Where this number came fromClose Employer contributions (W-2 code W)
6,000
How it was builtR-HSA: Form 8889 from W-2 code W, Form 5498-SA and Form 1099-SA.
2025 Form W-2 - Corvane Systems, Inc. (Ngozi Okafor) · Corvane Systems, Inc.
Form W-2 2025. Employer Corvane Systems, Inc., EIN 82-4471903, 500 Harbor Blvd, San Francisco CA. Employee Ngozi Okafor, SSN •••-••-2287. Box 1 104,600.00; Box 2 15,800.00; Box 3 112,000.00; Box 4 6,944.00; Box 5 112,000.00; Box 6 1,624.00; Box 12 D 7,400.00, W 2,500.00, DD 9,200.00; Box 13 retirement plan checked; Box 14 RSU 38,200.00, ESPP 675.00; Box 15 CA; Box 16 107,100.00; Box 17 8,950.00. Employment ended 05/16/2025.
Highlighted: the exact text this number depends on. Simulated from the packet's printed content.2025 Form W-2 - Halvorsen Data LLC (Ngozi Okafor) · Halvorsen Data LLC
Form W-2 2025. Employer Halvorsen Data LLC, EIN 74-2290518, 300 Colorado St, Austin TX. Employee Ngozi Okafor, SSN •••-••-2287. Box 1 107,800.00; Box 2 9,600.00; Box 3 118,000.00; Box 4 7,316.00; Box 5 118,000.00; Box 6 1,711.00; Box 10 5,000.00; Box 12 D 10,200.00, W 3,500.00, DD 11,400.00; Box 13 retirement plan checked; Box 15 CA; Box 16 111,300.00; Box 17 4,180.00. (Employment began 06/02/2025. Employer payroll kept California as the work state through 09/30/2025.)
Highlighted: the exact text this number depends on. Simulated from the packet's printed content.2025 Form 5498-SA - HSA (Ngozi Okafor) · Lakeside HSA Bank
Form 5498-SA 2025. Box 2 total contributions made in 2025: 6,000.00 (all employer, through payroll). Box 5 FMV 12/31/2025 14,820.00. Coverage: family HDHP.
Highlighted: the exact text this number depends on. Simulated from the packet's printed content.ActionsActing on: Employer contributions (W-2 code W)Assigned toNo one yet
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Checked by TaxmarkAgreed to source documentAgrees with Box 2 total contributions on 2025 Form 5498-SA - HSA (Ngozi Okafor): 6,000
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