kr Privacy Act end Paperwork Reduction Aot Notice and InotmotIons, see Form W-359. a Control number 27222` Vold O OMB No. 1545-0000 b Employer Idontelcatton number IEIN) 66-0567418 1 Wages. Ilea other ororipenatron 85718.27 2 VI Income tax withheld 8549.00 o Employers name. address, and ZIP code FI