.00 .00 .00 .00 .00 .00 .00 .00 .00 .00    .00

                                                                                                                                                  (G)

                                                                                                                                              2023
                                                                                                                                                                       TAX WITHHELD FOR                  OTHER NONRESIDENT

                                                                                                                                                                                                                                                                                                                                                                       .00 .00 .00 .00 .00 .00 .00 .00 .00 .00    .00

                                                                                                                                                  (F)
                                                                                                                                                                                                                                                                COMPOSITE
                                                                                                                                                                                                         NONRESIDENT                                                                                                                                                                                                                                                                                                                                                                                                                                                  B54202309W
                                                                                                                                                                       TAX WITHHELD FOR                                                                                                                                                                                                                                                                                                                                                                                                                                                                   *B54202309W*

                                                                                                                                                                                                                                                                                                                                                                       .00 .00 .00 .00 .00 .00 .00 .00 .00 .00    .00

                                                                                                                                                  (E)
                                                                                                                                                                                                         INCOME
                                                                                                                                                                       WV DISTRIBUTIVE 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         .
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .00
                                                                                                                                                  (D)

                                                                                                                                                                                                         OWNERSHIP 
                                                                                                                                                                       PERCENTAGE OF                                                  to the sixth decimal place
                                                                                                                                                                      4NRW-4 or 
                                                                                                                                                                       TAX EXEMPT
                                                                                                                                                                      3NONRESIDENT
                                                                                                                                                                                                                                                                                                                                                                                                                           file their PTE-100 return electronically.
                                                                                                                                                                      2NONRESIDENT 
                                                                                                                                                                       COMPOSITE
                                                                                                               AND COMPUTATION OF WITHHOLDING                                                                                                                                                                                                                                                                                                                                     must 
                                                                                                                                                  (C) CHECK ONLY ONE  1WV RESIDENT

                                                SUMMARY OF K-1 SHAREHOLDERS/PARTNERS OWNERSHIP                                                    (B)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Total WV Income
                                                                                                                                                                       SSN/FEIN

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       line 7 (Withholding column) of PTE-100                                       line 8 (Withholding column) of PTE-100
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        to                                                                                                                 to 

                                                                                                                                                                                                                                                                                                                                                                                                                  SP Totals
                                                                                                   W                                                                                                                                                                                                                                                                                                                                                                                                        Column F                                                                                                           Column G
                                                                                                                                                  (A)

                                                                                                SP                                                                                      SHAREHOLDER/                      PARTNER NAME
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       FEIN
         Schedule                                                                                                                                                                                                                                                         MARK IF A SINGLE                         SHAREHOLDER/PARTNER HAS               100% OWNERSHIP
                                                                                                   Form PTE-100
                                                                                                                                                                                                                                                                                                                                                                       1   2   3   4   5   6   7   8   9   10                                                                          •  Transfer Total of                                                                                               •  Transfer Total of 
                                                                                                                                                                                                                                                                                                                                                                                                                           Taxpayers reporting more than 10 shareholders/partners