Form 6559 - Transmitter Report And Summary Of Magnetic Media - 2000
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1
2(SSA date of filing stamp)
OMB No. 1545-0441
Transmitter Report and
6559
Form
(Rev. July 2000)
(Check one)
Tax Year (19__or 20___
Summary of
United
Department of the Treasury
Magnetic Media
States
Internal Revenue Service
Other
Page
of
1. Name and address of transmitter (include street, city, state and ZIP code)
2. Employer identification number (EIN) of
transmitter
3. Number of reporting media this file
Magnetic tape(s)
Diskette(s)
Cartridge(s)
5. Telephone number (Include area code)
4. Name and address of person to contact about this magnetic media file (Include street, city,
state and ZIP code)
6. Your inventory number
7. Type of data being reported (Check only
one)
W-2 Original
W-2 Reconciliation
W-2 Resubmittal
W-2c for W-2
Affidavit
Under penalties of perjury, I declare that I have examined this return, including accompanying documents, and to the best of my knowledge and belief it is
true, correct and complete.
8. Signature
9. Title
1 0. Date
11. Employer Summary of Form W-2 Magnetic Media
11. Employer Summary of Form W-2 Magnetic Media
Wage and Tip Information
Wage and Tip Information
Name of employer
Check if
Name of employer
Check if
MQGE
MQGE
Employer identification number
Other EIN
Employer identification number
Other EIN
Total Amount of Form W-2 Fields
Total Amount of Form W-2 Fields
Number of Forms W-2
Number of Forms W-2
Social security wages
Social security wages
$
$
Social security tips
Social security tips
$
$
Wages, tips, other compensation
$
Wages, tips, other compensation
$
Federal income tax withheld
$
Federal income tax withheld
$
Social security tax withheld
$
Social security tax withheld
$
Medicare wages and tips
Medicare wages and tips
$
$
Medicare tax withheld
Medicare tax withheld
$
$
6559
Catalog Number 43444U
Form
(Rev. 7-2000)
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