5 tandlio guppalo 3e¢0061101 } = i@, DE das? -Saskatetigiviid 4 driver's licence eerconexus Credit Union PRE-AUTHORIZED ACCOUNT INFORMATION Adress : 807-1100 Broadway Ave Regina 8K GAP 13 CONEXUS CREDIT UNION For Qu'Appelle PO Box 279 Fon QuAppelie Sk SOG 150 (306) 332-5606 TRANSIT & AccT {ss | Instittion aN ace eiouzwoos =) “Account No, (Musi be 12 digits) 92668 Transit Number DATE: April 13, 2022 MEMBER AUTHORIZATION CONEXUS creorr union ‘NORTH ALBERT aman CONEXUS CU STAFF LMiwclgen ea i an ween Soresc A224NEW EMPLOYEE INFORMATION Lf LOCATION: Mu 05 ¢ pone seco viver [pitcher io Orr food Prucie eae: ~ | FIRST: a aa c k ADDRESS emeec hin ton __“"e Cedyait — floo Biroadiver avery ey ote an ad [Postal ede 1E3 306)35Q-O847_ HOMEICELL # on pe Sig Comms BG Gmoil CoM SRTHDAY ONT DAY YR DRIVERS LICENSE # ,— 13 197. | renewal if 145817 = 495-979-135 _ | DIRECT DEPOSIT ‘Bank Name = [estar anal esau EMERGENCY CONTACT INFORMATION “ws FR osetia "Goadwiit fo (306) 33 1-000 RELATIONSHIP mother 1|PageZAGIME MANAGEMENT AUTHORITY LTD. OATH OF CONFIDENTIALITY CLinteN & Goodwill hiilir Goodwill’ Moose end _BaaWack , an entity controlled by Zagime Management Authority Ltdsolemnly take oath to maintain confidentiality and hereby promise to keep __,an employee of all records of client and or Band Member Information and or other Band Business, both written and or verbal in strict confidence. | understand that if it becomesevident to my supervisor that | have disclosed information, whether deliberate, accidentally, or unintentionally, [am fully responsible for my actions and will be subject to the following remedial actions. First Time: Verbal warning issued by the General Manager/ Operation Manager and documented. SecondTime: Suspension issued by the Chief Executive Officer and documented, Third Tne: Termination of employment Could be imposed immediately depending on the Immediate circumstances and seriousness of the situation. Termination Sworn this 28 dayol Marck ds pL & cod 2023 0n the Sakimay Indian Employee Signature Reserve #74 In the Province of Saskatchewan. WitnessPlace : of Works Mobile Food Truck - Moose & Bannock, Regina & nearby locations. You may be required to work at other locations the need arises. f. is Supervisor: Josh Ning, Manager Operations ~ Regina. & Evaluation Procedure: Not Apetatie bh. Rateof Pay: $14.50 Per hour Pe Bi-weekly i, Vacation & Sick Leave: As per policy & Unpaid only k. _Pre-Employment Drug Testing: Required |. Criminal Record Check: Required fe by the Zagimé Management Authority's Personnel Policy and/or any other 1 to time, issued by the management. You agree to al Policies, as amended from ti This letter is conditional to the successful completion of the background verification by our partnered background check agency CERTN By signing below this will serve as your acceptance to these terms of employment of the above-mentioned position and that these terms will be met by the dates indicated. Congratulations and welcome to our team! Sincerely, Fahim Haque Chief Executive Officer Zagime Management Authority Ltd. accept the offer of Full-time, Fixed Term employment as a Kitchen staff/Cashier ~ at Food Truck M&B, effective 28" March 2023, by way of my signature. Abit @ Lith Moveh 38 9023 Signature Datemech 39 aor Personnel Policy - Acknowledgement and Consent LCLinteh e Goodwill ‘Acknowledge that I have read and understand the amendment in the personal policy of Zagime Management Authority Ltd. | consent to adhere to the Personnel policy. | understand that if! violate the rules set forth by this policy, | may face disciplinary action up to and including termination of employment, F Clinton Goodwikt — Mitr Gookudl Signature: CLUE Govdiwlll Date: Meych BR oad Witness:Bir es Rov Agence ve Protected B whon completed Road page 2 ae 2023 Personal Tax Credits Return To1 Fi out ye ee eto ling out this form. Your employer or payer wl use this form to datrmin the amount of your tae deductions you do naar” 88563 on tn bos state of your cumstances © tH Bay you," 04th form, your tx deduction win include the base posona amour smote by your employer or payer based an th eco hey Last name ae an _ ee Fratzare adage) Date afb FYYMRUDD) | Employes rrr Rie SOOdwWith lefintyn_e int j Postal code fad aie aia ‘Social ingurance num sun olpereren lence re 1 Bite penona pons AZALI si Besa amour Guta le grea han $1.30 oyu tr 818.00 you may hove or omoU Ong on our Wen an at Pari! 7 eax year iyur name fal arcu be rea han 108/00, ou howe ne aptan occu 8 ‘ulated amount here. a 3% (Canada car nih me __ ee 008 ort parents whe Kes with bah arene troughout tne Yor the chil doesnot ve wih Boh parents throughout te yea, he =a t" on line 8 may also claim the Canada caregiver amount for Hoo ; Pre Blood wned avenve [SiMiPlie Every resident of Canada can enter a basic personal amount of $15,000. However, i your nel income rene a Sine apboptlemla ot a To ne eter Parca Torres Rotman rer vregiver amount for infirm children under age 18 ~ Only one parent may claim $2,499 for each Infirm child born in Feehan un attocanne eae ae ae 3.Age amount = or less, enter Ss, ‘aleulate a para 4. Pensi 1 you willbe 85 or aor on December 3, 2025, and your nel income forthe year om al sources wl be $42.35 336. ou may ener 9 paral amount your net come or the yar willbe between $42,335 ard $80.308. To al emecun i ou he tne 3 secon of Form TOT-WS. ‘on income amount =f you wil : ‘ ‘i wiuding Cora Porson paneame You wil receive regular person payments fom a pasion plano fnd (rat naudng Canada So re ust Pein Pan. a ape sce oF gure nee sone payments), ee whichever Ie 5. Tuition flitime and ition (lltime and partie) — Flin s secon you are a sont al a ively or clege, or an edvcatonalinsituon {Sibes by Employment ang Sosat Development Canada, and you wl pay more than $100 per nstton ition ees. Err te 1 ten fe that yeu wi pay yeu oe tne eprom suen iablity amount — Hf you wil aim the dsabilly amount on your nome lax and benef eum by using Form T2201, Osby Tax Crest Goriteate, enter $3426, Z i sere 2, Seuss ox common-aw partner amount - Eartha daence betwee he ama on re ie | ue $2991 you spaise {common ow pariners infirm) and your spouse's or common law partner's estimated et income forthe year i both ofthe folowing conditions app = . * You are eupporing your spouse or commeraw pater who ives wih ou * Your spouse or common-law partne’s nat income for the year willbe less than the amount online 1 (ine + plus $2499 f your spouse or commomiaw pariner i Infirm) {n all cases, go tone 9 if your spouse or commenslaw panne i nviem and has a net income forthe year of $26,782 or loss. 8. Amount for an eligible dependant — Enter the difference between the amount on ine 1 ine 1 plus $2,490 your eligible ‘Sependant i infirm) and your elable dependants estimated net income fo the year ial of he flowing concitons apply: * You do net have a spouse or common-aw partner, or you have a spouse or common-law partner who does not ve with you and Who you are nat supporting or beng supported by * You are supporting the dependant who is related to you and lives with you + The dependants net income forthe year wil be las than the amount on line (ne 1 plus $2,499 If your dependants infirm and YoU eannot claim the Canada caregiver amount for infiem chiléron undor 18 years of age fr this dependant) In ali cases, 90 toline 9 if your dependant is 18 years or older, infirm, and has a net income or the year of $26.782 or less. ‘8. Canada caregiver amount for eligible dependant or spouse of common-law partner ~ Filo tis secton fat ary ten he Year, you support an infirm eigible cependart (aged 18 cr older) or an infirm spouse or common-law partner whose net income for {he year will be $26,782 or less. To calculate the amount you may enar here, fil ut the ne 9 secion of Form TDY-WS. 410. Canada caregiver amount for dependant(s) age 18 or older If at any ime inthe year, you support an Infirm dependant age 18 or older (other than the spouse or commorlaw partner o* elle dependant you calmed an amount or online 9 or could have ‘aimed an amount for their net Income were under $17,499) whose net income forthe year willbe $18,783 or les, enter $7,988, You may enter a paral amountif heir nt income forte year wil be between $18,788 and $28,782. To calculate a partial amount, fil ‘ut the line 10 section of Form TD1-WVS. This worksheet may also be used to calculate your part of te amount if you are sharing ‘with another caregiver who suppers the same dependant. You may claim tis amount for more than one infiem dependant age 18 or older 41. Amounts Wansferred from your spouse or comman-law partner ~If your spouse or connor aw partner wil not use al of their age amount, pension income amount, tution amount, or leafy amount on ther income tax and beneftretum, enter the Unused amount 12, Amounts transferred from a dependant ~ilyour dependant wil ot use al oftheir isabilly amount on ther income tax and benef retum, enter the unused amount. If your or your spouse's or common-law partner's Gependent child or grandchild will not use all oftheir tution amount on ther income tax and benefit retum, enter te unused amount 43, TOTAL CLAIM AMOUNT - Add nes 1 to 12. ‘Your employer of payer will use this amount to determine the amount of your tox deductions. - joineay eee rwiae ~~ Canadcompleted Fito - rotected B when compl waout Form toy Protects Hu this tom onty 2 honing a yor or nation Pa¥or, 2d yo ya vate tt 1slons, employmantinance boefts, oa 4 sor, wos, commissions pot oye ae _ it the amen ann prt er exam, to bor of aro dpi as charge) ea yt tardy eo rr id a souren OF aye, re abu OF payer atthe same time “ Landon a ster fae YS cg eters ss than nena r ror payer than your total aim amount on i 13. Your employe 0% or POX that apis to you) Previous four wor income | In Canada in 20237 world income be incuded in dolamining your taxable Income eamnod in Ci 8 page.) 0 No (Enter“0* on Cal the | ee line 13, and do not. lin tines 2 to 12.a8 you are not ented to the personal tax credits) Provi ‘onal tax and Non-resident enquiries line at 1-800-959-8281 if you are unsure of your residency status. corn torial personal tax rete reteen tof owas sete Form TO for your province or ae tol TD! form your aim amount on 13s mare tha $15,000. Us foxy own or wi ployment you are an ey rm 1S or your province or troy of esidenee fou are 9 pensioner ‘iluse both ths fedora rman 2 on cat ec or enka Fee Hobe eons ee oan Personal amount gate” Mil deduct provi ri in tral basic personal amount i you are aiming the basic : " cal or trial basic 7 al amount Sate" Wl Sect provincial arto axe afer loving te powcr terttory of ene tum i you ae a Saskatchewan resident in caren Gaim the chk amount on Form TO1SK, 2023 Saskatchewan Personal Tax Cres Rein iyo chileren Note: ' jing he base persona ara Under 18 at any time dunn werefore, you may want toil out Form TD1SK even i you ae only claiming ‘amount on this forme" 18 at any time dung 2025. Therefore, you may Deduction for living in a prescribed zone ter resrbed northern zone for more than sik Tana (2A Ay of ftonng anced youn Notes! Tartare, unm, itn, of rathr ra rong n arow bp or rang ads : 3 each day that you ive nthe prescrbed northern zone we * Fear 20,0"€2ch day that you tne the presenbed poten zane, dsng that ime, you lve Inacweteg $ lye eri 20 are onion ginal aetna ng Sou Fomnovees ving in a prescribed Intermediate zane may cam SO of he lo te Spe ane For more information, go to canada caftaxes-norharntsidents Additional tax to be deducted yr sch 2 an amploymnt nae fom [Sh tpapettotavemor aceite t eon ayer ou eo tc uh anor enloment care om Sri Ot tna eo oe seny pn You oy hard n oy wens ura artsy by dong tis. Err the adore! tx aun you wan duced tn each pyre chooe te Opn, YOuay $ Form TB! changes dodo i Reduction in tax deductions Youmans renga gl eure ci tg ated on i tm ea ee sr a an a eet eae a ce Ss cl cape Tri od fon Raa on Se Se sana key tse of Seba eerste benno eka tet eae yromoa sr Forms and publications ‘To get our forms and publications, go to canada.calcra-orms-publications or call 1-800-059-5525, — ere Sen Ea, sane tag ogra areas coma crene aaa, Bete eeat meena rere nein seer emeareeenee tne, mrfest peyab, peal ot ver scion, iter e Po 2 right of protection, access to and correction of their persons iomoton rey ost nara peje peat cher sonore Under na Peecy At outs havea art of potaton, sone cand or ay Eri sete ayn aca ete tea a aan Soar oasrestnmnoshensoni Certification | erty that the information given on tis frm is correct and complete coon (Ll. Gbulth ob amas Page20f2 TIE es)BP Sr teen Determination of Exemption of an Indian's Employment Income wen 13 B vinon crangiote! too ‘ employee” on this form refers only to an employee who Is an Indian as defined in the Indian Act Use his or you tink your cane xoxo ply nono, Your ompye wl ure yuranawors in Pat 1 sp deine cored ax eat Seine ‘ou end your employer shu lu ie rn it so For TD. You mut ut hose rms hon yu sat now jo on 2 90 to canada.caltaxcfling-torm-telt [Part 1 ~ Employee information (to be filled out by the employee) [Fares cern 1D No. De net use this form, For more information, go to eanada.calindian-status, 1.2 Are you a treaty beneficiary of a First Nation witha final or self-government agreement that ends the lax exemption under section 87 of the Indian Act? | DX Yes. Do not use this form, | | Dy No. Continue to section 1.3 ‘To confirm the effective date of the agreements and the expiry dates, go lo canada.caltax-indigenous-end-dates, 1.3 Fill out your name and address. Continue to section 1.4 Last name (please print) First name and initials cial insurance numbe i Chiften e@ Fas 7411315) Adaress of principal piace of residence including postal code [loo Bronce 9 Avenue Cres BR No Employee Certification | certify thatthe folowing information is correct and complete: + | am registered under the Indian Act * Lam not a treaty beneficiary ofa First Nation with 2 final or self-government agreement that ends the tax exemption under section 87 of the Indian Act + If answered yes in section 1.4, live on a reserve, itis my principal place of residence and is the centre of my daily routine Sionature, hale Ga bill coe Matih QB A023 annaps {Permit ont anos uly oe tts CanadaJ® covrmmen Protectod B hon cmpltes A sxc ws 2023 Saskatchewan TO1SK tchewan Personal Tax Credits Return Read page 2 before filing out this form, Your employer of payer wil se this form to detormine the amount of your provincial tax deductions "out this form based on the best estimate of your circumstances, 0ddwi LL elias Fd Pata Woo Broadway Avenve_ SAP Le 13) Sune tremens 44/5 04111315) 4. Basie personal amount - Evry peron annoyed nSakachownn oon terse dng Sastalchewan can cam is evo you wt have ov anew emore apy! saa 08, se an one pe ayer te 17,661 same time” on page 2. re Dato of bith (YYYYRAMIDD)_| Employee number ‘Aacress 2. Age amount 1 5 im ive $405 un = you wb GS der on Dacor 31,3023, ant your na incon om al sources wil be $4057 or ss, oar $8:360 You may ent: a pata ancunt jour net ncoe rhe yon be totwoon $40,081 and $76,910, To calcu pared STOUNL Ai outhe ne 2 Secon ara TOVSAWS, Worksheet the 2023 Saskatchewan Parsnal Tax Cres tun. 3 Senior Supplementary amount =I you are resident of Saskatchewan who wil bo 65 ooo on Decomber 3, 2023, ter 3 Senor Supplementary my de of Saskalehenon who wil be 65 or odor an Domb 4 Pension income amount ly wil receiv regular pension payments fom a pnsion plano fond at incding Canada "ension Plan, Quebec Penson Pan, ld Age Sec of guaraned Ieome supplement payments). eter wtichever i Tess $1000 or your estimated annual pension §-Digablty amount - you wil cam the dsabiy amount on your nome lax and bone rlum by using Form T2201, Disabil Tax Great Corteate, ener $1008, {Spouse or common-aw partner amount Erie’ $17,681 Ifyou are suppong your spouse o cormoraw pane and allo folowing eondtone apo * Your spouse of commoniow pater vs wth you * Your spouse's or common parne’ et income fo the yer wil be $1,767 or less ‘You may enter a pata amount your spouse's o common daw arine’s nat income forthe year wl be between $1,767 an $17,661. To calte a paral amount. out the ine 6 ection of Farm DISKS, 7. Amount for an eligible dependant - Enter $17,661 i you ae supporting an ebgible dependant and all ofthe following ‘condone apply * You do net have @ spouse or common aw partner. or You have @ spouse or common-iaw partner who does nt lve with you and who you sre not supporing er beng suppoted by + The dependant is related o you and ives wth you + The dependant has @net income fom all sours of $1,767 o less forthe year ‘You may enter partial amount the dependant’ net income forthe year will be between $1,767 and $17,661. To caloulate a partial arrount il out the ine 7 section of Form TDYSKWS. 8. Child amount ~ Enter $6,700 for each child you are supparing who wil be under the age of 18 at any time during 2023. I you eve @ spouse or common-aw partner. the parent withthe lower nt income must make the caim, You eannat claim the amount fora Child you claimed on line 7 ora eld claimed by anyone else as a dependant. ®. Caregiver amount ~ Enter $10,405 you are taking care of dependant and all ofthe folowing conditions apply +The dependent is your or your spouse's or common Jaw partner’ parent or grandparent (aged 65 or older) or an infirm relative (290d 18 oroider + The dependant ives with you + The dependant has a net income of $17,770 or less for the year ‘You may enter partial amount the dependants net income forthe year willbe between $17,770 and $28,175. To calculate a partial ‘amount fl out the line 9 section of Form TOTSK-WS, 40, Amount for infirm dependants age 18 or older — Enter $10,405 you are supporing an infirm dependant and al f the following condhions apply +The dependant ives in Canada and i related o you or your spouse or common-aw partnor + The depencantis 18 years or older + The dependant has a net income of $7,389 or lss forthe year ‘You may enter a patal amount ifthe dependants net income forthe year wil be between $7,983 and $17,788. To calculate a partial ‘mount flout the ine 10 section of Form TOTSK-WS, You eannotcaim an amount for a dependan| you calmed on line 9. {11 Amounts transferred from your spouse or common-law partner - If your spouxe or common-aw partner wil not use all of their age amount, senior supplementary amount, pension Income amount, dsabilly amount, or child amount on thelr income tax and benefit return, enter the unused amount. 12. Amounts transferred from a dependant ~ifyour dependant wil not use all of thelr disability amount on hol income tax and benefit retum, enter the unused amount 43. TOTAL CLAIM AMOUNT — Aad lines 110 12 ‘Your employer or payer vill use this amount to determine the amount of your provincial tax deductions. 4 oisKe a9) (62ers eat done nfm) rwre2 Canadaommploted Protected B when cool oe ns form iyou have taxable income ins ~ you nave a new employer or payer, and yo, | + you want to change the amounts | + you want to increase the amount Sion and date it, and gv it to youre "you donot out Form TOISK. yo has charged) eats cared (er example, th numba your ola doperdart i Slax deductod at source *MBIO¥er oF pay 1 amount only ™* emoloyer or payer wil deduct taxes ater allowing th bas porsonal More than one employer or payer at tho ‘same timo ne cot era on 2 exo Nave more than one employer or oF oa Rae and you have okeady lak personal Lx coc Oras tres 2 ma lamer in pet ae a ney ce i ‘sneer Ferm TOISK, chuck snes ee eam not fin nos 2 10 12, Total income is less than the total claim amount ‘Tick this box if your total income forthe ‘employer or payer wil not sor Form TO1SK fr 0 ‘Then your on ine 19 in arnount Year trom all employers and payers wil bo loss than your total deduct ax from your earrings Additional tax to be deducted ym TO". jctec" on tho federal Fo "YoU want to have mere ax decid of cuca, out secon ‘Addona tet be doc Reduction in tax deductions to Ne. fs form (for exam its that are not listed on this 1s or nor-ofundable tax credits JeRAaY 2 to have ess tx deducted at source i you are eile for deduction period conto Ind education a tulon ae ecu, em St a ee tae 2 sar ea lo Reduce Tax Deductions at Source, to Ooh rath eakirdrefenent sarge fae FRO one rear Tiete Request io Rede Teor of autho if ‘amounts carried forward from the previous year). To make this request ‘author from yout tax sevice of 'or payer You don ice. Give the letter of authori o your employer or paye ns from your salary. Forms and publications tions or cal 1-800-959-5525. ‘Te get our forms and publications, goto canada calera-forms-publicatl RRSP conto utr rama and Ae sic purponos of er feceral ne, Un ‘Ber the Privacy Act, ef Canada amano S rap eae ET =a eee arin collected for the a 1@ information srovincial,territori ns. Unde Sn ergs ten tee ame gee wate sor et Sie treat rg eats ea Seen eee cana conan eee Ea oreert sme rehome Feta rranpidgei nsacucerngmrpod morc eaam a teaee : is correct and complete. tat bambi ee come (LYEZL ered Hl 1a fence to make flee rel Page 20f2 Tossk € 23)