Where this number came from Close Employer contributions (W-2 code W) 6,000
How it was built R-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. Actions Acting on: Employer contributions (W-2 code W) Adjust Verify Sign off as preparer Leave a review note Ask the client Record a decision Ask a colleague
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Checked by Taxmark? Agreed to source document Agrees with Box 2 total contributions on 2025 Form 5498-SA - HSA (Ngozi Okafor): 6,000
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