EFTA00006069

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sislesteses 
EFTA00006069


• 
ir04iii 
1310.01 
v 
2005 W-2 and E 
za rce-
cts.* 
14004
-1.' 
afiV-2 
^'r 184,807.7.1 
515.* 
N/A 
115;i23.09 
3- Employee:eV/4 Profile. To change your Employee W-4 Profile Information, filo a new W-4 with your payroll dept. 
Social Security Number: imp 
Taxable Marital Status: 
MM.. 
33404 
Exemptions/Allowances: 
FEDERAL: 8 
STATE: 
8 
0 2C05 AUTOMATIC DATA AMOCESUNG. 
r 
H.2 "I' 
• 1 
Wages, tips. other comp. 
175323.09 
1 Federal income tax withheld 
29092.14 
3 SocIal security wages 
90000.00 
4 Social sithuritytex Withhold 
5580.00 
5 Medicare wages and Ups 
185323.09 
6 Medium tax withheld 
2687.18 
1 • 
Control number 
0009 
66/TPW 
Dept. 
Corp. 
Employer,.._ only 
19 
o EMployer's name, address, and ZIP cod 
NES LLC 
457 MADISON AVENUE 
NEW YORK, NY 10022 
b E.Wit 
bar 
d Em 
' 
. / 
&Mel securitytips 
8 Allem. 
cis 
• 11 Advance MC payment 
i 
10 Dependent we benefit* 
I 
1 
nN
simpithlied plans 
12a ,C
I 
515.38 
14 Other 
• 
32.40 NVDD 
la 0 I 
10000.00 
tho 
I 
12d 
i 
13 Slat esm Rarer 
lietlY OA PS 
ol Employeee nem*, addrcon and ZIP code 
I 
I 
, 
33404 
 1 16N itte I 
. 
• • 
te ID no. 
/ 
Y
16 State wain. Ups, etc. 
175323.09 
t 
Slate income tax 
I 
II Local wages, ups. etc. 
• 16 LOW Melo* lot 
• 
20 Loma/ name 
0-adefEC 
-5S-s;t3 
int 
• ,•,'c 
9,.. 
2lithe.
I 
Wades, thss, other comp 
175323.09 
2 Federal Income taX withheld 
29092.14 
3 Social (acorn), wages 
90000.00 
4 Social security tax withheld 
5580.00 
S Medicare wages end tips 
185323.09 
6 Medicare tax withheld 
2687.18 
• 
Control number 
0009 
66/TPW 
Dept. 
Corp. 
Employee use only 
19 
c Employees name, address. and ZIP code 
NES LW 
457 MADISON AVENUE 
NEW YORK, NY 10022 
ilfr 
b Empltber 
d Empl 
er 
nodal 
security tips 
8 Allocated bPS 
a Advance EIC payment 
10 Dependent core benefits 
11 Nonqueldied plans 
12a 
C I 
515.38 
14 Other 
32.40 NYCO 
1265 1 
10000.00 
12e 
i
12d
13 Stet empratrird lefty ekk pri 
ell Employcea no me. address and 2/

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