EFTA00316356.pdf

Company Code Loe/Dept Number Page RX PUJ 21600797 01/ 4770605 1 of 1 Earnings Statement DARREN K INDYKE PLIC 576 LEXINGTON AVENUE Period Starting: 10/02/2017 SUITE 924TH FLOOR Period Ending: 10/15/2017 Pay Date: 10/i 2/2017 NEW YORK, NY 10022 Business Phone: Taxable Menial Status: Married Exemplicns/Allowances: Tax Override: P FS FY K GROFF Federal: 0 Fodani: Slate: 0 Stale: Local: 0 Loct Social Seaway Number: XXX-XX.XXXX Earnings rota houreAmils this period year to date Regular 0.00 1538.46 32307.66 Gross Pay 81,538.46 532,307.66 Deposits Statutory Deductions this period %Porto date account numbs( trans's/ABA amount Federal Income -145.00 3045.00 X)00CO(3159 XXX XXXXXX 1208.07 Socal Security -95.38 2003.07 Medczue -22.31 468.46 New York State Income -66.50 1396.50 Voluntary Deductions this period year to date New York voluntary disability -1.20 25.20 Net Pay 81,208.07 w cc Your federal taxable wages ins period are SI S38 46 w cc V VorrIlot DE/trithlz.411AU friciTfl.t1 f E/E)113 TUP 1.15.1111F.il :Tr freJirl DARRENK INDYKE PUG 575 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK: NY 10022 LESLEY K GROFF EFTA00316356