Wage and Tax Statement: Copy C-For EMPLOYEE'S RECORDS (See Notice To On The Back of Copy B.)

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a Employee’s social security number This information is being furnished to the Internal Revenue Service.

If you
625-80-4805 are required to file a tax return, a negligence penalty or other sanction may
OMB No. 1545-0008 be imposed on you if this income is taxable and you fail to report it.
b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
74-2782655 132353.33 25027.30
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

JAVA | ORACLE 132353.33 8205.91


5 Medicare wages and tips 6 Medicare tax withheld
500 Oracle Parkway
132353.33 1919.12
Redwood City, CA 94065 7 Social security tips 8 Allocated tips
0.00 0.00
d Control number 9 10 Dependent care benefits
000345 0.0
e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
0.00
C

BICH NGUYEN o
d
e
C 762.12
13 Statutory
employee
Retirement Third-party 12b
plan sick pay C

X
o
d
e
D 4712.03
14 12c
724 Shard Ct C
o
DD
D D 28230.12
VPDI 937.10 d
e
Fremont, CA 94539 12d
C
o
d
e

f Employee’s address and ZIP code


15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
CA 002-2238-0 132353.33 9982.76

W-2
Department of the Treasury—Internal Revenue Service
Wage and Tax
Form Statement
Copy C—For EMPLOYEE’S RECORDS (See Notice to
2019 Safe, accurate,
FAST! Use

Employee on the back of Copy B.)

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