Ray and Maria's W-2 Forms Ray and Maria's earnings are reported on the following Forms W-2: a Employee's social security number 469-21-5523 OMB No. 1545-0008 Safe, accurate, FAST! Use IRS e file Visit the IRS website at www.irs.gov/efile b Employer identification number (EIN) 21-7654321 c Employer's name, address, and ZIP code Palm Oil Corporation 11134 E. Pecan Blvd. McAllen TX 78501 d Control number 1 Wages, tips, other compensation 30,860.00 3 Social security wages 30,860.00 5 Medicare wages and tips 30,860.00 7 Social security tips 2 Federal income tax withheld 3,031.00 4 Social security tax withheld 6 1,913.32 Medicare tax withheld 447.47 8 Allocated tips 9 10 Dependent care benefits 12a See instructions for box 12 e Employee's first name and initial Ray Gomez Last name Suff. 11 Nonqualified plans C 1610 Quince Avenue McAllen, TX 78501 13 Statutory d e Retirement Third-party 12b emplovee plan. sick Dav