2019 W-2 NDC Services Inc
2019 W-2 NDC Services Inc
2019 W-2 NDC Services Inc
90
2 Fedetol incometwc wrthh&ld 1 Wages, t ips. other comp 2 Fodera! ncome tax wrthht,ld 1 Wages, tips, other comp. 2 Federal i1com• tax withhClld
1 Woges, tipo, olhOf comp.
57041. 58 3536 . 58 57041.58 3536 . 58 5704 1. 58 3536 . 58
3 Social security wages 4 Social security lax wtthheld 3 Social security wages 4 Social sacuMty l ax w~hheld 3 Social secunty wages 4 Social security tax wlthheld
7 Social security tips 8 Allocated tips 7 Social secunty tips 8 Allocated tips j7 Social security lips [a Allocated tips
11 Nor>quallfled plans
' 12• 11 No n"uallfiod plans 12a 11 Nonquali fled plans 12•
12b 12b i12b
13 S.tt"lllef"y
13 S~t~IOIV
~
l'lor..,..nl
loen
~'I)'
1•c1ct.eY 12c
f...,lo!V
13..-n4,.., r.o,......,.t Tl"lto-o,vrv
.. I to•- -.,~ 12c enl)I~ I r~w.,,,.,, I
otan
Tht-D-party
a,ci( cw,
12c
12d 1 12d 1 ~
14 Employee's soelal securtty no. 14 Employee's soelal socurtty no, 14 Employee's social securtty no.
559-84-7155 559- 84-7155 559- 8 4-7155
Employer ID numbe< (EIN) Employer ID number (El N) rEmploye< ID number (EIN)
83 - 2886862 83 - 2886862 I 83 - 2 886862
c.... 1eor,.,o1
\".orllool 00583800000 1001 005838000001001 OOS83800000100l
r'lllfflb•· "-'"'""' ~
Janet Cummings L Janet Cummings L Janet Cummings L
4286 Caugh l i n Pkwy 4286 Caughlin Pkwy 4 286 Caughlin Pkwy
Reno NV 89519 Reno NV 89519 Reno NV 8951 9
~:,l(·y,M'ln-"1!#li00,..._4'Yl i:IP~h.:k E'Tr,J?,-.,ci'l ..~-."'O rxtm. ;11.:S ;,;10 c:-Xl'I U'T1~t-'lna'flot rdcil"lU.r>d llP rcriO-
15 !=It irrr,1,~•.,.11111. nu ll"<Mf 16 '.=•iU.,w•l\lll'I 1(,,..,., 17 ~1><111 h'("J'Tla l ct~ 15~• l ftt11Xy,i,'11'1it,Ulf'11111'1'~·"' 16 :',f•~ -.~,._ ..l'\Cllr 17 ~....1.. ••)J·•~•t'<J: 1s.,• lr-'Jlf~ ...'11111f11U)n,,.,.~!..... f16.r.1.T.....~ .,.._,.i,, l 17 ::\t1o1e,rt,tJl'"llrM"I
181.,o,.11,,,...,.,.~..t: 19 l«ll 1ncomttP" 20 ux.....,11#!1• 18 -..oea- ""~• llP'l ••~ 19 t.c<•""¢'11'W>. 20L«IJll•f"lf'l9 18 ...xllwt,)l'\,1:-t •1c j 1 9 Lo:ttir11;:Qn'l♦ till' !20 toc:•'IY"''""
Wage and Tax Statement Form Wage and Tax Statement Form Wage and Ta x Statement Form
CopyB Tl\til'1,Jrrr.11Jc,, lt1;41"1~ IV'l"W'Jhtoto 'hf JI•~
W-2 Copy 2 W-2 Copy 2 W-2
To Be Flied With Employee'•
FEDERAL Tax Return. 2019
To Be Flied Witt, Employee'• State ,
City, or Loeal Income Tax Return. 2019
To Be Flied With Employee'• Sta1~,
City, or Local Income Tax R4itum, 2 O19
cue t:r.; 1$4~.(l(l:t 0,,,-.ArLTl.nlottl'MTtd!'II.J'' ••t',I -r'Y'l.. fi.w.tL.4~. ('11.•8 '"" 1Sot-:..0/Xle Oc,.arm.r,1 .:i11~.. 1rwful'I, • n•.-r,111 Ar-tn.11t S.,,,.,,::. ~ i .:i 1,4u1oc.e ~wran1or1t--aT·. 1?"Y ~r-i.m.1Rw.-rut!ltr.1c.1
~~~~~-::.'~t~·s~~r~;~~:~~:
!So• 6, Y..ll.l '""" l oi!-r""..... t,(l l .)ll!P1"1 t~-tJ1rTT11.n1n, r ........ ~ . A u1~)r"wl ..lfto hCIIJfl ·1e·(
5704 1. 58 3536 .58 S.it th• F<.,,.. •O..:t 1r,1't'l.lDtl(ln, I(" ili•111n1<w 11 ~Ou •1•rt4mtd to oorrc,lt,11• Fum tl"'1l
lo• f. Th!I SJTIC,r,,j"I! 1no1Yc4;i; ,,... l . , ... MeoJi-:-•·· T.... !Mll'tl.lJ {If', & u.~••
·••i•J,i,I ~
3 Social ....:urily wageo 4 Social security lax withheld tip,, 111,own 11'1 b,ex ~ M w.i•
W.,o-"f 11'1db11'1ilt'(;¥01100.c«t
••U'I•
O QM, A:kltDonal ~c.,.. r.,, C'l'I ,~y of m.,....
M.dt"lf•
••.>01inoor.,.qi.•Wfl(fn"•
:.:!~nt~~~jo.,i~;;~~~ t~:,~r~:r;:~.!!":~~~~=~n'f!,!:~•~!:;\'
57041.58 827 . 10 Bo• I, Ihle i:.r.o,,,,,1,..1 ,i,ol ..du..k••J 1n o,:,;.. i. 3. ~ (~ 7 S:u ,..,,,,,,.....,,°'' "" h'I'" 10,f-1<:.tl u1•• S""'1J'kO!uflta(HSAti
or, r'QIM 1111<.ret.im,woyM f 7m1o.&010. .vt,iii:-•i y_ o,,1..,..1, IJl"de> • ...-;,t,on 4.00,l,1'('1,(lu,lill~~I~ ~I.Cl(o'I !)'li"1
5 Medicare wages and bps 6 Medicare t ax w ithheld Ve,., ff'fJU '-ef(-(fT", 4131 $(<Ii t.cui.iv and t/.•:k•• T"',:t\ u-,.c,:,n4d To nee~. Z-tl"'CC«leUrlCIY &rl"ll'l(»1h~ dPl\1flod o,:irrr,11t1""1()1' (:Un lft$ 18'.8 IO 911~'\' IM#.ion
~r..T'41''\M"'II «Dr.,. llfll!l?IPC~
With 'ftolJ' ! f ' I ~ tt.-.; ~-..i•r, It" r«)(lf\ tl Nll N 111,)0IMld DC) "lm:U,, I U"IIIN )'C'-1 CS."t ~ " 40'.)o\. no lfn(lu".I J[L)n11•ciu~.ibt,.,; I tt111tl.b,101 •o.,..1dowonilll ~'OtEil4":PII.II
L"•I yc,.,,~111...ode YT'.Jcl1V l"""CUl'II l~c-.i l,.i-r•o,)fjii th»l1'10w1he1t~l.t.ia'Y'll:iunl0f ''IJ"II ,,.,t,,,,(. . S-'h•ftW'll.).10.,,l!llrvct<.nt
YWl""••VW ltlpVI lt1"1 WIIU,Pl"""dfl ,, 1,i1ru111 lfi.-U11111 l'"' ,Oood\f'IJ bp~ (.lr, Furn
NDC Services , Inc ,U31. )o'.llJ1,1odNlol'4!11• t •t(Wlllll IIW'll"•ty _,d ••'-dQA,.10."'Allild•~ lhaal-x,ara1 lea
M-DM,igr,~td ~ O)nlt l:vz,..:,n,urd., ,ato:"DGl'l41l'Jd p...,
88-0~ Rech OCY1tnbJ:;.m, lfldo;,, • NOt>on 403i,bl $n
4 781 Caughlin Pkwy lhoW"ICl'l')'C.U•f'orr"N,t11W·21hMV!)U"">tl f ~ t ,n1r~snd ,:,nolh•tc:•i·v-,u01d MI
Reno NV 89519
~~~ ::~~.,::1::;7i.:J~~?i;,'!':~~7..,1~::oil.•CUI ...., ~ ,u1wl!blitori11~jt(''f(M.I
OD- l,.o~• ,ii ,.,-,-.-Y1 W•'il..'61'1,i,:i,~ ~It- OoJll'jlljflD" Th• ~ t t1 i:i0tted ..,;1h coc:11 OD
i• t'lol Ll.1.■bl•,
Bo• 10. Tt••IITC'inl 1rt'v-1M rt-a »1tl ~ • oa,~l'..Mlf"n n.at •,our ~ e r pa'lto IEIE - l 'f-'"IC)"M"'1 H.-.rh '}{ll'"f!INJl.,Y\11 .nri,,r ,1 ~-""ffMr''..,...IM ,..,1......, .l"i?jl ~ 1 I~ TlliA Mft •• lfl,1
d¢.M ~>t IPPY 10 o,or,ior.uttOfl•un,.»f 8 lLX-fo:w,,pl Of?ll"'uton t«lMln 457f:,fpl,an
r;;,~,.;~~1~-~~~!::~Y6"1~~:fu~:f~~~~~IJ~~hJ~ F'J'- :>..-rn1!.id t,li,n,i#1tividlr11 ou,llr,.(ien'llll4tlTlf.ilt-,¥1"1. .::itlNH"'tlU"Mml9f!o!WTiJIQll!'!'IIN
(',o,g~,1"oor'l1..u1UIJ."'Yl~t4<1,or,,jfl{fll,.;C,.'lt),IC,,mi;,,,l(l)O ao-lnOO'flO!r?""'Ql>.it"o.1.-:1v.tvoior••11~ ~,i;i,aa;,J
7 Social security tips 8 Allocated llps 8o.i 11, !h,11tfO'•"l--;tfJ1,tp)flf-(4.r tC" l •1• •').llfh1"!),,.ll(ft-ic,1)y'lo.l "'On'.'• Htt- Aotf.,_...,~c.,.,,,-1111\lrdo" ~..-een aa(•ltt.ct~,,.,eiau ltiectY.1111 c1~•-:o.Jw•J.JI Y"'
~-~~-~~~l.C~n~.!~tt,: ~=:r
n:>f'IQl..:11,~~ ~•1"i:,~~en'Vlnl'.II" i:ir ~• .,.~:s, ~~c-n ~rt,) P:•"1 crM•-ict,Qtd
ll'l~l'.11:'JN'ldln' ~ 1 11aaonor '/N'/I t1,ol1nllu1'11oraro-o,'f!U-idor ,,.'11(,:, 4 571bl 1ur-
liiatbo<J.l'1'0 1.i..wbi.) 1g1 ,:,oc..-. o.»,•1..- O"<I \fo.S:,-.ow.....i. •1••YII""
1A~~1111•..,.11•~••<> ::;~:lt~~h;~:;;;~1;:
~!ft'.-,w)I A••at1~...,1•1IAA1f
!.) •·t
10 Dependent care benefits I.:,~.,,,, 11111.•l't•••f!I~ ! 4,. Jf [,)11..IUIPC•t '.f')..;1 !>J'I l•l'.t+.I i.ter1t••J ~mt,u1t 1'1'11t1h:,J "'°'•~l't
bl, ua~•f yc,,hld adl,6errlf ..,., 1 dt1"1buKV"'mM,.,IWT1"otl..,,,dl• y,e.v M'f")l,lf'l'lld• fl !lot. 1"- Fn"f)lr,,._,,,.,,.y u:•11!11;b'l1> IOf'4>0i"t•r.Jc,ltfllilO'l ~ ••11t1J6..b#"t ..,.,_._._
def,;,•,t ,r-:, ,-.;-"Id• d.1'".Nt•O"'P"' ~ ........ ~""'l.111fyW •rd yc,u ••or
D~ TMO'lC , , ~e.Y..-.d.Y'l'IJIY ,.,,,.«TTJ:,y,;r,;l,,:),.,ldkoF,.c,,,...SSI\ l:,'!:1,ll"ll).,,,("' ~1•
\I.I! C.•o-te.2
~11c:r:;:~.!!,=.~~~-~~,.~i:~.:·~~~~.":x9J~~~t':'d;:~=~lld
11 Nor>qUnlfied plans 12• QI t p-...l W:,..-,.P,iym.,r.t, ....,1h .,.. ~0,."1(1 S.,:U!ltf /clrr, ·•~lt&:ltfl 61'10~ fl-~O.... ~va,
,,.r
P•eanall" dowanoa •f'ld utih:.1o1 Arlll1o«1 ,tlTOO'J•.-a UM thtt bo;., !o l'OPQrt ,,...,o'°
1 r.o. Tie, ~ Ill>(. Maaa..., .. 1.n. ,11'1(1 AtUIIOl"III
~~,,
80,: 12. Th•fchc,,,,.,r1Qhl •v.i,ltt..,• ih• C"»"tho""""1r, ~ 12 Yt,ul""..yr...:;IU.t (OIJl'lltl"lf(JI tm1T.\I C",(mo(lnMUOn,
t.'t>a~c, f,t~ lt'!';lwdOIIIJ"'lf)C)CIKrdt,y~o,rrd{yo,,tolt,c,t'l'Tf>IQYO.n1111l1oo,d•tr11teo'lv'II
12b 1nrco'l"111111Ct1 ,a:-omr••~YW ts,.1.t.Jn Eiecc..,.,:ie'elr•ar.cc<SN('I.E Frid~ av.! (FIRTA,l(ll)trl·~l,,71
d,t,;;i)'"l,I~ Rot,ocn·rbuu1n1!000"N M CC.--~(() 1,.l'C.- Ml i:U•11 ••9""<1114:l"tWnted
13b1.nah:•~ ftro~•y l•J• lo)l.4 •Jf f tWOOOifl')0)0,1 ye..-.. tr";"t1...•!f ~tl.A"t.£ i,ldnit l,:,(,OfX)l,,i ~l'-'1 <Mll_O.~ Nol• : K.,..:, Ccpy C of Fu!"nW-1 l:.w 111 l.01 3 y•r••fteir Iha :ile det, b' llngy01.11
.....
~••••~o1111 12c t'l•m 1fyi:w.1QU111••tt f(" lh• 1!>-y. .r1i; "'""Jll•-,.-i,r ~ 571). l)fl!',i,r.,1..~ Ol",O.,G.,·• 01-.1·•.-. 'II,){ ,rt1,1" ►tn_.r, hl hiN;) protect ,our l oetll Hwtlty boneht, ~MP Cooy C
-..rtr.J:-'r
!wn••d ~1,1'.1.000 0.1_.,,.i,urwj-, (UWIH .a:e :rnoLedtc,tr,OL< .Y Ill yw tfQl'I "eNlf\l""ig ,ooet •OJf'lly bNN,h'.I 1,13' lfl t'II• f'I•• 1:t O -,..IOU?l'I •bc)l.1 '(OUf
1 12d . . _.. •fyo11 -•.tll111111if AQlltlC,,., ;,o·g. Y""' ,.,..,p1:l.,
ull:f
f tOOJ(ll.XOt,.; 'IQC'KO 401(1, 'I) i11'!.l•~S.O.oll>L£11lf1"'11
.-Jc1t1~11-.1lclllf,t111111
,...,,.\r.......
t,.....J.-, w(.l'o" 1411X"'¢ tr"dr'(I ... 1111'1.,:t il"I t Ptf~OIA8f yNr
Janet L Cummings
'"""" A.-!,"A,Ol)t,toW.hO·'>tl "'°"l'lf)'CV ~~TA.•fN.:-' lf't ...,..,w;k,t'rttt..,.')r F-;1m l(M,!) 5-, fhe
:~~:=f~.~~;:Z~-~•.,~=~";,~}i1u:-:!"~~:e'f!,~~9
'81li•biitw refundld '°"°""' bul01ly
F«n', ·C4U M-Q'u/;.11!,tll
...
8- l► ot·'Nl;t.dt,.,lo111k•• IIO> c·nl•JIII ► ◄IIQOO ~ ,,,. a>1tw1f lfmlOJO f",...., ,t,• ru,1, •(1• 0 Wo,r-,..(t.,,jt 1,,, , EiC .... , i• mo,• 11,.,.)'0IM i9
4286 C aughlin Pkwy ~!ll•JCW)rl I f YtlU fll• e tH flb.zfn,
Reno NV 89519 C- '.-il'111.V'.ol :;,I 'Jt.UI..L<ll JUlJ.., _.,ltU,d1l.¥1.."""' f,:;,., OOO~ndu,Jo;,O,..,b~·~w 1. 3 t,1t, l·)
#'lo .. -.a,,,~.,..;;,. b ,W,. •r,,d 'i} ~:;:1=d~~1~tt•~~~:~~~~!.,~:;::.~c.'~:,:.~~;-;r,, Md
llol,gicu• 'N)f~.. 9
0-Eleoa-.. CIM..,.. a '0 t l«X►:IA , 014'() Otllt'I Cf dlll lfJ•d ..,..,~ , ~9'.'lf'N>..:lM
,..,_,.,titton.l~ • Sl~Pti rwtMff''"""' tlo'"OC~I< t t"><II •1' l'-MI (.! • 11o,..-J~ll'l ~01:1.., Mrll"g;11·,,..-11 C«t1cltone.. llJ"l.1r ,,..,,_ O:.'\N u •la.,••~ ,,,..._-,,,..:t,eo-,..ct.Ctl•i-il:8,C #'O 1 ...,1 Mli
E-t*tr•• otleri.tl,-U'\OII' • M".11(.fl -'OJtit NWf 'lt'OIClt•'71•'1'•""'..,,t ~ourernc-cytr IOCQrl"i!'Oly(.IUt tn'IPO'Y""'t"l t•:Ofd 9eM•'A>··~~~,.,. IOfieF(-('11'1
(ml)IQy.ttn-lll'• tQl:ha.•rld llP~
F-~YU<.k11.1r.-lf:ld,.t( : . ~•Jf14~tc,llltllfll\•oi!Ouc9'lf1SEP ,~-~1~~~,!,~~./~;fJ~~~!:=!is:"~~nf!~~,~
1S 9t lE111~~"'1otlll.• IClfl,fr'otr 18 E-,,v.,i,,ragia1.•,.. eic 17 s 1vr.lf'f:"CJl"'re 11l,( G- EJ♦i,,c 'YI .s.flltrH tnd MIC'li(<rtl' ('¢1'111ibo..DOf'II tn,),U:lt'IQ l"ltf't~~~ <Wll'r••' t ~
MCtt.YI 4':lf'J:ldaWledCC~ ' t O l ' I tl!W)
H-Et.,bv11,.......,, ... J1('r A · *~ICf't 50t~,x·'l:Pi l.8,r~.....,.-p4 f}t"Jl'l'l•f~t ()'l r'""'' E,.., ,..., Fo,n,
8
~!; ::.~~~~r:~:!:'·~~t~~=rt~:
~ .,,,,.,.., t::n ) Ollf • X-MIM<:Ur,r,ca"d,
:::~~~~;1::..
3houldatl,; tor • ~- oe-dthtt i:hO-r,)Nr i>errtet
~t"OU
1t-60,rn;1~0•>11lorh<w 1od-to«• t'tN"l'ltl·l·I')' SSA0ftlOil!i Yb)'C-llllll'oeOJ·TT2-IZ13 Youallorrl!l)'\t!JI f'e'SSA~ t...
J -N,J•1W<11U• .,.,.. p.f1f ♦nll>',,...,,o,, uiy, 1'1(11 incl..dr!J 11'1 b;M. 1, :'.'a u '5;
K- ~ ,-:..o-
i.., :,n ~ • ~10♦!\0 ..tr'ftll~Dl',T"..ril'I SMtn•Fc,m •1,,4'.)1rn;..,C:IQl"II ~ : - : - , : :.,.,,,lll)Of'ltor•dl,,o•llhCOIIM•I• JI wet! oo•tiepro'fidt.d b,-ltw ~
18 Loca1•,iot,5- l'P\•t· 19 L<.c'.~•ntOl"'OI 1M 201..,:,.:••tl,,.,..,. L-S.Jbtlrt:.t·.d M ~ b ~ il".CMMl~'"'~....nf\ont,:,.,ill'tlof ~~e-!:1;,1~,~~_,t>,:ri!!,:'J:,:.r~:,~~:!i(,~ ~~~»:~04 ~
M - IJ'lc>')loi,cteti-8'>'.,II MC,fl•~ CV f:AT,.l, '4e\ Cf\,..,...,.. .. l'C'II Cl '7:Up•·erml,lt, 11'1..............
.=:
1eubl.,
f~';~~ ,~•:::i1 :,torldl1:',•,;~~r~:'"~~~~•
ry.~f!JC• i)X•(~l'ntf !•lrli•>v~O'lt,1 6tt-1hof·um ·t ..CP1M11J ~IIO"'
M-ll11c:,)lf..:;1.,._j ""-'.J,,-..i,1,; W ( f l 1Jf~<~•V•X'81->I '7.JvO•!l~m 11tt ,n•,1,1rQ11np, u..;,, ,,;o I)',() ~~ :;,~::;~, 0,
1'(.,,...,._.rri:t¢V..,.,o,,i,.) S..11,,t Form10.o.111rv.,oon, • 'fC"U r'Wf bc,"°'oto C,.:■11" • or«:hl lo,
!tr GICCC'IN•Qa-nlll j'Oll li!-dlrlJ ll'OOMo> '4'C. lfyo.,ill,:d
Wage and Tax Statement Form t-;;~.~lr':~~•t~~u:~:~,.:~.r~•• C-•d O • ~ 'O 11 1--rti., ,)4 •he U ·~ '11(-. . tMn r)l'111•t1fOIC"" I l!'rt'Oh)),.,. #'tri 1m,· e rhenf-' ~ 30 ,n flt!"~ l=Fll\!4A w . . w,t,!w,ld,
,..,.,. IIX'~I bt ,ti&.,,,,:'•"' t Ol'ldr; S..ywr form l(MO .-"J\l'Ue'e(,r-•Wld M. -:£6. 't.o..
Copy C - F<>< EMPLOYEE'S RECORDS ~
W-2 0 -:1.Yi~til: 1,.. c. fl'lt);IJ OAw S.... ••• 1,nuei..:i,-.a1.:,, ~etm 1~:.i i,. .~ills c11 'l'l>"l'tu~
lt111,.,.....'(trt!
W111'1t,,:i1,:i,.._..,,,r,;es,.-.i.,(!Tet
1l111~_,.,111»-11qUA!tlotditi1M llfl lfy..AJ.-ef,aq.. e,1
1ror,110
1t,IJee 1.- ·etun on.i;,~..-r•P«l-lli')«Nli9! M'1Cllo•IT'i," be
lf'l'p,.ail,toCOll~_.,.. ,..,-t.n'•••r.a.t.b•...-t1)tu rw· to ,eoaz 11 2019
"'"..-n" i.v,,.,,,,. i:.........,
A-Emc:1.o>ilif con1re.. ~•)ul /v~er ~ASA F:~c,1 Ot'I Fui.., t815J. Al,;:h., ._t'3Aa:a"ld
LUtg--•mCa,-. tn..,ranr. Cllwaot, ~
()M.l~•~.,.flt\"-11 rJllft!ll'""trc ..,, •!'le it""1"11tv-
"'
I=
z