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Domino's Pizza LLC Pay Group: TXB-Texas Store - Biweekly Business Unit: STDBU

30 Frank Lloyd Wright Dr., P.O. Box 997 Pay Begin Date: 09/04/2017 Advice #: 316054
Ann Arbor, MI 48106-0997 Pay End Date: 09/17/2017 Advice Date: 09/22/2017
877/921-8326
Employee ID: 0247579 TAX DATA: Federal TX State
Edwin Manuel Zamora Department: 06652-Corporate Store 06652 Tax Status: Married
910 Redwood St. Location: Corporate Store 06652 Allowances: 0 0
144 Job Title: Delivery Expert Addl. Pct.:
HOUSTON, TX 77023 Pay Rate: $7.25 Hourly Addl. Amt.:

HOURS AND EARNINGS TAXES


---------------- Current ---------------- ------------ YTD ----------
Description Rate Hours Earnings Hours Earnings Description Current YTD
Regular 7.25 80.00 580.00 1,296.22 9,397.64 Fed Withholdng 30.92 373.48
Overtime 10.88 3.97 43.18 20.63 224.35 Fed MED/EE 10.35 161.41
Federal Rule Tips 171.20 2,902.76 Fed OASDI/EE 44.22 690.15
FICA Rule Tips 171.20 2,902.76
Tip Credit for Driving Hours 81.14- 1,393.27-

Total: 83.97 542.04 1,316.85 8,228.72 Total: 85.49 1,225.04


BEFORE-TAX DEDUCTIONS AFTER-TAX DEDUCTIONS EMPLOYER PAID BENEFITS
Description Current YTD Description Current YTD Description Current YTD
401K 71.32 1,113.17 401K Loan 27.34 519.46 401K 28.53 445.29
Partners 5.00 95.00

Total: 71.32 1,113.17 Total: 32.34 614.46 * Taxable


TOTAL GROSS FED TAXABLE GROSS TOTAL TAXES TOTAL DEDUCTIONS NET PAY
Current: 542.04 641.92 85.49 103.66 352.89
YTD: 8,228.72 10,018.31 1,225.04 1,727.63 5,276.05
VACATION & EMERGENCY TIP CREDIT DETAILS NET PAY DISTRIBUTION
Vacation Annual Eligibility Week Claimed Tips Delvry Hrs Reg Rate - Tip Credit Rate Max Tip Credit Tip Credit Hrly Tip Credit Advice # 316054 352.89
Hours Balance: 0.0 1 $82.58 21.77 $7.25 - $5.25 = $2.00 $43.54 $43.54- $2.00
Emergency Medical 2 $88.62 18.80 $7.25 - $5.25 = $2.00 $37.60 $37.60- $2.00
Hours Balance: 0.00 If claimed Tips are greater than or equal to "Max Tip Credit" then Tip Credit = "Max Tip Credit"
If claimed Tips are less than "Max Tip Credit" then Tip Credit = Claimed Tips
* The above calculation is done weekly on a store by store basis. If you had delivery hours at a borrowed
store the same calculation applies but the "Max Tip Credit" is calculated separately for each store.
To view detailed listing of your delivery hours go to the "Payroll Signoff" area of Team Member Self Service.
(http://tmsc.dominos.com) Total: 352.89

Domino's Pizza LLC Date Advice No.


30 Frank Lloyd Wright Dr. 09/22/2017 316054
P.O. Box 997
Ann Arbor, MI 48106-0997

DIRECT DEPOSIT DISTRIBUTION


Deposit Amount: $352.89 Account Type Account Number Deposit Amount
Checking 3205392842 352.89

To The
Account(s) Of EDWIN MANUEL ZAMORA 06652
910 Redwood St.
144
HOUSTON, TX 77023 Total: 352.89

NON-NEGOTIABLE

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