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This Product Contains Sensitive Taxpayer Data

Wage and Income Transcript

Request Date: 02-23-2024
Response Date: 02-23-2024
Tracking Number: 105595412232

SSN Provided: 301-74-8062
Tax Period Requested: December, 2015

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):460224588
AUGUSTANA UNIVERSITY
2001 S SUMMIT AVE
SIOUX FALLS, SD 57197-0000

Employee:

Employee's Social Security Number: 301-74-8062
HUNTER BOY SUMMERS
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$94.00
Federal Income Tax Withheld:$0.00
Social Security Wages:$94.00
Social Security Tax Withheld:$5.00
Medicare Wages and Tips:$94.00
Medicare Tax Withheld:$1.00
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

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):460398554
SIOUX MERCHANT PATROL INC.
1501 N CLEVELAND AVE
SIOUX FALLS, SD 57103-0000

Employee:

Employee's Social Security Number: 301-74-8062
HUNTER B SUMMERS
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$546.00
Federal Income Tax Withheld:$0.00
Social Security Wages:$546.00
Social Security Tax Withheld:$33.00
Medicare Wages and Tips:$546.00
Medicare Tax Withheld:$7.00
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

Form W-2 Wage and Tax Statement

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:$39,608.00
Federal Income Tax Withheld:$5,086.00
Social Security Wages:$43,401.00
Social Security Tax Withheld:$2,690.00
Medicare Wages and Tips:$43,401.00
Medicare Tax Withheld:$629.00
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:$10,322.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Yes - retirement plan
Statutory Employee:Not Statutory Employee

Form 1098 Mortgage Interest Statement

Recipient/Lender:

Recipient's Federal Identification Number (FIN):134994650
JPMORGAN CHASE BANK N.A.
3415 VISION DRIVE OH4 7214
COLUMBUS, OH 43219-6009

Payer/Borrower:

Payer's Social Security Number: 301-74-8062
HUNTER B SUMMERS
TRACY SUMMERS
123 S PRAIRIE AVE
SIOUX FALLS, SD 57104-0000

Submission Type:Original document
Account Number (Optional):201793752945
Mortgage Interest Received from Payer(s)/Borrower(s):$5,321.00
Points Paid on Purchase of Principal Residence:$0.00
Refund of Overpaid Interest:$0.00

This Product Contains Sensitive Taxpayer Data