Page 20 - Financial Workbook August

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
$375.32
Total Employees - 401 - DON: 1
Department: 406 - MDS Coordinator
Employee: Hutcherson, Deundreau SSN: xxx-xx-1499
Regular 52.90 17.5000 925.76 FED FIT 75.44 Wage assignment 25.00 883.79 FED SOCSEC-ER 66.08
Paid Time Off 8.00 17.5000 140.00 FED SOCSEC 66.08 1 FED MEDCARE-ER 15.45
60.90 1,065.76 FED 15.45 25.00 81.53
MEDCARE
156.97
Check Date: 09/11/2017 / Direct Deposit / Savings / Account No: XXXXXXXX9074 $883.79
Department Totals: 406 - MDS Coordinator
Regular 52.90 $925.76 FED FIT $75.44 Wage assignment $25.00 $883.79 FED SOCSEC-ER $66.08
Paid Time Off 8.00 $140.00 FED SOCSEC $66.08 1 FED MEDCARE-ER $15.45
60.90 $1,065.76 FED $15.45 $25.00 $81.53
MEDCARE
$156.97
Total Employees - 406 - MDS Coordinator: 1
Department: 408 - RN
Employee: Ralls, Charlotte SSN: xxx-xx-5266
Regular 18.17 24.0000 436.08 FED FIT 7.57 395.15 FED SOCSEC-ER 27.04
18.17 436.08 FED SOCSEC 27.04 FED MEDCARE-ER 6.32
FED 6.32 33.36
MEDCARE
40.93
Check Date: 09/11/2017 / Direct Deposit / Checking / Account No: XXXXXXXX6074 $395.15
Employee: Tucker, Wenona F SSN: xxx-xx-3499
Regular 7.05 24.0000 169.20 FED SOCSEC 10.49 155.36 FED SOCSEC-ER 10.49
7.05 169.20 FED 2.45 FED MEDCARE-ER 2.45
MEDCARE FED FUTA 1.02
KY SIT 0.90 TN SUI-ER 4.57
13.84 18.53
Check Date: 09/11/2017 / Direct Deposit / Checking / Account No: XXXXXX0935 $155.36
Department Totals: 408 - RN
Regular 25.22 $605.28 FED FIT $7.57 $550.51 FED SOCSEC-ER $37.53
25.22 $605.28 FED SOCSEC $37.53 FED MEDCARE-ER $8.77
FED $8.77 FED FUTA $1.02
MEDCARE TN SUI-ER $4.57
KY SIT $0.90 $51.89
$54.77
Total Employees - 408 - RN: 2
Department: 409 - LPN

Company: Paris Senior Living LLC 2 of 12 Date Printed: 09/13/2017 14:56
Check date: 9/11/2017 - Payroll 1 Run Number: 0042 23400335 - R8/OR9
Pay Period: 08/16/2017 to: 08/31/2017