President Obama's 2003 Tax Return

8/2/2019 President Obama's 2003 Tax Return

1/13

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Label( S e 8lnst rucronso n p ag e 19 . )U se th e IR Sl a b e l .O t h e r w l s e ,p le a se p rin lo r Iy pe .

U.S. Individual Income Tax Return.?l

Y o u rf i r s l n am e ~Ild i n i t i a l I t .a s l n a m sBA..R..ACK 'O~B'-:.-l>.""""'1.J\:-:-------------I I a jo in t r e tu rn . s po us e's H rs l n a m e a nd im lla l I L I : ; 1 n O l w PI-nCHELLE L . IoB'AN~"HO ll ie a d dr es s ( nu m b er a nd s l r p , e l ) . I f you h ave u P . O . !ief" ;.~ ~iigi! 19 . I Alii 1 1 0~ i 1. ,R - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ ~ - - - - ~E Gil, !. LDwl"l o r p a st o f fl c! .! . s li !t i :! . .. rod .!.Ii'" t~[J1; I 1 ~ n.1 .. ave D .. ' oCfe ' i ' f l l ' 1 .a. :JL:~r~,~~.l ! : l ' ! ! ! paw! ! : ! 1'9.

P r e s i d e n t i a l L . - . L . . . . . . . : C ~ I - : . : : . I I = C c : . : A . " G ' _ " O " _ 1 . _ _ _ _ = : . I : : L_ , 6 ' _ ' O " _ 6 : : : . = . 1 . = 5 _ _ _ , _ ; _ _ - - 'Election Campaign ~ Note. Checlling "Yes" wUIn01; change your tax o r reduce yo u r refund. You Spouse(See pege 1g.) ) ! Y Do you, or your spouse if f i l ing a j o in l r et ur n, want $3 to go to th is fund? .,....... t : s - [X] Yes0o [Xj Yes0~o

1 0in g le 4 0e a d o f h o u se h o ld {wilh Q u a lif yin g p e rs o n) , iS f P .l la Q e 2 C . ) IfFiling Status r.YJ2 Ll>.J Ma r ri e d f il in g j o in ll y ( e \ ' ~ ~ I I o n l y o n e ha d i n c o m e ) th e q u a l i f y i n g pe rson is a ~h il d b u t n O I y o u r depcno ( ln l , e n l ~ ra 0arried i i l i n g sep a ra te ly . En te r spo use 's SSN above tlus ch ild 's nam e h e r e . !>- - - - - - - - - - - - - - - - - -a n d f ul l n a m e h e r e . I> 5 0U i l li l 'l in g ' II i d ~w(e r l w i th d e pe n d en t child. 'S ~ e p ~Q e 2 1 J , 1

l.ABEL Ii 1 rnp oriant! .i-

Y au m u s t e O ie rI 'o u r 5 8 1 \[ 5; al;;;\'e,

Che c k o n l yo ne b ox .

II m o re t ha n f ~'edependan ts ,s e e p a g e 21 .d

Income 7S aM a G I ! bF o rm s W -2 an dW - 2G h er e, S aA ls o a tt a ch bFo rm(s ) 1 01 Q 99 -R I I ta xwas w i thhe l d . 11

Iiyou d id no l 1 2get a W - 2 , ta as ee p ag e 2 2 . b1 4Enc lose , l lu tdo 16 0no t a tt ac h , a n I'p a ym e nt . A ls o, l G a

e D e pe n de nt s:IIIFir .' nome

N o : - . 01~tlj'tJr~n:1.5:.,...1 . ( 'oi,J '" i.d .. .. .lh i ' o , " H ~"_O(J'hJ.i:.lllv,...H'-yr.U.:J!'!"1':LlIJI'.'t.".;:p':;r::i;;:Dtifljll:'r,r~Q: r..':!~E- = ' 1~

M A L I A A O B l l . . M ANATASHA t.f OB]I . .MA

O~o!ncl~r.., - t i f 'l ' . j : ; :n o ! e n 'e := - =d i!I;:C\!";!

T o t a l n um b er o f e xe m et io n s c la im e d . , . . . .. . . . .CQnur=lC! : .l I.: . .~~~:;~!:~'~ 4

Wag e s , s a la r ie s , l ip s , e t c . A tl ilc h F or m( sj W - 2T an b l e l n te rs s t ! l, lt a c h S c h e d u l e 'S iI r o q u i r e dT ax -e xe m p t in te re st . D c n ot in clu d a o n lin e S aO rd in a r y d iv id en ds . i \~ ~ ~ h S ch ed u le 8 ir r e q u u e dQua l i f ied d M de n d s ( s e e p a g e 2 3 ) " " . . . . . . " . , . T a xo b le r elu n d s, c ra d lt s , o r o ns e t s o f s la te a nd l o c a l l n G o m e ta xe s . ..

238,3?7.8a

I 9 1 1A l i m o n y r e c e i v e d " " , . " " " . . , ' . . " . , " " . . " " .B u s in es s in co m e o r (loss). A t ta r ;h S c h e d u le C o r C E Z . . .. " ., ' . . . . . .C n p i l a l g ai n o r ( le ss ). A t t a c h S c he dU l e D it r s q u i r e d , 11n o l requ i red , c h e c i ( he re . ... . ... .."" i> " '[j"I i b ox o n 1 3 a I s c he ck ed , e n te r p os t M a y 5 c a pi t a l g ain d is lr lb u l iu ll s . LlllJ , _O l he r g a in s or ( l o s s e s ) . At tach F o rm ~7 9 7 " " " " . . . . . " " . . . . " " " . ,I RA d is tr ib u tio ns . . . . . . . . . . . . . . . . . . 11-11""a5""aa-; i l i----------, -- ' jPens ions a n d "nnu lli~ , .. I

I 13 a

b T ax a blE a m o u nt { s ee page 2 5 ) 1 1 ~ : L _b T a J( ab l~ a m nu n l (see p a t i o 25) [_ru_r------p le as e u se 17 R e n t a l rea l e s t a t e , r o y a ll i es , pa r t ne r s h ips . S co rpUIJ l ionS, l rus ls . " IC. A lla cl i S ch ed ul- E ~- I.. _ ..._ - .......F or m 1 0 40 V , 18 F a r m in come o r 1 I 0 5 S) . A t ta ch S ch ed u le F 1 U. ... .. .. .

1 9 U n e m p lo y m e nt u o rn p en s a t ie n ......... _, .. .. ...... .... . ,." .. .," 19 ..-20 0 S o c ia l s e cu ri l y b e n ef i t s ........ ,,,. I 20 0 ! ' j ." h T ax a ble a m o u nt ( s ee page 2 7 ) 2 D b21 O th er ln cn m s, L Is t t y pe a nd a m ou nt ( sB e p a! l8 2 7 ) I1 -2 2 A d d Ille a rr n u n ts in t h e la r r lo l1 1 c o lu m n fo r l in es 7 lh rm rc h 2 1 . T hl~ is v ~ u r t o ta l in come , .... ...... 1 1 ; - 22 238,327.

Adjusted 23 E d uc ato r e xp en se s (s ee p ag e 2 9) ........ - .... .... , .. ,w - ... ,~ ..... 23 IGross 2 0 1 I R A d ed uc tio n ( s ee p a~ c 2 9) . . . . . . . ~.,. * .. ... 24 .IIncome 25 S tu clc nl lo an ln te re st d ed uc lln n ( s ee p ag e 3 1 ) 25 i26 Tu i t ion an d le es d ed uc uo n ( se e p ag e 3 2) .. . ... 2 6 I _ .

27 Mov ing e x p e n s e s , A lla ch F a rm 3 90 3 ...... .* I 2 7 In .__282 9303 132 a3334

O n e h a l f o f s i ll f emp lo ymen lt a x . A t ta c h S r .h e d u lt , ' J , _ ~ --jSe l l -empioyed h ea li l l i n su ra nC H d ed u c un n ( s ee D~ge ']::! L .? 9 ( - . - - 1 1S e ll - em p lo ye d S E P . S I I 'A P I . E , a n d quahl l i ld p ia ; . ; ~ . . . . . !P e n a l! ) ' a n ~ ~ r ly w lU l d ra w a l 0 1 savings f-"3.'-1 --IAl imony p a id b A ec ip ie ~ l 's S SN t> -=-_____ 1 L - " ' 3 2 " " 3 ' - ! 1 --lA d d l ines 2 3 t h ro u g il 3 2 a .S ub tra ctlln s 3 3 h um nn e 22 . .Th i s is YOl i r a dju ste d 9 ro ~s m o om e 238,327,11{lOt r - j a - a a

3alHA For Disclosure; Privacy Act, and Paperwork Reduction Act iIIotice, see page 77.


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. " " . . . , Q . , " : ~~o~, BAHACK Ii & MI CHELLE L OBM.ll'\.,.Tam andCredits< . . . , ""'0---1:~,:;!.::::j~jl::~. II0 f"1I.i.c.:lft wne L!~~~:~~~i~;I'~~l.71':;;" o r ' '' "~ I BB:':'\1'1;::"1 t.:j.aiint:,~!l:~.ee !:!;r r J , ;; : r1 1 1 3 9Iir : J I . : . r l :U r t : : I : : , 1I :::-:[jl~_ ".I :~,.'ml'.3~J'ill~::'.!.!!'tvr?,;l~hI~ = n -

I : ~ I , ~ : : : , : ~ , : ' ' ' " ' ':\Jnll'"'-.'!" , : 11 ': ; .~ '.1[~l.e e rrI1 ~~j;o'll)tI=~";1~;-~-;

OtherTaxes

' , ' " , . " r - " ~ - , - , - ~ 3 5 ' - - - - t - _ - - - - - , , 2 , - = 3 , - , , 8 , - , - , , 3 ' - - - 0 2 , , - , 7 ~ .T o t a l boxes [G l m c l ( e d t.> 8 6 a '--==:--;l>m 0

3 5 .'\m Dlin l {ro m l i A E 3 4 ( ad ju st ed g ro ss i n c o m e) , , . . . . . . .3 5 ~ C I I! ,- :, - r L_ _ j Y O I I w e r e b orn ns to rc J anu ary 2 , 1 93 9, Dl i r , d . }

H : 'L 0pDUSP.Wi l , uo rn u e l u r e Janua ry 2 , 1939 , [Jl m d .37

49 104.4 Cr3 '1 i l i)i!II~ " Idor!y o r I h e d isah led , Moe l l SCl ledula R ,, 17 E [ jI l~ O ll i llT l c r ed it s . I I tIH ,:11o rm ~863I < Ie F!ctiwr:~l1l ia,ilig~w nl ri hu li on s c re di l. P ,t la r. i1 F Q I rn S 81 1Q

i.: n c o ' ! ~ 9 C hil:!I;;. ': creU !1 lsea p JQ e 4 0 I .. ..L.__~ O A (I Q pI ID O c r ed it . A !t a~ h F o O r m 88 39 ....... , 0",...,.51 Credits I r om : a Fo rm (1 396 b Fo rm 8859 . , .52 O lhe r cred its, C heCK applicab le box (es ): a 0o rm 3 80 0

b 0o rm 8 30 1 G Dpecify53 A{ lc l l ines 4 ~ I hro ug Il5 2.. T he se a re yo u r to ta l c red its , ,......... . " ,.,.. 53 700 .

. . .. . - - '5 c : ! 4 ,. . .. . !S 1 . t I l ~ I J ! C ! r :! : a c~ I "l i I "_ _ ' 1 r . ' _ _ '5 " 3 ' _ 'I ' _ _ ' ro " ' m . !. . I ~ ,, i n "' n - "4 ' " 3 ,- - - ,. I - ,- - - rl " , in ! ! :e " " 5 ~3 "" i s :w m " " " " o r" , e ,- - , th , - - "a , , ,, n , -! l i: ! !n . : :: . e ;: : ;4 3 ~ , - ,, " " ,n ! ! :t e , -- r - ~O , - - - =. - ,- ._-=~~~"-,--, . .=.~.,-"",.",,,,,,.-,-.,,,,,-,.,-,._ _ : _ l l > - _ i - - - " 5 ' ; ! 4 - + _ _ _ c 4 ~ 8 _ _ _ _ . _ ; d : . _ . " " O , - - , 4 ~ .55

l Ie m lz e d d e du c ti on s ( I rOm S ch ild ulil A ) ~ I 'lo ur s l a n l l a r d deduc l ion ( se e l E ft mu rg i n )Sublract l i l l e 37 Irom line 35I I l i~ " 3 5 i s $ 1 0 '1 , 62 5 O f l es s , m u lt ip l y $ 3 ,0 5 0 b y the 1 0 la l n!linbCi 01 "x em p lio n; c la im ~ d o n O ne 6d .. I llin e 3 5is (I ' ler $104,ri2~. se e t h e v la r ~ sh e e t o n p ag s 35 , , " ,,'.

.1 0 T axa ble l a c cme . Subt rac i l inB: : I9 fr om lin e 38 . I f lin e 3 9 is m ore m an lin e 3 8, e nte r '0 -41 T ax . C llock:1 an ': tux is I r o m : aD F o r m ( s i B B 1 4 b D F o r m 4972 :::::::::::::::::.:::::::::':::':i'4 2 A ll eI ,n tiv 6 m in im um ta x, Mach Form 625 1 .. ,,"., , ..43 ,"-t id l i n e s ~ I alit! 42 f> ' T 4 . j " r ' . i~. 700 .I 4 6 I

24 030 .38 2 1 4 297.

'H ["O;~Ir .f1 ta x crcdiL f, l\ach Form ,115 if requ ired1 5 C rodil lor ch ilu and r J e l ! s n d n n t care e x p e l l s e s . Am : lChFo rm 2'1~1

I 4 7

39 9 2 7 2 .

5 2

205 025 .41 49 104.

5051

5 5 ~e i l emn l l l ~mon i la~, A t t a ~ h S o h p .d u le S E , . . . . . " , , , . . . . . . . . . . . . " " , , . . , , . . , , .56 S oc ia l s ec urity an d i\ile dlt~ re la x o n li n ln ccme l Io i repo ricd III e lT lp lo~m r. A\I"~h Fo rm 4137 "" ' " .5 7 ta x [lrr q lMl i l i~d p la ns , i nc lu di ng I R. d 1111111~~1Il_--,-_-;- -!_"~. ""d r'G~ 7 1 A n l O l i n I 0 1 l in e 5 g ' / o u wan ! a p ~lie d to yO U r 2 00 4 e stim ate d ' " , a x _ , _ _ , _ ." ~ ' "~~", --p_ . . . . . . ; . 1 -- , -7 . : . . 1 . . . .1--------:---1Am oun t 72 Am o un l y ou o we . 5 11 1 llr ac t !i ne 6 6 f ro m l ine 6 0. F or d e t a i l S o n how 1 0 r l a y , s ee p ag e 5 7 , . ,. , .. . .. . .. . .. . . r ; ; > -You Owe 73 cstm~IE!I taxpE ~"I~f(seeJ@ g fl58) .. , , , . . ,. T 73 I

69 II l ine 58 is m ore than line 00 , sub trac t line 50 (rom line 58. T llis is tM am oun t you ove rpa id .

111ird P a rtv Do you wa n l 10 a l i o \ " ! a n ot he r p e rs o n [0 discuss lills r et ur n w il l1 1 11 e I R S ( se e p ag e 5 3) ? [KI Y e s. C o m pl el e t he f ol lo wi ng . DoDesignee.J D il" i9n~ 's " Phone Persona l idenlif ica lionn a m e t.- , . J ? . ,EP.1lJl.ER,'~,....\0 n o . Ii > n um be r ( PIN ) l>HereSign

~ : ~ ~ J : S : : J ~ ~1:'/)!lo;.r~ii':.:crC_:L

PaidPrepare r' s. , q n , , , , , .Use Only F , , ," " " " " ' 1 "3 ~.oo-c: : !I::;~~A1J

I~LAWRENCE A, HORWICH &-ASSOCIATES,i1125 S. v.iACKER DRIVE - SUITE 2800CHICAGO IL 60606-4475

IeUJ~l ~~II"~1i1~nt[J)~ d J. iildCr~!:i!:;,~ni1 ZI P I;..~dg

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Child Tax Credit Worksheet !l.cep ioryovr records)-;:;N~am=--E(;:-S;:-):-;:F:;:-irs::;!--------------"Tj'7L-~-:S~-p.._:oo-.-1\.-_-... ---"..J.:.:.:=-=:~=";'=;"'::":"-- . '! '71o - u - r - = = S " ' s " " ' r , - - " - - --BAR8..C& . H & . lUCHELL~ ; J ; . , . ~=_============dl=~_ ._~Part i 1 . N um be r 0 1 Q ua lif yin g G hild re n: 2 X $ I,O {)O . En terthe result. 1 :;; I 0 0 Q _ ~

2. En ler the amoun t, il any, of you r advance ~hild lax cred it (betore otrsel) 2 - - - " ' 8 - " 0 ' - ' 0 ' - ' - ,J. Is l ins 1 less lh an lin e 2 7

o Y e s . I STOP IY o u c an no t t a ke th is c re dit . I I l in e 2 is more l i l a n l in e 1 , Y O I ID O n o t h av e 1 0 p ay b ac l( th e dltferenci!.

G O No . S ub tr ac ll in il 2 I ro m lin c 1.4 . E nief the am oun t lro m F orni 1 O~ O,lil1 e 3 5. or f(,w.1D40!:o..I,n.: 2~ .5 . 10 40 t il e rs : E n te r t i l e lo la l (I i a n y J '

o E x c lU S i o n o f i nc om a I ro m P ue rt o R l t.o , a n do A mo unts from F orm 2 555 , IlnB s 4 3 a nd 48 ; Fo rm 2 555-E Z,

l i n e IS ; a nd F or m 4 5G 3 ,I in a 1 5 .I O . j OA tilers: Enter - 0 - .

.1 _ _ _]_;28, 327.5 " ' - 0 . . : . . .

6. Addlines~and5.Enlerthclo ja l. ..7 . E n le r l~ e a m o u n t s ll Ow n b elo w f or y o u r liling s t a t u s .

o Married f i li n g j o in t l y ' $110 ,000 I'" Single, head 01 h ou se ho ld , o r qU


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SCHEDULES All,S(Form -1040) (Schedule B is on page 2)

Ii> See Instructions for Schedules A and B (Form 1040).> Attach to Form 1040.

I3 _AJ .~ JI .C E H & MICHELLE L OHANAr .J1edica l Cau t ion . D o 1101ll~ludE e xp en se s re im bu rs ed o r p ai d ':' o rn er s,andDentalExpenses

Medical < ln d d e nt al e x pa n se s ( se e p a ge A - 2'1 ,. ...Enter amount from Form 1040. line 35 _ ,.... . l_gJ--------lMultiply l ine 2 by 7.5% (.075) ,_" ..4 Subtract l ine 3 from lin 6 1 . If line 3 is more t h an line 'l ,enter 0

23

11 354

34

5 7 682 .6 3 672.7. J

T8)(.e5 YouPaid(3~~pag< l ';'2.1

5 Slats ano local locorne taxss ", ,.. " ,..S ,E . K . .S . 'r " 'z .. r .E . H $ .N T . . ) .

.,............... 9

6 R ea l e s ta te ta xe s (se e p a g e A 2 ) , ,

InterestYou Paid( Se t ?p. .aQ~ .!l .S.:Note:P~r~f.m:;1Inl!'l~s J~

7 Personal property taxes '" " . ..Other taxes. List type and amount

10 12 241.

B~ - - - _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Add lines 5 through 8 ..

'0 Hornemc-rtgage interesl and pomts reported to IOU on Form 109B . . .11 Home mortgage interest not reported to you on Form 109B. If paid to [he personi rom wnorn l 'OUbought the home. SEe page A-3 and show that person's name.idan Iilylng no.. an d address

t1 1

'12 Pcin:~ 110! r ep or te d to you on Form 109aISee p a g e A 3 . 1 1-1 ; , : :2 " ' ---l13 1: l'Je: ;lm2n l in!ar95t . At tach Form 4952 if required is!!e page ,1'.-4.) , _ 1 " ' 3 : . J 1 . _ --,--!14 _';'(l[lltrl~s 10 through 13 . 14 1 12,241Gift;:j h)

CharityFT "t 'U l T t ~ u E .r ~H l r ; am i V ,U ~i i i m ! S f i : to! ill5~f; p ; J g r : A~l.

11') Citns t,:; casn or check. Ii you made an), gifl of $250 or more.3F.e~i"\ge .~J , _ , S ~ . : g : S.l'J~T.E.~.~~lT.,. 4 ..

16 GIJ1t : ' :~I~1I b y ~ 25 h o r c h e r; K. !i rJ r~ y ~Iftj o f 'E 2S 0 o r r no r." ? '5~t; pao~ l~4.You must attach t = " : J f n 1 (126'3 i'r ever $500

17 CaJTj 'Q1.'erfrom prior year1a Add I'nes 15 through 17 .... , _....... ,

o .

'1 5 3 400.

17 3 400.8( ;asua I I \, an dT h et t] , o s 5~SJ I JD :;'(pen~e!ta n d M o s lOtherM i sc a ll a n su u s" ' "dIJcl ion~

.r-.~I.:'

2.3 Add lines 20 through 22 " " 1-'2~3'1-_~~1:..L...=4.:::3'- '5~.24 Enter amount trorn Form 1040, line 35 " ,., .. " l 1 : ! , ! 238 , 327 25 lv1ultipl \'iine 24 by 2% (.02) , ". . [',-_5__,__~-- '4 '- '- . .:. .7-- '6:,.7~.

126

19 Casual ly or theft tosstes) . Attach Form 4684. (See page AS.) , .20 Unreimbursed employee oxpenses Job travel, union dues, job education, etc.

Attach Form 2106 or 2106EZ' if required. (See page AS,)f.>QI~lQrL_ A J ' W _ ~gQl~1IS_S_I9~~!_._I;rQ.E.!.S . __ 2_2jl_ .21 T ..x preparation rees ..

26 Subtract line 25 from line 23. If line 25 is more than line 23, enter 0

19

1 206 .20 229.21

O i l I e rMiscellm.ausD~dllr.tir.ns

27 Ome' - f rom lis: on page A6. list type and amount~ - - _ - - - - - - - - - - - - - - - - _ - _ _ - - - - . - _ - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ ~ , _ - - - - - - - - - -Total 2B '5 Form 1040, I In~ 35. over $139,500 (over $59.150 if m,,:r i6d l ii ing s;paralely)?ae rnized L.J No. Your deduetion is nOI limiled. Add the amounts in ths far right columnDeductions for l il1 es ~ tlllQugh 27. ," .150, enter this arnount on Form 1D40. line 37.

D[J Yes, Your deduction may be limited. SilO!paGe A6 ior the amount to enter.J , " . c 1n;1~.Q~ Schedule A (Form 1040) 2003till Far Papa/worll Hsductlon Act Notice, see Form 1040 instructions.3


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Form 2 4 4 } ~ ~Dep l J I ' me n l uttnc T rO ! )C ~U fYI n l .E ' fr i .a JF t ~v lS - _ n lJ eSO fV l e ~ , ( 9 0 g. 1

I> Attach to Form 1040,l> See separate instructions,

"' ame(s) shown on Form 1040 Your ~'l~i IS!;curily number

BJ\.RACK H & M ICHE LI,E L OBJl..M ..li.Before you begin: YOLlneed to understand the ioilowing terms. See Det lnlt lons 011page 1 of ihe Inst ruct ions.o Dependent Care Benefits o Qualifying Persofl(s) o Quali fied Expenses o Earned Income

Persons or Organizations Who Provided the Care - You must complete this part ,(If you need more space, use the bottom oi page 2.)Part I i

I (b) Address(numbsr, street , apt . no" cit )' . state, anc: ZIP code]- - - - - - - - - - - - - - - - ~ - - ~ -.~ T ': .~ ;.~~d~._".~'- i_ S _ O _ N _ J _ A _ F _ " A _ W _ E _ ' S _ - ' - - _ _ ._ . - _ ~ :. J _ : - ' _ _ -_.i ._l_ ' . _ - . ~ _ - _ C_ ' : _ ~ ' - _ - - - ' _ , i ! . . . . ~ - . . . L _ . 3 ~ _ ~ . ~ 4 Ic) Identifying nurncer(SSN orEIN)(aj Care provider'sname

Did you recelvsdependent care benefits?

1----- No Complete only Part II below.-- Yes -------l;.. Compleie Part III on page 2 next

Caution, If the care was provided in your home. you rnsv ow!'; cmploymanlta~es. See the instructions tor Form 1040, line 59.I Pari: IJ I Credit for Child and Dependent Care Expenses2 Information about your qualipJing person(s). If you h av e m ore th~n ['liD qualifying persons, See 111 ! )nstructions.

(a J O u a li ly in g p e rs o n 's n am e I Ib ) l ]u a l i~ l inD pe r s o n' sl .nst sOG/als e cu rl tv n um oe r---- I I G ) O u "Iified e x p e n , e ~ ': -=I rl1;;nm:J ~"rI "!l1~11r; t ! o ! : ' : . tot Ins ~erS~11 If~lcdir..:r:w:Ji11,1 'a.I .. ,1 11 547.

F i r s t

HALlA ANATASH. .Z > ,. M I 11,9'17,I 3 I 3 , 5 _ _ _ O _ ! L .

~_ I ._ _22,_~U8~I Ij 5 ~I

115.88S'.

3 Add the amounts in column (e) of line 2. Do not enter more than $3.000 for one qualifying person or SlS,DOOior tw o D r more persons. If y o u completed Part I II , enter tile am ou o t from lina 26 .. ... C O ' l ,, C C . > .. ~ , : r : . ~ ) : T . : g : _ p

4 Enler your earned income .5 If married filing jointly. enter your spouse's earned incon1;, O f VOUISP()U~i' was a S\IJPI' lI il or wa;;;

disabled, see the mstruclions); all others, enter th e amount fro". ! ", ' - - '

7 Enter the amount irom Form 1040, line 35 . i 7 238,327.6 Enter the smallest of line 3, "-, or 5 __ .. .., __ , .. 1--"-6-;- __ ----'3~1 0 O .~

8 Enter on line 8 the decimal amount shown below that applies to iJ16 amount on line 7

.35

.34.33.32.31,3 D

.29.28

If line 7 is:But no!Over over

DecimalamountisIfline 7 is:

But notOver averDecimalamountis

$0 '15,000, 5.000 '17,00017,000 19,00019,000 . 21,00021,000 . 23,00023,000'25,00025,00027,00027.(}D0 . 29,000

$29.000 31.00n31,nOl} . 33.0CtO3 3,C OO . 35,00035,000 3; O'J037,OOt) . ~9.0'}~j3 9,O C C . 0 .1 1 .C '': ; ' : '41.00(' . '13.00043,Of}(}Nc..Iir.lI'

,27.26.25.24.2~,2221,20

X E 20

the Instructions . __. .__

r . .ITI i: , 1 70Q~49 10.4.9 Multiply line 6 by the decimal amount on line 9. Ii you paid 2002 expenses in 2003, sss10 Enter the amount from Form 1040, line 43, minus any amount Of! Form 1040, line 41 ..

11 Credit for ohild and dependent care expenses. Enter the smaller of tine 9 or iine 10 here and on Form 1040,__ ~Ii~n~e~~5~.~.~.~ .. ~.=..~.~.~.~.~.=........ .. ... .. .~ ~ . ~. .. .. .. ~.. ~.. .. ._ ~ ~ ~ ~ ~ _ _. ~ . ~ . ~.. .. .. .. .. .. .. ....., , ~. .. ..~~1~1J_ 700.LHA For Paperwork Reduction Act Notice, see separate instructlons. Form 244 i(20031,31:37511C: l 1 .5~ ,a3


6/13

F"t::l~"~~1 i2 C0 3)B AR AC K H & : MICHELLE L OBANA'-Part 1I10ependen1: Care Benefits12 Enl~r ths total amount or dependent care benefits you recal",'ed tor 20D3. Trus amount should bs shewn

in box 1(l o~your ' ,IV2Iorm(5) . Do not mclude amounts tha t ' Ne re reported 1 0 rou as wages in bo . 1 O fForm(~"! W2 " ".......... . . .

13 ' ::nls f the amount iOriei led , I tany (see the instruct ions)

14 Suh:' ;!ct line 13 from. !tr:.~ 12. ,...... . ~ ._, ,.. _ , , " .. _ .n n1 5 E r~ tr r ~~1B ~~ t a l amount o f q u.o lr fiL :;d e xp en s es incurred in 2(~tj3T O:-th e c are o ~

:j'!i' qualifying cerscnts) .I 23 894.P,

500,16 217 122 438.? En;p' iOUI earned lncorne

18 Enter tne 2fT,OUn,shown below inat applies to you.n I I marriecll iIJng jointly, enter your spouse's earned income 0 1 your 1

pouse was a student or was disabled. see the instructions for nne 5)." Iimarr ied f iling separately. see the lnstructlons ior the amount 10ental .(I All others. enter I t19 amount from nrm17. "

..~. ~1~1~5~,~8~8~9~t!19 Enter ihe smallest of line 16. 17. or 16 2,500.920 Exclmleo benefits. Enter !" ,,=m th o sm alle r 0 1 tns 10110" ' lng :

o Th" ~m0I.Jn( from lill~ 19 Or. ' ;1 : J; 5. tJ IJ U { $ 2 , 5D D I ~T~l~~fns.jiling sepalate l : ,1~mll':"LI were re'JUlra.:1 to enter your spouse'searn ..d Incom~ en l ine IS).

21 Taxabl ~ benefits. Subtracl line 20 from line 14. Also, include this amount on Form 1040,line 7. On the dot ted une next to line 7, enter "DCB" " " "" "........... 21

2 5 00.

2 500.13

2 500.4

20

To c la im t he child and dependent care credit .comple te l ines 2226 below.

2 . ' 2 Enter $3,000 ( S a . o o o if two or more qual ifying persons)23 (rlter thE, amount irol'1 Ijn~ 2024 Subt,ac ll il l


7/13

SCHEDULE H(Form '1040) Household IEI'1i1ploymef1ltTaxes(For Social Secur it )' , Medicare . Withheld Income, and Federal Unamplo\ 'msnt (FUTA] Taxes)t> Attach to Form 104{], 1040NR, 1D4D-SS, or '1041.l> See separate inetructions.Depefrnent D f I h r ; J " i reas"Ur ;I,..I~I!J Af!'1l:nue Sel'm::~ { e a . 1

Nama of employer cial security number

~~==~~~~== ~_m_~OU~.I.~n..f_ic~r..'~E lARACK H OBAlv IA _A Did you pay Bny one household employee cash wages of $1,400 or more in 20037 (I f any household employee was your spouse. I' our ~hl'd

under age 21, your parent. or anyone under age 1B, see the line A lnsrructions all page H3 beiore you answer this question)G O Yes.D No. Skip lines B Bnd C and go to line 1Go to line B.

B Did you withhold Federal Income tall during 2003 for any household employee?Des. SI~p lins C and go to line 5.oNo. Go to line C.

C Die) you pay total cash wagas of $1.000 or more in any calendar quarter 012002 or 2003 to all household employees'!(Do not count cash wages paid in 2002 Of 2003 10 your spouse, your child under age 21. or you, parsnt.]oNo. Stop. Donot filethis schedule.DYes. Sidp lines 19 and go to line 10 on paga 2. (Calendar year taxpayers i1aving no household smployees In 2003

do not have to complete trus form for 2003.1I Part I i Socia! Security, Medicare, and Income Taxes

Total cash wagas subjac! to social s6curHy taxes (sse page H3) i I 22,196.1 ,. . .. . .. .. . .. . .. .. . .. . . " . . . .. . . . . .. I 2 2 r 7 5 :2 I-+-----"'-L...:~""'"

3 I . ._ _ ._.~.2..Ll_~_._~!644.

2 Social securit y taxes. Multiply line 1 by 12.4% (.124) " " ..3 Total cash wages subject to Medicare taxes (see oage H3!4 Medicare taxes, Multiply line 3 b)' 2.9% (.029)

5 Federal income tax withheld, if any "" " " . 5

7 Advance earned income credit ( E IC ) payments, I f any3,396.Total social security, Medicare, and Income taxes (add lines 2. 4. and 5)

8 Net taxes (sublractline 7 i rom line 6) .. .., .. .. . 3,396.9 Did you pay total cash wages 01 :li1,OOOor more In any calendar quarter oi 2002 or 2003 to household en1plo!'eE5?

(Do not count cash wages paid in 2002 or 2003 to your spouse vcur chjlr~ "'NJ;!r ~g~ 21. or f 'our parsnl .)

[JNo. Stop. Enter the amount tram nne 8 above Or) FQ[1Il1040, lina ~S: ). :ICU are not requi red to ii le Form lil~!~, 52ethe line 9 inst ructions on page H3.

[illYes. Go to line 10 on page 2.LHA For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule H (Form 1 0 4 0 1 2003

:ll0350111-1190::3 6


8/13

"'OO.~O~ ,= , , , c . ,":0\'00, BARA CK H OBA...1IiA[part 1 1 IFederal Unemployment {FUTA) T a x10 iJid.:lCJu pav unemployment conufbutions to only one slate? , ..11 Did you pay all stars unsmplOI'ment contribut ions for 2003 by April 15, 2004? Fiscal year filers, SSG pgga H~ ..12 W

( 1 1 )Subllilc! cot (glfrom ~OI.[Q:.U teso 0 , t!:!...."t~Gntr IJ.

(i lCcnlnbUlloo5pa io to st.nt! 'un~mphj\'menlrur;d

2122

~ ._---------2 .5. Part iii I Iotai Household Empioyment'l axes

: : : . : : : i :~ e l : : : : 1 1 : ~ : r : : ~ : : ~ ~ ~ 2 ~ '. -. - . . . . :. . . . . . : - : -. - : . - . - . : - - : -. . . . .-. . . . . . . . . : . -.- : . ~ . . . . .. .-. .- . - . - . : - - . , , - . : - : : -.. . .- : : - : : - : . : -. . . - : . - : : - : : - : : - : . - :. : . - : : - : . - : : - : : - :1 - : - : ' 1 , - - - - - - - : - : - : - _ - : - : - := - : J i'lo. You ma i ' have to complete Pall IV. See pagEl H~ for details,:PcH: ;~ " IVi-Address a n d Signature - Complete thiS c a r t only If r e q U i r e d . e e 'the lill9 28 instruc tions on page H4.:;: ';-;;;"-P~'; ';;;; '~; '--;;::;"";"'"" b="" ";,;;, '"'lot ~ol":e,d '" .~0


9/13

BARACK H & l'< IIC HELLEL OL..Lw:L~

FORM 1040 PERSONAL E X .E l.I 'iP TI ON WORK SH E E T ST_lI..TEHENT 1

1. IS THE J>...MOuNTN FORM 1040, LINE 3 5 , I vi OR ET HP .~\ lHE _ Z l J .W f f i ' iT T SHmVlf ON LINE < 1BELOW FOR YOUR FILING STATUS?NO . STOP . MULTIPLY s 3,0 5 0 BY 'rHE TOT~ ..L NU 1v lBE R OF EXEHPTIONS CLAIMED ONFORM 10 -40 / L INE 6D , Al'TD ENTER THE RESULT ON LINE 39 .YES. GO TO LINE 2.2. J.villLTIPLY3,050 BY THE TOTAL NUMBER OF EXEMPTIONS CLAIMEDON FORM 1040, LINE 6D . . . . . . . . . . .. . . . . 12,200.3 . ENTER THE AMOUNT FROM FORM 1040, LINE 3 5 . . 2 3 8,3 2 7.4. ENTER THE AMOUNT FOR YOUR FILING STATUS 209,250.MA.."R.RIEDILING SEPARATE $104/62 5SINGLE $13 9 ,5 00HEAD OF HOUSEHOLD $174,400M..l.ffiRIEDILING JOINT OR WIDOW(ER) $209,2505. SUBTRACT LINE - 4 FRmi LINE 3 .... 29,077.IF LINE 5 IS MORE THAN $122,500 r s 61, 250 IF,MARRIED FILING SEPARATE) ENTER ZEROON FORM 1040, LINE 3 9 .6. DIVIDE LINE 5 BY $2,500 ($1,250 IF MFS) 12.7. MULTIPLY LINE 6 BY 2% (.02) ~TD ENTER THE RESULTAS A DECII~ . . . . . . . .8. ~ ruLTIPLY LINE 2 BY LINE 7 0.24 2,928.

9. SUBTRACT LINE 8 FROM LINE 2. TOTAL TO FORM 1040, LINE 39. 9,272.

FOR.'1 1040 WAGES R EC EI VE D A ND T .A .X :E SW IT HH EL D S T . ~ TE1< iE ! :' ,l T ~,

FEDER_:o._L STATE CITYT lLMOUNT TAX T]l-_X_ SDI FICA MEDICARES EMPLOYER'S N A . .. l1 E PAID HITHHELD \iJITHHELD TAX W!H T p , _ , " { T]I"y'T THE UNIVERSITY OFCHICJiGO 64,287. 11,848. 1,869. 3,986. 932.T STATE OF ILLINOISCOMPTROLLER 58, lSI. 6,629. 1,685. 954.S UbJIVERS I TY OF CHICAGOHOSPITA.LS 115,889. 34,904. 3,477. 5,394. 1,680.TOTALS 238,327. 53,381. 7,031. 9,38D. 3,566.

8 S~ATEMENT(S) 1, 2


10/13

SCHEDULE A STATE A_~D LOCAL INCOME T~~ES STATEMENT 3

DESCRIPTION AMOUNTTHE UNIVERSITY OF CHICAGOSTATE OF ILLINOIS COMPTROLLERUNIVEH.8ITY OF CHIClI_GO HOSPITALSIL LINOIS PR IOP: YEAR B.lI .L1L~ CEUE P1W EXTENSION PAYNENTS

1,869.1,685.3,477.651.T0T~L TO SCHEDULE A, LINE 5 7,682.

SCHEDULE A CASH CONTRIBUTIONS STATEMENT 4

DESCRIPTIONAMOm'fT

50% LIMITAMOUNT

30% LIMITNISCELLANEOUS ORGANIZED CHJI..RITIES 3,400.

3,400.TOTAL TO SCHEDULE A, LINE 15 3,400.

9 STATEMENT(S) 3, 4


11/13

.BA1L~CK E & MICHELLE L OL_~~~SCHEDULE A ITEMIZED DEDUCTIONS WORKSHEET STATEMENT 5

1. ADD THE AMOUNTS ON SCHEDULE A, LINES 4, 9, 14, 18,19,26, AliiD 27 .... , .......2. ADD THE Jl,l'10ID-JTS ON SCHEDULE A, LINES 4, 13, AND 19,PLUS . P . .N Y GAMBLING Al'lD CASUALTY OR THEFT LOSSES INCLUDEDON LINE 27 ...,....3. IS THE AMOUNT ON LINE 2 LESS THAN THE MfOUNT ON LINE 1?

IF uo , YOUR DEDUCTION IS NOT LIHITED. ENTER THE MfOUNTFROM LINE 1 ABOVE ON SCHEDULE A, LINE 2 8.IF YES, SUBTRACT LINE 2 FROM LINE 1 .4. J.l'IULTIPLYINE 3 ABOVE BY 80';'; (.80) 21,596.5. ENTER THE M~OUNT FROM FORM 1040, LINE 35. 238,327.6. E-1\fTER: $139,500 ($69,750 IF IvLll._'R.RIEDFILINGSEP]l..R.~TELY) ... e , . 139,500.7 . IS THE ANOUNT ON LINE 6 LESS TH_:'U'~THE lI..MOUNT

ON LINE 57IF l \ 1 0 J YOUR DEDUCTION IS NOT LIMITED. EN'ILERTHE AMOUNT FROM LINE 1 ABOVE ON SCHEDULE A,LINE 28.IE' YES I SUBTRll,.CT LINE 6 FROM LINE 5 98,827.8. MULTIPLY LINE 7 ABOVE BY 3% (.03) . . 2,965.9. ENTER THE SMALLER OF LINE 4 OR LINE 8 . .

26,995.

0,

26,995.

2,965.10. TOTAL ITEMIZED DEDUCTIONS. 8UBTPJ'.CT LINE 9 FROM LINE 1.ENTER THE RESULT HERE . r um ON SCHEDULE l -_ , LINE 28 24,030.

10 STATEMENT\S) :;


12/13

IllinOIS Depsliment of Revenue:7.008Fo~m Il&i040".'\"".ILia:c.cam Individual Income Tax Return

or' for f iscal yeare l1 d il1 g ~ '_ fD . .

Stap 'I: Personal Information

BARACK H OBAl'.li\.M ICH ELJ""F , L OBAM A

C Cr ,eck yr.>urfiling status.Dl~gle o r h ea d Df househo ld [XJ M ~ l r i e d filing joinUyDarried filing scparalely Di d o w e d1Step 2: Income ------------------------------------------\' 1 Wr.ita your tederal adjusj,ed gross income from your U.S. 1040, lim; 34;

U,S, '1040;", Line 21; U.S. 1040EZ, Una 4; or U.S. TeleFile Tax Record, Un;; ; L 1 2 3 8 , 3 2 7 .2 Write Jour ied ;; ;ra ll y tax-exempt, interest and d iv idend Income Irornyour U.S. 10


13/13

i Write the amount or your tax from Page 1. Slsj:: 6. Line 15 here. i - . > 6 ! . . . ! - , ~ 9 ~ 1 " _ _ " ' O _ : _ ,Step 7: Payments and Credits ------------------------ _r o . -1 7 Write ihe rota: amount of illinoIs Income Tax \\~th;}~ld from yaul" p,r,W2'$ [Aual;lll~p"lla" "l7 - - ! . 7 _ , _ . , . O ' - " 3 c . = 1 ' - - ' - - ,s shown on your W 2 t o rm s , g e n o ,r al lr !ound ir1 B ox 1 ;'.1 B Wrile any estimated payments you made with For" , , ; IL1G4(iE3

and IL505t. i nc lu d e a rt y credit irom YOUI 2002 overpayment.\..,s,.... , ? 21 II you paid education e~penses. see instructions. Write Schedule ED orS,h""JI, so EOWorksheet line 1 amount here:-1> 21S - ; : ; - ; : : : - - = = = = = : c ; :

Wri te Schedule EDor EDWorksheet Line '10amount here. r> 2-j b _22 If YDUreceived a iederal EIC, complete the EIC Worl~sheet in instructions,

Wr~le- EtC WCtk:5l '1lge~ LIM.' oYnoun.II 'I I! !IO -~ 22a _Write your EIC eredlt amount from t i l e EIGWorksheot here. t> 22b_=_------Checll if you have a qualifying child (living w it I' ! you) born af te r 12)31/85. 0

' - : s " ' o " ' o . - " , " " ' , , " ' , ---j';>23 l f you comple ted I ll inois Schedule 1299C. write 1 I1~amount i rom129'C Step '4 . t .me 51 here. 'I' 23 _

~ Fa"" Il-221C

24 Add Lines 17, 1B , 19, 2:0:b~,~1~b~.~22~:b~.an~d::.:2:3~.h=iS::..:is~t~h:e~to:t:a~1:r~y~o:u~rp:ay~m~:en~t:s~a~n:d~c~"':d~i~ts~._ ~ ~ ~ 4 ~ = = = = = = 7 ~ 2 = 1 ~ 5 = ,Step 8: Overpayment or Tax Due25 If Une 24 is greater tnan Line 16, subtract L1n~ 15 from Une 24. This is your overpayment, 25 . _ 3 05_, .26 IFLine 16 is grealer than line 24. subtract Line 24 from line 16. This is l ' OU f tax due. 26 _

S t e p 9 : P e n a l z y - - - - -- - - - -- - - - -- - - - -- - - - -- - - - - -- - - - -- - - - - -- - - - - -- - - - -- - - - - -- - - - - -- - - - -- - - - - -- - - - - -- - -27 Write your latepayrnent penalty for underpayment of esnmatec laxfrom Form IL-2210, Line 26.

I> a Chscll ii you a n n u a h ze d your income on Form 11..2210,Step B ,or If you 2JO65 or olderand permanent ly living in a nU l s i ng home,

27 _

b Check Iiat least two- thl rds of your federa l groS5 income is f rom fmming,S t e p 1 0 : Donations Any donallon will reduce your refund or increase the amount you owe ------------------

28 Write the amount you wish to donal .. to one or more of the fallowing voluntary contribution funds,Wildlife Preservation a MuUiple Sclerosis 9 _Child Abuse Prevention b MiliLary family Raliel h _Alzheimer's Research c _Homeless A ss is la n ce d _B r ea s t C a n c er Resr.arch e _P ro s I I Ite C a n c e r Rese er c h

Lo u G~ h r l g' s D i s e il s eWW I I \ J e te r a n sMemOrial j _!..~.Uj'~!i:;.t!n:] = ! . ..sw~:~n I t . _L " l I f: e n ll a t re s u n e m 1 -28 __Add Lines a th r o u g h I. This is you r vol un Iaty con I nbu I 'h ' )n S to I .,1.

29 Add Line 27 and Line 28. This is YOI.Jrtotal ptlnally ami donations.Step, 1: Refund or Amount You Owe ----------------------------------30 II you have all overpayment on Line 25 and this amount is greater than

Line 29, subtract Line 29 trom linE' 25,31 Write the amount from Line 30 that you W2Il! appl ied to y o u r

2004 estimated tax, 31 _

29

30 305.

32 Subt ra~t Line 31 f rom Line 30. This 1 5 your refund.33 Direct deposit your refund by completing the iol lowing inFormation.

Routing number I I Che ~ ! . . . . ' : 2 : 9 ~ .~h.::iS~iS~!:.:he:..::a:.:.m:o::u::.f1:..t: . : o : u~ o : ~ : . : . . ! " : : _ - _ : _ 3 : . . : 4 ~ = = = = = = = = =tep ' " 1 2 : SIgn a .! r ICi\[ j@fie l- 1=I - .,.Under penaltir{'f~fi(Jt state Ihat I hava exammsd this return En d . ;0Ihe b IOS ' ! oi ~1)" l'no:,ledge. II is true. cc ro " c t "I\d conm le=\wUJI ~...Y~r:=, ..-~, _."..

30.1'900:2.,,~~1t-03ro : 3U ' 2 . 1

::s._ - 1 . \ \J I I > ~Pi!:td prepar!!,'!!i &1gn i lLu r ~ m , { ! t-~pat'!::r' 5 p nc ne r LL Jil Iu au rI f no paymen t is enclosed. mal l I n: I LL INO I S DEPARTMENTO F REVENUESPRINGfiELD IL 62719-0001

AP M E Z Z SE W A I1R

Prl::p;'r~ FEIN.SSf.I,cr~-If pavment enclose a , mall io : ILLINOIS DEPARTMENT OF REVH IUESPR l rJ GF IELD I L 627260001

1I.-'OJ"p.oo2(R.'VO~) D R _ B X NS D C !D

Documents

President Obama's 2003 Tax Return