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CITY OF ARDEN HILLS PAYROLL # 12-1 CHECKS DATED: 06/05/15 Biweekly: 05/16/15 - 05/29/15 EMPLOYEE DEDUCTIONS AMT.Payment Method FIT 377.62 EFT SIT 170.19 EFT FICA Oasdi 242.36 EFT FICA Medicare 56.68 EFT TOTAL TAXES 846.85 Health Premium 157.28 A/P Check* Dental Premium A/P Check* FSA Health Care Reimb.A/P Check* FSA Dependent Care Reimb.A/P Check* TOTAL FLEXIBLE SPENDING 157.28 HSA Health Saving 765.00 Health Care Savings Plan EFT Health Care Savings Plan-2%EFT Health Care Savings Plan-4%EFT TOTAL HEALTH SAVINGS 765.00 PERA 278.56 EFT ICMA 21.82 EFT Central Pension Fund-Union A/P Check* MN State Retirement System EFT TOTAL RETIREMENT 300.38 IUOE 49 Dues (Union)A/P Check* LTD/STD Insurance A/P Check* PERA Life Insurance A/P Check* Life/Addl/Dep Life A/P Check* Public Employee Long Term Care A/P Check* UNUM A/P Check* AFLAC EFT Avesis-Vision Care A/P Check* TOTAL VOLUNTARY 0.00 Total Employee Deductions 2,069.51 Net Payroll 0.00 Direct Deposit 2,761.69 EFT Gross Payroll Tie-Out 4,831.20 STD/LTD Gross - Up 0.00 Plus City Paid Benefit 620.46 ICMA Benefit Held 0.00 TOTAL PAYROLL COST 5,451.66 FICA TIE-OUT Gross Payroll 4,831.20 Less Total FSA 157.28 Plus Employer Match ICMA 0.00 Plus ICMA Benefit Held 0.00 Net P/R Subject to FICA 4,673.92 FICA Oasdi @ 6.20% 242.36 FICA Medicare @ 1.45% 56.68 Note: Federal and State Payroll Tax obligations are satisfied by means of utilizing the "Taxtel" Electronic Tax Deposit Service. Trans- fers are typically made two business days after the payroll date. * A/P Checks can be found on the ACCOUNTS PAYABLE Check Approval report. Checks may be paid this week or the following week. 0.00 321.42 0.00 321.42 0.00 0.00 CITY BENEFIT 242.36 56.68 299.04