Page 8 - Financial Workbook September

Payroll Details

Hours and Earnings Taxes Deductions Employer
Description Hours Rate Amount Tax Amount Deduction Amount Net Pay Liability Amount
FED 36.46 192.35
MEDCARE
375.33
Check Date: 09/25/2017 / Direct Deposit / Checking / Account No: XXX2243 $2,138.97
Department Totals: 401 - DON
Regular 0.00 $2,514.30 FED FIT $182.98 $2,138.97 FED SOCSEC-ER $155.89
0.00 $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 45.78 17.5000 801.15 FED FIT 108.01 Wage assignment 25.00 1,051.78 FED SOCSEC-ER 79.54
HolidayWorked 11.02 26.2500 289.28 FED SOCSEC 79.54 1 FED MEDCARE-ER 18.60
Paid Time Off 11.00 17.5000 192.50 FED 18.60 25.00 98.14
67.80 1,282.93 MEDCARE
206.15
Check Date: 09/25/2017 / Direct Deposit / Savings / Account No: XXXXXXXX9074 $1,051.78
Department Totals: 406 - MDS Coordinator
Regular 45.78 $801.15 FED FIT $108.01 Wage assignment $25.00 $1,051.78 FED SOCSEC-ER $79.54
HolidayWorked 11.02 $289.28 FED SOCSEC $79.54 1 FED MEDCARE-ER $18.60
Paid Time Off 11.00 $192.50 FED $18.60 $25.00 $98.14
67.80 $1,282.93 MEDCARE
$206.15
Total Employees - 406 - MDS Coordinator: 1
Department: 408 - RN
Employee: Barnes, Cheryl SSN: xxx-xx-1866
Regular 24.67 24.0000 592.08 FED FIT 55.01 491.77 FED SOCSEC-ER 36.71
24.67 592.08 FED SOCSEC 36.71 FED MEDCARE-ER 8.59
FED 8.59 FED FUTA 3.55
MEDCARE TN SUI-ER 15.99
100.31 64.84
Check Date: 09/25/2017 / Direct Deposit / Checking / Account No: XXXXX2061 $491.77
Employee: Ralls, Charlotte SSN: xxx-xx-5266
Regular 9.20 24.0000 220.80 FED FIT 17.00 472.82 FED SOCSEC-ER 32.88
HolidayWorked 8.60 36.0000 309.60 FED SOCSEC 32.89 FED MEDCARE-ER 7.69
17.80 530.40 FED 7.69 40.57
MEDCARE
57.58
Check Date: 09/25/2017 / Direct Deposit / Checking / Account No: XXXXXXXX6074 $472.82
Employee: Tucker, Wenona F SSN: xxx-xx-3499

Company: Paris Senior Living LLC 2 of 13 Date Printed: 10/25/2017 18:57
Check date: 9/25/2017 - Payroll 1 Run Number: 0044 23400335 - R8/OR9
Pay Period: 09/01/2017 to: 09/15/2017