W2_2025_Calderwick
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650 Winterbourne Plaza
Suite 300
Paramus, NJ 07652
Calderwick Clinical Research (973) 555-0147
calderwick.example
Form W-2 Wage and Tax Statement 2025 - employee's copy (substitute form)
EMPLOYEE
A EMPLOYEE'S SOCIAL SECURITY NUMBER E EMPLOYEE'S NAME F EMPLOYEE'S ADDRESS
957-24-6183 YULIA A ZARETSKAYA 8-17 LARKMOOR TER, FAIR
LAWN NJ 07410
EMPLOYER
B EMPLOYER IDENTIFICATION NUMBER C EMPLOYER'S NAME D CONTROL NUMBER
22-0417385 CALDERWICK CLINICAL 004418-CCR
RESEARCH INC
FEDERAL
1 WAGES, TIPS, OTHER COMPENSATION 2 FEDERAL INCOME TAX WITHHELD 3 SOCIAL SECURITY WAGES
124,410.00 19,870.14 139,210.00
4 SOCIAL SECURITY TAX WITHHELD 5 MEDICARE WAGES AND TIPS 6 MEDICARE TAX WITHHELD
8,631.02 139,210.00 2,018.55
10 DEPENDENT CARE BENEFITS 12A CODE D 12B CODE DD
5,000.00 14,800.00 3,116.40
13 RETIREMENT PLAN 14 OTHER: NJ FLI 14 OTHER: NJ UI/WF/SWF
X 148.94 180.74
STATE
15 STATE, EMPLOYER'S STATE ID 16 STATE WAGES 17 STATE INCOME TAX
NJ 220-417-385/000 133,200.00 6,204.37
This is a substitute for the official form and is acceptable for filing with your return. Copy B, to be filed with the employee's
federal tax return. Keep Copy C for your records.
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| Value | Now |
|---|---|
| ssn-yulia.ssn | 957-24-6183 |
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