EFTA01700740.pdf

vJ -2- c44€.,.a.is EFTA01700740 a Cower number Vdd II 0017 0017 66/188 omsmo.16466666188 1 erepes,Ips.olia candenssien 2 Federal Interne tax Wthheid s illiatlon numb.r CEIN) 7890.65 714.35 3 SOON security want; 4 Sethi *acuity tax wlfiteld c Employees name, address, and ZP code 7890.65 489.22 JEFFREY E. EPSTEIN s Medicate wages and Ups 0 Medicare to vitinekt 358 8L BRILLO WAY 7890.65 114.41 PALM BEACH, FL 33480 7 Social security bps 8 Allocated lips 9 Advance EC payment 10 Dependent care benefits Sup. 11 Nonqualifled plans 12a See Instructons for box 12 . • ... 6.00 : C I 13 tame rAt Ir pir 12b MIAMI BEACH, FL 33139 El fl ri I 14 Other 12c i I pd i L m..a.iiici4..it I Employee's address and ZIP codo 18 Lad wages, tips, etc. 10 Local Sorra tax 20 Wally rime 15 Sate Employers no illi weber 16 Slate %nos, tips. etc. 17 Stale mccmo tax VL D0p3nrilallt of the Trossury—Internal Parent* Service W 0 - 2 Wage and Tax Statement 2006 For Privacy Act and Paperwork Reduction Act Notice, ace back at Copy D. ‘--For Employer. EFTA01700741  a C./mud number 0017 66/18E Void O c•Ae No. tS4S-0008 18E 0017 si biliiiir number ono i Wasps. has. other compensation 2 Federal income tax vrithhekl 38536.47 3463.23 i...‘ EmplOyer's name, address, and ZIP code 3 Social security wages 4 Social secunty tax witnheld 'JEFFREY E. EPSTEIN 38536.47 2389.26 358 EL BRILLO WAY 5 Medicare wages end tips 6 Medcare tax withheld PALM BEACH, FL 33480 38536.47 558.78 7 Sodal security tips 8 Allocated tips o Advance BC payment 10 Dependent care benefits 11 Norgualified plans 12a See instructions, for box 12 IC I 28.62 • 13 e S :iilg or /tor il 21) i n. 14 Other El n 12c I 12d f Employee's address and ZIP code 15 Su* Employer's mate ID number 16 $ale wages, lips. etc. 17 State income lax 18 Local vow, fee, etc 19 Local income tax 20 Locally name A FL i ___I Wage and Tax Form IN-2 Statement Copy 0-For Employer. 2005 Department of the Treasury—Internal Revenue Service For Privacy Act end Paperwork Reduction Act Notice, see back of Copy D. a Control number Void El OMB No. 1545-0008 b Employer identification number (E/N) 1 Wages. tips, other compernal0n 2 Federal income tax relate! c Employer's name. address, and ZIP code 3 Soda; socially wages 4 Social security lax wittteld 5 Medicare wages and tips 6 Medicare tax withheld 7 Soma security lips 8 Allocated tips d Employee's social security number 9 Advance SIC payment 10 Dependent care benefits e Empbyee's lust nave and initial Last name 11 NOnquaGfred plans e 12a See 1/1.5111.1C1i011S for box 12 13 efrobste anat. m saan/ S nb 1 El win n n w .c I 14 ()lbw 12e c S 120 I c • f Employee's address and ZIP cede 77 15Ste. Employer's slate ID number 16 Slam wagon, ups, etc. 117 State income tax 18 Local wages, tips. etc. 19 Local exam lax A 20 Locally name • f , Wage and Tax '1-2 Statement 'or Employer. 200.5 Department of the Treasury—Imemal Revenue Serene For Privacy Act and Paperwork Reduction Act Notice. see back of Copy D. EFTA01700742