Copy B--To Be Filed With Employee's FEDERAL Tax Return OMB No.

OMB No. 1545-0008 Copy 2--To Be Filed With Employee's State, City, OMB No. 1545-0008
This information is being furnished to the Internal Revenue Service. or Local Income Tax Return
a. Employee's social security number 1. Wages, tips, other compensation 2. Federal income tax withheld a. Employee's social security number 1. Wages, tips, other compensation 2. Federal income tax withheld

158-11-0693 5606.41 412.72 158-11-0693 5606.41 412.72

b. Employer ID number (EIN) 3. Social security wages 4. Social security tax withheld b. Employer ID number (EIN) 3. Social security wages 4. Social security tax withheld
83-0511293 5606.41 347.60 83-0511293 5606.41 347.60
d. Control number 5. Medicare wages and tips 6. Medicare tax withheld d. Control number 5. Medicare wages and tips 6. Medicare tax withheld
MC1037-3-12197327 5606.41 81.29 MC1037-3-12197327 5606.41 81.29
c. Employer's name, address, and ZIP code c. Employer's name, address, and ZIP code
Jesella Corp Jesella Corp
513 Summit Ave Ste A 513 Summit Ave Ste A
Union City, NJ 07087 Union City, NJ 07087

e. Employee's name, address, and ZIP code e. Employee's name, address, and ZIP code

ANGELO A PENA-DILONE ANGELO A PENA-DILONE

1533 JF BLVD. 2 1533 JF BLVD. 2
JERSEY CITY, NJ 07305 JERSEY CITY, NJ 07305

7. Social security tips 8. Allocated tips 9. 7. Social security tips 8. Allocated tips 9.

10. Dependent care benefits 11. Nonqualified plans 12a. Code See inst. for Box 12 10. Dependent care benefits 11. Nonqualified plans 12a. Code See inst. for Box 12

13. Statutory employee 14. Other 12b. Code 13. Statutory employee 14. Other 12b. Code
UI/WF/SWF 23.83 UI/WF/SWF 23.83

Retirement plan 12c. Code Retirement plan 12c. Code

Third-party sick pay 12d. Code Third-party sick pay 12d. Code

15. State Employer's state ID number 16. State wages, tips, etc. 17.State income tax 15. State Employer's state ID number 16. State wages, tips, etc. 17.State income tax
NJ 830-511-293/000 5606.41 89.35 NJ 830-511-293/000 5606.41 89.35

18. Local wages, tips, etc. 19. Local income tax 20. Locality name 18. Local wages, tips, etc. 19. Local income tax 20. Locality name

Form W-2 Wage and Tax Statement 2020 Department of the Treasury ~ Internal Revenue Service Form W-2 Wage and Tax Statement 2020 Department of the Treasury ~ Internal Revenue Service

Copy C--For EMPLOYEE'S RECORDS(See Notice to Employee.)

This information is being furnished to the Internal Revenue Service. If you are required to file a tax OMB No. 1545-0008 Copy 2--To Be Filed With Employee's State, City, OMB No. 1545-0008
return, a negligence penalty or other sanction may be imposed on you if this income is taxable and you or Local Income Tax Return
fail to report it.
a. Employee's social security number 1. Wages, tips, other compensation 2. Federal income tax withheld a. Employee's social security number 1. Wages, tips, other compensation 2. Federal income tax withheld

158-11-0693 5606.41 412.72 158-11-0693 5606.41 412.72

b. Employer ID number (EIN) 3. Social security wages 4. Social security tax withheld b. Employer ID number (EIN) 3. Social security wages 4. Social security tax withheld
83-0511293 5606.41 347.60 83-0511293 5606.41 347.60
d. Control number 5. Medicare wages and tips 6. Medicare tax withheld d. Control number 5. Medicare wages and tips 6. Medicare tax withheld
MC1037-3-12197327 5606.41 81.29 MC1037-3-12197327 5606.41 81.29
c. Employer's name, address, and ZIP code c. Employer's name, address, and ZIP code
Jesella Corp Jesella Corp
513 Summit Ave Ste A 513 Summit Ave Ste A
Union City, NJ 07087 Union City, NJ 07087

e. Employee's name, address, and ZIP code e. Employee's name, address, and ZIP code

ANGELO A PENA-DILONE ANGELO A PENA-DILONE

1533 JF BLVD. 2 1533 JF BLVD. 2
JERSEY CITY, NJ 07305 JERSEY CITY, NJ 07305

7. Social security tips 8. Allocated tips 9. 7. Social security tips 8. Allocated tips 9.

10. Dependent care benefits 11. Nonqualified plans 12a. Code See inst. for Box 12 10. Dependent care benefits 11. Nonqualified plans 12a. Code See inst. for Box 12

13. Statutory employee 14. Other 12b. Code 13. Statutory employee 14. Other 12b. Code
UI/WF/SWF 23.83 UI/WF/SWF 23.83

Retirement plan 12c. Code Retirement plan 12c. Code

Third-party sick pay 12d. Code Third-party sick pay 12d. Code

15. State Employer's state ID number 16. State wages, tips, 17.State income tax 15. State Employer's state ID number 16. State wages, tips, 17.State income tax
etc. etc.
NJ 830-511-293/000 5606.41 89.35 NJ 830-511-293/000 5606.41 89.35

18. Local wages, tips, etc. 19. Local income tax 20. Locality name 18. Local wages, tips, etc. 19. Local income tax 20. Locality name

Form W-2 Wage and Tax Statement Department of the Treasury ~ Internal Revenue Service Form W-2 Wage and Tax Statement Department of the Treasury ~ Internal Revenue Service
2020 2020