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tax-form tax xuewei-jiang 2021-01-01 jiang_w2_usc_2021.pdf

W-2 Wage and Tax Statement 2021 — Xuewei Jiang / University of Southern California

Employee Information

  • Employee name: XUEWEI JIANG
  • Employee SSN: XXX-XX-3215
  • Employee address: 11950 IDAHO AVE., APT. 113, LOS ANGELES, CA 90025

Employer Information

  • Employer name: UNIVERSITY OF SOUTHERN CALIFORNIA
  • Employer EIN: 95-1642394
  • Employer address: UNIVERSITY PARK, LOS ANGELES, CA 90089-0001
  • Control number: 0000088315 TYI
  • Department: WSJ7
  • Employer use: 17337

Wage and Tax Data

Box Description Amount
1 Wages, tips, other compensation $269,733.09
2 Federal income tax withheld $65,396.81
3 Social security wages $142,800.00
4 Social security tax withheld $8,853.60
5 Medicare wages and tips $276,141.46
6 Medicare tax withheld $4,689.32
7 Social security tips (blank)
8 Allocated tips (blank)
9 (blank) (blank)
10 Dependent care benefits (blank)
11 Nonqualified plans (blank)

Box 12 — Codes

Code Description Amount
E Elective deferrals to 403(b) $6,408.37
DD Cost of employer-sponsored health coverage $9,068.64

Box 13 — Checkboxes

  • Statutory employee: Not checked
  • Retirement plan: Checked
  • Third-party sick pay: Not checked

Box 14 — Other

Description Amount
VDICA $1,539.58

State and Local Tax Information

Box Description Value
15 State CA
15 Employer's state ID number 910-0606 4
16 State wages, tips, etc. $269,733.09
17 State income tax $23,964.49
18 Local wages, tips, etc. (blank)
19 Local income tax (blank)
20 Locality name (blank)