w2 gary

Form W-2  Wage and Tax Statement  2012
 	a Employee's social security number
298-54-4929	OMB No. 1545-0008	 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.
b Employer identification number (EIN)
34-6002767	1 Wages, tips, other compensation
51717.95
2 Federal income tax withheld
5672.75
c Employer's name, address, and ZIP code
SUMMIT COUNTY FISCAL OFFICER
175 S Main St
Akron OH 44308-1306
3 Social security wages
4 Social security tax withheld
5 Medicare wages and tips
57751.40
6 Medicare tax withheld
837.39
7 Social security tips
8 Allocated tips
d Control number
3508
9
10 Dependent care benefits
e Employee's first name and initial  Last name   Suff.
Gary D Vierstra

1097 Birchwood Cir
Kent OH 44240

f Employee's address and ZIP code
11 Nonqualified plans
12 See Instructions for box 12

13 Statutory employee [ ]
Retirement plan [ X ]
Third-party sick pay [ ]
14 Other
PERS 6033.45
sec125 246.48
15 State
OH	Employer's state ID number
51-3186999	16 State wages, tips, etc.
51717.95
17 State income tax
1671.84
18 Local wages, tips, etc.
57751.40
19 Local income tax
1154.95
20 Locality name
Hudsn 2