Level 3 Book
Level 3 Book
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
C
o
00580705807 1 of 1 d
e
12d
C
o
d
e
Form W-2 Wage and Tax Statement 2023 Department of the Treasury—Internal Revenue Service
Reissued Statement
Copy B—To Be Filed With Employee’s FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service.
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e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a
C
o
00580705807 1 of 1 d
e
14 Other 12c
C
8337 SOUTH FIR AVE CASDI 309.36 o
d
e
LOS ANGELES, CA 90001
12d
C
o
d
e
Form W-2 Wage and Tax Statement 2023 Department of the Treasury—Internal Revenue Service
Reissued Statement
Copy 2—To Be Filed With Employee’s State, City, or Local
Income Tax Return
a Employee’s social security number
Import Code: XZVVSW66 ***-**-5214 OMB No. 1545-0008
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
71-0794409 34373.40 2262.54
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
WAL-MART ASSOCIATES, INC. 34373.40 2131.15
5 Medicare wages and tips 6 Medicare tax withheld
34373.40 498.41
702 SW 8TH STREET 7 Social security tips 8 Allocated tips
BENTONVILLE, AR 72716-0135
d Control number 9 10 Dependent care benefits
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a
C
o
00580705807 1 of 1 d
e
12d
C
o
d
e
Form W-2 Wage and Tax Statement 2023 Department of the Treasury—Internal Revenue Service
Reissued Statement
Copy 2—To Be Filed With Employee’s State, City, or Local
Income Tax Return
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a Employee’s social security number This information is being furnished to the Internal Revenue Service. If you
are required to file a tax return, a negligence penalty or other sanction
Import Code: XZVVSW66 ***-**-5214 OMB No. 1545-0008 may be imposed on you if this income is taxable and you fail to report it.
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
71-0794409 34373.40 2262.54
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
WAL-MART ASSOCIATES, INC. 34373.40 2131.15
5 Medicare wages and tips 6 Medicare tax withheld
34373.40 498.41
702 SW 8TH STREET
7 Social security tips 8 Allocated tips
BENTONVILLE, AR 72716-0135
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
C
o
00580705807 1 of 1 d
e
12d
C
o
d
e
Form W-2 Wage and Tax Statement 2023 Department of the Treasury—Internal Revenue Service
Reissued Statement
Copy C—For EMPLOYEE’S RECORDS
(See Notice to Employee on the back of Copy B.)
Notice to Employee Instructions for Employee
Do you have to file? Refer to the Form 1040 instructions to determine if you are required to file Box 12 (continued)
a tax return. Even if you don’t have to file a tax return, you may be eligible for a refund if box 2 E—Elective deferrals under a section 403(b) salary reduction agreement
shows an amount or if you are eligible for any credit.
F—Elective deferrals under a section 408(k)(6) salary reduction SEP
Earned income credit (EIC). You may be able to take the EIC for 2023 if your adjusted gross
income (AGI) is less than a certain amount. The amount of the credit is based on income and G—Elective deferrals and employer contributions (including nonelective deferrals) to a
family size. Workers without children could qualify for a smaller credit. You and any qualifying section 457(b) deferred compensation plan
children must have valid social security numbers (SSNs). You can’t take the EIC if your H—Elective deferrals to a section 501(c)(18)(D) tax-exempt organization plan. See the Form
investment income is more than the specified amount for 2023 or if income is earned for 1040 instructions for how to deduct.
services provided while you were an inmate at a penal institution. For 2023 income limits and
more information, visit www.irs.gov/EITC. See also Pub. 596. Any EIC that is more than your J—Nontaxable sick pay (information only, not included in box 1, 3, or 5)
tax liability is refunded to you, but only if you file a tax return. K—20% excise tax on excess golden parachute payments. See the Form 1040 instructions.
Employee’s social security number (SSN). For your protection, this form may show only the L—Substantiated employee business expense reimbursements
last four digits of your SSN. However, your employer has reported your complete SSN to the (nontaxable)
IRS and the Social Security Administration (SSA).
M—Uncollected social security or RRTA tax on taxable cost of group-term life insurance
Clergy and religious workers. If you aren’t subject to social security and Medicare taxes, see over $50,000 (former employees only). See the Form 1040 instructions.
Pub. 517.
N—Uncollected Medicare tax on taxable cost of group-term life insurance over $50,000
Corrections. If your name, SSN, or address is incorrect, correct Copies B, C, and 2 and ask (former employees only). See the Form 1040 instructions.
your employer to correct your employment record. Be sure to ask the employer to file Form
W-2c, Corrected Wage and Tax Statement, with the SSA to correct any name, SSN, or money P—Excludable moving expense reimbursements paid directly to a member of the U.S.
amount error reported to the SSA on Form W-2. Be sure to get your copies of Form W-2c from Armed Forces (not included in box 1, 3, or 5)
your employer for all corrections made so you may file them with your tax return. If your name Q—Nontaxable combat pay. See the Form 1040 instructions for details on reporting this
and SSN are correct but aren’t the same as shown on your social security card, you should ask amount.
for a new card that displays your correct name at any SSA office or by calling 800-772-1213.
You may also visit the SSA website at www.SSA.gov. R—Employer contributions to your Archer MSA. Report on Form 8853.
Cost of employer-sponsored health coverage (if such cost is provided by the employer). S—Employee salary reduction contributions under a section 408(p) SIMPLE plan (not
The reporting in box 12, using code DD, of the cost of employer-sponsored health coverage is included in box 1)
for your information only. The amount reported with code DD is not taxable. T—Adoption benefits (not included in box 1). Complete Form 8839 to figure any taxable
Credit for excess taxes. If you had more than one employer in 2023 and more than $9,932.40 and nontaxable amounts.
in social security and/or Tier 1 railroad retirement (RRTA) taxes were withheld, you may be able V—Income from exercise of nonstatutory stock option(s) (included in boxes 1, 3 (up to the
to claim a credit for the excess against your federal income tax. See the Form 1040 social security wage base), and 5). See Pub. 525 for reporting requirements.
instructions. If you had more than one railroad employer and more than $5,821.20 in Tier 2
RRTA tax was withheld, you may be able to claim a refund on Form 843. See the Instructions W—Employer contributions (including amounts the employee elected to contribute using a
for Form 843. section 125 (cafeteria) plan) to your health savings account. Report on Form 8889.
Y—Deferrals under a section 409A nonqualified deferred compensation plan
Z—Income under a nonqualified deferred compensation plan that fails to satisfy section
Instructions for Employee 409A. This amount is also included in box 1. It is subject to an additional 20% tax plus
(See also Notice to Employee on the back of Copy B.) interest. See the Form 1040 instructions.
Box 1. Enter this amount on the wages line of your tax return.
Box 2. Enter this amount on the federal income tax withheld line of your tax return.
Box 5. You may be required to report this amount on Form 8959. See the Form 1040 AA—Designated Roth contributions under a section 401(k) plan
instructions to determine if you are required to complete Form 8959. BB—Designated Roth contributions under a section 403(b) plan
Box 6. This amount includes the 1.45% Medicare Tax withheld on all Medicare wages and
DD—Cost of employer-sponsored health coverage. The amount reported with code DD
tips shown in box 5, as well as the 0.9% Additional Medicare Tax on any of those Medicare
is not taxable.
wages and tips above
$200,000. EE—Designated Roth contributions under a governmental section
457(b) plan. This amount does not apply to contributions under a tax-exempt organization
Box 8. This amount is not included in box 1, 3, 5, or 7. For information on how to report tips
on your tax return, see the Form 1040 instructions. section 457(b) plan.
You must file Form 4137 with your income tax return to report at least the allocated tip FF—Permitted benefits under a qualified small employer health reimbursement arrangement
amount unless you can prove with adequate records that you received a smaller amount. If GG—Income from qualified equity grants under section 83(i)
you have records that show the actual amount of tips you received, report that amount even
HH—Aggregate deferrals under section 83(i) elections as of the close of the calendar year
if it is more or less than the allocated tips. Use Form 4137 to figure the social security and
Medicare tax owed on tips you didn’t report to your employer. Enter this amount on the Box 13. If the “Retirement plan” box is checked, special limits may apply to the amount of
wages line of your tax return. By filing Form 4137, your social security tips will be credited to traditional IRA contributions you may deduct. See Pub. 590-A.
your social security record Box 14. Employers may use this box to report information such as state disability insurance
(used to figure your benefits). taxes withheld, union dues, uniform payments, health insurance premiums deducted,
Box 10. This amount includes the total dependent care benefits that your employer paid to nontaxable income, educational assistance payments, or a member of the clergy’s
you or incurred on your behalf (including amounts from a section 125 (cafeteria) plan). Any parsonage allowance and utilities. Railroad employers use this box to report railroad
amount over your employer’s plan limit is also included in box 1. See Form 2441. retirement (RRTA) compensation, Tier 1 tax, Tier 2 tax, Medicare tax, and Additional
Box 11. This amount is (a) reported in box 1 if it is a distribution made to you from a Medicare Tax. Include tips reported by the employee to the employer in railroad retirement
nonqualified deferred compensation or nongovernmental section 457(b) plan, or (b) included (RRTA) compensation.
in box 3 and/or box 5 if it is a prior year deferral under a nonqualified or section 457(b) plan Note: Keep Copy C of Form W-2 for at least 3 years after the due date for filing your
that became taxable for social security and Medicare taxes this year because there is no income tax return. However, to help protect your social security benefits, keep Copy C
longer a substantial risk of forfeiture of your right to the deferred amount. This box shouldn’t until you begin receiving social security benefits, just in case there is a question about your
be used if you had a deferral and a distribution in the same calendar year. If you made a work record and/or earnings in a particular year.
deferral and received a distribution in the same calendar year, and you are or will be age 62
by the end of the calendar year, your employer should file Form SSA-131, Employer Report
of Special Wage Payments, with the Social Security Administration and give you a copy.
Box 12. The following list explains the codes shown in box 12. You may need this
information to complete your tax return. Elective deferrals
(codes D, E, F, and S) and designated Roth contributions (codes AA, BB, and EE) under all
plans are generally limited to a total of $22,500 ($15,500 if you only have SIMPLE plans;
$25,500 for section 403(b) plans if you qualify for the 15-year rule explained in Pub. 571).
Deferrals under code G are limited to $22,500. Deferrals under code H are limited to $7,000.
However, if you were at least age 50 in 2023, your employer may have allowed an additional
deferral of up to $7,500 ($3,500 for section
401(k)(11) and 408(p) SIMPLE plans). This additional deferral amount is not subject to the
overall limit on elective deferrals. For code G, the limit on elective deferrals may be higher
for the last 3 years before you reach retirement age. Contact your plan administrator for
more information. Amounts in excess of the overall elective deferral limit must be included in
income. See the Form 1040 instructions.
Note: If a year follows code D through H, S, Y, AA, BB, or EE, you made a make-up pension
contribution for a prior year(s) when you were in military service. To figure whether you made
excess deferrals, consider these amounts for the year shown, not the current year. If no year
is shown, the contributions are for the current year.
A—Uncollected social security or RRTA tax on tips. Include this tax on Form 1040 or 1040-
SR. See the Form 1040 instructions.
B—Uncollected Medicare tax on tips. Include this tax on Form 1040 or 1040-SR. See the
Form 1040 instructions.
C—Taxable cost of group-term life insurance over $50,000 (included in boxes 1, 3 (up to the
social security wage base), and 5)
D—Elective deferrals to a section 401(k) cash or deferred arrangement. Also includes
deferrals under a SIMPLE retirement account that is part of a section 401(k) arrangement.
Walmart Associates, Inc.
To assist you in understanding the 2023 W-2 forms, the following information is provided:
General Information:
• Please verify upon receipt that your name and social security number are correct. If incorrect, refer to the section entitled
"Corrections" on the back of the W-2 form.
• If your Federal tax withholding was not sufficient to meet your tax liability, you might want to file a new Form W-4 for
2024.
• If you received compensation in more than 2 states or 2 localities, you will receive as many copies of Form W-2 as is
necessary to list the amounts separately. However, all wages reported in Boxes 1, 3 and 5 will be printed on only 1
copy of Form W-2.
• The W-2 form includes an Import Code. This code is an eight digit alpha numeric value that can be used with tax
preparation software to import your W-2 information. The import code is located in the lower right corner of the employee
address box on the W-2. More information regarding the use of the new import code can be found on the tax preparer’s
website.
• Box 13: The "Retirement Plan" box will be marked for anyone who contributed to their 401(k) plan for the plan year
ending January 31, 2024. If the box is marked, special limits may apply to the amount of IRA contributions you may
deduct.
Notice to California, Colorado, Texas, and Illinois Associates – Federal Earned Income Tax Credit
If you have earned less than $63,698 last year, you may be eligible to receive the earned income tax credit of up to $7,430
from the federal government. The earned income tax credit is a refundable federal income tax credit for low-income working
individuals and families. The earned income tax credit has no effect on certain welfare benefits. In most cases, earned
income tax credit payments will not be used to determine eligibility for Medicaid, supplemental security income, food stamps,
low-income housing or most temporary assistance for needy families’ payments. Even if you do not owe federal taxes, you
must file a tax return to receive the earned income tax credit. For information regarding your eligibility to receive the earned
income tax credit, including information on how to obtain the IRS Notice 797, or any other necessary forms and instructions,
contact the Internal Revenue Service by calling 1-800-829-3676 or through its web site at www.irs.gov.
Oregon residents- www.oregon.gov/dor
Philadelphia residents- www.YouEarnedItPhilly.com
For questions concerning your W-2 contact Payroll Services at (479) 273-4323.