Report an American depositary receipt (ADR) and income from the American depositary receipt in Part 6.

For You, Your Spouse, and Your Dependent Children

Part 6

Report an American depositary receipt if the value of the American depositary receipt 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.

Description:  Provide the exact name of the American depositary receipt.  In addition, if the security is not publicly traded in the United States, provide a description of the issuer’s trade or business and indicate that the security is an ADR.  For publicly traded ADRs, it is helpful to provide the ticker symbol in addition to the name of the ADR.

EIF:  Select “N/A.”

Value:  Report the value of the American depositary receipt by selecting the appropriate category.

Income Type:  Specify the type(s) of income if the total amount of income received during the reporting period exceeded $200.

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