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Wage and Income Transcript

Request Date: 06-14-2024
Response Date: 06-14-2024
Tracking Number: 106130510082

SSN Provided: 647-40-0297
Tax Period Requested: December, 2023

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):203754038
VIVINT INC
4931 NORTH 300 WEST
PROVO, UT 84604-0000

Employee:

Employee's Social Security Number: 647-40-0297
CHANDLER S KINSEY
2217 N POWER RD
MESA, AZ 85215-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$42,225.00
Federal Income Tax Withheld:$110.00
Social Security Wages:$42,764.00
Social Security Tax Withheld:$2,651.00
Medicare Wages and Tips:$42,764.00
Medicare Tax Withheld:$620.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$538.00
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:$20.00
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

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):464389868
DESERT MOUNTAIN CO OF PHOENIX LLC
190 S MCQUEEN RD SU
GILBERT, AZ 85233-0000

Employee:

Employee's Social Security Number: 647-40-0297
CHANDLER S KINSEY
37363 N GARY ROAD 1006
QUEEN CREEK, AZ 85142-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$14,924.00
Federal Income Tax Withheld:$454.00
Social Security Wages:$15,164.00
Social Security Tax Withheld:$940.00
Medicare Wages and Tips:$15,164.00
Medicare Tax Withheld:$219.00
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

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):860950231
BULWARK EXTERMINATING LLC
5810 S SOSSAMAN ROAD
MESA, AZ 85212-0000

Employee:

Employee's Social Security Number: 647-40-0297
CHANDLER SCOTT KINSEY
37363 N GARY ROAD
QUEEN CREEK, AZ 85142-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$1,277.00
Federal Income Tax Withheld:$74.00
Social Security Wages:$1,277.00
Social Security Tax Withheld:$79.00
Medicare Wages and Tips:$1,277.00
Medicare Tax Withheld:$18.00
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

Form 1099-NEC Nonemployee Compensation

Issuer/Provider:

Issuer's/Provider's Federal ID No.:861190819
TRITON SMART HOME
735 S 750 E
SALEM, UT 84653-5507

Recipient:

Recipient's ID No.: 647-40-0297
KINSEY CHANDLER
37363 N GARY ROAD 1006
QUEEN CREEK, AZ 85142-0000

Submission Type:Original document
Second Notice Indicator:No Second Notice
Federal Income Tax Withheld:$0.00
Non-Employee Compensation::$5,090.00
Direct Sales Indicator:No direct sales

This Product Contains Sensitive Taxpayer Data