EFTA00176018
a Control number222222VoidDMB No. 1846-0008
b Employer identification number (EIN)
66-0567418
1 Wages, tips, other compensation
41567.91
2 VI Income tax withheld
4448.00
c Employer's name, address, and ZIP code
FINANCIAL TRUST COMPANY, INC.
6100 RED HOOK QUARTER B-3
ST. THOMAS 00802
3 Social security wages
46083.36
4 Social security tax withheld
2857.17
5 Medicare wages and tips
46083.36
6 Medicare tax withhold
668.21
7 Social security tips8
9 Advance EIC payment10
d Employee's social security number
580-17-3729
e Employee's first name and initial
DAFNE L WALLACE
P.O. BOX 11184
ST. THOMAS, USVI, 00801
11 Nonqualified plans12a See Form W-39S Instructions
S 4515.45
13 Emergency plan12b C 33.61
14 Other12c
12d
f Employee's address and ZIP code
Form W-2VI U.S. Virgin Islands Wage and Tax Statement Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer 2006 Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3SS.
a Control number22222VoidCMB No. 1845-0008
b Employer identification number (EIN)1 Wages, tips, other compensation2 VI income tax withheld
c Employee's name, address, and ZIP code3 Social security wages4 Social security tax withheld
5 Medicare wages and tips6 Medicare tax withheld
7 Social security tips8
d Employee's social security number9 Advance EIC payment10
e Employee's first name and initial Last name Suff.11 Nonqualified plans12a See Form W-8SS Instructions
13 Retirement plan12b
14 Other12o
12d
f Employee's address and ZIP code
Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS. FTC0008 EFTA00176019 DO NOT STAPLE OR FOLD
aControl numberFor Official Use Only ► OMB No. 1545-0008
bKind of Payer841-SS Military Medicare govt. cmp. Third-party slok pay1 Wages, tips, other compensation 717905.562 Income tax withheld 116884.00
3 Social security wages 583483.314 Social security tax withheld 36175.97
cTotal number of Forms W-2 12d Establishment number5 Medicare wages and tips 751782.068 Medicare tax withhold 10900.85
e Employer identification number (EIN) 66-05674187 Social security tips8
f Employer's name FINANCIAL TRUST COMPANY, INC.9 Advance EIC payments10
6100 RED HOOK QUARTER B-3 ST. THOMAS .I, 0080211 Nonqualified plans12 Deferred compensation 33876.50
13 For third-party slok pay use only
14 Income tax withheld by payer of third-party slok pay
g Employer's address and ZIP code
h Other EIN used this year
i Employer's territorial ID number
...
Contact person JEANNE BRENNAN
E-mail addressTelephone number (340) 775-2525For Official Use Only
Fax number (340) 775-2528
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete. Signature ▶ Title > PRESIDENT Dalo > 2/7/06 ## Form W-3SS Transmittal of Wage and Tax Statements Department of the Treasury Internal Revenue Service General Instructions for Forms W-2AS, W-2GU, W-2CM, and W-2VI Furnishing Copies B and C of Forms W-2AS, W-2GU, W-2CM, and W-2VI to your employees by January 31, 2006. If employment ends before December 31, 2005, you may furnish the copies any time after employment ends but no later than January 31, 2006. If the employee asks for the form, furnish him or her the completed copies within 30 days of the request or within 30 days of the last wage payment, whichever is later. If an employee loses a form, write "REISSUED STATEMENT" on the new copy (unless it was furnished electronically), but do not send Copy A of the released statement to the SSA. Employers are not prohibited by the Internal Revenue Service No. 2 charging a fee for the issuance of a duplicate Form W-2AS, W-2GU, W-2CM, or W-2VI. Extension to furnish Forms W-2 to employees. You may request an extension of time to provide Forms W-2 to employees by sending a letter to: IRS Enterprise Computing Information Reporting Program Attn: Extension of Time Coordinator 240 Murall Drive Kearneyville, WV 28420 Mail your letter on or before the due date for furnishing Forms W-2 to employees, it must include: = Your name and address, - A statement that you are requesting an extension to furnish Forms W-2 - Your employer identification number (EIN), Undeliverable forms. Keep for 4 years any employee copies of Forms W-2AS, W-2GU, W-2CM, or W-2VI that you tried to deliver but could not. Do not send undeliverable forms to the SSA. Calendar year baals. Base all entries on Forms W-2AS, W-2GU, W-2CM, W-2VI, and W-3SS on a calendar year. Use the current year form. Magnetic media/electronic reporting. If you file 250 or more Forms W-2AS, W-2GU, W-2CM, or W-2VI, you must file them on magnetic media or electronically. You can get specifications for filing this information on magnetic media or electronically by visiting Social Security's Employer Reporting Instructions and Information website at www.eocialsecurity.gov/employer or by contacting an SSA Employer Services Liaison Officer (ESLO) at 787-766-5574 for the U.S. Virgin Islands or 510-970-8247 for Guam and Amagasan Samoa. SSA will not accept magnetic tape and cartridge submissions beginning with the 2005 Form W-2 reports that are due to SSA in calendar year 2005. If you file on magnetic diskette or electronically, do not file the same returns on paper. - Reeson for delay, and to employees, Note: You are encouraged to file on magnetic diskette or electronically Veven if you file fewer than 250 Forms W-2. - Your signature or that of your authorized agent. You may request a waiver on Form 8508, Request for Waver From Filling Information Returns Magnetically, Submit Form 8508 to the IRS at least 45 days before the due date of Form W-2, See Form 8508 for filling information. Taxpayer identification numbers. Employers use an employer identification number (EIN) (0D-00000000). Employees use a social security number (SSN) (000-00-0000): When you list a number, separate the nine digits properly to show the kind of number. Social security numbers are used to record employee earnings for future social security and Medicare benefits. You must show the correct social security number in box d on the Form W-2AS, W-2GU, or W-2VI. Page 3 FTC0009