Income Tax Child Support

**** *-* *** ******** SUMMARY

Employee Reference Copy

This blue section is your Earnings Summary which provides more detailed

Wage and Tax

W-2 Statement

Copy C for employee’s records.

2024

OMB No. 1545-0008

information on the generation of your W-2 statement. The reverse side

includes instructions and other general information.

d Control number Dept. Corp. Employer use only

009446 STLO/UFE 000114 A

c Employer’s name, address, and ZIP code

GREAT PLAINS MANUFACTURI

NG INC

1621 DEWEY

SALINA KS 67401

1. Your Gross Pay was adjusted as follows to produce your W-2 Statement.

Batch #00991

Wages, Tips, other Social Security Medicare KS. State Wages,

e/f Employee’s name, address, and ZIP code Compensation Wages Wages Tips, Etc.

Box 1 of W-2 Box 3 of W-2 Box 5 of W-2 Box 16 of W-2

JOHN BRAKE

514 NORTHWEST 3RD STREET Gross Pay 57-389-**-**-***-** 57-389-**-**-***-**

ABILENE KS 67410 Less Other Cafe 125 2-225-**-*-***-** 2-225-**-*-***-**

Reported W-2 Wages 55,163.39 55,163.39 55,163.39 55,163.39

b Employer’s FED ID number a Employee’s SSA number

48-0837521 XXX-XX-5385

1 Wages, tips, other comp. 2 Federal income tax withheld

55163.39 4121.76

3 Social security wages 4 Social security tax withheld

55163.39 3420.13

5 Medicare wages and tips 6 Medicare tax withheld

55163.39 799.87

7 Social security tips 8 Allocated tips

9 10 Dependent care benefits 2. Employee Name and Address.

11 Nonqualified plans 12a See instructions for box 12

12b DD

AA 1509.71 JOHN BRAKE

14 Other 5951.52 514 NORTHWEST 3RD STREET

12c

12d ABILENE KS 67410

13 Stat emp. Ret. plan 3rd party sick pay

X

15 State Employer’s state ID no. 16 State wages, tips, etc.

KS 036-480837521F01 55163.39

17 State income tax 18 Local wages, tips, etc.

2210.76

19 Local income tax 20 Locality name 2024 ADP, Inc.

1 Wages, tips, other comp. 2 Federal income tax withheld 1 Wages, tips, other comp. 2 Federal income tax withheld 1 Wages, tips, other comp. 2 Federal income tax withheld

55163.39 4121.76 55163.39 4121.76 55163.39 4121.76

3 Social security wages 4 Social security tax withheld 3 Social security wages 4 Social security tax withheld 3 Social security wages 4 Social security tax withheld

55163.39 3420.13 55163.39 3420.13 55163.39 3420.13

5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld

55163.39 799.87 55163.39 799.87 55163.39 799.87

d Control number Dept. Corp. Employer use only d Control number Dept. Corp. Employer use only d Control number Dept. Corp. Employer use only

009446 STLO/UFE 000114 A 009446 STLO/UFE 000114 A 009446 STLO/UFE 000114 A

c Employer’s name, address, and ZIP code c Employer’s name, address, and ZIP code c Employer’s name, address, and ZIP code

GREAT PLAINS MANUFACTURI GREAT PLAINS MANUFACTURI GREAT PLAINS MANUFACTURI

NG INC NG INC NG INC

1621 DEWEY 1621 DEWEY 1621 DEWEY

SALINA KS 67401 SALINA KS 67401 SALINA KS 67401

b Employer’s FED ID number a Employee’s SSA number b Employer’s FED ID number a Employee’s SSA number b Employer’s FED ID number a Employee’s SSA number

48-0837521 XXX-XX-538*-**-******* XXX-XX-538*-**-******* XXX-XX-5385

7 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips 7 Social security tips 8 Allocated tips

9 10 Dependent care benefits 9 10 Dependent care benefits 9 10 Dependent care benefits

11 Nonqualified plans 12a See instructions for box 12 11 Nonqualified plans 12a

12 11 Nonqualified plans 12a

AA 1509.71 AA 1509.71 AA 1509.71

14 Other 12b DD 5951.52 14 Other 12b DD 5951.52 14 Other 12b DD 5951.52

12c 12c 12c

12d 12d 12d

13 Stat emp. Ret. plan 3rd party sick pay 13 Stat emp. Ret. plan 3rd party sick pay 13 Stat emp. Ret. plan 3rd party sick pay

X X X

e/f Employee’s name, address and ZIP code e/f Employee’s name, address and ZIP code e/f Employee’s name, address and ZIP code

JOHN BRAKE JOHN BRAKE JOHN BRAKE

514 NORTHWEST 3RD STREET 514 NORTHWEST 3RD STREET 514 NORTHWEST 3RD STREET

ABILENE KS 67410 ABILENE KS 67410 ABILENE KS 67410

15 State Employer’s state ID no. 16 State wages, tips, etc. 15 State Employer’s state ID no. 16 State wages, tips, etc. 15 State Employer’s state ID no. 16 State wages, tips, etc.

KS 036-480837521F01 55163.39 KS 036-480837521F01 55163.39 KS 036-480837521F01 55163.39

17 State income tax 18 Local wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 17 State income tax 18 Local wages, tips, etc.

2210.76 2210.76 2210.76

19 Local income tax 20 Locality name 19 Local income tax 20 Locality name 19 Local income tax 20 Locality name

Federal Filing Copy KS.State Reference Copy KS.State Filing Copy

Wage and Tax Wage and Tax Wage and Tax

W-2 Statement

Copy B to be filed with employee’s

OMB

2024 No. 1545-0008

Federal Income Tax Return.

W-2 Statement 2024

OMB No. 1545-0008

Copy 2 to be filed with employee’s State Income Tax Return.

W-2 Statement OMB

2024

Copy 2 to be filed with employee’s State Income Tax Return.

No. 1545-0008

Instructions for Employee code G are limited to $23,000. Deferrals under code H are limited to $7,000. S—Employee salary reduction contributions under a section 408(p) SIMPLE

However, if you were at least age 50 in 2024, your employer may have plan

Box 1. Enter this amount on the wages line of your tax return.

allowed an additional deferral of up to $7,500 ($3,500 for section 401(k) T—Adoption benefits (not included in box 1). Complete Form 8839 to figure

Box 2. Enter this amount on the federal income tax withheld line of your

(11) and 408(p) SIMPLE plans). This additional deferral amount is not subject any taxable and nontaxable amounts.

tax return.

to the overall limit on elective deferrals. For code G, the limit on elective V—Income from exercise of nonstatutory stock option(s) (included in boxes

Box 5. You may be required to report this amount on Form 8959. See

deferrals may be higher for the last 3 years before you reach retirement age. 1, 3 (up to the social security wage base), and 5). See Pub. 525 for reporting

the Form 1040 instructions to determine if you are required to complete

Contact your plan administrator for more information. Amounts in excess of requirements.

Form 8959.

the overall elective deferral limit must be included in income. See the Form W—Employer contributions (including amounts the employee elected

Box 6. This amount includes the 1.45% Medicare tax withheld on all 1040 instructions. to contribute using a section 125 (cafeteria) plan) to your health savings

Medicare wages and tips shown in box 5, as well as the 0.9% Additional Note: If a year follows code D through H, S, Y, AA, BB, or EE, you made a account. Report on Form 8889.

Medicare Tax on any of those Medicare wages and tips above $200,000. make-up pension contribution for a prior year(s) when you were in military Y—Deferrals under a section 409A nonqualified deferred compensation plan

Box 8. This amount is not included in box 1, 3, 5, or 7. For information service. To figure whether you made excess deferrals, consider these Z—Income under a nonqualified deferred compensation plan that fails to

on how to report tips on your tax return, see the Form 1040 instructions. amounts for the year shown, not the current year. If no year is shown, the satisfy section 409A. This amount is also included in box 1. It is subject to an

You must file Form 4137 with your income tax return to report at least contributions are for the current year. additional 20% tax plus interest. See the Form 1040 instructions.

the allocated tip amount unless you can prove with adequate records that A—Uncollected social security or RRTA tax on tips. Include this tax on Form AA—Designated Roth contributions under a section 401(k) plan

you received a smaller amount. If you have records that show the actual 1040 or 1040-SR. See the Form 1040 instructions. BB—Designated Roth contributions under a section 403(b) plan

amount of tips you received, report that amount even if it is more or less B—Uncollected Medicare tax on tips. Include this tax on Form 1040 or 1040-

than the allocated tips. Use Form 4137 to figure the social security and DD—Cost of employer-sponsored health coverage. The amount

SR. See the Form 1040 instructions. reported with code DD is not taxable.

Medicare tax owed on tips you didn’t report to your employer. Enter this C—Taxable cost of group-term life insurance over $50,000 (included in

amount on the wages line of your tax return. By filing Form 4137, your EE—Designated Roth contributions under a governmental section 457(b)

boxes 1, 3 (up to the social security wage base), and 5) plan. This amount does not apply to contributions under a tax-exempt

social security tips will be credited to your social security record (used to

D—Elective deferrals to a section 401(k) cash or deferred arrangement. Also organization section 457(b) plan.

figure your benefits).

includes deferrals under a SIMPLE retirement account that is part of a section FF—Permitted benefits under a qualified small employer health

Box 10. This amount includes the total dependent care benefits that 401(k) arrangement. reimbursement arrangement

your employer paid to you or incurred on your behalf (including amounts E—Elective deferrals under a section 403(b) salary reduction agreement

from a section 125 (cafeteria) plan). Any amount over your employer’s GG—Income from qualified equity grants under section 83(i)

F—Elective deferrals under a section 408(k)(6) salary reduction SEP HH—Aggregate deferrals under section 83(i) elections as of the close of the

plan limit is also included in box 1. See Form 2441.

G—Elective deferrals and employer contributions (including nonelective calendar year

Box 11. This amount is (a) reported in box 1 if it is a distribution made

deferrals) to a section 457(b) deferred compensation plan II—Medicaid waiver payments excluded from gross income under Notice

to you from a nonqualified deferred compensation or nongovernmental

H—Elective deferrals to a section 501(c)(18)(D) tax-exempt organization 2014-7.

section 457(b) plan, or (b) included in box 3 and/or box 5 if it is a prior

plan. See the Form 1040 instructions for how to deduct. Box 13. If the “Retirement plan” box is checked, special limits may apply to

year deferral under a nonqualified or section 457(b) plan that became

J—Nontaxable sick pay (information only, not included in box 1, 3, or 5) the amount of traditional IRA contributions you may deduct. See Pub. 590-A.

taxable for social security and Medicare taxes this year because

there is no longer a substantial risk of forfeiture of your right to the K—20% excise tax on excess golden parachute payments. See the Form Box 14. Employers may use this box to report information such as state

deferred amount. This box shouldn’t be used if you had a deferral and 1040 instructions. disability insurance taxes withheld, union dues, uniform payments, health

a distribution in the same calendar year. If you made a deferral and L—Substantiated employee business expense reimbursements (nontaxable) insurance premiums deducted, nontaxable income, educational assistance

received a distribution in the same calendar year, and you are or will be M—Uncollected social security or RRTA tax on taxable cost of group-term payments, or a member of the clergy’s parsonage allowance and utilities.

age 62 by the end of the calendar year, your employer should file Form life insurance over $50,000 (former employees only). See the Form 1040 Railroad employers use this box to report railroad retirement (RRTA)

SSA-131, Employer Report of Special Wage Payments, with the Social instructions. compensation, Tier 1 tax, Tier 2 tax, Medicare tax, and Additional Medicare

Security Administration and give you a copy. N—Uncollected Medicare tax on taxable cost of group-term life insurance Tax. Include tips reported by the employee to the employer in railroad

Box 12. The following list explains the codes shown in box 12. You over $50,000 (former employees only). See the Form 1040 instructions. retirement (RRTA) compensation.

may need this information to complete your tax return. Elective deferrals P—Excludable moving expense reimbursements paid directly to a member Note: Keep Copy C of Form W-2 for at least 3 years after the due date

(codes D, E, F, and S) and designated Roth contributions (codes AA, of the U.S. Armed Forces (not included in box 1, 3, or 5) for filing your income tax return. However, to help protect your social

BB, and EE) under all plans are generally limited to a total of $23,000 Q—Nontaxable combat pay. See the Form 1040 instructions for details on security benefits, keep Copy C until you begin receiving social security

($16,000 if you only have SIMPLE plans; $26,000 for section 403(b) plans reporting this amount. benefits, just in case there is a question about your work record and/or

if you qualify for the 15-year rule explained in Pub. 571). Deferrals under R—Employer contributions to your Archer MSA. Report on Form 8853. earnings in a particular year.

Department of the Treasury - Internal Revenue Service

NOTE: THESE ARE SUBSTITUTE WAGE AND TAX STATEMENTS AND ARE ACCEPTABLE FOR FILING WITH YOUR FEDERAL, STATE AND LOCAL/CITY INCOME TAX RETURNS.

This information is being furnished to the Internal

Revenue Service. If you are required to file a tax Future developments. For the latest information about Corrections. If your name, SSN, or address is incorrect,

return, a negligence penalty or other sanction may developments related to Form W-2, such as legislation correct Copies B, C, and 2 and ask your employer to correct

be imposed on you if this income is taxable and enacted after it was published, go to www.irs.gov/ your employment record. Be sure to ask the employer to

you fail to report it.

FormW2. file Form W-2c, Corrected Wage and Tax Statement, with

IMPORTANT NOTE: the SSA to correct any name, SSN, or money amount error

In order to insure efficient processing,

Notice to Employee reported to the SSA on Form W-2. Be sure to get your

attach this W-2 to your tax return like this copies of Form W-2c from your employer for all corrections

Do you have to file? Refer to the Form 1040 instructions

(following agency instructions): made so you may file them with your tax return. If your

to determine if you are required to file a tax return. Even if you

name and SSN are correct but aren’t the same as shown

don’t have to file a tax return, you may be eligible for a refund

if box 2 shows an amount or if you are eligible for any credit. on your social security card, you should ask for a new card

that displays your correct name at any SSA office or by

Earned income tax credit (EITC). You may be able to calling 800-***-****. You may also visit the SSA website

take the EITC for 2024 if your adjusted gross income (AGI) is at www.SSA.gov.

less than a certain amount. The amount of the credit is based

TAX RETURN on income and family size. Workers without children could Cost of employer-sponsored health coverage

qualify for a smaller credit. You and any qualifying children (if such cost is provided by the employer). The

must have valid social security numbers (SSNs). You can’t reporting in box 12, using code DD, of the cost of employer-

take the EITC if your investment income is more than the sponsored health coverage is for your information only.

THIS

OTHER specified amount for 2024 or if income is earned for services The amount reported with code DD is not

FORM provided while you were an inmate at a penal institution. For

W-2’S taxable.

W-2 2024 income limits and more information, visit www.irs.

gov/EITC. See also Pub. 596. Any EITC that is more Credit for excess taxes. If you had more than one

than your tax liability is refunded to you, but

employer in 2024 and more than $10,453.20 in social

only if you file a tax return.

security and/or Tier 1 railroad retirement (RRTA) taxes

Employee’s social security number (SSN). For your were withheld, you may be able to claim a credit for the

protection, this form may show only the last four digits of your excess against your federal income tax. See the Form 1040

SSN. However, your employer has reported your complete instructions. If you had more than one railroad employer

SSN to the IRS and the Social Security Administration (SSA). and more than $6,129.90 in Tier 2 RRTA tax was withheld,

you may be able to claim a refund on Form 843. See the

Clergy and religious workers. If you aren’t subject to Instructions for Form 843.

social security and Medicare taxes, see Pub. 517.

Department of the Treasury - Internal Revenue Service Department of the Treasury - Internal Revenue Service Department of the Treasury - Internal Revenue Service

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