W-2 2023
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Economics
Date
Feb 20, 2024
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Form W-2 Wage & Tax Statement 2023
Copy B - To Be Filed With Employee's FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service.
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0008
a
Employee's social security number
1
Wages, tips, other compensation
2
Federal income tax withheld
XXX-XX-2032
25528.90
1250.00
c
Employer's name, address, and ZIP code
3
Social security wages
4
Social security tax withheld
Gulf Health Hospitals Inc
PO Box 2226
Mobile, AL 36652
USA
27328.20
1694.35
5
Medicare wages and tips
6
Medicare tax withheld
27328.20
396.26
7
Social security tips
8
Allocated tips
0.00
0.00
b
Employer identification number (EIN)
9
10
Dependent care benefits
63-0891904
0.00
e
Employee's name, address, and ZIP code
11
Nonqualified plans
13
Statutory
employee
Retirement
plan
Third-party
sick pay
Angel L Hughes
14855 May Tower Road
Bay Minette, AL 36507
0.00
12
See instructions for box 12
14
Other
D
1799.30
DD
6846.48
15
State
Employer's state ID No.
16 State wages, tips, etc.
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
AL
0000226223
25528.90
686.96
Form W-2 Wage & Tax Statement 2023
Copy 2 - To Be Filed With Employee's State, City, or Local Income Tax Return.
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0008
a
Employee's social security number
1
Wages, tips, other compensation
2
Federal income tax withheld
XXX-XX-2032
25528.90
1250.00
c
Employer's name, address, and ZIP code
3
Social security wages
4
Social security tax withheld
Gulf Health Hospitals Inc
PO Box 2226
Mobile, AL 36652
USA
27328.20
1694.35
5
Medicare wages and tips
6
Medicare tax withheld
27328.20
396.26
7
Social security tips
8
Allocated tips
0.00
0.00
b
Employer identification number (EIN)
9
10
Dependent care benefits
63-0891904
0.00
e
Employee's name, address, and ZIP code
11
Nonqualified plans
13
Statutory
employee
Retirement
plan
Third-party
sick pay
Angel L Hughes
14855 May Tower Road
Bay Minette, AL 36507
0.00
12
See instructions for box 12
14
Other
D
1799.30
DD
6846.48
15
State
Employer's state ID No.
16 State wages, tips, etc.
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
AL
0000226223
25528.90
686.96
Form W-2 Wage & Tax Statement 2023
Copy C-For EMPLOYEE'S RECORDS.
This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a negligence penalty or other
sanction may be imposed on you if this income is taxable and you fail to report it.
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0008
a
Employee's social security number
1
Wages, tips, other compensation
2
Federal income tax withheld
XXX-XX-2032
25528.90
1250.00
c
Employer's name, address, and ZIP code
3
Social security wages
4
Social security tax withheld
Gulf Health Hospitals Inc
PO Box 2226
Mobile, AL 36652
USA
27328.20
1694.35
5
Medicare wages and tips
6
Medicare tax withheld
27328.20
396.26
7
Social security tips
8
Allocated tips
0.00
0.00
b
Employer identification number (EIN)
9
10
Dependent care benefits
63-0891904
0.00
e
Employee's name, address, and ZIP code
11
Nonqualified plans
13
Statutory
employee
Retirement
plan
Third-party
sick pay
Angel L Hughes
14855 May Tower Road
Bay Minette, AL 36507
0.00
12
See instructions for box 12
14
Other
D
1799.30
DD
6846.48
15
State
Employer's state ID No.
16 State wages, tips, etc.
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
AL
0000226223
25528.90
686.96
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