Co Code _Loc/Dept Number P: ; RX/PUJ21609797 Of) 3119925 toh Earnings Statement 7») DARREN K INDYKE PLLC 575 LEXINGTON AVENUE hoo See piicialinte SUITE 92 4TH FLOOR nding: NEW YORK, NY 10022 Pay Date: 08/04/2016 Business Phone: 212-971-1307 Taxable Marital Status: Married Exemptions/Allowances: Tax Override: LESLEY K GROFF Federal: 0 Federal: State: .] State: Local: 0 Local: Social Security Number: XXX-XX-XXKK Earnings = rate _— hours/units this period year to date Regular 0.00 1538.46 34230.76 Gross Pay Te $1,538.46 $34,230.76 Deposits Statutory Deductions this period year to date account number _ transi/ABA _amount Federal Income 7145.77 4230.22 XXXXXX3159 XXXXKAXKK 1207.11 Social Security -95.39 2122.31 Medicare “22.31 496.35 a New York State Income ~66.68 1722.31 Voluntary Deductions this period _year to date New York voluntary disability -1.20 19.20 Not Pay $1,207.11 Your federal taxable wages this penod are $1,598.46 "Emr TD 4 rs) SUMsNT AUTHENTICITY -¢ ren K saehlee enya 575 LEXINGTON AVENU i SUITE 92 4TH FLOOR Pay Date: NEW YORK, NY 10022 . ¥ 2 XXXKXXS159 Deposited to the account Checking DirectDeposit LESLEY K GROFF © 1998, 2006. ADP. LLC All Rights Reserved amount 1207.11 EFTA00316256