CO. FILE DEPT. CLOCK VCHR. NO.
120
A5H 011514 061002 11514 0000170196 1 Earnings Statement
CONMED CORPORATION Period Beginning: 04/14/2024
11311 CONCEPT BLVD Period Ending: 04/20/2024
LARGO, FL 33773-4908 Pay Date: 04/26/2024
800-929-7176
GAVIN M HSAR
Filing Status: Married filing jointly 1231 1/2 HAMMOND AVE
Exemptions/Allowances:
Federal: Standard Withholding Table
1ST FLOOR
UTICA NY 13501
rate hours this period year to date
Regular 21 8900 40 00 875 60 12 374 34
Your federal taxable wages this period are $841 75
Overtime 32 8350 22 7 22 2 133 82
Ltd Premium 1 97 27 86 Other Benefits and
Shift 3 Dif O/T 0 7500 22 0 17 50 21 this period total to date
Shift 3 Dif Reg 0 5000 40 00 20 00 288 60 Gtl 0 42 6 99
Award 171 58
Totl Hrs Worked 80 44
Bereavment 514 80
Life 22 44
Holiday 514 80
Pto 1 220 00 Pto Balance 151 85
Gross Pay $904 96 17 296 01
YOUR COMPANY PHONE NUMBER IS 800-929-7176
Statutory
Federal Income Tax -27 96 677 14
Taxable Marital Status:
Social Security Tax -56 14 1 072 79 NY: Married
Medicare Tax -13 12 250 89 Exemptions/Allowances:
NY State Income Tax -31 55 645 46 NY: 3
NY Paid Family Leave Ins -3 38 64 52
Ltd -1 97 27 86
Opt Life -1 32 22 44
401K -63 21* 1 196 78
Net Pay $706 31
Checking -706 31
Net Check $0 00
Excluded from federal taxable wages
2000 ADP, Inc.
CONMED CORPORATION Advice number: 00000170196
11311 CONCEPT BLVD Pay date: 04/26/2024
LARGO FL 33773-4908
800-929-7176
Deposited to the account of account number transit ABA amount
GAVIN M HSAR xxxxxxxxxx7140 xxxx xxxx $706 31
NON-NEGOTIABLE
