Company Code Loc/Dept Number Page H RX / PUJ 21609797 _01/ 3266679 11 1 Earnings Statement DARREN K INDYKE PLLC 575 LEXINGTON AVENUE He awe eerie SUITE 92 4TH FLOOR ing: NEW YORK, NY 10022 Pay Oete: 0915/2016 — — Marital Status: Married xemptions/Allowances: Tax Override: Federal: 0 Federal K GROFF State: 0 State: Local: 0 Local. Social Security Number: = XXX-XX-XXXX Earnings rate hours/units this period year to date Regular 0.00 1538.46 38846.14 Gross Pay $1,538.46 $38,846.14 Deposits Statutory Deductions __this period ____ year to date scoount number transivABA Federal Income 145.77 4667.53 XOXXXKX3159 XXXXXXXXX Social Security ~95.38 2408.46 Medicare ~22.31 563.27 New York State income ~66.68 1922.35 Voluntary Deductions this period year to date New York voluntary disability -1.20 22.80 Net Pay $1,207.12 Your lederal taxable wages this period are $1,538.46 1207.12 Reserved. © 1998, 2006. ADP, LLC All <q TEAR HERE } DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Deposited to the account MUST SHANSE DH) TONS SHADUALEY Any SVZEy Fro) Dares 1e Pay Date: 09/15/2016 jn 2ecotint number..." <i t= *""_wansivABA Checking DirectDeposit LESLEY K GROFF 2 XXXXXXS1S9 XXXXXAXXX amount 1207.12 Rasa ieee ase ari EFTA00316282