Freedom Care llc Statement of Earning & Deductions

1979 Marcus Ave, Suite C115

Lake Success NY 11042

Employee Name & Address SSN Pay period Pay Date Employee ID

SHANTAY DAVIS 058729657 08/25/2021 - 09/10/2021 21098

7 Benson Street 08/31/2021
ALBANY NY 12206

Gross earnings Hours Rate Total Statutory Deductions Total YTD

Salary $1288.33 FICA - Medicare $18.68 $149.44

FICA - Social Security $79.88 $639.04

Federal Income Tax $194.58 $1556.64

State Income Tax $60.87 $486.96

YTD Gross YTD Deductions YTD Net Pay Gross Pay Deductions Net Pay
$10306.64 $2832.08 $7474.56 $1288.33 $354.01 $934.32