Payroll Summary Week of November 11, 2007 Number Rat Plan Depend Number Soe See Tox 7,65% Net Pay Retirement Total Plan Deductions 7.85 Health Ins Social Security Withholding Rate: Able Aline Bunde Brown Caner Chiz Csakor Dahi Dod Fran's Boutiques Health Insurance Withholding Table Cost per Number of Dependents Pay Period 8 Edson 2 FM 0097 4 GI-0285 2 VB-000 2 FM-0097 1 VG-0065 1 VB-0086 2 FM-0097 3 GI-0285 VB-0086 1 FM-0097 1 VG-0056 GI-0285 2 VB-ODBE 2 VB-0067 4 GI-0285 2 VB-0086 6 FM-0097 3 VG-0055 8 GI-0285 1 VB-0086 1 VB-0086 8 GI-0285 2 VB-0006 2 FM-0097 2 VG-0006 3 GI-0285 VB-006 4 FM-0097 VG-0055 Gross Fedine Pay TOX W 15% 340.00 61.00 255.26 541.25 259.35 332.16 858 26 458.21 245 66 422 02 429.31 33325 443 88 451.17 458 46 274.26 473.03 480.32 145.55 494.89 502.18 509.47 516.75 258.67 531.33 538 61 475 89 553.19 560.47 445.15 1 2 3 4 5 6 7 8 9 0 Faller 21 Forman 22 Fried 23 Gallagher 24 Gomez 25 Hier 26 Lawrence 27 L 28 Omron 29 Parte 30 Richardson 31 Sampson 32 Thuman 33 Victor 34 Wilson 35 Young 36 Zeber 37 TOTALS 12.00 15.50 28.25 41.00 53.75 82.50 69.25 72.00 84.00 1 2.00 Fran's Boutiques Retirement Plan Withholding Plan Investment Withholding Number Option Amount 1 FM-0097 GI-0285 VB-0086 VG-0055 Foed Growth and Income Variable Bonds Aggressive Growth 51.78 28.55 47.88 57 65 E F Payroll Summary Week of November 11, 2007 7.65% Net Pay Retirement Total Plan Deductions Social Security Withholding Rate: Fed Inc Soc Sac Tax With 7.65% Health Ins 155 51.00 8 $ 5 5 Fran's Boutiques Health Insurance Withholding Table 6 1 8 2 Number of Dependents Cost per Pay Period 1 5 8 1 - - 2 3 5 8 2 3 4 5 6 7 8 9 12.00 15.50 28.25 41.00 53.75 62.50 69.25 72.00 84.00 9 5 2.00 Fran's Boutiques Retirement Plan Withholding Plan Number Investment Option Withholding Amount FM-0097 GI-0285 VB-0086 VG-0055 Foxed Growth and Income Variable Bonds Aggressive Growth 51.78 28.55 47.88 57.65 2 3 D G E Payroll Summary Week of November 11, 2007 2 3 4 5 6 Employee Number Ret. Plan Depend Number Gross Pay Fed Ine Tax With 15% 51.00 Soc Sac Tax With 7.65% Health Ins Retirement Total Plan Deductions 2 4 2 2 1 1 8 Able 9 Atkins 10 Bums 11 Brown 12 Carter 13 Cruz 14 Csakor 15 Dahl 16 Dorf 17 Drum 18 Edson 19 Elis 20 Faber 21 Foman 22 Fried 23 Gallagher 24 Gomez 25 Hiller 2 3 5 1 1 1 2 2 4 2 6 3 8 FM-0097 GI-0285 VB-0086 FM-0097 VG-0055 VB-0086 FM-0097 GI-0285 VB-0086 FM-0097 VG-0055 GI-0285 VB-0086 VB-0087 GI-0285 VB-0086 FM-0097 VG-0055 GI-0285 VB-0086 VB-0086 GI-0285 VB-0086 FM-0097 VG-0055 GI-0285 VB-0086 340.00 255.26 541.25 259.35 332.15 658.26 458.21 245.66 422.02 429.31 333.25 443.88 451.17 458.46 274.26 473.03 480.32 145.55 494.89 502.18 509.47 516.75 258.67 531.33 538.61 475.89 26 Lawrence 27 LEY 28 Onion 29 Pontes 30 Richardson 31 Sampson 32 Thuman 33 Victor 34 Winon 35 Young 36 Zeber 37 TOTALS 1 8 2 2 2 1 4 3 FM-0097 VG-0055 553.19 560.47 445.15 38 42 43
