a Employee’s social security number

376-33-2272 OMB No. 1545-0008

b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
75-1650672 91122.50 6880.00
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

AMAZON DET6 WOODWARD FUFILLMENT CENTER 91122.50 2999.00

5 Medicare wages and tips 6 Medicare tax withheld
20110 WOODWARD AVENUE
91122.50 1117.50
DETROIT, MI 48203
7 Social security tips 8 Allocated tips
(734) 529-9401
d Control number 9 10 Dependent care benefits
39048584
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a
C
o
d
e D 2452.10
KOREY BRIDGEFORTH 13 Statutory
employee
Retirement
plan
Third-party
sick pay
12b
C
28067 MARSHALL STREET o
d
e

SOUTHFIELD, MI 48076 14 Other 12c

C
o
d
e

12d
C
o
d
e

f Employee’s address and ZIP code

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
MI 75-1650672 91122.50 2452.10 91122.50 2452.10 PHILADELPHIA

VBA

W-2 Wage and Tax Department of the Treasury—Internal Revenue Service

Form Statement
Copy B—To Be Filed With Employee’s FEDERAL Tax Return.
2024
This information is being furnished to the Internal Revenue Service.

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 may be
376-33-2272 OMB No. 1545-0008 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
75-1650672 91122.50 6880.00
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
91122.50 2999.00
AMAZON DET6 FUFILLMENT CENTER
5 Medicare wages and tips 6 Medicare tax withheld
20110 WOODWARD AVENUE 91122.50 2246.00
DETROIT, MI 48203 7 Social security tips 8 Allocated tips
(734) 529-9401
d Control number 9 10 Dependent care benefits
39048584
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a
C
o
d
e D 2452.10
KOREY BRIDGEFORTH 13 Statutory
employee
Retirement
plan
Third-party
sick pay
12b
C
o
28067 MARSHALL STREET d
e

SOUTHFIELD, MI 48076 14 Other 12c

C
o
d
e

12d
C
o
d
e

f Employee’s address and ZIP code

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
MI 75-1650672 91122.50 2452.10 91122.50 2452.10 PHILADELPHIA

VBA

W-2 Wage and Tax Department of the Treasury—Internal Revenue Service

Form Statement
Copy B—To Be Filed With Employee’s FEDERAL Tax Return.
2024 Safe, accurate,
FAST! Use

This information is being furnished to the Internal Revenue Service.