Copy B -- To Be Filed With Employee's OMB No. 1545-0008 Copy 2 -- To Be Filed With Employee's State, OMB No.

1545-0008
FEDERAL Tax Return. City, or Local Income Tax Return.
a Employee's social security 1 Wages,tips,other compensation 2 Federal income tax withheld a Employee's social security 1 Wages,tips,other compensation 2 Federal income tax withheld
number number
3691.50 201.62 3691.50 201.62
624-35-4229 3 Social security wages 4 Social security tax withheld 624-35-4229 3 Social security wages 4 Social security tax withheld
b Employer ID number (EIN) 3691.50 228.87 b Employer ID number (EIN) 3691.50 228.87
54-1429825 5 Medicare wages and tips 6 Medicare tax withheld 54-1429825 5 Medicare wages and tips 6 Medicare tax withheld
3691.50 53.53 3691.50 53.53
c Employer's name, address, and ZIP code c Employer's name, address, and ZIP code
ATT Inc./CTR Corporation ATT Inc./CTR Corporation
P.O. Box 12177 P.O. Box 12177
Newport News, VA 23612 Newport News, VA 23612

d Control number d Control number

239190 239190
e Employee's name, address, and ZIP code e Employee's name, address, and ZIP code
EDWIN R WILSON GAMBOA EDWIN R WILSON GAMBOA
2364 PASEO DE LAS AMERICAS 2364 PASEO DE LAS AMERICAS
Apt 104 Apt 104
SAN DIEGO, CA 92154 SAN DIEGO, CA 92154

7 Social security tips 8 Allocated tips 9 7 Social security tips 8 Allocated tips 9

10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12 10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12

13 Statutory employee 14 Other 12b Code 13 Statutory employee 14 Other 12b Code
CA SDI:33.23 CA SDI:33.23

Retirement plan 12c Code Retirement plan 12c Code

Third-party sick pay 12d Code Third-party sick pay 12d Code

15 State Employer's state ID Number 16 State wages, tips, etc. 17 State income tax 15 State Employer's state ID Number 16 State wages, tips, etc. 17 State income tax
CA 037-7641-6 3691.50 43.73 CA 037-7641-6 3691.50 43.73

18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Form W-2 Wage and Tax Statement 2023 Dept. of the Treasury -- IRS Form W-2 Wage and Tax Statement 2023 Dept. of the Treasury -- IRS
This information is being furnished to the Internal Revenue Service

Copy C -- For EMPLOYEE'S RECORDS (See Notice OMB No. 1545-0008 Copy 2 -- To Be Filed With Employee's State, OMB No. 1545-0008

to Employee.) City, or Local Income Tax Return.

a Employee's social security 1 Wages,tips,other compensation 2 Federal income tax withheld a Employee's social security 1 Wages,tips,other compensation 2 Federal income tax withheld
number number
3691.50 201.62 3691.50 201.62
624-35-4229 3 Social security wages 4 Social security tax withheld 624-35-4229 3 Social security wages 4 Social security tax withheld
b Employer ID number (EIN) 3691.50 228.87 b Employer ID number (EIN) 3691.50 228.87
54-1429825 5 Medicare wages and tips 6 Medicare tax withheld 54-1429825 5 Medicare wages and tips 6 Medicare tax withheld
3691.50 53.53 3691.50 53.53
c Employer's name, address, and ZIP code c Employer's name, address, and ZIP code
ATT Inc./CTR Corporation ATT Inc./CTR Corporation
P.O. Box 12177 P.O. Box 12177
Newport News, VA 23612 Newport News, VA 23612

d Control number d Control number

239190 239190
e Employee's name, address, and ZIP code e Employee's name, address, and ZIP code
EDWIN R WILSON GAMBOA EDWIN R WILSON GAMBOA
2364 PASEO DE LAS AMERICAS 2364 PASEO DE LAS AMERICAS
Apt 104 Apt 104
SAN DIEGO, CA 92154 SAN DIEGO, CA 92154

7 Social security tips 8 Allocated tips 9 7 Social security tips 8 Allocated tips 9

10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12 10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. for box 12

13 Statutory employee 14 Other 12b Code 13 Statutory employee 14 Other 12b Code
CA SDI:33.23 CA SDI:33.23

Retirement plan 12c Code Retirement plan 12c Code

Third-party sick pay 12d Code Third-party sick pay 12d Code

15 State Employer's state ID Number 16 State wages, tips, etc. 17 State income tax 15 State Employer's state ID Number 16 State wages, tips, etc. 17 State income tax
CA 037-7641-6 3691.50 43.73 CA 037-7641-6 3691.50 43.73

18 Local wages, tips, etc. 19 Local income tax 20 Locality name 18 Local wages, tips, etc. 19 Local income tax 20 Locality name

Form W-2 Wage and Tax Statement 2023 Dept. of the Treasury -- IRS Form W-2 Wage and Tax Statement 2023 Dept. of the Treasury -- IRS
This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a
negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.