Chemical Sampler/Logistics

SEE BACK PAGE FOR IMPORTANT MESSAGE(S)

IMPORTANT: If needed, call 573-***-**** for assistance in the translation and understanding of the information in this document.

IMPORTANTE!: Si es necesario, llame al 573-***-**** para asistencia en la traducción y entendimiento de la información en este documento. Missouri Division of Employment Security is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-***-**** Relay Missouri: 711 MODES-B-9I (08-22)

Benefits

P.O. Box 3915

Jefferson City, MO 65102-3915

www.labor.mo.gov/DES

RESULTS OF THE UNEMPLOYMENT CLAIM YOU FILED

Determination of Status as an Insured Worker

MARCUS MCMURRAY

3205 WAYNE AVE

GRANITE CITY IL 62040

You have earned enough wages from previous employers to be an insured worker and qualify for an unemployment claim. Even though you qualify, the reason you are no longer working can affect whether or not you can receive benefit payments. Benefit Information

Your benefit claim is in effect for one year beginning 11-20-2022 and ending 11-25-2023.

Your weekly benefit amount (WBA) is $320.00.

The maximum benefit amount (MBA) that you can collect during this claim year is $5,103.29. Note that the amount may run out before your claim period ends.

Review Your Wages

The wages below were reported by your employer(s). The base period of work used was 07-01-2021 to 06-30-2022. If you do not agree with the wages, see Appeal Rights on the back page. Date Mailed: 11-23-2022

Social Security No.: XXX-XX-3884

Quarter 1 Quarter 2 Quarter 3 Quarter 4 Total Wages Earned

Employer 2021-07-01 to 2021-09-30 2021-10-01 to 2021-12-31 2022-01-01 to 2022-03-31 2022-04-01 to 2022-06-30 FIRMENICH INCORPORATED $0.0 $0.0 $11318.70 $6989.89 TOTAL $0.00 $0.00 $11,318.70 $6,989.89 $18,308.59

Next Steps

• File your weekly requests for payment each week you are unemployed at uinteract.labor.mo.gov.

• Read the enclosed What You Need to Know About Unemployment Insurance in Missouri pamphlet for further instructions.

• You are required to make 3 work search activities. If you have questions, visit labor.mo.gov/DES/Claims, or contact a Regional Claims Center. Equal Opportunity and the Law

It is against the law for this recipient of Federal financial assistance to discriminate on the following bases: against any individual in the United States, on the basis of race, color, religion, sex (including pregnancy, childbirth, and related medical conditions, sex stereotyping, transgender status, and gender identity), national origin (including limited English proficiency), age, disability, or political affiliation or belief, or, against any beneficiary of, applicant to, or participant in programs financially assisted under Title I of the Workforce Innovation and Opportunity Act, on the basis of the individual s citizenship status or participation in any WIOA Title I-financially assisted program or activity. What to Do if You Believe you have Experienced Discrimination If you think that you have been subjected to discrimination under a WIOA Title I-financially assisted program or activity, you may file a complaint within 180 days from the date of the alleged violation with either: Sara Seaver, Equal Opportunity Officer The Director, Civil Rights Center (CRC) Department of Labor and Industrial Relations U.S. Department of Labor P.O. Box 510, Jefferson City, MO 651**-****-*** Constitution Avenue NW, Room N-4123 Phone: 573-***-**** Fax: 573-***-**** Washington, D.C. 20210 Email: **@*****.**.*** or electronically as directed on the CRC website at dol.gov/crc

For more information, review the Missouri Department of Labor’s equal opportunity policy at labor.mo.gov/EO. MODES-B-9I-2 (08-22)

FRAUD WARNING

Giving incorrect information or making a false statement in order to receive payments is an offense punishable by a fine, imprisonment, or both.

APPEAL RIGHTS: You can appeal if you disagree with your benefit amounts, the wages reported, or the start date of your claim. You or your duly authorized agent (a person that you designate to assist or represent you in this matter) may file the appeal. You may submit a signed written statement or complete an appeal form. If an appeal is not filed by 12-23-2022, the information in this notice cannot be changed. Make your weekly requests for payment even if you file an appeal. The appeal can be filed by:

Mail Appeals Section, P.O. Box 59, Jefferson City, MO 65104

Fax 573-***-****

For more information about the appeal process, or to get an appeal form, visit our website at labor.mo.gov/DES/Appeals/how_to_file_appeal.

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IMPORTANT MESSAGES

Notice: Pursuant to 288.380 and 288.395 RSMo, knowingly and willfully concealing a material fact by any trick, scheme, or device or knowingly making a false statement in connection with this claim is an offense, punishable by a fine, imprisonment; or both.

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