b
33333
Kind
of
A
Record Copy
a Control number
941
X
Military 943
For Official Use Only
OMB No. 1545-0008
944
Kind
of
None apply
X
501c non-govt.
Aatrix Rev. 10/15/24
Third-party
sick pay
(Check if
Do Not File
Hshld. Medicare State/local
Payer CT-1 emp. govt. emp. Employer non-501c State/local 501c Federal govt. applicable)
(Check one) (Check one)
c Total number of Forms W-2 d Establishment number 1 Wages, tips, other compensation 2 Federal income tax withheld
1 345600.00 120960.00
e Employer identification number (EIN) 3 Social security wages 4 Social security tax withheld
20-1853241 168600.00 10453.20
f Employer's name 5 Medicare wages and tips 6 Medicare tax withheld
IWI VENTURES LLC 345600.00 6321.60
7 Social security tips 8 Allocated tips
5352 KING JAMES WAY
10 Dependent care benefits
STE 200 9
FITCHBURG WI 53719 - 1700
11 Nonqualified plans 12a Deferred compensation
g Employer's address and ZIP code
h Other EIN used this year 13 For third-party sick pay use only 12b
15 State Employer's state ID number 14 Income tax withheld by payer of third-party sick pay
16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax
Employer's contact person Employer's telephone number For Official Use Only
608 216-9229 0 0 0 0/1048
Employer's fax number Employer's email address
Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct,
and complete.
Signature Title Date 04/07/25
Form W-3 Transmittal of Wage and Tax Statements 2024 Department of the Treasury
Internal Revenue Service
Send this entire page with the entire Copy A page of Form(s) W-2 to the Social Security Administration (SSA).
Photocopies are not acceptable. Do not send Form W-3 if you filed electronically with the SSA.
Do not send any payment (cash, checks, money orders, etc.) with Forms W-2 and W-3.
Reminder
Separate instructions. See the 2024 General Instructions for Forms
W-2 and W-3 for information on completing this form. Do not file Form
W-3 for Form(s) W-2 that were submitted electronically to the SSA.
Purpose of Form
Complete a Form W-3 Transmittal only when filling paper Copy A of
Form(s) W-2, Wage and Tax Statement. Don't file Form W-3 alone.
All paper forms must comply with IRS standards and be machine
readable. Photocopies are not acceptable. Use a Form W-3 even if
only one paper Form W-2 is being filed. Make sure both the Form
W-3 and Form(s) W-2 show the correct tax year and employer
identification number (EIN). Make a copy of this form and keep it with
Copy D (For Employer) of Form(s) W-2 for your records. The IRS
recommends retaining copies of these forms for 4 years. When To File Paper Forms
E-Filing Mail Form W-3 with Copy A of Form(s) W-2 by January 31, 2025.
The SSA strongly suggests employers report Form W-3 and Forms W-2 Where To File Paper Forms
Copy A electronically instead of on paper. The SSA provides two free
e-filing options on its Business Services Online (BSO) website. Send this entire page with the entire Copy A page of Form(s) W-2 to:
W-2 Online. Use fill-in forms to create, save, print, and submit up to Social Security Administration
50 Forms W-2 at a time to the SSA. Direct Operations Center
File Upload. Upload wage files to the SSA you have created using Wilkes-Barre, PA 18769-0001
payroll or tax software that formats the files according to the SSA's
Note: If you use "Certified Mail" to file, change the ZIP code to
Record Copy
Specifications for Filing Form W-2 Electronically (EFW2).
"18769-0002." If you use an IRS-approved private delivery service, add
W-2 Online fill-in forms or file uploads will be on time if submitted by "ATTN: W-2 Process, 1150 E. Mountain Dr." to the address and change
January 31, 2025. For more information, go to www.SSA.gov/bso. the ZIP code to "18702-7997." See Pub. 15 (Circular E), Employer's Tax
First time filers, select "Register" ; returning filers select "Log In." Guide, for a list of IRS-approved private delivery services.
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Black and White Form W-3 (Revised 08/24)
