Employee Name: Donna Idleburg Pay Date: 05/05/2023 Employee #: 000065-199004 Pay Period: 04/28/2023 - 05/04/2023 Employee 1229 Plant Ave Deposit Advice #: 213312617 Lakeland Regional Health Address: Lakeland, FL 33805-3963 Pay Frequency: Weekly Medical Center Foundation, Inc. Department: ER Pay Rate: 35.56 EIN/TAX ID #: 23-7134974 Job Title: Nurse Federal Filing Status: Single Employer Phone: 800-275-8777 Pay Group: FLUS-102122 Federal Exemptions: 0 Site: HDFL-US State Filing Status: Alt Code 01 (TX) Employer Name: Employer Address: 1324 Lakeland Hills Blvd Lakeland, FL 33805-4543 YTD Current 04/28/2023 - 05/04/2023 Hours/Units Rate Earnings 40.00 Regular Earnings 34.00 6.00 Overtime As of 1/01/2023 Amount Hours/Units Gross Amount $1,481.48 826.00 $30,425.68 35.56 $1,208.89 719.00 $25,564.44 45.43 $272.59 107.00 Taxes FIT $4,861.23 $351.56 $7,220.01 $238.22 $4,892.45 SS EE $91.85 $1,886.39 Medicare EE $21.48 Pay Type Direct Deposit Bank Routing # Bank Account # 031101279 xxxxxxxxxx2000 Net Pay $1,129.93 $441.17 Net YTD Amount $23,205.67