a Employee's SSN 1 Wages, tips, other compensation 2 Federal income tax withheld a Employee's SSN 1 Wages, tips, other

Employee's SSN 1 Wages, tips, other compensation 2 Federal income tax withheld
492-88-3949 18706.78 2347.85 492-88-3949 18706.78 2347.85
OMB No. 1545-0008 3 Social security wages 4 Social security tax withheld OMB No. 1545-0008 3 Social security wages 4 Social security tax withheld
18706.78 1159.82 18706.78 1159.82
b Employer identification number 5 Medicare wages and tips 6 Medicare tax withheld b Employer identification number 5 Medicare wages and tips 6 Medicare tax withheld
43-1190791 18706.78 271.25 43-1190791 18706.78 271.25
c Employer's name, address, and ZIP code c Employer's name, address, and ZIP code

ROBINSON MECHANICAL CONTRACTORS, INC. ROBINSON MECHANICAL CONTRACTORS, INC.

2411 WALTERS LANE
2411 WALTERS LANE
PERRYVILLE, MO 63775
PERRYVILLE, MO 63775
d Control number 7 Social security tips 8 Allocated tips
e Employee's first name and initial Last name Suff.
DANIEL J MOREHOUSE
e Employee's first name and initial Last name Suff.
240 SHANGRILA EST. DR. DANIEL J MOREHOUSE
FENTON, MO 63026 240 SHANGRILA EST. DR.
FENTON, MO 63026
f Employee's address and Zip code
d Control number 7 Social security tips 8 Allocated tips
f Employee's address and Zip code
9 10 Dependent care benefits 11 Nonqualified plans 13 Statutory Retirement Third-party
employee plan sick pay
14 Other 9 10 Dependent care benefits 11 Nonqualified plans
12a

12b 12a 14 Other

12c 12b

12d 12c

13 Statutory Retirement Third-party 12d

employee plan sick pay
15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax
MO 11641941 18706.78 730.00 MO 11641941 18706.78 730.00

18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Form
W-2 Wage and Tax Statement 2014 Copy B - To Be Filed withDepartment of Treasury-Internal Revenue Service
Employee's FEDERAL Tax Return.
Form
W-2
Wage and Tax Statement
2014 Department of Treasury-Internal Revenue Service
Copy 2 - To Be Filed With Employee's State, City, or Local Income Tax Return.

a Employee's SSN 1 Wages, tips, other compensation 2 Federal income tax withheld a Employee's SSN 1 Wages, tips, other compensation 2 Federal income tax withheld
492-88-3949 18706.78 2347.85 492-88-3949 18706.78 2347.85
OMB No. 1545-0008 3 Social security wages 4 Social security tax withheld OMB No. 1545-0008 3 Social security wages 4 Social security tax withheld
18706.78 1159.82 18706.78 1159.82
b Employer identification number 5 Medicare wages and tips 6 Medicare tax withheld b Employer identification number 5 Medicare wages and tips 6 Medicare tax withheld
43-1190791 18706.78 271.25 43-1190791 18706.78 271.25
c Employer's name, address, and ZIP code c Employer's name, address, and ZIP code

ROBINSON MECHANICAL CONTRACTORS, INC. ROBINSON MECHANICAL CONTRACTORS, INC.

2411 WALTERS LANE 2411 WALTERS LANE
PERRYVILLE, MO 63775 PERRYVILLE, MO 63775

e Employee's first name and initial Last name Suff. e Employee's first name and initial Last name Suff.
DANIEL J MOREHOUSE DANIEL J MOREHOUSE
240 SHANGRILA EST. DR. 240 SHANGRILA EST. DR.
FENTON, MO 63026 FENTON, MO 63026
f Employee's address and Zip code f Employee's address and Zip code
d Control number 7 Social security tips 8 Allocated tips d Control number 7 Social security tips 8 Allocated tips

9 10 Dependent care benefits 11 Nonqualified plans 9 10 Dependent care benefits 11 Nonqualified plans

12a 14 Other 12a 14 Other

12b 12b

12c 12c

12d 12d

13 Statutory Retirement Third-party 13 Statutory Retirement Third-party

employee plan sick pay employee plan sick pay
15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax
MO 11641941 18706.78 730.00 MO 11641941 18706.78 730.00

18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Form
W-2 Wage and Tax Statement
2014 Copy C - For EMPLOYEE'S RECORDS. Form
W-2 Wage and Tax Statement 2014 Department of Treasury-Internal Revenue Service
Copy 2 - To Be Filed With Employee's State, City, or Local Income Tax Return.
This information is being furnished to the Internal Revenue Service. If you are required to file a tax
return, a negligence penalty or other sanction may be imposed on you if this income is taxable and
you fail to report it.