Security Tax
Resume:
a Employee's soc. sec. no
b Employer ID number (EIN)
c Employer's name, address and ZIP code
d Control number
e Employee's name, address, and ZIP code
* *****, ****, ***** ****. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld
7 Social security tips 8 Allocated tips 9
10 Dependent care benefits 11 Nonqualified plans 12a 12b
12c
12d
13 Statutory employee
13 Retirement plan
13 Third-party sick pay
14 Other
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 Form W-2 Wage and Tax Statement 2021 Dept. of the Treasury -- IRS Copy B -- To Be Filed With Employee's
FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service. ***-**-****
52-2190956
Falcon Holdings, LLC
500 E State Highway 114
Suite 300
Southlake TX 76092
WA-44054902
Antwan Fefee
736 East 133Rd Streetapt 586
Chicago, IL 60827
14330.67 1098.36
14330.67 888.50
14330.67 207.80
IL 52-2190956 14330.67 709.36
a Employee's soc. sec. no
b Employer ID number (EIN)
c Employer's name, address and ZIP code
d Control number
e Employee's name, address, and ZIP code
1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld
7 Social security tips 8 Allocated tips 9
10 Dependent care benefits 11 Nonqualified plans 12a 12b
12c
12d
13 Statutory employee
13 Retirement plan
13 Third-party sick pay
14 Other
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 Form W-2 Wage and Tax Statement 2021 Dept. of the Treasury -- IRS Copy 2 -- To Be Filed With Employee's State,
City, or Local Income Tax Return.
***-**-****
52-2190956
Falcon Holdings, LLC
500 E State Highway 114
Suite 300
Southlake TX 76092
WA-44054902
Antwan Fefee
736 East 133Rd Streetapt 586
Chicago, IL 60827
14330.67 1098.36
14330.67 888.50
14330.67 207.80
IL 52-2190956 14330.67 709.36
a Employee's soc. sec. no
b Employer ID number (EIN)
c Employer's name, address and ZIP code
d Control number
e Employee's name, address, and ZIP code
1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld
7 Social security tips 8 Allocated tips 9
10 Dependent care benefits 11 Nonqualified plans 12a 12b
12c
12d
13 Statutory employee
13 Retirement plan
13 Third-party sick pay
14 Other
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 Form W-2 Wage and Tax Statement 2021 Dept. of the Treasury -- IRS Copy C -- For EMPLOYEE's RECORDS
This information is being furnished to the IRS. 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. ***-**-****
52-2190956
Falcon Holdings, LLC
500 E State Highway 114
Suite 300
Southlake TX 76092
WA-44054902
Antwan Fefee
736 East 133Rd Streetapt 586
Chicago, IL 60827
14330.67 1098.36
14330.67 888.50
14330.67 207.80
IL 52-2190956 14330.67 709.36
a Employee's soc. sec. no
b Employer ID number (EIN)
c Employer's name, address and ZIP code
d Control number
e Employee's name, address, and ZIP code
1 Wages, tips, other comp. 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld
7 Social security tips 8 Allocated tips 9
10 Dependent care benefits 11 Nonqualified plans 12a 12b
12c
12d
13 Statutory employee
13 Retirement plan
13 Third-party sick pay
14 Other
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 Form W-2 Wage and Tax Statement 2021 Dept. of the Treasury -- IRS Copy 2 -- To Be Filed With Employee's State,
City, or Local Income Tax Return.
***-**-****
52-2190956
Falcon Holdings, LLC
500 E State Highway 114
Suite 300
Southlake TX 76092
WA-44054902
Antwan Fefee
736 East 133Rd Streetapt 586
Chicago, IL 60827
14330.67 1098.36
14330.67 888.50
14330.67 207.80
IL 52-2190956 14330.67 709.36
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