Complete the Employee Information Form for Student Success. (Do not round intermediate calculations. Round your final answers to 2 decimal places.) EMPLOYEE EARNINGS RECORD Name Student Success Hire Date 2/1/2018 Address 1641 Smittin Rd Date of Birth 1/1/19 91 CitySlate Zip Wooddslock/VT/05001 Exempt/Nonexempt Nonexempt Telephone (556) 556 5565 Married/Single (M or S) S Social Security Number 555-55-5555 Number of exemptions Position Accounting Clerk Pay Rate 18,928 00 Year Flex-time Child Care FSA amount Educ. Assist Lite Ins Long-fem care Gym Taxable Taxable Period Ended His Worked Rog Pay OT Pay Holiday Comm Gross Pay Ins 401 (k) Pay for Pay for Federal FICA 2/9/2018 2/23/2018 Fed Inc. Tax Social Sec Medicare State Inc. TAX Total Deduction Net Pay YID Net Pay YTD Gross Conells Tax Pay Flection