$ 16848.0Q__ req. LIS* ~party a %del secudty wages 4 Social eaeurby tax Wee* .5 gov rep. aloe& $ 574878.61 $ 35642.47 O Total number of Foons ltr.2 d Establishment number 5 Medlcore Wig« and drys 6 Medicare lax withhold • 14 $ 743059.78 $ 10774.36 Kind of Payer • Employer IdenUl