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This document is an employee's (Saul Davila) W-2 form from Temporary Alternatives, Inc. for the year 2010. It shows that Saul earned $1,406 in wages and had $82.14, $87.17, and $20.39 withheld for federal income, social security, and Medicare taxes respectively. It also provides the employer and employee's names, addresses, and other tax-related information.
This document is an employee's (Saul Davila) W-2 form from Temporary Alternatives, Inc. for the year 2010. It shows that Saul earned $1,406 in wages and had $82.14, $87.17, and $20.39 withheld for federal income, social security, and Medicare taxes respectively. It also provides the employer and employee's names, addresses, and other tax-related information.
Droits d'auteur :
Attribution Non-Commercial (BY-NC)
Formats disponibles
Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
This document is an employee's (Saul Davila) W-2 form from Temporary Alternatives, Inc. for the year 2010. It shows that Saul earned $1,406 in wages and had $82.14, $87.17, and $20.39 withheld for federal income, social security, and Medicare taxes respectively. It also provides the employer and employee's names, addresses, and other tax-related information.
Droits d'auteur :
Attribution Non-Commercial (BY-NC)
Formats disponibles
Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
a Employee's social security number 1 Wages, tips, other camp. 2 Federal income tax withheld
1406.00 82.14
456-93-9622 3 Social security wages 4 Social security tax withheld
b Employer 10 number (EIN) 1406.00 87.17
5 Medicare wages and tips 6 Medicare tax withheld
74-2837758 1406.00 20.39
c Employer's name, address, and ZIP code
TEMPORARY ALTERNATIVES, INC.
4900 N MESA STREET
EL PASO, TX 79912
d Control number 368
e Employee's name, address, and ZIP code
SAUL DAVILA
2315 TREMONT AVE.
EL PASO, TX 79930
7 Social security tips 8 Allocated tips 9 Advance EIC payment
0.00 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans , 2a Code See inst. for box 12
0.00 0.00
13 Statutory employee 14 Other 12b Code
Retirement plan 12c Code
Third-party sick pay 12d Code
T';{"IQ6-:.78.25~ 5-0 t 1406.00 [1 0.00
15 State Employer's state 1.0. no. 16 State wages, tips. etc. 17 State income lax
18 Local wages, tips, etc. 19 Local income tax 20 Locality name
- Form W·2 Wage and Tax Statement
This information is being furnished to the Internal Revenue Service.
Dept. of Ihe Treasury -- IRS
Copy C-For EMPLOYEE'S RECORDS 1 2010 OMB No.
(See Notice to Employee on the back of Copy B.) 1545-0008
a Employee's sodal security number 1 Wages, tips, other cornp. 2 Federal income lax withheld
1406.00 82.14
456-93-9622 3 Social security wages 4 Social security lax withheld
b Employer 10 number (EIN) 1406.00 87.17
74-2837758 5 Medicare wages and tips 6 Medicare lax withheld
1406.00 20.39
c Employer's name, address, and ZIP code
TEMPORARY ALTERNATIVES, INC.
4900 N MESA STREET
EL PASO, TX 79912
d Control number 368
e Employee's name, address, and ZIP code
SAUL DAVILA
2315 TREMONT AVE.
EL PASO, TX 79930
7 Social security tips 8 Allocated tips 9 Advance EIC payment
0.00 0.00 0.00
10 Oependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12
0.00 0.00
13 Statutory employee 14 Other 12b Code
Retirement plan 12c Code
Third-party sick pay 12d Code
~l~X_ .1 ~.~ .. I tJL:JL:J _~ __ te ~qUO.U '117 State income tax u.uu
15 State Emplover's state 1.0. no. a state waaes, lips, etc.
18 Local wages, tips, etc. 19 Local income tax 20 Locality name Form W-2 Wage and Tax Statement Dept. of the Treasury -- IRS
This information is being furnished to the IRS. If you are required to file a tax return, a negligence penalty/other sanction may be imposed on you if this income is taxable and you fail to report it.
Copy 2-To Be Filed With Employee's State, 12010 OMB No.
City, or Local Income Tax Return 1545-0008
a Employee's social security number 1 Wages, tips, other camp. 2 Federal income tax withheld
1406.00 82.14
456-93-9622
3 Social security wages 4 Social security tax withheld
b Employer 10 number (EIN) 1406,00 87.17
5 Medicare wages and tips 6 Medicare tax withheld
74-2837758 1406.00 20.39
c Employer's name, address, and ZIP code
TEMPORARY ALTERNATIVES, INC.
4900 N MESA STREET
EL PASO, TX 79912
d Control number 368
e Employee's name, address, and ZIP code
SAUL DAVILA
2315 TREMONT AVE.
EL PASO, TX 79930
7 Social security tips 8 Allocated tips 9 Advance EIC payment
0.00 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans 12a Code
0.00 0.00
13 StaMory employee 14 Other 12b Code
Retirement plan 12c Code
Third-party sick pay 12d Code
TX 106-782:'25-0 I. 1406.00t 0.00
•......
15 State Employer's state 1.0. no. 16 Stale wages, tips, etc. 17 State income tax
18 l.ocaI wages, tips, etc. 19 Local income lax 20 Locality name
- - -- - . __ Form W·2 Wage and Tax Statement
Dept. of the Treasury -- IRS
Copy 2-To Be Filed With Employee's State, 12010 OMB No.
City, or Local Income Tax Return 1545-0008
a Employee's social security number 1 Wages, tips, other cornp. 2 Federal income tax withheld
1406.00 82.14
456-93-9622 3 Social security wages 4 Social security tax withheld
b ~ 10 runber (ElN) 1406.00 87.17
74-2837758 5 Medicare wages and tips 6 Medicare tax withheld
1406.00 20.39
c Employer's name, address, and ZIP code
TEMPORA_R.Y l'-,LTERNATIVES, INC.
4900 N MESA STREET
EL PASO, TX 79912
d Control number 368
e Employee's name, address, and ZIP code
SAUL DAVILA
2315 TREMONT AVE.
EL PASO, TX 79930
7 Social security tips 8 Allocated tips 9 Advance EIC payment
0.00 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans 12a Code
0.00 0.00
13 Statutory employee 14 Other 12b Code
Retirement plan 12c Code
l
Third-party sick pay 12d C?de
i
TX roo ItlLJ. ::J I L'VU. v In Stat: ~~~~e tax v.vv
15 State Emplover's state 1.0. no. 16 State waaes, tijls, etc.
18 Local wages, tips, etc. 19 Local income tax 20 Locality name Form W·2 Wage and Tax Statement
Dept. of the Treasury -- IRS
------- _------------------------
Form W-2 Wa e and Tax Statement 2010
OMS No. 1545-0008
Control number
Employer identificat 8-1510762
Employer's name, address and zip code Kelly Services, Inc.
PO BOX 331179
DETROIT MI 48232-7179
Employee's SSN 456-93-9622
7 Social security tip
\---------------------------1 8 Allocated tips
Employee's first name and init SAUL J DAVILA
2315 TREMONT AVE
EL PASO TX 79930-1113
Last Name
Suffix
9 Advance EIC pay
12a
12b
12c
Employee's address and ZIP code
12d
15 State
Employer's State ID number
16 State wages, tips etc. 17 State income tax
This information is being furnished to the Internal Revenue Service
Form W-2 Wa e and Tax Statement 2010
OMS No. 1545-0008
Control number
Employer identifica 38-1510762
Employer's name, address and zip code Kelly Services, Inc.
PO BOX 331179
DETROIT MI 48232-7179
Employee's SSN 456-93-9622
7 Social security tip
\---------------------------1 8 Allocated tips Employee's first name and init
SAUL J DAVILA 2315 TREMONT AVE EL PASO TX 79930-1113
Last Name
Suffix
9 Advance EIC pay
12a
12b
12c
Employee's address and ZIP code
12d
15 State
Employer's State ID number
16 State wages, tips etc. 17 State income tax
This information is being furnished to the Internal Revenue Service
Form W-2 Wa e and Tax Statement 2010
OMB No. 1545-0008
Control number
Employer identifica 38-1510762
Employer's name, address and zip code Kelly Services, Inc.
PO BOX 331179
DETROIT MI 48232-7179
Employee's SSN 456-93-9622
7 Social security ti
f-----------------------------j 8 Allocated tips
Employee's first name and init Last Name Suffix
SAUL J DAVILA 2315 TREMONT AVE EL PASO TX 79930-1113
9 Advance EIC pa
12a
12b
12c
Employee's address and ZIP code
12d
Employer's State ID number
15 State
16 State wages, tips etc. 17 State income tax
This information is being furnished to the Internal Revenue Service
Form W-2 Wa e and Tax Statement 2010
OMS No. 1545-0008
Control number
Employer's name, address and zip code Kelly Services, Inc.
PO BOX 331179
DETROIT MI 48232-7179
Employee's SSN 456-93-9622
7 Social security t
\---------------------------1 8 Allocated tips
Employee's first name and lnit
Last Name
Suffix
9 Advance EIC pa
SAULJ DAVILA
2315 TREMONT AVE
EL PASO TX 79930-1113
12a
12b
12c
Employee's address and ZIP code
12d
15 State
Employer's State ID number
16 State wages, tips etc. 17 State income tax
_T_lIis inf~~~on is being furnished to the Internal Revenue Service
De artmen
De artme
De artme
t of the T reasu - Internal Revenue Service
ion number Copy 2 To Be Filed With Employee's State, Cily, or Local Income Tax
Return
1 Wages, tips, other compensation 2 Federal income tax withheld
1,696.26 128.32
s 3 Social security wages 4 Social security tax withheld
1,696.26 105.17
5 Medicare wages and tips 6 Medicare tax withheld
1,696.26 24.59
ment 10 Dependent care benefits 11 Nonqualified plans
13 Statutory Employee 0 14 Other
Retirement Plan D
Th ird-party sick pay 0
18 Local wages, tips etc. I 19 Local income tax 20 Locality name
I
nt of the Treasu y - Internal Revenue Service
tion number Copy2To Be FiIed\Mth Employee'sStm, City, orLocallnc:ome TaxReCum
1 Wages, tips, other compensation 2 Federal income tax withheld
1,696.26 128.32
s 3 Social security wages 4 Social security tax withheld
1,696.26 105.17
5 Medicare wages and tips 6 Medicare tax withheld
1,696.26 24.59
ment 10 Dependent care benefits 11 Nonqualified plans
13 Statutory Employee 0 14 Other
Retirement Plan D
Third-party sick pay 0
18 Local wages, tips etc. I 19 Local income tax 20 Locality name
I I
-_. ---- -- ----- - ----
nt of the T reasu - Internal Revenue Service
tion number COPY B To Be Filed With Employee's FEDERAL Tax Return
1 Wages, tips, other compensation 2 Federal income tax withheld
1,696.26 128.32
ps 3 Social security wages 4 Social security tax withheld
1,696.26 105.17
5 Medicare wages and tips 6 Medicare tax withheld
1,696.26 24.59
yment 10 Dependent care benefits 11 Nonqualified plans
13 Statutory Employee 0 14 Other
I Retirement Plan D
I Third-party sick pay 0
I
[18 Local wages, tips etc. [19 Local income tax 20 Locality name
I I
ent of the Treasu - Internal Revenue Service
ation number COPY C For Employee's Records (See Notice to Employee on back of
Copy B)
1 Wages, tips, other compensation 2 Federal income tax withheld
1 696.26 128.32
ips 3 Social security wages 4 Social security tax withheld
1,696.26 105.17
5 Medicare wages and tips 6 Medicare tax withheld
1,696.26 24.59
yment 10 Dependent care benefits 11 Nonqualified plans
I 13 Statutory Employee 0 14 Other
I Retirement Plan D
I Third-party sick pay 0
I
I 18 Local wages, tips etc. [1 9 Local income tax 20 Locality name
l L
Safe, accurate, .:w Ot> Visit the IRS Web ~ite
FAST! Use fl at www.irs.govlefile
Em20yee Reference COij
w- Wage and Tax 2 10
Statement
Coov C foremolovee's records. OMS No, 1545·0008
d Control number· i Dept. Corp. I Employer use only
002083 11/0TY 000002 A 6
c Employer's name, address, and ZIP code
FREIGHT EXCHANGE OF
NORTH AMERICA LLC
400 N NOBLE SUITE 210
CHICAGO IL 60622
Batch #02270
elf Employee's name, address, and ZIP code
SAUL DAVILA
2315 TREMONT AVE
EL PASO,TX 79930
b Employer's FEO 10 number a Employee's SSA number
81-0633867 456-93-9622
1 Wages, tips, other comp. 2 Federal income tax withheld
18220.54 1275.44
3 Social security wages 4 Social security tax withheld
18220.54 1129.67
5 Medicare wages and tips 6 Medicare tax withheld
18220.54 264.20
7 Social security tips 8 Allocated tips
9 Advance EIC payment 10 Dependent care benefits
11 Nonqualified plans 12a See instructions for box 12
I
14 Other 12b
12c I
12d I
13 Stat emPj Ret Planr party sicI: pa'j
l~tatel Employer's state ID no . 16 State wages, tips, etc.
17 State income tax 18 Local wages, tips, etc.
1 9 Local income tax 20 Locality name 1129.67
TIC State income Tax Box 17 ofW-2
SUI/SDI
Box 14 of W-2
2010 W-2 and EARNINGS SUMMARY
I
1 Wages, tips, other comp. 2 Federal income tax withheld I
18220.54 1275.44 I
I
3 Social security wages 4 Social security tax withheld I
18220.54 1129.67 I
I
5 Medicare wages and tips 6 Medicare tax withheld I
18220.54 264.20 I
d Control number I Dept. Corp. I Employer use only I
002083 11/0TY 000002 A 6 I
c Employer's name, address, and ZIP code I
FREIGHT EXCHANGE OF I
I
NORTH AMERICA LLC I
400 N NOBLE SUITE 210 I
CHICAGO IL 60622 I
I
I
I
I
b Employer's FED 10 number a Employee's SSA number I
81-0633867 456-93-9622 I
7 Social security tips 8 Allocated tips
9 Advance EIC payment 10 Dependent care benefits
11 Nonqualified plans 12a
I
14 Other 12b I
12c I
12d I
I 13 Stat emp'IRet Planl3rd party sick pay
elf Employee's name, address and ZIP code
I SAUL DAVILA
,
I 2315 TREMONT AVE
I
! EL PASO,TX 79930
1 \{tate I Employer's state ID no. 16 State wages, tips, etc.
17 State income tax 18 Local wages, tips, etc.
19 local income tax 20 Locality name
i
I T)(,State Reference C;06
W-2 Wage and Tax 2 10
~
I Statement RMB No 1545-0008
Copy 2to be filed with employee's State Income Tax Re urn. .
! This blue Earnings Summary section is included with your W-2 to help describe portions in more detail. The reverse side includes general information that you may also find helpful.
1. The following information reflects your final 2010 pay stub plus any adjustments submitted by your employer.
264.20
Wages, Tips, other Compensation Box 1 ofW-2
2. Your Gross Pay was adjusted as follows to produce your W-2 Statement.
Medicare Wages
Box 5 ofW-2
Social Security Wages
Box 3 ofW-2
TIC State Wages, Tips, Etc.
Box 16 ofW-2
Gross Pay
18220. 54 . Social Security Tax Withheld Box 4 of W-2
1275. 44 Medicare Tax Withheld Box6ofW-2
18,220.54 18,220.54
18,220.54 18,220_54
Fed. Income Tax Withheld Box2ofW-2
Gross Pay Reported W-2 Wages
18,220.54 18,220_54
3. Employee W-4 Profile. To change your Employee W-4 Profile Information, file a new W-4 with your payroll dept.
Social Security Number:456-93-9622 Taxable Marital Status: SINGLE
1 Wages, tips, other comp, 2 Federal income tax withheld I
18220_54 1275.44 !
3 Social security wages 4 Social security tax withheld I
18220.54 1129.67 i
5 Medicare wages and tips 6 Medicare tax withheld !
18220.54 264.20 i
d Control number I Dept Corp. I Employer use only I
i
002083 11/0TY 000002 A 6 ,
c Employer's name, address, and ZIP code i
,
FREIGHT EXCHANGE OF !
NORTH AMERICA LLC !
400 N NOBLE SUITE 210 1
CHICAGO IL 60622 !
,
I
I
b Employer's FED 10 number a temp 0~5e6 ~ 93~ 9622er
81-0633867 ;
7 Social security tips 8 Allocated tips I
!
9 Advance EIC payment 10 Dependent care benefits i
!
11 Nonqualified plans 12a See instructions for box 12 !
I !
14 Other 12b I !
!
12c I I
12d I !
13 Stat em4Ret plan 13rd party sick pay I
elf Employee's name, address and ZIP code
SAUL DAVILA
2315 TREMONT AVE
EL PASO,TX 79930
15rXtatei Employer's state 10 no. 16 State wages, tips, etc.
17 State income tax 18 Local wages, tips, etc,
19 Local income tax 20 Locality name
Federal Filing Copy
W-2 Wage and Tax 2010
Statement 'fiilft No 1545·0008
Copy B to be filed with employee's Federal lncome Tax e urn .. 3 Social security wages 18220.54
4 Social security tax withheld 1129.67
5 Medicare wages and tips 18220.54
6 Medicare tax withheld 264.20
d Control number I Dept
002083 11/0TY 000002
Corp. I Employer use only
A 6
c Employer's name, address, and ZIP code
FREIGHT EXCHANGE OF NORTH AMERICA LLC 400 N NOBLE SUITE 210 CHICAGO IL 60622
b Employer's FEO 10 number 8 Employee's SSA number