| |
Employer:
| |
Employer Identification Number (EIN):460224588 |
AUGUSTANA UNIVERSITY | |
2001 S SUMMIT AVE | |
SIOUX FALLS | |
| |
Employee:
| |
Employee's Social Security Number:
301-74-8062 |
HUNTER BOY SUMMERS | |
1204 E KEYSTONE PL #43 | |
BRANDON, SD 57005-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $923.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $923.00 |
Social Security Tax Withheld: | $57.00 |
Medicare Wages and Tips: | $923.00 |
Medicare Tax Withheld: | $13.00 |
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: | Original |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):460307561 |
VFW THREE RIVERS POST 4726 | |
321 MAIN AVE S | |
BRANDON, SD 57005-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
301-74-8062 |
HUNTER B SUMMERS | |
1204 E KEYSTONE PL #43 | |
BRANDON, SD 57005-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $595.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $430.00 |
Social Security Tax Withheld: | $36.00 |
Medicare Wages and Tips: | $595.00 |
Medicare Tax Withheld: | $8.00 |
Social Security Tips: | $164.00 |
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: | Original |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):466000364 |
STATE OF SOUTH DAKOTA | |
500 E CAPITOL AVE | |
PIERRE, SD 57501-5007 | |
| |
Employee:
| |
Employee's Social Security Number:
301-74-8062 |
HUNTER B SUMMERS | |
5904 W TECUMSEH CT | |
SIOUX FALLS, SD 57106-0435 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $44,282.00 |
Federal Income Tax Withheld: | $5,769.00 |
Social Security Wages: | $47,849.00 |
Social Security Tax Withheld: | $2,966.00 |
Medicare Wages and Tips: | $47,849.00 |
Medicare Tax Withheld: | $693.00 |
Social Security Tips: | $0.00 |
Allocated Tips: | $0.00 |
Dependent Care Benefits: | $0.00 |
Deferred Compensation: | $255.00 |
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: | $10,451.00 |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):466000364 |
SOUTH DAKOTA RETIREMENT SYSTEM | |
BOX 1098 | |
PIERRE, SD 57501-1098 | |
| |
Recipient:
| |
Recipient's Identification Number:
301-74-8062 |
SUMMERS HUNTER | |
1204 E KEYSTONE PL 43 | |
BRANDON, SD 57005-2067 | |
| |
Submission Type: | Original document |
Account Number (Optional): | 00000527 |
Distribution Code Value: | Normal distribution |
Distribution Code: | 7 |
Distribution Code Value: | Not significant |
Distribution Code: | Blank |
Tax Amount Undetermined Code: | Not checked |
Total Distribution Code: | Not checked |
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: | $241.00 |
Total Employee Contributions: | $0.00 |
Unrealized Appreciation: | $0.00 |
Other Income: | $0.00 |
Gross Distribution: | $3,364.00 |
Taxable Amount: | $3,364.00 |
Eligible Capital Gains: | $0.00 |
Amount to IRR: | $0.00 |