Company Code Loc/Dept Number Page RX / PUJ 21609797 01/ 2836189 1 of 1 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxable Marital Status: Married Exemptions/Allowances: Tax Override: Federal: 0 Federal State: 0 State: Local 0 Local: Social Security Number: XXX-XX-XXXK Earnings rate hours/units this period year to date Regular 0.00 1538.46 26538.46 Gross Pay $1,538.46 $26,538.46 Statutory Deductions this period year to date Federal Income 145.77 3501.37 Social Secunty ~95. 38 1645. 38 Medicare -22.31 384.81 New York Stale Income ~66,68 1388.91 Voluntary Deductions this period year to date New York voluntary disability -1.20 13.20 Net Pay $1,207.12 § /EHIF DOCUMENTS AUTEN / - COLOHED 2 UST SAAS. DARREN K INDYKE-PLLC §75 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK. NY 10022 Deposited to the account _ Checking DirectDeposit LESLEY K GROFF Earnings Statement >> Period Starting 08/16/2016 Period Ending: 08/29/2016 Pay Date 06/26/2016 LESLEY K GROFF is account number transivABA XXXXXX3159 XXXXXAKXX Your federal taxable wages this period are $1,538.46 Pay Date: 05/26/2016 ==-aecount number SS _transitiABA XXXXNXS1 59 XXXXXXAXK amount 1207.12 ights Reserved. © 1998, 2006, ADP, LLC _All Ri <q TEAR HERE ZYZNEY FHOM DAFT AT TOF 79 List rer AT BUTS Fh) amount 1207.12 EFTA00316218