EFTA00176030
aControl numberVoidOMB No. 1548-0008
b Employee identification number
66-0567418
1 Wages, tips, other compensation
2074.00
2 VI income tax withheld
175.00
c Employee's name, address, and ZIP code
FINANCIAL TRUST COMPANY, INC.
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
3 Social security wages
2074.00
4 Social security tax withhold
128.59
5 Medicare wages and tips
2074.00
6 Medicare tax withhold
30.07
7 Social security tips8
d Employee's social security number
580-23-1452
9 Advance EIC payment10
e Employee's first name and initial
TEQUASI O HENDRICKS
PO BOX 672
ST. JOHN, USVI, 00831
11 Nonqualified plans12a See Form W-3SS instructions
13 Subsidy employeeRetirement planThird-party employer
14 Other12b
12c
f Employee's address and ZIP code
Form W-2VI U.S. Virgin Islands Wage and Tax Statement Department of the Treasury - Internal Revenue Service 2004 Copy D - For Employer For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3S
a Control numberVoidOMB No. 1040-0009
b Employer Identification number
66-0567418
1 Wages, tips, other compensation
21460.81
2 VI Income tax withheld
1005.00
c Employee's name, address, and ZIP code,
FINANCIAL TRUST COMPANY, INC.
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
3 Social security wages
22108.99
4 Social security tax withheld
1370.76
5 Medicare wages and tips
22108.99
6 Medicare tax withheld
320.58
7 Social security tips8
d Employee's social security number
580-29-3823
9 Advance EIC payment10
e Employee's first name and initial Last name
LORETTA MCDONALD MORRELL
PO BOX 306077
ST. THOMAS, VI, 00803
11 Nonqualified plans12a Sea Form W-3SS Instructions
S | 648.18
13 Childcare employee Retirement plan Third-party care pay12b
14 Other12c
12d
f Employee's address and ZIP code
U.S. Virgin Islands Wage and Tax Statement 2004 Department of the Treasury - Internal Revenue Servi Copy D - For Employer For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form 1W-35 FTC0020