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Juan Diego Velandia Duarte - 0087851 - Crescent Hotels & Resorts, LLC

W-2
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Form W-2 Wage & Tax Statement 2023

Copy B - To Be Filed With Employee's FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service.

Department of the Treasury - Internal Revenue Service OMB No. 1545-0008

a Employee's social security number 1 Wages, tips, other compensation 2 Federal income tax withheld
XXX-XX-6137 1462.31 147.05
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
1462.31 90.66
Crescent Hotels & Resorts LLC 5 Medicare wages and tips 6 Medicare tax withheld
10306 Eaton Place
Ste 430 1462.31 21.20
Fairfax, VA 22030 7 Social security tips 8 Allocated tips
USA
0.00 0.00
b Employer identification number (EIN) 9 10 Dependent care benefits
45-0471621 0.00
e Employee's name, address, and ZIP code 11 Nonqualified plans 13 Statutory Retirement Third-party
employee plan sick pay
Juan Diego Velandia Duarte 0.00
100 Stateline Drive
PO Box 4690
page, AZ 86040 12 See instructions for box 12 14 Other

15 State Employer's state ID No. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
AZ 450471621 1462.31 7.30

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Form W-2 Wage & Tax Statement 2023

Copy 2 - To Be Filed With Employee's State, City, or Local Income Tax Return.
Department of the Treasury - Internal Revenue Service OMB No. 1545-0008
a Employee's social security number 1 Wages, tips, other compensation 2 Federal income tax withheld
XXX-XX-6137 1462.31 147.05
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
1462.31 90.66
Crescent Hotels & Resorts LLC 5 Medicare wages and tips 6 Medicare tax withheld
10306 Eaton Place
Ste 430 1462.31 21.20
Fairfax, VA 22030 7 Social security tips 8 Allocated tips
USA
0.00 0.00
b Employer identification number (EIN) 9 10 Dependent care benefits
45-0471621 0.00
e Employee's name, address, and ZIP code 11 Nonqualified plans 13 Statutory Retirement Third-party
employee plan sick pay
Juan Diego Velandia Duarte 0.00
100 Stateline Drive
PO Box 4690
page, AZ 86040 12 See instructions for box 12 14 Other

15 State Employer's state ID No. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
AZ 450471621 1462.31 7.30

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Form W-2 Wage & Tax Statement 2023

Copy C-For EMPLOYEE'S RECORDS.
This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a negligence penalty or other
sanction may be imposed on you if this income is taxable and you fail to report it.

Department of the Treasury - Internal Revenue Service OMB No. 1545-0008

a Employee's social security number 1 Wages, tips, other compensation 2 Federal income tax withheld
XXX-XX-6137 1462.31 147.05
c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
1462.31 90.66
Crescent Hotels & Resorts LLC 5 Medicare wages and tips 6 Medicare tax withheld
10306 Eaton Place
Ste 430 1462.31 21.20
Fairfax, VA 22030 7 Social security tips 8 Allocated tips
USA
0.00 0.00
b Employer identification number (EIN) 9 10 Dependent care benefits
45-0471621 0.00
e Employee's name, address, and ZIP code 11 Nonqualified plans 13 Statutory Retirement Third-party
employee plan sick pay
Juan Diego Velandia Duarte 0.00
100 Stateline Drive
PO Box 4690
page, AZ 86040 12 See instructions for box 12 14 Other

15 State Employer's state ID No. 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
AZ 450471621 1462.31 7.30

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1. The following information reflects your final pay statement plus employer adjustments that comprise your W-2
statement.
Earnings Description Wages, Tips, Other Comp. Social Security Wages Medicare Wages
Gross Wages 1462.31 1462.31 1462.31
Less Exempt Wages - 0.00 - 0.00 - 0.00
Less Deferred Comp - 0.00
Less Housing/Transportation - 0.00 - 0.00 - 0.00
Less Dependent Care - 0.00 - 0.00 - 0.00
Less Sec 125 - 0.00 - 0.00 - 0.00
Less Excess Wages - 0.00
Taxable Wages 1462.31 1462.31 1462.31
(Reported on Form W2) Box 1 of W-2 Box 3 of W-2 Box 5 of W-2

2. Employee W-4 profile to change your Employee W-4 profile information, file a new W-4 with the payroll
department
FIT: E 0 SIT Res: AZSIT H 0 SIT Work: AZSIT H 0

Notice to Employee
Do you have to file? Refer to the Form 1040 instructions to Corrections. If your name, SSN, or address is incorrect, correct
determine if you are required to file a tax return. Even if you Copies B, C, and 2 and ask your employer to correct your employment
don’t have to file a tax return, you may be eligible for a refund if record. Be sure to ask the employer to file Form W-2c, Corrected Wage
box 2 shows an amount or if you are eligible for any credit. and Tax Statement, with the SSA to correct any name, SSN, or money
amount error reported to the SSA on Form W-2. Be sure to get your
Earned income credit (EIC). You may be able to take the EIC copies of Form W-2c from your employer for all corrections made so
for 2023 if your adjusted gross income (AGI) is less than a you may file them with your tax return. If your name and SSN are
certain amount. The amount of the credit is based on income correct but aren't the same as shown on your social security card, you
and family size. Workers without children could qualify for a should ask for a new card that displays your correct name at any SSA
smaller credit. You and any qualifying children must have valid office or by calling 800-772-1213. You may also visit the SSA website
social security numbers (SSNs). You can't take the EIC if your at www.SSA.gov.
investment income is more than the specified amount for 2023
or if income is earned for services provided while you were an Cost of employer-sponsored health coverage (if such cost is
inmate at a penal institution. For 2023 income limits and more provided by the employer). The reporting in box 12, using code DD,
information, visit www.irs.gov/EITC. See also Pub. 596. Any EIC of the cost of employer-sponsored health coverage is for your
that is more than your tax liability is refunded to you, but information only. The amount reported with code DD is not
only if you file a tax return. taxable.

Employee’s social security number (SSN). For your Credit for excess taxes. If you had more than one employer in 2023
protection, this form may show only the last four digits of your and more than $9,932.40 in social security and/or Tier 1 railroad
SSN. However, your employer has reported your complete SSN retirement (RRTA) taxes were withheld, you may be able to claim a
to the IRS and the Social Security Administration (SSA). credit for the excess against your federal income tax. See the Form
1040 instructions. If you had more than one railroad employer and
Clergy and religious workers. If you aren't subject to social more than $5,821.20 in Tier 2 RRTA tax was withheld, you may be able
security and Medicare taxes, see Pub. 517. to claim a refund on Form 843. See the Instructions for Form 843.

Instructions for Employee

Box 1. Enter this amount on the wages line of your tax return. Box 10. This amount includes the total dependent care benefits that
your employer paid to you or incurred on your behalf (including amounts
Box 2. Enter this amount on the federal income tax withheld from a section 125 (cafeteria) plan). Any amount over your employer’s
line of your tax return. plan limit is also included in box 1. See Form 2441.

Box 5. You may be required to report this amount on Form Box 11. This amount is (a) reported in box 1 if it is a distribution made
8959. See the Form 1040 instructions to determine if you are to you from a nonqualified deferred compensation or nongovernmental
required to complete Form 8959. section 457(b) plan, or (b) included in box 3 and/or box 5 if it is a prior
year deferral under a nonqualified or section 457(b) plan that became
Box 6. This amount includes the 1.45% Medicare tax withheld taxable for social security and Medicare taxes this year because there is
on all Medicare wages and tips shown in box 5, as well as the no longer a substantial risk of forfeiture of your right to the deferred
0.9% Additional Medicare Tax on any of those Medicare wages amount. This box shouldn't be used if you had a deferral and a
and tips above $200,000. distribution in the same calendar year. If you made a deferral and
received a distribution in the same calendar year, and you are or will be
Box 8. This amount is not included in box 1, 3, 5, or 7. For age 62 by the end of the calendar year, your employer should file Form
information on how to report tips on your tax return, see the SSA-131, Employer Report of Special Wage Payments, with the Social
Form 1040 instructions. Security Administration and give you a copy.

You must file Form 4137 with your income tax return to report
at least the allocated tip amount unless you can prove with
adequate records that you received a smaller amount. If you
have records that show the actual amount of tips you received,
report that amount even if it is more or less than the allocated
tips. Use Form 4137 to figure the social security and Medicare
tax owed on tips you didn’t report to your employer. Enter this
amount on the wages line of your tax return. By filing Form
4137, your social security tips will be credited to your social
security record (used to figure your benefits).

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Box 12. The following list explains the codes shown in box 12. P—Excludable moving expense reimbursements paid directly to a
You may need this information to complete your tax return. member of the U.S. Armed Forces (not included in box 1, 3, or 5)
Elective deferrals (codes D, E, F, and S) and designated Roth
contributions (codes AA, BB, and EE) under all plans are Q—Nontaxable combat pay. See the Form 1040 instructions for details
generally limited to a total of $22,500 ($15,500 if you only have on reporting this amount.
SIMPLE plans; $25,500 for section 403(b) plans if you qualify for
the 15-year rule explained in Pub. 571). Deferrals under code G R—Employer contributions to your Archer MSA. Report on Form 8853.
are limited to $22,500. Deferrals under code H are limited to
$7,000. S—Employee salary reduction contributions under a section 408(p)
SIMPLE plan (not included in box 1)
However, if you were at least age 50 in 2023, your employer
may have allowed an additional deferral of up to $7,500 ($3,500 T—Adoption benefits (not included in box 1). Complete Form 8839 to
for section 401(k)(11) and 408(p) SIMPLE plans). This additional figure any taxable and nontaxable amounts.
deferral amount is not subject to the overall limit on elective
deferrals. For code G, the limit on elective deferrals may be V—Income from exercise of nonstatutory stock option(s) (included in
higher for the last 3 years before you reach retirement age. boxes 1, 3 (up to the social security wage base), and 5). See Pub. 525
Contact your plan administrator for more information. Amounts for reporting requirements.
in excess of the overall elective deferral limit must be included in
income. See the Form 1040 instructions. W—Employer contributions (including amounts the employee elected to
contribute using a section 125 (cafeteria) plan) to your health savings
Note: If a year follows code D through H, S, Y, AA, BB, or EE, account. Report on Form 8889.
you made a make-up pension contribution for a prior year(s)
when you were in military service. To figure whether you made Y—Deferrals under a section 409A nonqualified deferred compensation
excess deferrals, consider these amounts for the year shown, plan
not the current year. If no year is shown, the contributions are
for the current year. Z—Income under a nonqualified deferred compensation plan that fails to
satisfy section 409A. This amount is also included in box 1. It is subject
A—Uncollected social security or RRTA tax on tips. Include this to an additional 20% tax plus interest. See the Form 1040 instructions.
tax on Form 1040 or 1040-SR. See the Form 1040 instructions.
AA—Designated Roth contributions under a section 401(k) plan
B—Uncollected Medicare tax on tips. Include this tax on Form
1040 or 1040-SR. See the Form 1040 instructions. BB—Designated Roth contributions under a section 403(b) plan

C—Taxable cost of group-term life insurance over $50,000 DD—Cost of employer-sponsored health coverage. The amount
(included in boxes 1, 3 (up to the social security wage base), reported with code DD is not taxable.
and 5)
EE—Designated Roth contributions under a governmental section 457(b)
D—Elective deferrals to a section 401(k) cash or deferred plan. This amount does not apply to contributions under a taxexempt
arrangement. Also includes deferrals under a SIMPLE retirement organization section 457(b) plan.
account that is part of a section 401(k) arrangement.
FF—Permitted benefits under a qualified small employer health
E—Elective deferrals under a section 403(b) salary reduction reimbursement arrangement
agreement
GG—Income from qualified equity grants under section 83(i)
F—Elective deferrals under a section 408(k)(6) salary reduction
SEP HH—Aggregate deferrals under section 83(i) elections as of the close of
the calendar year
G—Elective deferrals and employer contributions (including
nonelective deferrals) to a section 457(b) deferred Box 13. If the "Retirement plan" box is checked, special limits may
compensation plan apply to the amount of traditional IRA contributions you may deduct. See
Pub. 590-A.
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt
organization plan. See the Form 1040 instructions for how to Box 14. Employers may use this box to report information such as state
deduct. disability insurance taxes withheld, union dues, uniform payments,
health insurance premiums deducted, nontaxable income, educational
J—Nontaxable sick pay (information only, not included in box 1, assistance payments, or a member of the clergy's parsonage allowance
3, or 5) and utilities. Railroad employers use this box to report railroad
retirement (RRTA) compensation, Tier 1 tax, Tier 2 tax, Medicare tax,
K—20% excise tax on excess golden parachute payments. See and Additional Medicare Tax. Include tips reported by the employee to
the Form 1040 instructions. the employer in railroad retirement (RRTA) compensation.

L—Substantiated employee business expense reimbursements Note: Keep Copy C of Form W-2 for at least 3 years after the due date
(nontaxable) for filing your income tax return. However, to help protect your social
security benefits, keep Copy C until you begin receiving social security
M—Uncollected social security or RRTA tax on taxable cost of benefits, just in case there is a question about your work record and/or
groupterm life insurance over $50,000 (former employees only). earnings in a particular year.
See the Form 1040 instructions.

N—Uncollected Medicare tax on taxable cost of group-term life

insurance over $50,000 (former employees only). See the Form
1040 instructions.

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