HomeMy Public PortalAboutPRR 20-2768
Renee Basel
From:Florida <Florida@openthebooks.com>
Sent:Thursday, January 23, 2020 11:57 AM
To:Rita Taylor
Subject:New Sunshine Law - Town of Gulf Stream submitted on 01/23/2020
\[NOTICE: This message originated outside of the Town of Gulfstream -- DO NOT CLICK on links or open attachments
unless you are sure the content is safe.\]
01/23/2020
Rita Taylor
Pursuant to the Sunshine Law, this is a request for a copy of the following records: An electronic copy of any and all
employees for year of 2019, (fiscal or calendar year). Each employee record should contain the employer name,
employer zip code, year of compensation, first name, middle initial, last name, hire date (mm-dd-yyyy), base salary
amount, bonus amount, overtime amount, gross annual wages and position title. This data should be broken down by
employer, employee and year.
The principal purpose of this is to make this information more accessible to the public and to access and disseminate
information regarding the health, safety, and welfare of the general public. This request is not principally for personal or
commercial benefit. Our agency is just exercising the general rights of the public. For these reasons, we are requesting a
waiver of fees. If there is a charge for this service, please obtain my approval in writing prior to proceeding with request.
All documents can be e-mailed to florida@openthebooks.com or mailed in electronic format (preferred format would be
.csv or .xls). If any documents are not provided in the format specified, please provide the state or federal statutes relied
upon for that decision. If any record or portion of a record responsive to this request is contained in a record or portion
of a record deemed unresponsive to the request, I would like to inspect the entire document. Under the Open Records
Act/Freedom of Information Act, all non-exempt portions of any partially-exempt documents must be disclosed. If any
records or portions of records are withheld, please state the exemption on which you rely, the basis on which the
exemption is invoked, and the name of the individual responsible for the decision.
Thank you for your prompt consideration of my request. If you have any questions, or if I can be of any assistance,
please e-mail me at florida@openthebooks.com.
Sincerely,
Hunter Ruehlman
American Transparency
P.O. Box 970999
Boca Raton, FL 33497-0999
1
TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
Delivered via e-mail
January 24, 2020
Hunter Ruehlman [Mail to: Florida@openthebooks.com]
Re: GS #2768 (Employee records)
Pursuant to the Sunshine Law, this is a request for a copy of the following records: An electronic
copy of any and all employees for year of 2019, (fiscal or calendar year). Each employee record
should contain the employer name, employer zip code, year of compensation, first name, middle
initial, last name, hire date (mm-dd-yyyy), base salary amount, bonus amount, overtime amount,
gross annual wages and position title. This data should be broken down by employer, employee
and year.
The principal purpose of this is to make this information more accessible to the public and to
access and disseminate information regarding the health, safety, and welfare of the general
public. This request is not principally for personal or commercial benefit. Our agency is just
exercising the general rights of the public. For these reasons, we are requesting a waiver of fees.
If there is a charge for this service, please obtain my approval in writing prior to proceeding
with request.
All documents can be e-mailed to florida@openthebooks.com or mailed in electronic format
(preferred format would be .csv or .xls). If any documents are not provided in the format
specified, please provide the state or federal statutes relied upon for that decision. If any record
or portion of a record responsive to this request is contained in a record or portion of a record
deemed unresponsive to the request, I would like to inspect the entire document. Under the Open
Records Act/Freedom of Information Act, all non-exempt portions of any partially-exempt
documents must be disclosed. If any records or portions of records are withheld, please state the
exemption on which you rely, the basis on which the exemption is invoked, and the name of the
individual responsible for the decision.
Dear Hunter Ruehlman [Mail to: Florida@openthebooks.com]:
The Town of Gulf Stream received your public record request on January 23, 2020. You should
be able to view your original request and response at the following link:
http://www2.gulf-stream.org/weblink/0/doc/169869/Page1.aspx
The policy for Town of Gulf Stream is that we offer the first 15 minutes of producing documents
at no charge to the requestor. The Town has already spent 15 minutes for the redaction and
production of responsive records for your request.
Please be advised that there is no one record that captures all of the information that you seek,
and that under Florida’s Public Records Laws, the Town is not required to create a new record in
order to accommodate a request for information. See Government-In-The-Sunshine Manual at
152 (2017).
Based on your request for records that contain this information about each of the Town of Gulf
Stream’s employees, the Town now estimates that to fully respond to your request will require
approximately half an hour of administrative support at $47.70 per hour, the labor cost of the
personnel providing the service, per Fla. Stat. § 119.07(4)(d).
If the costs of producing these documents will exceed your deposit, the Town will provide you
with an initial production of responsive records and an estimate for the production of any
additional responsive records. If the costs of production are less than the deposit, the Town will
provide you with the responsive records and a refund.
(1/2 hour @ $47.70) = Deposit Due: $23.85 in cash or check.
Upon receipt of your deposit, the Town will use its very best efforts to further respond to your
public records request in a reasonable amount of time. If we do not hear back from you within
30 days of this letter, we will consider this request closed.
Sincerely,
Reneé Rowan Basel
As requested by Rita Taylor
Town Clerk, Custodian of the Records
a Employee's SSN
1 Wages, bps, other compensation
2 Federal income tax withheld
114039.41
21119.93
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
123773.47
7673.94
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
123773.47
1794.72
c Employer's name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e EmBloyee'a first name and initial : Last name Suff.
Edward K :Allen Jr.
........................................................................................................................................
d Control number
7 Social security tips
8 Allocated tips
9 10
Dependent care benefits
11 Nonqualified plans
12a
14 Other
C 175.49
D 4462.12
................................................................
1zi D € 9734.06
12b -
................................................
12c
................................................
12c
.................:.............................. ..................
12d -
.
13 StatutoryRetirement Third a
❑ ® payrty ❑
employe plan sick
15 State Employers state ID number6
�............................. ..
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips,etc.
19 Local income tax
1.20 Locality name
Form W.2 Wage and Tax Statement 211 19 Dwatrentdte Treasury -Intimal Revenue Savke
Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
55702.40
4799.85
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
60164.52
3730.22
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
60164.52
872.37
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial i Last name Suff.
Renee.....................................R € Basel
.............................................................................
16169 Poppyseed Circle
Unit 602
Delray Beach FL 33484
f Employee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
D 4462.12
12b -
................................................
12c
............;...............................................
12d
.
13 StatutoryRetirement Third -party
E]plan ® pay ❑
employe sick
15 State Employers state ID number
.....................................1.6
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax20
Locality name
a Employee's SSN
1 Wag-, tips, other compensation
2 Federal income tax withheld
52408.25
5350.49
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
67974.25
4214.43
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
67974.25
985.60
c Employer's name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
Ramon Batista
........................................................................................................................................
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
DE 5166.00
. ............_................................................
2e
G 10400.00
12c
.................:.................................................
12d
.
13 StatutoryRetirement Third-party
❑ ® pay ❑
sick
employplan
15 State Employer's state ID number6
.......................................
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, at
19 Local income tax
20 Locality name
Form W.2 Wage and Tax Statement 2 019 Depabente .Treesuy-Inta 1Revenue S.*c
r Y L Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income lax withheld
10992.82
902.83
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
14707.12
911.85
b Employer identification number
5 Medicare wages and tips
6 Medicare lax withheld
59-6002370
14707.12
213.27
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Emplo ee's first name and initial i Last name Suff.
Ant.. o .. € BeltranSr.
nX `?.............. .
6789 Langdon Way
Lake Worth FL 33463
f Employee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits11
NonquakW plans
3714.30
12a
14 Other
CE 304.60
................................................................
12b
................. :................................................
12c
.
.................................................................
12d
13 Stattutyry Retirement Third -party
Elplan ❑ ❑
em to ee sick pay
15 State Employers state ID number
.......................................1.6
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
Form W 2 Wage and Tax Statement 2 19 D p " toff Tre MintemaIRavenuase Form W.2 wage and Tax Statement 2 0 1 9 �4`�"tdmaTreasaynW NP rue Service
r � Copy D - For Employer L Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
c Federal income tax withheld
69470.60
6665.31
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
74939.54
4646.19
b, Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
74939.54
1086.66
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial :Last name Suff.
Brian S......;Dietrick
.......................................................................
925 LeGrace Circle
Boynton Beach FL 33426
f Em Io ee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9 10
Dependent care benefits 11
Nonqualified plans
12a
14 Other
D 5468.94
12a
................................................
12b
C777.90
i................................................
12c
................._...................... I ........................
12b
D4850.77
_...............................................
.................:..................................................
12d
.
13 Statutory RetirementThird-party
❑ ® ❑
employee plan sick pay
15 State Employers state ID number 16
......................................
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, 77P9
Local income tax
[ ........ .....
120 Locality name
........ ..........
Form W�2 Wage and Tax Statement 2 19 Depeenmtof neTmeitiri Irteme Revenuesenme
W-2 Y Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
108914.36
18951.97
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
117888.48
7309.12
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
117888.48
1709.40
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
Gre o? �L €Dunham .......................I.........................
............ ............................
f Em to ee's address and ZIP code
d Control number7
Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
D 8974.12
12a
12b
C777.90
................. i................................................,
12c
................._...................... I ........................
12b
D4850.77
_...............................................
................. :................................................
12d -
.
13 StatutoryRetirement Third arty
E]plan ® pay ❑
employe sick
15 State Employers state ID number
6 State wages, tips, etc.
17 State income lax
�...................................
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
a Employee's SSN
1 Wag-, rips, other compensation
2 Federal income tax withheld
47821.35
3376.61
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
64779.91
4016.35
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
64779.91
939.39
c Employer's name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483- 7427
e Employee's first name and initial : Last name Suff.
Chris to her P Fahe
.....................92...............................Y....................................................
d Control number
7 Social security tips
8 Allocated bps
9
10 Dependent care benefits
11 Nonqualified plans
12107.79
12a
14 Other
C777.90
................._...................... I ........................
12b
D4850.77
_...............................................
.
.................
12c
.
................................................................
12d
13 StatutoryRetirement Third- a
❑ ® ❑
employ plan sick pey
15 State Employers state ID number
.......................................1.6
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
Form W.2 Wage and Tax Statement 2 Q 19 D*mtrentofhe`rnemry- tornal Revenue Serine
Y Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
53246.67
6453.03
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
69788.28
4326.91
b Employer identification number
5 Medicare wages and Ups
6 Medicare tax withheld
59-6002370
69788.28
1011.92
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial i Last name Suff.
Marshall R ; Felter
........................................................................................................................................
f Em to ee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
11267.92
12a
14 Other
DE 5273.69
................._................................................
12b
................. :................................................
12c
.
.................:.................................................
12d
13 Statutory❑ Retirement Third -party
® ❑
employee plan sick pay
15 State Employers state ID number
......................... ....1.6
State wages, lips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax20
Locality name
Form2 Wage and Tax Statement 2 19 DVatnentottre Tmmry-Intemal Re.nue Servke Form W.2Wage and Tax Statement 2 019
Depahal *Tmasury-Inkmal Revenue Se
11' Copy D - For Employer 11' Copy D - For Employer
a Employee's SSN
1 Wages, Ups, other compensation
c t-ederal income tax withheld
56221.92
4882.16
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
60857.41
3773.15
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
60857.41
882.44
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial i Last name Suff.
Brad.........................................A € Fidler
.............................................................................
f Em to ee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9 10
Dependent care benefits 11
Nonqualified plans
12a
14 Other
D 4635.49
12b
.................:.................................................
12c
.................:.................................................
12d
employee pay
13 StatutoryRetirement Third -party
® ❑
employLJ plan sick pay
15 State Employers state ID number6
�............................. ..
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, W79
Local income tax
120 Locality name
Form W 2 Wage and Tax Statement 20 19 Depart-tdEie Treesuy4d ril R-rtue Service
rr L Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
21039.86
2643.74
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
21039.86
1304.48
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
21039.86
305.09
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
William S :Garrison
........................................................................................................................................
d Control number
7 Social security tips
8 Allocated Ups
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
...........................................................
12b
z................................................
12c
.................................................................
12d
13 Stat uto Retirement Third-party
11plan El❑
employee pay
15State Employers state ID number
A......................................
6 Stale wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
............................ ...... i
19 Local income tax20
............................ .
Locality name
............................................................
a Employee's SSN
1 Wage.,, tips, other compensation
2 Federal income tax withheld
41933.35
7166.97
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
45517.10
2822.03
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
45517.10
659.98
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483- 7427
e Employee's first name and initial : Last name cuff.
Chr> sto2her Hamori
..........................................................................................................................
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits 11
Nonqualified plans
12a
14 Other
D 3583.75
b.............................................................
.................................................................
12c
.................:.................................................
12d
.
13 StatutoryRetirement Third -party
❑ ® ❑
employe pan sick pay
15State Employers state ID number
1.......................................
6 State wages, tips, etc.
............................................................
17 Slate income tax
18 Local wages, tips, etc.19
Local income tax
20 Locality name ...........
Form W.2 wage and Tax Statement2 O 1 9 ldue Treasury-IMt MRevenue Sazv e
Copyll) - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
108298.74
24375.15
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
117184.58
7265.42
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
117184.58
1699.24
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
.. John.........................................J.........Hasele.'..................................Jr:....
d Control number
7 Social security tips
8 Allocated Ups
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
C E 857.81
................. _................................................
12b
DE 8885.84
................._...............................................,
12c
................. :................................................
12d
.
13 StatutoryRetirement Third -party
E]pan ® ❑
employe sick pay
15 State Employers state ID number
......................................1.6
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
Form W.2 wage and Tax Statement 2 Q 19 �wlameTn:e Hnle�neiRevanueserv�e Form W.2Wage and Tax Statement 7L O 19 Dep nlorr,eTmaw),rt rndR-ueSe
r Y L Copy D- For Employer r r L Copy D- For Employer
a Employee's SSN
1 Wages, tips, other compensation
z t-ederal income tax withheld
99780.73
10492.82
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
110368.01
6842.86
b Employer identif cation number
5 Medicare wages and Ops
6 Medicare tax withheld
59-6002370
110368.01
1600.29
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Em loyee's first name and initial : Last name Suff.
Edward C €Nazzaro
........................................................................................................................................
15127 Oak Chase Court
Wellington FL 33414
f Em to ee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9 10
Dependent care benefits
11 Nonqualified plans
12a
14 Other
D 10587.28
.................:.................................................
12b
................. i ................................................
12c
.................:....................... ............ ..............
12d
13 StatutoryRetirement Third- a
❑ ® ❑
employ plan sick payer
15 State Employers state ID number
......................................J.6.Stat
e wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
Form W.2 Wage and Tax Statement 2 1 9 �nenlameTreawy4rLm lnevenueSuvice
Copy D. For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
69373.51
7957.48
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
82315.95
5103.60
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
82315.95
1193.59
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
Bernard J ;O'Donnell
......................................................................
f Em to ee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
D E 6142.44
............................................................
1zb G 6800.00
................................................
12c
.................;................................................
12d -
13 StatutoryRetirement Third- a
❑ ® ❑
employ plan sick payer
15 State Employers state ID number
........�.................................
6 State wages, lips, etc.
............................................................
17 State income tax
18 Local wages, tips,etc.
19 Local income tax
1.20 Locality name
a Employee's SSN
1 Wage..,, tips, other compensation
2 Federal income tax withheld
46415.64
6106.97
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
50455.26
3128.22
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
50455.26
731.58
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483- 7427
eyee's first name and initial : Last name Suff.
MAen O'Neal
........................................................................................................................................
f Employee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits 11
Nonqualified plans
12a
14 Other
D 89.62
.1
12b
G2250.00
_
...............................................
12c -
.................:......................I..........................
12d
Third -party
13 Statutory❑ Retirement ® ❑
employee plan
15 State Employers state ID number
.......................................1.6
State wages, lips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax 120
Locality name
Form W.2 wage and Tax Statement 2 Q 1 9 Depirhwtaft*Trearuyan�nel Revenue Service
r Y Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
85851.92
3214.06
OMB No.1545-0008
3 Social security wages
4 Social security tax withheld
92702.82
5747.56
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
92702.82
1344.12
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
John P € Passe Tata
...............................................................
f Em to ee's address and ZIP code
d Control number
7 Social security tips
8 A located tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
D E 6850.90
12b
................. z ................................................
12c
.................:.................................................
12d
13 StatutoryRetirement Third -party
❑ ® E]
employe plan sick ay
15 State Employers state ID number
..............................................
6 State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.19
Local income tax
20 Locality name
Form ►A/�� Wage and Tax Statement 2 1 9 °�1efI0r�Treawry4n n,elPe nueS�e Form IA1�� Wage and Tax Statement 7L Q 1 9 IofteTreasuy-inmrne Revenuesenie
Y Y Copy D - For Employer Y Y Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 rederal income tax withheld
10339.50
1820.67
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
11235.38
696.59
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
11235.38
162.91
c Employer's name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial i Last name Suff.
Charles D:Smith
........................................................................................................................................
f Employee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9 10
Dependent care benefits 11
Nonqualified plans
12a
14 Other
D 895.88
................. ................................................
12b
.
................. :................................................
12c
.
...-............................................
.................:o".-
12d
.
13 StatutoryRetirement Third- art y ❑
❑ ®
employe plan sick pay
15 St.ate Employer's state ID number
...............................................................
6 State wages, tips, etc.
......................................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
1.
20 Locality name
Form W 2 Wage and Tax Statement 2[) 19
°�h1 rtaft*TreaWintarralRmnuesence
W.2
Y Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
49099.50
5536.02
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
53062.35
3289.91
Ip Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
53062.35
769.39
c Employer's name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
Jake.........................................w.....E..Song.er.................................................
18915 49th St. N
Loxahatchee FL 33470
f Employees address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
D 3962.85
.................:.................................................
12b -
................. :................................................
12c
.
................. :................................................
12d
.
13 StatutoryRetirement Third -party
❑ ® ❑
employe plan sick pay
15State Employer's state ID number6
1....................... ....
......................................................
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax 120
Locality name
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
65740.86
8431.00
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
71101.17
4408.27
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
71101.17
1031.01
c Employer's name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483- 7427
e Emploee's first name and initial : Last name Suff.
Todyd E !Sutton
........................................................................................................................................
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits 11
Nonqualified plans
12a
14 Other
D € 5360.31
..................................................................
.................:................................................
12c
.................................................................
12d
.
13 StatutoryRetirement Third- arty
❑ ® ❑
employe plan sick pay
15 State Employer's state ID number
�..................................................
6 State wages, tips, etc.
.......................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax 120
Locality name
Form W 2 Wage and Tax Statement 2 [1 19 �tnmtaft*Tmamy`In�naIRmnue
Y Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
117694.18
21684.34
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
132900.00
8239.75
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
143494.13
2080.61
c Employer's name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
.. Rita.........................................L Taylor
............................................................................
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
D10299.79
..................................................................
12b
GE 15500.16
_................................................
.................
12c
.................;.................... I ..........................
12d
.
13 StatutoryRetirement Third- aer
❑ ® ❑
employe plan sick pay
15 State Employer's state ID number
................................I......
6 State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
19 Local income tax
1.
20 Locality name
Form W.2 wage and Tax Statement 2 O 19 °�h"entor°'eTreawyn norma RewnueSevica Form W.2Wage and Tax Statement 2 1 e� o�lrentorneTre-y- ternalRewnuesan a
Y 11 LL Copyll) - For Employer Y L Copyll) - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
71888.03
6033.03
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
59-6002370
78326.71
4856.22
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
78326.71
1135.84
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial : Last name Suff.
Rebecca A €Tew
........................................................................................................................................
132 Chestnut Cir.
Royal Palm Beach FL 33411
f Em to ee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9 10
Dependent care benefits 11
Nonqualified plans
12a
371.48
D 2797.90
12aC
14 Other
833.04
................. :................................................
12c
............:.................................................
.....
1zb D € 6067.20
............ z ...............................................
12d
...........................................................
12c
13 Statutory❑ Retirement Third -party
® ❑
............................................................
12d
15 State Employer's state ID number6
......................................
13 Statutory Retirement Third -party
Elplan ® ❑
employee
ee sick pay
15 State Employers state ID number6
.......................................
State wages, lips, etc.
............................................................
17 State income lax
18 Loral wages, tips, etc.
19 Local income tax 120
Locality name
Form W.2 Wage and Tax Statement 2 0 19 kpefi enlatl aT eesuyln emel Re enue seance
Y Y Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
34675.87
1441.27
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
59-6002370
37473.77
2323.35
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
37473.77
543.35
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial i Last name Suff.
Dena G:Williams
........................................................................................................................................
2675 Ida Way
W. Palm Beach FL 33415
f Employee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
D 2797.90
State income tax
............................................................
12b.....:.
19 Local income tax
................. :................................................
12c
.
............ z ...............................................
12d
13 Statutory❑ Retirement Third -party
® ❑
employee plan sick pay
15 State Employer's state ID number6
......................................
State wages, tips, etc.
............................................................
17 State income tax
18 Local wages, tips, etc.
79 Local income tax
1.20 Locality name
a Employee's SSN
1 Wage., tips, other compensation
2 Federal income tax withheld
62399.12
9314.97
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
59-6002370
67481.63
4183.89
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
67481.63
978.47
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483- 7427
e Employee's first name and initial i Last name Suff.
Randall W Wilson
........................................................................................................................................
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits 11
Nonqualified plans
12a
14 Other
C2896.78
State income tax
.................................................................
12b
DE 5082.51
_...............................................,
19 Local income tax
.................
12c
.................;...............................................
12d
13 StatutoryE]Retirement Third -party
® ❑
employee plan sick pay
15State Employers state ID number
1 .......................................................
6 State wages, tips, etc.
.............................. .... ....................................
117 State income tax
18 Local wages, tips, etc.
19 Local income tax 120
Locality name
Form W.2 wage and Tax Statement 2 0 1 9 Dapetrenloftw Tmmryldemd Revenue seance
Yr J Copy D - For Employer
a Employee's SSN
1 Wages, tips, other compensation
2 Federal income tax withheld
OMB No. 1545-0008
3 Social security wages
4 Social security tax withheld
b Employer identification number
5 Medicare wages and tips
6 Medicare tax withheld
59-6002370
c Employers name, address, and ZIP code
Town of Gulf Stream
100 Sea Road
Gulf Stream FL 33483-7427
e Employee's first name and initial i Last name Suff.
........................................................................................................................................
f Em to ee's address and ZIP code
d Control number
7 Social security tips
8 Allocated tips
9
10 Dependent care benefits
11 Nonqualified plans
12a
14 Other
.................;...............................................
12b
.................:.................................................
12e
.................:.................................................
12d
arty
13 StatutoryE]m
Retireent ❑ Thik - ❑
employee plan
15 State Employers state ID number
.......................................
6 State wages, tips, etc.17
............................................................
State income tax
18 Local wages, tips, etc.
19 Local income tax
20 Locality name
Form A �� Wage and Tax Statement 7L Q 1 9 DepemenGft*Treasur&tenelRevenueserve Form W.2 Wage and Tax Statement 2 � 19 °�OAe IdmeTre�uy-InemilRe enuesenie
Y Y Copy D - For Employer rr ( Copy D - For Employer