Test 20240118_171848

SheetJS Table Export

Company Name: Test
Address:
State: AL
Zip Code:
Point of Contact: Email Census to: sales@safeharborsavings.com
Safe Harbor Rep:
Payroll Frequency: Semi-Monthly * 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)
KEVIN JACKSON bobw@safeharborsavings.com 04/19/1971 NC M $280,000.00 04/08/2002 0 0 $- $- $-
LEIGHA ANTHONY bobw@safeharborsavings.com 01/27/1981 NC M $65,000.00 12/06/2021 1 0 $- $- $-
BRENDA COOKE bobw@safeharborsavings.com 08/04/1961 NC I $36,500.00 07/10/2017 3 0 $- $47.88 $53.85
JASON SHORT bobw@safeharborsavings.com 11/9/78 AL HH $29,120.00 1/18/2024 0 0 $- $- $-
LESTER CHUN bobw@safeharborsavings.com 11/30/04 CA I $65,000.00 1/18/2024 0 0 $- $- $-
JENNA-MARIE DRINKWATER bobw@safeharborsavings.com 6/15/01 FL I $57,200.00 1/18/2024 0 0 $- $- $-
KENNETH HONAKER bobw@safeharborsavings.com 12/17/01 KY I $54,995.20 1/18/2024 0 0 $- $- $-
KYLE JOHNSON bobw@safeharborsavings.com 10/14/96 IL I $57,200.00 1/18/2024 0 0 $- $- $-
CONNOR PAULSON bobw@safeharborsavings.com 3/31/01 WA I $59,280.00 1/18/2024 0 0 $- $- $-
KAMILLA SAMPAIO bobw@safeharborsavings.com 10/3/90 AL I $65,000.00 1/18/2024 0 0 $- $- $-
SAMUEL WHITE bobw@safeharborsavings.com 5/18/90 TX I $54,995.20 1/18/2024 0 0 $- $- $-

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