Pay Statement

Period Start Date 12/16/2021

The Coca-Cola Company Period End Date 12/31/2021
One Coca-Cola Plaza Pay Date 12/31/2021
Nat 8 Document 201588205
Atlanta, GA 30313
Net Pay $2,269.21

Pay Details

Edward Burgess Employee Number 00010633 Pay Group SM Coca-Cola

9811 Falcon Meadow Dr. SSN XXX-XX-XXXX Location US-CA-CaliforniaVirOffice
Elk Grove, CA 95624
Job Senior Technical Advisor GL Company 0101 - Coca-Cola North America
USA
Pay Rate $38.0937
Pay Frequency Semi-Monthly

Earnings

Pay Type Hours Pay Rate Current YTD

Salary 86.6700 $38.0937 $3,301.58 $79,237.92

Shift Differential 10% 24.5000 $0.0000 $93.33 $300.92

Overtime-1.5x- Salaried Nonexempt 0.0000 $0.0000 $0.00 $2,113.99

Retro Overtime Pay 0.0000 $0.0000 $0.00 $68.22

Straight Time-1.0x-Salaried Nonexempt 0.0000 $0.0000 $0.00 $733.23

Global Recognition 0.0000 $0.0000 $0.00 $67.99

Group Term Life Ins > $50k - Imputed Inc $8.05 $185.15

Annual Incentive Award - CCNA 0.0000 $0.0000 $0.00 $1,585.00

HSA Employer Contribution 0.0000 $0.0000 $0.00 $400.00

HSA Wellness Incentive YE 0.0000 $0.0000 $0.00 $45.00

Internet reimb-virtual employees $6.75 $155.25

Total Hours Worked 86.6700 Total Hours 86.6700

Deductions

Deduction Pre-Tax Employee Current Employee YTD Employer Current Employer YTD

401k Thrift Plan Employee Contribution Yes $271.59 $6,459.03 $0.00 $0.00

Cur Year Retro Dependent Life Insurance No $0.00 ($8.70) $0.00 $0.00

CYR PreTax Dental Plan Yes $0.00 ($5.50) $0.00 $0.00

CYR PreTax Medical Plan Yes $0.00 ($91.50) $0.00 $0.00

CYR PreTax Vision Yes $0.00 ($5.50) $0.00 $0.00

Dependent Life Insurance No $0.00 $165.30 $0.00 $0.00

Group Term Life Ins > $50k - Imputed Inc No $8.05 $185.15 $0.00 $0.00

Health Savings Account Employee Contr. Yes $158.33 $3,799.92 $0.00 $0.00

HSA Employer Contribution No $0.00 $400.00 $0.00 $0.00

HSA Wellness Incentive YE No $0.00 $45.00 $0.00 $0.00

Life Insurance No $18.16 $435.84 $0.00 $0.00

Pretax Dental Yes $18.00 $536.50 $0.00 $0.00

Pretax Medical Yes $79.00 $3,634.50 — —

Pretax Vision Yes $7.00 $272.50 $0.00 $0.00

Taxable Fringe Offset No $0.00 $42.54 $0.00 $0.00

401k ER Match No $0.00 $0.00 $118.82 $2,941.37

Box 12DD Updates No $0.00 $0.00 $0.00 $19,247.94

Vacation Buy Yes $63.49 $1,523.76 $0.00 $0.00

Taxes

Tax Current YTD

Federal Income Tax $193.62 $4,905.88

Employee Medicare $44.62 $1,082.10

Social Security Employee Tax $190.78 $4,626.92

CA State Income Tax $49.13 $1,288.38

CA Disability Employee $38.73 $943.69

Paid Time Off Net Pay Distribution

Plan Taken Current Balance Account Number Account Type Amount

No records found xxxxxxxxxx4583 Checking $2,269.21

Total $2,269.21

Pay Summary

Gross FIT Taxable Wages Taxes Deductions Net Pay

Current $3,409.71 $2,805.55 $516.88 $623.62 $2,269.21

YTD $84,892.67 $68,168.71 $12,846.97 $17,388.84 $54,656.86

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