EFTA00176034
a Control number22222 JdFor Official Use Only. ORM No. 10614-6088
h Employer identification number
66-0567418
1 Wages, tips, other compensation
$ 59388.04
Ⅵ License fee waived
o Employer's name, address, and ZIP code
FINANCIAL TRUST COMPANY, INC.
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
3 Dental security wages
$ 65471.10
Ⅳ Social security tax waived
4 Medicare wages and lines
$ 65471.10
Ⅴ Medicare tax waived
7 Social security tips
$
8 Adverse EIC payment
$
d Employee's social security number
580-06-2353
9 Adverse EIC payment
$
10
e Employee's first name and initial DALELast name
BASTIAN GORDON
11 Nonqualified plan
$
12a See Plan W-02A instructions
S $ 6083.06
P.O. BOX 115
ST. THOMAS, VI, 00804
14 Insurance expenses13b C $ 86.00
14 Other14c
f Employee's address and ZIP code
U. S. Virgin Islands Wage and Tax Statement Department of the Treasury - Internal Revenue Ben Copy A For Social Security Administration - Send this entire page with Copy A of Form W-388 to the Social Security Administration; photocopies are not acceptable. [Rev. February 2002] For Privacy Act and Paperwork Reduction Notice and Instructions, and Form W-3 Oat, No. 489770 Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
b Employer identification number
66-0567418
1 Wages, tips, other compensation
$ 8294.75
2 VI income tax withheld
$ 8697.00
c Employer's name, address, and ZIP code
FINANCIAL TRUST COMPANY, INC.
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
8 Social security wages
$ 87000.00
4 Social security tax withholding
$ 5394.00
8 Medicare wages and tips
$ 87582.31
8 Medicare tax withholding
$ 1269.94
7 Social security tip
$
9
d Employee's social security number
150-46-4746
9 Advance EIC payment
$
10
a Employee's first name and initial
JEANNE
Last name
BRENNAN
11 Nonqualified plan
$
12a See Form VI-SRS Institution line
S $4638.56
6501 RED HOOK PLAZA STE.
PMB 201
ST. THOMAS, VI, 00802
13 Obligatory employee
x
13b C $123.50
14 Other
70024 (Rev. February 2002) EFTA00176035 # a Control number 22222 Jid For Official Use Only OMR No. 1984-008 b Employee identification number 66-0567418 n Employer’s name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN ; 00802 d Employee’s social associate number 580-03-9952 e Employee’s first name and initial LEON A Last name CASEY, SR. P.O. BOX 503032 ST. THOMAS, VI, 00805 f Employee’s address and ZIP code 1 Wage, tip, other compensation $ 42709.71 2 Social security wages $ 47095.73 3 Medicare wages and tips $ 47095.73 4 Social security tips $ 9 Advance ZIC payment $ 11 Nonqualified plans $ 13 Advisory employee Intermediate level Non-pay 14 Other $ 1 Vehicle tax withholding $ 4488.00 1 Rural activity tax withholding $ 2919.94 1 Mortgage tax withholding $ 682.89 10 12 See Form W-SS2 Instructions S $ 4386.02 13 C $ 197.37 14 $ Wage and Tax Statement Copy A For Social Security Administration - Send this entire page with Copy A of Form W-9SS to the Social Security Administration; photocopies are not acceptable. (Rev. February 2002) Department of the Treasury - Internal Revenue Service For Privacy Act and Paperwork Reduction Notice and Instructions, see Form W-8E Ost. No. 4189770 Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page
a Control number22222VoidFor Official Use Only ► OMB No. 1545-0009
b Employer identification number
66-0567418
1 Wages, tips, other compensation
$ 48924.67
2 VI income tax withheld
$ 6819.00
c Employer'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
$ 52736.75
4 Social security tax withheld
$ 3269.68
5 Medicare wages and tips
$ 52736.75
6 Medicare tax withhold
$ 764.68
7 Social security tips
$
8
9 Advance EIC payment
$
10
d Employee's social security number
580-13-4697
11 Nonqualified plans
$
12n Gae Form W-BSG instructions
S 3812.08
a Employee's first name and initial
JAMIE I
Last name CORNELIUS18 Social security benefits
X
19 C 43.44
6501 RED HOOK PLAZA
PMB 201
ST. THOMAS, VI, 00802
14 Other15
1 Employer's trade mark
FTC0026