Docstoc

W-2 - PDF

Document Sample
W-2 - PDF Powered By Docstoc
					                                        a Employee's social security number           Copy 1--For State, City, or Local Tax Department
    22222                                                                             Copy D--For Employer.
                                                 11111111111111•11111i                                                                                                     OMB No. 1545 - 0008
 b Employer identification number (EIN)                                                                1 Wages, tips, other compensation                  2 Federal income tax withheld

    31 - 6000846                                                                                                                  146295.85                                       24799.11
 c Employer's name, address, and ZIP code                                                              3 Social security wages                            4 Social security tax withheld


   LEBANON CITY SCHOOL DISTRICT                                                                        5 Medicare wages and tips                          6 Medicare tax withheld
   700 HOLBROOK AVENUE
   LEBANON OH 45036                                                                                                               153056.35                                         2219.29
                                                                                                       7 Social security tips                             8 Allocated tips


 d Control number                                                                                      9 Advance EIC payment                         10 Dependent care benefits

   0000593
 e Employee's name, address, and ZIP code                                                             11 Nonqualified plans                          12a See instructions for box 12

                                                                                                                                                            G      I                 7500.00
   MARK 0 NORTH                                                                                                                                      12b
                                                                                                      13    =rye      Val;"`""'     IiirilrY
   1846 PRAIRIE CLOVER
                                                                                                                         X                           i C                              900.00
   LEBANON, OH 45036
                                                                                                      14 Other                                       12c
                                                                                                                                                     c
                                                                                                                    FRINGE          739.50           ?,           I
                                                                                                                                                     12d
                                                                                                                                                     c
                                                                                                                                                     a
                                                                                                                                                     4




15 State       Employer's state ID number            16 State wages, tips, etc.       17 State income tax        18 Local wages, tips, etc.        19 Local income tax           20 Locality name

_ OH       L      51-160101                                      146295.85
                                                                                  -
                                                                                                  6538.26                     153056.35
                                                                                                                                               -
                                                                                                                                                                       1499.41      LEBANO


           I
                                                                                                                 38-2099803 Department of the Treasury--Internal Revenue Service

Form W"           2    Wage and Tax
                       Statement                                                           2010
                                           .   oiriployee a social security numoer     I Copy 1--For State, City, or Local Tax Department
    22222                                                                                Copy D--For Employer.
                                       I               AIIIIIISIIP                                                                                                       OMB No. 1545 - 0008
 h Employer identification number (EIN)                                                                 1 Wages, tips, other compensation                  2 Federal Income lax withheld

    31 - 6000846                                                                                                                   146432.80                                      23515.71
 c Employer's name, address, and ZIP code                                                               3 Social security wages                            4 Social securlly tax withheld

   LEBANON CITY SCHOOL DISTRICT                                                                         5 Medicare wages and tips                          6 Medicare tax withheld
   700 HOLBROOK AVENUE
   LEBANON OH 45036                                                                                                                145723.04                                         2113.04
                                                                                                        7 Social security lips                             8 Allocated tips


 d Control number                                                                                       9 Advance EIC payment                          10 Dependent care benefits

    0000589
 e Employee's name, address, and ZIP code                                                              11 Nongualified plans                           12a See Instructions for box 12

                                                                                                                                                       • C         I                  810.00
    MARK 0 NORTH
    1846 PRAIRIE CLOVER
                                                                                                       13   :AIZZ,       M'•''''      IngrY            12b

                                                                                                                            X                          3
    LEBANON, OH 45036
                                                                                                       14 Other                                        12c
                                                                                                                       FRINGE        709.76            !
                                                                                                                                                       12d
                                                                                                                                                       e


16 State       Employer's state ID number                 16 State wages, lips, etc.   17 State Income tax          18 Local wages, tips, etc.       19 Local Income tax         20 Locality name

 OH        L     51-160101                                            148432.80                    8475.51      _               145723.04        _                  1428.12          LEBAN 0




                                                                                                                38-2099803 Department of the Treasury--Internal Revenue Service
Form W
                  2 Wage and Tax
                     Statement                                                              2009
                                            a Employee's social security number          Copy 1--For State, City, or Local Tax Department
1       22222                                                                            Copy D--For Employer.
                                                      1.1.51111111101111P                                                                                               OMB No. 1545 - 0008
     b Employer identification number (EIN)                                                               1 Wages, tips, other compensation            2 Federal income tax withheld

        31 - 6000846                                                                                                               132420.92                                   20009.43
     c Employer's name, address, and ZIP code                                                             3 Social security wages                      4 Social security tax withheld

      LEBANON CITY SCHOOL DISTRICT                                                                        5 Medicare wages and tips                    6 Medicare tax withheld
      700 HOLBROOK AVENUE
      LEBANON OH 45036                                                                                                             131726.69                                     1909.98
                                                                                                          7 Social security tips                       8 Allocated tips


     d Control number                                                                                    9 Advance EIC payment                     10 Dependent care benefits

       0000578
     e Employee's name, address, and ZIP code                                                           11 Nonqualified plans                      12a See instructions for box 12
                                                                                                                                                   c
                                                                                                                                                         C      !                  810.00
       MARK 0 NORTH                                                                                            =a
       1846 PRAIRIE CLOVER
                                                                                                        13              'Omni
                                                                                                                                     sled Arty     12b

                                                                                                                           X                      d
       LEBANON, OH 45036                                                                                                                          •
                                                                                                        14 Other                                  12c
                                                                                                                                                  c
                                                                                                                                                  .             I
                                                                                                                                                  12d
                                                                                                                                                  C
                                                                                                                                                  •             I


    15 Stale       Employer's state ID number               16 State wages, tips, etc.   17 State income tax       18 Local wages, tips, etc.    19 Local income tax          20 Locality name

_ OH           L      51-160101
                                                        -
                                                                         132420.92                   5881.11                   131738.44                            1290.30      LEBANO



                                                                                                                   38-2099803 Department of the Treasury--Internal Revenue Service

Form
                      F)  Wage and Tax
                   IM le. Statement                                                           2008
AladaNOM
                                                   a Employee's social security number       Copy 1--For State, City, or Local Tax Department
               22222                                         imiiiii
                                                                I  ,
                                                                                             Copy D--For Employer.                                                             OMB No. 1545 - 0008
            b Employer identification number (EIN)                                                            1 Wages, tips, other compensation               2 Federal income tax withheld

               31 - 6000846                                                                                                                124880.94                                  17984.84
            c Employer's name, address, and ZIP code                                                          3 Social security wages                         4 Social security tax withheld


             LEBANON CITY SCHOOL DISTRICT                                                                     5 Medicare wages and tips                       6 Medicare tax withheld
             700 HOLBROOK AVENUE
             LEBANON OH 45036                                                                                                              129234.98                                    1873.92
                                                                                                              7 Social security tips                          8 Allocated tips


            d Control number                                                                                  9 Advance EIC payment                       10 Dependent care benefits

              0000590
            e Employee's name, address, and ZIP code                                                        11 Nonqualified plans                         12a See instructions for box 12
                                                                                                                                                          c
                                                                                                                                                          ;     G      I                 5000.00
              MARK 0 NORTH
                                                                                                            13   AlP47.      F W;r°'"'"'
                                                                                                                             p               LIN dtrp     c b
                                                                                                                                                          12
              1846 PRAIRIE CLOVER
                                                                                                                                 X                        ; C          I                  506.25
              LEBANON, OH 45036
                                                                                                            14 Other                                      12c

                                                                                                                                                          .
                                                                                                                                                          C            I
                                                                                                                                                          12d
                                                                                                                                                          c



           15 State       Employer's state ID number            18 State wages, tips, etc.   17 State income tax       18 Local wages, tips, etc.       19 Local income tax          20 Locality name

           _ OH       L     51-160101                                       124880.94                    5564.93                       129234.98                           1268.61      LEBANO


                      I
                                                                                                                          38-2099803 Department of the Treasury--Internal Revenue Service
                  4.3 Wage and Tax
           Form W'2 Statement                                                                     2007
  a Control number                                    Copy 1—For State, City, or Local Tax Department
                                           22222      Copy D—For Employer.                                                                                      OMB No. 1545-0008
              0000558
  b Employer Identification number (EIN)                                                 1 Wages, tips, other compensation               2     Federal Income tax withheld

      31-6000846                                                                                                     107590.57                                          14724.73
  c   Employer's name, address, and ZIP code                                             3 Social security wages                         4     Social security tax withheld


      LEBANON CITY SCHOOL DISTRICT                                                       5 Medicare wages and tips                       6     Medicare tax withheld
      700 HOLBROOK AVENUE
      LEBANON OH 45036                                                                                               103577.77                                           1501.94
                                                                                         7 Social security tips                          8     Allocated tips


  d Employee's social security number                                                    9 Advance EIC payment                       10        Dependent care benefits


  e' Employee's name, address, and ZIP code                                             11 Nonqualified plans                        12a See instructions for box 12

                                                                                                                                             C      I                       371.25
      MARK 0 NORTH                                                                      13 statutory    Retirement     Third-party       12b
      1110 MAIN STREET APT 106                                                                                                       .
                                                                                                                                     0
      LEBANON, OH 45036                                                                                     x                        •
                                                                                        14 Other                                         12c

                                                                                                                                     a              1
                                                                                                                                      12d
                                                                                                                                     .
                                                                                                                                     a
                                                                                                                                     •              I
                                                                                                                                                        .,
                                                                                                                                                                                     .
15 State     Employer's state ID number        16 State wages, tips, etc. 17 State income tax      18 Local wages, tips, etc. 19 Local income tax                      20 Locality name

__CC .1 _ _ _ _   5.1. 21..QQ101
                     -                                     107590.57                 4809.67 .                   103577.77                              1017.06           LEBANO



                                                                           2                                          Ft
                                                                                                  39-1908647 Departmen of p e Treasury
                                                                                                                          thi                                            knR Sert
                                                                                                                                                             Internal Reve ue d ylice

       W-2               Wage and Tax                                                                                                              —




Form                     Statement                                                                                                                             Act Notice, see back.

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:145
posted:8/24/2012
language:Latin
pages:5