a Employee's social security number
287920827 OMB No. 15450008
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
992255660 10387.17 222.01
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
Hangry Oakley LLC 6439.76 644.00
835 Greer St
Apt 2
Covington, Kentucky 41011
d Control number 5 Medicare wages and tips 6 Medicare tax withheld
10387.17 150.61
e/f Employee's name, address, and ZIP code
SHELDON WELCH
1519 Jones Street
Cincinnati, OH 45214
7 Social security tips 8 Allocated tips 9 Advanced EIC payment
3947.41 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans See instructions for box 12
0.00 0.00 12a Code
12b Code 12c Code 12d Code
13 Statutory employee Retirement plan Thirdparty sick pay 14 Other
15 State Employer's state ID number 16 State wages, tips, etc 17 State income tax
OH 54254123 10387.17 147.16
18 Local wages, tips, etc. 19 Local income tax 20 Locality name
Department of the Treasury—Internal Revenue Service
Form W2 Wage and Tax Statement 2024
Copy B To Be Filed with Employee's FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service.
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.
a Employee's social security number
287920827 OMB No. 15450008
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
992255660 10387.17 222.01
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
Hangry Oakley LLC 6439.76 644.00
835 Greer St
Apt 2
Covington, Kentucky 41011
d Control number 5 Medicare wages and tips 6 Medicare tax withheld
10387.17 150.61
e/f Employee's name, address, and ZIP code
SHELDON WELCH
1519 Jones Street
Cincinnati, OH 45214
7 Social security tips 8 Allocated tips 9 Advanced EIC payment
3947.41 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans See instructions for box 12
0.00 0.00 12a Code
12b Code 12c Code 12d Code
13 Statutory employee Retirement plan Thirdparty sick pay 14 Other
15 State Employer's state ID number 16 State wages, tips, etc 17 State income tax
OH 54254123 10387.17 147.16
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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.
a Employee's social security number
287920827 OMB No. 15450008
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
992255660 10387.17 222.01
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
Hangry Oakley LLC 6439.76 644.00
835 Greer St
Apt 2
Covington, Kentucky 41011
d Control number 5 Medicare wages and tips 6 Medicare tax withheld
10387.17 150.61
e/f Employee's name, address, and ZIP code
SHELDON WELCH
1519 Jones Street
Cincinnati, OH 45214
7 Social security tips 8 Allocated tips 9 Advanced EIC payment
3947.41 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans See instructions for box 12
0.00 0.00 12a Code
12b Code 12c Code 12d Code
13 Statutory employee Retirement plan Thirdparty sick pay 14 Other
15 State Employer's state ID number 16 State wages, tips, etc 17 State income tax
OH 54254123 10387.17 147.16
18 Local wages, tips, etc. 19 Local income tax 20 Locality name
Department of the Treasury—Internal Revenue Service
Form W2 Wage and Tax Statement 2024
Copy C For Employee's Record.
a Employee's social security number
287920827 OMB No. 15450008
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
992255660 10387.17 222.01
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
Hangry Oakley LLC 6439.76 644.00
835 Greer St
Apt 2
Covington, Kentucky 41011
d Control number 5 Medicare wages and tips 6 Medicare tax withheld
10387.17 150.61
e/f Employee's name, address, and ZIP code
SHELDON WELCH
1519 Jones Street
Cincinnati, OH 45214
7 Social security tips 8 Allocated tips 9 Advanced EIC payment
3947.41 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans See instructions for box 12
0.00 0.00 12a Code
12b Code 12c Code 12d Code
13 Statutory employee Retirement plan Thirdparty sick pay 14 Other
15 State Employer's state ID number 16 State wages, tips, etc 17 State income tax
OH 54254123 10387.17 147.16
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18 Local wages, tips, etc. 19 Local income tax 20 Locality name
a Employee's social security number
287920827 OMB No. 15450008
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
992255660 10387.17 222.01
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
Hangry Oakley LLC 6439.76 644.00
835 Greer St
Apt 2
Covington, Kentucky 41011
d Control number 5 Medicare wages and tips 6 Medicare tax withheld
10387.17 150.61
e/f Employee's name, address, and ZIP code
SHELDON WELCH
1519 Jones Street
Cincinnati, OH 45214
7 Social security tips 8 Allocated tips 9 Advanced EIC payment
3947.41 0.00 0.00
10 Dependent care benefits 11 Nonqualified plans See instructions for box 12
0.00 0.00 12a Code
12b Code 12c Code 12d Code
13 Statutory employee Retirement plan Thirdparty sick pay 14 Other
15 State Employer's state ID number 16 State wages, tips, etc 17 State income tax
OH 54254123 10387.17 147.16
18 Local wages, tips, etc. 19 Local income tax 20 Locality name
Department of the Treasury—Internal Revenue Service
Form W2 Wage and Tax Statement 2024
Copy 2To Be Filed With
Employee's State, City, or
Local Income Tax Return.
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