Form W-2 - Wage And Tax Statement - 2016 (Page 9 of 11) in pdf

Instructions for Employee

(continued from back of

V—Income from exercise of nonstatutory stock option(s) (included in

boxes 1, 3 (up to social security wage base), and 5). See Pub. 525,

Copy C)

Taxable and Nontaxable Income, for reporting requirements.

F—Elective deferrals under a section 408(k)(6) salary reduction SEP

W—Employer contributions (including amounts the employee elected to

G—Elective deferrals and employer contributions (including nonelective

contribute using a section 125 (cafeteria) plan) to your health savings

deferrals) to a section 457(b) deferred compensation plan

account. Report on Form 8889, Health Savings Accounts (HSAs).

H—Elective deferrals to a section 501(c)(18)(D) tax-exempt organization

Y—Deferrals under a section 409A nonqualified deferred compensation

plan. See “Adjusted Gross Income” in the Form 1040 instructions for

plan

how to deduct.

Z—Income under a nonqualified deferred compensation plan that fails

J—Nontaxable sick pay (information only, not included in boxes 1, 3, or

to satisfy section 409A. This amount is also included in box 1. It is

subject to an additional 20% tax plus interest. See “Other Taxes” in the

Form 1040 instructions.

K—20% excise tax on excess golden parachute payments. See “Other

Taxes” in the Form 1040 instructions.

AA—Designated Roth contributions under a section 401(k) plan

L—Substantiated employee business expense reimbursements

BB—Designated Roth contributions under a section 403(b) plan

(nontaxable)

DD—Cost of employer-sponsored health coverage. The amount

M—Uncollected social security or RRTA tax on taxable cost of group-

reported with Code DD is not taxable.

term life insurance over $50,000 (former employees only). See “Other

EE—Designated Roth contributions under a governmental section

Taxes” in the Form 1040 instructions.

457(b) plan. This amount does not apply to contributions under a tax-

N—Uncollected Medicare tax on taxable cost of group-term life

exempt organization section 457(b) plan.

insurance over $50,000 (former employees only). See “Other Taxes” in

Box 13. If the “Retirement plan” box is checked, special limits may apply

the Form 1040 instructions.

to the amount of traditional IRA contributions you may deduct. See

P—Excludable moving expense reimbursements paid directly to

Pub. 590-A, Contributions to Individual Retirement Arrangements (IRAs).

employee (not included in boxes 1, 3, or 5)

Box 14. Employers may use this box to report information such as state

Q—Nontaxable combat pay. See the instructions for Form 1040 or Form

disability insurance taxes withheld, union dues, uniform payments,

1040A for details on reporting this amount.

health insurance premiums deducted, nontaxable income, educational

assistance payments, or a member of the clergy's parsonage allowance

R—Employer contributions to your Archer MSA. Report on Form 8853,

and utilities. Railroad employers use this box to report railroad

Archer MSAs and Long-Term Care Insurance Contracts.

retirement (RRTA) compensation, Tier 1 tax, Tier 2 tax, Medicare tax and

S—Employee salary reduction contributions under a section 408(p)

Additional Medicare Tax. Include tips reported by the employee to the

SIMPLE plan (not included in box 1)

employer in railroad retirement (RRTA) compensation.

T—Adoption benefits (not included in box 1). Complete Form 8839,

Note: Keep Copy C of Form W-2 for at least 3 years after the due date

Qualified Adoption Expenses, to compute any taxable and nontaxable

for filing your income tax return. However, to help protect your social

amounts.

security benefits, keep Copy C until you begin receiving social security

benefits, just in case there is a question about your work record and/or

earnings in a particular year.

Form W-2 - Wage And Tax Statement - 2016 Page 9

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