HomeMy Public PortalAboutPRR 14-1124From: florida @openthebooks.com [mailto :florida @openthebooks.com) 1124
Sent: Wednesday, July 02, 2014 11:55 AM
To: florida @openthebooks.com
Subject: SALARIES FOIA Request
image001.jpg
MEDIA REQUEST
DATE: 7/2/2014
Dear Open Records Compliance Officer,
Pursuant to the Open Records Act /Freedom of Information Act this is a request for a copy of the
following record(s): An electronic copy of any and all employees (years 2008 -2013, 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); gross annual (fiscal or
calendar) wages (including but not limited to Salary, over -time wages); position; etc.(etc.: means any
other public data available, as to not require the agency to have to remove data from existing records.)
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 info @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 info @openthebooks.com.
1124
Sincerely,
image002.jpg
Adam Andrzejewski
Chairman, American Transparency
Forbes.com contributor
c Employees name. address, and ZIP code
TOWN OF GULF STREAM
100 SEA RD.
GULF STREAM FL 33483 -7427
o Fmpluyeses name, address, and ZIP code
GAIL C ABBALE
WEST PALM BEACH FL 33417
15 State I Employees state ID number 18 State wages, Ups, etc.
.........................
----------------
7 Social security tips
1 Wage
-Vps, other compensation
2 Federal income tax withheld
1618.65
e Employees name, address. and ZIP code
( 12958.70
1618.65
8 Allocated tips
3 Soda: dry wages
4 Social security tax withheld
13839.19
13839.19
858.03
9
5 Medicare wages and tips
6 Medicare tax withheld
GULF STREAM FL 33483- 7427
13839.19
200.67
10 Dependent pre benefits
11 Nonquali0ed plans
2a Sae instructions for box 12
14 Ogler
�121,
D 880.49
13 slaewry 8eanerva lmuvan
mobraa Dion won
14 Other
72b
b Employer identification no. (EIN)
120
59- 6002370
C12d
9
WEST PALM BEACH FL "33417
12e
a Employee's social security, no.
�12tl
WEST PALM BEACH FL 33417
18 Stale Employers stale ID number 16 Stale wages, tips, etc.
17 Stale Income W.
iB Loral wages, lips, tae.
19 Local Income tax
Zo Locality name
Copy 2 —To Be Flied With Employee's Stale, City, or Local Income Tax Return 01,1111k, imsa008 mm" " Dept. of the Treasury - IRS
r{'�
Form W -2 Wage and Tax Statement 2 LI I
7 Social security tips
1 Wag,"s, other compensation
1 86416.00
2 Federal Income tax withheld
9273.28
4 Social security tax withheld
e Employers name, address, and ZIP code '—
a Allocated lips
TS sl - urity wages
TOWN OF GULF STREAM
9
93611.20
5803.94
9
6 Medicare wages and lips
6 Medicare lax withheld
100 SEA RD.
13 susnmv neemrou nwp�ry
�'QB pan W IW
14 Other
Car A110W-
$1,200.00
93611.20
1357.33
GULF STREAM FL 33483- 7427
10 Dependent care benefits
11 Nonqualified plans
12a See Instructions for boa 12
� D 7195.20
e Employee's name, address, and ZIP code
13 5 ° °"PV aeo' ° "°'° rtuun^I'
enx+mee pen +ei tan
14 Other
12b
EDWARD K ALLEN JR.
p
15 State Employers state ID number
16 State wages. tips, etc.
17 State intone tax
18 Local wages, lips, etc.
19 Local Nx:ane tax
20 Locality name
Copy B—To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. 3&20996N Dept. al the Treawry- IRE
Oita No, 1515-0008 Visit We Ins wehalle el www.irepav/elik
TM vlMmaKn a Emg Iw'Me0 b tle INemal nFamp $aryV II yw an rtnvM W fle a IY 2WT.
m Mn samm M 1TaM on r Pe.m�e u Ivade W IJ m L
7 Social security lips 1 Wages, lips, other compensation 2 Federal Income lax withheld
Form W-2 Wage and Tax Statement 2013 86416.00 9273.28
e Employers name, address, and ZIP code
8 Allocated tips
3 Social secun y wages
4 Social security lax withheld
TOWN OF GULF STREAM
93611.20
5803.94
9
5 Medicare wages and tips
93611.20
6 Medicare lax withheld
1357.33
100 SEA RD.
GULF STREAM FL 33483 — 7427
10 Dependent care benefds
11 Nonqualified plans
12aO instructions for 95120
e Employee's name, address, and ZIP mtle
13 as„� w'dF1aitl
14 Other
121,
EDWARD K ALLEN JR.
15 State Employers state ID number
16 State wages, tips, etc.
17 State income tax
18 Loral wages, tips, etc.
19 Local income tax
20 Locality name
Copy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) oae No 1515moe W 2091111oa Dept. of the Treasury - IRS
Form W-2 Wage and Tax Statement 2 013 7 Social security lips 1 Wages, lips, other compensation 6416 0 2 Federal income tax withheld 92.28
e Employers name, address, and ZIP code
8 Allocateo tips
3 Social security wages
4 Social security laz withheld
TOWN OF GULF STREAM
93611.20
5803.94
9
5 Medicare wages and tips
6 Medicare lax withheld
100 SEA RD.
93611.20
1357.33
11 Nonqualifted plans
�12a
❑ 7195.20
GULF STREAM FL 33483-7427
tit Dependent care benefits
e Employee's name, address. and ZIP code
13 s pRBn01xB' "1AdY � ^n'
14 Other
12b
EDWARD K ALLEN JR.
15 Slate Employers stale ID number
16 Some wages, tips, etc.
17 State intone tax 19 Local wages, tips, etc.
19 Local income t.
20 Locality name
Copy 2 —To Be Flied With Employee's State, City,
or Local Income Tax Return oae Ne. 1545-0W9 3e¢o99em Dept. of the Treasury - IRS
Form W -2 Wage and Tax Statement 2013
7 Social security tips
1 Wages, tips, other compensation
86416.00
2 Federal Income tax withheld
9273.28
e Employers name, address, and ZIP code
TOWN OF GULF STREAM
100 SEA RD.
GULF STREAM FL 33483-7427
8 Allocated lips
3 Social securely wages
93611.26
4 Social security lax withheld
5803.94
9
5 Medicare wages and Ups
93611.20
6 Medicare tax withheld
1357.33
10 Dependent care benefits
11 Nonqualified plans
112a
D 7195.20
a Employee's name, address, and LP code
T9
EDWARD K ALLEN JR.
13 susnmv neemrou nwp�ry
�'QB pan W IW
14 Other
Car A110W-
$1,200.00
12b
b Employer Identification no. (EIN)
59- 6002370
12c
e Employees social security no.
�12d
15 Slate Employers state ID number 16 Stale wages, tips, etc.
17 State income lax
18 Locul wages, tips, etc.
19 Local Income tax
20 Locality name
Copy 2 —To Be Filed With Employee's State, City, or Local Income Tax Return osls Iw. 154513038 31kzo99603 Dept. of the Treasury - IRE
iw
KELLY I AVERY I o
15 State Employers state ID number 16 State wages, lips, etc. 17 Stale Income W 18 Loral wit s, lips, ps, etc. 19 Loral income lax 20 Locality name
Copy 2 —Ta Be Filed With Employee's State, City, or Local Income Tax Return owa No. 154540(19 38 z0999o3 Dent. of the Treasury- IRS
Form W -2 Wage and Tax Statement 2C^ 1
c Employers name, address, and ZIP code
TOWN OF OF GULF STREAM
100 SEA RD.
GULF STREAM FL 33483 -7427
e Employee's name, address, and ZIP code
ROBERT E BRADLEY
2 Federal intone tax withheld
1 Wages, tips, other compensation
55091.32
55091.32
8161.21
5 Allocated tips
3 Social security wages
15 State Employers state ID number 16 State wages, lips, etc.
17 Slate 'Income tax
t6 Loral wages, Bps. etc.
19 Local Income tax
ZO Locality name
Copy B—To Be Filed With Employee's FEDERAL Tax Return. This Information is being furnished to the Internal Revenue Service. 0a20e9em Dept. of the Treasury - IRS
We No. 1545-0000 visit me IRS website at w fts.paweale
ilrs Nmmahn i buN 1MY1'N b tlu INprtal RMBR9 SMYfA. R m ss R M as a W iBtOR i
m
oruMr aano-n b leis Ymre ClvitM and Iai Li rµmi
7 Sacral security tips t Wages, tips, other comrnsatbn 2 Federal income tax withheld
Form W-2 Wage and Tax Statement 2013 55091.32 8161.21
c Employers name, address, and ZIP code
6 Allocated tips
3 Social security wages
4 Social secudy lax withheld
TOWN OF GULF STREAM
14 Other
59621.89
3696.57
9
5 Medicare wages and Bps
59621.89
6 Medicare tax withheld
864.46
100 SEA RD.
GULF STREAM FL 33483-7427
10 Dependent care benefits
11 Nonqualifed plans
�l2a See instructions tar box 12
D 4530.57
e Employees name, address, and ZIP code
13 Ne0"1°° � "t'
14 Other
�.12b
ROBERT E BRADLEY
15 State�
Employers slate ID number 16 State wages. tips, etc.
I77 Stale Income tax
16 Local wages, Bps, etc.
19 Local income tax
20 Locality name
Copy 2 —To Be Filed With Employee's State, City, or Local Income Tax Return
case uo- 15450006
3% 2osvew
Dept. of the Treasury - IRS
Form W -2 Wage and Tax Statement 2 I
7 Social secunty tips
1 Wages, lips, other compensation 7
7 Social security lips
t Wag other pinpensalion
" 35483.07
2 Federal Income lax withheld
6331.91
4 Social security In withheld
c Employers name, address, and ZIP code
8 Allocated lips
3 Sociaisei u wages
TOWN OF GULF STREAM
36471.68
36471.68
2261.22
100 SEA RD.
9
5 Medicare wages and tips
6 Medicare tax withheld
36471.68
36471.68
528. B7
GULF STREAM FL 33483-7427
10 Dependent rare benefds
11 Nonqualified plans
12a See instructions for box 12
❑ 988.61
e Employee's name, address, and ZIP code
13 wbrr n001°"'"' �"'.`Ir
14 Other
72b
FREDA A DEFOSSE
14 Other
12b
b Employer 59600123 Ono. (EIN)
b Employer Identification no. (E1N)
59- 60(12370
�12c
b Employer Identification n. IEIN)
59- 6002370
a Employ 61 social n.
a Employees social security no.
L12d
B
BOYNTON BEACH FL 33426
15 Stale Employers state ID number 116 State wages, tips, etc.
17 Stata Inane tax
15 Local wages, tips, etc.
19 Local income tax 20 Locality name
Copy 2 —To Be Filed With Employee's State, City, or Local Income Tax Return oaa Ne_ 1545.0009 3 2099603 Dept. of the Treasury -IRS
Forth W -2 Wage and Tax Statement 2n 7 Social security lips
e Employers name, address, and LP code 8 Allocated lips
TOWN OF GULF STREAM
100 SEA RD. 9t
GULF STREAM FL 33483-7427 10 Dependent car, be „Lts
e Employee's name, address, and ZIP code 13 suone,el am - -1)r. ln.m cam
�Wle ra, srJ, paY
BRIAN S DIETRICK
b Employer identification im. (EIN)
59- 6002370
a Employee's social security no.
1 Wagr�( S. other compensation 2 Federal Income tax withheld
( 1 55145.51 5898.56
3 Sociai- security, wages 4 Social secodty tax withheld
59632.43 3697.23
5 Medicare wages and tips 6 Medicare tax withheld
59632.43 864.68
11 Nomomlified plans 12a See Instructions for box 12
1
D 4486.92
14 Other ,.12b
BOYNTON BEACH FL 33426
15 State Employers state ID number 16 state wages, tips, etc. 17 Slate inrxxne lac /8 Local wa s, 0 ele. 19 Local income tax 20 Locafdy name
Copy B -To Be Filed With Employee's FEDERAL Tax Return. This Information is being furnished to the Inrenal Revenue Service. x2099B[0 Dept. of the Treasury - IRS
Due N.. 1515 .lace VYeit me IRS ..ball. at www.jrxaex /.file
c Employers name, address, and ZIP code
TOWN OF GULF STREAM
100 SEA RD.
GULF STREAM FL 33483 -7427
e Employee's name, address, and ZIP coca
BRIAN S DIETRICK
ilY Nwmstln a Oeeg Iw�WeE M Pe UJpmal n6veM9 LBry ®. H ya an rty�aH b a1). W Tyq
Rgeem pnWt/ w qM� saRYn mry b ei'D980 Oi yw 1 aw .m�.61a,Yh Yq yip Ia11p Ilpx1 i
7 Social security lips
1 Wages, lips, other compensation
2 Federal income lax withheld
55145.51
5898.56
8 Allocated tips
3 Social security wages
4 Social security tax withheld
59632.43
3697.23
9
5 Medicare wages and tips
6 Medicare tax withheld
59632.43
864.68
10 Dependent rare benefits
11 NonqualRed plans
12a Sea Wlmctions for box 12
0 4486.92
13 ®,pew„ ,n,,,ebvnc9 y,y an'
14 Other
121,
b Employer identification n7. (EIN)
12c
59- 6002370
a Employees social Security no.
IA2d
BOYNTON BEACH FL 33426
15 State Employers state ID number 16 Slate wages, tips, etc. 17 state Income tax
Copy C-For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.)
c Employers name, address, and ZIP code
TOWN OF GULF STREAM
100 SEA RD.
GULF STREAM FL 33483 -7427
a Employee's name, address. and LP code
BRIAN S DIETRICK
BOYNTON BEACH FL
15 StateI Employers state ID number
----- .I________________________
Copy 2 -II To Be Filed With Employee's State,
c Employers name, address, and LP code
TOWN OF GULF STREAM
100 SEA RD.
33426
7 Social security tips
8 Allocated Ups
10 Dependent care benefits
3 Inral wages, tips, etc. 19 Local income lax 20 Local ty name
OMB N. 1515 W[0 3 2099e(0 Devi. of the Treasury - IRS
b Employer Identification no. (EIN)
59- 6002370
a Employee's social security no.
i State wages, tips, etc. 17 State intone tax
T. or Local Income Tax Return
GULF STREAM FL 33483 -7427
e Employee's name, address, and LP code
BRIAN S DIETRICK
BOYNTON BEACH FL 33426
7 Social security tips
6 Allocated tips
10 Dependent care benefits
1 Wages, Bps, other compensation 2 Federal income lax withheld
55145.51 5898.56
3 Social security wages 4 Social security, lax withheld
59632.43 3697.23
5 Medicare wages and lips 6 Medicare lax withheld
59632.43 864.68
11 Nonqualified plane 1211
D 4486.92
14 Other 121,
I Local wages, lips, etc. 19 Local Income lax - - - - - 20 Locally name
oue N.. 1515.0001) x271911[0 Dept. of the Treasury - IRS
to Employer IdenBfication no. (EIN)
59- 6002370
a Employee's social security no.
1 Wages, tips, other compensation 2 Federal Income tax withheld
55145.51 5898.56
3 Social security wages 4 Social security tax withheld
59632.43 3697.23
5 Medicare wages and tips 6 Medicare tax withheld
59632.43 864.68
11 Nonquallied plans p12a
0 D I 4Aa6. 92
14 Other
15 Slated Employers stale ID number 16 Stine wages -lips, eta I17 Slate income lax 18 Local wages, fps, etc. 19 local income, lac 20 Locality name
Copy 2 -To Be Flied With Employee's State, City, or Local Income Tex Return olds Wa 1515.0006 x2I991)a1 Dept. of the Treasury - IRS
2RQ%�
Form W-2 Wage and Tax Statement I
7 Social security tips
1 Weg¢ . other compensation
( ) 6752.21
2 Federal income lax withheld
288.12
4 Social Security lax withheld
t Employers name, address, and ZIP code
a Allocated lips
3 Socia134curity wages
TOWN OF GULF STREAM
6752.21
418.65
100 SEA RD.
8
5 Medicare wages and tips
6 Medicare tax whhheld
6752.21
97.91
GULF STREAM FL 33483-7427
10 Dependant care benefits
11 Nonquailded plans
1 12 See instructions for box 12
e Employee's name, address, and ZIP code
13 flexes` i0
s,or¢,a. pan au wv
14 Other
721,
DAVID S GINSBERG
b Employer Identification no. (EIN)
59- 6002370
1u
15 Slate Employers stale ID number
16 State wages. tips, etc.
17 State income lax
18 Local wages, Ips, etc.
19 Local Income tax
20 Locality name
Copy B—To Be Filed With Employee's FEDERAL Tax Return. This lofomation is being furnished to the Internal Revenue Servke. q 20A1103 Dept. of the Treasury - IRE
oue 90.15e5-eW0 Visit me IRS websire at a ftspovleMr
Tn alvnakn h tevg NnKnN b Via IMemal Rnawe 58ry ®. n yW eR RpuM b Re a ma 2Ypn, a
O, rn�, :ate anb0sedm Inv :� :amazon via wmnwra
7 Social security lips t Wages, tips, other compensation 2 Federal income as withheld
Form W-2 Wage and Tax Statement 2013 6752.21 268.12
t Employers name, address, and ZIP code
8 Allocated tips
3 Social security wages
4 Social security lax withheld
TOWN OF GULF STREAM
6752.21
418.65
9
5 Medicare wages and tips
6752.21
6 Medicare tax withheld
97.91
100 SEA RD.
GULF STREAM FL 33483-7427
10 Dependent care benefits
11 Norpualified plans
112a Sae instructions for box 12
e Employee's name, address. and ZIP code
13 sbNbh Ram x =war
e,mlwsB pen rt m
14 Other
12b
DAVID S GINSBERG
a Employee's social security na.12d
15 State Employers state ID number
16 State wages, tips, etc.
17 Stale kkarne lair
18 Local wages, lips, etc.
19 Local Income tax
20 Locality name
Copy C —For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) mew 15e500os laansem Dept. of the Treasury - IRS
] Social security lips 1 Wages, tips, other compensation 2 Federal income x withheld
Form W -2 Wage and Tax Statement 2013 a6752.21 2611.12
c Employers name, address, and LP code
8 Allocated tips
3 Social security wages
4 Social security ax withheld
TOWN OF GULF STREAM
6752.21
4111.65
9
5 Medicare wages and Bps
6 Medicare lax withheld
100 SEA RD.
6752.21
97.91
GULF STREAM FL 33483-7427
10 Dependent pre benefits
11 Nonquallfied plans
12a
e Employee's name, address, and ZIP code
13 Rp www`
an¢mae pan m wY
14 Other
12b
DAVID S GINSBERG
a EmpbY080- no
�12d
15 State Employers sate ID number 16 Sate wages, tips, etc.
17 Sale Income tax
16 Local wages, tips, etc.
117 Local Income tax
20 Locality name
Copy 2 —To Be Filed With Employee's State, City, or Local Income Tax Return oue w. 15150008 3 20QKeLLi Dept. of the Treasury - IRS
BW24DWNA NTF 25n94t
7 Social security tips 1 Wages, tips, other compensation 2 Federal Income lax withheld
Form W -2 Wage and Tax Statement 2013 6752.21 288.12
t Employers name, address, and LP code
B Allocated lips
3 Social security wages
4 Social security tax withheld
TOWN OF GULF STREAM
6752.21
4111.65
9
5 Medicare wages and lips
6 Medicare lax withheld
100 SEA RD.
6752.21
97.91
GULF STREAM FL 33483-7427
10 Dependent care benefits
tt Norpual4ied pans
1128
e Employee's name, address, and ZIP code
13 $111PU' flBd1'AeiX ^`^sear
�mw• pan .xx nay
14 Other
12b
DAVID S GINSBERG
Is Employer identification no. (EIN)
59- 6002370
121
a Employees social seamy no.
�12d
15 Sate Employers sate ID number 16 Sate wages, lips, etc.
17 Sate Income ax
18 Local wages, Bps, etc.
19 Local irosins, tax
20 Locality name
Copy 2-To Be Filed With Employee's State, City, or Loral Income Tex Return own Na. 15c5n003 3a2meeeJ Dept. of the Treasury - IRS
r,�
Form W -2 Wage and Tax Statement 2t. 1
7 Social security lips
9 Allocated tips
1 Wag s, other mmpensagan
l 77495.77
3 Sociap ..acurity wages
2 Federal income tax withhald
7669.81
to Employer's name, address, and ZIP rode
4 Social security lax withheld
TOWN OF GULF STREAM
84116.04
5215.19
100 SEA RD.
9
5 Medicare wages and Ups
6 Medium has withheld
84116.04
1219.69
GULF STREAM FL 33483-7427
10 Dependent rare benefits
11 Nonqualited plans
Za See instructions fur box 12
C 432.12
a Employee's name, address, and ZIP ,coda
13 e„y °0 n°d1p1gA1 ;"d','""r
14 Other
12b
ADAM L GOREL
D 6620.27
b Employer WentifIcalion no. (EIN)
59- 6002370
12c
15 State Employer's state ID number
16 Stale wages, Ups, etc.
17 State income taz
18 Local wages, lips, etc.
19 Local income- tax
- - Locality name
Copy B-To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Reverme SerNce. 36a MS(s) Dept. of the Treasury - IRS
OMB No 1515-00011 Vlsll the IRS website In wxw.in pov/efrle
i25 Numami ®bBVq M1mWeJ Ic Se INamy RNBNi Sm ®. H yw, an ,pi,ap m AY a W ,a0m, a
a.,a., aa,�aa m H v., ,tmw a laadae nee ca m ,.om s
7 Social security lips t Wages, lips, other compensation 2 Federal Income tax withheld
Form W -2 Wage and Tax Statement 2013 77495.77 7669.81
c Employees name, address, and ZIP code
8 Allocated tips
3 Social security wages
4 Social security tax withheld
TOWN OF GULF STREAM
04116.04
5215.19
9
5 Medicare wages and lips
84116.04
6 Medium lax withheld
1219.69
100 SEA RD.
GULF STREAM FL 33483-7427
10 Dependent care benefits
11 Nonquali6ed plans
�12aO 32
Sao instructions 9112
e Employee's name, address, and ZIP code
13 =--M Re-. TM�
hJ<
14 Other
12b
D 6620.27
ADAM L GOREL
a Employee's social securry no.
�12d
15 Slate Employees state ID number
16 State wages, lips, etc.
17 State income W 18 Loral wages, tips, etc.
19 Local irhrorne lax
20 Locality name
Copy C-For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) Out, No. hslscoo11 a 2090e113 Dept. of the Treasury - IRS
7 Social security lips 1 Wages, tips, other compensation 2 Federal Income tat withheld
Fon W-2 Wee and Tax Statement 2013 77495.77 7669.81
to Employees name, address, and ZIP code
8 Allocated lips
3 Social security wages
4 Social Security tax withheld
TOWN OF GULF STREAM
84116.04
5215.19
9
5 Medicare wages and tips
6 Medicare lax withheld
100 SEA RD.
64116.04
1219.69
GULF STREAM FL 33483-7427
10 Dependent core benefits
11 Nonqualilied plans
k12e
i C 432.12
a Employee's name. address, and ZIP code
ADAM L GET
a Employee's social security re.
�12d
15 State Employees stale ID number 16 Slate wages, Ups, etc.
17 Slate income W
18 Loral wages, lips, etc.
19 Local income laz
211 Locality name
Copy 2 -To Be Filed With Employee's State, City, or Local Income Tax Return We No. Isl5.000e as ZY99803 Dept. of the Treasury - IRS
BW24DWNA NTF 2571945
7 Social security tips 1 Wages, lips, other compensation 2 Federal income tax withheld
Form W -2 Wa a and Tax Statement 2013 77495.77 7669.81
e Employees name. address, and ZIP code
8 Allocated lips
3 Social security wages
4 Social security tax withheld
TOWN OF GULF STREAM
84116.04
5215.19
100 SEA RD.
B
5 Medium wages and tips
6 Mediare tax withheld
84116.04
1219.69
GULF STREAM FL 33483-7427
10 Dependent care benefits
11 Nonquali0ed plans
�12e
C 432.12
e Employee's name, address, and ZIP code
ADAM L GOREL
15 State Employees stale ID number 16 Stale wages, tips, etc.
17 Slate income tax
18 Local wages, tips, etc.
19 Local income tax 20 Locality flame
Copy 2 -To Be Filed With Employee's State, City, or Local Income Tax Return OUR Na. 1s15acoe 38-2011eem Dept. of the Treasury - IRS
��l / \
F o r m W - 2 W a g e a n d T a x S t a t e m e n t 2 L : )
7 S o c i a l s e c u r i t y t i p s
1 W a g e s , l i p s , o t h e r c o m p e n s a t i o n
5 8 3 9 2 . 9 5
7 S o d a ] s e c u r i t y t i p s
8 A l l o c a t e d l i p s
1 W a o t h e r c a r n p e n s a l l
5 8 3 9 2 . 9 5
3 S o d a l y v c u r i t y w a g e s
6 3 2 1 0 . 6 4
2 F e d e r a l i n c o m e l a x w i t h h e l d
5 8 0 6 . 9 6
c E m p l o y e e s n a m e , a d d r e s s , a n d Z I P c o d e
T O W N O F G U L F S T R E A M
4 S o c i a l s e c u r i t y l a x w i t h h e l d
D .
9
5 M e d i c a r e w a g e s a n d 1 3
6
6 M e d i c a r e l a x w i t h h e l d 9 1 6 . 5 9
G U L F S T R E A M F L 3 3 4 8 3 - 7 4 2 7
1 0 D e p e n d e n t c a r e b e n e f i t s
1 1 N o n q u a l R e d p l a n s
2 9 S e e i n s t r u c t i o n s f o r b o x 1 2
1 D 4 5 1 7 . 6 9
a E m p l o y e e '