EFTA01700743.pdf

I - 1111- Z giljeeteser \••••-- EFTA01700743  3. Employee W.i4 Profile. To change your Employee W-4 Profile Information, file a new W-4 with your payroll dept. Social Security Number Taxable Mantel Status: gi p 33404 Exemptions/Allowances: FEDERAL: 8 STATE: a 0 U04 AOTOUATI0 DATA PROCEE411.0. 1 1 Wages, tips, other comp. 2 Fedora/ Incometax withheld I Wages. ape. WM/ 00.P. 2 Federal income lax Withheld 175323.09 29092.14 175323.09 29092.14 3 Social security wages 4 Social seeunly tax withheld 3 Sozdal leeway wages 4 Social security tax withheld 90000.00 5580.00 90000.00 5580.00 5 Medicare wages and Ups 6 Medicare lax withheld S lledlearewages and ape 6 Medicare tax withheld 185323.09 2687.18 185323.09 2687.18 • Control number Dept Coop. Employer use only • Control numb. Dept Coop. Employer use only 0009 66/1 314/ 19 0003 66/TPW 19 o Entiloyar's name, alder" and MP code o Employers name, Stens, and ZIP code NES LLC NES LLC 457 MADISON AVENUE 457 MADISON AVENUE NEW YORK, NY 10022 NEW YORK, NY 10022 it b &WS. r 0 E b Emplaiinistber d Em ' r " 7 Social security bps I AS:Sn Ilir— 7 Social security bps 4 Allocated bps I Advance ETC paymeot to Dependent care Imelda, s Advance EC payment 10 Dependent care bowels 11 Nonsitmlified Plana 12 it Nonqualified plans 12a C 1 515.38 C I 515.38 14 Other 'lab S I 10000.00 14 Otter 1fb S I 10000.00 12e 32.40 NYDD is I 32.40 NYDD I lad12e 13 fitatemilflettrl petty slek py 13 Mal salliagiaarldMS GMIt as Employee's name, *Mimeo and ZIP code of Employee's name. address end ZIP code tillaill 33404 IIIIIIIIIIL 33404 IS State ID no. 16 State wages. tics. We. isfIllsla ' le ID ma 16 State wages, tips, .e NY 175323.09 NY 175323.09 17 State moome tax II Local wage:slips. ale. 1 StMe Income W IS Lodal wages, Ups, at. 19 Localinmate lax 20 Locally name i II Least beset= 20 Locality name ,tej t .:?..t la n ;f 1.; 61tt7 C; 3" f raT I •T 076. "ow CS rift 14; 17 —P 44:1 , 4 • -, ba tit -c. . lc - I ---- ' • r .S bsEsr.:;lanc:§0111#11 . itsisaCA :?-17 , stra...a....a !it ti. -.-. • EFTA01700744  • Refund. Even if yai do not have to Rea tax return, you (including amens from a section 125 (cafeteria) plan). should Re to got a refund if box 2 shows federal income amount over_ 5S,000 also is hcluded in box 1. Yee must tax withheld or if you can take the earned income credit. complete Schedule 2 (Form 1040A) or Farm 2441, Chid Earned Income credit (EIC). You must file a tax return if and Nporident Cale Evenies, to compute any taxable any amount is shown in box 9. and nontaxable amounts. You may be able to take the EC for 2005 W: (a) you do Box 11. This amount is: (a) reported in box 1 if it is a not have a qt4ifying child and year earned less than distribution made to you from a nonquadfied deferred $11 750 ($13,750 if married fling jointly), lb) you have one compensation Cr nongovernmental section 457(0) plan qua .1'412 child and you earnediess than $31 (330 (533,030 (b) InMded in box 3 and/or 5 it m is a pea year deferral mare fling lantlY), or (c) you have more than one under a nonqualiged cr section 457(b) plan that became guarding chid and you earned less than 535253 ($37263 taxeb's for social sexany and Med cam taxes this year if married Ming j'ointly). You and any qualifying children becaµse there is no longer a substantial risk of I must have valid social security numbers MNs).- You your right to the deferred amount. cannot take the EIC if yourinvestment incomes more than Box 12. The following list explains the codes shown In 34 $2/00. Any EIC that is morn than your tax liability is 12. You may need this information to complete your tat refunded to you, but only if you file atier return. El ycu return. Elective deferrals (codes D. E, F. and S) under have at least one qualifying dead, you may get as rntr-h as are genelly linked to a total of 314.000017 $1,597 of the EC rn advance b/ completing Form W-5, or section 403 ) plans if you qualify for the 15-year Earod Income Credit Acvarre Payment Certificate, and explained in F . 571). Deferrals under code G are fire giving it to your empoyer. to $14,000. Deferrals under code H are kneed to $7 Clergy and migious workers. If you are not suited to However, if you were at least age 50 in 2005, your Social secur and Medicare taxes, see publication 517, employer may have mowed an additional defend of u Social Security and Dine' Information for Members of the $4.000 ($2,000 for section 401(1)(11) and 408(p) SIM Clergy and Religious Workers. plans). Ins addtional deferral amount s not subject to Corrections. U your name. SSN, or address is incorrect. overal limit on elective deorrals. For code G the knit 4 _ correct Copies 8 C, and 2 and ask your employer to elective deferrals may be higher for the last three years • correct your elloyment record. Be sure to ask the before you reach retirement age. Contact your plan • • administrator to' more information. Frown% In excess to fileForm W-2c, Corrected Wage and Tax the overall elective deferrer knit must be included Si S ertn act)Arnt, with the Social Security AdmInietration (SSA) to income. See the "Wages, Salaries, Tops, etc." line ,r‘ correct any name, SSN or money amount error reported to instructions for Form 1040. the SSA on Fonn W-2. If your name and SSN are correct but are not the same as own on your Waal Seculty Note. Ha year foilows code D, E, F, 0, H. or S maC, card you should ask for a new card at any SSA office or mefrt-up pcmicer contribution for a prior when yt cal 1-800-772-1213. were in miNtary service. To figure whether you made arc Credit for excess taxes. If you had more than one deferrals, consider these arrsounts for The year shown n emptioc in 2005 and moo than $5580.00 in cooly the current year lino yearis sewn, the contributions ar, sccuri and/or Tier I railroad retirement (RFITA) taxes wae for the anent yea: withho , you may be able to claim a credit for the excess A—Uncollected social securitya RRTA tax onbps Include'. against your federal hcome tax. If you had more than one tWs tax on Form 1040. See 'Total Tar in the Form 1040 railroad employer and more than $2,943.60 in Tree II RRTA instructions. tax was withheld. you also may be able to claim a credit. 8—Uncollected Medicare lex on Ups. Include this tax of See your Form 1040 or Form 1040A instructions and Form 1040. See "Total Tax" in the Form 1040 ham Pubfcation 505, Tax Withholdirg and Estimated Tax. 0—Taxable cost of group-term fife insurance over Instructions 011abled in barns 1.3 (up to soda! security wage and Box 1. Enter.this acquit on the wages line of your tax 51 return. D--Elective deferrals to a section 401(k) cash or defiant : arrangement. Also includes deferrals under a SIMPLE' Box 2. Enter ttis amount on the federal income tax PatirCl/XIII account that is part of a section 401(1) withheld fine of your tax return. arrangement. Box 8. This amens Is not included in boxes 1, 3, 5. or 7. E—Elective deferrals under a section 403(0) salary For information on how to report tips on your tax return. reduction agreement see your Form 1040 instrucbons. Box 9. Enter his amount on the advance earned Income F—Elective deferrals under a section 40881(6) salary : reduction SEP credit payments line of you Form 1040 or Form 1040A. Box 10. This amount is the total dependent care benefits G—Elective deferrals and employer centributiorts (ache that your employer paid to you or knosred an our behalf nonelective deferrals) to a section 4570o) deferred . compensation plan NOTE: THESE ARE SUBSTITUTE WAGE AND TAX STATEMENTS AND ARE ACCEPTABLE FOR FILING WITH YOUR FEDB Department of the Then, ay • hernal Revenue Department of the litastny - Internal Revenue Service Service This informant:in is being furnished to the Internal This information is being furnished to the Internal Revenue Set Revenue Service. IMPORTANT NOTE: IMPORTANT NOTE In order to enure efficient processing, In order to insure efficient processeig, attach this W-2 to my tax return like this attach this W-2 to your tax return like this (following city or Idol Instructtons): (followhg state Instructions): TAX RETURN TAX RETURN TIM THIS OTHER) OTHER FORM FORM was W-25 004 W-2 NOTE: THESE ARE SUBSTTTUTE WAGE AND NOTE THESE ARE SUBSTITUTE WAGE AND TM STATEMENTS AND ARE ACCEPTABLE TAX STATEMENTS AND ARE ACCEPTABLE FOR FIUNG WITH YOUR FEDERAL. STATE AND FOR FIUNG WITH YOUR FEDERAL. STATE ANO LOCAL/CITY INCOME TAX RETURNS. LOCAL/CITY INCOME TM RETURNS. EFTA01700745