BIR FORM 1604C - SCHEDULE 1

ALPHABETICAL LIST EMPLOYEES (Declared and Certified using BIR Form No. 2316)
AS OF DECEMBER 31,2020

TIN : 425279637-0000

WITHHOLDING AGENT'S NAME: MY GAS PETROLEUM CORPORATION

P R E S E N T E M P L O Y E R

SEQ NAME OF EMPLOYEES NATIONALITY/

NO (Last Name, First Name, Middle N RESIDENT
(for foreigners only)

(1) (2a)(2b)(2c) (3)

------------------------------ ------------------------------ ------------------------------
1 GOPITA, JULIUS ANTONIO FILIPINO
2 ACLO, INEN JUNTILLA FILIPINO
3 ALADO, CHERRY MAE CATACUTAN FILIPINO
4 AQUINO, JAMIRAH PAGANDAHAN FILIPINO
5 ARABEJO, DANIEL PANAL FILIPINO
6 ARADO, RICHARD CALATRAVA FILIPINO
7 ARANCON, DANICA ATUEL FILIPINO
8 ARMENTANO, ARNETH DEX MAXEYFILIPINO
10 BAGCAT, JEFF JEANSEN GROMOTIL FILIPINO
11 BANGOT, KENNETH JAMES BUSTILLOS
FILIPINO
12 BERNARDINO, NOLI JR ROMULO FILIPINO
13 BUGANI, ZETA VETTE LUMANTAS FILIPINO
14 CABELLO, JEFFRIL CASTRO FILIPINO
15 CANEDA, ABIGAIL JUAREZ FILIPINO
16 CANEDA, GARRY CALUNGSOD FILIPINO
18 CAYANONG, EDISON LINAO FILIPINO
20 DANO, FAHMAR FERNANDEZ FILIPINO
21 DE GOMA, EVANDER CABANOG FILIPINO
22 DIAZ, MIRRAH CABUNGCAG FILIPINO
25 FERNANDEZ, DANIEL DAVE RAMOS FILIPINO
26 FUENTES, ALFRED JOVER DELGADOFILIPINO
27 GARBO, LENGIE PIEDAD FILIPINO
28 GARDOSE, CHRISTINE JOY CABUDOYFILIPINO
29 GOLOSINDA, MARIA FE BUTONG FILIPINO
30 HEBOLINGO, ROBERTO JR ENGADA FILIPINO
31 HONDOS, MARY HANN HOMBREBUENO FILIPINO
32 LAGNASON, DANIEL PAUL ABENDAN
FILIPINO
33 LEOP, MARY JANE MILANO FILIPINO
34 LICUDO, DANNAH MAE AMOR CAMIQUE
FILIPINO
 35 MACARAEG, EDWARD JR ACOSTA FILIPINO
36 MACHECA, JENNEFER DIGAL FILIPINO
37 MAGNO, JESSIE CABILING FILIPINO
38 MEDIODIA, ARBIL JESSON GILO FIIPINO
39 MEJARES, ANGELICA MAE KIMBERLY
FILIPINO
SUMO
40 MONLEON, ERLIZA MARY FAE ATWEL
FILIPINO
41 OLAIVAR, LOUIE JAY DAYANAN FILIPINO
42 OTERO, MICHAEL JOSEPH NOLASCOFILIPINO
43 PAGUTE, JAYRIC ACA FILIPINO
44 PAMOCENO, CYRA JEAN COSTELO FILIPINO
46 PODUNAS, JENESSA TALLEDO FILIPINO
46 ASTRONOMO, NEIL CASULLA FILIPINO
47 CASAUL, VANISSA RAZA FILIPINO
48 SAPLAD, YPRELLE JOY GUBATAN FILIPINO
48 CUERPO, ROMMEL JOVER FILIPINO
49 SUELTO, BRYAN JAIMZ SINDA FILIPINO
49 ESTRELLA, LEO ANGELO ARANA FILIPINO
50 SUMAY, FREDERICK SARCE FILIPINO
50 PARRENO, JELLICOE NOLAN TIU FILIPINO
51 RANISES, MARIO JR SAJOL FILIPINO
52 SY, BEVERLY ANN CUERPO FILIPINO
53 SY, CHLOIE NICOLE CUERPO FILIPINO
54 SY, FERDINAND MANAPSAL FILIPINO
55 SY, JONATHAN MANAPSAL FILIPINO
56 TENIO, ELENE MAY LACSAMANA FILIPINO
56 SY, SEAN ADRIAN CUERPO FILIPINO
57 TENORIO, JOHN MARK SARADPON FILIPINO
58 VILLAR, MARC JOSEPH PANTIG FILIPINO
58 DINGAL, LEO AMPER FILIPINO

Grand Total :

END OF REPORT
E M P L O Y E R

CURRENT EMPLOYMENT
STATUS (*) EMPLOYMENT
From To

(4) (5a) (5b)

------------------------------ ------------------------------ ------------------------------
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 8/18/2020 12/31/2020
R 1/10/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
P 1/1/2020 7/30/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 3/10/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/10/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 10/23/2020
R 1/1/2020 12/31/2020
P 9/21/2020 12/31/2020
R 1/1/2020 9/12/2020
P 9/8/2020 12/31/2020
P 9/8/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 8/28/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
P 1/1/2020 2/15/2020
R 1/1/2020 1/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
P 3/10/2020 9/6/2020
R 1/1/2020 12/31/2020
P 9/24/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/10/2020 12/31/2020
R 1/1/2020 12/31/2020
P 1/10/2020 3/2/2020
R 1/1/2020 12/31/2020
R 1/1/2020 6/12/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
1/1/2020 12/30/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020

Summary
danica

noli

retail
 N O N - T A X A B L E
REASON OF GROSS 13th MONTH PAY
SEPARATION (**) COMPENSATION & OTHER BENEFITS
INCOME
(present employer)
(6) 7a=(7f+7j) (7b)
------------------------------ ------------------------------ ------------------------------
198,541.92 14,679.13
246,870.83 18,881.83
125,034.14 9,341.18
45,166.21 2,679.49
103,373.58 7,095.35
216,833.33 16,833.33
233,801.48 17,525.96
257,211.69 19,798.32
160,583.72 11,516.03
T 38,875.22 0.00
154,342.92 11,251.36
222,251.41 16,627.09
259,682.29 19,836.83
T 43,150.53 7,071.58
245,994.20 18,684.47
124,486.03 9,307.72
173,080.03 14,089.20
161,496.53 12,168.89
129,770.38 9,046.48
148,804.53 11,027.18
T 226,211.23 16,164.23
T 131,831.43 9,994.62
29,695.60 1,498.40
T 80,283.59 5,460.16
33,521.24 1,865.36
38,121.69 2,150.64
135,363.42 10,365.21
T 103,965.97 10,336.95
139,425.17 10,058.10
 212,584.22 12,792.05
163,459.23 12,902.65
149,425.35 11,848.90
140,404.92 10,356.62
T 13,554.34 0.00
T 17,314.67 4,542.42
151,825.19 11,240.30
158,106.65 11,828.34
T 48,433.52 0.00
121,623.58 8,994.79
30,262.37 1,586.54
376,752.79 28,711.79
318,296.89 24,263.74
114,109.67 7,893.03
422,308.67 32,291.67
T 16,306.98 0.00
982,333.33 75,133.33
T 35,857.99 0.00
385,984.45 29,417.70
348,883.95 26,085.25
1,625,000.00 90,000.00
650,000.00 50,000.00
1,176,176.08 90,000.00
2,340,000.00 90,000.00
155,301.52 12,090.42
650,000.00 50,000.00
339,296.41 25,764.83
255,099.87 19,378.29
788,366.25 60,338.25
------------------ ------------------
16,394,839.20 1,112,816.00
================== ==================

Summary
schedule 1 16,394,839.20
schedule 1 2,646,058.89
schedule 2 3,545,532.33
schedule 2 26,788,932.89

49,375,363.31
DE MINIMIS SSS, GSIS, PHIC & SALARIES (P250K & below) &
BENEFITS PAG-IBIG CONTRIBUTIONS OTHER FORMS OF
AND UNION DUES COMPENSATION
(employees share only)
(7c) (7d) (7e)
------------------------------ ------------------------------ ------------------------------
0.00 11,443.86 0.00
0.00 13,658.84 0.00
0.00 9,045.20 0.00
0.00 2,820.00 0.00
0.00 7,755.00 0.00
0.00 11,947.52 0.00
0.00 12,904.56 0.00
0.00 14,712.94 0.00
0.00 9,367.50 0.00
0.00 2,115.00 0.00
0.00 9,053.36 0.00
0.00 12,895.72 0.00
0.00 14,290.74 0.00
0.00 1,956.36 0.00
0.00 13,547.68 0.00
0.00 8,460.00 0.00
0.00 12,855.60 0.00
0.00 10,091.68 0.00
0.00 8,057.50 0.00
0.00 9,663.20 0.00
0.00 14,511.44 0.00
0.00 9,731.38 0.00
0.00 2,115.00 0.00
0.00 6,809.04 0.00
0.00 2,820.00 0.00
0.00 2,820.00 0.00
0.00 9,045.20 0.00
0.00 10,687.50 0.00
0.00 9,027.16 0.00
 0.00 10,706.20 0.00
0.00 9,745.00 0.00
0.00 10,070.78 0.00
0.00 9,027.16 0.00
0.00 705.00 0.00
0.00 788.74 0.00
0.00 10,070.78 0.00
0.00 10,034.08 0.00
0.00 3,525.00 0.00
0.00 8,460.00 0.00
0.00 2,115.00 0.00
0.00 15,968.24 0.00
0.00 15,175.58 0.00
0.00 7,755.00 0.00
0.00 16,612.50 0.00
0.00 705.00 0.00
0.00 21,600.00 0.00
0.00 2,218.12 0.00
0.00 16,103.10 0.00
0.00 15,635.90 0.00
0.00 21,600.00 0.00
0.00 21,600.00 0.00
0.00 21,600.00 0.00
0.00 21,600.00 0.00
0.00 10,369.98 0.00
0.00 21,600.00 0.00
0.00 15,437.78 0.00
0.00 13,932.84 0.00
0.00 21,600.00 0.00
------------------ ------------------ ------------------
0.00 620,570.76 0.00
================== ================== ==================
 T A X A B L E
TOTAL BASIC SALARY 13th MONTH PAY
NON-TAXABLE/EXEMPT (Net of SSS,GSIS,PHIC, & OTHER BENEFITS
COMPENSATION INCOME HDMF Contri & Union Dues) (In excess of Threshold)
(present employer)
7f=(7b+7c+7d+7e) (7g) (7h)
------------------------------ ------------------------------ ------------------------------
198,541.92 0.00 0.00
246,870.83 0.00 0.00
125,034.14 0.00 0.00
45,166.21 0.00 0.00
103,373.58 0.00 0.00
216,833.33 0.00 0.00
233,801.48 0.00 0.00
257,211.69 0.00 0.00
160,583.72 0.00 0.00
38,875.22 0.00 0.00
154,342.92 0.00 0.00
222,251.41 0.00 0.00
259,682.29 0.00 0.00
43,150.53 0.00 0.00
245,994.20 0.00 0.00
124,486.03 0.00 0.00
173,080.03 0.00 0.00
161,496.53 0.00 0.00
129,770.38 0.00 0.00
148,804.53 0.00 0.00
226,211.23 0.00 0.00
131,831.43 0.00 0.00
29,695.60 0.00 0.00
80,283.59 0.00 0.00
33,521.24 0.00 0.00
38,121.69 0.00 0.00
135,363.42 0.00 0.00
103,965.97 0.00 0.00
139,425.17 0.00 0.00
 212,584.22 0.00 0.00
163,459.23 0.00 0.00
149,425.35 0.00 0.00
140,404.92 0.00 0.00
13,554.34 0.00 0.00
17,314.67 0.00 0.00
151,825.19 0.00 0.00
158,106.65 0.00 0.00
48,433.52 0.00 0.00
121,623.58 0.00 0.00
30,262.37 0.00 0.00
44,680.03 332,072.76 0.00
39,439.32 278,857.57 0.00
114,109.67 0.00 0.00
48,904.17 373,404.50 0.00
16,306.98 0.00 0.00
96,733.33 885,600.00 0.00
35,857.99 0.00 0.00
45,520.80 340,463.65 0.00
41,721.15 307,162.80 0.00
111,600.00 1,478,400.00 35,000.00
71,600.00 578,400.00 0.00
111,600.00 1,064,101.00 475.08
111,600.00 2,138,400.00 90,000.00
155,301.52 0.00 0.00
71,600.00 578,400.00 0.00
41,202.61 298,093.80 0.00
255,099.87 0.00 0.00
81,938.25 706,428.00 0.00
------------------ ------------------ ------------------
6,909,580.04 9,359,784.08 125,475.08
================== ================== ==================
 P R E V I O U S E M P L O Y E R

SALARIES & OTHER TOTAL TAXABLE TAXPAYER

FORMS OF COMPENSATION INCOME IDENTIFICATION
COMPENSATION (present employer) NUMBER

(7i) 7j=(7g+7h+7i) (8)

------------------------------ ------------------------------ ------------------------------
0.00 0.00 348-183-313-0000
0.00 0.00 482-641-858-0000
0.00 0.00 341-537-827-0000
0.00 0.00 365-635-872-0000
0.00 0.00 359-983-659-0000
0.00 0.00 434-074-595-0000
0.00 0.00 332-760-905-0000
0.00 0.00 328-986-846-0000
0.00 0.00 359-893-480-0000
0.00 0.00 747-282-351-0000
0.00 0.00 312-483-498-0000
0.00 0.00 469-439-997-0000
0.00 0.00 321-682-918-0000
0.00 0.00 291-559-949-0000
0.00 0.00 328-591-070-0000
0.00 0.00 323-622-037-0000
0.00 0.00 464-424-880-0000
0.00 0.00 345-545-907-0000
0.00 0.00 755-365-693-0000
0.00 0.00 469-987-326-0000
0.00 0.00 924-346-886-0000
0.00 0.00 703-803-869-0000
0.00 0.00 452-330-861-0000
0.00 0.00 359-952-646-0000
0.00 0.00 346-811-238-0000
0.00 0.00 719-230-396-0000
0.00 0.00 343-201-988-0000
0.00 0.00 938-500-081-0000
0.00 0.00 358-894-805-0000
 0.00 0.00 417-341-093-0000
0.00 0.00 285-078-853-0000
0.00 0.00 768-078-030-0000
0.00 0.00 358-903-742-0000
0.00 0.00 359-952-203-0000
0.00 0.00 325-012-177-0000
0.00 0.00 346-201-764-0000
0.00 0.00 327-816-202-0000
0.00 0.00 367-279-342-0000
0.00 0.00 359-871-903-0000
0.00 0.00 360-764-001-0000
0.00 332,072.76 221-847-557-0000
0.00 278,857.57 432-040-831-0000
0.00 0.00 359-984-426-0000
0.00 373,404.50 148-974-795-0000
0.00 0.00 487-131-797-0000
0.00 885,600.00 938-500-361-0000
0.00 0.00 272-572-592-0000
0.00 340,463.65 400-409-414-0000
0.00 307,162.80 416-015-815-0000
0.00 1,513,400.00 178-910-702-0000
0.00 578,400.00 328-631-685-0000
0.00 1,064,576.08 106-930-420-0000
0.00 2,228,400.00 110-859-503-0000
0.00 0.00 327-873-505-0000
0.00 578,400.00 328-632-075-0000
0.00 298,093.80 275-963-071-0000
0.00 0.00 297-656-076-0000
0.00 706,428.00 124-928-918-0000
------------------ ------------------
0.00 9,485,259.16
================== ==================
E M P L O Y E R

EMPLOYMENT PERIOD OF
STATUS (*) EMPLOYMENT
From To

(9) (10a) (10b)

------------------------------ ------------------------------ ------------------------------
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 8/18/2020 12/31/2020
R 1/10/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
P 1/1/2020 7/30/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 3/10/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/10/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 10/23/2020
R 1/1/2020 12/31/2020
P 9/21/2020 12/31/2020
R 1/1/2020 9/12/2020
P 9/8/2020 12/31/2020
P 9/8/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 8/28/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
P 1/1/2020 2/15/2020
R 1/1/2020 1/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
P 3/10/2020 9/6/2020
R 1/1/2020 12/31/2020
P 9/24/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/10/2020 12/31/2020
R 1/1/2020 12/31/2020
P 1/10/2020 3/2/2020
R 1/1/2020 12/31/2020
R 1/1/2020 6/12/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
1/1/2020 12/30/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
R 1/1/2020 12/31/2020
 N O N - T A X A B L E
REASON OF GROSS 13th MONTH PAY
SEPARATION, if applicable (**) COMPENSATION & OTHER BENEFITS
PREVIOUS EMPLOYER

(11) 12a=(12f+12j) (12b)

------------------------------ ------------------------------ ------------------------------
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
T 0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
T 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
T 0.00 0.00
T 0.00 0.00
0.00 0.00
T 0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
T 0.00 0.00
0.00 0.00
 0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
T 0.00 0.00
T 0.00 0.00
0.00 0.00
0.00 0.00
T 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
T 0.00 0.00
0.00 0.00
T 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
================== ==================
DE MINIMIS SSS, GSIS, PHIC & SALARIES (P250K & below) &
BENEFITS PAG-IBIG CONTRIBUTIONS OTHER FORMS OF
AND UNION DUES COMPENSATION
(employees share only)
(12c) (12d) (12e)
------------------------------ ------------------------------ ------------------------------
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 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 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
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 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
================== ================== ==================
 T A X A B L E
TOTAL NON-TAXABLE/ BASIC SALARY 13th MONTH PAY
EXEMPT COMPENSATION(Previous(Net of SSS,GSIS,PHIC, & OTHER BENEFITS
HDMF Contri & Union Dues)

12f=(12b+12c+12d+12e) (12g) (12h)

------------------------------ ------------------------------ ------------------------------
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 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 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
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 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
================== ================== ==================
 TOTAL TAXABLE TOTAL TAXABLE
SALARIES & OTHER COMPENSATION COMPENSATION INCOME
FORMS OF (previous employer) (Present and
COMPENSATION Previous Employer)

(12i) 12j=(12g+12h+12i) 13=(7j+12j)

------------------------------ ------------------------------ ------------------------------
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 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 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
0.00 0.00 332,072.76
0.00 0.00 278,857.57
0.00 0.00 0.00
0.00 0.00 373,404.50
0.00 0.00 0.00
0.00 0.00 885,600.00
0.00 0.00 0.00
0.00 0.00 340,463.65
0.00 0.00 307,162.80
0.00 0.00 1,513,400.00
0.00 0.00 578,400.00
0.00 0.00 1,064,576.08
0.00 0.00 2,228,400.00
0.00 0.00 0.00
0.00 0.00 578,400.00
0.00 0.00 298,093.80
0.00 0.00 0.00
0.00 0.00 706,428.00
------------------ ------------------ ------------------
0.00 0.00 9,485,259.16
================== ================== ==================
 TAX WITHHELD
TAX DUE (Jan. - Nov.)
(Jan. - Dec.) PREVIOUS EMPLOYER PRESENT EMPLOYER

(14) (15a) (15b)

------------------------------ ------------------------------ ------------------------------
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 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 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
16,414.55 0.00 15,043.56
5,771.51 0.00 5,288.88
0.00 0.00 0.00
24,680.90 0.00 22,621.04
0.00 0.00 0.00
155,680.00 0.00 142,706.67
0.00 0.00 0.00
18,092.73 0.00 16,305.31
11,432.56 0.00 10,643.47
344,020.00 0.00 315,351.67
74,600.00 0.00 68,383.33
209,372.82 0.00 193,561.61
563,088.00 0.00 516,164.00
0.00 0.00 0.00
74,600.00 0.00 68,383.33
9,618.76 0.00 8,549.61
0.00 0.00 0.00
106,607.00 0.00 97,723.00
------------------ ------------------ ------------------
1,613,978.83 0.00 1,480,725.48
================== ================== ==================
Y E A R - E N D A D J U S T M E N T (16a or 16b)
AMT WITHHELD OVER AMOUNT OF TAX
& PAID FOR IN WITHHELD TAX WITHHELD AS
DECEMBER or Last Salary REFUNDED TO ADJUSTED
EMPLOYEE
16a=14-(15a+15b) 16b=(15a+15b)-14 17=(15b+16a) OR (15b-16b)
------------------------------ ------------------------------ ------------------------------
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 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 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
1,370.99 0.00 16,414.55
482.63 0.00 5,771.51
0.00 0.00 0.00
2,059.86 0.00 24,680.90
0.00 0.00 0.00
12,973.33 0.00 155,680.00
0.00 0.00 0.00
1,787.42 0.00 18,092.73
789.09 0.00 11,432.56
28,668.33 0.00 344,020.00
6,216.67 0.00 74,600.00
15,811.21 0.00 209,372.82
46,924.00 0.00 563,088.00
0.00 0.00 0.00
6,216.67 0.00 74,600.00
1,069.15 0.00 9,618.76
0.00 0.00 0.00
8,884.00 0.00 106,607.00
------------------ ------------------ ------------------
133,253.35 0.00 1,613,978.83
================== ================== ==================
SUBSTITUTED FILING
YES/NO
***

(18)
------------------------------
------------------
0.00
==================