EFTA00176032

a
b Employee identification number 66-0567418	1 Wages, tips, other compensation 35326.30	2 VI income tax withhold 2832.00
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 37983.56	4 Social security tax withhold 2354.98
	5 Medicare wages and tips 37983.56	6 Medicare tax withhold 550.76
	7 Social security tips	8
	9 Advance EIC payment	10
d Employee's social security number 580-15-5038	11 Nonqualified plans	12a See Form W-385 Instructions S \| 2657.26
e Employee's first name and initial JERMAINE A RUAN UVI FAC. E. APT.1 BLDG. 3. ST. THOMAS, VI, 00804	13 Simultary employment Retirement plan Third-party aid pay	12b C \| 23.00
	14 Other	12o
	14 Other	12d
f Employee's address and ZIP code

Form W=2VI U.S. Virgin Islands Wage and Tax Statement 2004 Department of the Treasury - Internal Revenue Service Copy D - For Employer For Privacy Act and Paperwork Reduction Act Notice and Instructions, see Form W-3SS

a Control number	OMB No. 1545-0088
b Employer identification number 66-0567418	1 Wages, tips, other compensation 36964.83	2 VI income tax withheld 3091.00
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 41190.09	4 Social security tax withheld 2553.79
	5 Medicare wages and tips 41190.09	6 Medicare tax withhold 597.26
	7 Social security tips	8

d Employee's social security number 580-17-3729	9 Advance EIO payment	10
e Employee's first name and initial Last name DAPHNE L WALLACE P.O. BOX 11184 ST. THOMAS, USVI, 00801	11 Nonqualified plans	12a Saa Form W-3SS Instructions S \| 4225.26
	13 Biological employee Retirement plan Third-party risk pay	12b C \| 29.12
	14 Other	12c
	14 Other	12d

f Employee's address and ZIP code U.S. Virgin Islands Wage and Tax Statement 2004 Department of the Treasury - Internal Revenue Service Copy D - For Employer For Privacy Act and Paperwork Reduction Act Notice and instructions, see Form W-3ST FTC0022