71 Gooo 007040320000 R 631 B4 BB0 AF3621

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CO. FILE DEPT. CLOCK VCHR. NO.

G17 019103 000200


094
0000230407 1
Earnings Statement
HUDDLE HOUSE INC. Period Beginning: 05/18/2022
5901 B PEACHTREE DUNWOODY RD, SUITE 450 Period Ending: 05/31/2022
SANDY SPRINGS, GA 30328-5348 Pay Date: 06/10/2022
770-325-1300

JACOBY HUTCHINSON
Filing Status: Single/Married filing separately 1209 OLA AVE
Exemptions/Allowances:
Federal: Standard Withholding Table
TALLADEGA AL 35160

rate hours this period year to date Other Benefits and


Regular 10 5000 80 00 840 00 4 833 37 this period total to date
Overtime 15 7500 13 25 208 69 221 29 Max Elig/Comp 1 048 69 5 204 66
Sign-on Bo 150 00
Totl Hrs Worked 93 25
Gross Pay $1 048 69 5 204 66

COMPANY PH#: 770-325-1300


Statutory
Federal Income Tax -54 40 141 03
BASIS OF PAY: HOURLY
Social Security Tax -65 02 322 69
Medicare Tax -15 21 75 47
AL State Income Tax -40 89 197 51
Taxable Marital Status:
AL: Single
401K Ee Contr -31 46* 31 46 Exemptions/Allowances:
AL: 0
Net Pay $841 71
Checking 1 -841 71

Net Check $0 00

Excluded from federal taxable wages

Your federal taxable wages this period are


$1 017 23

2000 A DP, LLC

HUDDLE HOUSE INC Advice number: 00000230407


5901 B PEACHTREE DUNWOODY RD SUITE 450 Pay date: 06/10/2022
SANDY SPRINGS GA 30328-5348
770-325-1300

Deposited to the account of account number transit ABA amount


JACOBY HUTCHINSON xxxxxxxx3655 xxxx xxxx $841 71

NON-NEGOTIABLE

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