Page 8 - Financial Workbook December

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 $155.89 FED MEDCARE-ER $36.46
FED $36.46 $192.35
MEDCARE
$375.33
Total Employees - 401 - DON: 1
Department: 406 - MDS Coordinator
Employee: Hutcherson, Deundreau SSN: xxx-xx-1499
Regular 63.65 17.5000 1,113.88 FED FIT 20.89 Wage assignment 25.00 1,482.25 FED SOCSEC-ER 102.59
Overtime 15.27 26.2500 400.84 FED SOCSEC 102.59 1 FED MEDCARE-ER 23.99
Paid Time Off 8.00 17.5000 140.00 FED 23.99 25.00 126.58
86.92 1,654.72 MEDCARE
147.47
Check Date: 12/22/2017 / Direct Deposit / Savings / Account No: XXXXXXXX9074 $1,482.25
Department Totals: 406 - MDS Coordinator
Regular 63.65 $1,113.88 FED FIT $20.89 Wage assignment $25.00 $1,482.25 FED SOCSEC-ER $102.59
Overtime 15.27 $400.84 FED SOCSEC $102.59 1 FED MEDCARE-ER $23.99
Paid Time Off 8.00 $140.00 FED $23.99 $25.00 $126.58
86.92 $1,654.72 MEDCARE
$147.47
Total Employees - 406 - MDS Coordinator: 1
Department: 408 - RN
Employee: Barnes, Cheryl SSN: xxx-xx-1866
Regular 18.02 24.0000 432.48 FED FIT 33.66 365.73 FED SOCSEC-ER 26.81
18.02 432.48 FED SOCSEC 26.82 FED MEDCARE-ER 6.27
FED 6.27 TN SUI-ER 11.68
MEDCARE 44.76
66.75
Check Date: 12/22/2017 / Direct Deposit / Checking / Account No: XXXXX2061 $365.73
Employee: Ralls, Charlotte SSN: xxx-xx-5266
Regular 17.53 24.7200 433.34 FED FIT 7.29 392.90 FED SOCSEC-ER 26.87
17.53 433.34 FED SOCSEC 26.87 FED MEDCARE-ER 6.28
FED 6.28 33.15
MEDCARE
40.44
Check Date: 12/22/2017 / Direct Deposit / Checking / Account No: XXXXXXXX6074 $392.90
Employee: Tucker, Wenona F SSN: xxx-xx-3499
Regular 4.83 24.7200 119.40 FED SOCSEC 7.41 110.26 FED SOCSEC-ER 7.40
4.83 119.40 FED 1.73 FED MEDCARE-ER 1.73
MEDCARE FED FUTA 0.72
9.14 TN SUI-ER 3.22
13.07
Check Date: 12/22/2017 / Direct Deposit / Checking / Account No: XXXXXX0935 $110.26

Company: Paris Senior Living LLC 2 of 12 Date Printed: 01/18/2018 19:14
Check date: 12/22/2017 - Payroll 1 Run Number: 0063 23400335 - R8/OR9
Pay Period: 12/01/2017 to: 12/15/2017