| |
|
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 | |
| |
|
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 | |
| |
|
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 |
