good to go 20240122_161623

SheetJS Table Export

Company Name: good to go
Address:
State: AL
Zip Code:
Point of Contact: Email Census to: sales@safeharborsavings.com
Safe Harbor Rep:
Payroll Frequency: Weekly * Please note any changes to Employee census info will result in changes to estimated savings
First Name Last Name
Email Address
Date of Birth Home State Tax Filing:
Single=I
Married Filling Jointly=M
Married Filling Separately=MS
Head of Household= HH
Approx. Annual Income
(Emp. Only)
Date of Hire Child Dependents Claimed Other Dependents Claimed Health Insurance Premiums PRE-TAX 401(K) Additional Pre-Tax Witholdings (Only Pre-Tax)
Debra Beck 1/6/90 AL I 27040 11/21/23 0 0 $0.00 $0.00 $0.00
Samantha Bellard 12/18/85 AL M 56120 3/13/09 0 0 $0.00 $42.37 $0.00
Qutina Cary 4/21/92 AL I 31200 10/28/20 1 0 $0.00 $0.00 $0.00
Mary Cole 11/14/68 AL I 42640 6/22/15 1 0 $83.27 $0.00 $7.07
Shelby Dennis 2/22/00 AL I 27040 3/3/23 0 0 $83.27 $0.00 $7.07
Edward Engram 5/7/86 AL I 27040 10/20/23 0 0 $0.00 $0.00 $0.00
Miracle Frazier 5/7/91 AL I 27040 9/4/23 0 0 $0.00 $0.00 $0.00
Deanna Hancock 5/13/85 AL M 28080 11/12/22 0 0 $0.00 $0.00 $7.07
Jared Harden 2/11/88 AL I 28080 6/12/23 0 0 $0.00 $0.00 $0.00
Stephanie Hurt 3/19/85 AL I 30160 5/20/22 1 0 $83.27 $0.00 $7.07
Ashley Jerkins 7/20/89 AL I 30160 8/15/22 0 0 $0.00 $0.00 $0.00
Katrina Johnson 10/21/77 AL I 59480 3/23/22 1 0 $83.27 $45.75 $7.07
Spring Kimbro 10/2/70 AL I 27040 8/29/23 0 0 $0.00 $0.00 $0.00
Angela Kogutz 12/8/71 AL M 28080 12/23/23 0 0 $0.00 $0.00 $0.00
Gloria Lopez Giron 3/7/89 AL I 27040 1/5/24 2 0 $0.00 $0.00 $0.00
Dixie Poling 3/10/64 AL I 42640 8/5/10 1 0 $0.00 $30.00 $0.00
Helen Russell 9/13/76 AL I 40560 4/21/21 0 0 $83.27 $0.00 $13.71
Maurine Satchell 8/22/92 AL I 27040 4/6/23 0 0 $0.00 $0.00 $0.00
Jeremy Sumrall 5/4/76 AL I 63340 6/1/18 0 0 $154.05 $50.00 $16.16
Natalie Sumrall 11/14/76 AL M 81680 4/22/12 0 0 $154.05 $65.00 $16.16
Janchez Watson 8/10/82 AL I 36400 4/25/12 2 0 $0.00 $20.00 $0.00

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