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

22222 096-84-6406 OMB No. 1545-0008 FAST! Use www.irs.gov/efile

b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld
46-0558622 47,599.00 5,425.78
c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld
NEW YORK ACADEMY OF SCIENCES 48,000.00 2,976.00
250 Greenwich St, 40th Floor, 250 5 Medicare wages and tips 6 Medicare tax withheld
48,000.00 696.00
Greenwich St, NY 10007 7 Social security tips 8 Allocated tips

d Control number 9 10 Dependent care benefits

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

LOUISA BOKACHEVA
o
d
e
A 120.00
13 Statutory Retirement Third-party
employee plan sick pay
12b
C

1189 E 59th St
o
d
e
B 1,540.00
14 Other 12c
C

Brooklyn NY 11234 NYFLI - 129.60 o

d
e
C 20,000.00
NYSDI - 31.20 12d
C
o
d
e
D 401.00
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
NY 13-1773640 47,599.00 2,186.86

Wage and Tax Department of the Treasury—Internal Revenue Service

Form W-2 Statement 2020
Copy B—To Be Filed With Employee’s FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service.