| |
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 | |
5904 W TECUMSEH CT | |
SIOUX FALLS, SD 57106-0435 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $117.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $117.00 |
Social Security Tax Withheld: | $7.00 |
Medicare Wages and Tips: | $117.00 |
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 |
W2 Submission Type: | Original |
W2 WHC SSN Validation Code: | Correct SSN |
| |
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 | |
5904 W TECUMSEH CT | |
SIOUX FALLS, SD 57106-0435 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $117.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $117.00 |
Social Security Tax Withheld: | $7.00 |
Medicare Wages and Tips: | $117.00 |
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 |
W2 Submission Type: | Original |
W2 WHC SSN Validation Code: | Correct SSN |
| |
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: | $658.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $658.00 |
Social Security Tax Withheld: | $40.00 |
Medicare Wages and Tips: | $658.00 |
Medicare Tax Withheld: | $9.00 |
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 |
W2 Submission Type: | Original |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):464766622 |
BADLANDS MANAGEMENT LLC | |
901 W 10TH ST | |
SIOUX FALLS, SD 57104-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
301-74-8062 |
HUNTER SUMMERS | |
5904 W. TECUMSEH CT. | |
SIOUX FALLS, SD 57106-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $975.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $975.00 |
Social Security Tax Withheld: | $60.00 |
Medicare Wages and Tips: | $975.00 |
Medicare Tax Withheld: | $14.00 |
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 |
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: | $41,306.00 |
Federal Income Tax Withheld: | $5,339.00 |
Social Security Wages: | $45,197.00 |
Social Security Tax Withheld: | $2,802.00 |
Medicare Wages and Tips: | $45,197.00 |
Medicare Tax Withheld: | $655.00 |
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: | $8,493.00 |
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 |
W2 Submission Type: | Original |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Employer:
| |
Employer Identification Number (EIN):611761307 |
BADLAND MOTOR SPEEDWAY LLC | |
1600 W RUSSELL ST | |
SIOUX FALLS, SD 57104-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
301-74-8062 |
HUNTER SUMMERS | |
5904 W TECUMSEH CT | |
SIOUX FALLS, SD 57106-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $3,131.00 |
Federal Income Tax Withheld: | $1.00 |
Social Security Wages: | $3,131.00 |
Social Security Tax Withheld: | $194.00 |
Medicare Wages and Tips: | $3,131.00 |
Medicare Tax Withheld: | $45.00 |
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 |
W2 Submission Type: | Original |
W2 WHC SSN Validation Code: | Correct SSN |
| |
Recipient/Lender:
| |
Recipient's Federal Identification Number (FIN):042254705 |
AMERICAN STUDENT ASSISTANCE | |
100 CAMBRIDGE STREET SUITE 1600 | |
BOSTON, MA 02114-0000 | |
| |
Borrower:
| |
Borrower's Social Security Number:
301-74-8062 |
HUNTER B SUMMERS | |
5904 W TECUMSEH CT | |
SIOUX FALLS, SD 57106-0435 | |
| |
Submission Type: | Original document |
Account Number (Optional): | N/A |
Loan Origination Fees: | Not checked - does include loan origination fees and/or capitalized interest, and the loan was made before September 1, 2004 |
Student Loan Interest Received by Lender: | $747.00 |