DOJ Epstein Files, Data Set 4 (EFTA00006066)

a Control number 66/18E 0017	Vold	OMB No. 1545-0008 18E					0017
Employer identification number (EIN)			1	Wages, tips, other compensation 7890.65		2 Federal income tax withhold	714.35
c Employer’s name, address, and ZIP code JEFFREY E. EPSTEIN				Social security wages 7890.65		4 Social security tax withheld	489.22
358 EL BRILLO WAY PALM BEACH, FL 33480		Medicare wages and tips 7890.65			Medicare tax withheld 114.41
				Social security tips	8 Allocated tips
			ದಿ	Advance EIC payment	10	Dependent care benefits
	Loam	Suff.	11	Nonqualified plans	C	12a See instructions for box 12	6.00
BEACH, FL 33139 MIAMI			Other 14	Third-party sick pay	12b 12c
Employee’s address and ZIP ood					12d
Employer’s state ID number 15 State eL	16 State wages, tips, etc.	17 State income tax		18 Local wages, tips, etc.	19 Local income tax		20 Locally name

Wage and Tax Statement		10000					Department of the Treasury – Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D.

2017 - 1. 1. 1.

-For Employer.

Commission of the control of

. . . . . . . . . .

1.000

. . . . .

……..

and the control of the county of

a Control number 66/18E 0017	Void	OMB No. 1545-0008 18E			0017
Is Employor identification number (EIN)			r	Wages, tips, other compensation 38536.47	Federal income tax withheld 3463.23
Employer’s name, address, and ZIP code JEFFREY E. EPSTEIN				Social security wages 38536.47	Social secunity tax withheld 2389.26
358 EL BRILLO WAY PALM BEACH, FL 33480				Medicare wages and tips 38536.47	Medicare tax withheld e 558.78
			7	Social security tips	Allocated tips 8
			0	Advance EIC payment	Dependent care benefits 10
			11	Nonqualified plans	12a See instructions for box 12 EC
BEACH, FL 33139			13 Subutory	Resuement There-party Sick pay 224	28.62 12b
			Other 14		120
					12d
Employee’s address and ZIP code -
15 State Employer’s state ID number FL	16 State wages, tips, etc.	17 State income tax		18 Local wages, tips, etc.	19 Local income tax 20 Locality name

Wage and Tax Statement Form		2005			Department of the Treasury-Internal Revenue Service
Copy D-For Employer.					For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D.
年為

a Control number	Void	OMB No. 1545-0008
b Employer identification number (EIN)			1	Wages, tips, other compensation	2 Federal income tax withheld
c Employer’s name, address, and ZIP code			ന	Social security wages	4 Social security tax withheld
			ਦ	Medicare wages and tips	Medicare tax withheld 6
			7	Social security tips	Allocated tips 8
d Employee’s social security number			ਰੇ	Advance EIC payment	Dependent care benefits 10
e Employee’s first name and initial Last name			11	Nonqualified plans	12a See instructions for box 12
			13 Sundary	Reivement sex pay רומן	12p
			Other 14		3 12c
					12d
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, lips, etc.	19 Local income tax 20 Localty name

Wage and Tax Statement					Department of the Treasury-Internal Revenue Service

’or Employer.

For Privacy Act and Paperwork Reduction

EFTA00006068