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