EFTA00176038 # a Control number 22222 For Official Use Only 018B No. 1074-0038 b Employee identification number 66-0567418 c 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 modal security number 580-29-3823 e Employee’s first name and initial LORETTA f Employee’s address and ZIP code 4 Wages, tips, other compensation $ 21277.44 5 Social security wages $ 21903.98 6 Medicare wages and tips $ 21903.98 7 Social security tips $ 8 Advance GIC payment $ 11 Nonqualified plans 12 Security embezzlement X 13 Taxable income X 14 Other 942.00 1358.05 317.61 10 13a See Form VI-103 Instructions S $ 626.54 11 12 13 14 U. S. Virgin Islands Wage and Tax Statement Copy A For Social Security Administration - Send this entire page with Copy A of Form W-393 to the Social Security ^{(Rev. February 2002)} Department of the Treasury - Internal Revenue Service For Privacy Act and Paperwork Reduction Motto and Instructions, see Form W-8 Administration; photocopies are not acceptable. Cat. No. 49977C Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page

a Control number	22222	Por Official Use Only © OMB No. 1645-0008
b Employer identification number 66-0567418		1 Wages, tips, other compensation $ 6070.00	2 VI income tax withheld $ 292.01
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 $ 6250.00	4 Social security tax withholding $ 387.51
		5 Medicare wages and tips $ 6250.00	6 Medicare tax withholding $ 90.61
		7 Social security tips $	8
d Employee's social security number 580-11-2937		8 Advance EIC payment $	10
a Employee's first name and initial UNA R	Last name PASCAL	11 Nonqualified place $	12 a See Form W-10 Interactions b S $180.00
HIDDEN VALLEY BLDG. 13 APT. 239 CHARLOTTE AMALIE, VI, 00802		12 Identified employee x	13 Identified employee x
i Employee's telephone number		14 Other	15 Other

{Rev. February 2002} EFTA00176039

a Control number	22222 bad	For Official Use Only OMB No. 1845-0008
b Employee identification number 66-0567418		1 Wage, tips, other compensation $ 15065.60	1 Wage, tips, other compensation $ 181.00
c Employee's name, address, and ZIP code FINANCIAL TRUST COMPANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS U.S.VIRGIN , 00802		2 Social security wages $ 15500.60	2 Social security wages without $ 961.04
		3 Medicare wages and tips $ 15500.60	3 Medicare wages without $ 224.76
		7 Social security tips $
		9 Advance EIO payment $
d Employee's social security number 066-64-1041
e Employee's first name and initial ANN M	Last name RODRIGUEZ	10 Nonqualified plans $	10 Nonqualified plans S \| $435.00
6014 ESTATE SMITHBAY ST. THOMAS, VI 00802		11 Safety analysis [ ] [X]	11 Safety analysis C \| $0.60
6014 ESTATE SMITHBAY ST. THOMAS, VI 00802		14 Other	14 Other
f Employee's address and ZIP code

Copy A For Social Security Administration • Send this entire page with Copy A of Form W-399 to the Social Security Administration; photocopies are not acceptable. Department of the Treasury - Internal Revenue Serv: (Rev. February 2002) For Privacy Act and Paperwork Reduction J Notices and Instructions, see Perm W-81 Cat. No. 490770 Do Not Cut, Fold, or Staple Forms on This Page - Do Not Cut, Fold, or Staple Forms on This Page

a Control number	22222	For Official Use Only © OMB No. 15418-0008
b Employer identification number 66-0567418		1 Wages, tips, other compensation $ 38393.23	2 VI income tax withhold $ 2889.00
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 $ 40902.75	4 Social security tax withhold $ 2535.97
		5 Medicare wages and tips $ 40902.75	6 Medicaid tax withhold $ 593.05
		7 Social security tips $	8
		9 Advance BIC payment $	10
d Employee's social security number 580-15-5038		11 Nonqualified plans $	13a Sea Form W-998 instructions S 2509.52
e Employee's first name and initial JERMAINE A	Last name RUAN	12 Savings employee X	13b Savings employee X
UVI FAC. E. APT.1 BLDG. 3. ST. THOMAS, VI, 00804		14 Other	14 Other
f Employee's address and ZIP code