BROKERS' RISK PLACEMENT SERVICES INC
CHICAGO IL 60606
Pay Period 12/01/2020 - 12/08/2020
Pay Date 12/15/2020
PATRICIA A WALSH
EMPLOYEE ID: 1046
DEPARTMENT: 11024
FITWH Filing Status: S Exemptions: 1
IL Filing Status: S Exemptions: 1
DD RECEIPT: 119*******
Earnings RATE HOUR/UNIT CURRENT YTD HOUR/UNIT YTD
Salary 311.03 1,196.4667 75,459.76
Hol 36.25 1,307.72
BE Parking 180.00
Park Reimb 60.00
PTO Payout 4,011.76 4,011.76
Sever 14,166.68 14,166.68
aPTO 32.3833 1,460.29
GTL 572.44
Total $18,489.47 1,265.10 $97,218.65
Deductions CURRENT YTD
401k 3,116.74
BE Park 180.00
FSA Med 1,833.48
Health-125 2,640.00
LTD 677.93
Park Reimb 60.00
Roth 401K 1,558.26
Trans Flex 1,196.30
Total $11,262.71
Time Off (hours) ACCRUED TAKEN AVAILABLE
PTO 88.9666
Taxes CURRENT YTD
FITWH 5,302.98 14,966.18
MED 268.10 1,320.47
SOC 1,146.35 5,646.27
IL 910.43 4,215.03
Total $7,627.86 $26,147.95
Net Pay XXXXX5969 $10,861.61
Notes: RTA Transit reimbursement = $311.03
THIS IS NOT A CHECK. THIS DOCUMENT IS TO BE USED FOR INFORMATIONAL PURPOSES ONLY. BROKERS' RISK PLACEMENT SERVICES INC
155 N WACKER SUITE 3700
CHICAGO IL 60606 Direct Deposit # 119*******
Date 12/15/2020
Pay this Amount
** N O N - N E G O T I A B L E ** D I R E C T D E P O S I T R E C E I P T ** VOID ** VOID ** Pay to the
Order of
11024 DD
PATRICIA A WALSH
3430 GRANDVILLE AVE
GURNEE IL 60031
DIRECT DEPOSIT $10,861.61
TO ACCOUNT # XXXXX5969
BANK # XXXXX0019
N O N - N E G O T I A B L E