Earnings
Period Beginning:
NORTHWELL HEALTH
08/18/2019
75-59 263RD ST
Period Ending:
08/31/2019
GLEN OAKS, NY 11004-9997
Pay Date:
09/06/2019
BRIAN TAYLOR
Taxable Marital Status:
Exemptions/Allowances:
Federal: O
Single
So cial Security Number:
XXX-XX-2793
NY:
Earnings
64 HARDING PL
o
rate
SALARY
Regular
Deductions
Statement
FREEPORT, NY 11520-3757
hours
this period
80
year to date
4,153.85
Statutory
Federal Income Tax
Social Security Tax
Medicare Tax
NY State Tax
NY SUI/SDI Tax
Local Tax
737.79
257.54
60.23
232.91
7.56
0.00
Other
Loan
Repay
Savings
Medical
Dental
Vision
74,769.30
$74,769.30
13,280.22
4,638.72
1,084.14
4,192.38
136.08
0.00
Other Benefits and
Information
this period
total to date
401K Match
0.00
Important Notes
HAVE A DISCRIMINATION WORKPLACE CONCERN OR NOT
PROPERLY COMPENSATED FOR OT? CALL 516-563-4001
0.00
0.00
0.00
0.00
0.00
0.00
0.00
401K
$51,437.76
* Excluded from federal taxable wages
Your federal taxable wages this period are
4,153.85
©2000 ADP, Inc
Advice number:
Pay date:_ �
NORTHWELL HEALTH
75-59 263RD ST
GLEN OAKS, NY 11004-9997
ff
Deposited to the account of
� � account number
XXXXXX8987
BRIAN TAYLOR
-- --
00000210997
09/06/2019
transit ABA
xxxx xxxx
amount
$2,857.82
-
NON-NEGOTIABLE