| |
Employer:
| |
Employer Identification Number (EIN):273411457 |
GREEN MANGO PEST CONTROL | |
2440 E GERMANN RD STE | |
CHANDLER, AZ 85286-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
647-40-0297 |
CHANDLER KINSEY | |
5210 E HAMPTON AVE | |
MESA, AZ 85212-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $7,595.00 |
Federal Income Tax Withheld: | $814.00 |
Social Security Wages: | $7,595.00 |
Social Security Tax Withheld: | $470.00 |
Medicare Wages and Tips: | $7,595.00 |
Medicare Tax Withheld: | $110.00 |
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 |
W2 Submission Type: | |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):453553482 |
THE HUB GRILL BAR | |
1925 S SOSSAMAN RD STE | |
MESA, AZ 85209-0000 | |
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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: | $1,078.00 |
Federal Income Tax Withheld: | $17.00 |
Social Security Wages: | $503.00 |
Social Security Tax Withheld: | $66.00 |
Medicare Wages and Tips: | $1,078.00 |
Medicare Tax Withheld: | $15.00 |
Social Security Tips: | $574.00 |
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 |
W2 Submission Type: | |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):753157994 |
VENEZIAS NEW YORK STYLE PIZZA INC | |
2055 E 5TH STREET 103 | |
TEMPE, AZ 85281-0000 | |
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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: | $2,108.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $2,108.00 |
Social Security Tax Withheld: | $130.00 |
Medicare Wages and Tips: | $2,108.00 |
Medicare Tax Withheld: | $30.00 |
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 |
W2 Submission Type: | |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):760199626 |
G C SERVICES LIMITED PARTNERSHIP | |
6330 GULFTON ST | |
HOUSTON, TX 77081-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
647-40-0297 |
CHANDLER S KINSEY | |
5210 EAST HAMPTON AVE. | |
MESA, AZ 85206-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $6,046.00 |
Federal Income Tax Withheld: | $486.00 |
Social Security Wages: | $6,046.00 |
Social Security Tax Withheld: | $374.00 |
Medicare Wages and Tips: | $6,046.00 |
Medicare Tax Withheld: | $87.00 |
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 |
W2 Submission Type: | |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):813052780 |
THE HUB GRILL AND BAR | |
1860 S STAPLEY DR | |
MESA, AZ 85204-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
647-40-0297 |
CHANDLER KINSEY | |
5210 E HAMPTON AVE 112 | |
MESA, AZ 85206-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $563.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $353.00 |
Social Security Tax Withheld: | $34.00 |
Medicare Wages and Tips: | $563.00 |
Medicare Tax Withheld: | $8.00 |
Social Security Tips: | $210.00 |
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 |
W2 Submission Type: | |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):860677434 |
ROMULUS INC. | |
4131 N 36TH STREET | |
PHOENIX, AZ 85018-0000 | |
| |
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: | $27.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $27.00 |
Social Security Tax Withheld: | $1.00 |
Medicare Wages and Tips: | $27.00 |
Medicare Tax Withheld: | $0.00 |
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 |
W2 Submission Type: | |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):860745045 |
CONSOLIDATED PERSONNEL SERVICES IN | |
5150 N 16TH STREET S | |
PHOENIX, AZ 85016-3976 | |
| |
Employee:
| |
Employee's Social Security Number:
647-40-0297 |
CHANDLER S KINSEY | |
11414 E SOLINA AVENUE | |
MESA, AZ 85212-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $1,951.00 |
Federal Income Tax Withheld: | $192.00 |
Social Security Wages: | $1,951.00 |
Social Security Tax Withheld: | $120.00 |
Medicare Wages and Tips: | $1,951.00 |
Medicare Tax Withheld: | $28.00 |
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 |
W2 Submission Type: | |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):860101004 |
ARIZONA FEDERAL CREDIT UNION | |
PO BOX 60070 | |
PHOENIX, AZ 85082-0070 | |
| |
Recipient:
| |
Recipient's Identification Number:
647-40-0297 |
THE ESTATE OF CHANDLER SCOTT KINSEY A MI | |
11414 E SOLINA AVE | |
MESA, AZ 85212-7027 | |
| |
Submission Type: | Original document |
Account Number (Optional): | 0000667691647400297 |
Interest: | $40.00 |
Tax Withheld: | $0.00 |
Savings Bonds: | $0.00 |
Investment Expense: | $0.00 |
Interest Forfeiture: | $0.00 |
Foreign Tax Paid: | $0.00 |
Tax-Exempt Interest: | $0.00 |
Specified Private Activity Bond Interest: | $0.00 |
Market Discount: | $0.00 |
Bond Premium: | $0.00 |
Bond Premium on Tax Exempt Bond: | $0.00 |
Bond Premium on Treasury Obligations: | $0.00 |
Second Notice Indicator: | No Second Notice |
Foreign Country or US Possession: | |
CUSIP Number: | +000000000000 |
FATCA Filing Requirement: | Box not checked no Filing Requirement |