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Form W-2 Wage and Tax Statement 2018 $2865.84 $321.91 $0.00
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld 10 Dependent care benefits
$0.00 $0.00 $0.00
REGAL HOSPITALITY SOLUTIONS LLC 5 Medicare wages and tips 6 Medicare tax withheld 11 Nonqualified plans
4736 W NAPOLEON AVE $0.00 $0.00 $0.00
SUITE 201
7 Social Security tips 8 Allocated tips 12a See instructions for box 12
METAIRIE, LA 70001
$0.00 $0.00 $0.00
e Employee’s name, address, and ZIP code 13 Statutory Retirement Third-party 14 Other 12b
employee Plan sick pay
$0.00
HERRERA NUNEZ, OSCAR M.
a Employee’s social security number 12c
5010 W LOOP 250 N
11C XXX-XX-7705 $0.00
MIDLAND, TX 79707 b Employer’s identification number (EIN) 12d
45-4644622 $0.00
d Control number
589915
15 State 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
TX 00000 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
Copy B—To Be Filed With Employee’s Federal Tax Return Department of the Treasury-IRS
1 Wages, tips, other comp. 2 Federal income tax withheld 9 Verification code
Form W-2 Wage and Tax Statement 2018 $2865.84 $321.91 $0.00
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld 10 Dependent care benefits
$0.00 $0.00 $0.00
REGAL HOSPITALITY SOLUTIONS LLC 5 Medicare wages and tips 6 Medicare tax withheld 11 Nonqualified plans
4736 W NAPOLEON AVE $0.00 $0.00 $0.00
SUITE 201
7 Social Security tips 8 Allocated tips 12a See instructions for box 12
METAIRIE, LA 70001
$0.00 $0.00 $0.00
e Employee’s name, address, and ZIP code 13 Statutory Retirement Third-party 14 Other 12b
employee Plan sick pay
$0.00
HERRERA NUNEZ, OSCAR M.
a Employee’s social security number 12c
5010 W LOOP 250 N
11C XXX-XX-7705 $0.00
MIDLAND, TX 79707 b Employer’s identification number (EIN) 12d
45-4644622 $0.00
d Control number
589915
15 State 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
TX 00000 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
Copy 2—To Be Filed With Employee’s State, City, or Local Income Tax Return Department of the Treasury-IRS