Earnings

Earnings Regular Company Code Lee/Dept Number F4ige MO OW 21609797 01/ 4056361 1 of 1 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxable Marital Status: Exemptions/Allowances Federal: 0 Stale 0 Local: 0 Social Security Number: Grins Pay Married Tax Overrode: Federal: Stale: Local: XXX•XX4XXX rate hours/units 0.00 this period year to date 1538.46 12307.68 $1,130.46 512.307.6S StatutoiyDeductiorts Federal Income Social Security Medicare New York Slate Income Voluntary Deductions New York voluntarydisabilay this period recto date -145.00 1160.00 -95.39 763.08 -22.31 178.46 -66.50 532.00 this period Year to date -1.20 9.60 NelPay $1,209.06 Earnings Statement Period Starting: Period Endem: Pay Date: Business Phone: 04/03/2017 04/16/2017 04/13/2017 LESLEY K GROFF Deposits account number )00000(3159 transit/ABA XXXXXXXXX You: federal taxable wages This period as 81.538.46 95.7:12 I DtliVtlitilEitt t.V.71_971E.E7 hlUtaT IthlE If) '/=e Ft:11/e,1 tt,i1;t7. .nITC7P LieiirrEn ,:c( DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK, NY 10022 Deposited to the account Checking DeectEleposil 17 LESLEY K GROFF Pay Date: 04/13/2017 amount 1208.06 aecogitournkekv, yam transiUABA amount it i;)0060,60h59"r XXXXXXXXX 1208-06 O I EFTA00316332