**** ********** ** *** ******** ~ Internal Revenue Service 2022 Department of the Treasury ~ Internal Revenue Service Form W-2 Wage and Tax Statement 2022 Department of the Treasury ~ Internal Revenue Service 2022 Department of the Treasury ~ Internal Revenue Service 3720.29
Copy B--To Be Filed With Employee's FEDERAL Tax Return OMB No. 1545-0008 ***-**-****
b. Employer ID number (EIN)
87-0649153
42058.24
1. Wages, tips, other compensation
42058.24
3. Social security wages
2607.61
4. Social security tax withheld
42058.24
5. Medicare wages and tips
609.84
6. Medicare tax withheld
Rymark Inc
4093 S Redwood Road
Salt Lake City, UT 84123
c. Employer's name, address, and ZIP code
Eduann Rendon
5451 S 5180 W
Kearns, UT 84118
e. Employee's name, address, and ZIP code
CN192441-72
d. Control number
7. Social security tips 8. Allocated tips 9.
10. Dependent care benefits 11. Nonqualified plans DD 2069.53
12a. Code See inst. for Box 12
13. Statutory employee
12b. Code
Retirement plan
12c. Code
Third-party sick pay
12d. Code
UT
15. State Employer's state ID number
11730938004WTH
16. State wages, tips, etc.
42058.24
17.State income tax
2012.58
18. Local wages, tips, etc. 19. Local income tax 20. Locality name a. Employee's social security number
This information is being furnished to the Internal Revenue Service. 2. Federal income tax withheld
14. Other
Form W-2 Wage and Tax Statement
Form W-2 Wage and Tax Statement Form W-2 Wage and Tax Statement 3720.29
Copy 2--To Be Filed With Employee's State, City,
or Local Income Tax Return
***-**-****
b. Employer ID number (EIN)
87-0649153
42058.24
1. Wages, tips, other compensation 2. Federal income tax withheld 42058.24
3. Social security wages
2607.61
4. Social security tax withheld
42058.24
5. Medicare wages and tips
609.84
6. Medicare tax withheld
c. Employer's name, address, and ZIP code
e. Employee's name, address, and ZIP code
CN192441-72
d. Control number
7. Social security tips 8. Allocated tips 9.
10. Dependent care benefits 11. Nonqualified plans DD 2069.53
12a. Code See inst. for Box 12
13. Statutory employee 14. Other
12b. Code
Retirement plan
12c. Code
Third-party sick pay
12d. Code
UT
15. State Employer's state ID number
11730938004WTH
16. State wages, tips, etc.
42058.24
17.State income tax
2012.58
18. Local wages, tips, etc. 19. Local income tax 20. Locality name a. Employee's social security number
Rymark Inc
4093 S Redwood Road
Salt Lake City, UT 84123
Eduann Rendon
5451 S 5180 W
Kearns, UT 84118
OMB No. 1545-0008
3720.29
Copy C--For EMPLOYEE'S RECORDS(See Notice to Employee.) ***-**-****
b. Employer ID number (EIN)
87-0649153
42058.24
1. Wages, tips, other compensation 2. Federal income tax withheld 42058.24
3. Social security wages
2607.61
4. Social security tax withheld
42058.24
5. Medicare wages and tips
609.84
6. Medicare tax withheld
c. Employer's name, address, and ZIP code
e. Employee's name, address, and ZIP code
CN192441-72
d. Control number
7. Social security tips 8. Allocated tips 9.
10. Dependent care benefits 11. Nonqualified plans DD 2069.53
12a. Code See inst. for Box 12
13. Statutory employee 14. Other
12b. Code
Retirement plan
12c. Code
Third-party sick pay
12d. Code
UT
15. State Employer's state ID number
11730938004WTH
16. State wages, tips,
etc. 42058.24
17.State income tax
2012.58
18. Local wages, tips, etc. 19. Local income tax 20. Locality name a. Employee's social security number
Rymark Inc
4093 S Redwood Road
Salt Lake City, UT 84123
Eduann Rendon
5451 S 5180 W
Kearns, UT 84118
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.
OMB No. 1545-0008
3720.29
Copy 2--To Be Filed With Employee's State, City,
or Local Income Tax Return
***-**-****
b. Employer ID number (EIN)
87-0649153
42058.24
1. Wages, tips, other compensation 2. Federal income tax withheld 42058.24
3. Social security wages
2607.61
4. Social security tax withheld
42058.24
5. Medicare wages and tips
609.84
6. Medicare tax withheld
c. Employer's name, address, and ZIP code
e. Employee's name, address, and ZIP code
CN192441-72
d. Control number
7. Social security tips 8. Allocated tips 9.
10. Dependent care benefits 11. Nonqualified plans DD 2069.53
12a. Code See inst. for Box 12
13. Statutory employee 14. Other
12b. Code
Retirement plan
12c. Code
Third-party sick pay
12d. Code
UT
15. State Employer's state ID number
11730938004WTH
16. State wages, tips,
etc. 42058.24
17.State income tax
2012.58
18. Local wages, tips, etc. 19. Local income tax 20. Locality name a. Employee's social security number
Rymark Inc
4093 S Redwood Road
Salt Lake City, UT 84123
Eduann Rendon
5451 S 5180 W
Kearns, UT 84118
OMB No. 1545-0008