b'W-2 PRE-PRINTED & BLANK FORMSPressure Seal W-2 Forms\x01\x01\x01 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. \x01 APEX PS1280Z 1A 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. S 8510 20 2060 32B 6 APEX LW2PS\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01\x01 \x01\x01\x01\x01 \x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01\x01 \x01\x01\x01\x01 \x01\x01\x01\x01 \x01\x01\x01\x01 \x01\x01 \x01\x01 \x01\x01 OMB No. 1545-0008 1Wages, tips, other compensation 2Federal income tax withheld OMB No. 1545-0008 1Wages, tips, other compensation 2Federal income tax withheld\x01\x01 \x01\x01 \x01\x01 \x01\x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01\x01\x01\x01\x01\x01 EMPLOYEES 5Medicare wages and tips 6Medicare tax withheld To EBe mpFiled loyeesWith 5Medicare wages and tips 6Medicare tax withheld\x01 \x01\x01 \x01\x01\x01\x01\x01\x01 \x01\x01 \x01\x01 \x01\x01 \x01\x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 c RECORDS c Tax Return\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01 A COPY C - For 3Social security wages 4Social security tax withheld COPY B - 3Social security wages 4Social security tax withheld\x01\x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 (SeeFEDERAL\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01\x01 \x01\x01 \x01\x01\x01\x01 \x01\x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 on the Notice back to of EmployeeCopy B.) Employers name, address, and ZIP code\x01\x01 \x01\x01 \x01\x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01\x01 Employers name, address, and ZIP code\x01\x01\x01\x01 \x01\x01 \x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01 \x01\x01 \x01\x0185107086 7 a Social security tips number 8Allocated tips 13 1 C 1 d d e d o o d e e 2a e Sm See instructions for box 12 R 1 9 7 a b Social security tips number (EIN) 10 8Allocated tips 1 C C 12a C C d o e d o e o e d o d e em See instructions for box 12 p9 10Dependent care benefits C 2b Dependent care benefits 12b1Nonqualified plans 14Other 12c C o Nonqualified plans 14Other 12cbEmployer identification number (EIN) 1 C o e 2d Employer identificationnumber 13 2d Staptulotoyreye Rlaetnirement Thirdpay-partyEmployees social securitytaptulotoyreyeplaentirement Thirdpay-party Employees social securitysick sick A S2035eEmployees name, address, and ZIP code eEmployees name, address, and ZIP code1A dOMB1Wages, tips, other compensationDepartment of the 2 Treasury Service OMB No. 1545-0008 d 1Wages, tips, other compensationDepartment of the 2 Treasury ServiceControl No. number1545-0008 Federal income Internaltax Revenue withheld Control number Federal income Internaltax Revenue withheld3Social security wages 4Social security tax withheld 3Social security wages 4Social security tax withheld5Medicare wages and tips 6Medicare tax withheld 5Medicare wages and tips 6Medicare tax withheld 15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 15StateEmployers state ID number 16State wages, tips, etc. 17State income taxcEmployers name, address, and ZIP code cEmployers name, address, and ZIP code18Local wages, tips, etc. 19Local income tax 20Locality name 18Local wages, tips, etc. 19Local income tax 20Locality nameC e o d Employer identification number (EIN) C e d o a C C o o e d e d 2d 12b b C e o d Employer identification number (EIN) 12c C e d o a 12d C C e o o d e d security number areimposed onTreasuryIRS 1 3 to theW-2 Wage and Tax Statement 4 2 Dept. of the TreasuryIRS This information being 1 3 FormW-2 Wage and Tax Statement 2 4 Dept. of the TreasuryIRS7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9 This information is being furnishedFormInternalyou or other Service. sanctionit. If may 2024 furnished to the is Service. Form2024required to filetaxable penalty Revenueto reportyou Internal Revenue 10Dependent care benefits 1Nonqualified plans 12a 10Dependent care benefits 1Nonqualified plans 12a Dept. of theyou a if tax this return, income a negligence isandfailDept. of the TreasuryIRSbe 12b 12c 1 OMB No. 1545-0008 Form W-2 Wage and Tax Statement 2024 OMB No. 1545-0008 W-2 Wage and Tax Statement 2024COPY 2 - Wages, tips, other compensation Federal income tax withheld COPY 2 - Wages, tips, other compensation Federal income tax withheldb Employees social security number Employees socialTo Be Filed With Social security wages Social security tax withheld To Be Filed With Social security wages Social security tax withheldR plaetnirement sick14Other 13 em Rleatnirement p Thirdpay-party 14Other O Employees5Medicare wages and tips 6Medicare tax withheld Employees5Medicare wages and tips 6Medicare tax withheld O13Statulotoyerye Thirdpay-party Staptulotoyerye sickCity, or LocalTax ReturnState, City, or LocalTax State,Returnemp IncomeIncome G cEmployers name, address, and ZIP code cEmployers name, address, and ZIP code GeEmployees name, address, and ZIP code eEmployees name, address, and ZIP codeLW2PS1 7Social security tips 14 8Allocated tips C C C 12a d e o e d o o d e e d 3 em R pleantirement Thirdpay-party 1 9 7 a b Social security tips number (EIN) 10 8Allocated tips C C 1 12a C C o e d e o d e o o d e d e Sm taptuloyetory pl Reantirement Thirdpay-partyForm 15StateEmployers state ID number 16State wages, tips, etc. Form 15StateEmployers state ID number 16State wages, tips, etc. 9 10Dependent care benefits 1 C 2b Dependent care benefits 2b8510007086 2024. - 0667W-2 17State income tax 18Local wages, tips, etc. W-2 17State income tax 18Local wages, tips, etc. Nonqualified plans Other 12c o Nonqualified plans 14Other 12cWage and Tax Wage and Tax bEmployer identification number (EIN) 12d Employer identification12dStatement Statement2024 19Local income tax 20Locality name 2024 19Local income tax 20Locality name aEmployees social security number 1Staptulotoyreye sickEmployees social security number 13 sick O G d Em Control number 1Wages, tips, other compensationDepartment of the 2 Treasury Service Em Control informationfurnishedyou Service.if2If you are requiredO G eEmployees name, address, and ZIP code eEmployees name, address, and ZIP code Eccentric Coppyl o2y e- eTsoSBteat eFi,l eCdit yW, iothr Local Income Tax Return. Coppyl o2y e- eTsoSBteat eFi,l eCdit yW, iothr Local Income Tax Return.OMB No. 1545-0008 Federal income Internaltax Revenue withheld Thisnumber Wages,this income taxable dnegligence penalty is or being other 1 sanction tips, to may the other be Internal imposed compensationRevenue onFederal isincome and tax to withheldfile you a fail tax to return, report ait.This information to the is being3 5 Social security wages 4 6 Social security tax withheld OMB No. 1545-0008 3 5 Social security wages 4 6 Social security tax withheld 15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 15StateEmployers state ID number 16State wages, tips, etc. 17State income tax ZFoldfurnishedMedicare wages and tips Medicare tax withheld Medicare wages and tips Medicare tax withheldInternal Revenue Service.cEmployers name, address, and ZIP code cEmployers name, address, and ZIP code 18Local wages, tips, etc. 19Local income tax 20Locality name 18Local wages, tips, etc. 19Local income tax 20Locality name7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 9b 10Dependent care benefits C 12c 1 o d e Nonqualified plans a 1 C C 12a o o d d e e See instructions for box 12 b 10 C e d o Dependent care benefits 12c C 1 d o e Nonqualified plans a 1 1 C C d e o d e o 2aSee instructions for box 12 SEE REVERSE SIDE FOR OPENING INSTRUCTIONS12b C o d e Employer identification number (EIN) 2d 12b Employer identification number (EIN) 2dEmployees social security number Employees social security number13Sme taptulotoyreye Rleantirement p Thirdpay-party 14Other 13Sme taploye Retirement sick14Othersicktutory plan Thirdpay-partyPRINTED IN USAeEmployees name, address, and ZIP code eEmployees name, address, and ZIP codeForm 15StateEmployers state ID number 16State wages, tips, etc. Form 15StateEmployers state ID number 16State wages, tips, etc. IMPORTANT TAX RETURN DOCUMENT ENCLOSEDPROOF #1 PROOF #1W-2 17State income tax 18Local wages, tips, etc. W-2 Tax 17State income tax 18Local wages, tips, etc.MW1280ZStatement Wage Wage and Tax Statemand ent8510007086 Copy B- To Be Filed With Employees FEDERAL Tax Return. Copy C- For EMPLOYEES RECORDS (See Notice to Employee on the back ofRevenue Service APEX PS1279 85100206062024 19Local income tax 20Locality name 2024 19Local income tax 20Locality nameDepartment of the TreasuryInternal Copy B.)FACE PERFS AS MARKED; LINES SCREENED 50%, SCREEN 10%, PANTO 30%. FACE; PERF AS SHOWN; SCREEN 10%A 85102754 S20351AO OG GW2-COPY B W2-COPY CPRINTED IN USAMW1279 Eccentric ZFoldBlank face with backer instructionsAPEX - Sheets per packTFP - Forms per pack500s500sFORM DESCRIPTIONPS1280ZN/A14" W-2 Employees 4-Up BoxCopy B, C, 2, 2EZ-Fold Duplex1 Page Equals 1 FormPS1279N/A14" Blank W-2 4-Up Box With Backer InstructionsEZ-Fold Duplex1 Page Equals 1 FormLW2PSN/A14" W-2 Employees 4-Up BoxCopy B, C, 2, 2EZ-Fold Duplex1 Page Equals 1 Form38'