2024 W-2 and EARNINGS SUMMARY

Employee Reference Copy This summary section is included with your W-2 to help describe this
portion in more detail. The reverse side includes general information that
Wage and Tax
W-2 Statement
Copy C for employee’s records.
2024
OMB No. 1545-0008
you may also find helpful. The following reflects your final pay stub, plus
any adjustments made by your employer.
d Control number Dept. Corp. Employer use only GROSS PAY 49,970.78 SOCIAL SECURITY 3,098.19
0000249651 V5P TAX WITHHELD
WFN0 17660
BOX 04 OF W-2
c Employer’s name, address, and ZIP code
FED. INCOME 5,276.66 MEDICARE TAX 724.58
PETSMART LLC TAX WITHHELD WITHHELD
19601 N 27TH AVENUE BOX 02 OF W-2 BOX 06 OF W-2
PHOENIX, AZ 85027
STATE INCOME TAX 3,737.69 SUI/SDI 0.00
BOX 17 OF W-2 BOX 14 OF W-2
LOCAL INCOME TAX 0.00
BOX 19 OF W-2
e/f Employee’s name, address, and ZIP code
CHRISTINE BUNCH
182 PITTSTON CIRCLE
OWINGS MILLS, MD 21117

b Employer’s FED ID number a Employee’s SSA number

94-3024325 XXX-XX-9737
1 Wages, tips, other comp. 2 Federal income tax withheld
49970.78 5276.66
3 Social security wages 4 Social security tax withheld
49970.78 3098.19
5 Medicare wages and tips 6 Medicare tax withheld
49970.78 724.58
7 Social security tips 8 Allocated tips To change your employee W-4 profile information
file a new W-4 with your payroll department
9 10 Dependent care benefits

11 Nonqualified plans 12a See instructions for box 12

Social Security Number: XXX-XX-9737
14 Other
12b CHRISTINE BUNCH
12c
12d
182 PITTSTON CIRCLE
13 Stat emp. Ret. plan 3rd party sick pay OWINGS MILLS, MD 21117
15 State Employer’s state ID no. 16 State wages, tips, etc.
MD 06946845 49970.78
17 State income tax 18 Local wages, tips, etc.
3737.69
19 Local income tax 20 Locality name ¤ 2024 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
49970.78 5276.66 49970.78 5276.66 49970.78 5276.66
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
49970.78 3098.19 49970.78 3098.19 49970.78 3098.19
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
49970.78 724.58 49970.78 724.58 49970.78 724.58
d Control number Dept. Corp. Employer use only d Control number Dept. Corp. Employer use only d Control number Dept. Corp. Employer use only
0000249651 V5P WFN0 17660 0000249651 V5P WFN0 17660 0000249651 V5P WFN0 17660
c Employer’s name, address, and ZIP code c Employer’s name, address, and ZIP code c Employer’s name, address, and ZIP code
PETSMART LLC PETSMART LLC PETSMART LLC
19601 N 27TH AVENUE 19601 N 27TH AVENUE 19601 N 27TH AVENUE
PHOENIX, AZ 85027 PHOENIX, AZ 85027 PHOENIX, AZ 85027

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
94-3024325 XXX-XX-9737 94-3024325 XXX-XX-9737 94-3024325 XXX-XX-9737
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 9 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

14 Other 12b 14 Other 12b 14 Other 12b

12c 12c 12c
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

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
CHRISTINE BUNCH CHRISTINE BUNCH CHRISTINE BUNCH
182 PITTSTON CIRCLE 182 PITTSTON CIRCLE 182 PITTSTON CIRCLE
OWINGS MILLS, MD 21117 OWINGS MILLS, MD 21117 OWINGS MILLS, MD 21117

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.
MD 06946845 49970.78 MD 06946845 49970.78 MD 06946845 49970.78
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.
3737.69 3737.69 3737.69
19 Local income tax 20 Locality name 19 Local income tax 20 Locality name 19 Local income tax 20 Locality name

Federal Filing Copy MD. State Filing Copy City or Local Filing Copy
Wage and Tax Wage and Tax Wage and Tax
W-2 Statement 2024
OMB No. 1545-0008
Copy B to be filed with employee’s Federal Income Tax Return.
W-2 Statement 2024
OMB No. 1545-0008
Copy 2 to be filed with employee’s State Income Tax Return.
W-2 Statement OMB
2024 No. 1545-0008
Copy 2 to be filed with employee’s City or Local Income Tax Return.
Instructions for Employee code G are limited to $23,000. Deferrals under code H are limited to $7,000. S—Employee salary reduction contributions under a section 408(p) SIMPLE
However, if you were at least age 50 in 2024, your employer may have plan
Box 1. Enter this amount on the wages line of your tax return.
allowed an additional deferral of up to $7,500 ($3,500 for section 401(k) T—Adoption benefits (not included in box 1). Complete Form 8839 to figure
Box 2. Enter this amount on the federal income tax withheld line of your
(11) and 408(p) SIMPLE plans). This additional deferral amount is not subject any taxable and nontaxable amounts.
tax return.
to the overall limit on elective deferrals. For code G, the limit on elective V—Income from exercise of nonstatutory stock option(s) (included in boxes
Box 5. You may be required to report this amount on Form 8959. See
deferrals may be higher for the last 3 years before you reach retirement age. 1, 3 (up to the social security wage base), and 5). See Pub. 525 for reporting
the Form 1040 instructions to determine if you are required to complete
Contact your plan administrator for more information. Amounts in excess of requirements.
Form 8959.
the overall elective deferral limit must be included in income. See the Form W—Employer contributions (including amounts the employee elected
Box 6. This amount includes the 1.45% Medicare tax withheld on all 1040 instructions. to contribute using a section 125 (cafeteria) plan) to your health savings
Medicare wages and tips shown in box 5, as well as the 0.9% Additional Note: If a year follows code D through H, S, Y, AA, BB, or EE, you made a account. Report on Form 8889.
Medicare Tax on any of those Medicare wages and tips above $200,000. make-up pension contribution for a prior year(s) when you were in military Y—Deferrals under a section 409A nonqualified deferred compensation plan
Box 8. This amount is not included in box 1, 3, 5, or 7. For information service. To figure whether you made excess deferrals, consider these Z—Income under a nonqualified deferred compensation plan that fails to
on how to report tips on your tax return, see the Form 1040 instructions. amounts for the year shown, not the current year. If no year is shown, the satisfy section 409A. This amount is also included in box 1. It is subject to an
You must file Form 4137 with your income tax return to report at least contributions are for the current year. additional 20% tax plus interest. See the Form 1040 instructions.
the allocated tip amount unless you can prove with adequate records that A—Uncollected social security or RRTA tax on tips. Include this tax on Form AA—Designated Roth contributions under a section 401(k) plan
you received a smaller amount. If you have records that show the actual 1040 or 1040-SR. See the Form 1040 instructions. BB—Designated Roth contributions under a section 403(b) plan
amount of tips you received, report that amount even if it is more or less B—Uncollected Medicare tax on tips. Include this tax on Form 1040 or 1040-
than the allocated tips. Use Form 4137 to figure the social security and DD—Cost of employer-sponsored health coverage. The amount
SR. See the Form 1040 instructions. reported with code DD is not taxable.
Medicare tax owed on tips you didn’t report to your employer. Enter this C—Taxable cost of group-term life insurance over $50,000 (included in
amount on the wages line of your tax return. By filing Form 4137, your EE—Designated Roth contributions under a governmental section 457(b)
boxes 1, 3 (up to the social security wage base), and 5) plan. This amount does not apply to contributions under a tax-exempt
social security tips will be credited to your social security record (used to
D—Elective deferrals to a section 401(k) cash or deferred arrangement. Also organization section 457(b) plan.
figure your benefits).
includes deferrals under a SIMPLE retirement account that is part of a section FF—Permitted benefits under a qualified small employer health
Box 10. This amount includes the total dependent care benefits that 401(k) arrangement. reimbursement arrangement
your employer paid to you or incurred on your behalf (including amounts E—Elective deferrals under a section 403(b) salary reduction agreement
from a section 125 (cafeteria) plan). Any amount over your employer’s GG—Income from qualified equity grants under section 83(i)
F—Elective deferrals under a section 408(k)(6) salary reduction SEP HH—Aggregate deferrals under section 83(i) elections as of the close of the
plan limit is also included in box 1. See Form 2441.
G—Elective deferrals and employer contributions (including nonelective calendar year
Box 11. This amount is (a) reported in box 1 if it is a distribution made
deferrals) to a section 457(b) deferred compensation plan II—Medicaid waiver payments excluded from gross income under Notice
to you from a nonqualified deferred compensation or nongovernmental
H—Elective deferrals to a section 501(c)(18)(D) tax-exempt organization 2014-7.
section 457(b) plan, or (b) included in box 3 and/or box 5 if it is a prior
plan. See the Form 1040 instructions for how to deduct. Box 13. If the “Retirement plan” box is checked, special limits may apply to
year deferral under a nonqualified or section 457(b) plan that became
J—Nontaxable sick pay (information only, not included in box 1, 3, or 5) the amount of traditional IRA contributions you may deduct. See Pub. 590-A.
taxable for social security and Medicare taxes this year because
there is no longer a substantial risk of forfeiture of your right to the K—20% excise tax on excess golden parachute payments. See the Form Box 14. Employers may use this box to report information such as state
deferred amount. This box shouldn’t be used if you had a deferral and 1040 instructions. disability insurance taxes withheld, union dues, uniform payments, health
a distribution in the same calendar year. If you made a deferral and L—Substantiated employee business expense reimbursements (nontaxable) insurance premiums deducted, nontaxable income, educational assistance
received a distribution in the same calendar year, and you are or will be M—Uncollected social security or RRTA tax on taxable cost of group-term payments, or a member of the clergy’s parsonage allowance and utilities.
age 62 by the end of the calendar year, your employer should file Form life insurance over $50,000 (former employees only). See the Form 1040 Railroad employers use this box to report railroad retirement (RRTA)
SSA-131, Employer Report of Special Wage Payments, with the Social instructions. compensation, Tier 1 tax, Tier 2 tax, Medicare tax, and Additional Medicare
Security Administration and give you a copy. N—Uncollected Medicare tax on taxable cost of group-term life insurance Tax. Include tips reported by the employee to the employer in railroad
Box 12. The following list explains the codes shown in box 12. You over $50,000 (former employees only). See the Form 1040 instructions. retirement (RRTA) compensation.
may need this information to complete your tax return. Elective deferrals P—Excludable moving expense reimbursements paid directly to a member Note: Keep Copy C of Form W-2 for at least 3 years after the due date
(codes D, E, F, and S) and designated Roth contributions (codes AA, of the U.S. Armed Forces (not included in box 1, 3, or 5) for filing your income tax return. However, to help protect your social
BB, and EE) under all plans are generally limited to a total of $23,000 Q—Nontaxable combat pay. See the Form 1040 instructions for details on security benefits, keep Copy C until you begin receiving social security
($16,000 if you only have SIMPLE plans; $26,000 for section 403(b) plans reporting this amount. benefits, just in case there is a question about your work record and/or
if you qualify for the 15-year rule explained in Pub. 571). Deferrals under R—Employer contributions to your Archer MSA. Report on Form 8853. earnings in a particular year.
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 Future developments. For the latest information about Corrections. If your name, SSN, or address is incorrect,
return, a negligence penalty or other sanction may developments related to Form W-2, such as legislation correct Copies B, C, and 2 and ask your employer to correct
be imposed on you if this income is taxable and enacted after it was published, go to www.irs.gov/ your employment record. Be sure to ask the employer to
you fail to report it.
FormW2. file Form W-2c, Corrected Wage and Tax Statement, with
IMPORTANT NOTE: the SSA to correct any name, SSN, or money amount error
In order to insure efficient processing,
Notice to Employee reported to the SSA on Form W-2. Be sure to get your
attach this W-2 to your tax return like this copies of Form W-2c from your employer for all corrections
Do you have to file? Refer to the Form 1040 instructions
(following agency instructions): made so you may file them with your tax return. If your
to determine if you are required to file a tax return. Even if you
name and SSN are correct but aren’t the same as shown
don’t have to file a tax return, you may be eligible for a refund
if box 2 shows an amount or if you are eligible for any credit. on your social security card, you should ask for a new card
that displays your correct name at any SSA office or by
Earned income tax credit (EITC). You may be able to calling 800-772-1213. You may also visit the SSA website
take the EITC for 2024 if your adjusted gross income (AGI) is at www.SSA.gov.
less than a certain amount. The amount of the credit is based
TAX RETURN on income and family size. Workers without children could Cost of employer-sponsored health coverage
qualify for a smaller credit. You and any qualifying children (if such cost is provided by the employer). The
must have valid social security numbers (SSNs). You can’t reporting in box 12, using code DD, of the cost of employer-
take the EITC if your investment income is more than the sponsored health coverage is for your information only.
THIS
OTHER specified amount for 2024 or if income is earned for services The amount reported with code DD is not
FORM provided while you were an inmate at a penal institution. For
W-2’S taxable.
W-2 2024 income limits and more information, visit www.irs.
gov/EITC. See also Pub. 596. Any EITC that is more Credit for excess taxes. If you had more than one
than your tax liability is refunded to you, but
employer in 2024 and more than $10,453.20 in social
only if you file a tax return.
security and/or Tier 1 railroad retirement (RRTA) taxes
Employee’s social security number (SSN). For your were withheld, you may be able to claim a credit for the
protection, this form may show only the last four digits of your excess against your federal income tax. See the Form 1040
SSN. However, your employer has reported your complete instructions. If you had more than one railroad employer
SSN to the IRS and the Social Security Administration (SSA). and more than $6,129.90 in Tier 2 RRTA tax was withheld,
you may be able to claim a refund on Form 843. See the
Clergy and religious workers. If you aren’t subject to Instructions for Form 843.
social security and Medicare taxes, see Pub. 517.

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