Page 20 - Financial Workbook November

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 $36.45 $192.35
MEDCARE
$375.31
Total Employees - 401 - DON: 1
Department: 406 - MDS Coordinator
Employee: Hutcherson, Deundreau SSN: xxx-xx-1499
Regular 55.63 17.5000 973.53 FED SOCSEC 83.96 Wage assignment 25.00 1,225.57 FED SOCSEC-ER 83.96
Overtime 8.50 26.2500 223.13 FED 19.63 1 FED MEDCARE-ER 19.64
HolidayWorked 6.00 26.2500 157.50 MEDCARE 25.00 103.60
70.13 1,354.16 103.59
Check Date: 12/10/2017 / Direct Deposit / Savings / Account No: XXXXXXXX9074 $1,225.57
Department Totals: 406 - MDS Coordinator
Regular 55.63 $973.53 FED SOCSEC $83.96 Wage assignment $25.00 $1,225.57 FED SOCSEC-ER $83.96
Overtime 8.50 $223.13 FED $19.63 1 FED MEDCARE-ER $19.64
HolidayWorked 6.00 $157.50 MEDCARE $25.00 $103.60
70.13 $1,354.16 $103.59
Total Employees - 406 - MDS Coordinator: 1
Department: 408 - RN
Employee: Barnes, Cheryl SSN: xxx-xx-1866
Regular 18.18 24.0000 436.32 FED FIT 34.05 368.89 FED SOCSEC-ER 27.05
18.18 436.32 FED SOCSEC 27.05 FED MEDCARE-ER 6.33
FED 6.33 FED FUTA 1.19
MEDCARE TN SUI-ER 11.78
67.43 46.35
Check Date: 12/10/2017 / Direct Deposit / Checking / Account No: XXXXX2061 $368.89
Employee: Ralls, Charlotte SSN: xxx-xx-5266
Regular 25.90 24.7200 640.25 FED FIT 60.98 835.05 FED SOCSEC-ER 60.16
HolidayWorked 8.90 37.0800 330.01 FED SOCSEC 60.16 FED MEDCARE-ER 14.07
34.80 970.26 FED 14.07 74.23
MEDCARE
135.21
Check Date: 12/10/2017 / Direct Deposit / Checking / Account No: XXXXXXXX6074 $835.05
Employee: Tucker, Wenona F SSN: xxx-xx-3499
Regular 5.02 24.7200 124.09 FED SOCSEC 7.69 114.60 FED SOCSEC-ER 7.69
5.02 124.09 FED 1.80 FED MEDCARE-ER 1.80
MEDCARE FED FUTA 0.74
9.49 TN SUI-ER 3.35
13.58
Check Date: 12/10/2017 / Direct Deposit / Checking / Account No: XXXXXX0935 $114.60
Department Totals: 408 - RN
Regular 49.10 $1,200.66 FED FIT $95.03 $1,318.54 FED SOCSEC-ER $94.90

Company: Paris Senior Living LLC 2 of 12 Date Printed: 12/18/2017 17:45
Check dates from: 12/10/2017 - Payroll 1 to: 12/10/2017 - Payroll 2 23400335 - R8/OR9
Pay Period from: 11/16/2017 to: 11/30/2017