Company Code LOODOR1 Number Page RX / PUJ 21609797 01/ 3266679 1 of 1 DARREN K INDYKE PLLC 575 LEXINGTON AVENUE SUITE 92 4TH FLOOR NEW YORK, NY 10022 Taxable Mantal Status: Exemptions/Allowances: Fedora/ 0 Stale: 0 Local: 0 Social Seventy Number: Earning! _ rate Regular Gross Pay Mauled Tax Override: Federal Stale: Local: MOC-1100CCX hou loaks_ this period year to date 0.00 1538.46 38846.14 Statutory Deductions Federal Income Socaal Security Medicare New Yolk State Income $1,538.46 538,846.14 Earnings Statement Period Starting: Period Ending: Pay Date: Business Phone: 09/05/2016 09/18/2016 09n 5/2016 LESLEY K GROFF Intl:ant year to dote Depots account number transIVABA amount -145.77 4667.53 XXXX0(3151 )00(Xl0000C 1207.12 -95.38 2408.46 -22.31 563.27 -66.68 1922.35 • Voluntary Dedudions Sfig rano de New York yoluntarydisabilily -1.20 22.80 Net Pay • ••• • • • 81,207.12 Vow lederal taxable wages Ihts podod are $1.538.46 P O 0. Q cc 1 YERIF 7 DOC. thWEiff A VrifEETrIgIT t - e.iDL.Wil ED Ail z.11.1 ;AVEC f VilAnDE in 'i DIM ORAL IJALL7 ;lilt/315a/ F;:9M En1/17.:11' ID? '19 LIDillEil ;Yr iltf rftt1i'A Cl . ; . DARREN K INDTKE MC • - , . ,,. 575 LEXINGTON AVENUE • pay Dale: 09/15/2016 L SUITE 92 4TH FLOOR NEW YORK NY 10022 ' Deposked to It amount Chiting 0irtiotDeposit LESLEY K GROFF ..,esZ • s copid number_ „ , trarisit/A8A XXXXXXXXX MOM 1207.12 EFTA00316282