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CO. FILE DEPT. CLOCK VCHR. NO.

036
WAS 739775 000250 0000520096 1 Earnings Statement
GOODWILL INDUSTRIES MANASOTA INC Period Beginning: 12/10/2023
2705 51ST AVE E Period Ending: 12/23/2023
BRADENTON, FL 34203-3937 Pay Date: 12/29/2023

DONALD BABICH
Filing Status: Single/Married filing separately 855 TANGELO PLACE
Exemptions/Allowances:
Federal: Standard Withholding Table
VENICE FL 34285

rate hours this period year to date Other Benefits and


Regular 15 0800 56 70 855 04 20 428 20 this period total to date
Bonus 100 00 Basic Life Er 1 79 46 98
HOLIDAY PAY 149 85
Totl Hrs Worked 56 70
Inc-TeamHourly 125 00
P T O 877 08
Gross Pay $855 04 21 680 13 COMPANY PH#:+1 941 355 2721

BASIS OF PAY: HOURLY


Statutory
Federal Income Tax -32 24 784 02
Social Security Tax -53 01 1 344 17
Medicare Tax -12 40 314 36 Exemptions/Allowances:
FL: No State Income Tax
Net Pay $757 39
Checking 1 -757 39

Net Check $0 00

Your federal taxable wages this period are $855 04

2000 ADP, Inc.

GOODWILL INDUSTRIES MANASOTA INC Advice number: 00000520096


2705 51ST AVE E Pay date: 12/29/2023
BRADENTON FL 34203-3937

Deposited to the account of account number transit ABA amount


DONALD BABICH xxxxx3688 xxxx xxxx $757 39

NON-NEGOTIABLE

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