b'W-2 PRE-PRINTED & BLANK FORMSPressureSealW-2FormsThis 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. 5228B 1A 5512B8063104/1095671A 7 OMB No. 1545-0008 1 3Social security wages Department of the Treasury 2 4 Internal taxRevenue ServiceWages, tips, other compensation Federal incomewithheldForm W-2WageTax 2024 Social security tips Social security tax withheldCopy BTo Statemand entA c This information8Allocated tips 5Medicare wages and tips 6Medicare tax withheldBe is Filed being With furnished Employees to the Internal FEDERAL Revenue Tax Return.Service. S2032BEmployers name, address, and ZIP code9 10Dependent care benefits 1Nonqualified plans12a C o e d C o d e b See instructions for box 12 1 13 C e d o 2b a em R plaetnirementThirdpay-party 14 1 C o d e 2c OthereEmployees name, address, and ZIP code 12d Staptutory sick Employer identification number (EIN) Employees social security number15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19 20LocalityS14EZ073c EmployeeForthe EMPLOYEESTax (See Notice to 2024 8 7Social securityOMB No. 1545-0008 1 3 5 Social security wages Local income of the taxTreasuryInternal 2 4 6 Revenue nameServiceDepartment Wages, tips, other compensation Federal income tax withheldForm W-2Wagetips Social security tax withheldCopy C onStatemand entback of Copy RECORDS B.)Employers name, address, and ZIP code Allocated tips Medicare wages and tips Medicare tax withheld9 10Dependent care benefits 1Nonqualified planseEmployees name, address, and ZIP code 1 12a C o d e C e o d b See instructions for box 12 12b C e d o a e Sm taptutory pleatnirementR Thirdpay-party 1 12c C e o d 4Other 806314/1095979 5227B O O2d 13 sickG GEmployer identification number (EIN) Employees social security numberThis information to on file you a if is tax this being return, income furnished a negligence is taxable to the and Internal penalty you or Revenue fail other to report sanction Service. it. may requiredIf you beareimposed 15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19 20Locality name7 OMB No. 1545-0008 1 3Social security wages Local income of2 4 taxTreasuryInternalRevenue ServiceDepartment theFederal income tax withheldWages, tips, other compensationc Copy 2 TaxStatemand ent 8Allocated tips 5Medicare wages and tips 6Medicare tax withheldForm W-2WageTax 2024 Social security tips Social security tax withheldIncomeToReturn.Be Filed With Employees State, City, or LocalEmployers name, address, and ZIP codeO 9 10Dependent care benefits 1Nonqualified plans OG eEmployees name, address, and ZIP code 1 12a C d e o C e o d bEmployer identification number (EIN) 1 13 C e d o 2b a e Sm taptutory pleatnirementR Thirdpay-party 12c C o d e Other G2d sick14Employees social security number15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19 20Locality c Form 2 TaxBe Filed With Employees State, City, or Local 7 8Allocated tips OMB No. 1545-0008 1 3 5 Social security wages Local income of the taxTreasuryInternal 2 4 6 Revenue nameServiceDepartmentFederal income tax withheldCopyW-2WageTax 2024 Social security tips Wages, tips, other compensation Social security tax withheldStatemand entPRINTED IN USAIncomeToReturn.Employers name, address, and ZIP code Medicare wages and tips Medicare tax withheld6 28 1 W M 8710039512 2021 RR Donnelley. All rights reserved. - 02219 10Dependent care benefits 1Nonqualified plans12a d e C o d bEmployer identification number (EIN) 12b C d o e 3 a em p RlaentirementThirdpay-party 1 12c C o d e 4OthereEmployees name, address, and ZIP code 12d C o e 1Staptutory sick Employees social security number15StateEmployers state ID number 16State wages, tips, etc. 17State income tax 18Local wages, tips, etc. 19Local income tax 20Locality nameFROM:2025 image not availablePROOF 1 SEE REVERSE INSTRUCTIONSSIDE FOR OPENING Important Tax Document Enclosed at time of printing.First-Class Mail8510020054 8 28 Eccentric FACESCREEN 10% & 30% S1 P 5227/ ZFoldFROM: Blank face with backer instructionsSEE REVERSE INSTRUCTIONS SIDE FOR OPENINGImportant Tax Document Enclosed First-Class MailThis 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. 5511B\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\x01Eccentric\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\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01ZFold \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\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01\x01Blank face with backer instructions 5510BA 85107086 S20351A dOMB1Wages, tips, other compensationDepartment of the 2 Treasury Service OMBd No. 1545-0008 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 withheldcEmployers name, address, and ZIP code cEmployers name, address, and ZIP code10 7 d e Social security tips C 12c 8 1 e d o Allocated tips a C C 12a o e d d o e 9 10 7 b C d o e Social security tips 1 8 C 1 d o e 2c Allocated tips a C C 12a e e d d o o 9 A 85102754 S2035Dependent care benefits Nonqualified plans Dependent care benefits Nonqualified plans12b C o 12d 12b 12d 1AbEmployer identification number (EIN) Employees social security number Employer identification number (EIN) Employees social security number13 em pleatnirementR Thirdpay-party 14Other 13Sme taptulotoyerye Rleatnirement p Thirdpay 14OtherStaptulotoyreye sicksick-partyeEmployees 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.8510007086 2024. - 0667W-2 Tax 17State income tax 18Local wages, tips, etc. W-2 Tax 17State income tax 18Local wages, tips, etc.WageStatemStatemand ent Wage and ent2024 19Local income tax 20Locality name 2024 19Local income tax 20Locality nameO OCoppyl o2y e- eTsoSBteat eFi,l eCdit yW, iothr Local Income Tax Return. 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G GEm EmG dControl number Federal income Internaltax Revenue withheld dnegligence penalty is or being other 1Wages,this income taxable O OMB No. 1545-0008 1Wages, tips, other compensationDepartment of the 2 Treasury Service Thisnumber furnishedyou Service.if2If you are requiredO GControl informationsanction tips, to may the other be Internal imposed compensationRevenue onFederal isincome and tax to withheldfile you a fail tax to return, report ait.3Social security wages 4Social security tax withheld 3Social security wages 4Social security tax withheldThis information to the is being 5Medicare wages and tips 6Medicare tax withheld OMB No. 1545-0008 5Medicare wages and tips 6Medicare tax withheldfurnished Internal Revenue Service.cEmployers name, address, and ZIP code cEmployers name, address, and ZIP code7Social security tips 8Allocated tips 9 7Social security tips 8Allocated tips 910 d Dependent care benefits 1 d e Nonqualified plans a 12a C d d o e e See instructions for box 12 10 b C d o e Dependent care benefits 12c C 1 d e o Nonqualified plans a 12a 1 C C o d e o d e See instructions for box 1212b C b o e Employer identification number (EIN) R C 12c o 14Other 12d C o 2025 image not a t Or vailable12b 2dEmployees social security number Employer identification number (EIN) Employees social security number13 em plaetnirement Thirdpay-party 13Statutory Retiremen sickird-party 14theStaptulotoyreye sickemploye plan Th payeEmployees name, address, and ZIP code ate time of printing.PRINTED IN USA W2-COPY CEmployees name, address, and ZIP codeW2-COPY BForm 15StateEmployers state ID number 16State wages, tips, etc. Form 15StateEmployers state ID number 16State wages, tips, etc.PROOF #1 8510007086W-2 Tax 17State income tax 18Local wages, tips, etc. W-2 17State income tax 18Local wages, tips, etc.MW1280ZEccentricWage19Local income tax 20Locality name Wage and Tax 19Local income tax 20Locality nameStatemand ent Statement2024 2024ZFold Copy B- To Be Filed With Employees FEDERAL Tax Return. Copy C- For EMPLOYEES RECORDS (See Notice to Employee on the back ofRevenue ServicePRINTED IN USADepartment of the TreasuryInternal Copy B.)FACE PERFS AS MARKED; LINES SCREENED 50%, SCREEN 10%, PANTO 30%.MW1279Blank face with backer instructions Sheets per pack500FORM DESCRIPTION5227B14" Blank W-2 Employees 4-Up HorizontalBlank with Backer Instructions B, C, 2, 2EZ-Fold Simplex1 Sheet Equals 1 Form5228B14" W-2 Employees 4-Up HorizontalCopy B, C, 2, 2EZ-Fold Simplex1 Sheet Equals 1 Form5512B14" Blank W-2 Employees 4-Up Horizontal With Backer InstructionsEZ-Fold Simplex1 Sheet Equals 1 Form5511B14" W-2 Employees 4-Up BoxCopy B, C, 2, 2EZ-Fold Duplex1 Sheet Equals 1 Form5510B14" Blank W-2 4-Up Box With Backer InstructionsEZ-Fold Duplex1 Sheet Equals 1 Form31'