b'W-2 PRE-PRINTED & BLANK FORMSPressure Seal W-2 FormsAPEX PS1280Z 1A S2032B 851020606 APEX LW2PSOMB No. 1545-0008 1Wages, tips, other compensation 2Federal income tax withheld OMB No. 1545-0008 1Wages, tips, other compensation 2Federal income tax withheldA COPYFor 3Social security wages 4Social security tax withheld COPY B - 3Social security wages 4Social security tax withheldEMPLOC Y- EES 5Medicare wages and tips 6Medicare tax withheld loyeeWiths 5Medicare wages and tips 6Medicare tax withheldRECORDS To EBe FEDERAL(SeempFiled c on the Notice back to of EmployeeCopy B.) c Tax ReturnEmployers name, address, and ZIP code Employers name, address, and ZIP code7Social security tips 8Allocated tips 12a C e d o d See instructions for box 12 9 7Social security tips 8 10 Allocated tips care benefits 12a C C o e d o e d See instructions for box 1285107086 9 10Dependent care benefits C 12b C d o e d e e o Third-party 1 b a Nonqualified plans number (EIN) 14 DependentC C 12b o e d e d o Sme taptulotoyreye Rlaentirement p Third-party1Nonqualified plans 14Other 12c C o Other 12cbEmployer identication number (EIN) 12d Employer identication12da 13Staptulotoyreye Rleantirement 13A S2035 Employees social security number em p sick pay Employees social security number sick pay1A dOMB1Wages, tips, other compensationDepartment of the 2 TreasuryInternal Service OMBd No. 1545-0008 1Wages, tips, other compensationDepartment of the 2 TreasuryInternal Service eEmployees name, address, and ZIP code eEmployees name, address, and ZIP codeControl No. number1545-0008 Federal income tax Revenue withheld Control number Federal income tax 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 name10 b C 7 d o Social security tips benefits C 1 8 12c e o d Allocated tips plans a 12a C C e d o d e o 9 10 b 7 C e d o Social security tips benefits 1 8 12c C d e o Allocated tips plans a 12a C C e d o e o d 9 Thisimposed1 3 Form W-2 Wage and Tax Statement 4 2 2022 furnished to the is Service. 1 3 Form W-2 Wage and Tax Statement 4 2 2022This information beingDependent careNonqualifiedDependent careNonqualifiedareinformation to on file you is a being if tax this return, furnished income a negligence is to taxable the Internal RevenueDept. of the TreasuryIRSInternal RevenueDept. of the TreasuryIRSDept. of the TreasuryIRS and you or fail other to Service. report sanction it.If mayyouberequiredpenalty 12b 12d 12b 12d OMB No. 1545-0008 Form W-2 Wage and Tax Statement 2022 Dept. of the 1545-0008TreasuryIRS Form W-2 Wage and Tax Statement 2022OMB No. e Employer identification number (EIN) Employees social security number Employer identification number (EIN) Employees social security number COPY 2 - Wages, tips, other compensation Federal income tax withheld COPY 2 - Wages, tips, other compensation Federal income tax withheldTo Be Filed With Social security wages Social security tax withheld To Be Filed With Social security wages Social security tax withheldStaptulotoyreye sick pay sick pay City, or LocalTaxReturnState, City, or LocalTaxState,Return13 em pleatnirementR Third-party 14Other 13Sme taptulotoyerye Rlaentirement p Third-party 14Other O Employees 5Medicare wages and tips 6Medicare tax withheld Employees 5Medicare wages and tips 6Medicare tax withheld OIncomeIncome G cEmployers name, address, and ZIP code cEmployers name, address, and ZIP code GeEmployees name, address, and ZIP code eEmployees name, address, and ZIP codeLW2PS7 b Social security tips number (EIN) 8 10 Allocated tips care benefits 12a C C C d e o e d o o d e e d Third-party 9 1 7 b a Social security tips number (EIN) 8 10 Allocated tips care benefits 12a C C C C d e o o d e e d e o d o em R pleatnirement Third-partyForm 15StateEmployers state ID number 16State wages, tips, etc. Form 15StateEmployers state ID number 16State wages, tips, etc. 9 Dependent12b Dependent12bW-2 17State income tax 18Local wages, tips, etc. W-2 17State income tax 18Local wages, tips, etc. 1Nonqualified plans 14Other 12c C o Nonqualified plans 14Other 12c8510007086 2020. - 0221Wage and Tax Wage and Tax Employer identication12d Employer identication12dStatement Statement2022 19Local income tax 20Locality name 2022 19Local income tax 20Locality name aEmployees social security number 13 em Rlaetnirement p sick pay Employees social security number 13Staptulotoyreye sick pay\x1f Em 1Wages, tips, other compensationDepartment of the 2 TreasuryInternal Service Em number furnishedyou Service.ifincome taxable\x1f\x1f\x1f eEmployees name, address, and ZIP code Staptulotoyerye eEmployees name, address, and ZIP code Eccentric Coppyl o2y e- eTsoSBtea tFei,l eCdi tyW, iothr Local Income Tax Return. Coppyl o2y e- eTsoSBtea tFei,l eCdi tyW, iothr Local Income Tax Return.\x1f\x1f OMB No. 1545-0008 Thispenalty is or being other 1Wages,this2If yourequired dControl number Federal income tax Revenue withheld dnegligencesanction tips, to may the other be Internal imposed compensationRevenue onFederal are isincome and tax to withheldfile you a fail tax to return, report ait.Control information This information to the is being 5 3Social security wages 4 6 Social security tax withheld OMB No. 1545-0008 5 3Social 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 910 b d e Dependent care benefits C 1 12c o e d Nonqualified plans a 12a C C e d o d e o See instructions for box 12 10 b C o e d Dependent care benefits 1 12c C o e d Nonqualified plans a 12a C C e o d o e d See instructions for box 12 SEE REVERSE SIDE FOR OPENING INSTRUCTIONS12b C o 12d 12b 12dEmployer identification number (EIN) Employees social security number Employer identification number (EIN) Employees social security number13Sme taptulotoyreye plaentirementR Third-party 14Other 13Sme taptulotoyerye Rlaetnirement p Third-party 14Othersick pay sick payPRINTED 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 ENCLOSEDW-2 17State income tax 18Local wages, tips, etc. W-2 17State income tax 18Local wages, tips, etc.MW1280ZWage and Tax Wage and TaxStatement Statement2022 19Local income tax 20Locality name 2022 19Local income tax 20Locality name APEX PS1279Copy B - To Be Filed With Employees FEDERAL Tax Return. Copy C - For EMPLOYEES RECORDS (See Notice to Employee on the back of Copy B.)Department of the TreasuryInternalRevenue ServiceA 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 Form20'