a Employee's social security number
644-08-8346
b Employer identification number (EIN)
830672898
c Employer's name, address, and ZIP code
VMS Palliative Hospice Care LLC
20127 Ivory Valley Lane
Cypress , TX 77433
e Employee's name
Oyeniyi Omokanye
7218 Mountain Prairie drive
Cypress, TX 77433
1 Wages, tips, other compensation
$1353.00
2 Federal income tax withheld
$0.00
3 Social security wages
$953.00
4 Social security tax withheld
$59.09
5 Medicare wages and tips
$1353.00
6 Medicare tax withheld
$13.82
Form W-2 • 2026 • OMB No. 1545-0008