Exchange-Traded Fund




Report an exchange-traded fund (ETF) and income from the fund in Part 6.

#

Description

EIF

Value

Income Type

Income Amount

1

iShares Dow Jones U.S. Industrial Sector Index Fund (IYJ)

Yes

$15,001 - $50,000

 

$201 - $1,000

2

iShares Dow Jones U.S. Energy Sector Index Fund (IYE)

Yes

None (or less than $1,001)

 

$201 - $1,000

For You, Your Spouse, and Your Dependent Children

Part 6

Report an exchange-traded fund if the value of the fund was more than $1,000 at the end of the reporting period or if more than $200 in income was received during the reporting period.

DescriptionProvide the exact name of the fund (e.g., list “iShares S&P 500 Index” rather than just “iShares”).  Providing the ticker symbol is also helpful.

EIF:  Select “Yes.”

ValueReport the value of the fund by selecting the appropriate category.

Income Type:  Do not complete this field for EIFs.

Income Amount:  Select the category that corresponds to the total amount of income received during the reporting period.

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