LO 2-2, 2-4 Complete the I-9 for employment at Plexivent Plastics starting 9/6/2023. The employer’s address is 1 Plastics Way, Lincoln Valley, ND 58430, and the EIN is 56-4658631. Harley is starting work on 9/6/2023. Be sure to complete Section 2 of Form I-9.

Harley W. Pierce 2024 Denhoff Highway, Apartment 12 Lincoln Valley, ND 58430 SSN: 687-55-4658 Marital status: Married Date of Birth: 8/15/1999 U.S. Citizen Harley’s North Dakota driver’s license number is MKJ-462856 and expires on 8/15/2027.

Office Manager Gabriel MacMillan verified the information for the company.

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Form W-4 Department of the Treasury Internal Revenue Service Step 1: Employee's Withholding Certificate Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. (a) First name and middle initial Address Your withholding is subject to review by the IRS. Last name Enter Personal Information City or town, state, and ZIP code (c) Single or Married filing separately Married filing jointly or Qualifying surviving spouse OMB No. 1545-0074 2023 (b) Social security number Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov. Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.) Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, other details, and privacy. Step 2: Multiple Jobs or Spouse Works Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs. Do only one of the following. (a) Reserved for future use. (b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below; or (c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is generally more accurate than (b) if pay at the lower paying job is more than half of the pay at the higher paying job. Otherwise, (b) is more accurate TIP: If you have self-employment income, see page 2. Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.) Step 3: Claim Dependent and Other Credits If your total income will be $200,000 or less ($400,000 or less if married filing jointly): Multiply the number of qualifying children under age 17 by $2,000 $ Multiply the number of other dependents by $500 $ Add the amounts above for qualifying children and other dependents. You may add to this the amount of any other credits. Enter the total here 3 $ Step 4 (optional): Other (a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income 4(a) $ Adjustments (b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here 4(b) $ (c) Extra withholding. Enter any additional tax you want withheld each pay period. 4(c) $ Step 5: Sign Here Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete. Employers Only Employee's signature (This form is not valid unless you sign it.) Employer's name and address First date of employment For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Date Employer identification number (EIN) Form W-4 (2023)