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a Employee’s social security number Safe, accurate, Visit the IRS website at

www.irs.gov/efile
429-43-9484 OMB No. 1545-0008 FAST! Use

b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld

95-2786163 83274.54 6873.99


c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

SOUTHERN CALIFORNIA EDISON 87497.41 4804.84


5 Medicare wages and tips
1721 22nd St
SANTA MONICA, CA 90404 87497.41 6 Medicare tax withheld1123.71
7 Social security tips 8 Allocated tips

d Control number 9 Verification code 10 Dependent care benefits

e Employee’s first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12
C
o

C 70.38
d

FLOYD DAVIDSON
e
13 Statutory Retirement Third-party
employee plan sick pay
12b
1221 YORK AVE B
C

E 4222.87
o
9 d

HAWTHORNE, CA 90250
e

14 Other 12c
C

DD
o
d
e 6374.82
12d
C
o
d
e

f Employee’s address and ZIP code


15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name
CA 21581269 83274.54 1636.44

W-2 Wage and Tax


2018
Department of the Treasury—Internal Revenue Service
Form Statement
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