---
type: w2
category: tax
person: Xuewei Jiang
date: 2025
source: "[[jiang_w2_ucla_2025.pdf]]"
---

# Form W-2 - Wage and Tax Statement - Tax Year 2025

**Employer:** University of California
**Employer Address:** 14350-1 Meridian Parkway, Riverside, CA 92518
**Employer EIN:** 94-3067788

**Employee:** Xuewei Jiang
**Employee SSN:** XXX-XX-3215
**Employee Address:** 12421 Sanford St, Los Angeles, CA 90066

| Box | Description | Amount |
|-----|-------------|--------|
| 1 | Wages, tips, other compensation | $247,545.88 |
| 2 | Federal income tax withheld | $74,135.77 |
| 3 | Social security wages | $176,100.00 |
| 4 | Social security tax withheld | $10,918.20 |
| 5 | Medicare wages and tips | $272,307.00 |
| 6 | Medicare tax withheld | $4,599.21 |
| 12a | Code E (403b contributions) | $17,411.12 |
| 12b | Code DD (health coverage cost) | $5,144.80 |
| 14 | Other - DCCHOICE | $15,750.00 |
| 13 | Retirement plan | Yes |

### State Information
| State | Employer State ID | State Wages | State Tax Withheld |
|-------|------------------|-------------|-------------------|
| CA | (not visible) | $247,545.88 | $25,797.24 |

**Note:** This is the scanned version (2.4MB file). An identical digital copy exists as `jiang_w2_ucla_2025_v2.pdf`.