Employer Name: PCA MICHIGAN ACQUISITION

LLC

Employer Phone: 1-800-***-****

Employer

Address:

* ***** ***** *****

Lake Forest, IL 60045

Employee Name: Terence I Meeusen

Employee #: 79226

Employee Address: 246 Center Green Meadow St SE

Grand Rapids, MI 49548

Department: 5204-MANUFACTURING

Job Title: DIE CUTTER ASST~X02202

Pay Date: 7/13/2023

Pay Period: 7/3/2023 - 7/9/2023

Deposit Advice #: 638200949

Pay Frequency: Weekly

Federal Filing Status: Married

Federal 2c/Extra Withholding: No/$0.00

State Filing Status: Alt Code 01 (MI)

State Exemptions: 1/$0.00 (MI)

Current

7/3/2023 - 7/9/2023

YTD

As of 7/9/2023

Hours/Units Rate Amount Hours/Units Amount

Earnings 32.62 $776.02 1,014.27 $25,902.61

Regular 24.62 23.7900 $585.70 927.62 $22,051.20

Holiday Pay 8.00 23.7900 $190.32 49.65 $1,170.13

Overtime 37.00 $440.16

Short Term Dis $337.92

Vacation Acc $1,903.20

Taxable Benefits $4.95 $137.70

Group Term Life $4.95 $137.70

Pre-Tax Deductions $152.51 $3,820.84

401k Hourly $62.08 $1,288.80

Medical $84.14 $2,355.92

Dental $3.03 $84.84

Vision Pre-Tax $3.26 $91.28

Taxes $82.95 $3,686.85

Fed W/H $9.08 $1,081.52

FICA EE $42.81 $1,457.51

Fed MWT EE $10.01 $340.87

MI W/H $21.05 $806.95

Post-Tax Deductions $8.76 $244.63

Accidental Death $3.23 $90.44

Supplemental Life $4.69 $130.67

Spouse Life $0.84 $23.52

Routing # Account # Amount Amount

Net Pay $531.80 $18,150.29

Direct Deposit 272476734 XXXXXXXXXX0308 $531.80

Other Payroll Information

Total Hours Worked 24.62 Total Hours Worked YTD 927.62 Page 1 of 1

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