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nto Payer ria 991 3 Soon Munk wkles 587136.84 4 Social security erovItmerci 36402.49 c Total number ot Fern W.2 11 d Eakinikriont number 5 Medan Wages and Ws 810384.62 6 thallase Ws bold 11750.58 o emplane idenliftakn rnintr(E94) 66-0567418 7 Sordid necudly We s 1/ 10 , 12 Dorn corwr
pla-nr • • - ifto Farm W.CAt lions . I Sit 3812.08 10 V ez 09:rn. 14. 14 Oho-- • •-•••••••• 3269.68 «Rgwil 764. SE Agl JAMIE I CORNELIUS I . : E2149:9/2 *Cr. 52 %Icy P70PM .7 f7 :171T ' etS‘4 17.W .4.4e ' 14 - 1. -.4 %4;.•:1•2 :Ara; • trip "kv ••• .A.Z1 V•40:' •••'. age 44.Z
iveld 647.14 7 Semite nounty Mu t eckd =Os number .. .. . . 9 Actincoo EC peryrrort 100 / A • EmPbYeC0 fret nemo old NW trot runts JAMIE I CORNELIUS 11 Nonqualll•d pkvil 12 Forn W483 helrumbrz p 4717.21 e Soo I, tut .... , - 18.10 r 14 Other 12e i rei i A4 e Cr,, mi &Dem •rvi 7JP cod
edi K ~Knee nett Entiernereint xole Inc Netted owns- fie employment net to Often kr inneotng meek, elehátes X Cneo.1 emecyer vent en et, arid Medan nee O Socket tetireklin9 P One areffie 15 Fenian neffellons A Nier. procurer or U.3 poseeeeke B Co.. Ion toe all sconces C Oren ran. oaten mea
FORMATION and end n6 Federal Employer ID Number 263172589 Partnership's Name, Address, and Zip Code LEVEL MANAGEMENT LLC 19401 OLD JETTON ROAD CORNELIUS NC 28031 Amount -72 51 0 0 0 0 0 CONFIDENTIAL Individuals Filing Form DADE Enter Amount on: Page 2, Line 35 Page 2, Line 36 Page 2, Lin
d 6834.27 o Erni:Sonia name, address, end ZIP code EPSTEIN INTERESTS 9 Sadel smithy wag es 60000.00 4 Social tamolly tax Milthdd 3720.00 - 6 Medan wages end tips 60000%00 6 Medicare lax vAlhheld 870.00 7 Soda Way tips 8 Allocated tips d Employees social security number 451- 11- 5768 9 Ad
rm W4SS. FTE0003 EFTA00233117 22222 }tollare, n n•imhte P NI mpoyeris name, 3CICM119, andLP coda FINANCIAL 1 Em oat and IP code last name CORNELIUS OMB No. 154-0320 1 Wagea epq ollt7COMPOOSIOSI 2 M Income tax withheld 36501.04 5365.00 3 Soots oacedty wages 4 scaled security tax wiltald 39
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