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efta-efta00316272DOJ Data Set 9Other

Earnings

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DOJ Data Set 9
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efta-efta00316272
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Earnings RegUar CompanyCod• Loc/Dept Number Page RX I PUJ 21606797 61! 3207828 t ol I DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxabe Mantal Status: ExemosonsrAllowances. Eedera]: 0 Siale: D Loco; 0 Soda] secunty Number: Gross Pay Mairied Tax Overvide: Federal: State: Lood: XXX-XX-XXXX rate haunrieh 0.00 Ibis putriod year to date 1538.46 37307.68 91,538.46 537.307.68 Statuten DeduclIons Federal Irrname Sccial Securny Medeare Now York Süde Income Volumen/ Deductlons New Yorkvoluntarycksabialy NN Pay thls oedod year to date -145.77 4521.76 -95.39 2313.08 -22.31 540.96 -66.68 1855.67 thls perlod year to date -1.20 21.60 91,207.11 Earnings Statement Pericd Suuling: Period End.ng: Pay Date: Business Phono: 08,22/2016 09,1412016 09012016 LESLEY K GROFF Capotim account nungss XXXXKX3159 IranaillABA 103003000C Your ladoral taxable weges ms pOliCd are 51.538.46 amotad 3207.11 wer yF;171 Drit:UhIEJ)T - eJLifiliEb AilEA1493I 'JH:43113F. lil lf' IOM LL:1517. ;17 Lifiirria ;11 DriTtr_JA1 fl DARRENK INDYKE PL1C 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK. NY 10022 Deposited to et account CheckIng DireciDeporre er.> rnis ! Xzezi. et4 ' Pay Dato: 09/01/2016 transiVABA amant XXXXXXXOt 1207.11 LESLEY K GROFF EFTA00316272

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