Direct Care Staff

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https://n**.ultipro.com/pages/utility/PrintPreview.html?USParams=containerIdOrSource=PayStatement! 1/2 D&S Community Services

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Bldg 1, Suite 1300

Austin, TX 78759

512-***-****

Pay Statement

Period Start Date 01/23/2021

Period End Date 02/05/2021

Pay Date 02/19/2021

Document 378613

Net Pay $1,923.89

Pay Details

kevin Eugene freeman

7207Colony Park DR

Austin, TX 78724

USA

Employee Number 011622

SSN XXX-XX-XXXX

Job DSP

Pay Rate $10.0000

Pay Frequency Biweekly

Pay Group DSC Hourly Bi-

Weekly

Location TX-Austin-S

State/Area 4312 - TX-Austin,

South

Home Type 1 - HCS

Home#/Deptmt 430794 - 4312-

Roehampton

Office 4312 - South Austin

Earnings

Pay Type Week Job Hours Pay Rate Current YTD

RT-Regular Time 1 DSP 3.1800 $10.0000 $31.80

RT-Regular Time 1 DSP 36.8200 $10.0000 $368.20

RT-Regular Time 2 DSP 5.9200 $10.0000 $59.20

RT-Regular Time 2 DSP 34.0800 $10.0000 $340.80 $3,095.12 OT-Overtime 1 DSP 20.0500 $10.0000 $200.50

OT-Overtime 1 DSP 32.0800 $10.0000 $320.80

OT-Overtime 2 DSP 17.0200 $10.0000 $170.20

OT-Overtime 2 DSP 41.1700 $10.0000 $411.70 $3,656.34 OT-Premium 1 DSP 20.0500 $5.0000 $100.25

OT-Premium 1 DSP 32.0800 $5.0000 $160.40

OT-Premium 2 DSP 17.0200 $5.0000 $85.10

OT-Premium 2 DSP 41.1700 $5.0000 $205.85 $1,831.25 OT-Holiday Wrk 0.0000 $0.0000 $0.00 $129.98

OT-Retro Hours 0.0000 $0.0000 $0.00 $61.70

Total Hours Worked 190.3200 Total Hours 300.6400

Deductions

Employee Employer

Deduction Based On Pre-Tax Current YTD Current YTD EE Asst Program $0.00 No $0.00 $0.00 $0.00 $1.32

GTL-Life $21,000.00 No $0.00 $0.00 $1.91 $5.73

Taxes

Tax Based On Current YTD

Federal Income Tax $2,454.80 $343.11 $1,142.58

Employee Medicare $2,454.80 $35.60 $127.23

Social Security Employee Tax $2,454.80 $152.20 $544.02 Paid Time Off Net Pay Distribution

3/3/2021 Print Preview

https://n32.ultipro.com/pages/utility/PrintPreview.html?USParams=containerIdOrSource=PayStatement! 2/2 Plan Current Balance

Paid Time Off 1.5400 12.3200

Account Number Account Type Amount

xxxxxxxx0422 Checking $1,923.89

Total $1,923.89

Pay Summary

Gross FIT Taxable Wages Taxes Deductions Net Pay

Current $2,454.80 $2,454.80 $530.91 $0.00 $1,923.89 YTD $8,774.39 $8,774.39 $1,813.83 $0.00 $6,960.56

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