EFTA00006069.pdf

VOL00004 3 pages 8 redactions 0.4% redacted

PDF Page
Page 1
Page 1
1 redactions
Page 2
Page 2
7 redactions
Page 3
Page 3
Page 1 1 redactions 100% OCR confidence
sislesteses 
EFTA00006069
Page 2 7 redactions 100% OCR confidence
• 
ir04iii 
1310.01 
v 
2005 W-2 and E 
za rce-
cts.* 
14004
-1.' 
afiV-2 
^'r 184,807.7.1 
515.* 
N/A 
115;i23.09 
3- Employee:eV/4 Profile. To change your Employee W-4 Profile Information, filo a new W-4 with your payroll dept. 
Social Security Number: imp 
Taxable Marital Status: 
MM.. 
33404 
Exemptions/Allowances: 
FEDERAL: 8 
STATE: 
8 
0 2C05 AUTOMATIC DATA AMOCESUNG. 
r 
H.2 "I' 
• 1 
Wages, tips. other comp. 
175323.09 
1 Federal income tax withheld 
29092.14 
3 SocIal security wages 
90000.00 
4 Social sithuritytex Withhold 
5580.00 
5 Medicare wages and Ups 
185323.09 
6 Medium tax withheld 
2687.18 
1 • 
Control number 
0009 
66/TPW 
Dept. 
Corp. 
Employer,.._ only 
19 
o EMployer's name, address, and ZIP cod 
NES LLC 
457 MADISON AVENUE 
NEW YORK, NY 10022 
b E.Wit 
bar 
d Em 
' 
. / 
&Mel securitytips 
8 Allem. 
cis 
• 11 Advance MC payment 
i 
10 Dependent we benefit* 
I 
1 
nN
simpithlied plans 
12a ,C
I 
515.38 
14 Other 
• 
32.40 NVDD 
la 0 I 
10000.00 
tho 
I 
12d 
i 
13 Slat esm Rarer 
lietlY OA PS 
ol Employeee nem*, addrcon and ZIP code 
I 
I 
, 
33404 
 1 16N itte I 
. 
• • 
te ID no. 
/ 
Y
16 State wain. Ups, etc. 
175323.09 
t 
Slate income tax 
I 
II Local wages, ups. etc. 
• 16 LOW Melo* lot 
• 
20 Loma/ name 
0-adefEC 
-5S-s;t3 
int 
• ,•,'c 
9,.. 
2lithe.
I 
Wades, thss, other comp 
175323.09 
2 Federal Income taX withheld 
29092.14 
3 Social (acorn), wages 
90000.00 
4 Social security tax withheld 
5580.00 
S Medicare wages end tips 
185323.09 
6 Medicare tax withheld 
2687.18 
• 
Control number 
0009 
66/TPW 
Dept. 
Corp. 
Employee use only 
19 
c Employees name, address. and ZIP code 
NES LW 
457 MADISON AVENUE 
NEW YORK, NY 10022 
ilfr 
b Empltber 
d Empl 
er 
nodal 
security tips 
8 Allocated bPS 
a Advance EIC payment 
10 Dependent core benefits 
11 Nonqueldied plans 
12a 
C I 
515.38 
14 Other 
32.40 NYCO 
1265 1 
10000.00 
12e 
i
12d
13 Stet empratrird lefty ekk pri 
ell Employcea no me. address and 2/P code 
33404 
15 Stole 
' 
...
Page 3 100% OCR confidence
• 
Refund. Even if yai do not have to Rea tax return, you 
should Re to got a refund if box 2 shows federal income 
tax withheld or if you can take the earned income credit. 
Earned Income credit (EIC). You must file a tax return if 
any amount is shown in box 9. 
You may be able to take the EC for 2005 W: (a) you do 
not have a qt4ifying child and year earned less than 
$11 750 ($13,750 if married fling jointly), lb) you have one 
qua .1'412 child and you earnediess than $31 (330 (533,030 
mare 
fling lantlY), or (c) you have more than one 
guarding chid and you earned less than 535253 ($37263 
if married Ming j'ointly). You and any qualifying children 
must have valid social security numbers -MNs). You 
cannot take the EIC if yourinvestment incomes more than 
$2/00. Any EIC that is morn than your tax liability is 
refunded to you, but only if you file atier return. El ycu 
have at least one qualifying dead, you may get as rntr-h as 
$1,597 of the EC rn advance b/ completing Form W-5, 
Ea rod Income Credit Acvarre Payment Certificate, and 
giving it to your empoyer. 
Clergy and migious workers. If you are not suited to 
Social secur
and Medicare taxes, see publication 517, 
Social Security and Dine' Information for Members of the 
Clergy and Religious Workers. 
Corrections. U your name. SSN, or address is incorrect. 
correct Copies 8 C, and 2 and ask your employer to 
correct your elloyment record. Be sure to ask the
to fileForm W-2c, Corrected Wage and Tax 
Sertnact)Arnt, with the Social Security AdmInietration (SSA) to 
correct any name, SSN or money amount error reported to 
the SSA on Fonn W-2. If your name and SSN are correct 
but are not the same as 
own on your Waal Seculty 
card you should ask for a new card at any SSA office or 
cal 1-800-772-1213. 
Credit for excess taxes. If you had more than one 
emptioc 
Tie 
in 2005 and moo than $5580.00 in cooly 
sccuri and/or 
r I railroad retirement (RFITA) taxes wae 
withho , you may be able to claim a credit for ...
Page 1 - Position (566, 14)

Size: 125 x 21 pixels

Surrounding text: f-.—t=—‘CSS

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~13 chars)
Page 2 - Position (468, 299)

Size: 38 x 8 pixels

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~4 chars)
Page 2 - Position (467, 543)

Size: 47 x 11 pixels

Surrounding text: ve oA 10 Dependent care benefits

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~5 chars)
Page 2 - Position (265, 543)

Size: 47 x 11 pixels

Surrounding text: 5 Alloc: 10 Dependent care benefits

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~5 chars)
Page 2 - Position (171, 543)

Size: 50 x 8 pixels

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~5 chars)
Page 2 - Position (374, 544)

Size: 49 x 7 pixels

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~5 chars)
Page 2 - Position (372, 703)

Size: 43 x 10 pixels

Surrounding text: a rw, 5 State] a asi 1D no NY. ‘State income tax 13 Local Income tax

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~4 chars)
Page 2 - Position (169, 703)

Size: 42 x 10 pixels

Surrounding text: a LUV, Foe 5 State] TD no NY ‘State income tax T Local income tax

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~4 chars)
People Mentioned
Places Mentioned
Document Info
File Path
VOL00004/IMAGES/0001/EFTA00006069.pdf
File Size
512 KB
Processed
2025-12-21 01:54
Status
completed