BW GAS & CONVENIENCE RETAIL LLC ALBERTO J MADRID

2301 EAGLE PARKWAY 100 EMPLOYEE ID: 380113

FORT WORTH TX 76177 DEPARTMENT: 80010200620
DD RECEIPT: 1235233554

Pay Period 04/04/2022 - 04/10/2022 FITWH Filing Status: S Exemptions: 1

Pay Date 04/15/2022 NM Filing Status: S Exemptions: 1

Earnings RATE HOUR/UNIT CURRENT YTD HOUR/UNIT YTD

Hourly 14.21 34.88 495.64 546.73 7,734.29
OT 5.63 119.41
Hol 8.12 170.52
EMSICK 17.71 247.94
Retro 32.71
Total 34.88 $495.64 578.19 $8,304.87
Total Hours Worked 34.88 552.36

Deductions CURRENT YTD Taxes CURRENT YTD

401K 14.87 249.14 FITWH 33.78 607.98
Total $14.87 $249.14 MED 7.19 120.42
SOC 30.73 514.88
Time Off (hours) ACCRUED TAKEN AVAILABLE NM 12.08 222.57
NMWCW 2.00
ACVacStore 13.36
SickNewHR 16.00 Total $83.78 $1,467.85

Other Amount CURRENT YTD Net Pay XXXXXXXXXX7 $396.99

401k Match 7.44 124.61
LIFEER 0.81 11.79
LTDER 2.63 23.67
STDER 2.33 33.95

THIS IS NOT A CHECK. THIS DOCUMENT IS TO BE USED FOR INFORMATIONAL PURPOSES ONLY.

BW GAS & CONVENIENCE RETAIL LLC

2301 EAGLE PARKWAY 100
FORT WORTH TX 76177 Direct Deposit # 1235233554
Date 04/15/2022

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 **

DIRECT DEPOSIT $396.99

80010200620 DD TO ACCOUNT # XXXXXXXXXX7286
Pay to the BANK # XXXXX3997
Order of ALBERTO J MADRID
1004 JASON ST
NON-NEGOTIABLE
CARLSBAD NM 88220