a Employee's social security number 266-15-1966 b Employer identification number (EIN) 60-3456789 c Employer's name, address, and ZIP code Kissimmee Airlines, Inc. 2432 Bay Blvd. Kissimmee, FL 34741 d Control number e Employee's first name and initial Last name Alexander T. Smith 1234 Buena Vista Drive Orlando, FL 32830 Safe, accurate, OMB No. 1545-0008 FAST! Use Visit the IRS website at IRS file www.irs.gov/efile 1 Wages, tips, other compensation 65,895.00 3 Social security wages 69,167.00 5 Medicare wages and tips 69,167.00 7 Social security tips 9 Verification code Suff. 11 Nonqualified plans 13 Statutory employee 14 Other 2 Federal income tax withheld 6,010.00 4 Social security tax withheld 4,288.35 6 Medicare tax withheld 1,002.92 8 Allocated tips 10 Dependent care benefits 3,272.00 12a See instructions for box 12 D 12b e Retirement plan Third-party sick pay C e 12c f Employee's address and ZIP code 15 State FL C e 12d Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Form W-2 Wage and Tax Statement 2018 Copy B-To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. Department of the Treasury-Internal Revenue Service