please help with 1040 form part 2 of 3

22222 Void a Employee's social security number For Official Use Only 535-44-2255 OMB No. 1545-0008 b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld 91-0001003 36,825.00 3,350.00 c Employer's name, address, and ZIP code 3 Social security wages Social security tax withheld Small World Elementary School 39,925.00 2,475.35 333 Tiny Tot Lane 5 Medicare wages and tips 6 Medicare tax withheld 39.925.00 Henderson, NV 89053 578.91 7 Social security tips Allocated tips d Control number 9 Verification code 10 Dependent care benefits e Employee's first name and initial Last name Suff 11 Nonqualified plans 12a See instructions for box 12 Jennifer Hamilton 3,100 Statutory employee Retirement Third-party plan sick pay 2b 3678 Blue Sky Drive 14 Other Henderson, NV 89052 12d f Employee's address and ZIP code 15 State 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 NV 123456789 36,825.00 0.00 W-2 Wage and Tax Statement 2018 Department of the Treasury- Internal Revenue Service Form For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions