2020
W-2
and
EARNINGS
SUMMARY
Employee
Reference
Copy
W-2
Wage
and
Tax
2020
Statement
Copy
C for
employee’s
records.
OMB
No.
1545-0008
d
Control
number
Dept.
Corp.
Employer
use
only
0000001599
VVX
MR7504
MYE1
A
50333
c
Employer’s
name,
address,
and
ZIP
code
HARRIS
GLOBAL
COMMUNICATIONS
INC
1025
WEST
NASA
BLVD
MELBOURNE,
FL,
FL
32919
e/f
Employee’s
name,
address,
and
ZIP
code
MARK
T
HAZEL
214
WHITTIER
ROAD
ROCHESTER,
NY
14624
b
Employer’s
FED
ID
number
a
Employee’s
SSA
number
81-3657805
XXX-XX-0131
1
Wages,
tips,
other
comp.
2
Federal
income
tax
withheld
58373.50
8815.71
3
Social
security
wages
4
Social
security
tax
withheld
63097.68
3912.06
5
Medicare
wages
and
tips
6
Medicare
tax
withheld
63097.68
914.92
7
Social
security
tips
8
Allocated
tips
9
10
Dependent
care
benefits
11
Nonqualified
plans
12a
See
instructions
for
box
12
C
140.98
MARK
T
HAZEL
Social
Security
Number:
XXX-XX-0131
12b
D
4724.18
14
Other
182.22
NY-PFL
12c
DD
5611.58
214
WHITTIER
ROAD
12d
ROCHESTER,
NY
14624
13
Stat
emp.
Ret.
plan
3rd
party
sick
pay
X
15
State
Employer’s
state
ID
no.
16
State
wages,
tips,
etc.
NY
813657805
5
58373.50
17
State
income
tax
18
Local
wages,
tips,
etc.
3879.81
19
Local
income
tax
20
Locality
name
¤
2020
ADP,
Inc.
PAGE
01
OF
01
1
Wages,
tips,
other
comp.
2
Federal
income
tax
withheld
1
Wages,
tips,
other
comp.
2
Federal
income
tax
withheld
1
Wages,
tips,
other
comp.
2
Federal
income
tax
withheld
58373.50
8815.71
58373.50
8815.71
58373.50
8815.71
3
Social
security
wages
4
Social
security
tax
withheld
3
Social
security
wages
4
Social
security
tax
withheld
3
Social
security
wages
4
Social
security
tax
withheld
63097.68
3912.06
63097.68
3912.06
63097.68
3912.06
5
Medicare
wages
and
tips
6
Medicare
tax
withheld
5
Medicare
wages
and
tips
6
Medicare
tax
withheld
5
Medicare
wages
and
tips
6
Medicare
tax
withheld
63097.68
914.92
63097.68
914.92
63097.68
914.92
d
Control
number
Dept.
Corp.
Employer
use
only
d
Control
number
Dept.
Corp.
Employer
use
only
d
Control
number
Dept.
Corp.
Employer
use
only
0000001599
VVX
MR7504
MYE1
A
50333
0000001599
VVX
MR7504
MYE1
A
50333
0000001599
VVX
MR7504
MYE1
A
50333
c
Employer’s
name,
address,
and
ZIP
code
c
Employer’s
name,
address,
and
ZIP
code
c
Employer’s
name,
address,
and
ZIP
code
HARRIS
GLOBAL
COMMUNICATIONS
INC
HARRIS
GLOBAL
COMMUNICATIONS
INC
HARRIS
GLOBAL
COMMUNICATIONS
INC
1025
WEST
NASA
BLVD
1025
WEST
NASA
BLVD
1025
WEST
NASA
BLVD
MELBOURNE,
FL,
FL
32919
MELBOURNE,
FL,
FL
32919
MELBOURNE,
FL,
FL
32919
b
Employer’s
FED
ID
number
a
Employee’s
SSA
number
b
Employer’s
FED
ID
number
a
Employee’s
SSA
number
b
Employer’s
FED
ID
number
a
Employee’s
SSA
number
81-3657805
XXX-XX-0131
81-3657805
XXX-XX-0131
81-3657805
XXX-XX-0131
7
Social
security
tips
8
Allocated
tips
7
Social
security
tips
8
Allocated
tips
7
Social
security
tips
8
Allocated
tips
9
10
Dependent
care
benefits
99
10
Dependent
care
benefits
9
10
Dependent
care
benefits
11
Nonqualified
plans
12a
See
instructions
for
box
12
11
Nonqualified
plans
12a
12
11
Nonqualified
plans
12a
C
140.98
C
140.98
C
140.98
14
Other
182.22
NY-PFL
12b
D
4724.18
14
Other
182.22
NY-PFL
12b
D
4724.18
14
Other
182.22
NY-PFL
12b
D
4724.18
12c
DD
5611.58
12c
DD
5611.58
12c
DD
5611.58
12d
12d
12d
13
Stat
emp.
Ret.
plan
3rd
party
sick
pay
13
Stat
emp.
Ret.
plan
3rd
party
sick
pay
13
Stat
emp.
Ret.
plan
3rd
party
sick
pay
X
X
X
e/f
Employee’s
name,
address
and
ZIP
code
e/f
Employee’s
name,
address
and
ZIP
code
e/f
Employee’s
name,
address
and
ZIP
code
MARK
T
HAZEL
MARK
T
HAZEL
MARK
T
HAZEL
214
WHITTIER
ROAD
214
WHITTIER
ROAD
214
WHITTIER
ROAD
ROCHESTER,
NY
14624
ROCHESTER,
NY
14624
ROCHESTER,
NY
14624
15
State
Employer’s
state
ID
no.
16
State
wages,
tips,
etc.
15
State
Employer’s
state
ID
no.
16
State
wages,
tips,
etc.
15
State
Employer’s
state
ID
no.
16
State
wages,
tips,
etc.
NY
813657805
5
58373.50
NY
813657805
5
58373.50
NY
813657805
5
58373.50
17
State
income
tax
18
Local
wages,
tips,
etc.
17
State
income
tax
18
Local
wages,
tips,
etc.
17
State
income
tax
18
Local
wages,
tips,
etc.
3879.81
3879.81
3879.81
19
Local
income
tax
20
Locality
name
19
Local
income
tax
20
Locality
name
19
Local
income
tax
20
Locality
name
Federal
Filing
Copy
NY.
State
Filing
Copy
City
or
Local
Filing
Copy
W-2
2020
W-2
2020
2020
Wage
and
Tax
Wage
and
Tax
W-2
Wage
and
Tax
Statement
Statement
Statement
OMB
No.
1545-0008
OMB
No.
1545-0008
OMB
No.
1545-0008
Copy
B to
be
filed
with
employee’s
Federal
Income
Tax
Return.
Copy
2 to
be
filed
with
employee’s
State
Income
Tax
Return.
Copy
2 to
be
filed
with
employee’s
City
or
Local
Income
Tax
Return.
Instructions for Employee
in Pub. 571). Deferrals under code G are limited to $19,500. Deferrals
R—
Employer contributions to your Archer MSA. Report on Form 8853,
under code H are limited to $7,000.
Archer MSAs and Long-Term Care Insurance Contracts.
Box 1.
Enter this amount on the wages line of your tax return.
However, if you were at least age 50 in 2020, your employer may
S—
Employee salary reduction contributions under a section 408(p)
Box 2.
Enter this amount on the federal income tax withheld line of
have allowed an additional deferral of up to $6,500 ($3,000 for section
SIMPLE plan (not included in box 1)
your tax return.
401(k)(11) and 408(p) SIMPLE plans). This additional deferral amount
T—
Adoption benefits (not included in box 1). Complete Form 8839, Qualified
Box 5.
You may be required to report this amount on Form 8959,
is not subject to the overall limit on elective deferrals. For code G, the
Adoption Expenses, to compute any taxable and nontaxable amounts.
Additional Medicare Tax. See the Instructions for Forms 1040 and
limit on elective deferrals may be higher for the last 3 years before you
V—
Income from exercise of nonstatutory stock option(s) (included in
1040-SR to determine if you are required to complete Form 8959.
reach retirement age. Contact your plan administrator for more
boxes 1, 3 (up to social security wage base), and 5). See Pub. 525,
Box 6.
This amount includes the 1.45% Medicare Tax withheld on all
information. Amounts in excess of the overall elective deferral limit must
Taxable and Nontaxable Income, for reporting requirements.
Medicare wages and tips shown in box 5, as well as the 0.9%
be included in income. See the Instructions for Forms 1040 and
W—
Employer contributions (including amounts the employee elected to
Additional Medicare Tax on any of those Medicare wages and tips
1040-SR.
contribute using a section 125 (cafeteria) plan) to your health savings
above $200,000.
Note:
If a year follows code D through H, S, Y, AA, BB, or EE, you
account. Report on Form 8889, Health Savings Accounts (HSAs).
Box 8.
This amount is
not
included in box 1, 3, 5, or 7. For
made a make-up pension contribution for a prior year(s) when you were
Y—
Deferrals under a section 409A nonqualified deferred compensation plan
information on how to report tips on your tax return, see the
in military service. To figure whether you made excess deferrals,
Z—
Income under a nonqualified deferred compensation plan that fails to
Instructions for Forms 1040 and 1040-SR.
consider these amounts for the year shown, not the current year. If no
year is shown, the contributions are for the current year.
satisfy section 409A. This amount is also included in box 1. It is subject
You must file Form 4137, Social Security and Medicare Tax on
to an additional 20% tax plus interest. See the Instructions for Forms
Unreported Tip Income, with your income tax return to report at least
A—
Uncollected social security or RRTA tax on tips. Include this tax on
1040 and 1040-SR.
the allocated tip amount unless you can prove with adequate records
Form 1040 or 1040-SR. See the Instructions for Forms 1040 and 1040-SR.
AA—
Designated Roth contributions under a section 401(k) plan
that you received a smaller amount. If you have records that show
B—
Uncollected Medicare tax on tips. Include this tax on Form 1040 or
the actual amount of tips you received, report that amount even if it
BB—
Designated Roth contributions under a section 403(b) plan
1040-SR. See the Instructions for Forms 1040 and 1040-SR.
is more or less than the allocated tips. Use Form 4137 to figure the
DD—
Cost of employer-sponsored health coverage.
The amount
C—
Taxable cost of group-term life insurance over $50,000 (included in
social security and Medicare tax owed on tips you didn’t report to
reported with code DD is not taxable
.
boxes 1, 3 (up to social security wage base), and 5)
your employer. Enter this amount on the wages line of your tax
EE—
Designated Roth contributions under a governmental section
D—
Elective deferrals to a section 401(k) cash or deferred arrangement.
return. By filing Form 4137, your social security tips will be credited
457(b) plan. This amount does not apply to contributions under a
Also includes deferrals under a SIMPLE retirement account that is part
to your social security record (used to figure your benefits).
tax-exempt organization section 457(b) plan.
of a section 401(k) arrangement.
Box 10.
This amount includes the total dependent care benefits that
FF—
Permitted benefits under a qualified small employer health
your employer paid to you or incurred on your behalf (including
E—
Elective deferrals under a section 403(b) salary reduction agreement
reimbursement arrangement
amounts from a section 125 (cafeteria) plan). Any amount over
F—
Elective deferrals under a section 408(k)(6) salary reduction SEP
GG—
Income from qualified equity grants under section 83(i)
$5,000 is also included in box 1. Complete Form 2441, Child and
G—
Elective deferrals and employer contributions (including nonelective
HH—
Aggregate deferrals under section 83(i) elections as of the close
Dependent Care Expenses, to compute any taxable and nontaxable
deferrals) to a section 457(b) deferred compensation plan
of the calendar year
amounts.
H—
Elective deferrals to a section 501(c)(18)(D) tax-exempt
Box 13.
If the “Retirement plan” box is checked, special limits may apply
Box 11.
This amount is (a) reported in box 1 if it is a distribution
organization plan. See the Instructions for Forms 1040 and 1040-SR for
to the amount of traditional IRA contributions you may deduct. See Pub.
made to you from a nonqualified deferred compensation or
how to deduct.
590-A, Contributions to Individual Retirement Arrangements (IRAs).
nongovernmental section 457(b) plan, or (b) included in box 3 and/or
J—
Nontaxable sick pay (information only, not included in box 1, 3, or 5)
Box 14.
Employers may use this box to report information such as
5 if it is a prior year deferral under a nonqualified or section 457(b)
K—
20% excise tax on excess golden parachute payments. See the
state disability insurance taxes withheld, union dues, uniform payments,
plan that became taxable for social security and Medicare taxes this
Instructions for Forms 1040 and 1040-SR.
health insurance premiums deducted, nontaxable income, educational
year because there is no longer a substantial risk of forfeiture of your
assistance payments, or a member of the clergy’s parsonage allowance
right to the deferred amount. This box shouldn’t be used if you had a
L—
Substantiated employee business expense reimbursements
and utilities. Railroad employers use this box to report railroad
deferral and a distribution in the same calendar year. If you made a
(nontaxable)
retirement (RRTA) compensation, Tier 1 tax, Tier 2 tax, Medicare tax,
deferral and received a distribution in the same calendar year, and
M—
Uncollected social security or RRTA tax on taxable cost of
and Additional Medicare Tax. Include tips reported by the employee to
you are or will be age 62 by the end of the calendar year, your
group-term life insurance over $50,000 (former employees only). See
the employer in railroad retirement (RRTA) compensation.
employer should file Form SSA-131, Employer Report of Special
the Instructions for Forms 1040 and 1040-SR.
Note:
Keep
Copy C
of Form W-2 for at least 3 years after the due date
Wage Payments, with the Social Security Administration and give
N—
Uncollected Medicare tax on taxable cost of group-term life
for filing your income tax return. However, to help
protect your social
you a copy.
insurance over $50,000 (former employees only). See the Instructions
security benefits,
keep Copy C until you begin receiving social
Box 12.
The following list explains the codes shown in box 12. You
for Forms 1040 and 1040-SR.
security benefits, just in case there is a question about your work
may need this information to complete your tax return. Elective
P—
Excludable moving expense reimbursements paid directly to a
record and/or earnings in a particular year.
deferrals (codes D, E, F, and S) and designated Roth contributions
member of the U.S. Armed Forces (not included in box 1, 3, or 5)
(codes AA, BB, and EE) under all plans are generally limited to a
Q—
Nontaxable combat pay. See the Instructions for Forms 1040 and
total of $19,500 ($13,500 if you only have SIMPLE plans; $22,500
1040-SR for details on reporting this amount.
for section 403(b) plans if you qualify for the 15-year rule explained
Department of the Treasury
-
Internal Revenue Service
NOTE: THESE ARE SUBSTITUTE WAGE AND TAX STATEMENTS AND ARE ACCEPTABLE FOR FILING WITH YOUR FEDERAL, STATE AND LOCAL/CITY INCOME TAX RETURNS.
This information is being furnished to the Internal
Revenue Service. If you are required to file a tax
Notice to Employee
return, a negligence penalty or other sanction may
be imposed on you if this income is taxable and
Do you have to file?
Refer to the Instructions for Forms
W-2. Be sure to get your copies of Form W-2c from your
you fail to report it.
1040 and 1040-SR to determine if you are required to file
employer for all corrections made so you may file them
a tax return. Even if you don’t have to file a tax return, you
with your tax return. If your name and SSN are correct but
IMPORTANT NOTE:
may be eligible for a refund if box 2 shows an amount or if
aren’t the same as shown on your social security card, you
In order to insure efficient processing,
you are eligible for any credit.
should ask for a new card that displays your correct name
attach this W-2 to your tax return like this
at any SSA office or by calling 800-772-1213. You may also
Earned income credit (EIC).
You may be able to take the
(following agency instructions):
visit the SSA website at
www.SSA.gov.
EIC for 2020 if your adjusted gross income (AGI) is less
than a certain amount. The amount of the credit is based
Cost of employer-sponsored health coverage (if such
on income and family size. Workers without children could
cost is provided by the employer).
The reporting in box
qualify for a smaller credit. You and any qualifying children
12, using code DD, of the cost of employer-sponsored
must have valid social security numbers (SSNs). You can’t
health coverage is for your information only.
The amount
take the EIC if your investment income is more than the
reported with code DD is not taxable.
TAX RETURN
specified amount for 2020 or if income is earned for
Credit for excess taxes.
If you had more than one
services provided while you were an inmate at a penal
employer in 2020 and more than $8,537.40 in social
institution. For 2020 income limits and more information,
security and/or Tier 1 railroad retirement (RRTA) taxes
visit
www.irs.gov/EITC
. See also Pub. 596, Earned Income
were withheld, you may be able to claim a credit for the
THIS
Credit.
Any EIC that is more than your tax liability is
excess against your federal income tax. If you had more
OTHER
refunded to you, but only if you file a tax return.
FORM
than one railroad employer and more than $5,012.70 in
W-2’S
W-2
Clergy and religious workers.
If you aren’t subject to
Tier 2 RRTA tax was withheld, you may also be able to
social security and Medicare taxes, see Pub. 517, Social
claim a credit. See the Instructions for Forms 1040 and
Security and Other Information for Members of the Clergy
1040-SR and Pub. 505, Tax Withholding and Estimated
and Religious Workers.
Tax.
Corrections.
If your name, SSN, or address is incorrect,
correct Copies B, C, and 2 and ask your employer to correct
your employment record. Be sure to ask the employer to file
Form W-2c, Corrected Wage and Tax Statement, with the
Social Security Administration (SSA) to correct any name,
SSN, or money amount error reported to the SSA on Form
Department of the Treasury - Internal Revenue Service
Department of the Treasury - Internal Revenue Service
Department of the Treasury - Internal Revenue Service