3/15/23, 7:15 AM                                                                    W2 Preview -
                             a Employees Social
                                                                              OMB No.1545-0008
                                                  Security Number
                                                       435-87-4241
                     b Employers Identification Number (EIN)                        1 Wages,tips, other         2 Federal Income tax
                                            12-0437232                              compensation                withheld
                     c Employers Name, Address and Zip code                                 16,500.25                      0.00
                                                                                    3 Social Security           4 Social Security tax
                         LUMINEX CORP
                                                                                    Wages                       withheld
                         12212 TECHNOLOGY BLVD
                                                                                            16,500.25                   1,023.02
                         AUSTIN, TX 78727
                                                                                    5 Medicare Wages            6 Medicare tax
                                                                                    and tips                    withheld
                                                                                            16,500.25                     239.25
                     d Control Number
                                                                                    7 Social Security tips      8 Allocated tips
                     e Employees Name, Address and Zip code
                                                                                    9                           10 Dependent care
                         HILLARY HAMPTON                                                                        benefits
                         227 N 10TH ST
                                                                                    11 Nonqualified             12a
                         JACKSBORO, TX 76458                                        Plans
                                                                                    13                      Third 12b
                                                                                          Statutory Retirement
                                                                                          employeeplan      party
                                                                                                            sick
                                                                                                                12c
                                                                                    14 Others
                                                                                                                12d
                     15 Sta   Employers              16 State,Wages 17 State             18 Local          19 Local          20 Locality
                                State ID number      etc               income tax        wages,tips etc    income tax        name
                         TX       70-3456132          16,500.25            0.00
                         Form                                                       Department of the Treasury -- Internal Revenue
                                W-2                                      2023
                                                                                                                                  System
                                                                                                           For Privacy Act and
                         Wage and Tax
                                                                                                           Paperwork Reduction Act
                         Statements                                                                        Notice, see separate
                         Copy D -- For Employer                                                            instructions
                                                      LAYOUT 1                          LAYOUT 2
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