0.00 5 Medicare wages and Ups 185323.09 6 Medicare lax withheld 2687.18 • Control number 0009 66/1314/ Dept Coop. Employer use only 19 o Entiloyar's name, alder" and NES LLC 457 MADISON AVENUE NEW YORK, NY MP code 10022 b &WS. r 0 E " :Sn Ilir— 7 Social security bps I AS I Advance ET