| |
Employer:
| |
Employer Identification Number (EIN):410706155 |
AMERICAN BAPTIST HOMES OF THE MIDWE | |
14850 SCENIC HEIGHTS R | |
EDEN PRAIRIE, MN 55344-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
301-74-8062 |
HUNTER SUMMERS | |
1204 E. KEYSTONE PLACE | |
BRANDON, SD 57005-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $6,203.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $6,203.00 |
Social Security Tax Withheld: | $384.00 |
Medicare Wages and Tips: | $6,203.00 |
Medicare Tax Withheld: | $89.00 |
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):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: | $7,737.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $7,737.00 |
Social Security Tax Withheld: | $479.00 |
Medicare Wages and Tips: | $7,737.00 |
Medicare Tax Withheld: | $112.00 |
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: | $2,569.00 |
Federal Income Tax Withheld: | $0.00 |
Social Security Wages: | $2,070.00 |
Social Security Tax Withheld: | $159.00 |
Medicare Wages and Tips: | $2,569.00 |
Medicare Tax Withheld: | $37.00 |
Social Security Tips: | $499.00 |
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):845157027 |
MELISSA LEES LLC | |
3471 TITANIC CIR | |
INDIALANTIC, FL 32903-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
301-74-8062 |
HUNTER B SUMMERS | |
1233 MUSGRASS CR | |
WEST MELBOURNE, FL 32904-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $747.00 |
Federal Income Tax Withheld: | $26.00 |
Social Security Wages: | $747.00 |
Social Security Tax Withheld: | $46.00 |
Medicare Wages and Tips: | $747.00 |
Medicare Tax Withheld: | $10.00 |
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 |
| |
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): | 00000592 |
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: | $849.00 |
Total Employee Contributions: | $0.00 |
Unrealized Appreciation: | $0.00 |
Other Income: | $0.00 |
Gross Distribution: | $12,447.00 |
Taxable Amount: | $12,447.00 |
Eligible Capital Gains: | $0.00 |
Amount to IRR: | $0.00 |
| |
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): | 00000593 |
Distribution Code Value: | Early Distribution, no known exception (in most cases, under age 59 1/2) |
Distribution Code: | 1 |
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: | $10.00 |
Total Employee Contributions: | $0.00 |
Unrealized Appreciation: | $0.00 |
Other Income: | $0.00 |
Gross Distribution: | $52.00 |
Taxable Amount: | $52.00 |
Eligible Capital Gains: | $0.00 |
Amount to IRR: | $0.00 |