Earnings Statement

Earnings Statement Earnings Regular Co ommpan Code Loe. .._te 1 Number Page RX / PW 21609 7 01/ 3329960 1 of 1 DARKEN K INDYKE PLLC 675 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK. NY 10022 Taxable Manta Status: Exemplionsbklowarces: Federal: 0 State: 0 Local: 0 Social Swurdy Number: rile Gross Pay Married Tax Override: Federal: Stale: Local: XIOC-XX400C4 hountAmfts 0.00 Statutory Deductions Federal Income Social Security Medicare New York Slate Income Voluntary Deductions New York voluntary &saltily NM Pay this period year to date 1538.46 40384.60 $1,538.46 540.384.60 Period Staling: Paned Ending: Pay Dale: Business Phone: 09/19/2016 10/02/2016 09/29/2016 LESLEY K GROFF this period year le date Deposal; amoum number tranelUABA amount -145.77 -9S.39 -22.31 -66.68 4813.30 2503.85 585.58 1989.03 XXXXXX3159 XX000DC 1207.11 thibperiod year to dMe -1.20 24.00 $1,207.11 Pr a: 0 ul Cr Your iodate wawa wages ihis period are $1.538.46 CC •Vmrllrf .99S UPIEr If MDfilEtlf11411 - DLDRED ;1:1E,11 AI gia ltl WNIDUALLI FWD Filt1h) 9.4.;$ ;If ICIP19 L.1DiFfER 91.111C MI DARREN K NOVICE PLLC 576 LEXINGTON AVENUE SUITE 92 4Th FLOOR NEW YORK NY 10022 Deposited to the account Checking DireciDaposit LESLEY K GROFF Pay Date: 09/29/2016 • a r ,ae , S`r` xr tranalUABA XXXiC678169 tip, tie =XXX >DOIX amount 1207.11 fi EFTA00316285