Company Code Loc/Dept Number Page RX/PUJ 21609797 01/ 2890341 tof 1 Earnings Statement 72>») DARREN K INDYKE PLLC 575 LEXINGTON AVENUE Period Starling: 05/30/2016 SUITE 92 4TH FLOOR Period Ending: 06/12/2016 NEW YORK, NY 10022 Pay Date: 06/09/2016 Business Phone: | | Taxable Marital Status: Maite Exemptions/Allowances. ‘ax Override: Federal: 0 Federal LESLEY K GROFF State: 0 State: Local: t) Local: Social Security Number: XXXK-XX-XXXK Earnings rate hours/units this period year to date Regular 0.00 1538.46 28076.92 Gross Pay : ~ $1,538.46 $28,076.92 e " Deposits Statutory Deductions _ this period ___yearto date account number transi/ABA ___ amount Federal Income ~145.77 3647.14 XXXXXX3 159 XXXXXAXXX 1207.11 Social Security -95.39 1740.77 Medicare -22.31 407.12 _ New York State Income -66.68 1455.59 Voluntary Deductions _ = this period year to date New York voluntary disability -1.20 14.40 Not Pay $1,207.11 © 1998, 2006. ADP, LLC All Rights Reserved. Your federal taxable wages this period are $1,538.46 CaaS pulls SHADUALL Ally ava) lf Y SOSUIzF AU THEN rot YY ~ COLE HDi Dara Al POP wisithtee 2 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE ; SUITE 92 4TH FLOOR Pay Date: 06/09/2016 NEW YORK, NY 10022 Deposited to the account ee estccoging number...) “_transiVABA _amount Checking DirectDeposit = 2) XCXHRK189 XXXXXXXXK 1207.11 LESLEY K GROFF EFTA00316247