| |
Employer:
| |
Employer Identification Number (EIN):272976158 |
ZIPRECRUITER INC | |
604 ARIZONA | |
SANTA MONICA, CA 90401-0000 | |
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Employee:
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Employee's Social Security Number:
647-40-0297 |
CHANDLER KINSEY | |
5135 E EVERGREEN ST | |
MESA, AZ 85205-0000 | |
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Submission Type: | Original document |
Wages, Tips and Other Compensation: | $18,739.00 |
Federal Income Tax Withheld: | $2,143.00 |
Social Security Wages: | $18,979.00 |
Social Security Tax Withheld: | $1,176.00 |
Medicare Wages and Tips: | $18,979.00 |
Medicare Tax Withheld: | $275.00 |
Social Security Tips: | $0.00 |
Allocated Tips: | $0.00 |
Dependent Care Benefits: | $0.00 |
Deferred Compensation: | $240.00 |
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 |
Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement: | $0.00 |
Code "GG" Income from Qualified Equity Grants Under Section 83(i): | $0.00 |
Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year: | $0.00 |
Third Party Sick Pay Indicator: | Unanswered |
Retirement Plan Indicator: | Yes - retirement plan |
Statutory Employee: | Not Statutory Employee |
W2 Submission Type: | |
W2 WHC SSN Validation Code: | Correct SSN |
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Employer:
| |
Employer Identification Number (EIN):462852392 |
DOORDASH FKA PALO ALTO DELIVERY | |
303 2ND STREET | |
SAN FRANCISCO, CA 94107-0000 | |
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Employee:
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Employee's Social Security Number:
647-40-0297 |
CHANDLER S KINSEY | |
5135 E EVERGREEN ST UN | |
MESA, AZ 85205-0000 | |
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Submission Type: | Original document |
Wages, Tips and Other Compensation: | $11,286.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $11,286.00 |
Social Security Tax Withheld: | $699.00 |
Medicare Wages and Tips: | $11,286.00 |
Medicare Tax Withheld: | $163.00 |
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: | $191.00 |
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan: | $0.00 |
Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement: | $0.00 |
Code "GG" Income from Qualified Equity Grants Under Section 83(i): | $0.00 |
Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year: | $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 |
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Employer:
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Employer Identification Number (EIN):943327894 |
WEB COM GROUP INC | |
5335 GATE PARKWAY | |
JACKSONVILLE, FL 32256-0000 | |
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Employee:
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Employee's Social Security Number:
647-40-0297 |
CHANDLER S KINSEY | |
5135 E EVERGREEN | |
MESA, AZ 85206-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $12,256.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $12,256.00 |
Social Security Tax Withheld: | $759.00 |
Medicare Wages and Tips: | $12,256.00 |
Medicare Tax Withheld: | $177.00 |
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 |
Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement: | $0.00 |
Code "GG" Income from Qualified Equity Grants Under Section 83(i): | $0.00 |
Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year: | $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 |
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Payer:
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Payer's Federal Identification Number (FIN):800429876 |
SQUARE, INC. | |
1455 MARKET STREET | |
SAN FRANCISCO, CA 94103-0000 | |
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Recipient:
| |
Recipient's Identification Number:
647-40-0297 |
CHANDLER SCOTT KINSEY | |
5135 EAST EVERGREEN STREET | |
MESA, AZ 85205-0000 | |
| |
Submission Type: | Original document |
Account Number (Optional): | 7872054T6 |
Date Sold or Disposed: | 06-14-2019 |
CUSIP Number: | 0000000000000 |
Gross Proceeds: | Nothing checked |
Bartering: | $0.00 |
Federal Income Tax Withheld: | $0.00 |
Proceeds: | $0.00 |
Aggregate Profit or (Loss): | $0.00 |
Realized Profit or (Loss): | $0.00 |
Unrealized Profit or (Loss) 12/31 Prior Year: | $0.00 |
Unrealized Profit or (Loss) 12/31 Current Year: | $0.00 |
Cost or Basis: | $0.00 |
Wash Sale Loss Disallowed: | $0.00 |
Accrued Market Discount Amount: | $0.00 |
Description: | SEE DETAIL STATEMENT |
Second Notice Indicator: | |
Date Acquired: | 01-01-1900 |
Noncovered Security Indicator: | Noncovered Security Basis not reported to IRS |
Type of Gain or Loss Code: | |
Applicable Check Box on Form 8949: | Transactions that do not flow to Form 8949 |
Loss Not Allowed Indicator: | |
FATCA Filing Requirement: | Box not checked no Filing Requirement |
Proceeds from: | Box not checked |
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Payer:
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Payer's Federal Identification Number (FIN):866004791 |
ARIZONA DEPARTMENT OF REVENUE | |
1600 W MONROE | |
PHOENIX, AZ 85007-0000 | |
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Recipient:
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Recipient's Identification Number:
647-40-0297 |
KINSEY CHANDLER | |
5135 E EVERGREEN ST UNIT 1250 | |
MESA, AZ 85205-0000 | |
| |
Submission Type: | Original document |
Account Number (Optional): | 201901862166 |
RTAA Payments: | $0.00 |
Tax Withheld: | $0.00 |
Taxable Grants: | $0.00 |
Unemployment Compensation: | $0.00 |
Agricultural Subsidies: | $0.00 |
Prior Year Refund: | $75.00 |
Market gain on Commodity Credit Corporation loans repaid: | $0.00 |
Year of Refund: | 2018 |
1099G Offset: | Not Refund, Credit, or Offset for Trade or Business |
Second TIN Notice: | |
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Payer:
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Payer's Federal Identification Number (FIN):046568107 |
FIDELITY INVESTMENTS | |
100 MAGELLAN WAY KW1C | |
COVINGTON, KY 41015-0000 | |
| |
Recipient:
| |
Recipient's Identification Number:
647-40-0297 |
KINSEY, CHANDLER | |
5135 E EVERGREEN ST | |
MESA, AZ 85205-0000 | |
| |
Submission Type: | Original document |
Account Number (Optional): | 20200104023605192556 |
Distribution Code Value: | Early Distribution, no known exception (in most cases, under age 59 1/2) |
Distribution Code: | 1 |
Distribution Code Value: | Not significant |
Distribution Code: | Blank |
Tax Amount Undetermined Code: | Not checked |
Total Distribution Code: | Total Distribution |
First Year Roth Contribution: | 0000 |
SEP Indicator: | IRA/SEP/SIMP box not checked |
FATCA Indicator: | not FATCA |
Date of Payment for Reportable Death Benefits under Section 6050Y: | 00-00-0000 |
Tax Withheld: | $48.00 |
Total Employee Contributions: | $0.00 |
Unrealized Appreciation: | $0.00 |
Other Income: | $0.00 |
Gross Distribution: | $240.00 |
Taxable Amount: | $240.00 |
Eligible Capital Gains: | $0.00 |
Amount to IRR: | $0.00 |