Company Code Loc/Dept Number Page i RX/PUS 21609797 O17 3051306 Tor! Earnings Statement 7D) DARREN K INDYKE PLLC : 575 LEXINGTON AVENUE Period Starting 07/11/2016 SUITE 92 4TH FLOOR Period Ending: 07/24/2016 NEW YORK, NY 10022 Pay Date: 07/21/2016 Business Phone: la Taxable Marital Status Married Exempiions/Allowances: Tax Overnde: Federal: 0 Federal State: 0 State: Local 0 Local: Social Security Number: XXX-XK-XXXK Earnings _fate hours/units this period _year to date Regutar 0.00 1538.46 32692. 30 Gross Pay $1,538.46 $32,692.30 Deposits Statutory Deductions _______this period ___ year to date account number _ transiVABA amount Federal Income 145.77 4084 .45 XXXXXX3 159 XXKXXXAKK 2 Social Security 95.38 2026.92 Medicare -22.31 474.04 New York State Income ~66.68 1655.63 = Voluntary Deductions this period year to date New York voluntary disability -1.20 18.00 ; 3 Net Pay $4207.12 j | Si c z br a a (=) > al = w = & Your federal taxable wages this period are $1,538.46 x _ € B v © Very Docu ie AUTHsirietl 7 - COLOH=Y Area MUST CHANGE I TONS SHADUALET AND Fron Fh ‘ xy DARREN K INDYKE PLLC i . 575\LEXINGTON AVENUE r ; : SUITE 92 4TH FLOOR Pay Date: i xq NEW YORK, NY 10022 be ra Deposited tothe account _-»accotint number". ee" transivABA amount 2 i) e i Checking DirectDeposit DS OOKRxO189 °° XXXXXXXXX 1207.12 LESLEY K GROFF EFTA00316252