ACC 401 ASSIST Extraordinary Success/acc401assist.com ACC 401 ASSIST Extraordinary Success/acc401assist - Page 29

Medicare Wages: $50,403 State Wages: $46,263 Taxes withheld: Federal: $2896.06 Social Security: $3124.99 Medicare: $730.34 State: $682.38 sdi (mandatory disability insurance): $393.24 Employer: PointMark, INC Address: 1111 One Park Place City: One City State: California Zip code: 11111 Employer’s FED ID number: 33-01XXX11 Sarah Petersan SSN: 001-02-XXXX DOB: 08/11/1979 Gross Pay: $50,000 401(k) contributions: $4,000 Healthcare costs (payroll deductions): $1347 Reported wages: $44,653