b'W-2 PRE-PRINTED FORMSPackaged Laser Sets520122222 VOID aEmployees social security number For Ofcial Use Onlyb OMB No. 1545-00292 Federal income tax withheld 66661 or 66662 1 Wages, tips, other compensationcEmployers name, address, and ZIP code 3 Social security wages 4 Social security tax withheld5 Medicare wages and tips 6 Medicare tax withhelddControl number 7 Social security tips 8 Allocated tips Safe, accurate,Visit the IRS website at5202910aEmployees social security number OMB No. 1545-0029 FAST! Use www.irs.gov/ele e Last name Suff.11b Third-party12a C C doe See instructions for box 12 1 Wages, tips, other compensation 2 Federal income tax withheld13StatutorycEmployers name, address, and ZIP code doe 3 Social security wages 4 Social security tax withheldemployee Retirementsick pay 12bplan14Other 12c C oe 5 Medicare wages and tips 6 Medicare tax withheldd 12d C oe 7 Social security tips 8 Allocated tipsd fEmployees address and ZIP code 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name Suff. 9 employee b plan sick pay 10C C ddooe e aEmployees social security number OMB No. 1545-0029 This information is being furnished to the Internal Revenue Service. If you5203 15StateEmployers state ID number dControl numbereEmployees name, address, and ZIP code 1112aSee instructions for box 1213StatutoryRetirementThird-party12b may be imposed on you if this income is taxable and you fail to report it.Form W-2 Wage and Tax Statement 2025 Department of the TreasuryInternal Revenue Service14Other 12c C doe 1 Wages, tips, other compensation 2 Federal income tax withheldFor Privacy Act and Paperwork Reduction Copy AFor Social Security Administration. Send this entire page with Act Notice, see the separate instructions. Form W-3 to the Social Security Administration; photocopies are not acceptable. 41-0852411 cEmployers name, address, and ZIP code12d C doe 3 Social security wages 4 Social security tax withheldDo Not Cut, Fold, or Staple Forms on This Page 5 Medicare wages and tips 6 Medicare tax withheld15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 7 Social security tips 8 Allocated tips22222 VOID aEmployees social security number For Ofcial Use Only dControl number 9 10 b OMB No. 1545-0008Form 2 Federal income tax withheld 2025 eEmployees name, address, and ZIP code Suff.11Statutory 22222Third-party12a C C dooe e See instructions for box 12 OMB No. 1545-00292 Federal income tax withheld 5204 1 Wages, tips, other compensationcEmployers name, address, and ZIP code W-2 Wage and Tax Statement Department of the TreasuryInternal Revenue Service employee b Retirementsick pay VOID12b daEmployees social security number 1 Wages, tips, other compensation3 Social security wages 4 Social security tax withheldCopy BTo Be Filed With Employees FEDERAL Tax Return.13 planThis information is being furnished to the Internal Revenue Service.5 Medicare wages and tips 6 Medicare tax withheld14Other 12c C oe 3 Social security wages 4 Social security tax withheld7 Social security tips 8 Allocated tips Visit the IRS website atcEmployers name, address, and ZIP code12d C ddoe 5 Medicare wages and tips 6 Medicare tax withhelddControl number 910aEmployees social security number Safe, accurate,www.irs.gov/ele e Last name 11b Third-party12a C C doe See instructions for box 12 OMB No. 1545-0008 FAST! Use Employers state ID number2 Federal income tax withheld16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 7 Social security tips 8 Allocated tipsSuff. 1 Wages, tips, other compensation15State13StatutorycEmployers name, address, and ZIP code C ddooe e 3 Social security wages 4 Social security tax withheld dControl number Safe, accurate,Suff. 9 10C doe See instructions for box 12 DO NOT STAPLE 5200 employee Retirementsick pay 12bplandControl number 12d C doe 20Locality name 9 Form W-2 Wage and Tax Statement 2025 Department of the TreasuryInternal Revenue Service 13Statutory 33333 a Control number12b C C ddooe e Military 943 For Ofcial Use Only: None apply 501c non-govt. Federal govt. Third-party 14Other 12c 5 Medicare wages and tips 6 Medicare tax withheld eEmployees name, address, and ZIP code 1112aCopy CFor EMPLOYEES RECORDS (Seeplan sick pay7 Social security tips 8 Allocated tips Notice toFAST!Use employee RetirementThird-partyOMB No. 1545-0008Employee on the back of Copy B.) fEmployees address and ZIP code 10or Cop Taxy 2 to be Filed With 14Other b Kind of Payer941 12c Hshld.govt. emp. 944 Kind of EmployerState/localState/local 501c sick pay Employees State, City or Local IncomeReturn15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax (Check one) emp. Medicare(Check one) non-501c applicable) (Check if Wage and Tax Statement eEmployees name, address, and ZIP code Suff.11b sick pay 12aSee instructions for box 12 C C C ddooe e OMB No. 1545-0008 This information is being furnished to the Internal Revenue Service. If you17State income tax 18Local wages, tips, etc. e CT-112d C doe d Establishment number 1 Wages, tips, other compensation 2 Federal income tax withheld13StatutoryRetirementThird-party12b aEmployees social security number c Total number of Forms W-2Form W-2 2025 Department of the TreasuryInternal Revenue Serviceemployee plan 12c doe may be imposed on you if this income is taxable and you fail to report it. fEmployers name 19Local income tax 20Locality name 3 Social security wages 4 Social security tax withheld15StateEmployers state ID number 16State wages, tips, etc.Copy AFor Social Security Administration. Send this entire page withFor Privacy Act and Paperwork Reduction14Other 1 Wages, tips, other compensation 2 Federal income tax withheld 5 Medicare wages and tips 6 Medicare tax withheldForm W-3 to the Social Security Administration; photocopies are not acceptable. 41-0852411Act Notice, see the separate instructions. 5201 cEmployers name, address, and ZIP code12d C oe 3 Social security wages 4 Social security tax withheld Department of the TreasuryInternal Revenue Service7 Social security tips 8 Allocated tips15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax d20Locality name Form W-2 Wage and Tax Statement 2025 For Privacy Act and Paperwork Reduction9 10 5 Medicare wages and tips 6 Medicare tax withheld7 Social security tips State, orLocalTaxDepartment Act Notice, see separate instructions.Copy1For Employer.City, 8 Allocated tipsCopyDFordControl number 9 101112a Deferred compensationDepartment of the TreasuryInternal Revenue Service g Other EIN used this year Employers address and ZIP codeForm W-2 Wage and Tax Statement 2025 eEmployees name, address, and ZIP code 5202 Suff.11Statutory22222 Third-party12aSee instructions for box 12 C C ddooe e OMB No. 1545-000815 State h Employers state ID number 13 For third-party sick pay use only 12bCopy BTo Be Filed With Employees FEDERAL Tax Return.13 employee Retirementsick pay VOID12b aEmployees social security number 14 Income tax withheld by payer of third-party sick payThis information is being furnished to the Internal Revenue Service. plan14Other b 12c C doe 1 Wages, tips, other compensation 2 Federal income tax withheld 18 Local wages, tips, etc. 19 Local income tax16 State wages, tips, etc. 17 State income taxcEmployers name, address, and ZIP code12d C oe 3 Social security wages 4 Social security tax withheld Employers telephone numberEmployers contact persond5 Medicare wages and tips 6 Medicare tax withheld Employers email addressEmployers fax number15StateEmployers state ID number 16State wages, tips, etc.17State income tax 18Local wages, tips, etc.19Local income tax 20Locality name 7 Social security tipsUnder penalties of perjury, I declare8 Allocated tips that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and dControl number 9 complete. 10Title: Date:Signature:Form W-2 Wage and Tax Statement 2025 eEmployees name, address, and ZIP code Suff.11Form W-3 Transmittal of Wage and Tax Statements C doe 2025 Department of the Treasury Department of the TreasuryInternal Revenue Service 12aSee instructions for box 12 Internal Revenue ServiceNotice toSafe, accurate,5203 13 Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA). C doeCopy CFor EMPLOYEES RECORDS (See or Cop Taxy 2tReturn FAST!Use StatutoryRetirementThird-party12bEmployee on the back of Copy B.)o be Filed With employee plan sick payEmployees State, City or Local Income 14Other Photocopies are not acceptable. Do not send Form W-3 if you led electronically with the SSA.C oeDo not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.Reminder 12c d Separate instructions. See the 202 C doe 5 General Instructions for Forms W-2 12dW-3 for Form(s) W-2 that were submitted electronically to the SSA.15StateEmployers state ID number 16State wages, tips, etc.17State income tax Purpose of Form 20Locality name18Local wages, tips, etc.19Local income taxpaper forms must notcomply with IRS standards and be machine readable. Photocopies are acceptable. Use a Form W-3 even if only one Form W-2 Wage and Tax Statement 2025 number (EIN). Make a copy of this form and keep it with Copy D (For Department of the TreasuryInternal Revenue Service For Privacy Act and Paperwork Reduction Copy1ForState,City,orLocalTaxDepartment Employer) of Form(s) W-2 for your records. The IRS recommendsWhen To File Paper FormsCopyDForEmployer. Act Notice, see separate instructions.5204 Mail Form W-3 with Copy A of Form(s) W-2 by February 02, 2026.retaining copies of these forms for at least 4 years.E-FilingThe SSA strongly suggests employers report Form W-3 and Forms W-2Where To File Paper FormsCopy A electronically instead of on paper. The SSA provides two freeSend this entire page with the entire Copy A page of Form(s) W-2 to:W-2 Online.toSocial Security Administration50 Forms W-2 at a time to the SSA. Direct Operations CenterFile Upload. Wilkes-Barre, PA 18769-0001Specications for Filing Forms W-2 Electronically (EFW2) .the SSAsusing18769-0002. If you use an IRS-approved private delivery service, add Note: February 02, 2026. For more information, go to www.SSA.gov/bso. ATTN: W-2 Process, 1150 E. Mountain Dr. to the address and change www.irs.gov/PDS for a list of IRS-the ZIP code to 18702-7997. Go toapproved private delivery services.For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.41-0852411 5200(3) Transmittal W-3 forms included with each setW-2 Packaged Laser SetsW-2PackagedLaserSets(continued)FOR 100 EMPLOYEES FOR 50 EMPLOYEES952144-Part SET Includes: W-2 Copy A, B, C, D (50 Sheets each) 95211E4-Part SET Includes: W-2 Copy A, B, C, D (25 Sheets each) 952166-Part SET Includes: W-2 Copy A, B, C, D, 1, 2 (50 Sheets each) + Gum Seal ENV (50) 95212E6-Part SET Includes: W-2 Copy A, B, C, D, 1, 2 (25 Sheets each)95214E4-Part SET Includes: W-2 Copy A, B, C, D (50 Sheets each) + Gum Seal ENV (100) + Gum Seal ENV (50)FOR 20 EMPLOYEES95216E6-Part SET Includes: W-2 Copy A, B, C, D, 1, 2 (50 Sheets each) + Gum Seal ENV (100) 95204ES4-Part SET Includes: W-2 Copy A, B, C, D (10 Sheets each) 95218E8-Part SET Includes: W-2 Copy A, B, C, D, 1, 1, 2, 2 (50 Sheets each)+ Self-Seal ENV (20) + Gum Seal ENV (100) 95206ES6-Part SET Includes: W-2 Copy A, B, C, D, 1, 2 (10 Sheets each) + Self-Seal ENV (20)29'