a Employees Social

Security Number OMB No.1545-0008

435-87-4241

b Employers Identi cation Number (EIN) 1 Wages,tips, other 2 Federal Income tax
compensation withheld
12-0437232
16,500.25 0.00
c Employers Name, Address and Zip code
3 Social Security 4 Social Security tax
LUMINEX CORP
Wages withheld
12212 TECHNOLOGY BLVD AUSTIN,
TX 78727 16,500.25 1,023.02

Thank you for being a 6 Medicare tax

Varo Bank customer.
withheld
Please note, ATM
Withdrawals and ACH
16,500.25 239.25
d Control Number Returns may display an
7 Social Security
incomplete tips
description 8 Allocated tips
in your monthly
statement. Please refer
e Employees Name, Address and Zip code
to the App for the full
9 10 Dependent care bene ts
HILLARY HAMPTON 227 N transaction description.
If you are a Varo
10TH ST JACKSBORO, TX
Believe Cardholder,
76458 11 Nonquali ed Plans
please refer to the Varo 12a
app to see complete
description for vault
Description
account transfers.

01/03/2023 FROM STRIPE CENTRYDC/TRANSFER

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01/11/2023 FROM STRIPE CENTRYDC/TRANSFER