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Employer:
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Employer Identification Number (EIN):466000364 |
STATE OF SOUTH DAKOTA | |
500 E CAPITOL AVE | |
PIERRE, SD 57501-5007 | |
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Employee:
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Employee's Social Security Number:
301-74-8062 |
HUNTER B SUMMERS | |
5904 W TECUMSEH CT | |
SIOUX FALLS, SD 57106-0435 | |
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Submission Type: | Original document |
Wages, Tips and Other Compensation: | $39,897.00 |
Federal Income Tax Withheld: | $4,333.00 |
Social Security Wages: | $44,236.00 |
Social Security Tax Withheld: | $2,742.00 |
Medicare Wages and Tips: | $44,236.00 |
Medicare Tax Withheld: | $641.00 |
Social Security Tips: | $0.00 |
Allocated Tips: | $0.00 |
Dependent Care Benefits: | $2,496.00 |
Deferred Compensation: | $150.00 |
Code "Q" Nontaxable Combat Pay: | $0.00 |
Code "W" Employer Contributions to a Health Savings Account: | $500.00 |
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: | $11,643.00 |
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: | Original |
W2 WHC SSN Validation Code: | Correct SSN |
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Payer/Trustee:
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Payer's/Trustee's Federal ID No.:43-0345811 |
VCSP/COLLEGEAMERICA | |
TA> EDWARD D JONES AND COMPANY | |
201 PROGRESS PARKWAY | |
MARYLAND HEIGHTS, MO 63043-3042 | |
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Recipient:
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Recipient's SSN:
301-74-8062 |
SUMMERS HUNTER | |
1600 N NORTH DRIVE | |
SIOUX FALLS, SD 57104-0915 | |
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Submission Type: | Original document |
Account Number (Optional): | 0339207640001 |
Gross Distribution: | $2,587.00 |
Earnings: | -$12.00 |
Basis: | $2,600.00 |
Trustee-to-Trustee Transfer Indicator: | Box Not Checked |
Qualified Tuition Program Indicator: | State Box Checked |
Designated Beneficiary Indicator: | Recipient is Not Designated Beneficiary |