Copy B To Be Filed With Employee's OMB No. Copy 2 To Be Filed With Employee's State, OMB No .

FEDERAL Tax Return 2018 1545-0008 City, or Local Income Tax Return 2018 1545-0008
a. Employee's SSN 1 Wages , t ips, othe r c o mp. 2 Fed era l income ta x withhe l d a. Employee's SSN 1 Wages , t ips , ot he r c o mp . 2 Fed era l income tax withhe l d
11707.50 560.03 11707.50 560.03
063-96-8839 3 Socia l s ec u rity wage s 4 Soci al securi ty tax withheld
063-96-8839 3 Socia l s ec u rity wa ge s 4 Soci al securi ty t ax withheld
b. Employe r ID numbe r 11707.50 725.86 b . Empl oye r ID num be r 11707.50 725.86
5 Med i ca re w age s and t ips 6 Medicare tax withheld 5 Med i ca re w age s and t ips 6 Medi care tax w ithheld
26-2810641 11707.50 169.76 26-2810641 11707.50 169.76
c . Emp loye r 's na me , address , and ZIP code c . Employe r 's na me , address , and ZIP code
MOBILE TRENDZ INC MOBILE TRENDZ INC
MOBLIE TRENDZ INC MOBLIE TRENDZ INC
235 UTICA AVE 235 UTICA AVE
BROOKLYN, NY 11213 BROOKLYN, NY 11213
d. Control number d . Control number
18 18
e. Employee's na me , address, and ZIP code e. Employee's na me , address, and ZIP code

NESTOR RODRIGUEZ CARRASCO NESTOR RODRIGUEZ CARRASCO

228 NAGLE AVE , APT 2A 228 NAGLE AVE , APT 2A
NEW YORK, NY 10034 NEW YORK, NY 10034
7 Social security tips 8 Allocated tips 7 Social security tips 8 Alloca ted ti ps

10 Dependent care benefits 11 Nonqualified plans 12a Code See inst . for box 12 10 Dependent care benefits 11 No nqu al ified plans 12a Code See inst . for b ox 12

13 Statutor y empl oyee 14 Other 12b Code 13 Statutor y empl oyee 14 Oth er 12b Code
NY SDI 16.80 NY SDI 16.80
Retire ment plan NY Paid Fa 14.77 12c Code Retirement plan NY Paid Fa 14.77 12c Code

Thi rd part y si ck pay 12d Code Thi rd part y si ck pay 12d Code

NY 26-2810641 11707.50 319.88 NY 26-2810641 11707.50 319.88

15 State Emplr.'s state ID # 16 State wages, ti ps, etc. 17 State income tax 15 State Empl r.'s state ID # 16 State wages, ti ps, etc. 17 Stat e income tax
18 Local wages, tips,etc. 19 Local income tax 20 Locality name 18 Loca l wages, tips, et c . 19 Loca l income t ax 20 L o ca lit y name
11707.50 235.57 NYC Resident Tax 11707.50 235.57 NYC Resident Tax

For m W-2 Wag e an d Tax Sta te me nt Dep t. of t he Tre as ur y -- IRS For m W-2 Wag e an d Tax Sta te ment Dep t . of t he Tre as ur y -- IRS
Th i s i nfor ma tion is b ei ng furnishe d to t he In tern al Reve n ue Ser vi ce . 39-1908647 39-1908647

Th i s i nfor ma tion is b ei ng f u rnished to t he IRS. If you are required to file a tax return, a negligence
penalty/other sanction may be imposed on you if this income is taxable & you fail to report it. AWW2-B22C Copyright AccountantsWorld, 2004

Copy C For EMPLOYEE'S RECORDS OMB No . Copy 2 To Be Filed With Employee's State, OMB No .
(See Notice to Employee) 2018 1545-0008 City, or Local Income Tax Return 2018 1545-0008
a. Employee's SSN 1 Wages , t ips , othe r c o mp . 2 Fed era l income ta x withhe l d a. Employee's SSN 1 Wag es , t ips , othe r c o mp . 2 Federa l income tax withhe l d
11707.50 560.03 11707.50 560.03
063-96-8839 063-96-8839
3 Soc ial s ec u rity wa ge s 4 Soci al securi ty t ax w ithheld 3 Socia l s ec u ri ty wa ge s 4 Soci al securi ty t ax withheld
b. Empl o ye r ID num be r 11707.50 725.86 b . Emp l o ye r ID num be r 11707.50 725.86
5 Med i ca re w age s and t ips 6 Medi care t ax w ith he l d 5 Medi ca re w age s and t ips 6 Medi care tax w ith he l d
26-2810641 11707.50 169.76 26-2810641 11707.50 169.76
c. Emp loye r 's na me , addre ss , and ZIP code c . Emp loye r 's na me , addre ss , and ZIP code
MOBILE TRENDZ INC MOBILE TRENDZ INC
MOBLIE TRENDZ INC MOBLIE TRENDZ INC
235 UTICA AVE 235 UTICA AVE
BROOKLYN, NY 11213 BROOKLYN, NY 11213
d . Control number d . Control number
18 18
e. Employee's na me , address, and ZIP code e. Employee's na me , address, and ZIP code

NESTOR RODRIGUEZ CARRASCO NESTOR RODRIGUEZ CARRASCO

228 NAGLE AVE , APT 2A 228 NAGLE AVE , APT 2A
NEW YORK, NY 10034 NEW YORK, NY 10034

7 Social security tips 8 All oca ted tips 7 Social security tips 8 All oca ted ti ps

10 Dependent care bene fi ts 11 No nqu al ifie d plans 12a Code See inst . for b ox 12 10 Dependent ca re benefits 11 No nqu al ified plans 12a Code See inst . for b ox 12

13 Statutor y empl oyee 14 Oth er 12b Code 13 Statutory empl oyee 14 Other 12b Code
NY SDI 16.80 NY SDI 16.80
Retire ment plan NY Paid Fa 14.77 12c Code Retire ment plan NY Paid Fa 14.77 12c Code

Thi rd part y si ck pay 12 d Code Thi rd part y si ck pay 12d Code

NY 26-2810641 11707.50 319.88 NY 26-2810641 11707.50 319.88

15 St ate Empl r.'s state ID # 16 State wages, ti ps, etc. 17 State income tax 15 State Empl r.'s state ID # 16 State wages, t ips, etc. 17 State income tax
18 Loca l wages, tips, etc. 19 Local income tax 20 Localit y name 18 Loca l wages, tips, et c . 19 Local income t ax 20 L ocalit y name
11707.50 235.57 NYC Resident Tax 11707.50 235.57 NYC Resident Tax

For m W-2 Wag e an d Tax Sta te me nt 39-1908647 Dep t . of t he Tre as ur y -- IRS Form W-2 Wag e an d Tax Sta te me nt 39-1908647 Dep t . of t he Tre as ury -- IRS