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Wage and Income Transcript

Request Date: 06-14-2024
Response Date: 06-14-2024
Tracking Number: 106130510058

SSN Provided: 647-40-0297
Tax Period Requested: December, 2014

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):262051970
SIGNAL BUTTE NNY RESTAURANT LLC
10000 N 31ST AVENUE SUITE 109B
PHOENIX, AZ 85051-0000

Employee:

Employee's Social Security Number: 647-40-0297
CHANDLER KINSEY
11414 E. SOLINA AVE
MESA, AZ 85212-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$619.00
Federal Income Tax Withheld:$33.00
Social Security Wages:$391.00
Social Security Tax Withheld:$38.00
Medicare Wages and Tips:$619.00
Medicare Tax Withheld:$8.00
Social Security Tips:$228.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Unanswered
Statutory Employee:Not Statutory Employee

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):464196405
ARIZONA RESTAURANT COMPANY LLC
1515 N ACADEMY BLVD
COLORADO SPGS, CO 80909-0000

Employee:

Employee's Social Security Number: 647-40-0297
CHANDLER S KINSEY
11414 E SOLINA AVE
MESA, AZ 85212-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$2,896.00
Federal Income Tax Withheld:$187.00
Social Security Wages:$2,896.00
Social Security Tax Withheld:$179.00
Medicare Wages and Tips:$2,896.00
Medicare Tax Withheld:$42.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Unanswered
Statutory Employee:Not Statutory Employee

This Product Contains Sensitive Taxpayer Data