SafeWay Industrial (ee add on) 2-8-2024 20240212_163552

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Company Name: SafeWay Industrial (ee add on) 2-8-2024
Address: 620 College Parkway
City: Gadsden State: AL
Zip Code: 35903
Point of Contact: Scott Wilson
Safe Harbor Rep: BBFA
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)
Riley Wilson 9/22/1993 AL M $65,000.00 11/9/23 1 0 $0.00 $0.00 24.75
Clayton Routon 6/26/2004 AL I $33,280.00 11/13/23 0 0 $0.00 $0.00 0.00
Roy Grooms 9/27/87 AL M $75,004.80 11/13/23 0 0 $0.00 $0.00 0.00

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