Carl's W-2 Form Carl's earnings are reported on the following Form W-2: a Employee's social security number 835-21-5423 OMB No. 1545-0008 b Employer identification number (EIN) 61-7654321 c Employer's name, address, and ZIP code Key Lime Pie Company 223 Key Deer Blvd. Big Pine Key, FL 33043 d Control number e Employee's first name and initial Carl Conch Last name 1234 Mallory Square, Apt. #64 Key West, FL 33040 Safe, accurate, FAST! Use 1 Wages, tips, other compensation 67,940.00 Visit the IRS website at IRS e~ file www.irs.gov/efile 2 Federal income tax withheld 6,155.00 3 Social security wages 67,940.00 5 Medicare wages and tips 67,940.00 7 Social security tips 4 Social security tax withheld 4,212.28 6 Medicare tax withheld 985.13 8 Allocated tips 9 Suff. 11 Nonqualified plans 10 Dependent care benefits 12a See instructions for box 12 C 0 240.00 d C e 13 Statutory Retirement Third-party 12b employee plan sick pay C d e