March 23 rd 2013 Presented by NEA 1 Alternatives for Payroll Deduction.
Quarter Processing: Using Payroll Reports to … Processing: Using Payroll Reports to ... DEDUCTION...
Transcript of Quarter Processing: Using Payroll Reports to … Processing: Using Payroll Reports to ... DEDUCTION...
Quarter Processing: Using Payroll Reports to Prepare for Quarter End
Reports Manual
Need support after training? To exchange tips and best practices with fellow users, get on The Bridge—an online community built exclusively for ADP clients.
V02211834588_1NH Copyright © 2009–2018 ADP, LLC
ADP Trademarks ADP®, the ADP logo®, ADP A more human resource®, The Bridge Sponsored by ADP & Bubble Talk Design®, and ADP Workforce Now® are registered trademarks of ADP, LLC. All other trademarks and service marks are the property of their respective owners.
Copyright © 2009–2018 ADP, LLC. ADP Proprietary and Confidential − All Rights Reserved. These materials may not be reproduced in any format without the express written permission of ADP, LLC. Any repurposing, reposting, or other use of this content (including but not limited to YouTube® or any other social media) is expressly prohibited. ADP provides this publication "as is" without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability or fitness for a particular purpose. ADP is not responsible for any technical inaccuracies or typographical errors which may be contained in this publication. Changes are periodically made to the information herein, and such changes will be incorporated in new editions of this publication. ADP may make improvements and/or changes in the product and/or programs described in this publication at any time without notice.
Published by ADP Enterprise Learning February 2018
PREFACE
Copyright 2009–2018 ADP, LLC iii V02211834588_1NH
Contents
Master Control ............................................................................................................... 5
Payroll Summary ......................................................................................................... 16
Personnel Change Report ............................................................................................. 26
Unused Deduction Report ............................................................................................ 27
Statistical Summary ..................................................................................................... 28
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Com
pany
Opt
ions
Mas
ter
Con
trol
Wee
kP
erio
dE
ndin
g:
Bat
ch:
002
003
004
005
006
Num
ber
001
DE
DU
CTI
ON
CO
DE
4
TaxExem
ption
Grid
DE
DU
CTI
ON
CO
DE
26
X
EA
RN
ING
SC
OD
EC
EA
RN
ING
SC
OD
EL
EA
RN
ING
SC
OD
EM
X
Num
ber
X X
X
X
X
EA
RN
ING
SC
OD
E5
SpecialAccum
ulators
01 02
Descriptio
n
X
X
X
X
X
YE
S
Fede
ralTax
X
X
X
X
X
Descriptio
n
CA
RA
LW10
0%R
EIM
BU
R
WA
SH
ING
TON
HO
UR
S
State1
Tax
X
X
X
X
X
Accum
ulation
Of
DE
DU
CTI
ON
CO
DE
F
HO
UR
SFI
ELD
1,2,
3,4
Local1
Tax
X
X
X
X
X
Clearin
g
YE
AR
EN
D
EV
ER
YQ
TR
03 04
SUI/S
DI
Tax
X
X
X
X
AMC
YE
S
NO
EE
BU
SIN
ES
SE
XP
EN
SE
TRA
VE
LC
LUB
-QTD
State2
Tax
X
X
X
Local2
Tax
X X
Check/Vo
uche
r
YE
S
NO
DE
DU
CTI
ON
CO
DE
B
DE
DU
CTI
ON
CO
DE
J
05
FUTA
Taxable
Dow
nloa
d
NO
YE
AR
EN
D
EV
ER
YQ
TR
ED
UC
ATI
ON
AL
AS
SIS
TI
06 07
SUI/S
DI
Taxable
YE
S
YE
S
DE
DU
CTI
ON
CO
DE
T
DE
PE
ND
EN
TC
AR
EB
EN
DE
PE
ND
FSA
-QTD
08 09
SocSec
YE
S
NO
YE
AR
EN
D
EA
RN
ING
SC
OD
EC
DE
DU
CTI
ON
CO
DE
C
DE
PE
ND
FSA
-YTD
EV
ER
YQ
TR
Med
icare
NO
NO
YE
S
YE
AR
EN
D
EV
ER
YQ
TR
DE
DU
CTI
ON
CO
DE
C
DE
NTA
LP
LAN
-QTD
10
YE
S
YE
S
YE
S
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
D
DE
NTA
LP
LAN
-YTD
11 12 13
NO
YE
S
NO
YE
S
YE
S
DE
DU
CTI
ON
CO
DE
D
ME
DIC
AL-
QTD
ME
DIC
AL-
YTD
FLE
XM
ED
ICA
L-Q
TD
NO
NO
YE
S
NO
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
S
DE
DU
CTI
ON
CO
DE
S
DE
DU
CTI
ON
CO
DE
A
NO
NO
YE
S
EV
ER
YQ
TR
YE
AR
EN
D
EV
ER
YQ
TR
14 15 18 19 20
YE
S
YE
S
YE
S
YE
S
FLE
XM
ED
ICA
L-Y
TD
HO
UR
S1
ER
PR
OV
IDE
DTR
AN
S-T
A
VE
RM
ON
TH
OU
RS
NO
NO
YE
S
NO
DE
DU
CTI
ON
CO
DE
A
HO
UR
SFI
ELD
1
DE
DU
CTI
ON
CO
DE
Z
HO
UR
SFI
ELD
1,2,
3
NO
NO
NO
YE
AR
EN
D
YE
AR
EN
D
YE
AR
EN
D
EV
ER
YQ
TR
OV
ER
TIM
EH
OU
RS
21
YE
S
YE
S
YE
S
YE
S
HO
UR
SFI
ELD
2
CO
DE
DH
OU
RS
22 23 24 25
YE
S
NO
YE
S
NO
YE
AR
EN
D
HO
UR
SFI
ELD
3
TRA
VE
LC
LUB
-YTD
AD
OP
T-E
E-Q
TD
YE
AR
EN
D
NO
NO
NO
NO
YE
S
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
J
DE
DU
CTI
ON
CO
DE
1
AD
OP
T-E
E-Y
TD
NO
YE
S
YE
AR
EN
D
EV
ER
YQ
TR
DE
DU
CTI
ON
CO
DE
1
AD
AE
R-Y
TD
26 27 28
NO
NO
YE
S
YE
S
YE
S
DE
DU
CTI
ON
CO
DE
2
AD
AE
R-Q
TD
MS
AE
E-Y
TD
MS
AE
E-Q
TD
NO
YE
S
NO
YE
S
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
2
DE
DU
CTI
ON
CO
DE
3
DE
DU
CTI
ON
CO
DE
3
NO
NO
NO
YE
S
EV
ER
YQ
TR
YE
AR
EN
D
EV
ER
YQ
TR
29 30 31 32
YE
S
YE
S
YE
S
YE
S
LTD
W2-
EX
CL-
RE
LOC
ATI
ON
EB
E
STO
CK
OP
TIO
NE
XE
RC
IS
33
YE
S
NO
YE
S
NO
EA
RN
ING
SC
OD
EL
EA
RN
ING
SC
OD
EM
ME
MO
CO
DE
E
EA
RN
ING
SC
OD
EN
YE
S
YE
S
YE
S
YE
AR
EN
D
YE
AR
EN
D
YE
AR
EN
D
YE
AR
EN
D
ER
PA
IDH
EA
LTH
SA
VIN
34
YE
S
YE
S
YE
S
YE
S
ME
MO
CO
DE
H
STO
CK
OP
TIO
NE
XE
RC
IS
35 36
NO
SQ
TRTE
ST
NO
YE
S
YE
S
YE
S
YE
AR
EN
D
EA
RN
ING
SC
OD
EN
ER
PA
IDH
EA
LTH
SA
VIN
EE
PA
IDH
EA
LTH
SA
VIN
YE
S
YE
S
NO
NO
YE
S
EV
ER
YQ
TR
ME
MO
CO
DE
H
DE
DU
CTI
ON
CO
DE
5
AQ
N
YE
S
YE
S
EV
ER
YQ
TR
YE
AR
EN
D
Ser
vice
Cen
ter
:
NO
NO
YE
S
YE
S
997
NO
NO
YE
S
8178
-997
06/3
0/20
XX
NO
NO
06/3
0/20
XX126
Page 5
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
38 39 40 41 42 43 4437
HS
A-1
25P
LAN
-YTD
EE
PA
IDH
EA
LTH
SA
VIN
DE
DU
CTI
ON
CO
DE
6
HS
A-1
25P
LAN
-QTD
ER
PA
IDN
ON
-TX
BL
SIC
DE
DU
CTI
ON
CO
DE
5
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
6
EA
RN
ING
SC
OD
ED
ER
PA
IDN
ON
-TX
BL
SIC
YE
S
EV
ER
YQ
TR
YE
S
EV
ER
YQ
TR
YE
AR
EN
D
EA
RN
ING
SC
OD
ED
EE
SA
LR
ED
UC
PA
RK
/TR
YE
S
YE
S
YE
S
YE
S
EV
ER
YQ
TR
DE
DU
CTI
ON
CO
DE
8
EE
SA
LR
ED
UC
PA
RK
/TR
NO
NO
NO
YE
S
YE
S
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
8
SU
PP
WA
GE
S+
$1M
IL
NO
NO
NO
NO
YE
S
EV
ER
YQ
TR
SU
PP
LEM
EN
TAL
WA
GE
S
45 46
NO
NO
YE
S
YE
AR
EN
D
409A
DE
FW
2C
OD
EY
409A
INC
W2
CO
DE
Z
47
NO
YE
S
DE
DU
CTI
ON
CO
DE
4
EA
RN
ING
SC
OD
E4
SC
OR
P
48 49 50
NO
NO
YE
AR
EN
D
YE
AR
EN
D
EA
RN
ING
SC
OD
E5
AW
AR
DS
,P
RIZ
ES
,G
IFT
TFB
-PR
IZE
S-E
AR
NIN
GS
NO
YE
S
YE
S
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
P
EA
RN
ING
SC
OD
EP
CO
CA
R-P
ER
SU
SE
EA
RN
54
YE
S
YE
S
YE
S
YE
AR
EN
D
YE
AR
EN
D
EA
RN
ING
SC
OD
EF
RO
THU
ND
ER
401(
K)
PL
55 57
NO
NO
YE
S
YE
S
YE
S
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
24
RO
THU
ND
ER
401(
K)
PL
EV
ER
YQ
TR
NO
YE
S
NO
YE
S
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
24
TXB
HTH
BE
NV
AL
FED
58 59
NO
NO
YE
S
YE
S
EV
ER
YQ
TR
DE
DU
CTI
ON
CO
DE
26
TXB
HTH
BE
NV
AL
FED
ER
SS
JOB
CR
ED
IT
NO
YE
S
YE
S
YE
S
DE
DU
CTI
ON
CO
DE
26
RE
SE
RV
ED
61 62 63 64
NO
NO
NO
YE
AR
EN
D
NE
VE
R
TRA
VE
L
TRA
NS
ITC
HE
CK
ED
UC
ATI
ON
AS
SIS
T
RE
SE
RV
ED
NO
NO
YE
S
YE
S
DE
DU
CTI
ON
CO
DE
J
DE
DU
CTI
ON
CO
DE
8
DE
DU
CTI
ON
CO
DE
T
Q12
010
ER
SS
CR
WA
GE
YE
S
NO
QTR
2,4
QTR
2,4
QTR
2,4
NE
VE
R
65 95 96 AA
AB
NO
NO
YE
S
YE
S
YE
S
YE
S
HE
ALT
HC
OV
ER
AG
EV
ALU
ME
DIC
AR
ES
UR
TAX
YTD
EV
ER
YQ
TR
NO
NO
NO
NO
ME
MO
CO
DE
A
DE
DU
CTI
ON
CO
DE
65
ME
DIC
AR
ES
UR
TAX
QTD
MTD
401K
401K
NO
NO
NO
NO
YE
AR
EN
D
YE
AR
EN
D
DE
DU
CTI
ON
CO
DE
65
DE
DU
CTI
ON
CO
DE
K
YE
AR
EN
D
YE
S
NO
NO
GR
OU
P1
DE
DU
CTI
ON
CO
DE
K
AC
CA
CC
NO
NO
NO
YE
S
YE
S
401K
CO
BR
AC
RE
DIT
AM
OU
NT
CO
BR
AC
RE
DIT
CO
UN
T
NO
NO
NO
NO
NO
DE
DU
CTI
ON
CO
DE
K
RE
SE
RV
ED
RE
SE
RV
ED
B
NO
NO
EV
ER
YQ
TR
YE
AR
EN
D
EV
ER
YQ
TR
YE
S
YE
S
YE
S
NO
NO
NO
EB
ETA
X
F N 4
*OT
NO
NO
NO
STK
OP
1
409A
IN
EB
ETA
XA
BLE
CO
CA
R
NO
N-S
TAT
STO
CK
409A
INC
OM
E
Ser
vice
Cen
ter
:
*RG
06XX
C
CO
CA
R
06XX
2
DE
PE
ND
6
DE
PE
ND
CA
RE
DN
TSIC
K
H P 5
NO
NTA
XS
ICK
HO
LI
PR
IZE
S
SC
OR
P
E
HO
LID
AY
TFB
-PR
IZE
S
SC
OR
P
BO
NU
S
L S 26
BO
NU
S
LTD
SIC
K
DO
MP
AR
LON
GTE
RM
DIS
SIC
K
DO
MP
AR
ER
M V
*DT
QM
OV
EX
VA
CA
QU
AL
MO
VE
XP
VA
CA
TIO
N
Page 6
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
E K P X 2 6 65A
EB
EN
ON
401K
PR
IZE
S
CH
EC
K2
AD
A-E
R
HS
A12
5
#
FSA
EB
EN
ON
-TA
XA
BLE
401K
FLE
XM
ED
ICA
L
TFB
-PR
IZE
S
CH
EC
KIN
G2
AD
OP
T-E
R
HS
A-1
25P
LAN
ME
DS
T
%=
CA
LCFA
CTO
R
A P
#=
ME
DIC
AR
ES
UR
TAX
HLT
HV
LH
LTH
PLA
NV
ALU
E
B
ME
DIC
AR
ES
UR
TAX
EB
ETA
XE
BE
TAX
AB
LE
F L
C
CO
CA
R
LOA
N
S Y 3 8
DE
PE
ND
CO
CA
R-P
ER
SU
SE
LOA
N
ME
D
SA
V1
MS
A
TRA
NS
81
DE
PE
ND
FSA
H M
ME
DIC
AL
SA
VIN
GS
1
MS
A
TRA
NS
ITC
HE
CK
%
D
HE
ALT
H
1099
T Z 4 24
401K
DE
NT
HE
ALT
HB
EN
OTH
ER
CO
MP
ED
UC
ER
TRS
409A
DF
R40
1K
401
KP
LAN
DE
NTA
LP
LAN
J N
ED
UC
AA
SS
TIN
CL
ER
PR
OV
IDE
DTR
AN
409A
DE
FER
RA
L
RO
THIR
A40
1K
TRA
V
STK
OP
1
W 1 5 26
E
TRA
VE
L
NO
N-S
TAT
STO
CK
CH
EC
K1
AD
A-E
E
HS
A-E
E
TXH
FED
DC
K
CH
EC
KIN
G1
AD
OP
T-E
E
HS
A-E
EC
ON
TRIB
DO
MP
AR
TM
ED
G
401K
DE
DU
CTI
ON
GTL
OM
4
GTL
HS
RIN
DIV
IDU
AL
HH
SA
-ER
OM
H
0022
110M
HS
A-E
RC
ON
TRIB
HS
AE
RC
ON
TRIB
OM
4
01 30
HS
RFA
MIL
YLI
MIT
OH
EP
R
NY
OM
K
NE
WY
OR
KC
IT
SP
RIN
GFI
ELD
40.0
0
401K
ER
MA
TCH
3674
OM
1
3301
1.50
CO
MP
AN
YH
AS
QU
ALI
FIE
DP
EN
SIO
N
OU
TPU
TM
EM
OFO
R40
1K
500,
000
DA
TE1
isH
IRE
date
0033
140P
DA
TE2
DA
TE2
isB
IRTH
date
Ser
vice
Cen
ter
:
01 59
NY
PA
NE
WY
OR
KC
IT
FRA
NK
LIN
TWP
’Hom
e&
Mai
ling’
addr
ess
isus
edon
pay
stat
emen
tsan
dta
xdo
cum
ents
(W-2
s,10
99s)
3303
7786
for
post
alde
liver
y,an
dfo
rta
xfil
ing
purp
oses
whe
nth
eem
ploy
eere
side
nce
isre
quire
d.W
hen
anem
ploy
eere
ceiv
esm
ail
ata
for
post
alde
liver
y.Th
e’H
ome’
addr
ess
027G
loca
tion
othe
rth
anth
eir
resi
denc
ean
dha
sbo
tha
mai
ling
addr
ess
and
aho
me
addr
ess,
06XX
59
the
’Mai
ling’
addr
ess
isus
edon
pay
stat
emen
tsan
dta
xdo
cum
ents
(W-2
s,10
99s)
06XX
PA
isus
edfo
rta
xfil
ing
purp
oses
whe
nth
eem
ploy
eere
side
nce
isre
quire
d.
26 3
PIN
ETW
P87
46
Page 7
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
MIL
FOR
D/,C
T06
461
Dep
t:
Cnt
l:
Cod
e
67M
AIN
AV
E
LWW
:52
0005
00
FTH
S
Hire
:
Rat
eC
alc:
Sex
:
SS
N:
04/1
5/19
85
270.
00
0.00
Gro
ss:
Bi-W
kly
NW
W:
32
M
On
File
Birt
h:
Ac
61TR
AV
E
4,21
5.00
3
Sta
tus:
Clo
ck:
Acc
t1:
05/1
2/19
43
252.
90
Sal
ary:
$25
Ext
raFe
dera
lTa
x
AC
TIV
E
BD
001
XX
XX
XX
7911
Acc
t2:
Ac
AA
MTD
4
Gro
ss:
4000
.00
27C
T
Cod
e
XX
XX
XX
X87
64
Ac
AB
401K
Mar
ital
Sta
tus:
M-M
AR
RIE
D
03E
xem
ptio
ns
006.
0000
F
W Y
3
Fede
ral:
81
215.
00
99.0
0
Tran
/AB
A:
4,04
6.40
33.0
0
90.0
0
401K
27C
TS
UI/D
I
Tran
/AB
A:
DD
EN
T
SM
ED
3,11
5.15
GTL
Cov
156,
000.
00
Ac
10D
EN
TA
XX
XX
XX
XX
X
Ac
AC
401K
44.7
6
200.
00
YS
tate
1
#1
XX
XX
XX
XX
X
Par
tial
Dep
osit
HH
EA
LTH
YS
AV
1
982.
40
50.0
0
3,44
0.00
Full
Dep
osit
5,05
2.48
30.0
0
2
Lim
it:
Ac
12M
ED
IC
JTR
AV
993.
74
Pai
d12
thof
Mon
th:
6650
.00
270.
00
210.
75
56N
J
20.0
0
YM
ED
Filin
gS
tatu
s04
(Tab
leD
)
ToD
ate:
420.
00
Ac
44S
UP
P
Sal
ary:
NS
TKO
P1
312.
90
6H
SA
125
Ac
01C
AR
A
Ac
22TR
AV
E
Ac
50C
OC
A
67,4
40.0
0
4,24
9.08
QS
tate
1
800.
00
674.
40
3,44
0.00
2500
.00
YG
ross
YS
S
4,04
6.40
Ac
33E
RP
A
1,26
4.50
Cod
e
21,0
75.0
0
1,33
7.90
Y40
1K
Ac
35E
RP
A
QG
ross
QS
S
1,61
2.48
1,26
4.50
150.
00
Bi-W
kly
7,72
9.77
QM
ED
YG
TL
Q40
1K
YFI
T
503.
90
150.
00
Ac
38H
SA
-1
2,45
6.10
QG
TL
Ac
04TR
AV
E
428
RO
NA
LDD
RIV
E
21N
JS
UI/D
I
Dep
t:
3
QFI
T
3,44
0.00
WE
ST
OR
AN
GE
,NJ
0705
2
0006
00
YFr
inge
Ben
Rat
eC
alc:
Sex
:
1,07
5.00
Fede
ral:
Tran
/AB
A:
Sta
tus:
SS
N:
QFr
inge
Ben
Mar
ital
Sta
tus:
M-M
AR
RIE
D
01E
xem
ptio
ns
Acc
t2:
F
42FL
500.
00
Acc
t1:
XX
XX
X10
06
On
File
FOR
TM
EY
ER
S,F
L33
901
XC
HE
CK
2
XX
XX
XX
1011
Cod
e
170
OA
KLA
LWW
:52
Dep
t:
Cnt
l:
W X
Gro
ss:
Bi-W
kly
NW
W:
32
0006
00
FTH
S
XX
XX
XX
XX
X
TER
M
2,40
0.00
Rat
eC
alc:
Sex
:
Full
Dep
osit
Tran
/AB
A:
Hou
rlyR
ate:
42FL
SU
I/DI
M
XX
XX
XX
XX
X
30.0
000
006.
0000
Clo
ck:
SS
N:
Hire
:
720.
00
Par
tial
Dep
osit
Mar
ital
Sta
tus:
M-M
AR
RIE
D
02E
xem
ptio
ns
81
BD
020
On
File
09/0
8/19
86
Fede
ral:
Sta
tus:
Lim
it:75.0
0
25.0
0
401K
2
420.
00
Birt
h:
Ac
AC
401K
6CA
CO
RN
WA
Y
DD
EN
T
24R
401K
138.
56
Pai
d12
thof
Mon
th:
Ac
22TR
AV
E
05/0
2/19
61
Gro
ss:
30.0
0
2,34
7.54
YG
TL
#1
384.
00
138.
56
144.
00
3
JTR
AV
YS
S
43.3
0
60.0
0
Ac
33E
RP
A
Ac
44S
UP
P
Ac
AA
MTD
4
20.0
0
549.
02
AC
TIV
E
6650
.00
120.
00
125.
00
NS
TKO
P1
YM
ED
Std
Hou
rs:
ToD
ate:
Ac
35E
RP
A
Ac
55R
OTH
90.0
0
174.
63
80.0
0
960.
00
180.
00
270.
00
OA
KP
AR
KV
ILLA
GE
SM
ED
QM
ED
GTL
Cov
93,6
00.0
0
270.
00
Ac
38H
SA
-1
Ac
61TR
AV
E
2,30
7.68
38,4
00.0
0
746.
68
QG
TL
6H
SA
125
400.
00
2,30
4.00
Sal
ary:
YG
ross
QS
S
150.
00
Ac
54R
OTH
Ac
AB
401K
12,0
00.0
0
Ac
12M
ED
IC
QG
ross
1,28
0.00
Rat
eC
alc:
3,20
5.47
2,30
4.00
Ac
15H
OU
RS
YFI
T
Y40
1K
JAC
KS
ON
VIL
LE,F
L32
225
Dep
t:
Cnt
l:
1,03
3.35
720.
00
2307
.68
LWW
:52
0005
00
FT
QFI
T
Q40
1K
Bi-W
kly
NW
W:
32
Sta
tus:
Clo
ck:
Ser
vice
Cen
ter
:
Ac
04TR
AV
E
Mar
ital
Sta
tus:
M-M
AR
RIE
D
02E
xem
ptio
ns
42FL
SU
I/DI
AC
TIV
E
BD
044
225.
00
Fede
ral:
42FL
Sex
:
138.
46
06XX
Ac
10D
EN
TA
17.0
0
006.
0000
M
Ac
AA
MTD
4 06XX
4
DD
EN
T
2
26
68.0
0
81
Pai
d12
thof
Mon
th:
840.
00
2,21
5.36
SM
ED
401K
GTL
Cov
89,9
99.5
2
Ac
42E
ES
A
Ac
AB
401K
60.0
0
Tran
/AB
A:
127.
04
8TR
AN
S
XX
XX
XX
XX
X
Ac
44S
UP
P
36,9
22.8
8
2,22
9.21
127.
04
Full
Dep
osit
540.
00
YG
ross
YS
S
YG
TL
51.0
0
Ac
62TR
AN
S
11,5
38.4
0
699.
25
39.7
0
Ac
10D
EN
TA
QG
ross
QS
S
QG
TL
204.
00
2,93
4.15
521.
35
Acc
t1:
300.
00
YFI
T
YM
ED
XX
XX
XX
X29
81
Ac
43E
ES
A
923.
25
163.
54
Cod
e
QFI
T
QM
ED
W2,
215.
36Y
401K
692.
30Q
401K
Ac
12M
ED
IC
Page 8
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
SS
N:
Hire
:
Bi-W
kly
On
File
12/1
5/19
85
VA
LLE
YS
TRE
AM
,NY
1100
7
Qua
lifie
dP
ensi
on
916
ED
GE
WO
OD
DR
Birt
h:
Rat
eC
alc:
Dep
t:
Cnt
l:
03/1
3/19
60
3
0001
10
FT
Hire
:
692.
30
Gro
ss:
LWW
:52
Sex
:
SS
N:
03/1
3/19
82
Ac
AC
401K
1,63
0.00
NW
W:
32
F
On
File
Birt
h:
234.
00
Hou
rlyR
ate:
01N
Y
Sta
tus:
Clo
ck:
1,04
0.00
08/2
6/19
42 129.
28
Gro
ss:
18.7
500
19N
YS
UI/D
I
BD
032
YX
Sta
te1
Qua
lifie
dP
ensi
on
YG
TL
46.0
0
3
Mar
ital
Sta
tus:
M-M
AR
RIE
D
03E
xem
ptio
ns
Acc
t1:
2
1,04
0.00
1,04
0.00
YX
Loca
l1
Fede
ral:
XX
XX
X12
90
Pai
d12
thof
Mon
th:
YX
ME
D
YX
SU
I/DI
EE
1,04
0.00
33.0
0
78.0
0
Cod
e
GTL
Cov
58,5
00.0
0
400.
00
400.
00
QX
Loca
l1
DD
EN
T
SM
ED
W
1,04
0.00
QX
ME
D
QX
SU
I/DI
EE
400.
00
QG
TL
61.3
2
AC
TIV
E
1,04
0.00
400.
00
1,04
0.00
HH
EA
LTH
Std
Hou
rs:
YX
SS
QX
Sta
te1
YX
SU
I/DI
ER
Y40
1K
30.0
0
354.
47
80.0
0
400.
00
400.
00
40.4
0
Ac
AA
MTD
4
JTR
AV
YM
ED
0033
NE
WY
OR
KC
IT
QX
SS
QX
SU
I/DI
ER
736.
00
736.
00
46.0
0
112.
96
Tran
/AB
A:
K40
1K
QM
ED
XX
XX
XX
XX
X
25,6
90.0
0
1,51
5.67
880.
99
YX
FUTA
230.
00
Ac
AB
401K
Sal
ary:
YG
ross
YS
S
YS
tate
1
400.
00
8,15
0.00
483.
01
285.
05
QX
FUTA
Q40
1K
230.
00
15H
YA
CIN
THW
AY
QG
ross
QS
S
QS
tate
1
1,23
6.57
Full
Dep
osit
150.
00
Ac
AC
401K
BIR
MIN
GH
AM
,AL
3524
3
YFI
T
19.2
0
Ac
04TR
AV
E
Bi-W
kly
LWW
:52
412.
50
YS
UI/D
I
99.0
0
Rat
eC
alc:
QFI
T
6.00
Ac
10D
EN
TA
NW
W:
32
Dep
t:
Cnt
l:
QS
UI/D
I
Ac
12M
ED
IC
4,00
0.00
05E
xem
ptio
ns
03A
LS
UI/D
I
0001
00
1,28
0.00
4000
.00
03A
L
Sex
:
FTH
S
Hire
:
Gro
ss:
Ac
15H
OU
RS
Mar
ital
Sta
tus:
M-M
AR
RIE
D
20.0
0
006.
0000
M
SS
N:
06/1
8/19
75
1
420.
00
Fede
ral:
81
Clo
ck:
On
File
Birt
h:
Ac
AB
401K
Ac
22TR
AV
E
29.5
0
NS
TKO
P1
401K
BD
045
270.
00
03/1
3/19
45
1,04
0.00
CD
EP
EN
D
90.0
0
2,61
6.50
#1
472.
00
640.
00
Ac
29LT
D
52.0
0
SM
ED
YS
tate
1
75.0
0
Ac
08D
EP
EN
Ac
33E
RP
A
3
129.
28
DD
EN
T
Ac
44S
UP
P
61.3
2
935.
10
Sta
tus:
Lim
it:
Ac
12M
ED
IC
225.
00
270.
00
HH
EA
LTH
YM
ED
AC
TIV
E
6650
.00
420.
00
Ac
38H
SA
-1
Ac
61TR
AV
E
30.0
0
295.
17
2
ToD
ate:
Ac
22TR
AV
E
1,61
2.48
48N
V
JTR
AV
QM
ED
Pai
d12
thof
Mon
th:
1200
.00
200.
00
270.
00
20S
VE
ND
RIV
E
64,0
00.0
0
3,99
8.35
826.
30
6H
SA
125
156.
00
Ac
35E
RP
A
Sal
ary:
YG
ross
YS
S
QS
tate
1
3,84
0.00
Ac
10D
EN
TA
Ac
44S
UP
P
3,84
0.00
81
20,0
00.0
0
1,26
2.10
GTL
Cov
156,
000.
00
150.
00
Ac
61TR
AV
E
RE
NO
/,NV
8950
1
QG
ross
QS
S
Y40
1K
5,62
6.35
Ac
04TR
AV
E
240.
00
401K
YFI
T
147.
50
Ac
AA
MTD
4
6020
.24
1,78
8.75
1,61
2.48
Ac
07D
EP
EN
1,20
0.00
Bi-W
kly
AC
TIV
E
QFI
T
YG
TL
Ac
AC
401K
Ext
raP
ays:
Rat
eC
alc:
Dep
t:
Tran
/AB
A:
503.
90
00E
xem
ptio
ns
48N
VS
UI/D
I
0004
00
QG
TL
Fede
ral:
006.
0000
Sex
:
XX
XX
XX
XX
X
Tran
/AB
A:
1,20
0.00
1000
.00
M
Par
tial
Dep
osit
Q40
1K
XC
HE
CK
2
SS
N:
Acc
t3:
31,0
20.2
4
On
File
XX
XX
XX
7851
Mar
ital
Sta
tus:
M-M
AR
RIE
D
7,27
9.36
17.0
0
7,34
7.00
Y40
1K
2
Cod
e
DD
EN
T
YS
S
3,30
6.05
Pai
d12
thof
Mon
th:
Y
Ser
vice
Cen
ter
:
66.0
0
3,25
6.63
Q40
1K
Tran
/AB
A:
XX
XX
XX
XX
X
SM
ED
QS
S
Sta
tus:
Acc
t2:
Par
tial
Dep
osit
06XX
1000
.00
1,75
5.59
LWW
:52
XX
XX
X97
81
06XX
5
YS
AV
1
YM
ED
NW
W:
32
Cod
e
6
121,
323.
84
798.
97
GTL
Cov
234,
789.
36
X
YG
ross
QM
ED
Acc
t1:
7,27
9.36
55,1
01.2
0
XX
XX
X79
79
Ac
AB
401K
QG
ross
Cod
e
3,30
6.05
21,9
29.0
7
W
Ac
AC
401K
YFI
T
XX
XX
XX
XX
X
10,9
11.3
5
Full
Dep
osit
QFI
T
51.0
0A
c10
DE
NTA
198.
00A
c12
ME
DIC
23,5
00.0
0A
c44
SU
PP
1,86
1.21
Ac
AA
MTD
4
Page 9
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
ED
ISO
N,N
J08
837
Dep
t:
YX
SU
I/DI
EE
133
PLE
AS
AN
TA
VE
LWW
:52
0005
00
Rat
eC
alc:
Sex
:
Gro
ss:
Bi-W
kly
NW
W:
32
F
6,50
0.00
51.0
0
982
FAR
RC
IR
6,06
0.00
3
Sta
tus:
SS
N:
YX
SS
Ac
10D
EN
TA
MO
RR
AIN
E,O
H45
439
Hou
rlyR
ate:
03A
L
AC
TIV
E
On
File
2,50
0.00
180.
00
33.5
000
19N
YS
UI/D
I
2
Mar
ital
Sta
tus:
S-S
ING
LE
00E
xem
ptio
ns
2,83
8.16
Pai
d12
thof
Mon
th:
QX
SS
Ac
12M
ED
IC
Fede
ral:
1,16
1.29
Std
Hou
rs:
6,50
0.00
6,50
0.00
2,32
0.00
Gro
ss:
17.0
0
006.
0000
YS
tate
1
6,50
0.00
YX
ME
D
Ac
15H
OU
RS
DD
EN
T
81
981.
50
YX
FIT
2,50
0.00
6,50
0.00
4,20
0.00
Bi-W
kly
60.0
0
401K
QS
tate
1
2,50
0.00
QX
ME
D
Ac
30W
2-E
X
Sal
ary:
Rat
eC
alc:
SM
ED
4,96
5.52
80.0
0
YX
FUTA
6,50
0.00
363.
60
4100
.00
3
YS
S
GTL
Cov
104,
520.
00
2,50
0.00
YX
Sta
te1
Ac
AA
MTD
4
LWW
:52
YM
ED
19.2
0
QX
FUTA
86,8
20.0
0
1,72
3.60
YS
UI/D
I
2,50
0.00
5,20
9.20
NW
W:
10
Dep
t:
YG
ross
QS
S
6.00
QX
Sta
te1
Ac
AB
401K
Mar
ital
Sta
tus:
M-M
AR
RIE
D
03E
xem
ptio
ns
30,3
00.0
0
403.
10
QS
UI/D
I
6,50
0.00
1,81
8.00
Fede
ral:
30O
H
QG
ross
QM
ED
QX
FIT
16,3
97.1
9
2,50
0.00
Ac
AC
401K
$50
Ext
raS
tate
Tax
0001
00
FT
YFI
T
QX
SU
I/DI
EE
30.0
0
3,04
6.69
5,81
4.75
6,50
0.00
50.0
0
JTR
AV
YS
tate
1
Sex
:
Cnt
l:
QFI
T
YX
SU
I/DI
ER
AFS
A
90.0
0
961.
10
M
SS
N:
Hire
:
2,50
0.00
82.0
0
SM
ED
QS
tate
1
Clo
ck:
On
File
06/0
1/19
84
YX
Loca
l1
QX
SU
I/DI
ER
CD
EP
EN
D
3,98
6.89
BD
047
1,30
0.00
Birt
h:
YG
TL
5,20
9.20
33.0
0
932.
42
110M
SP
RIN
GFI
ELD
1,30
0.00
Y40
1K
DD
EN
T
YM
ED
Sta
tus:
GTL
Cov
159,
900.
00
YX
ME
D
06/1
1/19
52
QX
Loca
l1
1,81
8.00
61.3
2
293.
73
AC
TIV
E
1,30
0.00
500.
00
1,30
0.00
Q40
1K
HH
EA
LTH
QM
ED
2
YX
FUTA
QX
ME
D
YX
SU
I/DI
ER
1,30
0.00
Gro
ss:
66,9
00.0
0
YS
S
Pai
d12
thof
Mon
th:
500.
00
1,30
0.00
150.
00
YG
ross
1,25
5.96
30O
HS
UI/D
I
QX
FUTA
YX
Sta
te1
21,0
00.0
0
QS
S
1,28
6.10
YX
SS
500.
00
500.
00
150.
00
QG
ross
YLo
cal
1
500.
00
7,55
3.29
405.
15
QX
SS
QX
Sta
te1
YFI
T
QLo
cal
1
500.
00
535.
68
Ac
14FL
EX
Bi-W
kly
2,40
0.95
1,30
0.00
QX
SU
I/DI
ER
167.
40
420.
00
QFI
T
YX
FIT
Ac
04TR
AV
E
500.
00
1,30
0.00
QX
FIT
QG
TL
Ac
22TR
AV
E
SA
CR
AM
EN
TO,C
A95
826
Dep
t:
32.0
0
535.
68
32C
HIL
TON
CIR
Rat
eC
alc:
0004
00
Cnt
l:
YTA
XFR
QC
T
Ac
44S
UP
P
Ext
raP
ays:
3
Sex
:
FT
Hire
:
1,20
0.00
10.0
0
270.
00
1
25C
A
M
SS
N:
11/0
3/19
86
Gro
ss:
QTA
XFR
QC
T
Ac
61TR
AV
E
Hou
rlyR
ate:
75C
AS
UI/D
I
Clo
ck:
On
File
Birt
h:
Ac
06D
EP
EN
27.5
000
1,38
6.24
BD
560
410.
00
Fede
ral:
467.
80
Sta
tus:
2
���.
00
3
Ac
07D
EP
EN
0.00
01E
xem
ptio
ns
YS
tate
1
Std
Hou
rs:
200.
00
08/1
1/19
66
1,31
2.00
Mar
ital
Sta
tus:
S-S
ING
LE
2,00
0.24
373.
04
80.0
0
Y3P
SP
NTX
B
Ac
08D
EP
EN
45.0
0
YS
S
QS
tate
1
Pai
d12
thof
Mon
th:
Q3P
SP
FIT
��.�
0
99.0
0
AFS
A
535.
63
AC
TIV
E
1,00
0.00
��.�
0
Q3P
SP
SM
ED
Ac
10D
EN
TA
44.0
0
QS
S
LWW
:52
Y3P
SP
TXB
L
Y3P
SP
SS
176.
00
Ac
15H
OU
RS
270.
00
CD
EP
EN
D
YM
ED
NW
W:
30
1,00
0.00
����
�
660.
00
Ac
12M
ED
IC
28.8
0
125.
27
GTL
Cov
85,8
00.0
0
Q3P
SP
TXB
L
Q3P
SP
SS
2,30
7.68
HH
EA
LTH
QM
ED
289.
85
100.
00
��.�
0
Ac
08D
EP
EN
12.5
0
YS
UI/D
I
Y3P
SP
FIT
60M
I
LLO
AN
77.6
2
Y3P
SP
SM
ED
135.
00
33,0
00.0
0
QS
UI/D
I
Ac
07D
EP
EN
57.0
0
GR
AN
DR
AP
IDS
,MI
4950
6
YG
ross
57.0
0
Ac
14FL
EX
1255
GR
AY
DO
NP
L
LWW
:52
8,80
0.00
YG
TL
Ac
44S
UP
P
Rat
eC
alc:
QG
ross
15.2
0
Sal
ary:
NW
W:
32
Ser
vice
Cen
ter
:
4,70
3.10
QG
TL
2307
.68
60M
IS
UI/D
I
YFI
T
Bi-W
kly
1,49
0.72
06XX
1,26
3.16
Mar
ital
Sta
tus:
M-M
AR
RIE
D
02E
xem
ptio
ns
YS
tate
1
06XX
6
QFI
T
Fede
ral:
540.
82
6
61.3
2
005.
0000
465.
85
HH
EA
LTH
81
QS
tate
1
30.0
0
401K
JTR
AV
2,31
2.47
YS
SY
ME
D
36,9
22.8
8
722.
65
YG
ross
QS
S
11,5
38.4
0
169.
01
QG
ross
QM
ED
3,15
3.76
YFI
T98
5.55
QFI
T
Page 10
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
Dep
t:
Cnt
l:
Hire
:
Sal
ary:
0005
00
FT
08/1
2/19
85
ATL
AN
TA,G
A30
328
Sta
tus:
Clo
ck:
SS
N:
Birt
h:
12N
OR
MA
ND
YB
LVD
AC
TIV
E
BD
760
On
File
02/1
2/19
47
Rat
e2:
Dep
t:
Sex
:
375.
04
M
Ac
44S
UP
P
576.
90
Bi-W
kly
Rat
eC
alc:
2
150.
00
115.
38
Gro
ss:
50.9
618
0005
00
Cnt
l:
Pai
d12
thof
Mon
th:
Ac
04TR
AV
E
Ac
AA
MTD
4
2,03
8.47
3
Sex
:
FT
027G
PIN
ETW
P
420.
00
1,84
6.08
2038
.47
23G
A
Sta
tus:
Clo
ck:
SS
N:
GTL
Cov
89,9
99.5
2
270.
00
Ac
AC
401K
Mar
ital
Sta
tus:
S-S
ING
LE
01E
xem
ptio
ns
YS
tate
1
375.
04
Ac
22TR
AV
E
Ac
AB
401K
Fede
ral:
01E
xem
ptio
ns
F
On
File
Gro
ss:
YG
TL
Ac
61TR
AV
E
4,48
2.40
467.
85
AC
TIV
E
BD
970
720.
00
117.
20
YFI
T
YM
ED
LWW
:52
1,12
0.00
Ac
63E
DU
CA
Hire
:
QG
TL
1,40
0.75
146.
20
NW
W:
32
Ac
05E
DU
CA
03/2
5/19
84
Sal
ary:
1,84
6.08
QFI
T
QM
ED
2
400.
00
Birt
h:
Y40
1K
25.0
0
2,00
0.48
1,56
4.16
Pai
d12
thof
Mon
th:
Ac
08D
EP
EN
05/1
2/19
62
576.
90
CD
EP
EN
D
YS
S
485.
80
GTL
Cov
79,5
00.3
3
1,17
0.24
Q40
1K
80.0
0
625.
15
QS
tate
1
1,12
0.00
Ac
44S
UP
P
4200
.00
TE
DU
C
QS
S
23G
AS
UI/D
I
125.
00
Bi-W
kly
32,6
15.5
2
50.2
4
Ac
07D
EP
EN
YG
ross
YG
TL
415
CU
TLA
SS
CIR
LWW
:52
Dep
t:
Cnt
l:
10,1
92.3
5
15.7
0
FTLE
E,N
J07
923
Sex
:
QG
ross
QG
TL
Rat
eC
alc:
0003
00
FT
YFr
inge
Ben
4,20
0.00
3
Sta
tus:
Clo
ck:
SS
N:
Hire
:
400.
00
NW
W:
10
M
On
File
07/1
5/19
75
29FO
XR
UN
DR
IVE
QFr
inge
Ben
Mar
ital
Sta
tus:
S-S
ING
LE
02E
xem
ptio
ns
$5E
xtra
Sta
teTa
x
BD
080
Birt
h:
3
Fede
ral:
56N
J
AC
TIV
E
32.0
0
06/1
5/19
40
NO
RTH
CA
LDW
ELL
,NJ
0700
6
55.0
0
4,27
3.73
3,27
0.24
GTL
Cov
163,
800.
00
165.
00
Sal
ary:
5H
SA
-EE
YS
S
YS
tate
1
1,73
1.20
Ac
36E
EP
A
3500
.00
Rat
eC
alc:
67,2
00.0
0
1,33
5.54
1,02
1.95
YG
TL
1,73
1.20
Bi-W
kly
AC
TIV
E
YG
ross
QS
S
QS
tate
1
541.
00
Ac
44S
UP
P
21,0
00.0
0
999.
50
2
YTA
XFR
QC
T
LWW
:52
Dep
t:
QG
ross
YM
ED
Pai
d12
thof
Mon
th:
10.0
0
NW
W:
10
0002
00
12,7
47.6
8
312.
34
21N
JS
UI/D
I
QTA
XFR
QC
T
Gro
ss:
02E
xem
ptio
ns
21N
JS
UI/D
I
YFI
T
QM
ED
229.
83
Fede
ral:
3,98
3.65
YS
UI/D
I
3,50
0.00
56N
J
Sex
:
3
QFI
T
0.00
Mar
ital
Sta
tus:
M-M
AR
RIE
D
3,47
2.00
1,46
4.00
M
Gro
ss:
QS
UI/D
I
56,0
00.0
0
YS
S
YS
tate
1
SS
N:
435
ALL
YS
ON
RD
QG
TL
YG
ross
1,08
5.00
457.
50
On
File
Rat
eC
alc:
17,5
00.0
0
QS
S
QS
tate
1
32.0
0
59P
A
QG
ross
812.
00
YTA
XFR
QC
T
PIT
TSB
UR
GH
,PA
1523
0
6,29
2.32
YM
ED
Sta
tus:
1,73
4.13
Bi-W
kly
LWW
:52
YFI
T
253.
75
2
Sal
ary:
NW
W:
10
Ser
vice
Cen
ter
:
1,96
6.35
QM
ED
Pai
d12
thof
Mon
th:
1734
.13
59P
AS
UI/D
I
QFI
T
GTL
Cov
136,
500.
00
Mar
ital
Sta
tus:
M-M
AR
RIE
D
03E
xem
ptio
ns
851.
84
229.
83
Fede
ral:
403.
13
06XX
06XX
YS
UI/D
I
70.0
0
1,72
3.73
YS
tate
1
67
0.00
3M
SA
YS
S
266.
20
QS
UI/D
I
27,7
46.0
8
538.
67
QS
tate
1
10.0
0
YG
ross
QS
S
QTA
XFR
QC
T
8,67
0.65
YM
ED
QG
ross
125.
98
1,68
0.32
QM
ED
YFI
T52
5.10
QFI
T
Page 11
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
Dep
t:
Cnt
l:
Hire
:
Hou
rlyR
ate:
0004
00
FT
05/2
2/19
86
HA
RTF
OR
D,C
T06
123
Sta
tus:
Clo
ck:
SS
N:
Birt
h:
210
DE
ER
FIE
LDR
D
AC
TIV
E
BD
087
On
File
11/0
5/19
60
Rat
eC
alc:
Sex
:
Sex
:
1,12
0.00
F
Ac
27M
SA
EE
Bi-W
kly
LWW
:52
Dep
t:
2
32.0
0
56.0
0
Gro
ss:
3
0001
10
Cnt
l:
Pai
d12
thof
Mon
th:
YTA
XFR
QC
T
Ac
44S
UP
P
1,83
0.00
NW
W:
32
F
PT
140P
FRA
NK
LIN
TWP
10.0
0
22.0
000
27C
T
Sta
tus:
Clo
ck:
SS
N:
GTL
Cov
67,6
31.0
7
350.
00
Fede
ral:
Filin
gS
tatu
s04
(Tab
leD
)
BD
777
19.4
2
QTA
XFR
QC
T
03E
xem
ptio
ns
006.
0000
On
File
Hire
:
Gro
ss:
YS
UI/D
I
Ac
28M
SA
EE
36.0
0
81
2
Acc
t2:
02/0
1/19
87
6.07
Mar
ital
Sta
tus:
S-S
ING
LE
45.2
0
401K
Pai
d12
thof
Mon
th:
XX
X86
12
QS
UI/D
I
78.0
0
HH
EA
LTH
1,14
6.75
GTL
Cov
68,6
40.0
0
Cod
e
Birt
h:
56.0
0
AFS
A
25.0
0
YS
tate
1
Acc
t1:
Y
11/0
6/19
62
YG
TL
70.0
0
XC
HE
CK
2
365.
10
XX
X23
74
Tran
/AB
A:
109.
80
17.5
0
BE
BE
TAX
AC
TIV
E
QG
TL
CD
EP
EN
D
410.
23
Std
Hou
rs:
Tran
/AB
A:
XX
XX
XX
XX
X
Ac
AA
MTD
4
100.
00
YM
ED
80.0
0
XX
XX
XX
XX
X
Full
Dep
osit
1,74
4.20
EE
BE
NO
N
130.
21
27C
TS
UI/D
I
Par
tial
Dep
osit
576.
00
Ac
AB
401K
3,10
0.00
29,0
70.0
0
1,75
4.08
QS
tate
1
Cod
e
1,12
0.00
1,28
0.00
549.
00
YG
ross
YS
S
X
Ac
03E
EB
U
Ac
15H
OU
RS
Ac
AC
401K
Sal
ary:
9,15
0.00
556.
75
1,74
4.20
Ac
08D
EP
EN
3100
.00
QG
ross
QS
S
Y40
1K
234.
00
2,36
2.97
QM
ED
31.6
8
549.
00
Ac
14FL
EX
3
YFI
T
YG
TL
Q40
1K
153
TOW
ER
RO
AD
758.
65
9.90
180.
00
1,15
1.68
ATL
AN
TA,G
A30
303
Sex
:
QFI
T
QG
TL
Ac
07D
EP
EN
Ac
44S
UP
P
Bi-W
kly
1,12
0.00
Rat
eC
alc:
Dep
t:
248.
00
3
YFr
inge
Ben
LWW
:52
0005
00
Ac
AA
MTD
4
NA
SH
VIL
LE,T
N37
217
350.
00
NW
W:
32
F
3,96
8.00
Bi-W
kly
QFr
inge
Ben
Mar
ital
Sta
tus:
S-S
ING
LE
00E
xem
ptio
ns
00E
xem
ptio
ns
SS
N:
1,24
0.00
52TN
Fede
ral:
23G
A
Sta
tus:
App
lied
For
Ac
AC
401K
4405
PA
RK
LAN
ED
R
60.0
0
008.
0000
AC
TIV
E
51.0
0
Rat
e2:
CD
EP
EN
D
2,46
1.30
300.
00
17.0
0
81
2
Ac
10D
EN
TA
Gro
ss:
10.6
700
Dep
t:
Cnt
l:
DD
EN
T
401K
Pai
d12
thof
Mon
th:
234.
00
0.00
Rat
eC
alc:
0002
00
78.0
0
701.
15
23G
AS
UI/D
I
Ac
12M
ED
IC
Hou
rlyR
ate:
52TN
SU
I/DI
Sex
:
SM
ED
YM
ED
GTL
Cov
120,
900.
00
Ac
AB
401K
31.3
300
#2
M
49,6
00.0
0
2,99
8.01
YS
tate
1
Ac
07D
EP
EN
Mar
ital
Sta
tus:
S-S
ING
LE
01E
xem
ptio
ns
YG
ross
YS
S
774.
50
960.
00
Fede
ral:
60.0
0
Sta
tus:
Clo
ck:
15,5
00.0
0
942.
40
QS
tate
1
Ac
08D
EP
EN
33.0
0
6H
SA
125
QG
ross
QS
S
3,96
8.00
DD
EN
T
Lim
it:
BD
660
8,14
8.43
220.
40
Y40
1K
10.0
0
3350
.00
YFI
T
QM
ED
1,24
0.00
LLO
AN
ToD
ate:
HS
Hire
:
2,56
8.65
Q40
1K
90.0
0
960.
00
SS
N:
09/1
5/19
85
QFI
T
SM
ED
539.
24
AC
TIV
E
On
File
Birt
h:
37,5
96.0
0
2,30
5.73
142.
20
Std
Hou
rs:
142.
20
09/2
0/19
59
YG
ross
YS
S
YG
TL
80.0
0
Ac
44S
UP
P
10,0
25.6
0
623.
94
37.9
2
2
Ser
vice
Cen
ter
:
QG
ross
QS
S
QG
TL
Pai
d12
thof
Mon
th:
06XX
06XX
5,91
3.60
YM
ED
LWW
:52
100.
24
68
YFI
T
145.
92
NW
W:
30
Ac
35E
RP
A
1,61
3.56
QM
ED
99.0
0
180.
00
QFI
T
Ac
10D
EN
TA
Ac
38H
SA
-1
270.
00A
c12
ME
DIC
1,20
0.00
Ac
15H
OU
RS
375.
90A
c33
ER
PA
Page 12
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
HO
US
TON
,TX
7704
0
Dep
t:
SS
N:
Hire
:
1793
3R
IVE
RR
D
Rat
eC
alc:
0001
20
On
File
05/1
8/19
84
Rat
e2:
Sex
:
Birt
h:
Gro
ss:
Bi-W
kly
3
M
Gro
ss:
2,58
3.23
13.4
300
Sta
tus:
Clo
ck:
07/1
4/19
42
15O
LDFA
RM
RD
Sal
ary:
53TX
AC
TIV
E
BD
908
RE
DM
ON
D,W
A98
052
2583
.23
53TX
SU
I/DI
2
Rat
e2:
Dep
t:
Mar
ital
Sta
tus:
S-S
ING
LE
03E
xem
ptio
ns
530.
66
Pai
d12
thof
Mon
th:
Sal
ary:
Fede
ral:
512.
57
LWW
:52
5102
.48
29.4
380
0001
00
61.3
2
2,19
1.67
YG
TL
530.
66
Bi-W
kly
Rat
eC
alc:
Sex
:
HH
EA
LTH
YS
S
176.
90
Ac
44S
UP
P
3
M
SS
N:
30.0
0
704.
09
QG
TL
270.
00
5,27
7.48
05E
xem
ptio
ns
54W
A
Clo
ck:
JTR
AV
QS
S
NW
W:
32
Mar
ital
Sta
tus:
M-M
AR
RIE
D
$50
Ext
raFe
dera
lTa
x
Sta
tus:
BD
080
20.0
0
YM
ED
GTL
Cov
100,
745.
97
Fede
ral:
006.
0000
AC
TIV
E
On
File
NS
TKO
P1
164.
67
150.
00
175.
00
81
34,8
18.8
3
QM
ED
Ac
04TR
AV
E
FC
OC
AR
401K
LWW
:52
2
420.
00
YG
ross
420.
00
61.3
2
11,1
79.3
9
Ac
22TR
AV
E
HH
EA
LTH
5,34
3.26
2,26
6.88
Std
Hou
rs:
Ac
04TR
AV
E
QG
ross
Ac
61TR
AV
E
30.0
0
1,24
9.63
NW
W:
32
Pai
d12
thof
Mon
th:
Ac
22TR
AV
E
3,88
7.26
JTR
AV
YM
ED
YFI
T
20.0
0
392.
89
80.0
0
150.
00
Hire
:
1,58
3.25
1,28
9.39
NS
TKO
P1
QM
ED
54W
AS
UI/D
I
5,07
5.00
7,34
1.88
QFI
T
83,9
14.6
8
YS
S
YG
TL
GTL
Cov
198,
996.
72
1,28
0.00
YG
ross
1,67
9.94
708.
40
5,03
4.90
Ac
15H
OU
RS
03/1
2/19
76
Ac
AC
401K
26,3
87.4
0
QS
S
QG
TL
Y40
1K
Ac
44S
UP
P
Qua
lifie
dP
ensi
on
Sal
ary:
QG
ross
5,07
5.00
Ac
01C
AR
A
Birt
h:
10,8
84.9
3
YFr
inge
Ben
400.
00
02/0
1/19
42
NO
RTH
CA
LDW
ELL
,NJ
0700
6
YFI
T
1,75
0.00
Ac
02W
AS
HI
2,27
5.00
4B
LAC
KB
UR
YC
OU
RT
3,44
0.10
QFr
inge
Ben
Ac
50C
OC
A
Rat
eC
alc:
Dep
t:
QFI
T
1,58
3.25
270.
00
Gro
ss:
Bi-W
kly
LWW
:52
0002
00
Gro
ss:
Q40
1K
Ac
61TR
AV
E
3,50
0.00
3
Sex
:
316.
65
3500
.00
NW
W:
10
M
Bi-W
kly
Ac
AA
MTD
4
Mar
ital
Sta
tus:
S-S
ING
LE
01E
xem
ptio
ns
21N
JS
UI/D
I
SS
N:
5,03
4.90
Fede
ral:
56N
J
Sta
tus:
On
File
PE
AB
OD
Y,M
A01
960
Ac
AB
401K
56,0
00.0
0
3,47
2.00
2,44
9.28
32.0
0
177
ME
AD
OW
OO
DS
Q
YG
ross
YS
S
YS
tate
1
YTA
XFR
QC
T
0.00
Rat
eC
alc:
Dep
t:
SS
N:
17,5
00.0
0
1,08
5.00
765.
40
10.0
0
Hou
rlyR
ate:
3
QG
ross
QS
S
QS
tate
1
QTA
XFR
QC
T
17.5
000
Std
Hou
rs:
0006
00
On
File
10,4
28.6
4
812.
00
AC
TIV
E
80.0
0
Sex
:
Hire
:
Sal
ary:
YFI
T
YM
ED
2
Mar
ital
Sta
tus:
S-S
ING
LE
02E
xem
ptio
ns
02M
AS
UI/D
I
M
10/1
2/19
81
3,25
8.95
253.
75
Pai
d12
thof
Mon
th:
Fede
ral:
02M
A
Sta
tus:
Clo
ck:
QFI
T
QM
ED
GTL
Cov
136,
500.
00
8.75
TER
M
BD
062
Birt
h:
436
HE
MP
STE
AD
CT
229.
83
HH
EA
LTH
YS
UI/D
I
25.0
0
LEX
ING
TON
,KY
4022
3
0.00
1A
DA
-EE
Rat
eC
alc:
QS
UI/D
I
12/1
7/19
61
Bi-W
kly
LWW
:52
Ser
vice
Cen
ter
:
3
Gro
ss:
NW
W:
32
06XX
3,43
1.16
04E
xem
ptio
ns
31K
YS
UI/D
I
06XX
9
2346
.16
31K
Y
6
Mar
ital
Sta
tus:
M-M
AR
RIE
D
20.0
0
#1
Fede
ral:
75.0
0
85.0
0
NS
TKO
P1
6H
SA
125
CD
EP
EN
D
90.0
0
1,79
5.02
38.5
0
SM
ED
YS
tate
1
DD
EN
T61
.32
HH
EA
LTH
501.
99
30.0
0
YM
ED
JTR
AV
148.
17
39,6
43.5
6
2,14
6.46
526.
15
YG
ross
YS
S
QS
tate
1
13,1
55.8
0
633.
58
QG
ross
QS
S2,
335.
02
QM
ED
YFI
T65
8.77
QFI
T
Page 13
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
Dep
t:
Cnt
l:
Hire
:
Gro
ss:
0005
00
HS
07/0
1/19
85
150.
00
270.
00
Sta
tus:
Clo
ck:
SS
N:
Birt
h:
Ac
04TR
AV
E
Ac
61TR
AV
E
2471
-BG
RA
YD
ON
PL
AC
TIV
E
BD
564
On
File
07/1
3/19
52
1,10
5.00
Sex
:
1,10
5.00
0.00
F
YX
ME
D
1,10
5.00
Ac
06D
EP
EN
28.9
000
2
1,10
5.00
1,10
5.00
202.
24
425.
00
3
Pai
d12
thof
Mon
th:
YX
SS
YX
Sta
te1
YG
TL
Ac
07D
EP
EN
Bi-W
kly
GTL
Cov
91,5
00.2
4
425.
00
425.
00
63.2
0
1,36
0.00
Hou
rlyR
ate:
Lim
it:
QX
SS
QX
Sta
te1
QG
TL
Ac
08D
EP
EN
MA
RLB
OR
O,M
A02
253
3350
.00
425.
00
YX
SU
I/DI
ER
02M
A
ToD
ate:
QX
ME
D
425.
00
115.
50
Rat
eC
alc:
Dep
t:
SS
N:
3350
.00
QX
SU
I/DI
ER
1,10
5.00
420.
00
YX
FIT
Ac
10D
EN
TA
LWW
:52
0001
10
On
File
Hire
:
425.
00
270.
00
NW
W:
30
Sex
:
01/1
7/19
83
QX
FIT
Ac
12M
ED
IC
Mar
ital
Sta
tus:
S-S
ING
LE
01E
xem
ptio
ns
02M
AS
UI/D
I
F
1,20
0.00
1,10
5.00
Ac
22TR
AV
E
Fede
ral:
#1
Cnt
l:
346.
80
Dat
e3:
YX
FUTA
396.
41
17.0
0
45.0
0
Sta
tus:
PTH
S
Birt
h:
425.
00
Ac
33E
RP
A
DD
EN
T
Lim
it:
2
Ac
15H
OU
RS
QX
FUTA
131.
55
58.0
0
3350
.00
Pai
d12
thof
Mon
th:
Ac
35E
RP
A
SM
ED
6H
SA
125
TER
M
51.0
0
Ac
33E
RP
A
06/3
0/20
16
2,37
5.00
50.0
0
ToD
ate:
Ac
38H
SA
-1
ZE
RTR
S
720.
00
650.
00
650.
00
06/1
5/19
65
2,15
0.00
34,6
80.0
0
2,13
1.80
1,48
5.66
YFr
inge
Ben
Ac
18E
RP
R
Ac
39H
SA
-1
YG
ross
YS
S
YS
tate
1
200.
00
92.4
8
Ser
vice
Cen
ter
:
202.
24
9,24
8.00
574.
43
422.
92
QFr
inge
Ben
Ac
35E
RP
A
6
Ac
44S
UP
P
QG
ross
QS
S
QS
tate
1
Ac
10D
EN
TA
135.
00
06XX
10
5,23
1.85
498.
57
Std
Hou
rs:
174.
00
Ac
38H
SA
-1 06XX
YFI
T
YM
ED
80.0
0
Ac
12M
ED
IC
713.
90
1,41
9.16
134.
35
63.9
0
Ac
44S
UP
P
QFI
T
QM
ED
YG
TL17
.04
QG
TL
Page 14
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
Hou
rlyR
ates
(Act
ive
EE
’s):
Tota
lR
ates
(All
EE
’s):
Act
ive
Em
ploy
ees:
New
Hire
s:
Ent
ries:
8
163.
0800
53,5
49.5
500 21 0 23
Fede
ral
Tax:
Med
icar
eTa
x:
Sal
ary
Rat
es(A
ctiv
eE
E’s
):
All
Em
ploy
ees:
Cha
nges
:
Pay
s:
Soc
.S
ec.
Tax:
Med
icar
eS
urta
x:
50,8
40.0
700 24 3 21
5,21
2.35 0.00
Sta
teTa
x:
Cur
rent
Pay
roll:
Hou
rs2:
Hou
rs4:
Ear
ning
s2:
Ear
ning
s4:
13,9
86.3
9
1,25
6.37
Hou
rs1:
Hou
rs3:
Ear
ning
s1:
Ear
ning
s3:
Ear
ning
s5:
SU
I/SD
ITa
x:
Loca
lTa
x:
Gro
ss:
480.
00
0.00
61,8
60.0
7
25,5
35.0
0
390.
00
0.00
0.00
0.00
1,55
0.00 3.61
EIC
Adv
ance
s:
173.
00
100.
00
46.0
0
80.0
0
25.0
0
A E K T 1
60.0
0
61.0
000
26,6
50.0
0
70.0
0
175.
00
22.5
0
1,52
5.00
70.0
0
B F L X 3
25.0
0
81 Goa
l1
81.0
3
361.
50
556.
75
120.
00
1,20
0.00
55.0
0
C H N Y 5
7,03
0.00
0.00
382.
50
270.
00
948.
00
50.0
0
365.
00
D J S Z 6
1,77
9.60
Net
:
1,12
6,30
4.27
68,7
64.9
2
31,8
62.7
0
1,28
6.10
9,94
5.00
YG
ross
YS
S
YS
tate
1
YLo
cal
1
YX
FUTA
369,
012.
19
22,4
07.9
0
9,96
0.76
405.
15
3,82
5.00
QG
ross
QS
S
QS
tate
1
QLo
cal
1
QX
FUTA
148,
864.
14
16,1
19.4
6
1,03
7.16
8,90
5.00
9,94
5.00
YFI
T
YM
ED
YS
UI/D
I
YX
FIT
YX
SS
50,8
72.7
9
5,27
7.91
95.6
9
3,42
5.00
3,82
5.00
QFI
T
QM
ED
QS
UI/D
I
QX
FIT
QX
SS
24
Vol
Ded
uctio
ns:
31,9
81.5
4
Mal
eP
ays
>
13
Bal
1
35,0
34.1
8
9,94
5.00
7,54
0.00
2,34
0.00
89,3
35.0
7
100
Tota
lM
ale
Pay
s:
YX
ME
D
YX
SU
I/DI
EE
YX
Loca
l1
11,4
05.0
0
1,00
0.00
3,82
5.00
2,90
0.00
900.
00
YFr
inge
Ben
Y3P
SP
TXB
L
QX
ME
D
QX
SU
I/DI
EE
QX
Loca
l1
3,77
5.00
1,00
0.00
9,94
5.00
9,94
5.00
3,35
0.00
38,2
23.5
0
200.
00
YX
Sta
te1
YX
SU
I/DI
ER
Goa
l2
Y40
1K
Y3P
SP
NTX
B
:
3,82
5.00
3,82
5.00
960.
00
13,1
80.0
0
0.00
QX
Sta
te1
QX
SU
I/DI
ER
Bal
2
Q40
1K
Q3P
SP
NTX
B
300
9,66
2.56
Q3P
SP
TXB
L
2,60
0.00
8,51
5.00
Fem
ale
Pay
s>
YG
TL
Mal
eP
ays
>
100
Tota
lFe
mal
eP
ays:
2,15
0.00
3,01
8.56
:
:
7
519.
00
Ac
39
QG
TL
7,80
0.00
1,40
0.00
1,14
7.50
Ac
14
QFr
inge
Ben
100.
00
14.5
0
Ac
01
Fem
ale
Pay
s>
Y3P
SP
FIT
Y3P
SP
SM
ED
400.
00
300
100.
00
14.5
0
Ac
02
:
11,0
40.0
0
Q3P
SP
FIT
Q3P
SP
SM
ED
4,20
0.00
Ac
15
840.
00
62.0
0
160.
00
1,12
0.00
1,76
3.50
650.
00
Y3P
SP
SS
YTA
XFR
QC
T
Ac
03
Ac
07
Ac
18
62.0
0
50.0
0
1,35
0.00
5,74
0.00
3,78
0.00
Q3P
SP
SS
QTA
XFR
QC
T
Ac
04
Ac
08
Ac
22
1,12
0.00
Ac
10
1,12
0.00
Ac
42
13,1
80.0
0
Ac
05
2,84
4.00
Ac
27
300.
00
Ac
AC
2,40
5.00
Ac
12
350.
00
Ac
43
Ac
06
Ac
28
44,5
67.5
61,
040.
00
125.
00
Ac
29
Ac
55
6,50
0.00
2,43
0.00
Ser
vice
Cen
ter
:
Ac
30
Ac
61
06XX
2,81
7.51
540.
00
06XX
11
Ac
33
Ac
62
6
855.
02
720.
00
Ac
35
Ac
63
165.
00
3,83
6.00
Ac
36
Ac
AA
3,24
5.00
38,2
23.5
0
Ac
38
Ac
AB
Ac
445,
715.
00A
c50
400.
00A
c54
Page 15
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
80.0
0
196.
37
AN
ALY
SIS
DE
PT:
N-
K
13,2
02.4
8
ME
D
C
AL
100.
00
81.0
3
NE
TC
AS
H:
DE
PE
ND
278.
32
STA
TE
175.
00
LOC
AL
9,14
4.93
100.
00
STA
TE
839.
60
N-
1
1,52
5.96
15.0
9%
F
9.28
FIT
165.
26
FIT
ofC
O
CO
CA
R
TAX
TAX
AB
LE
SS
175.
00
WA
GE
S
OH
PC
T
FUTA
357.
48
BY
STA
TE
192.
22
TAX
STA
TE
3,77
0.50
WA
6.20
SU
I/DI
357.
75
688.
02
Fede
ral
1.45
1,33
2.11
4,01
8.00
12,7
09.3
3
9,14
4.93
N-
G
480.
19
OFF
ICE
RS
GTL
Soc
ial
Sec
urity
-EE
1.45
275.
94
LOC
AL
110M
13,5
41.9
2
FITLO
CA
L
SP
RIN
GFI
ELD
Soc
ial
Sec
urity
-ER
160.
00
ME
D
N-
H
EE
81.0
3
13,5
41.9
2
Med
icar
e-E
R
3,26
0.00
48.6
3
HS
A-E
R
TAX
Med
icar
e-E
E
Med
icar
eS
urta
x-E
E
150.
00
LOC
AL
40.0
0
WA
GE
S
13,5
41.9
2
.90
50.0
0
CO
UN
T
13,5
41.9
2
3.87
%
4,05
1.48
207.
95
1
1,52
5.96
839.
60
196.
37
234.
23
ofC
O
Bat
ch:
.60
SS
Ser
vice
Cen
ter:
6.20
196.
36
130.
03
839.
60
STA
TE
C H K
1.20
06XX
06XX
DE
PE
ND
HE
ALT
H
401K
C
SU
I/DI
6111
1.50
183.
96
556.
65
-
2,83
7.96
DC
C
OFF
ICE
F J N
111.
50
CO
CA
R
TRA
V
STK
OP
1
350.
00
90.0
0
40.0
0
Page 16
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
AN
ALY
SIS
DE
PT:
B
STA
TE
TAX
AB
LE
NE
TC
AS
H:
EB
ETA
X
STA
TE
CT
2,33
9.64
70.0
0
FIT
73.0
2
PC
T
TAX
Fede
ral
L
WA
GE
S
NY
TAX
LTD
BY
STA
TE
57.0
1
80.0
0
1,68
4.20
3,26
8.20
Soc
ial
Sec
urity
-EE
Med
icar
e-E
E
Z
N-
1
151.
73
FUTA
Soc
ial
Sec
urity
-ER
Med
icar
e-E
R
50.0
0
1.83
1,50
4.00
3,35
4.06
3,35
4.06
.90
82.5
0
3,35
4.06
3,35
4.06
2,58
3.23
N-
G
163.
15
GTL
NY
Med
icar
eS
urta
x-E
E
38.1
6
10.0
6
1.20
344.
71
ME
D
234.
23
6.20
1.45
FIT
LOC
AL
N-
K
SS
54.9
0
.60
6.20
1.45
STA
TE
2.89
%
Bat
ch:
207.
95
48.6
3
SU
I/DI
LOC
AL
0033
207.
95
48.6
3
111.
32
ofC
O
Ser
vice
Cen
ter:
LOC
AL
NE
WY
OR
KC
IT
EE 1
TAX
AB
LE
1,92
5.89
TAX P
CT
***N
OTI
TLE
ON
FILE
***
WA
GE
S TAX
06XX
06XX
CO
UN
T
NY
62
SD
I1,
550.
00
B E J W
EB
ETA
X
EB
EN
ON
TRA
V
CH
EC
K1
C
70.0
0
100.
00
30.0
0
1,23
2.78
-D
CC
C H K Y
36.0
0
DE
PE
ND
HE
ALT
H
401K
SA
V1
36.0
0
106.
52
155.
80
1,10
6.86
Page 17
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
AN
ALY
SIS
DE
PT:
TAX
AB
LE
N-
G
STA
TE
TX Fede
ral
NE
TC
AS
H:
GTL
STA
TE
344.
71 PC
T
1,92
5.89
48.2
6
FIT
TAX
FUTA
Soc
ial
Sec
urity
-ER
TAX
.90
WA
GE
S
2,58
3.23
Soc
ial
Sec
urity
-EE
Med
icar
e-E
E
FIT
BY
STA
TE
2,63
1.49
2,63
1.49
7,00
0.00
2,63
1.49
101.
50
Med
icar
e-E
R
434.
00
2,63
1.49
1,04
5.06
ME
D
AN
ALY
SIS
DE
PT:
STA
TE
TAX
AB
LE
Med
icar
eS
urta
x-E
E
SS
STA
TE
NJ
PC
T
FUTA
244.
58
LOC
AL
NE
TC
AS
H:
FIT
244.
58
344.
71
6.20
1.45
STA
TE
7.84
%
5,17
4.86
SU
I/DI
TAX
.60
6.20
1.45
5,17
4.86
ofC
O
WA
GE
S
TAX
.60
163.
15
38.1
6
SH
IPP
ING
BY
STA
TE
Fede
ral
163.
15
38.1
6
7,00
0.00
1,04
5.06
7,00
0.00
Med
icar
e-E
E
H N
Med
icar
e-E
R
HE
ALT
H
STK
OP
1
Soc
ial
Sec
urity
-EE
FIT
61.3
2
20.0
0
7,00
0.00
7,00
0.00
Med
icar
eS
urta
x-E
E
Soc
ial
Sec
urity
-ER
4,20
0.00
ME
D
J
7,00
0.00
7,00
0.00
TRA
V
.90
SS
30.0
0
1,04
5.06
6.20
1.45
796.
73
62.4
726
7.10
434.
00
101.
50
204.
39
LOC
AL
Bat
ch:
Ser
vice
Cen
ter:
6.20
1.45
STA
TE
CO
LLE
CTI
ON
S
434.
00
101.
50
SU
I/DI
2,86
9.31
4.70
%
06XX
06XX
CR
ED
ITA
ND
63
ofC
O
Page 18
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
AN
ALY
SIS
DE
PT:
TAX
AB
LE
N-
G
STA
TE
NJ
Fede
ral
NE
TC
AS
H:
GTL
STA
TE
204.
39
PC
T
2,86
9.31
108.
20
FIT
4,20
0.00
TAX
FUTA
Soc
ial
Sec
urity
-ER
TAX
WA
GE
S
4,20
0.00
Soc
ial
Sec
urity
-EE
Med
icar
e-E
E
BY
STA
TE
4,30
8.20
4,30
8.20
Med
icar
eS
urta
x-E
E
796.
73
4,30
8.20
Med
icar
e-E
R
7,75
4.37
475.
00
4,30
8.20
25,0
00.0
0
ME
D
.90
1,87
1.34
Bat
ch:
796.
73
6.20
1.45
6,98
7.29
LOC
AL
Ser
vice
Cen
ter:
FIT
36.6
6%
.60
6.20
1.45
SS
06XX
06XX
267.
10
62.4
7
53.2
4
ofC
O
64
267.
11
62.4
7
STA
TE1.
21S
UI/D
I22
,056
.56
1,30
9.73
WA
RE
HO
US
E
Page 19
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
AN
ALY
SIS
DE
PT:
B
N-
K
M-
6
M-
8
NE
TC
AS
H:
EB
ETA
X
930.
61
62.0
0
200.
00
STA
TE
NV
TAX
AB
LE
21,4
35.0
8
25,0
00.0
0
STA
TE
6,88
2.27
N-
1
M-
7
FIT
31.0
2
1,00
0.00
TAX
PA
PC
T
FUTA
WA
GE
S
53.2
4
6.20
BY
STA
TE
1,73
4.13
TAX
31,1
83.0
3
M-
#
105.
02
Fede
ral
14.5
0
30,8
93.1
6
Soc
ial
Sec
urity
-EE
Med
icar
e-E
E
Med
icar
eS
urta
x-E
E
30,1
83.0
3
32,7
57.8
7
.90
160.
00
ME
D
N-
G
21,4
59.9
9
299.
32
GTL
Soc
ial
Sec
urity
-ER
Med
icar
e-E
R
3.50
33,7
57.8
7
285.
00
LOC
AL
PA
1,50
0.00
1.21
6,98
7.29
1,87
1.34
1.45
215.
00
26.2
6%1,
279.
87
Bat
ch:
.60
6.20
1.45
2,84
5.74
ofC
O
Ser
vice
Cen
ter:
1,93
3.35
489.
49
FIT
475.
00
SS
06XX
06XX
LOC
AL
140P
STA
TE
LOC
AL
FRA
NK
LIN
TWP
TAX
AB
LE
789.
88
65
EE 1
PC
T
1.20
TAX
TAX
SU
I/DI
WA
GE
S
PA
8,47
7.23
CO
UN
T
SU
IE
E
9,76
6.75
1,73
4.13
SU
PP
OR
T
+ K 3
14.5
0
401K
MS
A
, W
47.5
0
CH
EC
K1
1,86
1.21
70.0
020
,063
.35
Page 20
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
AN
ALY
SIS
DE
PT:
200.
00
C
STA
TE
KY
NE
TC
AS
H:
DE
PE
ND
STA
TE
AL
FL
14,1
53.2
4
FIT
196.
30
184.
65
B
5,19
6.40
TAX
AB
LE
FUTA
EB
ETA
X
TAX
GA
MI
1,00
0.00
WA
GE
S
CT
252.
06
93.1
7
PC
T
85.0
0
BY
STA
TE
196.
48
4,80
5.47
2,19
2.30
TAX
Med
icar
e-E
E
F
1,16
2.95
793.
88
197.
11
CO
CA
R
N-
K
3,96
2.10
51.8
7
6.20
215.
00
559.
17
491.
22
1,11
1.16
Fede
ral
M
N-
1
15.9
3
19,3
76.6
5
QM
OV
EX
18.0
0
Med
icar
e-E
R
500.
00
Soc
ial
Sec
urity
-EE
.90
NY
20,6
42.9
3
20,6
42.9
3
FIT
N-
G
1.20
Soc
ial
Sec
urity
-ER
80.0
0
34.9
2
GTL
20,6
42.9
3
20,6
42.9
3
147.
94
Med
icar
eS
urta
x-E
E
2,40
0.00
ME
D
1.45
149.
34
N-
H
2,84
5.74
1,27
9.87
HS
A-E
R
LOC
AL
027G
.60
1.45
206.
67
LOC
AL
76.4
6
LOC
AL
PIN
ETW
P
6.20
299.
32
SS
Bat
ch:
Ser
vice
Cen
ter:
EE 1
1,27
9.86
STA
TE
2.69
%
TAX
299.
32
SU
I/DI
WA
GE
SC
OU
NT
TAX
AB
LE
219.
00
ofC
O
06XX
PC
T
1,79
0.07
06XX
TAX
MA
RK
ETI
NG
66
NY
SD
I5,
560.
00
CC H K T 6
DE
PE
ND
HE
ALT
H
401K
ED
UC
HS
A12
5
-
170.
00
167.
40
1,11
8.34
80.0
0
2,15
0.00
DC
C17
0.00
F J N W 8
CO
CA
R
TRA
V
STK
OP
1
CH
EC
K1
TRA
NS
6
215.
00
90.0
0
40.0
0
4,38
6.49
60.0
0
-H
CC
2,15
0.00
Page 21
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
AN
ALY
SIS
DE
PT:
FL
N-
G
N-
K
STA
TE
TAX
AB
LE
NE
TC
AS
H:
GTL
72.0
0
STA
TE
206.
67 PC
T
FUTA
1,79
0.07
8.66
FIT
N-
1
TAX
TAX
Med
icar
e-E
R
N-
H
2.40
WA
GE
S
HS
A-E
R
BY
STA
TE
Fede
ral
Soc
ial
Sec
urity
-EE
FIT
24.0
0
2,25
6.00
2,40
8.66
Med
icar
e-E
E
Med
icar
eS
urta
x-E
E
480.
00
Soc
ial
Sec
urity
-ER
1,55
0.00
2,40
8.66
2,40
8.66
61,8
60.0
7
1,25
6.37
2,40
8.66
.90
25,5
35.0
0
ME
D
390.
00
81.0
3
Bat
ch:
Ser
vice
Cen
ter:
206.
67
6.20
1.45
5,21
2.35
13,9
86.3
9
LOC
AL
.60
6.20
1.45
SS
06XX
06XX
149.
34
34.9
2
1,77
9.60
58,8
33.0
2
67
149.
34
34.9
3
STA
TE3.
61
J N
SU
I/DI
TRA
V
STK
OP
1
35,0
34.1
8
30.0
0
20.0
0
31,9
81.5
4N
ET
CA
SH
K 24
401K
R40
1K
144.
00
25.0
0
Page 22
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
NE
TC
AS
H:
200.
00
C
58,8
33.0
2
DE
PE
ND
M-
6
M-
8
STA
TE
62.0
0
200.
00
STA
TE
AL
FL
B F
FIT
361.
56
EB
ETA
X
CO
CA
R
M-
7
TAX
26,0
70.0
0
390.
00
1,00
0.00
WA
GE
S
CT
GA
185.
00
BY
STA
TE
269.
50
252.
06
MI
L Z
N-
1
8,96
6.90
391.
32
KY
LTD
50.0
0
62.5
3
1,52
0.70
4,80
5.47
93.1
7
80.0
0
5,64
6.30
793.
88
2,19
2.30
NV
OH
M
642.
95
51.8
7
NJ
NY
WA
QM
OV
EX
N-
K
1,11
1.16
448.
97
57.0
1
PA
500.
00
1,89
5.00
15.9
3
11,2
00.0
0
1,50
4.00
TX
N-
H
197.
11
6,88
2.27
M-
#
HS
A-E
R
1,84
1.79
82.5
0
53.2
4
688.
02
TAX
AB
LE
14.5
0
140.
46
192.
22
PC
T
4,01
8.00
344.
71
TAX
N-
G
480.
19
6.20
GTL
1,73
4.13
Fede
ral
602.
56
105.
02
82,2
86.5
7
Soc
ial
Sec
urity
-EE
Med
icar
e-E
E
Med
icar
eS
urta
x-E
E
Soc
ial
Sec
urity
-ER
NY
FUTA
2.40
140P
84,0
70.2
9
86,6
45.1
3
FRA
NK
LIN
TWP
85,0
70.2
9
Med
icar
e-E
R
cont
inue
don
next
page
PA
1
87,6
45.1
3
Bat
ch:
Ser
vice
Cen
ter:
1.21
.90
13,9
86.3
9
LOC
AL
0033
110M
LOC
AL
NE
WY
OR
KC
IT
SP
RIN
GFI
ELD
.60
6.20
1.45
06XX
EE 1
81.0
3
5,21
2.35
1.45
06XX
TAX
5,27
4.36
1,27
0.85
68
WA
GE
S
027G
1,25
6.37
CO
UN
T
PIN
ETW
P1
TAX
AB
LE
4,05
1.48
PC
T
PA
1
TAX
SU
IE
EN
YS
DI
7,11
0.00
1,73
4.13
Y+ B E H K T
14.5
0
EB
ETA
X
EB
EN
ON
HE
ALT
H
401K
ED
UC
SA
V1
6 24 C, C F J N W 3 8
47.5
0
DE
PE
ND
CO
CA
R
TRA
V
STK
OP
1
CH
EC
K1
MS
A
TRA
NS
70.0
0
100.
00
519.
20
3,83
6.00
80.0
0
HS
A12
5
317.
50
565.
00
270.
00
120.
00
25,6
82.6
2
R40
1K
1,10
6.86
2,15
0.00
25.0
0
70.0
0
60.0
0
-D
CC
317.
506
-H
CC
2,15
0.00
Page 23
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
ALL
CR
OS
SFO
OTS
OK
Bat
ch:
Ser
vice
Cen
ter:
Fede
ral
Tax
Soc
ial
Sec
urity
ER
Taxa
ble
X
Med
icar
e
ER
Taxa
ble
X
TOTA
L
Ear
ned
Inco
me
Cre
dit
Adv
ance
s
EE
Am
ount
With
held
Tota
lS
ocia
lS
ecur
ity
EE
Am
ount
With
held
LIA
BIL
ITY
Tota
lM
edic
are
Med
icar
eS
urta
xE
mpl
oyee
Am
ount
With
held
13,9
86.3
9
5,21
2.35
10,4
86.7
1
1,25
6.37
2,52
7.22
06XX
6.20
%
1.45
%
06XX
5,27
4.36
1,27
0.85
69
Page 24
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:
NE
TC
AS
H(N
ET
MIN
US
VO
IDS
PLU
SD
EP
OS
ITS
)
.00
58,8
33.0
2
STA
TEIN
CO
ME
TAX
FED
ER
AL
PA
YR
OLL
TAX
EA
RN
ED
INC
OM
EC
RE
DIT
AD
VA
NC
ES
SO
CIA
LS
EC
UR
ITY
EM
PLO
YE
EA
MT
WIT
HH
ELD
1,25
6.37
FED
ER
AL
INC
OM
ETA
X
5,21
2.35
ME
DIC
AR
EE
MP
LOY
EE
AM
TW
ITH
HE
LD
ME
DIC
AR
ES
UR
TAX
EM
PLO
YE
EA
MT
WIT
HH
ELD
13,9
86.3
9
SO
CS
EC
ER
TXB
L
ME
DIC
AR
EE
RTX
BL
.00
SU
I/SD
ITA
X
82,2
86.5
7
85,0
70.2
9
87,6
45.1
3
X X
WIT
HH
ELD
FLO
RID
A
6.20
1.45
NE
WY
OR
K
WIT
HH
ELD
GE
OR
GIA
MIC
HIG
AN
NE
WJE
RS
EY
5,27
4.36
1,27
0.85
2.40
ALA
BA
MA
.00
FED
ER
AL
DE
PO
SIT
LIA
BIL
ITY
PE
NN
SY
LVA
NIA
8,96
6.90
.00
KE
NTU
CK
Y
27,0
00.3
2
FUTA
1.21
361.
56
391.
32
1,11
1.16
27,0
00.3
2
.00
1,52
0.70
4,80
5.47
2,19
2.30
X
CO
NN
EC
TIC
UT
252.
06
93.1
7
11,2
00.0
0
OH
IO
TEX
AS
.60
5,64
6.30
793.
88
197.
11
448.
97
PE
NN
SY
LVA
NIA
.00
269.
50
51.8
7
NE
VA
DA
NE
WY
OR
K
1,73
4.13
642.
95
15.9
3
.00
1,50
4.00
53.2
4
WA
SH
ING
TON
.00
57.0
1
105.
02
.00
LOC
AL
INC
OM
ETA
X
6,88
2.27
82.5
0
.00
1,84
1.79
4,01
8.00
.00
WIT
HH
ELD
192.
22
344.
71
110M
Bat
ch:
480.
19
.00
SP
RIN
GFI
ELD
Ser
vice
Cen
ter:
688.
02
4,05
1.48
81.0
3
06XX
06XX
610
Page 25
Pag
eP
ayD
ate
:C
ompa
nyC
ode:
Per
iod
End
ing
:B
atch
:
44.0
0C
.00
DE
PE
ND
6
44.0
0
28.8
0
GO
AL
DE
DU
CTI
ON
CO
DE
6R
EA
CH
ED
C
Ser
vice
Cen
ter
:
H
HS
A12
5
DE
PE
ND
HE
ALT
H
12/3
0/20
16
28.8
0
06XX
06XX
12/3
0/20
16
0015
40
H
67
0011
85
0005
00
HE
ALT
H
0004
00
BD
564
BD
560
2346
.16
27.5
000
Page 27
Cur
rent
Dat
e:
Reg
ion
Nam
e:P
age
Pay
Dat
e:
Qua
rter
Num
ber:
Com
pany
Cod
e:P
erio
dE
ndin
g:
Bat
ch:
PR
INC
ETO
NR
EG
ION
Ser
vice
Cen
ter:
XX
06XX
06XX
61
Acc
t.N
o.
Soc
ial
Sec
urity
-E
E
Soc
ial
Sec
urity
Adj
-E
E
Med
icar
e-
ER
Ear
ned
Inco
me
Cre
dit
Adv
ance
s
Med
icar
eA
dj-
EE
Fede
ral
Inco
me
Tax
5,21
2.35 .0
0
1,27
0.85
Med
icar
eS
urta
x-
EE
13,9
86.3
9
Soc
ial
Sec
urity
-E
R
Med
icar
e-
EE
5,27
4.36
1,25
6.37 .0
0
Med
icar
eS
urta
xA
dj-
EE
.00
.00
.00
CO
BR
AP
rem
ium
Ass
ista
nce
Pay
men
ts
Sta
teIn
com
eTa
x
Sta
teU
nem
ploy
men
t/Dis
abilit
yIn
s-
ER
.00
1,77
9.60 .0
0
Sta
teD
isab
ility
Insu
ranc
e-
EE
Fede
ral
Une
mpl
oym
ent
Tax
Sta
teU
nem
ploy
men
tIn
sura
nce
-E
E
Sta
teU
nem
ploy
men
tIn
sura
nce
Adj
-E
E
.00
.00
1.21 .0
0
Sta
teD
isab
ility
Insu
ranc
eA
dj-
EE
.00
Wor
kers
’B
enef
itFu
ndA
sses
smen
t-
EE
.00
Loca
lIn
com
eTa
xW
orke
rs’
Ben
efit
Fund
Ass
essm
ent
-E
R.0
0
Sch
ool
Dis
trict
Tax
Adj
ustm
ents
/Pre
pay/
Voi
ds
81.0
3
Che
cks
.00
32,0
43.5
4
62.0
0-
Tran
/AB
A
Dire
ctD
epos
it
Sta
teD
isab
ility
Insu
ranc
e-
EE
26,7
89.4
8
2.40
THE
DA
TEO
NW
HIC
HY
OU
SU
BM
ITTE
DY
OU
RP
AY
RO
LLIN
PU
TD
OE
SN
OT
AN
DM
AY
IMP
AC
TTH
ETI
ME
LYS
UB
MIS
SIO
NO
FY
OU
RTA
XD
EP
OS
ITS
.A
SP
ER
MIT
SU
FFIC
IEN
TTI
ME
TOD
EB
ITY
OU
RA
CC
OU
NT
FOR
TAX
LIA
BIL
ITIE
S
AR
ES
ULT
TAX
PE
NA
LTIE
SM
AY
BE
INC
UR
RE
D.
CO
NTA
CT
YO
UR
AD
PR
EP
RE
SE
NTA
TIV
EFO
RC
LAR
IFIC
ATI
ON
.TH
AN
KY
OU
.
Page 28
Cur
rent
Dat
e:
Reg
ion
Nam
e:P
age
Pay
Dat
e:
Qua
rter
Num
ber:
Com
pany
Cod
e:P
erio
dE
ndin
g:
Bat
ch:
PR
INC
ETO
NR
EG
ION
Ser
vice
Cen
ter:
XX
06XX
06XX
62
Dire
ctD
epos
itsC
heck
s
Adj
ustm
ents
32,0
43.5
4
62.0
0-
26,7
89.4
8
Fede
ral
Inco
me
Tax
Ear
ned
Inco
me
Cre
dit
Adv
ance
s
Soc
ial
Sec
urity
Med
icar
e
13,9
86.3
9
5,21
2.35
1,25
6.37
Med
icar
eS
urta
x
Fede
ral
Une
mpl
oym
ent
Tax
5,27
4.36
1,27
0.85
AL
Sta
teU
nem
ploy
men
t/Dis
abilit
yIn
s-E
R
269.
50
Cob
raP
rem
ium
Ass
ista
nce
Pay
men
ts
AL
Sta
teIn
com
eTa
x
2.70
00
CT
Sta
teU
nem
ploy
men
t/Dis
abilit
yIn
s-E
R
361.
56
CT
Sta
teIn
com
eTa
x
1.90
00
GA
Sta
teIn
com
eTa
x
GA
Sta
teU
nem
ploy
men
t/Dis
abili
tyIn
s-E
R
252.
06
2.70
00
KY
Sta
teIn
com
eTa
x
KY
Sta
teU
nem
ploy
men
t/Dis
abilit
yIn
s-E
R
51.8
7
3.00
00
MI
Sta
teIn
com
eTa
x
MI
Sta
teU
nem
ploy
men
t/Dis
abilit
yIn
s-E
R
93.1
7
2.70
00
NJ
Sta
teIn
com
eTa
x
2.80
00N
JS
tate
Une
mpl
oym
ent/D
isab
ility
Ins-
ER
NJ
Sta
teU
nem
ploy
men
tIn
sura
nce-
EE
NJ
Sta
teD
isab
ility
Insu
ranc
e-E
E
448.
97
NY
Sta
teU
nem
ploy
men
t/Dis
abilit
yIn
s-E
R
NY
Sta
teD
isab
ility
Insu
ranc
e-E
E
NY
Sta
teIn
com
eTa
x
2.60
00
2.40
57.0
1
Page 29
Cur
rent
Dat
e:
Reg
ion
Nam
e:P
age
Pay
Dat
e:
Qua
rter
Num
ber:
Com
pany
Cod
e:P
erio
dE
ndin
g:
Bat
ch:
PR
INC
ETO
NR
EG
ION
Ser
vice
Cen
ter:
XX
06XX
06XX
63
110M
Spr
ingf
ield
81.0
3
OH
Sta
teIn
com
eTa
x
OH
Sta
teU
nem
ploy
men
t/Dis
abili
tyIn
s-E
R
192.
22
2.00
00
*P
AS
tate
Inco
me
Tax
PA
Sta
teU
nem
ploy
men
t/Dis
abilit
yIn
s-E
R
PA
Sta
teU
nem
ploy
men
tIn
sura
nce-
EE
53.2
4
3.50
00
1.21
*TX
Sta
teU
nem
ploy
men
t/Dis
abilit
yIn
s-E
R2.
7000
Exc
lude
sTa
xes
That
Are
You
rR
espo
nsib
ility
Page 30