**** ********** ** *** ******** ~ Internal Revenue Service 2023 Department of the Treasury ~ Internal Revenue Service Form W-2 Wage and Tax Statement 2023 Department of the Treasury ~ Internal Revenue Service 2023 Department of the Treasury ~ Internal Revenue Service 272.39

Copy B--To Be Filed With Employee's FEDERAL Tax Return OMB No. 1545-0008 XXX-XX-9024

b. Employer ID number (EIN)

87-1347788

5273.98

1. Wages, tips, other compensation

5273.98

3. Social security wages

326.99

4. Social security tax withheld

5273.98

5. Medicare wages and tips

76.47

6. Medicare tax withheld

Ramen Lab Eatery West Boca, LLC

20449 State Road 7 Suite A5

Boca Raton, FL 33432

c. Employer's name, address, and ZIP code

Wilken Latouche

713 Village Square cir apt 636

Delray Beach, FL 33444

e. Employee's name, address, and ZIP code

1504-6412

d. Control number

7. Social security tips 8. Allocated tips 9.

10. Dependent care benefits 11. Nonqualified plans 12a. Code See inst. for Box 12

13. Statutory employee

12b. Code

Retirement plan

12c. Code

Third-party sick pay

12d. Code

15. State Employer's state ID number 16. State wages, tips, etc. 17.State income tax 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 272.39

Copy 2--To Be Filed With Employee's State, City,

or Local Income Tax Return

XXX-XX-9024

b. Employer ID number (EIN)

87-1347788

5273.98

1. Wages, tips, other compensation 2. Federal income tax withheld 5273.98

3. Social security wages

326.99

4. Social security tax withheld

5273.98

5. Medicare wages and tips

76.47

6. Medicare tax withheld

c. Employer's name, address, and ZIP code

e. Employee's name, address, and ZIP code

1504-6412

d. Control number

7. Social security tips 8. Allocated tips 9.

10. Dependent care benefits 11. Nonqualified plans 12a. Code See inst. for Box 12

13. Statutory employee 14. Other

12b. Code

Retirement plan

12c. Code

Third-party sick pay

12d. Code

15. State Employer's state ID number 16. State wages, tips, etc. 17.State income tax 18. Local wages, tips, etc. 19. Local income tax 20. Locality name a. Employee's social security number

Ramen Lab Eatery West Boca, LLC

20449 State Road 7 Suite A5

Boca Raton, FL 33432

Wilken Latouche

713 Village Square cir apt 636

Delray Beach, FL 33444

OMB No. 1545-0008

272.39

Copy C--For EMPLOYEE'S RECORDS(See Notice to Employee.) XXX-XX-9024

b. Employer ID number (EIN)

87-1347788

5273.98

1. Wages, tips, other compensation 2. Federal income tax withheld 5273.98

3. Social security wages

326.99

4. Social security tax withheld

5273.98

5. Medicare wages and tips

76.47

6. Medicare tax withheld

c. Employer's name, address, and ZIP code

e. Employee's name, address, and ZIP code

1504-6412

d. Control number

7. Social security tips 8. Allocated tips 9.

10. Dependent care benefits 11. Nonqualified plans 12a. Code See inst. for Box 12

13. Statutory employee 14. Other

12b. Code

Retirement plan

12c. Code

Third-party sick pay

12d. Code

15. State Employer's state ID number 16. State wages, tips, etc.

17.State income tax

18. Local wages, tips, etc. 19. Local income tax 20. Locality name a. Employee's social security number

Ramen Lab Eatery West Boca, LLC

20449 State Road 7 Suite A5

Boca Raton, FL 33432

Wilken Latouche

713 Village Square cir apt 636

Delray Beach, FL 33444

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

272.39

Copy 2--To Be Filed With Employee's State, City,

or Local Income Tax Return

XXX-XX-9024

b. Employer ID number (EIN)

87-1347788

5273.98

1. Wages, tips, other compensation 2. Federal income tax withheld 5273.98

3. Social security wages

326.99

4. Social security tax withheld

5273.98

5. Medicare wages and tips

76.47

6. Medicare tax withheld

c. Employer's name, address, and ZIP code

e. Employee's name, address, and ZIP code

1504-6412

d. Control number

7. Social security tips 8. Allocated tips 9.

10. Dependent care benefits 11. Nonqualified plans 12a. Code See inst. for Box 12

13. Statutory employee 14. Other

12b. Code

Retirement plan

12c. Code

Third-party sick pay

12d. Code

15. State Employer's state ID number 16. State wages, tips, etc.

17.State income tax

18. Local wages, tips, etc. 19. Local income tax 20. Locality name a. Employee's social security number

Ramen Lab Eatery West Boca, LLC

20449 State Road 7 Suite A5

Boca Raton, FL 33432

Wilken Latouche

713 Village Square cir apt 636

Delray Beach, FL 33444

OMB No. 1545-0008

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