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ployers Watodal ID number Contact person Jeanne Brennan • t, Check the °pawed/de box Typo k W-2es W
*************** For: Batch No. 2006/4/00859 1 TOTAL EMPLOYEES For: Company 66/LMB 31.20 NYDD (Box 14) 1 FORMS 60,000.00 State Wagea (Box 16) 3,063.96 State Income Tax (Box 17) E1002 EFTA00176007 I .-- I—I I OMB NO. 1645-0008 Leib UVUL . , UUL/, 1 ' 00/ litiD .11 Employee Identification number (EN) " 13-36434
tilowl of Me Treenney--Imanitl finiteare Service For PM•ticy Act and Pw.rwork Redootlen Act .(otier and ;rattructlors. Ma Form vi.ass. . Use nn BRENNAN Stiff U.S. Virgin Islands Wage and Tax Statement Copy 1 -For vl Bureau of 'Memel Revenue or Copy D-Fot Empleger 0 Sacred Nally Moosoc 4 &ell se
ctIon Aet Notice. 444 back el Copy D. ************** ******* *** ****** 1 TOTAL EMPLOYEES 31.20 NYDO (Box 14) 60,000.00 State Wages (Box 16) 3,063.96 State Income Tax (Box 17) SDNY_GM_02771879 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00258687 EFTA01338191 I . VW/ 00/ Lelia L • -- .--,
ZIP node 14 income tax witted by payer of third-pany dm pay h Other EW used thie year 1r I Employer's torr atelet C maw Conrad person J'EANNE BRENNAN For Oredel Use Only Small address . Under penettes of perjury. I dam that have ox they ore true, correct, c compute. Signature s. a men rre
*************** For: Batch No. 2006/4/00859 1 TOTAL EMPLOYEES For: Company 66/LMB 31.20 NYDD (Box 14) 1 FORMS 60,000.00 Stato Wages (Box 16) 3,063.96 State Income Tax (Box 17) EMU EFTA00233110 . vuul OW 1410 I .-- I-I 1 OMB No. 1545.00031d10 Ut/t/l. b a r Identification number IEIN) 1 Wages this, other oompl
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