b'W-2 PRE-PRINTED & BLANK FORMSPressure Seal W-2 FormsThis proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully. APEX PS1286 This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully. APEX LW287PS1A Form W-2WageTax 2024 7Social securityOMB No. 1545-0008 1 3Social security wages Department of the Treasury 2 4 InternalRevenue Service TFP 5228 1A8063104/109567Wages, tips, other compensation Federal income tax withheldStatemand entA Copy BToBe is Filed being With furnished Employees to the Internal FEDERAL Revenue Tax Return.Service. tips Social security tax withheldS2032BThis information cEmployers name, address, and ZIP code 8Allocated tips 5Medicare wages and tips 6Medicare tax withheld9 10Dependent care benefits 1Nonqualified plans12a C d e o C o e d b See instructions for box 12 1 1 C e o d 3 2b a Staptutory plaetnirementR Thirdpay-party 1 1 C o d e 4 2c OthereEmployees name, address, and ZIP code 12d em sick Employer identification number (EIN) Employees social security number15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameDepartment ofFederal income tax withheld S14EZ0731Wages, tips, other compensation 2 the TreasuryInternalRevenue ServiceCopy C W-2WageTax (See Notice to 2024 7 OMB No. 1545-0008 3Social security wages 4Social security tax withheld FormW-2 Wage and Tax Statement 2024 OMB No. 1545-0008 1 Wages, tips, other compensation 2 Federal income tax withheldForm For Statemand ent Social security tips c Employers name, address, and ZIP code 7 Social security tips 3 Social security wages 4 Social security tax withheldc Employeeon the EMPLOYEES8Allocated tips 5Medicare wages and tips 6Medicare tax withheld 8 Allocated tipsback of Copy RECORDS B.)Employers name, address, and ZIP code9 10Dependent care benefits 1Nonqualified plans 9 5 Medicare wages and tips 6 Medicare tax withheld1 C o e d b 2aSee instructions for box 12 12b C o e d a R Thirdpay-party 12c C d o e Other O G e Employees name, address, and ZIP code 10 Dependent care benefits S p Thirdpay-party 11 Nonqualified plans C C C C o d e o e d o e d d e o 12a G Ob Employer identification number (EIN) 14 Other 12beEmployees name, address, and ZIP code 1 C o d e 2d Employer identification number (EIN) 13Sme taptutory pleatnirement sick14 a Employees social security number 12cEmployees social security numberrequiredService. If you are 13 em tatpulotoeyrye Rlaetnirement sick12dThis information to on file you a is if tax this being return, income furnished a negligence is taxable to the and Internal penalty you or Revenue fail other to report sanction it. may beimposed 15 State Employers state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19 20Locality Copy 2To Wage and Tax 2024 7 OMB No. 1545-0008 3 1 Social security wages Local income of the taxTreasuryInternal 2 4 Revenue nameService Copy 2ToBe Filed With Employees State, City, or Local Income Tax Return 1 Wages, tips, other compensation Dept. of the Treasury - IRSDepartment Wages, tips, other compensation Federal income tax withheldForm W-2 Statement Social security tips Social security tax withheld OMB No. 1545-0008 2 Federal income tax withheldBe Filed With Employees State, City, or Localc Income Tax Return. 8Allocated tips 5Medicare wages and tips 6Medicare tax withheld FormW-2 Wage and Tax Statement 2024 7 Social security tips 3 Social security wages 4 Social security tax withheldEmployers name, address, and ZIP codeO 9 10Dependent care benefits 1Nonqualified plans O c Employers name, address, and ZIP code 8 Allocated tipsG eEmployees name, address, and ZIP code 12a C o e d C e o d bEmployer identification number (EIN) 1 13 C e d o 2b a e Sm taptutory pleatnirementR Thirdpay-party 14 1 C e o d 2c Other G e Employees name, address, and ZIP code 9 10 Dependent care benefits 5 Medicare wages and tips C C d o e e d o 6 Medicare tax withheld12d sickb Employer identification number (EIN) 11 Nonqualified plans 12aEmployees social security number 14 Other 12ba Employees social security number t p C C d e o d o e 12c13 e Sm aptulotoyerye Rlaentirement Thirdpay-party 12dsick 15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19 20Locality name 15 State Employers state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality nameCopy 2 Wage and Tax 2024 7 OMB No. 1545-0008 1 3Social security wages Local income of2 4 taxTreasuryInternalRevenue Service Copy2To Be Filed with Employees State, City, or Local Income Tax Return Dept. of the Treasury - IRSWages, tips, other compensation theFederal income tax withheldDepartment Form W-2 Statement Social security tips Social security tax withheldPRINTED IN USAc ToReturn. 8Allocated tips 5Medicare wages and tips 6Medicare tax withheld This information is being furnished to may the Internalrequired to file you a fail tax to return, report ait. OMB No. 1545-0008 1 Wages, tips, other compensation 2 Federal income tax withheldIncome TaxBe Filed With Employees State, City, or Local negligence penalty or other sanctionbe imposed Revenue on you Service. if this income If you are is taxable and7 Social security tipsEmployers name, address, and ZIP code FormW-2 Wage and Tax Statement 2024 8 Allocated tips 3 Social security wages 4 Social security tax withheld9 10Dependent care benefits 1Nonqualified plans c Employers name, address, and ZIP codeeEmployees name, address, and ZIP code 1 12a C o e d C d e o bEmployer identification number (EIN) 12b 1 C d o e 3 a em p RlaentirementThirdpay-party 1 12c C e d o 4Other e Employees name, address, and ZIP code 9 10 Dependent care benefits 1 5 Medicare wages and tips C C o e d o e d 6 Medicare tax withheld2d Staptutory sickNonqualified plans 12a See instructions for box 126 128 MW 8510021792 2024 RR Donnelley - 0667Employees social security number b Employer identification number (EIN) 14Other 12ba Employees social security number C d o 12c15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality name 13Statpulotoyreye Rleatnirement p Thirdpay-party C e o d e 12dem sick 15 State Employers state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality nameFROM:Copy CForEMPLOYEES RECORDS (See Notice to Employee on the back of Copy B.) Dept. of the Treasury - IRSOMB No. 1545-0008FormW-2 Wage and Tax Statement 2024 7 Social security tips 1 Wages, tips, other compensation 2 Federal income tax withheldPROOF 1 SEE REVERSE INSTRUCTIONSSIDE FOR OPENINGPROOF 1c Employers name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld9 5 Medicare wages and tips 6 Medicare tax withheldImportant Tax Document Enclosed First-Class Mail 10 Dependent care benefits 1Nonqualified plans C o e d 12a See instructions for box 12806314/1095979 APEX PS1288 e Employees name, address, and ZIP code b Employer identification number (EIN) e R 14Other C C C o e d e d o d o e 12b APEX LW287PSB1A a Employees social security number 12c13Stmatpulotoyerye pleatnirement Thirdpay-party 12dsick 8510020054 TFP 5227 8510021792 15 State Employers state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality nameCopy BToBe Filed With Employees FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. Dept. of the Treasury - IRSFACESCREEN 10% & 30% FACE SCREEN 10%, 20% & 30% (PANTO); PERFS AS MARKED.S14EZ073O OG G8 8 2 1 PS 227/ 5 8710039512 2021 RR Donnelley. All rights reserved. - 0221FROM:SEE REVERSE INSTRUCTIONS SIDE FOR OPENINGImportant Tax Document Enclosed First-Class MailEccentricEccentric ZFold ZFoldBlank face with backer instructions Blank face with backer instructionsAPEX - Sheets per packTFP- Forms per pack500s500sFORM DESCRIPTIONPS1288522714" Blank W-2 Employees 4-Up HorizontalBlank with Backer Instructions B,C,2, 2EZ-Fold Simplex1 Page Equals 1 FormPS1286522814" W-2 Employees 4-Up HorizontalCopy B, C, 2, 2EZ-Fold Simplex1 Page Equals 1 FormLW287PSN/A14" W-2 Employees 4-Up HorizontalCopy B, C, 2, 2EZ-Fold Simplex1 Page Equals 1 FormLW287PSBN/A14" Blank W-2 Employees 4-Up Horizontal With Backer InstructionsEZ-Fold Simplex1 Page Equals 1 Form37'