Page 8 - 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 $155.89 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 90.32 17.5000 1,580.60 FED FIT 152.66 Wage assignment 25.00 1,282.02 FED SOCSEC-ER 98.00
90.32 1,580.60 FED SOCSEC 98.00 1 FED MEDCARE-ER 22.92
FED 22.92 25.00 120.92
MEDCARE
273.58
Check Date: 11/24/2017 / Direct Deposit / Savings / Account No: XXXXXXXX9074 $1,282.02
Department Totals: 406 - MDS Coordinator
Regular 90.32 $1,580.60 FED FIT $152.66 Wage assignment $25.00 $1,282.02 FED SOCSEC-ER $98.00
90.32 $1,580.60 FED SOCSEC $98.00 1 FED MEDCARE-ER $22.92
FED $22.92 $25.00 $120.92
MEDCARE
$273.58
Total Employees - 406 - MDS Coordinator: 1
Department: 408 - RN
Employee: Barnes, Cheryl SSN: xxx-xx-1866
Regular 8.07 24.0000 193.68 FED FIT 9.78 169.08 FED SOCSEC-ER 12.01
8.07 193.68 FED SOCSEC 12.01 FED MEDCARE-ER 2.81
FED 2.81 FED FUTA 1.16
MEDCARE TN SUI-ER 5.23
24.60 21.21
Check Date: 11/24/2017 / Direct Deposit / Checking / Account No: XXXXX2061 $169.08
Employee: Ralls, Charlotte SSN: xxx-xx-5266
Regular 43.90 24.7200 1,085.21 FED FIT 72.48 929.72 FED SOCSEC-ER 67.28
43.90 1,085.21 FED SOCSEC 67.28 FED MEDCARE-ER 15.74
FED 15.73 83.02
MEDCARE
155.49
Check Date: 11/24/2017 / Direct Deposit / Checking / Account No: XXXXXXXX6074 $929.72
Employee: Tucker, Wenona F SSN: xxx-xx-3499
Regular 4.30 24.7200 106.30 FED SOCSEC 6.59 98.17 FED SOCSEC-ER 6.59
4.30 106.30 FED 1.54 FED MEDCARE-ER 1.54
MEDCARE FED FUTA 0.64
8.13 TN SUI-ER 2.87
11.64
Check Date: 11/24/2017 / Direct Deposit / Checking / Account No: XXXXXX0935 $98.17

Company: Paris Senior Living LLC 2 of 12 Date Printed: 12/18/2017 17:44
Check date: 11/24/2017 - Payroll 1 Run Number: 0056 23400335 - R8/OR9
Pay Period: 11/01/2017 to: 11/15/2017