Sophia G. Shelest

Recently obtained my phlebotomy license after completing a comprehensive training program that included both classroom instruction and hands-on clinical experience. During my externship, I gained practical skills in venipuncture, patient interaction, and proper specimen handling while working in a real healthcare setting. This experience strengthened my confidence, attention to detail, and ability to provide safe, compassionate care to patients.

• This Form W-2 shows the total wages you earned from this employer in 2025, along with the total federal, state, or local taxes withheld from your earnings. Use Form W-2 to file your annual tax returns. Attach Copy B to your federal tax return, Copy 2 to your state, city, or local tax returns, and keep Copy C for yourself.
• Instructions for Employee
• Box 1
• Enter this amount on the wages line of your tax return.
• Box 2
• Enter this amount on the federal income tax withheld line of your tax return.
• Box 5
• You may be required to report this amount on Form 8959, Additional Medicare Tax. See the Form 1040 instructions to determine if you are required to complete Form 8959.
• Box 6
• This amount includes the 1.45% Medicare Tax withheld on all Medicare wages and tips shown in box 5, as well as the 0.9% Additional Medicare Tax on any of those Medicare wages and tips above $200,000.
• Box 9
• Your W-2 does not have a Verification Code. If you are prompted to enter one, leave this value blank.
• Box 10
• This amount includes the total dependent care benefits that your employer paid to you or incurred on your behalf (including amounts from a section 125 cafeteria plan). Any amount over $5,000 is also included in box 1.
• Box 11
• This amount is (a) reported in box 1 if it is a distribution made to you from a nonqualified deferred compensation or nongovernment plan at section 457(b) plan.
• Box 12
• D—Elective deferrals to a section 401(k) cash or deferred arrangement. Also includes deferrals under a SIMPLE retirement account that is part of a section 401(k) arrangement.
• E—Elective deferrals under a section 403(b) salary reduction agreement.
• G—Elective deferrals and employer contributions (including nonelective deferrals) to a section 457(b) deferred compensation plan.
• W—Employer contributions (including amounts the employee elected to contribute using a section 125 (cafeteria) plan) to your health savings account.
• AA—Designated Roth contributions under a section 401(k) plan.
• BB—Designated Roth contributions under a section 403(b) plan.
• DD—Cost of employer-sponsored health coverage. The amount reported with Code DD is not taxable.
• EE—Designated Roth contributions under a governmental section 457(b) plan.
• S—Employee salary reduction contributions under a section 408(p) SIMPLE plan (not included in box 1)
• Box 13
• If the “Retirement plan” box is checked, special limits may apply to the amount of traditional IRA contributions you may deduct.
• Box 14
• Employers may use this box to report information such as state disability insurance taxes withheld or health insurance premiums deducted.
• A note about the earned income credit (EIC)
• You may be able to take the EIC for 2025 if your adjusted gross income (AGI) is less than a certain amount. The credit amount is based on income and family size. You and any qualifying children must have valid social security numbers (SSNs). For 2025 income limits and more information, visit www.irs.gov/eitc or see Pub. 596, Earned Income Credit.

• Copy C — For the employee’s records
• Employee’s name, address, and ZIP code
• Sophia G. Shelest
• 6179 Green Leaf Ln
• Foresthill, CA 95631
• Employer’s name, address, and ZIP code
• Vibrant Coffee Inc
• DBA World Traveler Coffee Roasters
• 6881 Douglas Blvd 26
• Granite Bay, CA 95746
• Control number
• Jhdwpdef VwtvNSPT
• Employee’s social security number
• 605-55-7044
• Employer identification number (EIN)
• 92-2971706
• 1 Wages, tips, other compensation
• 2373.07
• 2 Federal income tax withheld
• 82.00
• 3 Social security wages
• 1866.43
• 4 Social security tax withheld
• 147.13
• 5 Medicare wages and tips
• 6 Medicare tax withheld
• 34.41
• 7 Social security tips
• 506.64
• 8 Allocated tips
• 9
• 10 Dependent care benefits
• 0.00
• 11 Nonqualified plans
• 12 Code
• 12a
• 12b
• 12c
• 12d
• 13
• Statutory employee
• Retirement plan
• 3rd party sick pay
• 14 Other
• CA SDI
• 28.48
• 15 State
• CA
• Employer’s state ID number
• 20934220
• 16 State wages, tips, etc.
• 17 State income tax
• 26.59
• 18 Local wages, tips, etc
• 19 Local income tax
• 20 Locality name

Certified Phlebotomy technician I