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2011 W-2 2011 W-2 - 1099 Lite

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2011 W-2 2011 W-2 - 1099 Lite Powered By Docstoc
					                                          a Employee's social security number         For Official Use only
      22222                               459-44-9873                                 OMB No. 1545-0008
 b Employer identification number                                                                     1 Wages, tips, other compensation                2 Federal income tax withheld
   74-9876135                                                                                                 130000.00
 c Employer's name, address and ZIP code                                                              3 Social security wages                          4 Social security tax withheld
   WILLIAMS-JOHNSON LLC                                                                                       106800.00                                          6621.60
   ATTN: PAYROLL DEPT.                                                                                5 Medicare wages and tips                        6 Medicare tax withheld
   23565 LEXINGTON, BLDG                                                                                      130000.00                                          1885.00
   ARLINGTON, VA 34788-2478                                                                           7 Social security tips                           8 Allocated tips


 d Control number                                                                                     9                                                10 Dependent care benefits
   782
 e Employee's first name and initial             Last name                                            11 Nonqualified plans                            12a See Instructions for box 12
   ROBERT R                                         SMITH, JR.                                                                                         D                  3788.44
                                                                                                      13   Statutory    Retirement       Third-party   12b
                                                                                                           employee     plan             sick pay

   APT NO. 33
   4771 WESTHEIMER ST.                                                                                14 Other                                         12c
   HOUSTON, TX 78433
                                                                                                                                                       12d


  f Employee's address and ZIP code
 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




                      Wage and Tax                                                                                                   Department of the Treasury---Internal Revenue Service
                                                                                                                                                  For Privacy Act and Paperwork Reduction
Form    W-2           Statement                                                        2011                                                                 Act Notice, see back of Copy D.
Copy A For Social Security Administration--Send this entire page with
Form W-3 to the Social Security Administration; photocopies are not acceptable.
                                                                                       1129

                         D o N o t C u t, F o l d, o r S t a p l e F o r m s o n T h i s P a g e


                                          a Employee's social security number         For Official Use only
      22222                               456-44-9988                                 OMB No. 1545-0008
 b Employer identification number                                                                     1 Wages, tips, other compensation                2 Federal income tax withheld
   74-9876135                                                                                                    87422.44                                        8733.33
 c Employer's name, address and ZIP code                                                              3 Social security wages                          4 Social security tax withheld
   WILLIAMS-JOHNSON LLC                                                                                          87422.44                                        5420.19
   ATTN: PAYROLL DEPT.                                                                                5 Medicare wages and tips                        6 Medicare tax withheld
   23565 LEXINGTON, BLDG                                                                                         87422.44                                        1267.63
   ARLINGTON, VA 34788-2478                                                                           7 Social security tips                           8 Allocated tips


 d Control number                                                                                     9                                                10 Dependent care benefits
   7844
 e Employee's first name and initial             Last name                                            11 Nonqualified plans                            12a See Instructions for box 12
   JAMES K                                          ROTH, III                                                                                          D                  7844.44
                                                                                                      13   Statutory    Retirement       Third-party   12b
                                                                                                           employee     plan             sick pay



   385 SOUTH RICHARDSON AVE.                                                                          14 Other                                         12c
   DALLAS, TX 75344
                                                                                                                                                       12d


  f Employee's address and ZIP code
 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




                      Wage and Tax                                                                                                   Department of the Treasury---Internal Revenue Service
                                                                                                                                                  For Privacy Act and Paperwork Reduction
Form    W-2           Statement                                                        2011                                                                 Act Notice, see back of Copy D.
Copy A For Social Security Administration--Send this entire page with
Form W-3 to the Social Security Administration; photocopies are not acceptable.
                                                                                       1129

				
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