BIR FORM 1604CF - SCHEDULE 7.

2
ALPHALIST OF EMPLOYEES WHOSE COMPENSATION INCOME ARE EXEMPT FROM WITHHOLDING TAX BUT SUBJECT TO INCOME TAX
AS OF DECEMBER 31,2011

TIN : 004025838-0000
WITHHOLDING AGENT'S NAME: CITY GOVERNMENT OF BAGUIO
(4) G R O S S C O M P E N S A T I O N I N C O M E
TOTAL

TAXABLE

SEQ

TAXPAYER

NAME OF EMPLOYEES

GROSS

NON-TAXABLE
13th MONTH PAY

DE MINIMIS

SSS,GSIS,PHIC &

SALARIES & OTHER

NON-TAXABLE/EXEMPT

BASIC

SALARIES & OTHER

NO

IDENTIFICATION

(Last Name, First Name, Middle Name)

COMPENSATION

& OTHER BENEFITS

BENEFITS

PAG-IBIG CONTRIBUTIONS,

FORMS OF

COMPENSATION INCOME

SALARY

AND UNION DUES

COMPENSATION

4(d)

4(e)

NUMBER
(1)

(2)

INCOME

(3)

---------------------------------------------------------------------------------------1 137-056-518-0000 ABAD, BRAULIO MANUYAG

2 405-146-517-0000 ABALOS, ADONIS BERNARD R
3 262-981-125-0000 ABANAG, JOSEFA B
4 921-345-838-0000 ABELLA, DOMINADOR ORDINARIO
5 936-057-913-0000 ABELLERA, RODERICK L
6 932-688-964-0000 ABLUYEN, IGNACIO DUYAPAT
7 103-002-585-0000 ACLOPEN, CONGELIA PAGADA
8 192-584-366-0000 ACOSTA, RONNIE L
9 133-211-068-0000 AGUIRRE, WALTER UNOS
10 936-058-446-0000 ALBAN, ROBERT B
11 414-986-074-0000 ALBING, GRACIAFLOR VALLE
12 162-041-777-0000 ALEJANDRO, JONATHAN F
13 195-849-834-0000 ALUYEN, DARWIN C
14 192-576-593-0000 AMPAL, MARY LAINE S
15 413-035-012-0000 ANCHEMANG, BELLA LAWINGAN
16 922-580-171-0000 ANGELES, ROWENA CORPUZ
17 154-924-177-0000 APACIBLE, ALLAN DELA ROSA
18 927-998-973-0000 APADCHIEW, DOMINGA AYSON
19 922-594-538-0000 APILS, JANICE COYAPYAP
20 926-256-438-0000 AQUINO, FREDERICK VILLEJO
21 924-993-727-0000 AQUINO, PRIMITIVA G
22 934-203-675-0000 AQUISAY, ENRIQUE CLAUDIO A
23 929-804-853-0000 ARUENO, MARY ANN RIMORIN
24 137-053-275-0000 ASPIRAS, CECILIA C
25 154-218-500-0000 ASTORGA, JIMMY ASIROT
26 275-932-792-0000 BADECAO, JESSIE GUZMAN
27 915-254-869-0000 BAGAWI, ALFREDO P
28 902-021-994-0000 BAGGIN, LOURDES PASUL
29 410-563-691-0000 BAGTO, MAREVEL TACIO
30 167-248-623-0000 BALANGA, MARIESSA DOLORES CABANGON
31 137-056-500-0000 BALANON, ANDRES ABACCO
32 905-243-758-0000 BALASI, SALVACION C

4(a)

4(b)

4(c)

4(f)

4(g)

EXEMPTION

PREMIUM PAID

NET TAXABLE

CODE

ON HEALTH

COMPENSATION

FORMS OF

AND/OR HOSPITAL

INCOME

COMPENSATION

INSURANCE

4(h)

(5a)

AMOUNT

(5b)

(6)

(7)

--------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------117,072.00

14,756.00
0.00
14,446.44
0.00
29,202.44
102,625.56
12,250.09 M3
125,000.00
0.00
0.00
45,275.63
0.00
0.00
0.00
0.00
0.00
45,275.63
0.00 S
50,000.00
0.00
0.00
101,417.80
13,854.00
0.00
5,889.40
0.00
19,743.40
95,528.40
0.00 M2
100,000.00
0.00
0.00
106,819.85
5,402.45
0.00
11,515.07
0.00
16,917.52
89,902.33
0.00 M3
125,000.00
0.00
0.00
106,963.00
13,997.00
0.00
12,024.33
0.00
26,021.33
94,938.67
0.00 M3
125,000.00
0.00
0.00
108,254.00
13,997.00
0.00
12,162.52
0.00
26,159.52
96,091.48
8,784.71 M4
150,000.00
0.00
0.00
111,194.27
14,292.00
0.00
14,839.98
0.00
29,131.98
96,354.29
11,367.60 M3
125,000.00
0.00
0.00
83,628.00
17,505.50
0.00
10,833.78
0.00
28,339.28
72,794.22
3,554.70 M2
100,000.00
0.00
0.00
121,080.00
15,172.00
0.00
13,589.82
0.00
28,761.82
107,490.18
13,228.94 M3
125,000.00
0.00
0.00
109,229.81
14,536.00
0.00
11,715.87
0.00
26,251.87
97,513.94
27,307.45 M3
125,000.00
0.00
0.00
13,832.02
0.00
0.00
1,555.36
0.00
1,555.36
12,276.66
0.00 S
50,000.00
0.00
0.00
113,316.00
14,443.00
0.00
13,675.86
0.00
28,118.86
99,640.14
0.00 M2
100,000.00
0.00
0.00
112,697.80
14,536.00
0.00
12,680.31
0.00
27,216.31
100,017.49
1,300.35 M4
150,000.00
0.00
0.00
96,588.01
0.00
0.00
0.00
0.00
0.00
96,588.01
0.00 M2
100,000.00
0.00
0.00
17,782.75
0.00
0.00
1,619.38
0.00
1,619.38
16,163.37
0.00 S
50,000.00
0.00
0.00
111,504.00
24,292.00
0.00
12,585.36
0.00
36,877.36
98,918.64
0.00 M4
150,000.00
0.00
0.00
101,417.00
0.00
0.00
11,515.07
0.00
11,515.07
89,902.33
2,087.72 M4
150,000.00
0.00
0.00
109,840.36
14,142.00
0.00
12,435.63
0.00
26,577.63
97,404.73
11,176.27 M4
150,000.00
0.00
0.00
111,504.00
24,292.00
0.00
14,901.36
0.00
39,193.36
96,602.64
16,862.80 M4
150,000.00
0.00
0.00
111,504.00
24,292.00
0.00
12,593.06
0.00
36,885.06
98,910.94
2,534.40 M4
150,000.00
0.00
0.00
59,160.17
13,854.00
0.00
9,448.93
0.00
23,302.93
49,711.24
0.00 S
50,000.00
0.00
0.00
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
1,793.49 M4
150,000.00
0.00
0.00
19,916.68
0.00
0.00
2,317.09
0.00
2,317.09
17,599.59
0.00 M1
75,000.00
0.00
0.00
117,072.00
14,756.00
0.00
13,476.98
0.00
28,232.98
103,595.02
0.00 M3
125,000.00
0.00
0.00
111,307.09
14,756.00
0.00
12,298.74
0.00
27,054.74
99,008.35
14,955.23 M4
150,000.00
0.00
0.00
14,534.33
0.00
0.00
1,619.38
0.00
1,619.38
12,923.95
0.00 S
50,000.00
0.00
0.00
120,110.92
15,008.00
0.00
13,509.98
0.00
28,517.98
106,600.94
12,892.70 M4
150,000.00
0.00
0.00
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
13,150.82 M3
125,000.00
0.00
0.00
83,800.65
2,000.00
0.00
8,937.09
0.00
10,937.09
72,863.56
0.00 M2
100,000.00
0.00
0.00
132,744.00
16,062.00
0.00
14,796.96
0.00
30,858.96
117,947.04
506.90 M4
150,000.00
0.00
0.00
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
6,221.08 M3
125,000.00
0.00
0.00
129,223.26
16,062.00
0.00
14,267.77
0.00
30,329.77
114,955.49
0.00 M3
125,000.00
0.00
0.00

Page 1 of 16

(4) G R O S S C O M P E N S A T I O N I N C O M E
NON-TAXABLE

TOTAL

TAXABLE

EXEMPTION

PREMIUM PAID

NET TAXABLE

CODE

SEQ

TAXPAYER

NAME OF EMPLOYEES

GROSS

13th MONTH PAY

DE MINIMIS

SSS,GSIS,PHIC &

SALARIES & OTHER

NON-TAXABLE/EXEMPT

BASIC

SALARIES & OTHER

ON HEALTH

COMPENSATION

NO

IDENTIFICATION

(Last Name, First Name, Middle Name)

COMPENSATION

& OTHER BENEFITS

BENEFITS

PAG-IBIG CONTRIBUTIONS,

FORMS OF

COMPENSATION INCOME

SALARY

FORMS OF

AND/OR HOSPITAL

INCOME

AND UNION DUES

COMPENSATION

COMPENSATION

INSURANCE

4(d)

4(e)

NUMBER
(1)

(2)

INCOME

(3)

4(a)

4(b)

4(c)

4(f)

4(g)

4(h)

(5a)

AMOUNT

(5b)

(6)

(7)

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------33 915-254-867-0000 BALAWAN, CIRILO DUKO

112,686.46
14,443.00
0.00
12,548.46
0.00
26,991.46
100,138.00
16,650.39 M3
125,000.00
0.00
0.00
34 138-806-921-0000 BANG ASAN, ESTEBAN B
119,004.00
14,917.00
0.00
13,260.36
0.00
28,177.36
105,743.64
1,352.40 M3
125,000.00
0.00
0.00
35 929-790-811-0000 BASILAN, EMMANUEL V
107,678.00
13,997.00
0.00
12,079.91
0.00
26,076.91
95,598.09
1,757.51 M2
100,000.00
0.00
0.00
36 263-952-695-0000 BASILIO, SHIRLY BOTENG
86,611.81
2,000.00
0.00
9,280.28
0.00
11,280.28
75,331.53
0.00 M3
125,000.00
0.00
0.00
37 143-130-051-0000 BASSIT, MARCIANA B
114,432.00
0.00
0.00
0.00
0.00
0.00
114,432.00
0.00 M4
150,000.00
0.00
0.00
38 154-218-518-0000 BATAYAN, BILLY MAMAY
122,094.38
20,172.00
0.00
13,688.49
0.00
33,860.49
108,405.89
13,854.86 M4
150,000.00
0.00
0.00
39 931-238-963-0000 BAWINGAN, WINSTON T
95,984.33
0.00
0.00
0.00
0.00
0.00
95,984.33
0.00 M2
100,000.00
0.00
0.00
40 280-157-294-0000 BAYQUEN, JOSHUA GAVINO
99,807.61
0.00
0.00
0.00
0.00
0.00
99,807.61
0.00 M2
100,000.00
0.00
0.00
41 269-141-694-0000 BERMUDEZ, MICHAEL MARQUEZ
93,770.86
0.00
0.00
0.00
0.00
0.00
93,770.86
0.00 M2
100,000.00
0.00
0.00
42 922-577-690-0000 BINAY AN, MARVIN P
137,914.25
16,062.00
0.00
15,412.28
0.00
31,474.28
122,501.97
94.28 M4
150,000.00
0.00
0.00
43 138-175-030-0000 BOLASTIG, MARCOS LIBANTE
115,188.00
14,599.00
0.00
12,916.92
0.00
27,515.92
102,271.08
6,100.00 M4
150,000.00
0.00
0.00
44 926-273-009-0000 BOTIS, MARVELO S
101,417.81
13,854.00
0.00
15,287.24
0.00
29,141.24
86,130.57
0.00 M4
150,000.00
0.00
0.00
45 276-357-870-0000 BUENAVISTA, NORIEL ANTHONY SEVERO
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
0.00 M3
125,000.00
0.00
0.00
46 931-222-973-0000 BULLO, LANI AQUINO
108,254.00
13,997.00
0.00
12,162.52
0.00
26,159.52
96,091.48
3,092.46 S3
125,000.00
0.00
0.00
47 190-295-865-0000 BUYAGAO, PERLYN
47,891.55
0.00
0.00
0.00
0.00
0.00
47,891.55
0.00 S
50,000.00
0.00
0.00
48 911-395-504-0000 CABALIW, NARDY BAGTA
122,064.00
15,172.00
0.00
13,702.77
0.00
28,874.77
108,361.23
22,392.93 M4
150,000.00
0.00
0.00
49 193-774-952-0000 CABILLON, JOSEPH B
101,417.81
13,854.00
0.00
14,684.75
0.00
28,538.75
86,733.06
0.00 M2
100,000.00
0.00
0.00
50 922-574-590-0000 CABRADILLA, BELTRAN LANGAWAN
70,489.66
1,500.00
0.00
7,534.76
0.00
9,034.76
61,454.90
0.00 M1
75,000.00
0.00
0.00
51 404-748-142-0000 CABURNAY, GLEE ANN
80,288.78
0.00
0.00
0.00
0.00
0.00
80,288.78
0.00 M2
100,000.00
0.00
0.00
52 138-175-047-0000 CAMPOS, BERNARDO JR CELO
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
6,400.00 M4
150,000.00
0.00
0.00
53 123-269-008-0000 CAMPOS, ROMEO BONIFACIO G
123,916.00
25,437.00
0.00
13,851.76
0.00
39,288.76
110,064.24
2,669.07 M3
125,000.00
0.00
0.00
54 142-686-027-0000 CANDELARIO, ROY LEO SR C
126,108.00
20,509.00
0.00
14,049.72
0.00
34,558.72
112,058.28
3,940.87 M4
150,000.00
0.00
0.00
55 127-938-097-0000 CAPE, FLORENTINO PEDREGOSA
119,004.00
14,917.00
0.00
13,260.36
0.00
28,177.36
105,743.64
5,796.33 M3
125,000.00
0.00
0.00
56 926-256-252-0000 CAPUYAN, ROCKY CAMPAO
123,252.00
15,271.00
0.00
13,792.68
0.00
29,063.68
109,459.32
4,212.32 M3
125,000.00
0.00
0.00
57 138-807-092-0000 CARBONELL, ALEX M
117,877.00
14,917.00
0.00
13,158.93
0.00
28,075.93
104,718.07
676.20 M4
150,000.00
0.00
0.00
58 941-769-793-0000 CARBONELL, ALFRED MENDOZA
108,254.00
13,997.00
0.00
12,162.52
0.00
26,159.52
96,091.48
210.76 M2
100,000.00
0.00
0.00
59 127-938-255-0000 CARIAGA, BENJAMIN BUGTONG
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
6,143.74 M3
125,000.00
0.00
0.00
60 916-235-968-0000 CASIO, EMILIO FANNAGAO
111,504.00
14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
16,266.54 M4
150,000.00
0.00
0.00
61 269-004-589-0000 CASTRO, CRISOSTOMO L
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
2,572.11 M3
125,000.00
0.00
0.00
62 189-707-279-0000 CASTRO, FIDEL AGBAYANI
111,204.00
14,292.00
0.00
12,558.36
0.00
26,850.36
98,645.64
0.00 M2
100,000.00
0.00
0.00
63 171-573-424-0000 CATAP, ROBERTO B
98,147.81
13,854.00
0.00
19,481.31
0.00
33,335.31
78,666.50
0.00 M4
150,000.00
0.00
0.00
64 924-590-163-0000 CATENZA, ALBERT DE LA CRUZ
110,004.00
24,142.00
0.00
12,441.77
0.00
36,583.77
97,562.23
20,903.55 M4
150,000.00
0.00
0.00
65 924-597-942-0000 CAWIDING, REGINA TE EM
111,504.00
24,292.00
0.00
12,585.36
0.00
36,877.36
98,918.64
5,032.80 M4
150,000.00
0.00
0.00
66 926-254-757-0000 CERVANTES, BERNARDO T
111,204.00
14,292.00
0.00
12,552.84
0.00
26,844.84
98,651.16
4,342.43 M4
150,000.00
0.00
0.00
67 198-083-781-0000 CHACWAG, WILMA KALANGED
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
15,527.72 M4
150,000.00
0.00
0.00
68 191-965-806-0000 CHAYOCAS, JOSEPHINE FAGSOY
113,316.00
14,443.00
0.00
13,948.44
0.00
28,391.44
99,367.56
12,321.79 M3
125,000.00
0.00
0.00
69 937-862-385-0000 CHINALPAN, MANUELA KADATAR
108,254.00
13,997.00
0.00
13,362.52
0.00
27,359.52
94,891.48
16,645.16 M4
150,000.00
0.00
0.00
70 127-938-301-0000 CIRIACO, JOSEPH AYODOK
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
5,146.00 M3
125,000.00
0.00
0.00
71 168-059-029-0000 COLALING, VICTOR JR A
111,504.00
14,292.00
0.00
14,515.36
0.00
28,807.36
96,988.64
16,969.81 S3
125,000.00
0.00
0.00
72 137-074-438-0000 COLAR, MARY ANN C
155,292.00
22,941.00
0.00
16,976.28
0.00
39,917.28
138,315.72
1,088.61 M4
150,000.00
0.00
0.00

Page 2 of 16

(4) G R O S S C O M P E N S A T I O N I N C O M E
NON-TAXABLE

TOTAL

TAXABLE

EXEMPTION

PREMIUM PAID

NET TAXABLE

CODE

SEQ

TAXPAYER

NAME OF EMPLOYEES

GROSS

13th MONTH PAY

DE MINIMIS

SSS,GSIS,PHIC &

SALARIES & OTHER

NON-TAXABLE/EXEMPT

BASIC

SALARIES & OTHER

ON HEALTH

COMPENSATION

NO

IDENTIFICATION

(Last Name, First Name, Middle Name)

COMPENSATION

& OTHER BENEFITS

BENEFITS

PAG-IBIG CONTRIBUTIONS,

FORMS OF

COMPENSATION INCOME

SALARY

FORMS OF

AND/OR HOSPITAL

INCOME

AND UNION DUES

COMPENSATION

COMPENSATION

INSURANCE

4(d)

4(e)

NUMBER
(1)

(2)

INCOME

(3)

---------------------------------------------------------------------------------------73 292-660-546-0000 COLLADO, JOCELYN IMMAGNA

74 121-629-015-0000 COLLANTES, ERNESTO ORPILLA
75 915-104-301-0000 COMOM, DOLORES TAQUIAO
76 922-577-886-0000 CORDERO, JOEL A
77 138-807-219-0000 CORDERO, RAYMUND A
78 924-989-449-0000 CORSON, JERRY U
79 931-223-192-0000 CORTES, VALENTINO PERALTA
80 143-130-125-0000 CORTEZ, EDWIN C
81 129-991-888-0000 CRISOSTOMO, ERNESTO G
82 196-454-804-0000 CRUZ, PAUL C
83 106-805-617-0000 CUARTELON, MANDING M
84 921-566-133-0000 DACWAG, ERIC BOMOWEY
85 197-406-142-0000 DAGASEN, BICKERT GALDO EN
86 412-846-816-0000 DALAPNAS, BONIFACIO D
87 926-256-412-0000 DALIGUEZ, CRUZALDO C
88 158-028-566-0000 DAMIAN, ANASTACIA KITONGAN
89 915-254-883-0000 DAYDAY, MALAYA JR SABADO
90 911-395-466-0000 DE GUZMAN, ROLANDO A
91 124-838-550-0000 DE JESUS, EFREN G
92 939-896-941-0000 DE JESUS, JAY CEASAR MAPATAC
93 127-938-342-0000 DEGAY, MARIE TERESITA KIAKI
94 190-300-399-0000 DEL ROSARIO, ERNESTO T
95 138-808-591-0000 DELA CRUZ, CONSTANCIA ANGEL
96 901-859-820-0000 DELA CRUZ, FELIX L
97 265-512-874-0000 DELOS SANTOS, SIMOUNIE SIMON
98 921-967-726-0000 DEPIDEP, LETTY BALAYO
99 121-230-634-0000 DIASEN, DIEGO B
100 412-734-580-0000 DIDICAN, RICKY K
101 922-605-528-0000 DIWA, SISON C
102 922-573-989-0000 DODON, ROSA MATULAY
103 138-480-273-0000 DOGWE, FRED S
104 259-411-952-0000 DOMINGO, GERONIMO S
105 190-300-356-0000 DUCUSIN, GLICERIO N
106 258-404-808-0000 DULAGAN, MARJORIE PAS EN
107 918-656-665-0000 DUMAHAY, BENJAMIN BUYUCCAN
108 143-130-194-0000 DUMANGENG, OFELIA M
109 133-214-519-0000 DURAN, ARMANDO CONCEPCION
110 915-254-892-0000 ENDEKEN, EDDIE MALIDOM
111 138-175-055-0000 ENTERIA, MELVIN AGUILAR
112 928-004-022-0000 ESICAN, NESTOR A

4(a)

4(b)

4(c)

4(f)

4(g)

4(h)

(5a)

AMOUNT

(5b)

(6)

(7)

--------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------122,736.07

0.00
0.00
0.00
0.00
0.00
122,736.07
0.00 M3
125,000.00
0.00
0.00
128,196.00
15,683.00
0.00
14,237.64
0.00
29,920.64
113,958.36
20,191.58 M4
150,000.00
0.00
0.00
110,265.17
20,649.00
0.00
9,727.99
0.00
30,376.99
79,888.18
0.00 M2
100,000.00
0.00
0.00
107,964.00
13,997.00
0.00
12,116.76
0.00
26,113.76
95,847.24
491.77 M2
100,000.00
0.00
0.00
117,072.00
19,756.00
0.00
13,086.48
0.00
32,842.48
103,985.52
8,067.77 M3
125,000.00
0.00
0.00
101,417.81
13,854.00
0.00
11,515.10
0.00
25,369.10
89,902.71
0.00 M3
125,000.00
0.00
0.00
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
1,168.65 M3
125,000.00
0.00
0.00
112,264.35
14,536.00
0.00
12,628.80
0.00
27,164.80
99,635.55
433.45 M3
125,000.00
0.00
0.00
112,697.80
14,536.00
0.00
12,680.31
0.00
27,216.31
100,017.49
866.90 M3
125,000.00
0.00
0.00
114,432.00
14,536.00
0.00
14,048.88
0.00
28,584.88
100,383.12
650.16 M3
125,000.00
0.00
0.00
129,360.00
25,780.00
0.00
14,342.40
0.00
40,122.40
115,017.60
3,001.56 M3
125,000.00
0.00
0.00
111,504.00
14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
25,021.08 M4
150,000.00
0.00
0.00
115,253.23
20,649.00
0.00
9,728.79
0.00
30,377.79
84,875.44
0.00 M2
100,000.00
0.00
0.00
30,988.66
1,000.00
0.00
8,596.97
0.00
9,596.97
22,391.69
0.00 S
50,000.00
0.00
0.00
127,630.00
25,607.00
0.00
14,182.46
0.00
39,789.46
113,447.54
9,479.76 M3
125,000.00
0.00
0.00
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
0.00 M2
100,000.00
0.00
0.00
119,616.00
15,008.00
0.00
13,404.97
0.00
28,412.97
106,211.03
14,787.05 M4
150,000.00
0.00
0.00
111,204.00
14,292.00
0.00
12,549.77
0.00
26,841.77
98,654.23
3,009.60 M3
125,000.00
0.00
0.00
111,354.00
14,292.00
0.00
12,576.16
0.00
26,868.16
98,777.84
0.00 M2
100,000.00
0.00
0.00
115,271.40
13,854.00
0.00
11,515.07
0.00
25,369.07
89,902.33
2,490.78 M2
100,000.00
0.00
0.00
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
3,859.50 M3
125,000.00
0.00
0.00
111,459.87
19,599.00
0.00
13,605.55
0.00
33,204.55
97,854.32
0.00 M2
100,000.00
0.00
0.00
117,072.00
14,756.00
0.00
15,003.98
0.00
29,759.98
102,068.02
12,286.44 M3
125,000.00
0.00
0.00
99,807.91
13,854.00
0.00
24,498.09
0.00
38,352.09
75,309.82
0.00 M2
100,000.00
0.00
0.00
106,963.00
13,997.00
0.00
12,023.75
0.00
26,020.75
94,939.25
18,354.93 M3
125,000.00
0.00
0.00
111,504.00
14,292.00
0.00
16,680.36
0.00
30,972.36
94,823.64
17,517.20 M3
125,000.00
0.00
0.00
101,015.36
13,854.00
0.00
11,478.87
0.00
25,332.87
89,536.49
0.00 M2
100,000.00
0.00
0.00
25,756.81
1,000.00
0.00
8,633.16
0.00
9,633.16
17,123.65
0.00 S
50,000.00
0.00
0.00
111,504.00
14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
633.60 M3
125,000.00
0.00
0.00
111,504.00
14,292.00
0.00
14,889.36
0.00
29,181.36
96,614.64
17,855.96 M4
150,000.00
0.00
0.00
114,252.00
19,599.00
0.00
12,832.68
0.00
32,431.68
101,419.32
0.00 M3
125,000.00
0.00
0.00
107,678.00
13,997.00
0.00
12,081.66
0.00
26,078.66
95,596.34
1,840.32 M4
150,000.00
0.00
0.00
137,100.00
21,425.00
0.00
21,765.00
0.00
43,190.00
115,335.00
1,557.84 M3
125,000.00
0.00
0.00
41,755.98
500.00
0.00
4,142.95
0.00
4,642.95
37,113.03
0.00 M1
75,000.00
0.00
0.00
118,176.00
14,848.00
0.00
13,185.84
0.00
28,033.84
104,990.16
15,030.75 M3
125,000.00
0.00
0.00
109,664.05
0.00
0.00
0.00
0.00
0.00
109,664.05
0.00 M3
125,000.00
0.00
0.00
110,154.00
14,292.00
0.00
12,454.04
0.00
26,746.04
97,699.96
0.00 M2
100,000.00
0.00
0.00
120,096.00
15,008.00
0.00
13,508.64
0.00
28,516.64
106,587.36
21,373.27 M4
150,000.00
0.00
0.00
125,244.00
15,437.00
0.00
13,971.96
0.00
29,408.96
111,272.04
6,711.60 M4
150,000.00
0.00
0.00
100,588.19
0.00
0.00
0.00
0.00
0.00
100,588.19
11,246.83 M4
150,000.00
0.00
0.00

Page 3 of 16

(4) G R O S S C O M P E N S A T I O N I N C O M E
NON-TAXABLE

TOTAL

TAXABLE

EXEMPTION

PREMIUM PAID

NET TAXABLE

CODE

SEQ

TAXPAYER

NAME OF EMPLOYEES

GROSS

13th MONTH PAY

DE MINIMIS

SSS,GSIS,PHIC &

SALARIES & OTHER

NON-TAXABLE/EXEMPT

BASIC

SALARIES & OTHER

ON HEALTH

COMPENSATION

NO

IDENTIFICATION

(Last Name, First Name, Middle Name)

COMPENSATION

& OTHER BENEFITS

BENEFITS

PAG-IBIG CONTRIBUTIONS,

FORMS OF

COMPENSATION INCOME

SALARY

FORMS OF

AND/OR HOSPITAL

INCOME

AND UNION DUES

COMPENSATION

COMPENSATION

INSURANCE

4(d)

4(e)

NUMBER
(1)

(2)

INCOME

(3)

---------------------------------------------------------------------------------------113 921-560-771-0000 ESLABRA, EDGAR B

114 175-565-612-0000 ESLAO, VILLABERT CALAMIAT
115 190-635-509-0000 ESTERON, EDWIN S
116 931-221-923-0000 ESTONANTO, BERNARDO OLLERO
117 917-377-830-0000 FABIAN, RUBIN CANUTO
118 129-991-897-0000 FAGSAO, MANUEL C
119 939-889-071-0000 FALLI IT, EDNA B
120 927-998-981-0000 FEDCHECK, BERNADETTE NGAYAN
121 143-130-080-0000 FERDINAND, RONAND G
122 931-223-206-0000 FERRER, LYDIA GREJALDO
123 258-857-897-0000 FIRAZA, DANILO LAPENING
124 154-220-446-0000 FLORENDO JR, PEDRO JESUS E
125 175-565-581-0000 FLORIDA, REYPHIL A
126 168-878-987-0000 FRANCISCO, DOMINADOR JR VALDEZ
127 922-452-477-0000 FRANCO, MELANIO JR N
128 138-808-308-0000 GALANG, PERCYDEL M
129 922-575-213-0000 GALDAYEN SR, DANIEL FORAYOG
130 926-262-256-0000 GALENG, SOCORRO PAYANGDO
131 197-396-651-0000 GALERA, ENRIQUE COLLADO
132 102-119-849-0000 GAMUEDA, PETER PAUL C
133 937-858-124-0000 GANADEN, JEFFREY S
134 937-969-919-0000 GANANCIAL, MARY JANE CANARY
135 929-797-759-0000 GARCIA, MARK ANTHONY ABINES
136 152-158-952-0000 GARLEJO, JOEL D
137 257-394-455-0000 GORIO, DIALYN ABELLERA
138 190-298-366-0000 GUBATAN, JIMMY PUGONG
139 138-807-660-0000 GUILANDA, ANTONIO G
140 926-066-156-0000 GUNDRAN, BERNADETTE DULAY
141 911-395-596-0000 ISLA, EMILIO OFIANA
142 288-292-355-0000 JENESE, ANA LISA F
143 926-066-164-0000 KAMSAWEN, GALEON O
144 185-772-273-0000 KAPAWEN, EDGAR JR C
145 937-837-674-0000 KITONGAN, BENITA POTENNEC
146 155-572-327-0000 KITONGAN, JACK P
147 146-154-728-0000 LABAYOG, RENATO P
148 154-218-622-0000 LANGFISAN, RAUL BALAWAG
149 929-802-973-0000 LAPAAN, BENJAMIN POS EG
150 937-845-249-0000 LAPASTORA, BUTCH SUMPAY
151 109-357-418-0000 LAPITAN, FERDINAND C
152 934-237-683-0000 LARDIZABAL, ALDHEAN JOHN E

4(a)

4(b)

4(c)

4(f)

4(g)

4(h)

(5a)

AMOUNT

(5b)

(6)

(7)

--------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------137,100.00

16,425.00
0.00
14,111.83
0.00
30,536.83
122,988.17
0.00 M4
150,000.00
0.00
0.00
141,636.00
16,803.00
0.00
15,629.54
0.00
32,432.54
126,006.46
16,189.71 M4
150,000.00
0.00
0.00
109,840.36
14,142.00
0.00
13,946.58
0.00
28,088.58
95,893.78
5,111.57 M3
125,000.00
0.00
0.00
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
38,106.98 M4
150,000.00
0.00
0.00
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
1,430.08 M3
125,000.00
0.00
0.00
109,013.08
14,536.00
0.00
9,429.07
0.00
23,965.07
99,584.01
0.00 M2
100,000.00
0.00
0.00
112,697.90
14,536.00
0.00
12,680.32
0.00
27,216.32
100,017.58
433.45 M4
150,000.00
0.00
0.00
109,840.36
14,142.00
0.00
12,435.63
0.00
26,577.63
97,404.73
17,594.54 M3
125,000.00
0.00
0.00
112,697.80
14,536.00
0.00
12,680.31
0.00
27,216.31
100,017.49
1,733.80 M4
150,000.00
0.00
0.00
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
6,812.38 M4
150,000.00
0.00
0.00
107,821.00
13,997.00
0.00
12,101.55
0.00
26,098.55
95,719.45
77.32 M2
100,000.00
0.00
0.00
21,640.55
0.00
0.00
2,410.15
0.00
2,410.15
19,230.40
0.00 M
50,000.00
0.00
0.00
118,176.00
14,848.00
0.00
13,185.84
0.00
28,033.84
104,990.16
1,651.97 M3
125,000.00
0.00
0.00
137,220.43
18,663.00
0.00
16,511.63
0.00
35,174.63
120,708.80
0.00 M3
125,000.00
0.00
0.00
111,504.00
14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
0.00 M3
125,000.00
0.00
0.00
133,644.00
16,137.00
0.00
14,877.96
0.00
31,014.96
118,766.04
819.25 M3
125,000.00
0.00
0.00
111,504.00
24,292.00
0.00
13,185.36
0.00
37,477.36
98,318.64
6,100.00 M3
125,000.00
0.00
0.00
111,054.00
14,292.00
0.00
12,538.11
0.00
26,830.11
98,515.89
17,017.46 M3
125,000.00
0.00
0.00
115,188.00
14,599.00
0.00
12,916.92
0.00
27,515.92
102,271.08
6,100.00 M4
150,000.00
0.00
0.00
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
7,952.31 M3
125,000.00
0.00
0.00
108,834.00
14,142.00
0.00
12,262.35
0.00
26,404.35
96,571.65
2,453.76 M2
100,000.00
0.00
0.00
19,847.03
0.00
0.00
2,210.19
0.00
2,210.19
17,636.84
0.00 M2
100,000.00
0.00
0.00
120,943.71
20,649.00
0.00
10,914.04
0.00
31,563.04
89,380.67
0.00 M3
125,000.00
0.00
0.00
132,744.00
16,062.00
0.00
14,796.96
0.00
30,858.96
117,947.04
0.00 M3
125,000.00
0.00
0.00
44,601.22
500.00
0.00
4,794.12
0.00
5,294.12
39,307.10
0.00 M
50,000.00
0.00
0.00
106,963.00
13,997.00
0.00
12,023.75
0.00
26,020.75
94,939.25
27,597.78 M3
125,000.00
0.00
0.00
117,072.00
19,756.00
0.00
13,086.48
0.00
32,842.48
103,985.52
3,780.87 M3
125,000.00
0.00
0.00
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
0.00 M3
125,000.00
0.00
0.00
113,316.00
14,443.00
0.00
12,764.01
0.00
27,207.01
100,551.99
18,484.09 M3
125,000.00
0.00
0.00
44,572.22
1,000.00
0.00
8,633.20
0.00
9,633.20
35,939.02
0.00 S
50,000.00
0.00
0.00
110,004.00
14,142.00
0.00
12,891.42
0.00
27,033.42
97,112.58
9,775.95 M3
125,000.00
0.00
0.00
112,095.23
14,443.00
0.00
12,631.78
0.00
27,074.78
99,463.45
1,096.88 M3
125,000.00
0.00
0.00
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
5,697.69 M4
150,000.00
0.00
0.00
90,350.03
0.00
0.00
0.00
0.00
0.00
90,350.03
0.00 M2
100,000.00
0.00
0.00
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
1,995.48 M4
150,000.00
0.00
0.00
122,064.00
15,172.00
0.00
13,235.99
0.00
28,407.99
108,828.01
12,832.34 M3
125,000.00
0.00
0.00
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
2,823.25 M3
125,000.00
0.00
0.00
37,025.00
0.00
0.00
4,319.79
0.00
4,319.79
32,705.61
0.00 M1
75,000.00
0.00
0.00
115,591.14
17,194.00
0.00
14,787.46
0.00
31,981.46
100,803.68
0.00 M3
125,000.00
0.00
0.00
109,559.00
14,142.00
0.00
12,409.67
0.00
26,551.67
97,149.33
1,127.36 M4
150,000.00
0.00
0.00

Page 4 of 16

(4) G R O S S C O M P E N S A T I O N I N C O M E
NON-TAXABLE

TOTAL

TAXABLE

EXEMPTION

PREMIUM PAID

NET TAXABLE

CODE

SEQ

TAXPAYER

NAME OF EMPLOYEES

GROSS

13th MONTH PAY

DE MINIMIS

SSS,GSIS,PHIC &

SALARIES & OTHER

NON-TAXABLE/EXEMPT

BASIC

SALARIES & OTHER

ON HEALTH

COMPENSATION

NO

IDENTIFICATION

(Last Name, First Name, Middle Name)

COMPENSATION

& OTHER BENEFITS

BENEFITS

PAG-IBIG CONTRIBUTIONS,

FORMS OF

COMPENSATION INCOME

SALARY

FORMS OF

AND/OR HOSPITAL

INCOME

AND UNION DUES

COMPENSATION

COMPENSATION

INSURANCE

4(d)

4(e)

NUMBER
(1)

(2)

INCOME

(3)

4(a)

4(b)

4(c)

4(f)

4(g)

4(h)

(5a)

AMOUNT

(5b)

(6)

(7)

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------153 939-867-338-0000 LARDIZABAL, LOUIE GLENN GALUTAN

101,417.40
0.00
0.00
0.00
0.00
0.00
101,417.40
9,013.88 M3
125,000.00
0.00
0.00
154 934-230-557-0000 LAROSA, AVELINO JR PAGALAN
98,801.48
0.00
0.00
0.00
0.00
0.00
98,801.48
0.00 M2
100,000.00
0.00
0.00
155 924-990-161-0000 LAURETA, GLORIA GARCIA
106,819.85
5,402.45
0.00
11,515.07
0.00
16,917.52
89,902.33
0.00 M4
150,000.00
0.00
0.00
156 187-348-204-0000 LETE, GUTIEREZ S
111,504.00
14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
0.00 M4
150,000.00
0.00
0.00
157 915-254-963-0000 LI IS, YOLANDA GANITOB
113,316.00
14,443.00
0.00
14,158.77
0.00
28,601.77
99,157.23
17,233.00 S3
125,000.00
0.00
0.00
158 154-218-630-0000 LICAN, ARISTON AMANDO
119,936.00
15,008.00
0.00
13,481.74
0.00
28,489.74
106,454.26
16,932.08 M3
125,000.00
0.00
0.00
159 138-807-758-0000 LICYAG, LAWRENCE M
117,072.00
19,756.00
0.00
13,086.48
0.00
32,842.48
103,985.52
1,198.95 M3
125,000.00
0.00
0.00
160 919-796-949-0000 LIWANGEN, AVELINO JR BANGUILLIG
111,504.00
14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
18,788.60 M4
150,000.00
0.00
0.00
161 303-248-117-0000 LLANTO, ERICK M
111,397.45
14,536.00
0.00
12,538.26
0.00
27,074.26
98,859.19
866.90 M2
100,000.00
0.00
0.00
162 129-987-824-0000 LOGRONIO, SANDRA VIVIAN P
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
0.00 M3
125,000.00
0.00
0.00
163 921-967-734-0000 LONGAO, AMALIA POLIG
111,504.00
14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
16,122.90 M4
150,000.00
0.00
0.00
164 160-868-536-0000 LONGCHASON, DIONISIO C
114,252.00
19,599.00
0.00
12,832.68
0.00
32,431.68
101,419.32
572.67 M4
150,000.00
0.00
0.00
165 921-565-701-0000 LOZARES, CHRISTOPHER OFFICIAL
105,658.00
14,292.00
0.00
12,482.88
0.00
26,774.88
93,175.12
64.93 M3
125,000.00
0.00
0.00
166 926-149-741-0000 LUIS, JOAN C
111,354.00
14,292.00
0.00
12,571.86
0.00
26,863.86
98,782.14
12,866.22 M4
150,000.00
0.00
0.00
167 924-591-701-0000 LUMASANG, RENATO JR G
107,821.00
13,997.00
0.00
12,125.75
0.00
26,122.75
95,695.25
1,941.54 M2
100,000.00
0.00
0.00
168 939-890-354-0000 LUMIQUED, NORBIE DATO
148,846.92
20,649.00
0.00
13,030.73
0.00
33,679.73
115,167.19
0.00 M4
150,000.00
0.00
0.00
169 194-717-419-0000 MABITAZAN, ROBERTO B
57,550.46
13,854.00
0.00
9,570.17
0.00
23,424.17
47,980.29
0.00 M2
100,000.00
0.00
0.00
170 929-803-005-0000 MACADANGDANG, JOCELYN ZAMUDIO
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
3,539.92 M3
125,000.00
0.00
0.00
171 182-870-488-0000 MACALINTAL, ARSENIO JR UMALI
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
148.42 M2
100,000.00
0.00
0.00
172 290-867-298-0000 MACAO, AGOSTO A
101,417.81
13,854.00
0.00
11,515.10
0.00
25,369.10
89,902.71
0.00 M2
100,000.00
0.00
0.00
173 143-130-395-0000 MACATANTAN, FERDINAND R
112,697.90
14,536.00
0.00
12,667.82
0.00
27,203.82
100,030.08
433.45 M4
150,000.00
0.00
0.00
174 103-003-127-0000 MACATULAD, JULIET M
133,464.00
16,242.00
0.00
14,849.24
0.00
31,091.24
118,614.76
0.00 M4
150,000.00
0.00
0.00
175 127-937-850-0000 MACAYAN, DOMINADOR SR MADRID
119,004.00
14,917.00
0.00
13,260.36
0.00
28,177.36
105,743.64
4,817.93 M4
150,000.00
0.00
0.00
176 138-807-824-0000 MALIONES, FEDERICO L
119,004.00
14,917.00
0.00
13,260.36
0.00
28,177.36
105,743.64
676.20 M3
125,000.00
0.00
0.00
177 121-679-503-0000 MAMUYAC, VIRGILIO B
101,417.81
13,854.00
0.00
12,178.64
0.00
26,032.64
89,239.17
0.00 M2
100,000.00
0.00
0.00
178 911-395-692-0000 MANAGDAG, MAURICIA T
113,316.00
14,443.00
0.00
13,748.44
0.00
28,191.44
99,567.56
17,280.50 M3
125,000.00
0.00
0.00
179 153-598-901-0000 MANDING, ABRAHAM DALUDADO
108,254.00
13,997.00
0.00
12,162.52
0.00
26,159.52
96,091.48
1,840.32 M2
100,000.00
0.00
0.00
180 143-130-417-0000 MANGAOANG, LUIS JR G
112,697.80
14,536.00
0.00
12,680.31
0.00
27,216.31
100,017.49
866.90 M4
150,000.00
0.00
0.00
181 936-488-704-0000 MANLONGAT, RUBELYN WENCY AGSIWENG
47,912.38
1,000.00
0.00
5,157.09
0.00
6,157.09
41,755.29
0.00 M3
125,000.00
0.00
0.00
182 138-809-132-0000 MANUEL, ELPIDIO BORJA
128,196.00
15,683.00
0.00
15,209.64
0.00
30,892.64
112,986.36
1,772.74 M3
125,000.00
0.00
0.00
183 923-775-420-0000 MAON, MICHAEL D
59,562.71
13,854.00
0.00
9,630.05
0.00
23,484.05
49,932.66
0.00 M4
150,000.00
0.00
0.00
184 922-571-678-0000 MAQUITO, MAILA SUNGGAY
139,344.00
26,612.00
0.00
15,390.96
0.00
42,002.96
123,953.04
0.00 M3
125,000.00
0.00
0.00
185 921-967-741-0000 MASKIT, ALICE ABCHAD
111,504.00
14,292.00
0.00
18,344.98
0.00
32,636.98
93,159.02
16,472.88 S3
125,000.00
0.00
0.00
186 303-661-670-0000 MAYOS, MARVIN DOMINIC W
107,249.00
13,997.00
0.00
12,045.98
0.00
26,042.98
95,203.02
460.08 M2
100,000.00
0.00
0.00
187 937-862-896-0000 MENDOZA, EDMON T
101,417.41
13,854.00
0.00
16,770.84
0.00
30,624.84
84,646.57
0.00 M4
150,000.00
0.00
0.00
188 143-130-433-0000 MENDOZA, NIEVES A
56,348.50
0.00
0.00
0.00
0.00
0.00
56,348.50
0.00 M3
125,000.00
0.00
0.00
189 143-130-433-0000 MENDOZA, NIEVES A
56,348.50
0.00
0.00
0.00
0.00
0.00
56,348.50
0.00 M3
125,000.00
0.00
0.00
190 190-295-188-0000 MIRANDA, ALEXANDER E
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
3,406.07 M3
125,000.00
0.00
0.00
191 945-345-724-0000 MISAEN, JOYCE G
90,370.00
0.00
0.00
0.00
0.00
0.00
90,370.00
2,408.41 M2
100,000.00
0.00
0.00
192 262-518-355-0000 MISMISEN, MAX P
101,417.81
14,536.00
0.00
34,329.55
0.00
48,865.55
67,088.26
0.00 M1
75,000.00
0.00
0.00

Page 5 of 16

(4) G R O S S C O M P E N S A T I O N I N C O M E
NON-TAXABLE

TOTAL

TAXABLE

EXEMPTION

PREMIUM PAID

NET TAXABLE

CODE

SEQ

TAXPAYER

NAME OF EMPLOYEES

GROSS

13th MONTH PAY

DE MINIMIS

SSS,GSIS,PHIC &

SALARIES & OTHER

NON-TAXABLE/EXEMPT

BASIC

SALARIES & OTHER

ON HEALTH

COMPENSATION

NO

IDENTIFICATION

(Last Name, First Name, Middle Name)

COMPENSATION

& OTHER BENEFITS

BENEFITS

PAG-IBIG CONTRIBUTIONS,

FORMS OF

COMPENSATION INCOME

SALARY

FORMS OF

AND/OR HOSPITAL

INCOME

AND UNION DUES

COMPENSATION

COMPENSATION

INSURANCE

4(d)

4(e)

NUMBER
(1)

(2)

INCOME

(3)

4(a)

4(b)

4(c)

4(f)

4(g)

4(h)

(5a)

AMOUNT

(5b)

(6)

(7)

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------193 926-249-759-0000 MOISES, ELSIE DAVID

111,354.00
14,292.00
0.00
12,571.86
0.00
26,863.86
98,782.14
17,338.76 M4
150,000.00
0.00
0.00
194 146-154-751-0000 MOTAS, FERDINAND U
119,936.00
15,008.00
0.00
13,481.74
0.00
28,489.74
106,454.26
2,814.57 M4
150,000.00
0.00
0.00
195 413-011-812-0000 NANGGILAM, BELEN MACARIO
25,607.16
0.00
0.00
2,804.65
0.00
2,804.65
22,802.51
0.00 M
50,000.00
0.00
0.00
196 922-574-644-0000 NANGLIHAN, RUFINO B
111,504.00
24,292.00
0.00
12,585.36
0.00
36,877.36
98,918.64
15,132.05 M4
150,000.00
0.00
0.00
197 412-676-030-0000 NAVA, JIMMY BOY P
30,988.66
1,000.00
0.00
9,260.51
0.00
10,260.51
21,728.15
0.00 M4
150,000.00
0.00
0.00
198 926-256-308-0000 NAWEN, MAGDALENA FICOD
111,204.00
14,292.00
0.00
12,550.38
0.00
26,842.38
98,653.62
3,203.35 M3
125,000.00
0.00
0.00
199 158-028-582-0000 NIGOS, JANELYN HADAP
132,744.00
16,062.00
0.00
14,796.96
0.00
30,858.96
117,947.04
0.00 M3
125,000.00
0.00
0.00
200 190-300-372-0000 OCAMPO, NAPOLEON SR S
114,252.00
19,599.00
0.00
12,832.04
0.00
32,431.04
101,419.96
654.48 M3
125,000.00
0.00
0.00
201 921-561-475-0000 OLARIO, JULIO GALAKYAN
110,004.00
24,142.00
0.00
12,441.77
0.00
36,583.77
97,562.23
16,943.74 M3
125,000.00
0.00
0.00
202 927-999-528-0000 ONDONG, RANDY VALLE
109,840.36
14,142.00
0.00
12,395.70
0.00
26,537.70
97,444.66
14,298.43 M3
125,000.00
0.00
0.00
203 265-513-496-0000 ONGYOD, CRISELDA FAG AYAN
106,963.00
13,997.00
0.00
12,023.75
0.00
26,020.75
94,939.25
16,384.12 M3
125,000.00
0.00
0.00
204 403-014-315-0000 OTICAO, ROGELIO S
99,203.93
0.00
0.00
0.00
0.00
0.00
99,203.93
0.00 M3
125,000.00
0.00
0.00
205 133-484-377-0000 PACKOY, DANIEL K
117,070.00
14,848.00
0.00
13,075.31
0.00
27,923.31
103,994.69
587.48 M4
150,000.00
0.00
0.00
206 174-326-010-0000 PADILLA, JEM G
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
0.00 M2
100,000.00
0.00
0.00
207 926-265-074-0000 PAKOY, SILVERIO JR M
110,904.00
14,292.00
0.00
12,519.09
0.00
26,811.09
98,384.91
4,435.20 M4
150,000.00
0.00
0.00
208 291-080-286-0000 PALANGCHAO, CACIUS T
101,820.36
1,000.00
0.00
11,442.65
0.00
12,442.65
90,377.71
0.00 M4
150,000.00
0.00
0.00
209 915-254-971-0000 PALONGA, MARCIANA CAPIZ
113,316.00
14,443.00
0.00
12,694.85
0.00
27,137.85
100,621.15
15,028.48 M4
150,000.00
0.00
0.00
210 416-334-751-0000 PARROCHA, RICHARD DAIT
12,803.58
0.00
0.00
1,402.32
0.00
1,402.32
11,401.26
0.00 S
50,000.00
0.00
0.00
211 127-938-528-0000 PASCUA, MARCELO BUMANLAG
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
4,835.33 M3
125,000.00
0.00
0.00
212 941-766-402-0000 PAYDOWAN, JULIAN MAYAPIT
108,254.00
13,997.00
0.00
12,762.52
0.00
26,759.52
95,491.48
18,280.26 M3
125,000.00
0.00
0.00
213 171-577-419-0000 PERTUDO, FRANCISCO JR ASIROT
115,188.00
14,599.00
0.00
12,916.92
0.00
27,515.92
102,271.08
15,718.22 M3
125,000.00
0.00
0.00
214 926-262-310-0000 PERTUDO, RAMY ASIROT
119,616.00
15,008.00
0.00
13,404.97
0.00
28,412.97
106,211.03
12,876.68 M4
150,000.00
0.00
0.00
215 192-583-131-0000 PITOK, ANTONETTE F
100,612.50
0.00
0.00
0.00
0.00
0.00
100,612.50
12,663.87 M3
125,000.00
0.00
0.00
216 190-302-029-0000 POGONGAN, RUTH TONGYOFEN
115,345.00
14,599.00
0.00
12,931.05
0.00
27,530.05
102,413.95
17,098.79 M4
150,000.00
0.00
0.00
217 138-808-085-0000 POMECHA, JOSEPH P
119,004.00
14,917.00
0.00
13,260.36
0.00
28,177.36
105,743.64
2,703.11 M4
150,000.00
0.00
0.00
218 939-589-127-0000 POTENNEC, ELIZA M
112,264.36
14,536.00
0.00
12,628.80
0.00
27,164.80
99,635.56
1,300.35 M4
150,000.00
0.00
0.00
219 921-561-483-0000 PRADO, ARTHUR ANDRES
111,504.00
14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
17,750.11 M3
125,000.00
0.00
0.00
220 171-121-697-0000 QUERO, PEAR JOAN N
33,375.66
1,000.00
0.00
8,633.20
0.00
9,633.20
24,742.46
0.00 M1
75,000.00
0.00
0.00
221 941-769-784-0000 QUINOGORAN, SHIELA BASTIAN
108,254.00
13,997.00
0.00
13,363.88
0.00
27,360.88
94,890.12
16,443.58 M4
150,000.00
0.00
0.00
222 138-796-908-0000 QUIOAN, ANTHONY FARANAS
132,744.00
16,062.00
0.00
14,796.96
0.00
30,858.96
117,947.04
0.00 M3
125,000.00
0.00
0.00
223 197-414-343-0000 RAGUDO, RHOEL GARCES
107,821.00
13,997.00
0.00
12,125.75
0.00
26,122.75
95,695.25
0.00 M3
125,000.00
0.00
0.00
224 296-295-819-0000 RAMIREZ, LOUIE CARLO TIPRO
97,294.13
0.00
0.00
0.00
0.00
0.00
97,294.13
603.68 M2
100,000.00
0.00
0.00
225 414-846-178-0000 RAMOS, JAMES PUNO
15,965.95
0.00
0.00
1,825.87
0.00
1,825.87
14,140.08
0.00 S
50,000.00
0.00
0.00
226 154-924-249-0000 RANTAYO, TANQUILINO NORBERTO DARUKA 106,963.00
13,997.00
0.00
12,023.75
0.00
26,020.75
94,939.25
6,176.68 M3
125,000.00
0.00
0.00
227 913-585-466-0000 RAYMUNDO, SIXTO LAGADAN
107,964.00
13,997.00
0.00
12,116.76
0.00
26,113.76
95,847.24
0.00 M2
100,000.00
0.00
0.00
228 154-218-689-0000 REBELALA, ROLLY BRAULIO
120,096.00
15,008.00
0.00
13,508.64
0.00
28,516.64
106,587.36
18,045.13 M4
150,000.00
0.00
0.00
229 927-987-067-0000 RICANA, RANDY C
110,154.00
14,292.00
0.00
14,707.57
0.00
28,999.57
95,446.43
0.00 M2
100,000.00
0.00
0.00
230 100-558-884-0000 RIMANDO, PEDRO REYNALDO M
104,796.00
13,733.00
0.00
11,831.64
0.00
25,564.64
92,964.36
0.00 M3
125,000.00
0.00
0.00
231 296-893-835-0000 RIOTOC, FELISA DUMAYAS
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
0.00 M2
100,000.00
0.00
0.00
232 926-256-390-0000 ROSARIO, RONALDO RADONEL
111,504.00
24,292.00
0.00
12,593.06
0.00
36,885.06
98,910.94
5,904.00 M3
125,000.00
0.00
0.00

Page 6 of 16

(4) G R O S S C O M P E N S A T I O N I N C O M E
NON-TAXABLE

TOTAL

TAXABLE

EXEMPTION

PREMIUM PAID

NET TAXABLE

CODE

SEQ

TAXPAYER

NAME OF EMPLOYEES

GROSS

13th MONTH PAY

DE MINIMIS

SSS,GSIS,PHIC &

SALARIES & OTHER

NON-TAXABLE/EXEMPT

BASIC

SALARIES & OTHER

ON HEALTH

COMPENSATION

NO

IDENTIFICATION

(Last Name, First Name, Middle Name)

COMPENSATION

& OTHER BENEFITS

BENEFITS

PAG-IBIG CONTRIBUTIONS,

FORMS OF

COMPENSATION INCOME

SALARY

FORMS OF

AND/OR HOSPITAL

INCOME

AND UNION DUES

COMPENSATION

COMPENSATION

INSURANCE

4(d)

4(e)

NUMBER
(1)

(2)

INCOME

(3)

---------------------------------------------------------------------------------------233 919-801-070-0000 ROSAS, RAUL C

234 410-545-853-0000 SAGANIB, MICHAELLE TOKOYEN
235 939-889-135-0000 SAGMAYAO, CORAZON P
236 119-574-356-0000 SAN PEDRO, ETHELBERT S
237 191-965-830-0000 SANTOS, DANTE CARDENIO
238 182-880-787-0000 SEE, ROSALIA T
239 175-565-645-0000 SIBAEN, MENCIO COPIDO
240 926-262-299-0000 SOLANO, MARCOS C
241 923-173-715-0000 SOLIS, RENATO CAPISPIBAN
242 102-121-191-0000 SORIANO, GERARDO D
243 931-221-876-0000 SUYAM, ADELINE MANA AR
244 939-880-474-0000 TABAO ICAN, JIMMY J
245 916-243-901-0000 TABLAC, LEROY T
246 121-629-993-0000 TACBAS, RUFINO A
247 277-289-179-0000 TADIFA, HELEN LACONSAY
248 235-615-925-0000 TAEP, ANNIE TICTIC
249 932-643-486-0000 TAGAYONA, MELCHOR MALTO
250 937-937-769-0000 TAMBOL, DOMINGO P
251 127-938-616-0000 TAMBOL, MARCELINO DULA
252 911-395-626-0000 TAMIKING, SIXTO SAO NGON
253 197-396-669-0000 TANGALIN, ALFREDO E
254 153-602-304-0000 TESORO, DINNA SANTOS
255 166-271-261-0000 TOMAS, JOSEPHINE GAWILI
256 144-435-624-0000 TORIO, DOMINADOR MARIGZA
257 931-223-214-0000 TORRES, FRANCISCO JR D
258 939-889-142-0000 TRIFON, BASILIA N
259 931-205-381-0000 TUGAD, NOREEN DOLIGA
260 926-256-244-0000 URBANO, BERNARDO JR DUMPIT
261 272-015-977-0000 VALDEZ, JESYBEL BUYA
262 944-878-432-0000 VALDEZ, MARILYN O
263 178-123-667-0000 VALDEZ, REYNALDO
264 178-123-667-0000 VALDEZ, REYNALDO
265 197-594-330-0000 VALDEZ, ROMEL E
266 413-580-271-0000 VALENZUELA, SATURNINA AMIDES
267 138-797-181-0000 VALEROSO, JOSEFINA LUMIBAO
268 201-186-093-0000 VILLANUEVA, ROMAN JR C
269 410-448-105-0000 VINLUAN, BENJAMIN JR M
270 921-967-767-0000 WACNAG, ROSA CHOCAOCAO
271 926-262-302-0000 WAD INGAN, JANET FAGSAO
272 918-281-059-0000 WALANG, MAXIMA WAKIT

4(a)

4(b)

4(c)

4(f)

4(g)

4(h)

(5a)

AMOUNT

(5b)

(6)

(7)

--------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------111,504.00

14,292.00
0.00
12,585.36
0.00
26,877.36
98,918.64
633.60 M4
150,000.00
0.00
0.00
115,964.54
20,649.00
0.00
10,403.41
0.00
31,052.41
84,912.13
0.00 M2
100,000.00
0.00
0.00
112,697.80
14,536.00
0.00
12,680.31
0.00
27,216.31
100,017.49
0.00 S3
125,000.00
0.00
0.00
60,770.64
13,854.00
0.00
6,856.86
0.00
20,710.86
53,913.78
0.00 M1
75,000.00
0.00
0.00
113,316.00
14,443.00
0.00
12,748.44
0.00
27,191.44
100,567.56
10,400.96 M4
150,000.00
0.00
0.00
96,186.10
0.00
0.00
0.00
0.00
0.00
96,186.10
0.00 M2
100,000.00
0.00
0.00
115,188.00
14,599.00
0.00
12,916.92
0.00
27,515.92
102,271.08
14,662.75 M3
125,000.00
0.00
0.00
111,054.00
14,292.00
0.00
12,938.11
0.00
27,230.11
98,115.89
15,019.61 M3
125,000.00
0.00
0.00
101,240.15
20,649.00
0.00
10,958.68
0.00
31,607.68
90,281.47
0.00 M2
100,000.00
0.00
0.00
107,964.00
13,997.00
0.00
12,116.76
0.00
26,113.76
95,847.24
5,855.88 M3
125,000.00
0.00
0.00
109,704.00
14,142.00
0.00
12,423.36
0.00
26,565.36
97,280.64
15,037.80 M4
150,000.00
0.00
0.00
112,697.80
14,536.00
0.00
12,680.31
0.00
27,216.31
100,017.49
866.90 S3
125,000.00
0.00
0.00
111,957.00
14,443.00
0.00
12,619.34
0.00
27,062.34
99,337.66
563.33 M4
150,000.00
0.00
0.00
119,004.00
14,917.00
0.00
13,260.36
0.00
28,177.36
105,743.64
30,702.24 M4
150,000.00
0.00
0.00
77,290.68
2,000.00
0.00
8,231.23
0.00
10,231.23
67,059.45
0.00 M2
100,000.00
0.00
0.00
110,274.06
20,649.00
0.00
9,728.79
0.00
30,377.79
79,896.27
0.00 M2
100,000.00
0.00
0.00
115,271.40
13,854.00
0.00
11,515.07
0.00
25,369.07
89,902.33
0.00 M2
100,000.00
0.00
0.00
148,764.00
17,397.00
0.00
16,388.76
0.00
33,785.76
132,375.24
4,226.52 M4
150,000.00
0.00
0.00
117,072.00
14,756.00
0.00
13,086.48
0.00
27,842.48
103,985.52
15,603.94 M3
125,000.00
0.00
0.00
113,316.00
14,443.00
0.00
12,764.01
0.00
27,207.01
100,551.99
17,050.09 M4
150,000.00
0.00
0.00
115,188.00
14,599.00
0.00
12,916.92
0.00
27,515.92
102,271.08
1,872.48 M3
125,000.00
0.00
0.00
117,072.00
14,756.00
0.00
13,099.07
0.00
27,855.07
103,972.93
4,492.16 M3
125,000.00
0.00
0.00
115,659.00
14,756.00
0.00
15,396.22
0.00
30,152.22
100,262.78
16,645.43 M4
150,000.00
0.00
0.00
107,964.00
13,997.00
0.00
12,116.76
0.00
26,113.76
95,847.24
65.82 M2
100,000.00
0.00
0.00
116,280.00
14,690.00
0.00
13,015.20
0.00
27,705.20
103,264.80
0.00 M4
150,000.00
0.00
0.00
112,697.80
14,536.00
0.00
12,680.31
0.00
27,216.31
100,017.49
1,300.35 M4
150,000.00
0.00
0.00
108,254.00
13,997.00
0.00
12,162.52
0.00
26,159.52
96,091.48
18,103.27 M4
150,000.00
0.00
0.00
111,204.00
14,292.00
0.00
12,552.22
0.00
26,844.22
98,651.78
7,260.97 M4
150,000.00
0.00
0.00
83,800.65
2,000.00
0.00
8,937.09
0.00
10,937.09
72,863.56
0.00 M1
75,000.00
0.00
0.00
106,345.50
13,854.00
0.00
11,962.32
0.00
25,816.32
94,383.18
0.00 S4
150,000.00
0.00
0.00
96,225.90
0.00
0.00
0.00
0.00
0.00
96,225.90
0.00 M4
150,000.00
0.00
0.00
96,225.90
0.00
0.00
0.00
0.00
0.00
96,225.90
0.00 M4
150,000.00
0.00
0.00
129,223.26
16,062.00
0.00
14,267.77
0.00
30,329.77
114,955.49
1,005.63 M4
150,000.00
0.00
0.00
12,092.27
0.00
0.00
1,338.30
0.00
1,338.30
10,753.97
0.00 M2
100,000.00
0.00
0.00
118,816.00
15,008.00
0.00
13,269.81
0.00
28,277.81
105,546.19
0.00 M3
125,000.00
0.00
0.00
108,834.00
14,142.00
0.00
12,270.06
0.00
26,412.06
96,563.94
1,073.52 M2
100,000.00
0.00
0.00
52,318.50
0.00
0.00
0.00
0.00
0.00
52,318.50
6,327.27 M2
100,000.00
0.00
0.00
111,504.00
14,292.00
0.00
17,289.36
0.00
31,581.36
94,214.64
14,496.60 M3
125,000.00
0.00
0.00
109,760.06
14,292.00
0.00
12,403.41
0.00
26,695.41
97,356.65
13,058.99 M4
150,000.00
0.00
0.00
102,415.31
20,649.00
0.00
9,728.12
0.00
30,377.12
92,687.19
0.00 M3
125,000.00
0.00
0.00

Page 7 of 16

(4) G R O S S C O M P E N S A T I O N I N C O M E
NON-TAXABLE

TOTAL

TAXABLE

EXEMPTION

PREMIUM PAID

NET TAXABLE

CODE

SEQ

TAXPAYER

NAME OF EMPLOYEES

GROSS

13th MONTH PAY

DE MINIMIS

SSS,GSIS,PHIC &

SALARIES & OTHER

NON-TAXABLE/EXEMPT

BASIC

SALARIES & OTHER

ON HEALTH

COMPENSATION

NO

IDENTIFICATION

(Last Name, First Name, Middle Name)

COMPENSATION

& OTHER BENEFITS

BENEFITS

PAG-IBIG CONTRIBUTIONS,

FORMS OF

COMPENSATION INCOME

SALARY

FORMS OF

AND/OR HOSPITAL

INCOME

AND UNION DUES

COMPENSATION

COMPENSATION

INSURANCE

4(d)

4(e)

NUMBER
(1)

(2)

INCOME

(3)

---------------------------------------------------------------------------------------273 190-425-336-0000 WEYGAN, YORA K

274 282-091-449-0000 WINNIE, DOLORES AGYUPAN
Grand Total :

4(a)

4(b)

4(c)

4(f)

4(g)

4(h)

(5a)

AMOUNT

(5b)

(6)

(7)

--------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------75,201.50

0.00
0.00
8,233.07
0.00
8,233.07
66,968.43
0.00 M1
75,000.00
0.00
0.00
106,248.00
13,854.00
0.00
11,962.32
0.00
25,816.32
94,285.68
16,546.38 M4
150,000.00
0.00
0.00
------------------ --------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------28,535,156.90
3,485,642.40
0.00
3,075,284.44
0.00
6,560,926.84
25,285,975.36
1,444,678.94
33,700,000.00
0.00
0.00
==================
==================
==================
================== ==================
================== ==================
================== ==================
==================
==================

END OF REPORT

LEGEND:
*
To be withheld and remitted in 2012
** To be refunded in 2012

Page 8 of 16

TAX DUE

(8)

-----------------------------0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 **

Page 9 of 16

TAX DUE

(8)

-----------------------------0.00
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00 **
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Page 10 of 16

TAX DUE

(8)

-----------------------------0.00
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Page 11 of 16

TAX DUE

(8)

-----------------------------0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00

Page 12 of 16

TAX DUE

(8)

-----------------------------0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00

Page 13 of 16

TAX DUE

(8)

-----------------------------0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Page 14 of 16

TAX DUE

(8)

-----------------------------0.00
0.00 **
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00 **
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 **
0.00
0.00
0.00 **

Page 15 of 16

TAX DUE

(8)

-----------------------------0.00
0.00
-----------------0.00
==================

Page 16 of 16