vJ - 7- Pkitaten,er [EFTA00006066]

vJ - 7- Pkitaten,er \n•••••••• •In• \nEFTA00006066\n\na Cower number \n0017 \n66/188 \nVdd II \nomsmo.16466666188 \n0017 \nilliatlon \nnumb. r CEIN) \n1 erepes,Ips.olia candenssien \n7890.65 \n2 Federal Interne tax Wthheid s \n714.35 \nc Employees name, address, and ZP code \nJEFFREY E. EPSTEIN \n3 SOON security want; \n7890.65 \n4 Sethi *acuity tax wlfiteld \n489.22 \n358 8L BRILLO WAY \nPALM BEACH, FL 33480 \ns Medicate wages and Ups \n7890.65 \n0 Medicare to vitinekt \n114.41 \n7 Social security bps \n8 Allocated lips \n9 Advance EC payment \n10 Dependent care benefits \n. • ... \nSup. \n11 Nonqualifled plans \n12a See Instructons for box 12 \n: C \nI \n6.00 \n13 tame \nArt \nIr\npir \n12b \nMIAMI BEACH, FL 33139 \nEl \nfl \nri \nI \n14 Other \n12c \ni \nI \npd i\nL \nI Employee's address and ZIP codo \nm..a.iiici4..it \n15 Sate \nEmployers no illi weber \nVL\n16 Slate %nos, tips. etc. \n17 Stale mccmo tax \n18 Lad wages, tips, etc. \n10 Local Sorra tax \n20 Wally rime \nW\n0 \nWage and Tax \n- 2 \nStatement \n‘--For Employer. \n2006 \nD0p3nrilallt of the Trossury—Internal Parent* Service \nFor Privacy Act and Paperwork Reduction \nAct Notice, ace back at Copy D. \nEFTA00006067\n\na C./mud number \n0017 66/18E \nVoid O \nsi \nc•Ae No. tS4S-0008 18E \n0017 \nbiliiiir \nnumber ono \ni \nWasps. has. other compensation \n38536.47 \n2 Federal income tax vrithhekl \n3463.23 \ni...‘ EmplOyer's name, address, and ZIP code \n'JEFFREY E. EPSTEIN \n358 EL BRILLO WAY \nPALM BEACH, FL 33480 \n3 Social security wages \n38536.47 \n4 Social secunty tax witnheld \n2389.26 \n5 Medicare wages end tips \n38536.47 \n6 Medcare tax withheld \n558.78 \n7 Sodal security tips \n8 Allocated tips \no Advance BC payment \n10 Dependent care benefits \n• \nf Employee's address and ZIP code \n11 Norgualified plans \n12a See instructions, \nIC \nfor box 12 \nI \n28.62 \n13 Se:iilg \nor\n \n/tor \nn.\nEl \nn\nil 21)\niI \n14 Other \n12c \n12d \nA \n15 Su* \nEmployer's mate ID number \nFL \ni \n___I \n16 $ale wages, lips. etc. \n17 State income lax \n18 Local vow, fee, etc \n19 Local income tax \n20 Locally name \nForm IN-2 \nWage and Tax \nStatement \nCopy 0-For Employer. \n2005 \nDepartment of the Treasury—Internal Revenue Service \nFor Privacy Act end Paperwork Reduction \nAct Notice, see back of Copy D. \na Control number \nVoid El \nOMB No. 1545-0008 \nb Employer identification number (E/N) \n1 Wages. tips, other compernal0n \n2 Federal income tax \nrelate! \nc Employer's name. address, and ZIP code \n3 Soda; socially wages \n4 Social security lax wittteld \n5 Medicare wages and tips \n6 Medicare tax withheld \n7 Soma security lips \n8 Allocated tips \nd Employee's social security number \n9 Advance SIC payment \n10 Dependent care benefits \ne Empbyee's lust nave and initial \nLast name \nf Employee's address and ZIP cede \n11 NOnquaGfred plans \ne12a See 1/1.5111.1C1i011S \nS \nfor box 12 \n1 \n13 \nanat. \nm \nsaan/ \nefrobste \nwin \nw \nEl \nn \nn \nnb \nc . \nI \n14 ()lbw \n12e \nc \nS \nI \n120 \nc • \n77 \nA \n15 Ste. \nEmployer's slate ID number \n• \n16 Slam wagon, ups, etc. 117 State income tax \nf \n18 Local wages, tips. etc. \n, \n19 Local exam lax \n20 Locally name \n'1-2 \nWage and Tax \nStatement \n'or Employer. \n200.5 \nDepartment of the Treasury—Imemal Revenue Serene \nFor Privacy Act and Paperwork Reduction \nAct Notice. see back of Copy D. \nEFTA00006068\n\n--- Page Break ---\n\nvJ - 7- Pkitaten,er \n•••••••• •In• \nEFTA00006066\n\na Cower number \n0017 \n66/188 \nVdd II \nomsmo.16466666188 \n0017 \nilliatlon \nnumb. r CEIN) \n1 erepes,Ips.olia candenssien \n7890.65 \n2 Federal Interne tax Wthheid s \n714.35 \nc Employees name, address, and ZP code \nJEFFREY E. EPSTEIN \n3 SOON security want; \n7890.65 \n4 Sethi *acuity tax wlfiteld \n489.22 \n358 8L BRILLO WAY \nPALM BEACH, FL 33480 \ns Medicate wages and Ups \n7890.65 \n0 Medicare to vitinekt \n114.41 \n7 Social security bps \n8 Allocated lips \n9 Advance EC payment \n10 Dependent care benefits \n. • ... \nSup. \n11 Nonqualifled plans \n12a See Instructons for box 12 \n: C \nI \n6.00 \n13 tame \nArt \nIr\npir \n12b \nMIAMI BEACH, FL 33139 \nEl \nfl \nri \nI \n14 Other \n12c \ni \nI \npd i\nL \nI Employee's address and ZIP codo \nm..a.iiici4..it \n15 Sate \nEmployers no illi weber \nVL\n16 Slate %nos, tips. etc. \n17 Stale mccmo tax \n18 Lad wages, tips, etc. \n10 Local Sorra tax \n20 Wally rime \nW\n0 \nWage and Tax \n- 2 \nStatement \n‘--For Employer. \n2006 \nD0p3nrilallt of the Trossury—Internal Parent* Service \nFor Privacy Act and Paperwork Reduction \nAct Notice, ace back at Copy D. \nEFTA00006067\n\na C./mud number \n0017 66/18E \nVoid O \nsi \nc•Ae No. tS4S-0008 18E \n0017 \nbiliiiir \nnumber ono \ni \nWasps. has. other compensation \n38536.47 \n2 Federal income tax vrithhekl \n3463.23 \ni...‘ EmplOyer's name, address, and ZIP code \n'JEFFREY E. EPSTEIN \n358 EL BRILLO WAY \nPALM BEACH, FL 33480 \n3 Social security wages \n38536.47 \n4 Social secunty tax witnheld \n2389.26 \n5 Medicare wages end tips \n38536.47 \n6 Medcare tax withheld \n558.78 \n7 Sodal security tips \n8 Allocated tips \no Advance BC payment \n10 Dependent care benefits \n• \nf Employee's address and ZIP code \n11 Norgualified plans \n12a See instructions, \nIC \nfor box 12 \nI \n28.62 \n13 Se:iilg \nor\n \n/tor \nn.\nEl \nn\nil 21)\niI \n14 Other \n12c \n12d \nA \n15 Su* \nEmployer's mate ID number \nFL \ni \n___I \n16 $ale wages, lips. etc. \n17 State income lax \n18 Local vow, fee, etc \n19 Local income tax \n20 Locally name \nForm IN-2 \nWage and Tax \nStatement \nCopy 0-For Employer. \n2005 \nDepartment of the Treasury—Internal Revenue Service \nFor Privacy Act end Paperwork Reduction \nAct Notice, see back of Copy D. \na Control number \nVoid El \nOMB No. 1545-0008 \nb Employer identification number (E/N) \n1 Wages. tips, other compernal0n \n2 Federal income tax \nrelate! \nc Employer's name. address, and ZIP code \n3 Soda; socially wages \n4 Social security lax wittteld \n5 Medicare wages and tips \n6 Medicare tax withheld \n7 Soma security lips \n8 Allocated tips \nd Employee's social security number \n9 Advance SIC payment \n10 Dependent care benefits \ne Empbyee's lust nave and initial \nLast name \nf Employee's address and ZIP cede \n11 NOnquaGfred plans \ne12a See 1/1.5111.1C1i011S \nS \nfor box 12 \n1 \n13 \nanat. \nm \nsaan/ \nefrobste \nwin \nw \nEl \nn \nn \nnb \nc . \nI \n14 ()lbw \n12e \nc \nS \nI \n120 \nc • \n77 \nA \n15 Ste. \nEmployer's slate ID number \n• \n16 Slam wagon, ups, etc. 117 State income tax \nf \n18 Local wages, tips. etc. \n, \n19 Local exam lax \n20 Locally name \n'1-2 \nWage and Tax \nStatement \n'or Employer. \n200.5 \nDepartment of the Treasury—Imemal Revenue Serene \nFor Privacy Act and Paperwork Reduction \nAct Notice. see back of Copy D. \nEFTA00006068\n\n--- Page Break ---\n\nvJ - 7- Pkitaten,er \n•••••••• •In• \nEFTA00006066\n\na Cower number \n0017 \n66/188 \nVdd II \nomsmo.16466666188 \n0017 \nilliatlon \nnumb. r CEIN) \n1 erepes,Ips.olia candenssien \n7890.65 \n2 Federal Interne tax Wthheid s \n714.35 \nc Employees name, address, and ZP code \nJEFFREY E. EPSTEIN \n3 SOON security want; \n7890.65 \n4 Sethi *acuity tax wlfiteld \n489.22 \n358 8L BRILLO WAY \nPALM BEACH, FL 33480 \ns Medicate wages and Ups \n7890.65 \n0 Medicare to vitinekt \n114.41 \n7 Social security bps \n8 Allocated lips \n9 Advance EC payment \n10 Dependent care benefits \n. • ... \nSup. \n11 Nonqualifled plans \n12a See Instructons for box 12 \n: C \nI \n6.00 \n13 tame \nArt \nIr\npir \n12b \nMIAMI BEACH, FL 33139 \nEl \nfl \nri \nI \n14 Other \n12c \ni \nI \npd i\nL \nI Employee's address and ZIP codo \nm..a.iiici4..it \n15 Sate \nEmployers no illi weber \nVL\n16 Slate %nos, tips. etc. \n17 Stale mccmo tax \n18 Lad wages, tips, etc. \n10 Local Sorra tax \n20 Wally rime \nW\n0 \nWage and Tax \n- 2 \nStatement \n‘--For Employer. \n2006 \nD0p3nrilallt of the Trossury—Internal Parent* Service \nFor Privacy Act and Paperwork Reduction \nAct Notice, ace back at Copy D. \nEFTA00006067\n\na C./mud number \n0017 66/18E \nVoid O \nsi \nc•Ae No. tS4S-0008 18E \n0017 \nbiliiiir \nnumber ono \ni \nWasps. has. other compensation \n38536.47 \n2 Federal income tax vrithhekl \n3463.23 \ni...‘ EmplOyer's name, address, and ZIP code \n'JEFFREY E. EPSTEIN \n358 EL BRILLO WAY \nPALM BEACH, FL 33480 \n3 Social security wages \n38536.47 \n4 Social secunty tax witnheld \n2389.26 \n5 Medicare wages end tips \n38536.47 \n6 Medcare tax withheld \n558.78 \n7 Sodal security tips \n8 Allocated tips \no Advance BC payment \n10 Dependent care benefits \n• \nf Employee's address and ZIP code \n11 Norgualified plans \n12a See instructions, \nIC \nfor box 12 \nI \n28.62 \n13 Se:iilg \nor\n \n/tor \nn.\nEl \nn\nil 21)\niI \n14 Other \n12c \n12d \nA \n15 Su* \nEmployer's mate ID number \nFL \ni \n___I \n16 $ale wages, lips. etc. \n17 State income lax \n18 Local vow, fee, etc \n19 Local income tax \n20 Locally name \nForm IN-2 \nWage and Tax \nStatement \nCopy 0-For Employer. \n2005 \nDepartment of the Treasury—Internal Revenue Service \nFor Privacy Act end Paperwork Reduction \nAct Notice, see back of Copy D. \na Control number \nVoid El \nOMB No. 1545-0008 \nb Employer identification number (E/N) \n1 Wages. tips, other compernal0n \n2 Federal income tax \nrelate! \nc Employer's name. address, and ZIP code \n3 Soda; socially wages \n4 Social security lax wittteld \n5 Medicare wages and tips \n6 Medicare tax withheld \n7 Soma security lips \n8 Allocated tips \nd Employee's social security number \n9 Advance SIC payment \n10 Dependent care benefits \ne Empbyee's lust nave and initial \nLast name \nf Employee's address and ZIP cede \n11 NOnquaGfred plans \ne12a See 1/1.5111.1C1i011S \nS \nfor box 12 \n1 \n13 \nanat. \nm \nsaan/ \nefrobste \nwin \nw \nEl \nn \nn \nnb \nc . \nI \n14 ()lbw \n12e \nc \nS \nI \n120 \nc • \n77 \nA \n15 Ste. \nEmployer's slate ID number \n• \n16 Slam wagon, ups, etc. 117 State income tax \nf \n18 Local wages, tips. etc. \n, \n19 Local exam lax \n20 Locally name \n'1-2 \nWage and Tax \nStatement \n'or Employer. \n200.5 \nDepartment of the Treasury—Imemal Revenue Serene \nFor Privacy Act and Paperwork Reduction \nAct Notice. see back of Copy D. \nEFTA00006068