Complete the Employee Information Form For Charlie Long.

Child care assistance Educational assistance $4,000 annually No Yes Yes Life insurance (at 1% of annual salary value) Yes No Yes Long-term care insurance $15 per period No No No Gym membership $15.00 per month Yes Yes Yes Flex-(under $5,000 Employee time Millen Towle Long Yes No Yes annually) Yes No Yes FSA (annual) $500.00 $ 1,200.00 $700.00 Annotate the Employee Earning Records with payroll-related benefit elections. The amount per period should be included in the record. As an example, if an employee elected to contribute $1,300 to his or her FSA, the period payroll deduction would be $1,300/26, or $50. Estimated yearly earnings for hourly employees have been given for ease of computation Complete the question by entering your answers in the tabs below Mary Shangraw Student Success Thomas Millen Avery Towle Charlie Long Kristen Lewis Joel Schwartz Toni Prevosti Complete the Employee Information Form for Charlie Long. (Round your answers to 2 decimal places.) EMPLOYEE EARNINGS RECORD Name Charlie Long 242 Benedict Rd S. Woodstock/VT/05002 802-429-3846 056-23-4593 Production Worker Hire Date Date of Birth Exempt/Nonexempt Married/Single (M or S) Number of exemptions 2/1/2017 3/16/1987 Nonexempt Address Telephone Social Security Number Position Yearly Salary Earnings 22,750.00 Year Long-term care Total Benefits Election Flex-time Child CareFSA amount Educ. Assist. Life Ins. Cost per period Yes 0.00 0.00