Earnings

Earnings Regular Company Code Loe/Dept Number Page RX PUJ 21600797 01/ 4770605 1 of 1 DARREN K INDYKE PLIC 576 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK, NY 10022 Taxable Menial Status: Exemplicns/Allowances: Federal: 0 Slate: 0 Local: 0 Social Seaway Number: Married Tax Override: Fodani: Stale: Loct XXX-XX.XXXX rota houreAmils 0.00 this period year to date 1538.46 32307.66 Gross Pay 81,538.46 532,307.66 Statutory Deductions Federal Income Socal Security Medczue New York State Income Voluntary Deductions New York voluntary disability Net Pay this period %Porto date -145.00 3045.00 -95.38 2003.07 -22.31 468.46 -66.50 1396.50 this period year to date -1.20 25.20 81,208.07 VorrIlot DE/trithlz.411 AU friciTfl.t1 f DARRENK INDYKE PUG 575 LEXINGTON AVENUE SUITE 924TH FLOOR NEW YORK: NY 10022 Earnings Statement Period Starting: Period Ending: Pay Date: Business Phone: 10/02/2017 10/15/2017 10/i 2/2017 P FS FY K GROFF Deposits account numbs( X)00CO(3159 trans's/ABA XXX XXXXXX Your federal taxable wages ins period are SI S38 46 amount 1208.07 E/E)113 TUP 1.15.1111F.il :Tr freJirl LESLEY K GROFF w cc w cc V EFTA00316356