Form W-2 Wage and Tax Statement 2024
Copy C, for employee's records
c Employer's name, address, and ZIP code d Control number Void
Department of the Treasury - Internal Revenue Service
0903-70153263 OMB No. 1545-0008
0000000009 - PAYROL
CENTRO DE INMIGRACION PC b Employer identification number (EIN) a Employee's social security number
1795 5TH AVENUE 1 Wages, tips, other compensation 2 Federal income tax withheld
BAY SHORE NY 11706 99-4005725 068-84-2248 24118.78 1940.46
13 Statutory Retirement Third-party 3 Social security wages 4 Social security tax withheld
employee plan sick pay
24118.78 1495.36
e Employee's name, address, and ZIP code 12 See instructions for box 12 14 Other 5 Medicare wages and tips 6 Medicare tax withheld
NYSDI 15.00 24118.78 349.72
NELY D MORALES ORDONEZ NYPFL 89.94 7 Social Security Tips 8 Allocated Tips
3 WALBRIDGE AVE
BAY SHORE NY 11706 10 Dependent care benefits 11 Nonqualified plans
15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
NY 994005725 24118.78 1051.76
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 may be imposed on you if this income is taxable and you fail to report it.
Form W-2 Wage and Tax Statement 2024
Copy B, to be filed with employee's FEDERAL tax return
c Employer's name, address, and ZIP code d Control number Void
Department of the Treasury - Internal Revenue Service
0903-70153263 OMB No. 1545-0008
0000000009 - PAYROL
CENTRO DE INMIGRACION PC b Employer identification number (EIN) a Employee's social security number
1795 5TH AVENUE 1 Wages, tips, other compensation 2 Federal income tax withheld
BAY SHORE NY 11706 99-4005725 068-84-2248 24118.78 1940.46
13 Statutory Retirement Third-party 3 Social security wages 4 Social security tax withheld
employee plan sick pay
24118.78 1495.36
e Employee's name, address, and ZIP code 12 See instructions for box 12 14 Other 5 Medicare wages and tips 6 Medicare tax withheld
NYSDI 15.00 24118.78 349.72
NELY D MORALES ORDONEZ NYPFL 89.94 7 Social Security Tips 8 Allocated Tips
3 WALBRIDGE AVE
BAY SHORE NY 11706 10 Dependent care benefits 11 Nonqualified plans
15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
NY 994005725 24118.78 1051.76
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 may be imposed on you if this income is taxable and you fail to report it.
Form W-2 Wage and Tax Statement 2024
Copy 2, to be filed with employee's tax return for NY
c Employer's name, address, and ZIP code d Control number Void
Department of the Treasury - Internal Revenue Service
0903-70153263 OMB No. 1545-0008
0000000009 - PAYROL
CENTRO DE INMIGRACION PC b Employer identification number (EIN) a Employee's social security number
1795 5TH AVENUE 1 Wages, tips, other compensation 2 Federal income tax withheld
BAY SHORE NY 11706 99-4005725 068-84-2248 24118.78 1940.46
13 Statutory Retirement Third-party 3 Social security wages 4 Social security tax withheld
employee plan sick pay
24118.78 1495.36
e Employee's name, address, and ZIP code 12 See instructions for box 12 14 Other 5 Medicare wages and tips 6 Medicare tax withheld
NYSDI 15.00 24118.78 349.72
NELY D MORALES ORDONEZ NYPFL 89.94 7 Social Security Tips 8 Allocated Tips
3 WALBRIDGE AVE
BAY SHORE NY 11706 10 Dependent care benefits 11 Nonqualified plans
15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
NY 994005725 24118.78 1051.76
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 may be imposed on you if this income is taxable and you fail to report it.
Form W-2 Wage and Tax Statement 2024
c Employer's name, address, and ZIP code d Control number Void
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0008
X
b Employer identification number (EIN) a Employee's social security number
1 Wages, tips, other compensation 2 Federal income tax withheld
13 Statutory Retirement Third-party 3 Social security wages 4 Social security tax withheld
employee plan sick pay
e Employee's name, address, and ZIP code 12 See instructions for box 12 14 Other 5 Medicare wages and tips 6 Medicare tax withheld
7 Social Security Tips 8 Allocated Tips
10 Dependent care benefits 11 Nonqualified plans
15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
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 may be imposed on you if this income is taxable and you fail to report it.
Notice to Employee
Do you have to file? Refer to the Form 1040 instructions to Corrections. If your name, SSN, or address is incorrect, correct
determine if you are required to file a tax return. Even if you Copies B, C, and 2 and ask your employer to correct your
don’t have to file a tax return, you may be eligible for a refund if employment record. Be sure to ask the employer to file Form
box 2 shows an amount or if you are eligible for any credit. W-2c, Corrected Wage and Tax Statement, with the SSA to
correct any name, SSN, or money amount error reported to the
Earned income credit (EITC). You may be able to take the EITC SSA on Form W-2. Be sure to get your copies of Form W-2c
for 2024 if your adjusted gross income (AGI) is less than a from your employer for all corrections made so you may file
certain amount. The amount of the credit is based on income them with your tax return. If your name and SSN are correct but
and family size. Workers without children could qualify for a aren’t the same as shown on your social security card, you
smaller credit. You and any qualifying children must have valid should ask for a new card that displays your correct name at
social security numbers (SSNs). You can’t take the EITC if your any SSA office or by calling 800-772-1213. You may also visit
investment income is more than the specified amount for 2024 the SSA website at www.SSA.gov.
or if income is earned for services provided while you were an
inmate at a penal institution. For 2024 income limits and more Cost of employer-sponsored health coverage (if such cost is
information, visit www.irs.gov/EITC. See also Pub. 596. Any provided by the employer). The reporting in box 12, using
EITC that is more than your tax liability is refunded to you, code DD, of the cost of employer-sponsored health coverage is
but only if you file a tax return. for your information only. The amount reported with code DD
is not taxable.
Employee’s social security number (SSN). For your
protection, this form may show only the last four digits of your Credit for excess taxes. If you had more than one employer in
SSN. However, your employer has reported your complete SSN 2024 and more than $10,453.20 in social security and/or Tier 1
to the IRS and the Social Security Administration (SSA). railroad retirement (RRTA) taxes were withheld, you may be able
to claim a credit for the excess against your federal income tax.
Clergy and religious workers. If you aren’t subject to social See the Form 1040 instructions. If you had more than one
security and Medicare taxes, see Pub. 517. railroad employer and more than $6,129.90 in Tier 2 RRTA tax
was withheld, you may be able to claim a refund on Form 843.
See the Instructions for Form 843.
Instructions for Employee
Box 1. Enter this amount on the wages line of your tax return. H—Elective deferrals to a section 501(c)(18)(D) tax-exempt organization
Box 2. Enter this amount on the federal income tax withheld line of your plan. See the Form 1040 instructions for how to deduct.
tax return.
J—Nontaxable sick pay (information only, not included in box 1, 3, or 5)
Box 5. You may be required to report this amount on Form 8959. See K—20% excise tax on excess golden parachute payments. See the
the Form 1040 instructions to determine if you are required to complete Form 1040 instructions.
Form 8959.
Box 6. This amount includes the 1.45% Medicare Tax withheld on all L—Substantiated employee business expense reimbursements
Medicare wages and tips shown in box 5, as well as the 0.9% Additional (nontaxable)
Medicare Tax on any of those Medicare wages and tips above M—Uncollected social security or RRTA tax on taxable cost of group-
$200,000. term life insurance over $50,000 (former employees only). See the Form
Box 8. This amount is not included in box 1, 3, 5, or 7. For information 1040 instructions.
on how to report tips on your tax return, see the Form 1040 instructions.
N—Uncollected Medicare tax on taxable cost of group-term life
You must file Form 4137 with your income tax return to report at least insurance over $50,000 (former employees only). See the Form 1040
the allocated tip amount unless you can prove with adequate records instructions.
that you received a smaller amount. If you have records that show the P—Excludable moving expense reimbursements paid directly to a
actual amount of tips you received, report that amount even if it is more member of the U.S. Armed Forces (not included in box 1, 3, or 5)
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 Q—Nontaxable combat pay. See the Form 1040 instructions for details
employer. Enter this amount on the wages line of your tax return. By on reporting this amount.
filing Form 4137, your social security tips will be credited to your social
security record (used to figure your benefits). R—Employer contributions to your Archer MSA. Report on Form 8853.
Box 10. This amount includes the total dependent care benefits that S—Employee salary reduction contributions under a section 408(p)
your employer paid to you or incurred on your behalf (including amounts SIMPLE plan
from a section 125 (cafeteria) plan). Any amount over your employer's
plan limit is also included in box 1. See Form 2441. T—Adoption benefits (not included in box 1). Complete Form 8839 to
figure any taxable and nontaxable amounts.
Box 11. This amount is (a) reported in box 1 if it is a distribution made to V—Income from exercise of nonstatutory stock option(s) (included in
you from a nonqualified deferred compensation or nongovernmental boxes 1, 3 (up to the social security wage base), and 5). See Pub. 525
section 457(b) plan, or (b) included in box 3 and/or box 5 if it is a prior for reporting requirements.
year deferral under a nonqualified or section 457(b) plan that became
taxable for social security and Medicare taxes this year because there is W—Employer contributions (including amounts the employee elected to
no longer a substantial risk of forfeiture of your right to the deferred contribute using a section 125 (cafeteria) plan) to your health savings
amount. This box shouldn’t be used if you had a deferral and a account. Report on Form 8889.
distribution in the same calendar year. If you made a deferral and Y—Deferrals under a section 409A nonqualified deferred compensation plan
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 Z—Income under a nonqualified deferred compensation plan that fails to
SSA-131, Employer Report of Special Wage Payments, with the Social satisfy section 409A. This amount is also included in box 1. It is subject
Security Administration and give you a copy. to an additional 20% tax plus interest. See the Form 1040 instructions.
Box 12. The following list explains the codes shown in box 12. You may AA—Designated Roth contributions under a section 401(k) plan
need this information to complete your tax return. Elective deferrals
(codes D, E, F, and S) and designated Roth contributions (codes AA, BB—Designated Roth contributions under a section 403(b) plan
BB, and EE) under all plans are generally limited to a total of $23,000 DD—Cost of employer-sponsored health coverage. The amount
($16,000 if you only have SIMPLE plans; $26,000 for section 403(b) reported with code DD is not taxable.
plans if you qualify for the 15-year rule explained in Pub. 571). Deferrals
under code G are limited to $23,000. Deferrals under code H are limited EE—Designated Roth contributions under a governmental section
to $7,000. 457(b) plan. This amount does not apply to contributions under a tax-
However, if you were at least age 50 in 2024, your employer may have exempt organization section 457(b) plan.
allowed an additional deferral of up to $7,500 ($3,500 for section FF—Permitted benefits under a qualified small employer health
401(k)(11) and 408(p) SIMPLE plans). This additional deferral amount is reimbursement arrangement
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 GG—Income from qualified equity grants under section 83(i)
retirement age. Contact your plan administrator for more information.
Amounts in excess of the overall elective deferral limit must be included HH—Aggregate deferrals under section 83(i) elections as of the close of
in income. See the Form 1040 instructions. the calendar year
Note: If a year follows code D through H, S, Y, AA, BB, or EE, you made II—Medicade waiver payments excluded from gross income under
a make-up pension contribution for a prior year(s) when you were in Notice 2014-7.
military service. To figure whether you made excess deferrals, consider
these amounts for the year shown, not the current year. If no year is Box 13. If the “Retirement plan” box is checked, special limits may apply
shown, the contributions are for the current year. to the amount of traditional IRA contributions you may deduct. See Pub.
590-A.
A—Uncollected social security or RRTA tax on tips. Include this tax on
Form 1040 or 1040-SR. See the Form 1040 instructions. Box 14. Employers may use this box to report information such as state
B—Uncollected Medicare tax on tips. Include this tax on Form 1040 or disability insurance taxes withheld, union dues, uniform payments,
1040-SR. See the Form 1040 instructions. health insurance premiums deducted, nontaxable income, educational
assistance payments, or a member of the clergy’s parsonage allowance
C—Taxable cost of group-term life insurance over $50,000 (included in and utilities. Railroad employers use this box to report railroad
boxes 1, 3 (up to the social security wage base), and 5) retirement (RRTA) compensation, Tier 1 tax, Tier 2 tax, Medicare tax,
and Additional Medicare Tax. Include tips reported by the employee to
D—Elective deferrals to a section 401(k) cash or deferred arrangement. the employer in railroad retirement (RRTA) compensation.
Also includes deferrals under a SIMPLE retirement account that is part
of a section 401(k) arrangement. Note: Keep Copy C of Form W-2 for at least 3 years after the due date
E—Elective deferrals under a section 403(b) salary reduction agreement for filing your income tax return. However, to help protect your social
security benefits, keep Copy C until you begin receiving social security
F—Elective deferrals under a section 408(k)(6) salary reduction SEP benefits, just in case there is a question about your work record and/or
G—Elective deferrals and employer contributions (including nonelective earnings in a particular year.
deferrals) to a section 457(b) deferred compensation plan
