7 Social security tips 1 Wages, tips, other comp.
2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2023 3503.32 19.27
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
BIG LOTS STORES, LLC 3503.32 217.21
4900 E DUBLIN GRANVILLE RD 9 5 Medicare wages and tips 6 Medicare tax withheld
3503.32 50.80
COLUMBUS OH 43081-7651 10 11 plans 12a See instructions for box 12
C
o
d
e
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code Suff. 13 employee plan sick pay 14 Other 12b
C
o
DANIEL POWELL MCBRIDE d
e
b Employer number (EIN) 12c
5040 PURSLANE PLACE C
o
31-1186811 d
e
WALDORF MD 20601 a Employee’s social security no.
C
12d
o
216-73-3677 d
e
15 State Employer’s state ID no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
MD 06404389 3503.32
Copy B To Be Filed With Employee’s FEDERAL Tax Return This information is being furnished to the Internal Revenue Service. Dept. of the Treasury - IRS
OMB No. 1545-0008 Visit the IRS Web Site at www.irs.gov/efile
This information is being furnished to the Internal Revenue Service.
negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.
7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2023 3503.32 19.27
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
BIG LOTS STORES, LLC 3503.32 217.21
4900 E DUBLIN GRANVILLE RD 9 5 Medicare wages and tips 6 Medicare tax withheld
3503.32 50.80
COLUMBUS OH 43081-7651 10 11 plans 12a See instructions for box 12
C
o
d
e
e Employee’s name, address, and ZIP code Suff. Statutory Retirement Third-party
13 employee plan sick pay 14 Other 12b
C
o
DANIEL POWELL MCBRIDE d
e
b Employer number (EIN) 12c
5040 PURSLANE PLACE C
o
31-1186811 d
e
WALDORF MD 20601 a Employee’s social security no. 12d
C
o
216-73-3677 d
e
15 State Employer’s state ID no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
MD 06404389 3503.32
Copy C For EMPLOYEE'S RECORDS (See Notice to Employee on back of Copy B.) OMB No. 1545-0008 Dept. of the Treasury - IRS
7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2023 3503.32 19.27
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
BIG LOTS STORES, LLC 3503.32 217.21
4900 E DUBLIN GRANVILLE RD 9 5 Medicare wages and tips 6 Medicare tax withheld
COLUMBUS OH 43081-7651 3503.32 50.80
10 11 plans 12a
C
o
d
e
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code Suff. 13 employee plan sick pay 14 Other 12b
C
o
DANIEL POWELL MCBRIDE d
e
b Employer number (EIN) 12c
5040 PURSLANE PLACE C
o
31-1186811 d
e
WALDORF MD 20601 a Employee’s social security no. 12d
C
o
216-73-3677 d
e
15 State Employer’s state ID no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
MD 06404389 3503.32
Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return OMB No. 1545-0008 Dept. of the Treasury - IRS
7 Social security tips 1 Wages, tips, other comp. 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2023 3503.32 19.27
c Employer’s name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security tax withheld
BIG LOTS STORES, LLC 3503.32 217.21
4900 E DUBLIN GRANVILLE RD 9 5 Medicare wages and tips 6 Medicare tax withheld
COLUMBUS OH 43081-7651 3503.32 50.80
10 11 plans 12a
C
o
d
e
Statutory Retirement Third-party
e Employee’s name, address, and ZIP code Suff. 13 employee plan sick pay 14 Other 12b
C
o
d
DANIEL POWELL MCBRIDE e
b Employer number (EIN) 12c
5040 PURSLANE PLACE 31-1186811
C
o
d
e
WALDORF MD 20601 a Employee’s social security no. 12d
C
o
216-73-3677 d
e
15 State Employer’s state ID no. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
MD 06404389 3503.32
Copy 2 To Be Filed With Employee's State, City, or Local Income Tax Return L87 OMB No. 1545-0008 5206 Dept. of the Treasury - IRS