The URL can be used to link to this page

Home My Public Portal AboutPRR 16-2151From: florida@openthebooks.com [mailto:florida@openthebooks.comj Sent: Thursday, March 31, 2016 4:53 PM To: Florida@openthebooks.com Subject: Public Records Request - Sent on 3/31/2016 DATE: 3/31/2016 Pursuant to the Open Records Act/Freedom of Information Act, this is a request for a copy of the following records: An electronic copy of any and all employees for year of 2015, (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 principle 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(a)ooenthebooks.com or mailed in electronic format (preferred format would be .csv or .xis). 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(&ooenthebooks.com. Sincerely, Courtney Cunningham, FOIA Service Manager American Transparency P.O. Box 970999 Boca Raton, FL 33497-0999 5 State Employees state 10 man bar 16 Stale wages -tips, etc. T] State income tax 16 Local wages. Ilps, etc. 19 Local income tar 20 Locality name _- .. ............... ..........._.____..............._._.........._..._____..... ..___...... opy B -To Be Flied Wlth Employee's FEDERAL Tax Return. This racre,a0on is being tumeyed to the lntarral Revenue Service. aea>vesoa Dept of the Treasury IRS cue rwtmstnoe vivt me IRs ..bsae m enw. rn poHeul< T, ae'srncc Seim. d ycu xn'i,d a 9e r - M G im�lX m ry X H rtarc a ,vLLY uE tel`V ?'.T.n cRv, mtcr� 9 c 02 .2 arm W-2 Wage and Tax Statement 2015 ] SacvI security tips 1 Wages, tips, other eomper tion 2 Federal income tax wilhheld 7 ±9993.80 Employees name, address, and ZIP cede B Allocated fips 3 Serial security wages 4 Social security tax withheld 102784.33 6372.50 TOWN OF GULF STREAM Medkane wages one tips 6 Modicare tax withhold!100 SEA RD..7-.,,.�, 102784.33 1490.46 10 Dependent cam benefits 11 Noreenified Plans 12. $ee instructions for box 12 GULF STREAM FL 33483-7427 c 163.04 Employee's name, address, and ZIP code 19 'e, 14 Other 12b EDWARD K ALLEN JR. x ➢ 7760.06 ] Sacral security Ops / Wages tips, other inrrp nrcn 2 Federal income tax withheld 1 Wages, Los, outer campartsain. 9>024.27 9993.88 B Allocated tips 3 Sedan wcurdy wages 4 Social .ecunty tax withhald .9993.89 :02784.33 6372.50 9 '�', 5 tAreJ.'s wagea and tips f 6 Atetlicare lea wflhhed -. ONE,#•:,.7„ rse- X02784.33 1490.46 10 Dependent care benefds 11 Nanquafified plans 2a, 6 Waicam tax withheld 100 SEA RD. 9 �_ ` `"'-'a""" C 183.0» t3 7314 a.rpryee den urx wv 1401 ,32b i( GULF STREAM FL ➢ 7760.06 12c b Employer identification no (EIN) 59-6002370 412. C 183.03 12d It Employees social security no. 14 Other e I State Employee. stata ID number1B Said wages. lips. etc. 17 State income tax 1s Lwat wa s. lips ps, etc 19 Local irxortte tax . ...I ......................................... . "--............_.....__.............____........ py 2 -To Be Flied With Employee's State, City, or Local Income Tax Retum Me ra.'�sane .sin Dep' 20 Lacelay name Stale etc.. 1] State IfICCTe tax 15 Local wages, tips, etc19 Local Income lex 20 Locality nano PY 2 -To Be Flied With Emolovee's State. Cite. or Local Income Tax Return Inn, of the Troasurv- IRS 5 state Emplayere stale 10 number 16 State wages -lips, etc. 17 State Incocal me tax 18 Lowages. firs. etc 19 Local 'income tax 20 Locality name opy B—To Bo Filed With Employee's FEDERAL Tax Return. This indrmatiwl is doing famisned m the Intimal Revenue S,,ca. 382'riesce Dept. of the Treasury - IRS C41e nc. 110 00e Vs1l 1,, IRS weCea dl ww.ir�. POv/BIIIe rK9^,a pertf _ � v .m ,vY [e .'C�eE m v^_u � M icCra q txnL:e .M VY Al b rein arm W-2 Wage and Tax Statement u 7 Social security rips 7 Social security lips t Wages lips, other cnplpensaHon 69b14 J1 'arm W-2 Wage and Tax Statement 2015 7 SccieI security tips 1 Wages, lips, other mmomsatiprt 09614 �]GG 2 Federal Immo tax vn g�Itl.78 9 Empbyofs name, address, and ZIP code 4 Social security tax wehheld 8 AOocatr d tips 3 Soda) secunty wages 4 S.at sacudty tax v,,thh.ld TOWN OF GULF STREA14 fi3926.93 3963.49 63926.93 3963.49 100 SEA RD. 100 SEA RD. .:; 5 Medicare wages and WWs 6 Medkatax wtlhhetd re fi3926.93 926.93 GULF STREAM FL 33483-7427 10 16 Dependant cam bprfits 11 NpgqualMed plans p12e Sae instructions I r tlo, 11 �41 FDrms 1000.00 � 11 Employer'Iddrrff atida no. (Eur -- 12C D 1 i Employee's name, atldrese, and ZIP coda State Employers state ID number 16 State wages, tips, etc7 State Income tex 18 Local verges, tips, and. 19 Local Income tax -_...--- ---._.... ... spy 2—To Be Flied With Employee's State, City, or Local Income Tax Return eros ru. 15i c >e.rolrsta Dept as YY -Z swage an0 lax wallet Employers name, address, and ZIP code TOWN OF GULF STREAM 100 SEA RD. GULF STREAM FL Employee's name, address, antl ZIP code KELLY I AVERY a Employees social security no 20 Locality name 1 Wages, lips, other ca rcaalic, 2 Federal income tax writhed 59514.32 3779.76 3 Social secumty wagon 4 Social securty tax wirmad 63926.93 3963.49 5 fAsdcam wages and tips 6 Medicare tax vAhhed 63926.93 926.93 it Nongaalrred plans 12e D I 4412.61 14 Other eoNUs 1000.00 State I Employers slate iD number )6 Stale wages, has, etc. 17 Slate income tax 18 Local wagaa tips, etc. 19 Local moms tax 20 Locafty nenm _--.I. ------------------------------------ _....-..-.._....._..___ PRY 2—To Be Filed With Emolovee's State. CIN. or Local Income Tax Return -In ,,.,— m.nl nt me Tmasvry -- IRS u 7 Social sednMy IQs 1 Wages, tns, other commselhm 2 Faderal Income tax wilhhagld, B2 Forth W-2 Wage and Tax Statement 2015 9!! ]3 55 F- a Employers name, address, and ZIP code 8 Afocated ops 3 Social sacunty wages 4 Social security Iax wir laid TOWN OF GULF STREAM a Allocated lips 4096.53 253.99 100 SEA RD. 100 SEA RD. 5 Medicare wages and tips 6 Medicare len withheld 5 Medlcam wales end tips 6 Medicare tax witoneld 59.40 4096.53 59.40 GULF STREAM FL 33483-7427 10 Dependent are berrsfns 11 Nonualiried q piens 02e See Inslrugbns for loos 12 Empbyee a name, address, and ZIP code 13p.� rµr.,'"s�'r'"r 14 a", t Employee s name, edtlress, and 21P code 13 � � � �'Y 14 Otherp12b RAMON BATISTA '{ 2 b Employer banu6catbn no. (EIN) a Emplo2fi1yyee's solo) security no. - �12d Slate Employers stale ID number /6 Siete wages, tips, etc. 17 Slate income lax le Local wages, Pips, etc. 11 Local Income len 20 L.Iuy home Ipy 2—To Be Filed With Employee's State, City, or Local Income Tex Return nee rm. 1545ucoe ¢ sosol Deptof the Treasury - IRS m. W-2 Wage and Tax Statement 2015 7 Seclal security tips 1 Wages. tips, other conpenseflon 4096.53 2 Federal income tax wBhheld 305.82 Employers name, address, erN ZIP code TOWN OF GULF STREAM a Allocated tips 3 Sodal secunby wages 4096.53 4 Social sacunry tax wrlhheltl 253.99 100 SEA RD. 9 r, 601 " e r m 2-11=12M 5 Medicare wages aM tips 3096.53 6 Medicare tax Whhheld 59.40 10 Dependent care benerns 11 Nongoallned plans i 12 GULF STREA24 FL 33483-7427 Employee's name, address, and ZIP cede 13RAMON14 X Other 12b BATISTA — to E'"ploy5`9-600237 o no. (EiN) 12d ,egos, tips, ato 119 Local mneme tax 120 Locality name a Employ my rm 17 State Income tax 18 Lara) State Employers state ID number 116 State wages, ups, are de 2—Tn Ha IPI.M Wllh Pm 1—w -'e Clara pl., n- I ---I I�nnTn Te.r Oee. i... u 7 Soclal security bps 1 Wages, tips, other compensatbn 2 Federal htcome, tax w6hheld 20179.96 3905.88 Employers name, address, and ZIP cable a Mocated tips 3 Social scornry wages 4 Social securely lex w4hheld TOWN OF GULF STREAM 1 26846.21 1664.47 100 SEP. RD, 9 -a', ,gam "' " .3 "-=' ,r 5 Mad"¢are wa9os and 12T 6 Medicare tax withheld ':Nr -3xA"r -� 26846.27 389.26 GULF STREAM FL 33483-7427 10 Dependent care patients 11 Nonct died plans 12. See nsWcllons for box 12 Employers name, address, and ZIP code D 1666.31 Employees name, address, and 21P mdo 13,xi 14 Other 12b TOWN OF GULF STREAM 'r ROBERT E BRADLEY 1664 47 . a Employee'. social pro,"n no. 2d 26646.27 j 5 State Employers stale Ip number 16 State vreges. tips, etc. 77 State Income les 18 Local wage., lips, etc. 19 Local dome tat 20 Locality name :opy B—To Be Flied With Employee's FEDERAL Tax Return. Th!s rebereetlon s oedrg lummhed to the Internal Revenue Service. >e-xeseca Depto1 the Treasury -- IFS q}6 Nn 1°ASn]f6 v"t IOa Ins weballe at wuw. ry pov.'e10[ iia [l- o bine IimarN a D1 Imr: M! AMrt.e $vas X W� xn rfryirtp (c 1"w a tl� r°�Mx x Mrzl>: rtxl d mra°U m � t'la xrCne q RUM° xrv] rya p retic n. 7 SCG t. snobby tips 1 Wages, tips, Other compBllSeli on 2 Federal ,ri tax WInneld men W-2 Wage and Tax Statement 2015 2=178.96 3905.68 Employers name, address, aM ZIP code a Allacntetl lobs 3 Social secwity wages 4 Social orally tax withheld TOWN OF GOLF STREAM tax to Local wages. tips, ala 19 Local income tax 20 Locality tern. 26946.21 1664.47 9 5 Medicate ages end w 1 "rps 6 Medicare tax withhold IO 0 SEA RD. 26846-27 389.26 10 Dapendenl caro departs 11 Ncnquiuoi plans d2. 55ee inslmd(ore 11666.71 GULF STREAM FL 33463-7427 4196Slab 4mx Employers st.;e ID number 16 Stale wages tips, etc. tax to Local wages. tips, ala 19 Local income tax 20 Locality tern. na 2—Tn Re Fund with Fmnlnundn Rtnto rte, — r —1 rn.. — Y— Ree.... u Soda] sacudty tips 1 Wages, bps, otter corn satlon 2 Federal income tax withheld :arm W-2 Wage and Tax Statement 2015 59524.62 6674.11 Employers name, address, and ZIP cotle 8 Allocated tips 3 Soaal sacteray wages 4 Socul security tax withhold TOWN OF GULF STREAM 8 Allocated lips 64314.56 3987.55 100 SEA RD • 9 5 Ao caie wages and tlps 6 Medzero tax withheld 3957.55 9 l, . i -,- 64314.56 932.59 GULF STREAM FL 33483-7427 10 Dependent care beraf4s 11 Nonqua66od pians 120 See lnstrecteres for box 12 932.59 10 Depe hrbt cora benefits IS 4789.94 Employea'a name, addreis, and ZIP code ' k �mr 14 Other 126 x �12b BRIAN S DIETRICK b Employer Icamificalwn no, (EIN) b Employer ldentillcatwn no (EIN( 925 LEGRACE CIRCLE ,_izc a E"iso'a saaal secubly no. State Em ars state ID number P% 16 State ..gas, tips, etc. 9 17 Slate income tax le Locei wa es, ti ,etc. 9 M 19 Local income tax 20 Local name M spy 2—To Be Filed With Employee's State, City, or Local Income Tax Return wan, tra, se-x>sm..m Dept, of the Treasury - IRE tloyers name, asides". are ZIP coda TOWN OF GULF STREAM 100 SEA RD. 7 Social security lips 9 Allocated tips GULF STREAM FL 33483-7427 10 Dependeel care bertefas byee's name, address, are ZIP coda r. nlwva c1+n Xw wr BRIAN S DIETRICK b Employer Identification no. (EIN) 925 LEGRACE CIRCLE 59-6002370 BOYNTON BEACH FL 33426 a Employee's acclet security no. 1 Wagestips. other compensation 2 Federal ancame lax wilhhald 59524.62 6574.11 3 Social security wages 4 Social security tax withheld 64314.56 3987.55 5 Medrove wages and tips 6 Medicare to. withheld 64314.56 932.59 11 Nonquali-ted plane j 12 D 4709.94 14 Other _12b State Englvyers state ID number i6 State wages, tips, em. �i] Slate Income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name nV 11 Cn ahbr Wlrf. I•twr —. --.l l..-.. -... T,... o.. r.. .._.. _. ____ _. _. _.... n_ _1 - i.,........ Inc u ] Sxial secunty tips 1 Wages, tips, other ro pansanan eral in 2 Fedi tax wrhheto -ora W-2 Wage and Tax Statement 2015 30316.38 2516.27 : Employers name, address, and ZIP care 8 Atecaled tips 3 Social secunty wages 4 Sxiat secumy tax withhold TOWN OF GULF STREAM 36302.95 2250.78 100 EEA RD. 9 5 Medicare dic rages and tips 6 Medicare tan withheld J. .J, 36302.95 526-42 GULF STREAM FL 33483-7427 10 Depandont care bari 11 Nonquaufied plans y128 See Tnslruchons for box 12 D 986.57 Employee's nameetlalress, and 21P coda 13 �,� rflWx°' 14 Other MARSHALL R FELTER 212b to Employer ldemiKcab. no. (Eph 121 a Employee's social pacers!, no. 5 State Employers state ID number 16 State wages, tips. an, 17 Stale Income tax 18 Local wages, loss, etc. 19 Local Income taz 20 Lacalily came :opy B—To Be Filed With Employee's FEDERAL Tax Return. This <furmaten s tieing wmstted to the m;emol RevaOae Servide- 1a a✓oam Dept of the Thea i - IR; M'S h, 1a+51tos visa mo IRS wamilo at o neon corm m nn ave ne,»,.,.. sm..x.:r .:11 --tee,-- .m ,Idmacmn 7 Social worn tis 1 Wages. tips other compensation 2 Federal Income tax wthheld p eon W-2 Wage and Tax Statement 2015 30316.38 2546,27 Employers name, address, and LP code 8 Mail tips 3 Social securBy wages 4 Social security tax mahheltl TOWN OF GULF STREAM 36302.95 2250.78 5 Medicare wagas anal Iles 6 Merkare tax vnthheld 100 SEA RD. 36302.95 526.42 10 Dependent tare beneils 11 NonqualB2d piers t28D instruatlene to, 66.57 GULF STP -14 FL 33483-7427 -EZ Employee's name, ooldint and 7JP code 13=" """ r""' 14 Other MARSHALL R FELTER t'r R r12b to Employer identtfwation no. (EM1 ...... �12. Ermleyees s«iel sac°nip no. f12d 7 i Siete Employers state ID number16 State wages, tips, etc 19 Stale 'cwome tax 18 Local wages, I"Ips, elo. 19 Local insane tax 20 Local@, name opy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) 0rd3 41 M3 Deptof the Treasury -- IRS 7 Sxial securay tips 1 Wogos, tips, other oern align 2 Federal mcwno T. wiltlhald arm W-2 Wage and Tax Statement 2015 16.38 2546.27 Employers name, address. and ZIP code B Allxated reps 3 Soaaf se ary wagas 4 Sacral security las wfthireld TOWN OF GULF STREAM36302.95 2250.78 n.-1 eiret '. 5 Medicare wa s and 1 Ba iGs 6 Medicare lax whhhed 100 SEA RD. 36302.95 526-42 10 Dependent care bonefns 11 Nonquall0ed plana 128 GULF STREAM FL 33483-7427 D 986.57 Employee's name, aMress, and ZIP Cade 13 st.,� m yrs 14 Other 12b MARSHALL R FELTER r x - ---- a Employees Social seariry no. 12d v 17 State income tax 1B La area wa s, t ge PS, ale 19 Locai income 20 Locallry name State Employers state ID cumber 16 Stale wages, tips. etc )py 2—To Be Filed With Employee's State, City, or Local Income Tax Return o rfl Rk ,>s- o e 1e.:vnma Deptof me Treasury - IRS BW24DWNA hi 2579543 7 Secret secunri tips 1 Wages, tops.. other compensation 2 Federal hot tax wMheld W-2 ran Wage and Tax Statement 2015 35316.38 2546.27 Employers name, address, and ZIP rode 8 Allocated tips 3 Sodal sort wages 4 Social socurily tax withheld TOWN OF GULF STREAM 36302.95 2250.78 9 `� `,'cxr`,n 5 Medkare wages and Ilps 6 Med.ns tax withheld 10 0 SEA RD - Mm z .l . .c'.%Sim-1. 36302.95 526.42 GULF STREAM FL 33483-7427 la Dependont care bnrt 11 NonquoG6ed plans �120 0 986.57 Employea'a he., address, and ZIP cede 13 it,ihre '.. env 14 Other 121,% : MARSHALL R FELTER o Employee's social searfty no. F12d State Employers slate ID number 16 State wages, tips, eta Li 17 State Irr;oma tax 1B Local wagas, lips, etc 19 Lxol 6mwne tax 20 Local4Y name DV 2—Tb Be Filed With Fn ohrnj.-v RINiw. China, nal 10801 Inrnmo Tnv RnM1vnria.., .d Mc T,--- led u Fo m W-2 Wage and Tax Statement 2 D 15 7 Social security fps 1 Wages. Ops, cill compensation 2 Federal income tax withheld 7381.45 865.16 c Employers name, eedress, end ➢P code 6 Allocetetl ripe 3 Social security wages 4 Social security tax withheld TOWN OF GULF STREAM EnWloyers name, address, end ➢P code 7653.88 474.54 100 SEP. RD. 3 Salol Mieudry wages 5 Medicare wages aM frys 6 Medicare tax wNhheb 7653.88 110.98 7653.88 110.98 GULF STREAM FL 33483-7427 10 Dependent cam benefits 11 Nonqualifed plans 12A See msimctions far box 12 g` ` � a �✓, ` 5 M'odlche wages andtips6 753.99 6 Medicare tax wcul �12b D 272.43 jC 121.04 t Employee'a nems, address, and ZIP Cade 13 ; rn��yh0 14 1a)i 12b ADAM L GOREL x 10 Dependem cars benefits 11 Noneupli plans 0 272.43 b Employer idenOOcation no. fE1N1 12c State Employers state ID number 16 State wages. tip, etc. 17 State Income tax18 Local wages, tips etc. 19 Local incortle tax 20 Locality name oy 2 -To Re Rican With Emolnori 4tRtp. Citi or I ri Inor- To. Pat- ...... ... .... ........ .. ....._ r.__. -r µe T .... ... hoc u :orm W-2 Wage and Tax Statement 2U15 Employers name, address, and ZIP cafe TOWN OF GULF STREAM 100 SEA RD. GULF STREAM FL 33483-7427 Employee's name, reposes, and ZIP code CHRISTOPHER HAMORI 7 Social security dos 1 Wages, hips, alba, Cwnpo saldn 2 Fedoml incomo lax w0h8hu 17 Stan income 1.1B Local wages, tips, etc_ .-........._.___._.-........._._.-........_.__--------'--..-.. 63050.48 9894.46 B Allocated tips 3 Social security wages 4 Soclal security tax withheld W!B Na 1404 68135.50 4224,17 9 t '.-'t "' , s 5 Medicam wages andP-.911 6 Medcare tax wbhou z 6913550 987,93 10 Dependent care benefits 11 NogquaPfied plans p123 See tbemat ons for box 12 2 Federal income lax withheld 9384.46 Employars name, address, and ZIP code 7 D 5095.02 13 Win n m �cw w ^r 14 Omer r121a X D 5095 .02 59-6002370 b EmployerNentfioatlon no. SIN) 12c 59-6002370 6 Medicare tax vdthheId 100 SEA RD. a Employees spear securiy no, 12d 5 state .... � Employers state ID number ----------- ------ 16 State wages, Iles, ale. .......-. __.___. 17 Stan income 1.1B Local wages, tips, etc_ .-........._.___._.-........._._.-........_.__--------'--..-.. 19 Local income lax 20 Locality barrel 'opy B—To Be Filed With Employee's FEDERAL Tax Return. This inlamatan is being famished is me Intamal Revenue Service. M 26sol Deptof the Treasury- IRS TOWN OF GULF STREAM 4 Serial securlty tax withheld W!B Na 1404 visd 1IV IRS webslm e, www. rapbwee/e 5 Idedicare wages antl tips 6 Medicare tax wfhoeld 100 SEA RD. mbr�i:u n tc9lmmeml m Pe Marra Rnmmve Smv, n pw a:r �amd m rfe r ua roam. a 68135.56 987.93 GULF STREAM FL 33483-7427 v aheramrnv wuM4vE mrerztt-, n. xm W-2 Wage and Tax Statement 2015 7 Social secuny lips 1 Wages, ffps, oloar compereallne 63050.48 2 Federal income lax withheld 9384.46 Employars name, address, and ZIP code x B Allocated tips 3 Social mwunry wages 4 Social sac.,cy tax ahead TOWN OF GULF STREAM D 5095 .02 59-6002370 68135.50 4224.37 9 5 Mediem a wages and lrye 6 Medicare tax vdthheId 100 SEA RD. 0 State I Employers state ID number 16 Stele wages, tips, etc. 17 Stat. Income lax 18 Local wages, tips, etc. 19 Local incomo lax 20 Locality name ov 2—Tin Ra Mimi With Fmnln.nu'c Quito etw on i nnet tnnn...n T— Rner.n n-_. _r .w. T,..-........_ roc u ] Social severity tips I Wages, bps, other co9rrsaflon 2 Federal kleom0 tax withheld Form W-2 Wage and Tax Statement 2015 9.'30.88 23767.79 Employers name, address, and ZIP code a Allocated tips 0 Solo) saa my wages 4 Social security tax withheld TOWN OF GULF STREAM Dept, of the Treasury -IRS 100242.37 6214.97 100 SEA R➢ •-'y .,.g'-^„.,,,,, 5 Medeare wages and lips 8 hledtcaro tax withheld �.."� miv 0! a 1a..t4 W p1 h pq A 100242.37 1453.48 GULF STREAM FL 33463-7427 10 Deperdent caro benems 11 No rpueli6etl plans Sae insimctions for box 12 4 Socal semoty tax whinhoid TONIN OF GULF STREAM 14 Other 12b �12a C 781.04 I Employee's name, address, and ZIP code 13= a2'N"`""" se�tl�r 14 Other 12b JOHN J HASELEY JR. x '^�-z,.. r., D 7411.49 to Employer idenacatdn no (EIN) Ago ISlate Employers stale ID number 16 Stale wages, lips, eta �17 State 4morno tax 18 Local wages, tips, Wit 19 Local income lax 20 Locality name Py 2 -To Be Flied With Emolovee's State. CIN. or Local Income Tae Ratum ,a.„,-1 1-1 el roe Tn'I -IRS u 7 Somal secunty tips 1 Wages, tips, -("I cc pp nsation 2 Federal Income tax withheld c ppe10236.75 2036.10 W-2 Wage and Tax Statement 2015 Employers name, addri and ZIP cede TOWN OF GULF STREAM 8 Allocated tips 3 Social aecudry wages 4 Social aocunly tax wormed 1 16236.75 1006.68 100 SEA RD 9 5 Medkam wages and lips 6 Medicare tax wthheld 16236.75 235.44 GULF STREAM FL 33483- 7427 10 Dependent tate bonefns� 11 Nonquaf6ed pians 1Z Sea Ins md,ons for box 12 0 I Employee's nanw, address, and 21P cado - DEREK T KUZMIRER 13 _:mwv ewmmeo rwa�pm M cun I x 14 Other 12b to Employer contifrcion no. (Ella) 59-6002370 12d e a Fmpl se's social secenry no. 5 Stale ................ ......... II Employers state ID number 16 Slate wages, hips, Cc. I.........--. _ . I 1] State Inrome 1. 18 Local wages, if", els. 7S ........ _.. _.__...........__ 19 Local income lex 20 Locally name ......__.......------...__ ropy B—To Be Filed With Employee's FEDERAL Tax Return. This oNnna5oo is beslp am!ahed to the Internal Rovenue Servke. sa.zrvsas Captof the Treasury - IRS 3 Somal sacumy wages 4 Social security fear withheld Okla Ho. 15`5m a Visi, Ina IRS .,,i el w'mv. rs gov'orlle 16236.15 1006.68 Miiu- aCe✓gF b1YC —1 Rmenw Svaa. Cl m rtN tex,x. K.m 6 Afedkare tax whhheid 100 SEA RD. l u reran n acCa,Yms rm ae 1 -id . if,Iq crime alv� — him b Employer ldontificatfon no . (EIN) 2015 ] Social security tips 1 Wagon, lips, other comooensi l(on 2 cancel 'mcnmo tax withholtl arm W-2 Wage and Tax Statement 11 hbngoaroed pians 16236."Is 2036.10 Employers name. addmss, and ZIP code 14 Other 8 Allocated tips 3 Social saceaty wages 4 Social security tax withheld TOWN OF GULF STREAM �12b DEREK T KUZMIREK 16236.75 1006.68 5 Medicare wags and lrys 6 Medicam tax mffiheld 100 SEA RD. 59-6002370 S ` 16236.75 235.44 Income Tac Return tete ratsrs xoe va.mmsm Deptof the Treasury IR£ ea r. layers name, address, end ZIP cMe TOWN OF GULF STREAM 100 SEA RD. 7 Social security lips 8 Allocated tips GULF STREAM FL 33483-7427 State wages, tips, etc. 10 Dependent care beaef4s loyee's name, address. and ZIP code13 smnc.l ager Tr mm 20 Locality nano �h ym� wRax DEREK T KUZMIREK a Employee's social security re,. 1 Wages, figs, of compansallon 2 Federal income tax withheld 16236.75 2036.10 3 Social __ly wages 4 Social sail tax wilnheld 16236.75 1006.68 5 Medeen, wages and tips 6 Medkare tar .11[ W 16236.75 235.44 11 Nonquaified plans 122 14 Other 12b State� Employers Mato ID number18 State wages, tips, etc. �17 Slate income [ex �18 Llaral wagon, tips, ata 19 Local income lax 20 Locality nano by 2—To ae Flied With Employee's State, City, or Local Income Tax Return cue rv- tsas. -w.:,waa,,, Dentof the Treasury- IRS u d ] Form W-2 Wage and Tax Statement 2015 29 2 Societ sacurdy Iles 1 Wegos, bps, other coz ponq�iT4 2 Federal Income laz wi1967. 79 c Employers name, address, and ZIP code TOWN OF GULF STREAM 8 AMcaled tips 3 Saul security wages 4 Social security tax .&N[d 2-444.24 139_.55 188 SEA RD ,- 5 fdedwerewages and tips 6 Medicare tax wphheW 22444.24 325.43 GULF STREAM FL 33483-7427 10 Dependent care benefAs 11 NonquaGlled plans t12a Sea Instmctions for box 12 i Employees name, atldress, and ZIP rode LAP7RENCE M LADD 13 Z7,— ny 14 plher 4S12b b EmployerWundbcatlon no. (SIN) 59-6002370 I a Employee's soaai security no. 5 Stale Employers state ID number /6 Stela wages, tips, etc. 17 Slee income lax1B Local wages, tips, etc. 19 Local income tax 20 Local name :opy B—To Be Filed With Employee's FEDERAL Tax Return. Tha nforrarinn a being lomished m the Intemal Revenue Sorsita ere Dept- of the Treasury- IRS OFIB Na. t.f.N® Veru tea IPS w.bne et —,""ea, a, irva Mv�rvM1 v 4osj hntnruG n ].e Nviur ♦lerma Eervtl tl I[v en mpu, J m fila a �u iter.. a La m Je] a tcu a 3a ave a u,tlrb tx pd b cMaR v c -,e, u'Rz� m r 1 arm W-2 Wage and Tax Statement 2015 7 Serial sacuIy Wap s, 1 Was, tips. otter cam R n 2 Federal mcome W. withheld 2 d. .p24 1967.19M1 Employers name, address, and ZIP code 8 Allocated tips 3 S [ securitywages 4 Sabal sac,,My tax wamheld TOWN OF GULF STREAM zz4=4.24 139;..55 100 SEA RD. ^"�21 s''-" 5 Mail wages ant bps 6 Medicare tax Withhold TNG,,,wz fi a-„- - 22444.24 325.43 GULF STREAM FL 33483-7427 10 Dependent caro denser; 11 Nonquan0ed pians 1124 See instructions for box 12 Employee's name, address, and ZIP code 13 pm `"O'" �r"r 14 Other 121, LAWRENCE M LADD }' a Employees... sec Illy no. �t 2d S State Employers Mate ID nunbor 16 Slate wages, tlPa' etc. 17 State insane tax1B Local wages, rrps, are 19 Local Income tax 20 Locality name city C --For EMPLOYEE'S RECORDS (See Notice to Employee on the beck of Copy B.) OIAe no 1.500021 1e-2vasm5 Deptof the Treasury- IRS N-2 Wage and Tax Statel loyere name, address, and ZIP code TOWN OF GULF STREAM 100 SEA RD. GULF STREAM FL play"'. adore, address, and ZIP rode LAWRENCE M LADD e Emptyydo's Serial security nc- 1 Wages, lips, other oornpanaal1or14 2 Federal incame tax w-r19old , 9 3 Saint security wadi 224434 JJ 22 4 Social securiy tax withheld 22444.24 139:.55 5 btedlcare wages and t'ips 6 Medicare tax, wkhheld '1.24 325.43 11 Nonquallfled play, ,.Yza 2d State Employers slate ID number16 ..................... ... ...... Slate wages, tips, eta ............. 1] Slate ¢xune tax 18 Local wages, tips, etc. ..... ......... .....__........ _. 19 Local Income tax 20 Locality deme __............ ....._____--- ply 2—To Be Filed With Employee's State, City, or Local Income Tax Return nue u,,. lsasaeoe ae.eV}aeC3 Deptof the Treasury -IRS N-2 Wage and Tax Stater sellers name, cedhm,s, and ZIP code TOWN OF GULF STREAM 100 SEA RD. GULF STREAM FL "ar'a name, sadness, and ZIP code LAWRENCE M LADD a Emit ao'e social security no, State Employers state ID mvnber 16 State wego., tips, etc. 1] State incama tax 18 Local Wages, tips, etc. 19 Local income tax 20 Locality name py 2—To Be Filed With Emplovere's State. Citv. or Local Income Tex Return osm „n II',— ,o r—, nom If the Treasury -IRS 5� 5 !1 Form W-2 Wage and Tax Statement 2015 ' SOcial security tlps ' Wages, Llys, cher`omp¢Zserlpn9 2 Federal income tax wilhsh]I8 08 c Employers name, address, and LP oda. B Allocfltetl fps 3 Sadel secuMy wages 4 Social security tax virteheld TOWN OF GULF STREAM chn Ic ISdSWGH 111 the {Pc wloaite it it.111pcv/alaa 61184.41 3793,46 10 SEA RD Employers name. address, and ZIP cable Medkare vag i and lips 6 Medicare tax wtlhhald TOWN OF GULF STREA24 v� 611E4.41 887.20 GULF STREAM FL 33483-7427 10 Dependent is benefits it Nonqusded plans 1`121,1 See Insmctions for box 12 987.20 GULF STREAM FL 33483-7427 10 Dependent care beneMs 11 Nonquallfied plans i D 808. s2 s Employee's nam., address, and ZIP code 13 ° u°m°11-"' r^'t,11 14 Other /2b BERNARD J O' DONNELL x % ' r" G 1 650.00 j G 630.00 17 State income tax 18 local wages, tips, etc. 19 Local Income lax 20 LocalNy name i State Employers state ID number 16 Slane wages, 1�, etc. opy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) our r». ISJ100e9 :.e-2us3em Deptof the Treasury -IRS am W-2 Wage and Tax Statement 2 015 7 Social securely ape 7 Social security tips 1 Wages. bps, other ce5npen 5l% 55 __�� 99 2 Faderaf enema tax winan8. 09 Employers name, address, and ZIP dead 3 Social security wages 8 Allocatetl tlps 3 Social socunty wages 4 Sol security tax wlthhald TOWN OF GULF STREAM 3793.46 61184.41 3793.46 ,.., 9, 5 Medicare wages and lips 6 Madden tax wlthheltl 100 SEA F.D. 987.20 GULF STREAM FL 33483-7427 10 Dependent cera benef4s 61144.41 987.20 GULF STREAM FL 33483- 7427 13 ."M �Vmi,rev cam % 10 Dependent care benefits 11 Nonquafifisd plana er b Employitlerrtificaticn no . Eli 59-6002370 1 2C $t 7 State Empbyer. state t0 number 16 Stele wages, tips, etc, 17 State income tax 16 Local wages, 1¢s, etc. 19 Local income tax 20 Locality name py 2—To Be Flied With Employee's State, City, or Local Income Tax Return ala no. 1515 ca 3ae02sem Dentof the Treasury -- IRS Employers name, address, and ZIP code TOWN OF GULF STREAM 100 SEA RD. GULF STREP24 FL 33483-7427 r Employees name, softness, and ZIP Code JOHN P PASSEGGIATA 7 Social security tips 8 Allocated tips 10 Dependent caro benefits 13 -e sem �.owm rnpw.e b Employer Idembf f,on no (EIN) 59-6002370 e Employees soaal security no. 5 Stets Employers state ID comber16 Stale wages. tips, etc. 17 Slate income tax --1------------------------ ---- I ... I --- ...... --- ---- I... opy B—To Be Filed With Employee's FEDERAL Tax Return. This mdm icn is being fu nnh oyer, name, adtlrev, and ZIP code TOWN OF GULF STREAM 100 SEA RD. GULF STREAI4 FL 33483-7427 oyee's name, address, and ZIP dada JOHN P PASSEGGIATA 7 Social security tips e Allocdlsd tips 10 Dependent dare torrents m ia—" 1 Wages, lips, ether co nsau0n 2 Recruit income tax wiflhi 70243.51 2299.47 3 Soil security wegas 4 Social secunty lax withheld 75899.22 4705.72 5 Medicare wages and tips 6 Medicare lax withheo 75899.2' 1100.54 11 Norquallfied plans �12a See instructions for box 12 D 1 5655.71 14 other Alb 18 Local we90 s, lips ata 19 Local mcomo tae ality dame 20 Loc to the Internal Revenue Servicesa tvnec'4 Dept. of the Treasury - IRS Wallo. 1SI5-ocm Vbir M. IRS we051ta at wnvly pen eFle TM Mme^m a Len) NrtWMG m me Imeal Pwerry Sciv. a pv nn rt�w,m b Hp r m n,o,+r r wr+M w aaatb vtl � bi w aur r. 1 Wages, Gps, other corn nsabon 2 Federal ocome fax wtthhald 100 SEA Rn. 70243.51 2299.47 py 2—To Be Filed With Employee's State, City, or Local Income Tax Return 3 Social security wages 4 Soba] security tax withhold Dept 7589922 4705.72 m=771 :.,.? 5 Medkaro wages antlbps 6 Medicare tax wtlhhetd Empoyeeb name, address, end ZIP rode "]5899.22 1100.54 2b JOHNP PASSEGGIATA e Employee's sepal se MY no. pp12d p Slate Empoyet's state ID number 16 State wages, tips, etc. 17 State in tax18 Local wages as. fps etc. 19 Local income tax 20 Locally name DV 2—Tri AA FllArl Whin FmnlnvaA'a clam i nr I nrm Inman Tae oar,,.., IOC c Emcee name, address, and LP coda TOWN OF GULF STREAM 100 SEA RD, GULF STREAM FL 33483-7427 i Employees nameaddress, and ZIP code ROBERT A PYLE 7 Soda) security lips 1 Wages, lips, other owmp�nsallon 2 Federal Income tax w hhtd 1133.30 Slate alcome tar 18 Local wages, fps, etc. 94934.1E .opy B -To Be Flied With Employee's FEDERAL Tex Return. This mtormaticR is bang hm,shed to me III emal Revenue Sorvk,. oasv arc B Al.led tips 3 Sodat security wages 4 Social secunly tax withheld Orn rb.1v5 94544.37 5961.75 7 Sa<aai security wagon 5 MedIcare wages are tips 6 Medicare tea wAhhelO sue r>a. 1.S.- ,a 94544.37 1370.87 10 Dependent care beneRs 11 Nonqualllied Gans pita Seo insimctions for bee 12 Z Fadeal mcame tax withhold «a. and i C 1 1639.72 13 f y "."ra'' ren,, m 14 011ier c12b d 30[105 5876. 51 1 D 6539.82 le Employer idemTicafon ria (Eh i2c TOWN OF GULF STREAM 59-6002370 13 �r,.",,,, r,,- 1'-,m G 5200.00 i e Emdoverea social sconmo no. AIR 5 State EmpWyofs state ID number, 16 $late wages, to, etc.17 Slate alcome tar 18 Local wages, fps, etc. 19 Local income tar, 20 Locally nano .opy B -To Be Flied With Employee's FEDERAL Tex Return. This mtormaticR is bang hm,shed to me III emal Revenue Sorvk,. oasv arc Dept of the Treasury - IRS B.P73Y. 18 Orn rb.1v5 Vlx.: the IRs W."al ar e-,, p,, ,,;s B Allocated lips 7 Sa<aai security wagon nm ne.,,a�,nmry e„u+�nn. imam atom s,',-atmria eimrra. m im.,_. sue r>a. 1.S.- ,a 94544.37 ew_..wa m los n .K, eecns e - e,a W-2 Wage Tax Statement 2015 7 Script security lips 1 Wages, trps, other cos eation Z Fadeal mcame tax withhold «a. and 1370.87 e.Pe3a.l9 1,133.30 Employers Ramo, address, antl ZIP coda GULF STREAM FL 33483-7427 a Allocated tips 3 Social oecunry wages 4 5.1 sa Ram, lax wimeeld TOWN OF GULF STREAM Employee's name, addmm, and ZIP code 13 �r,.",,,, r,,- 1'-,m 94544.37 5861..75 1.00 SEA RD. x xPOIXE 9 r - 5 Medicare wages and fps 6 Medfrare tar withheld 12C r17Stat.lMmet her 18 Loral wages, tips, alp. 19 Local income W. 20 Local name State Empbyefs state Ip number 16 Stale wages, fps.. eta. py 2 -To Be Filed With Employee's State, City, or Local Income Tax Return ossa No. 1515 -one as -z IU Dept of the Treasury -IRS I Form W-2 Wage and Tax Statement 2015 e Employees name, calf sal ZIP code TOWN OF GULF STREAM 100 SEA RD. GULF STREAM FL 33483-7427 f Employee's name, address, ark ZIP coda CHARLES D SMITH 7 Social securdy Ips 6 Allocated fops 10 Dependant care berefhs 16 moaree � uc�� , ire �'r b Employer identification no. (BIN) 59-6002370 Employee's nodal security no. 5 Stale Employers state ID number 16 State wages, tips, etc. 17 State income tax _ ....I....._... ---be ............._----_..._ _...._._.... ropy B—To Be Flied With Employee's FEDERAL Tax Return. Thisinform tfdrn is being Unlsh arm W-2 Wage and Tax Stater Employers name. address, and ZIP code TOWN OF GULF STREAM 100 SEA RD. GULF STREAM FL 33483-7427 Employees neme, address, and LP code CHARLES D SMITH ,*cony, tips B Alaoatod tips 10 Dopendenl care benefits 1 Wages, tips, olher campgpsg2 Federal income . w 54 29.34 3 Saaal security wages Slob b fgr), 4 Soder seanty 1. witho ids 68723.56 4260.85 5 Medicare wages and tlps 6 Mediram lax woo -held 68723.56 996.46 11 Nongvalfied plans 12a See vtstructkns for 1>o 12 D 516T. 94 14 Other .121, 18 Local wages, lips, eta 19 Laval Income tax 20 Locality nano to the Internal Revenue Service, 33-mass01 Dept of the Treasury - IRS e1.le Na. IVSbA9 Vi6P the IRS w01,9110 et www.'rspoVOW6 fru rcraruw a caul GnUv1 io ee rr'm rl. Kia. I y_v w mpnep r, " r e, inn e w,mer..ne+y, e6 acobam ,ne.. tee. wuee.,,o,w r.a� 100 SEA RD. 1 Wages! tips, other dt,Msdtipry 2 Fodeml income lax w"o5h4heid 6 Medicam tax urahheltl 996.46 55555 hh 11 d74 21Za 5166.94 3 Social security wages 4 Stinal security tax with Id 36 oraltn 66'"23.56 4260.65 v" 5 Medicare wages ark 6 Marl lax wa ld 996.46 6t, 56 996.46 Employees name, ado., aro ZIP code a Employee's tectal socurily no. 121 I Stale Employers theta ID number 16 Stele wages, how etc. 17 State intone tax 18 Local wages, tips, at, 19 Local income tax 20 Locality name ...�................ .................................................................... ..................... tpy 2—To Be Filed With Employee's State, City, or Local Income Tex Return sup Nm tssamce 3e za 03 Dept. of the Treasury - IRS m, W-2 Wage and Tax Statement 2015 7 5.01 security, hips 1 wages, blas, other m,. ensa6on 6$556.62 2 Federal in come tat wGhhold 5429.34 Employers name, address, arta LP code 8 Allocated fres 3 Sinal securoy wages 4 Sons security tax wohheld TOWN OF GULF STREAM 68723.56 4260.85 100 SEA RD. 5 Medicare wages andips 6 Medicare tax withheld o 69723.56 996.46 GULF STREAM FL 33483-7427 10 Dependent ca re banePos 11 Nonqualbed plans 12a D 5166.94 Employees name, ado., aro ZIP code 13 � ""'" � �y'rr 14 Other�12b x CHARLES D SMITH a Employee's soca] security no, frt2e 7 17 State Intone tax 18 Local wages, troy, etc. 19 Loral me tax 20 Locality, name Slate Employers state ID number16 State wages, lips, etc. by 2—To Be Filed With Emolovee's State. Clty. or Loral learoma Tex Rahme —.1. 11..:,„..o .,, ,..,,.,..,., ne„, -lac u Employers name, address, and ZIP Code TOWN OF GULF STREAM 100 SEA RD. GULF STREAM FL 33483-7427 co pfoyee'a name, amidas, gal Lit, opee JAKE W SONGER 18915 49TH ST. N LOXAHATCHEE FL 33470 7 Social secunry tips ti6 1 Wages, tips, other co91 /5sn h U b 2 Federalta income x wiMhald 10 B Allocated 1 s 3 Social sea tly ..gas 4 Social security tax withhold Dept, of the Treasury- IRS 46289.17 2869.88 9 r, r77— "�. 5 Medicare wages and tips 6 Medicare tax enttMeld nServes.T rtyvW m^w )w o- v Its � 46289.17 671.16 6 Medwam tax withheld 671.16 Sial secmay Bps Wages, tip, orae v �76 2 Ferrara[ incem. tax Metal 10 Dependent care depart. 11 Nonqualihed plans See Intimations for boxt2 Employes name, address, am ZIP code B Metalled bps �12a D 3538.61 13 ss=1 a,--T� p� • 14 Other 12b % 2969.88 9 b EmployerIdismi , no. (Elis) 6 Medicare tax w➢hheld _ 12c 59-6002370 ,r, 462 fl9.17 a Emplovee'9 social sdi no. GULF STREAM FL 33483-7427 .12tl 5 State Employers and ID number 16 Stale wages, flet, etc. 17 State Income tax18 Local wages, tips, etc 19 Local income lav 20 Locality name :opy B—To Be Filed With Employee's FEDERAL Tax Return. This information is being lumithed to the hadna) Revenue Service. ne-1s1ec1 Dept, of the Treasury- IRS 19 Local Income tax OPS No. 15450048 V111 the Ins 1,,n1ta et awes. n.Bov/elhe 46289. Ra1m,— nLamp rcc^.m'unm Mai revrs nServes.T rtyvW m^w )w o- v Its � �2a D 3538.61 �1 x b ary-pN rn sa '.I trot »x�'e a unpin rM yse qd to rtec2 n. 6 Medwam tax withheld 671.16 Sial secmay Bps Wages, tip, orae v �76 2 Ferrara[ incem. tax Metal W-2 Wage and Tax Statement 2015 Cola restum 5689.30 Employes name, address, am ZIP code B Metalled bps 3 Social security wages 4 Social seounty lax vMhheld TONIN OF GULF STREAM 13 5° qx,°""e rT 46289.17 2969.88 9 5 Medicare wages and tips 6 Medicare tax w➢hheld 100 SEA RD. JAKE W SONGER ,r, 462 fl9.17 671.16 GULF STREAM FL 33483-7427 10 Dependem are benefits 11 Nopquaraed plans Soo ame-c lons for box let 59-6002370 i12a D 3538.6 Employee's name, addmand ZIP code 13 fl°—, 111��y 14 Other d2b raase, x tf JAKE W SONGER F b Employer Idenlil'�cation no. (EIN) 02c 18915 49TH ST. N 69--6002370 LOXAHATCHEE FL 33470 ' Empl no. �12d I i Slate ..-.�-----------'. Employers state ID number 16 State wages, tips to 17 State income tax16 .............................................................. 2 Fetloral maome tax wtthhelp 5635.10 Local wages, lips, etc a Notated tips 19 Local Income tax 20 Locality name TOWN OF GULF STREAM 46289. 46289.17 2969,89 �2a D 3538.61 S Medicare wages an tis 6289.17 6 Medwam tax withheld 671.16 100 SEA RD. or Local Income Tax Return Spy C For EMPLOYEE'S RECORDS (See Notke to Employee on the back of Copy B.) Cola restum ch 2aXPcl Deptof the Treasury -IRS stir W-2 Wage and Tax Statement 2015 Employers slate ID number 7 Scclal security tips 1 Mages, to, Ciba co n ti �F9109 6 2 Fetloral maome tax wtthhelp 5635.10 Employers name, address, and ZIP pope a Notated tips 3 Social security wages 4 Social security tax withheld TOWN OF GULF STREAM 46289. 46289.17 2969,89 �2a D 3538.61 S Medicare wages an tis 6289.17 6 Medwam tax withheld 671.16 100 SEA RD. or Local Income Tax Return ems rm taascuoe 20- sorM Deptof the Treasury- IRS 10 Dependent care benaho 11 Nonqualined plane d2a0 3538.61 GULF STREAM FL 33483-7427 Employee's name, address. and ZIP code 13 5° qx,°""e rT 14 Other 12b X JAKE W SONGER b Employer ideefthatlon no. {EIN) 12c 18915 49TH ST. N 59-6002370 LOXAHATCHEE FL 33470 a Eminforssaaial security no. V4ied tf State Employers slate ID number 16 Stat. wages, tips.. etc. �17 State income tax is Local wages, tips, etc. 4 Sial security tax wdhheld 19 Local Income try 20 Locality name 5 Medicare wages and tips 6 Medicare tax whirred 46289. 671.16 11 Nonqua5fled plans �2a D 3538.61 14 Other 112b Ipy 2—To Be Filed With Employee's State, City, or Local Income Tax Return ems rm taascuoe 20- sorM Deptof the Treasury- IRS ,a W-2 Wage and Tax Statement 2015 7 Sri aecmy Ops Employers name, address, and ZIP coats B Allocated bps TOWN OF GULF STREAM 100 SEA RD. GULF STREAM FL 33483-7427 I lO Dependent care benefits loyae's name, address, and ZIP oleate 13 art r.onir—v amo° m 8 ,a wv JAKE W SONGER b Employer itlenti(lafon ria (EIN) 18915 49TH ST. N 59-6902370 LOXAHATCHEE FL 33470 a Employee's social adi no. 1 Wages, tips, other cpmp.nsatlan 2 Federal income lax withheld 42750.56 5685.10 3 Social security wages 4 Sial security tax wdhheld 46269.17 2069.88 1 5 Medicare wages and tips 6 Medicare tax whirred 46289. 671.16 11 Nonqua5fled plans �2a D 3538.61 14 Other 112b Slate Employers stale ID number 18 Stale wages, tips, to 17 State booms tax 1B Local wa es, ti etc. 9 Ps 19 Local ir¢cme lax 20 Local name B PV 2—Ta Be Filed With Emolouse's State. City. or Local Immoma Tax Return ,,.,a ....—<...,,, .,.........,.., na,a ,d in. Taos— - Ins 5 Stale ..................................... 7 coal secuny tips 1 Wages, tips, ome, m neat n 2 Federal income tax n�ifhpala 'arm W-2 Wage and Tax Statement 2015 s5065. 7 9155.96 Employers name, address, and ZIP cods TOWN OF GULF STREAM a Allocated tips 3 Social security wages 60579.51 4 Social security tax withhek 3755.93 100 SEA RD • 5 Medicare wages and u'ps 60579.51 6 Medicare tax withhold 978.40 GULF STREAM FL 33483-7427 19 Dependent care harems 11 Nonoaofied q plans 128 See instrucflons for box 12 o 4514.14 Employee's name, add.., and ZIP code TODD E SUTTON 13 x ',"°", wym 14 Other 12b to Employer idenereatica no. (EIN) 59-6002370 s12c ii. 14 Other Employee's spool secudty no. .tza 5 Stale ..................................... Employers state ID number 16 State wages, tips, eta .......... 17 Siete income tax 19 Locaf wages, tips, eta. ..... .... .. ...........__._........ 19 Local income tax 20 Locality name _..___.....--_.. .. ...-- opy B—To Be Filed Wlth Employee's FEDERAL Tax Return. This efortnaopn o being emishea to the Incemal Revenue Service. eeavyteoa Deptof the Treasury - IRS 01.m filo. iFAS{DR9 V4I.1 trio Ps wahine of vuw.imgon'efile Te da�aMn w rynq IWmygE 5 pry IY.prvl lxw S — tl yv pry ep»rpp R` ry r d, ,ecvry "xery hex nm I eueaCyW tel qd bp1, a ] Sodal security tips 1 Wages, t ps, other co}npepim 2 Federal income tax wn8 eel amn W-2 Wage and Tax Statement 2015 606b 07 Employers name, address, and ZIP rode TOWN OF GULF STREAM 6 A Icn.led tree 3 Sodal security wages . 60579 51 4 Social security tax withheld 3755.93 9 ' .,,6- 1q ,. 5 tdedkare wages and Lips 6 Medcare tax withheld A78.40 106 SEA RD. GULF STREAM FL 33483-7427 10 Dependent cera benefits 11 Nonquaidied plans ,]Tap instmdlons 19r5�4. S Employee's name, address, and ZIP coda 13 1°""'" r 14 Other 121, TODD E SUTTON 11 Nonqualfllod plans D 4514.14 GULF STREAM FL 33483-7427 b Employer Weehficatton ne. (EIN) 59--6002370 �12c Employee'a home, adtlreve and ZIP code e Employee's 6s 02d 4 TODD E SUTTON TODD E SUTTON State Employees state ID number 16 State wages. rips. etc. 17 State Income tax19 Loral wages, tips. etc. 19 Local m cne, lax 20 Locality name 1py C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) MT (oas rye-2wa Dept- of the Treasury - IRS ran W-2 Wage and Tax Statement 2015 7 Social security tips 1 Wages. tips. other coprp{ Igiert. ��tt uu bb bb JJ �1 2 Federal intone tax 8155.96 Employees name, address, and ZIP code a Allocated tips 3 Social security wages 4 Social security tax withheld TOWN OF GULF STREAM 60579.51 3755.93 9 =' a .x -a=^%„ 3 5 Medzaro wages and tips 60579.51 6 lA"eceo tax wflhholtl 878.90 106 SEA RD. titax wdhheld 60579.51 10 Dependent rare benefits 11 Nonqualfllod plans D 4514.14 GULF STREAM FL 33483-7427 11 Noncloe'red plans �12a 0 4514.14 Employee's name, address, and ZIP code 13 Soi`"4'rr rix� rh`s. 14 Other Employee'a home, adtlreve and ZIP code 13 = yn,'LOl4 Other 4 TODD E SUTTON TODD E SUTTON �12b a Employee's social security rye. F12d 9 State Employers state ID mmmbar 16 Spite wages, tips, at-. 17 Stale income tax 16 Local wages, ops. etc. 19 Local Income tax 20 Locality name 3y 2—To Be Flied With Empiovee's State, Cfty. or Local Income Tax Return none of the Treasury- IRE u ] Social security tips 1 Waged, tips, other wtnpgp?hon 2 Feedell income tax TI{ 8T. 11 zoom W-2 Wage and Tax Statement 2015 N9 9 1 Employers nems, address, and ZIP code B Allocated lips 3 Socul ¢rso.ns wages 4 Social ¢ecuray tax withheld TOWN OF GULF STREAM We 1. 1545tte Visit ¢e IRs weii.iW et www-ra pabelPc _15516.04 7161.94 100 SEA RD. B g ,�� :. ppss 5 Medicare wages and IS516.04 6 hletllcere lax wrthheltl 4 Social security tax Withheld d'.,, 11 6 Medicare tax .1ti 1674.99 1674 .99 GULF STREAM FL 33463-7427 la Dependent care benefits 11 No rpualified pWns �12a See NSWcfione for bo lZ 100 SEA RD. .,';° m D 9237 .,5 Employee's name, address, and ZIP code 13 $f°"w^' n°"O1r"'' '^10'¢"'r 14 Other 12b RITA L TAYLOR Pn % BOWS 5876-51 G 15500,16 b Employerde Ii .1von no. (Ewl 2c a EmmW 'a social a.,ity nc, ,12d S State Employers state ID number 16 State wages, tips. ate. 17 Stare income lax 19 Local wages, tips, etc. 19 Loral irrtome tax I20 Locality name opy B—To Be Filed Wlth Employee's FEDERAL Tax Return. This mfarmatien is being tumahed to the mtemal P..ewe Sencre- da;is6`Sma Dept, of the Treasury -IRS We 1. 1545tte Visit ¢e IRs weii.iW et www-ra pabelPc r^u mlpmu,en 4 row, Fsrv,.ba Ic P,a t'--. p"— Ani , r — rep . b ,M r ry.,Mm, r � —1 M.rs rxt foci ,c � �1 ] Swat security tips Wages, ural 'the' cog p¢rtsatbn 2- Federal Income tax wi hold ,mm W-2 Wage and Tax Statement 2015 ]J3S 47 1790'.11 Employers name, address, and ZIP coda If Allocated tips 3 Social security wages 4 Social security tax Withheld TOWN OF GULF STREAM 6 Medicare tax .1ti 1674.99 ,15516.04 7161.94 9 .1 ,� 5 Metllcare wages antl tips 6 fAeo'eam tax withheld 100 SEA RD. .,';° m 110516.04 1674.99 GULF STREAM FL 33483-7427 10 Dependent care omens, 11 Nonqualified plans Za pee instmcllons 12 10 Dependent sere benefits EOhVS 5876.5'. 9 G 15500.16 823ox. 55 � Employee's name address, and ZIP code r^Other 12b 13 inm., va',y 14 tt+r x s c 1sso0.le RITA L TAYLOR eONvs 5876.51 1 a Emptyyee'a ancef security no us a Employees social security no, Sud 7 Stale Emp cyoes state ID numberI6 State wages, Iles, etc. 17 State income tax 18 Lecai wages, I{ps, etc. 19 Local Income tax 20 Locality name ply 2—To Be Filed With Employee's State, City, or Local Income Tax Return cies tm. sss,nm u.^mwwa Deotof the Treasury- IRS 2 Federal Income lax wrplhjl6. 91 'arm W-2 Wage and Tax Statement 2015 a9UL1 17 Social security tips 1 Wages, lips, other .7W8 27 7 Employers risme, address, and ZIP cede a Allocated tips 3 Social sacubly wages 4 Sedal secri tax withheld TOWN OF GULF STREAM 2 Federal tcome tax w4phald 91 1 1 52736.65 3269.75 100 SEA P.D, c 6 Medkare lax warned 5 Marl wages and Sp27J6. 3 Social securlty wages m, *r ? 65 764.72 GULF STREAM FL 33483-7427 10 Dependent care benefits 11 NonquaAad plans See mstmatons lar box 12 52]38.65 3269,75 ,F12a 9 p 1 3717.12 Employee's risme, atltlress, and ➢P coda 13 'r XP',`4 14 Olher 12b REBECCA A TEW x BONUS 1000.no Is Employertdontuicetkm no. (EIN) 1789 RIPLEY RUN 12c 10 Dependent care benerds 59-6002370 D 3717.12 WELLINGTON FL 33414a 12d 1-- Empwyee's social secvhry no Employees name, address, end ZIP code 5 Stale Employers stale ID numberes, /8 Emla wages, tips, etc. 1 17 State irrceme tax 18 Local wages fps. etc. t 19 Local incomfax e _I 20 Locality name !opy B—To Be Filed With Employee's FEDERAL Tax Return. This in errhaflan is berg furnished to ha Internal Revenue Senice, sa¢csseal Dept, of the Treasury - IRS 04te N0. 151S9ea9 Visit tris IRS weCsile el Wx'w.lIJ.QJ a i10 itn M_,2'm 'e te^9 Wrsnr N low [tvrtu WVnae Sm,re. II M1V drr rt" �aea G tN x Iv ,eeun. Y q,wly o c[qr Ilrq,.7r r�u b �Scfia a A Nf Rc�.re x ipriCy 4-0 xi 10 rt{pt 4 Social securtty tips 1 Wages, lips. other m li 2 Federal income rax witr i F-7 arra W-2 Wage and Tax Statement 2015 � = 114$.91 Employers name, addrose, and ZIP code a Allocated tips 3 Social securty wages 4 Social aecurfty tax withheld TOWN OF GULF STREAM 1789 RIPLEY RUN 52732.65 3269.75 9 y„, �-,� 5 Idetlkam wages arW pis 6 Medkara lax withhold 100 SEA RD. 59-6002370 5273 F. 65 764.72 10 Depomrent care benefits 11 Nonqualifed plans c124 See instruchi ns for box t2 GULF STREAM FL 33483-7427 a Employee's social security no. k12d State Employers state ID number 16 Slate wages, tips, etc. 17 State Income lex 18 Local wages, tips, eta 19 lt>col Income tax 20 Locally rams Py 2—To Be Filed With Employee's Stele, City, 7 Stale Employers state ID number,,16 State wages, tipsetc. 17 State iecoma tax 18 Local wages, lips, etc. 19 Local 6lcorrle lax 20 Locality name Ipy 2—To Be Filed With Employee's State, City, or Local Income Tax Return aaa N. 1sl440me ss-zoe9ara Dept. of the Treasury - IRS se W-2 Wage and Tax Statement 2015 7 Seder security tips 1 Wages, tips, other nn bon 49021.53 2 Federal income tax withheld 1146.91 Employers name, address, and ➢P code 8 Allocated tips 3 Social aeounry wages 4 Social secudty tax widni TOWN OF GULF STREAM 1 52736.65 3269.75 9 `" ^L' <.+' 5 Mad.uri wages and tips 6 Medicare tax wd".Ic 100 $F,A RjJ, 52738.65 764.72 GULF STREAM FL 33483-7427 10 Dependent care benefits 11 Nonqualllled piano jtzn D 3]17.12 Employees name, address, end ZIP code 13yxeed1'", '^" p 14 Other 120 REBECCA A TEW eDNvs 1000.02 1789 RIPLEY RUN Is Employer IdonV6caticn no. (EIN) l c 59-6002370 WELLINGTON FL 33414 a Employee's social slounty no ne State Employers state ID number 16 Slate wages, tips, etc. 17 State Income lex 18 Local wages, tips, eta 19 lt>col Income tax 20 Locally rams Py 2—To Be Filed With Employee's Stele, City, or Local Income Tax Return sem rw. uno-one sx--;nmwn Demof the Treasury- IRS 7 SOGaI sewri[y lips 1 Wages. lips, other co h II 2 Federal income lax Rh Id =«m W-2 Wage and Tax Statement 2215 1376VO.84 1�§1.55 Employers name, address. and ZIP code B Allocated tips 3 Social security wages 4 Social securlry tax withheld TOWN OF GULF STREAM i18500 Do 7347.00 100 SEA RD •9 y`.�, ."- `" 5 Metlkare wa9as enC lips 6 Medicare tax withheld�ry-,45995.25 2116.89 GULF STREAM FL 33483-7427 10 Dopendenl care benefits 11 NonquaL7ed plans 12a See instructions for box 12 D 10603.36 I Employee's nems, edtlmss, and ZIP code 13 5r�¢xm Bei yr 14 Other 12b WILLIAM H THRASHER x EOvs 5076.51 yy c 5200.00 a Empioyyse's social secuty no. �12d 5 State Employers state ID number 16 State wages, tips, etc. 17 Slate income len 18 Local Wages. tips, etc 19 Local tncpme lax 20 Locality nems :opy B -To Be Filed With Employee's FEDERAL Tax Return. This mthuration is being fumished to the Ireemal Revenue Service. ae.Ineoat1 DW of the Treasury - Ifl5 ola0 IS, 15151%!® V": me IRs webllm et ww.in gowbtlle Rn. aGmgfmr nYec elnnwurS,-a,i"'nr4YN ..-•'«.f +rvrvaro, uMM �. nmcm. neo . .,sue un' Brei a,nw n. ] 506.1 security Bps 1 Wages, tips, other cq n�feennSolio q 2 Federal eIDeme lex withheld om W-2 Wage and Tax Statement 2215 940.04 1531.55 Employers name, address, and ZIP costo 8 Allocated! tips 3 Soral socvgty wages18500 4 Sodal security tax withheld TOWN OF GULF STREAM _. 00 7347.00 9,. -'+,. '. RV N 5 Medicate wages and lis pp 6 Medicare lax w ghh.W 1.00 SEA RD. 14599 .25 2116.89 GULF STREAM FL 33483-7427 10 Dependent ora benefits 11 Noequeli ied plans 12aD a instmctlorelor6o x.36 Employees name, address, and ZIP code 13 un„1°"'"' mer 14 Other 12b _1 x j G 5200.00 WILLIAM H THRASHER e0Nvs 5876.51 b Employer ldenulldaBon no, SIN) 12d a Empldyees nodal secunry rw, �rd I Stale Employers state ID number 16 State vmgas, tips, etc. 1] State iry omo laz 18 Local wag" tips, etc. 19 Local Incoew tax 20 Locality name opy C -For EMPLOYEE'S RECORDS (See Notice to Employee an the back of Copy B.) sue No. 1 1 .266 ss-rrA602 Deptof the Treasury-- IRS 7 Social security tips 1 Wages. tips. orbs, c ensatlon 2 Fedoral lacome tax withheld mit W-2 Wage and Tax Statement 2215 13 9i0. 04 31531.55 Employers name, addross, amJ ZIP code 8 Allocated tips 3 Salol sasnery wages 4 Social security tar withheld TOWN OF GULF STREAM 1 118500 .00 7347.00 8 '�-s .t='` 5 Medicare wages erM4V 459 95 . 25 6 Medicare lax whhheW 2116.89 1,00 SEA RD. GULF STREAM FL 33463-7427 10 Dependant care benefits 11 Nonquahfndf plans 11:lleD 10603.36 Empbyoa's name, adtlress, and ZIP code 13 ,C°„Imo, iej 14 Other WILLIAM H THRASHER 0121, R SXiV9 5876.51 9 5200.00 a Errajoe's 6.1al security no, p12d � 9 Stale Employees state ID number 16 Said wages, tips, eta 17 State income tax18 Local wages, lips, etc 19 Local income lax 20 Locally name Ipy 2 -To Be Filed With Employee's State, City, or Local Income Tax Return aeB m, usxce 1e zrnaca Deptof the Treasury - IRS BW24DWNA 14TF 2579543 7 Social security lips 1 Wages. lips, other cam nation 2 Federal income lax w hald rm W-2 Wage and Tax Statement 2215 '_3940.04 31531.55 Employers name, address, and ZIP code 8 Allocated tips 3 Social security wages 4 Social security I" wfthheld TOWN OF GULF STREAM :18500.00 7347.00 B - 5 Medicare wages and lips 6 Modoem. tax withheld 100 SEA RD. 145993.25 2116.89 GULF STREAM FL 33483-7427 10 DeperMonl care benefits 11 Nonqualilied plans �12. D 10603.36 Employee's name, addease, and ZIP code 13s R. P11°Oe"c 14 Other 12b m" x r�x`-x G 5200.00 WILLIAM H THRASHER sones 5875.51 a Employees social security, no, r12d 3 State Employers stale ID number 16 Salto wages, tips, at. 17 Slate income tax le L.] e.m.s, tips, etc, 19 Local income lex 20 Locellry name py 2 -To Be Flied With Employee's State, City, or Local Income Tex Return as r 1.5 X0,3 laMeesal Dept. of the Treasury IRS Wage and Tax Statement 2015 7 Soba)security lid rurm W-2 Wage and Tax Statement 2015 7 Socal security Ips 1 Wages, lips, other cam ensalion 10]414.27 2 Federal Income lax wNhheld 17797.66 Employers nami address, add ZIP code 8 Allacalad Ops 3 Sixpl security wages 4 So al security tax withheld TOWN OF GULF STREAM I 1185on. 00 7347. 00 100 SEA RD. 9 u y Via:'-"' ,,.v,. 5 Medicare wages antl 28s614. 6 fdedicare, tax withheld 7347.90 61 -�. 1864.92 GULF STREAM FL 33483- 7427 10 Dependent carevbonefife 11 rk npualified plansd2a 500 tnslmchons for lots 12 4,„ry yr ^7.a tr 128614.61 1864.92 C 225.16 Employee's name, address, end ZIP code 13 m, 1._"'„1° x 14 Other 12b0 GARRETT J WARD Bocvs 5876.51 9671.56 to Employer idenatication no. (EIN) 12c GARRETT SWARD a Empmyee'a social security he rt 2d 9 D 9671.56 12d a Empb 17 Slate incase tax 1B Lpost wages tri g its, etc. 19 Local income tax 20 Locality name State Employers Mate ID number 18 Stale wages, flies, eta py 2 -To Be Filed With Employee's State, City, or Local Income Tax Return oMa roc. I,uwxe aa:ovxm Dept. of ifw Treasury - IRS ,n W-2 Wage and Tax Statement 2015 7 Social security tips 1 Wages, tips, othertearpensakes .13404.27 2 Federal interne tax wNhheld 17797.66 Employers nems, address, and ZIP code a Allocated lige 3 Socitl secunty wages 4 Social security tax Orland TOWN OF GULF STREAM 1185o0. 00 7347. an 100 SEA RD, 9 '� ' "�'�,��' 5 vierire wages and tips 6 Medicare tax withheld -'-`w' 128613.61 1864.92 GULF STREAM FL 33483-7427 100ependent care benefits 11 Nonguall6ee plans 4120 7 C 225.16 Employee's nartre, address, end ZIP cope 13 $eO°`"v X1°"1°'" tNitlq°"r' 14 Other tib "+°° w,t I .x+wv D 9671.56 GARRETT J WARD BONUS 5876.51 a Employee' State Employers state ID number 18 Slaie wages. tips, etc. 17 Siete i.a tax le Local wages, tips, etc. 19 Local ixane tax 20 LncaNty, herne py 2 -To Be Filed With Employee's State, Cry, or Local Income Tax Return out Nu sIr. zo_�,, Deal. of the Torasvry - IRS TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail April 5, 2016 Courtney Cunningham [mail to: Florida@openthebooks.com] Re: GS # 2151 (Public Records Request - Sent on 3/31/2016) An electronic copy of any and all employees for year of 2015, (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. Dear Courtney Cunningham [mail to: Floridaaoyenthebooks.coml, The Town of Gulf Stream has received your original record request dated March 31, 2016. Your original public records request can be found at the following link: http://www2.eulf- stream.ore/weblink/0/doc/86064/Pasel.asl)x. Please refer to the referenced number above with any future correspondence. The responsive records for your request can be found at the same above link. We consider this closed. Respectfully, Town Clerk, Custodian of the Records