 15b Section 409A income 16 State tax withheld 17 State/Payer's state no. 18 State income

CA

Form 1099-MISC (keep for your records) [Link]/form1099misc Department of the Treasury - Internal Revenue Service
Instructions for Recipient

Recipient's identification number. For your protection, this form Box 7. Shows nonemployee compensation. If you are in the trade or
may show only the last four digits of your social security number business of catching fish, box 7 may show cash you received for the
(SSN), individual taxpayer identification number (ITIN), adoption sale of fish. If the amount in this box is SE income, report it on
taxpayer identification number (ATIN), or employer identification Schedule C or F (Form 1040), and complete Schedule SE (Form
number (EIN). However, the issuer has reported your complete 1040). You received this form instead of Form W-2 because the
identification number to the IRS. payer did not consider you an employee and did not withhold
income tax or social security and Medicare tax. If you believe you
Account number. May show an account or other unique number are an employee and cannot get the payer to correct this form,
the payer assigned to distinguish your account. report the amount from box 7 on Form 1040, line 7 (or Form
1040NR, line 8). You must also complete Form 8919 and attach it to
FATCA filing requirement. If the FATCA filing requirement box is your return. If you are not an employee but the amount in this box is
checked, the payer is reporting on this Form 1099 to satisfy its not SE income (for example, it is income from a sporadic activity or
chapter 4 account reporting requirement. You also may have a filing a hobby), report it on Form 1040, line 21 (or Form 1040NR, line 21).
requirement. See the Instructions for Form 8938.
Box 8. Shows substitute payments in lieu of dividends or tax-exempt
Amounts shown may be subject to self-employment (SE) tax. If interest received by your broker on your behalf as a result of a loan
your net income from self-employment is $400 or more, you must file of your securities. Report on the "Other income" line of Form 1040
a return and compute your SE tax on Schedule SE (Form 1040). (or Form 1040NR).
See Pub. 334 for more information. If no income or social security
and Medicare taxes were withheld and you are still receiving these Box 9. If checked, $5,000 or more of sales of consumer products
payments, see Form 1040-ES (or Form 1040-ES(NR)). Individuals was paid to you on a buy-sell, deposit-commission, or other basis. A
must report these amounts as explained in the box 7 instructions on dollar amount does not have to be shown. Generally, report any
this page. Corporations, fiduciaries, or partnerships must report the income from your sale of these products on Schedule C (Form
amounts on the proper line of their tax returns. 1040).
Form 1099-MISC incorrect? If this form is incorrect or has been Box 10. Report this amount on Schedule F (Form 1040).
issued in error, contact the payer. If you cannot get this form
corrected, attach an explanation to your tax return and report your Box 13. Shows your total compensation of excess golden parachute
income correctly. payments subject to a 20% excise tax. See the Form 1040 (or Form
1040NR) instructions for where to report.
Box 1. Report rents from real estate on Schedule E (Form 1040).
However, report rents on Schedule C (Form 1040) if you provided Box 14. Shows gross proceeds paid to an attorney in connection
significant services to the tenant, sold real estate as a business, or with legal services. Report only the taxable part as income on your
rented personal property as a business. return.

Box 2. Report royalties from oil, gas, or mineral properties, Box 15a. May show current year deferrals as a nonemployee under
copyrights, and patents on Schedule E (Form 1040). However, a nonqualified deferred compensation (NQDC) plan that is subject to
report payments for a working interest as explained in the box 7 the requirements of section 409A, plus any earnings on current and
instructions. For royalties on timber, coal, and iron ore, see Pub. prior year deferrals.
544.
Box 15b. Shows income as a nonemployee under an NQDC plan
Box 3. Generally, report this amount on the "Other income" line of that does not meet the requirements of section 409A. This amount
Form 1040 (or Form 1040NR) and identify the payment. The amount is also included in box 7 as nonemployee compensation. Any
shown may be payments received as the beneficiary of a deceased amount included in box 15a that is currently taxable is also included
employee, prizes, awards, taxable damages, Indian gaming profits, in this box. This income is also subject to a substantial additional tax
or other taxable income. See Pub. 525. If it is trade or business to be reported on Form 1040 (or Form 1040NR). See "Total Tax" in
income, report this amount on Schedule C or F (Form 1040). the Form 1040 (or Form 1040NR) instructions.

Box 4. Shows backup withholding or withholding on Indian gaming Boxes 16-18. Shows state or local income tax withheld from the
profits. Generally, a payer must backup withhold if you did not payments.
furnish your taxpayer identification number. See Form W-9 and Pub.
505 for more information. Report this amount on your income tax Future developments. For the latest information about
return as tax withheld. developments related to Form 1099-MISC and its instructions, such
as legislation enacted after they were published, go to
Box 5. An amount in this box means the fishing boat operator [Link]/form1099misc.
considers you self- employed. Report this amount on Schedule C
(Form 1040). See Pub. 334.

Box 6. For individuals, report on Schedule C (Form 1040).