CO. FILE DEPT. CLOCK VCHR. NO.

10
K7/DT 24558349 01/ 202 USPOM 6565385 1 of 3 Earnings Statement
BETHESDA THERAPEUTIC GROUP HOME Period Beginning: 01/14/2024
1100 S. 4TH ST Period Ending: 01/27/2024
MONROE, LA 71202 Pay Date: 02/03/2024

Taxable Marital Status: Single

JERIKA REESE
Exemptions / Allowances: 104 DONOVAN CIRCLE
Federal: Std W/HT MONROE, LA 71203
State: 0
SSN: XXX-XX-8380

rate hours this period year to date Other Benefits and

Regular 28.75 80.00 2,300.00 3,450.00 this period total to date

Gross Pay $2,300.00 3,450.00

Exemptions/Allowances:

Statutory

FICA-Medicare - 58.65 87.98

FICA-Social Security - 143.00 214.50
Federal Income Tax - 228.00 342.00
State Income Tax - 92.99 139.49

Net Pay $1,778.00

Checking - 1,778.00
Net Check $0.00

Excluded from federal taxable wages

Your federal taxable wages this period are $2,300.00

2023 ADP, LLC

BETHESDA THERAPEUTIC GROUP HOME Advice number: 0000138464

1100 S. 4TH ST Pay date: 02/03/2024
MONROE, LA 71202

Deposited to the account of account number transit ABA amount

JERIKA REESE xxxxxxx6403 xxxx xxxx $1,778.00

NON-NEGOTIABLE