Page 20 - Financial Workbook September

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 36.45 192.35
MEDCARE
375.32
Check Date: 10/10/2017 / 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 $155.89 FED MEDCARE-ER $36.46
FED $36.45 $192.35
MEDCARE
$375.32
Total Employees - 401 - DON: 1
Department: 406 - MDS Coordinator
Employee: Hutcherson, Deundreau SSN: xxx-xx-1499
Regular 52.60 17.5000 920.50 FED FIT 63.29 Wage assignment 25.00 821.18 FED SOCSEC-ER 61.06
Overtime 2.45 26.2500 64.31 FED SOCSEC 61.06 1 FED MEDCARE-ER 14.28
55.05 984.81 FED 14.28 25.00 75.34
MEDCARE
138.63
Check Date: 10/10/2017 / Direct Deposit / Savings / Account No: XXXXXXXX9074 $821.18
Department Totals: 406 - MDS Coordinator
Regular 52.60 $920.50 FED FIT $63.29 Wage assignment $25.00 $821.18 FED SOCSEC-ER $61.06
Overtime 2.45 $64.31 FED SOCSEC $61.06 1 FED MEDCARE-ER $14.28
55.05 $984.81 FED $14.28 $25.00 $75.34
MEDCARE
$138.63
Total Employees - 406 - MDS Coordinator: 1
Department: 408 - RN
Employee: Barnes, Cheryl SSN: xxx-xx-1866
Regular 28.98 24.0000 695.52 FED FIT 70.53 571.78 FED SOCSEC-ER 43.12
28.98 695.52 FED SOCSEC 43.13 FED MEDCARE-ER 10.09
FED 10.08 FED FUTA 4.17
MEDCARE TN SUI-ER 18.78
123.74 76.16
Check Date: 10/10/2017 / Direct Deposit / Checking / Account No: XXXXX2061 $571.78
Employee: Ralls, Charlotte SSN: xxx-xx-5266
Regular 26.52 24.0000 636.48 FED FIT 27.61 560.18 FED SOCSEC-ER 39.46
26.52 636.48 FED SOCSEC 39.46 FED MEDCARE-ER 9.23
FED 9.23 48.69
MEDCARE
76.30
Check Date: 10/10/2017 / Direct Deposit / Checking / Account No: XXXXXXXX6074 $560.18

Company: Paris Senior Living LLC 2 of 13 Date Printed: 10/25/2017 18:58
Check date: 10/10/2017 - Payroll 1 Run Number: 0046 23400335 - R8/OR9
Pay Period: 09/16/2017 to: 09/30/2017