Page 20 - Financial Workbook October

Payroll Details

Hours and Earnings Taxes Deductions Employer
Description Hours Rate Amount Tax Amount Deduction Amount Net Pay Liability Amount
80.00 2,514.30 FED SOCSEC 155.88 FED MEDCARE-ER 36.46
FED 36.46 192.35
MEDCARE
375.32
Check Date: 10/25/2017 / Direct Deposit / Checking / Account No: XXX2243 $2,138.98
Department Totals: 401 - DON
Regular 80.00 $2,514.30 FED FIT $182.98 $2,138.98 FED SOCSEC-ER $155.89
80.00 $2,514.30 FED SOCSEC $155.88 FED MEDCARE-ER $36.46
FED $36.46 $192.35
MEDCARE
$375.32
Total Employees - 401 - DON: 1
Department: 406 - MDS Coordinator
Employee: Hutcherson, Deundreau SSN: xxx-xx-1499
Regular 58.48 17.5000 1,023.41 FED FIT 69.08 Wage assignment 25.00 851.04 FED SOCSEC-ER 63.45
58.48 1,023.41 FED SOCSEC 63.45 1 FED MEDCARE-ER 14.84
FED 14.84 25.00 78.29
MEDCARE
147.37
Check Date: 10/25/2017 / Direct Deposit / Savings / Account No: XXXXXXXX9074 $851.04
Department Totals: 406 - MDS Coordinator
Regular 58.48 $1,023.41 FED FIT $69.08 Wage assignment $25.00 $851.04 FED SOCSEC-ER $63.45
58.48 $1,023.41 FED SOCSEC $63.45 1 FED MEDCARE-ER $14.84
FED $14.84 $25.00 $78.29
MEDCARE
$147.37
Total Employees - 406 - MDS Coordinator: 1
Department: 408 - RN
Employee: Barnes, Cheryl SSN: xxx-xx-1866
Regular 34.10 24.0000 818.40 FED FIT 88.96 666.83 FED SOCSEC-ER 50.74
34.10 818.40 FED SOCSEC 50.74 FED MEDCARE-ER 11.87
FED 11.87 FED FUTA 4.91
MEDCARE TN SUI-ER 22.10
151.57 89.62
Check Date: 10/25/2017 / Direct Deposit / Checking / Account No: XXXXX2061 $666.83
Employee: Ralls, Charlotte SSN: xxx-xx-5266
Regular 26.13 24.0000 627.12 FED FIT 26.67 552.48 FED SOCSEC-ER 38.88
26.13 627.12 FED SOCSEC 38.88 FED MEDCARE-ER 9.09
FED 9.09 47.97
MEDCARE
74.64
Check Date: 10/25/2017 / Direct Deposit / Checking / Account No: XXXXXXXX6074 $552.48

Company: Paris Senior Living LLC 2 of 12 Date Printed: 12/04/2017 17:56
Check dates from: 10/25/2017 - Payroll 1 to: 10/28/2017 - Payroll 1 23400335 - R8/OR9
Pay Period from: 10/01/2017 to: 10/31/2017