FRI, JAN 9, 2004, 3:46 PM PAGE 1
16 WASHINGTON COMMUNITY COLL. REPORT PS0365
SUMMARY OF EMPLOYEE BENEFITS AND DEDUCTIONS VER015
HEALTH/
DENTAL LIFE INSURANCE LTD ANNUITY RETIREMENT
------------ ----------------------------------- ---------------- ---------- ---------------
EMPLOYEE MO E DED LIFE SAL DED WAIT SAL DED RED SAL DED
EMPLOYEE NAME ID DOB SAL T CD AMT PL B B2 C D E1 E2 BASE AMT PER BASE AMT CD AMT PL % AMT
____________________________________________________________________________________________________________________________________
HIGBEE, JOE ********* 022330 0 F U1 R 82.00 NS Y 25 MAX 100 0 70836 196.65 0 0.00 0.00 W1 6.00 0.00
APARICIO, SEVER ********* 052833 0 F C1 R 69.00 SM Y 0 015 0 0 70836 16.43 240 4427 12.40 0.00 W1 6.00 0.00
FIELDS, M L ********* 072234 0 F C1 R 69.00 NS Y 0 MAX 10 0 70836 81.65 0 0.00 085 440.00 W1 6.00 0.00
GRIBBLE, JAMES ********* 082734 3291 C CA4 R 44.00 NS N 0 MAX 0 0 39492 40.00 060 3291 36.86 0.00 P1 6.00 197.46
STEARNS, DAVID ********* 122736 0 P U1 R 82.00 0 0 0 0 0.00 0 0.00 0.00 0.00 0.00
MADRGRGAL, OSCA ********* 010437 0 F U1 R 82.00 SM N 0 0 0 0 0.00 120 4427 19.04 0.00 T1 10.00 0.00
LABERNIK, RUDY ********* 021337 0 P C1 R 69.00 0 0 0 0 0.00 0 0.00 0.00 0.00 0.00
WEEKS, ROBERT ********* 050937 0 P C1 R 30.00 0 0 0 0 0.00 0 0.00 0.00 0.00 0.00
DOWNEY, JASEN ********* 050738 0 F C1 R 69.00 NS 0 0 0 0 0.00 0 0.00 0.00 T1 10.00 0.00
FRACKIEWICZ, MA ********* 082438 2984 C U1 R 82.00 NS Y 25 MAX 50 F 100 35808 114.05 090 2984 18.20 0.00 P1 6.00 179.04
LE, THO N ********* 032039 0 P CA1 R 98.00 0 0 0 0 0.00 0 0.00 0.00 0.00 0.00
MELTON, ROD ********* 051039 0 P CA1 R 98.00 0 0 0 0 0.00 0 0.00 0.00 T1 10.00 0.00
DURHAM, DENNIS ********* 060639 2468 C C1 R 30.00 SM Y 0 0 0 0 0.65 090 2468 15.05 0.00 P2 1.18 29.12
MUEHLBAUER, MAR ********* 060739 0 F U1 R 82.00 NS N 0 0 0 0 0.00 0 0.00 0.00 T1 10.00 0.00
KUBIE, AMANDA ********* 072339 0 P U1 R 36.00 0 0 0 0 0.00 0 0.00 0.00 T1 10.00 0.00
VOGLER, R J ********* 022840 0 C U1 R 36.00 SM N 0 MAX 0 E 200 36708 27.62 060 2549 28.55 0.00 P2 1.18 0.00
CHRISTENSEN, BA ********* 070540 0 P B7 R 67.00 0 0 0 0 0.00 0 0.00 0.00 W1 6.00 0.00
GILES, MERLIN D ********* 072540 2468 C C1 R 30.00 SM N 0 020 0 0 29616 13.20 0 0.00 0.00 P2 1.18 29.12
RICHINS, LARRY ********* 081840 2841 C C1 R 69.00 NS Y 5 MAX 10 0 34092 33.15 0 0.00 0.00 P2 1.18 33.52
DESANTI, SCOTT ********* 121040 3059 C C4 R 30.00 SM N 0 MAX 0 0 36708 24.42 120 3059 11.32 110 200.00 P1 6.00 183.54
BRIDGES, MICHAE ********* 122540 2198 C C1 R 69.00 SM Y 25 MAX 50 0 28956 69.29 0 0.00 0.00 P2 1.18 25.94
HACKNER, FREDRI ********* 020241 2526 C U1 R 36.00 NS 0 0 0 0 0.00 0 0.00 101 425.00 P1 6.00 151.56
ROWAN, CLAY ********* 080941 0 F C1 R 69.00 SM Y 30 MAX 60 0 70836 106.91 120 4427 19.04 101 525.00 T1 10.00 0.00
FRI, JAN 9, 2004, 3:46 PM PAGE 2
16 WASHINGTON COMMUNITY COLL. REPORT PS0365
SUMMARY OF EMPLOYEE BENEFITS AND DEDUCTIONS VER015
HEALTH/
DENTAL LIFE INSURANCE LTD ANNUITY RETIREMENT
------------ ----------------------------------- ---------------- ---------- ---------------
EMPLOYEE MO E DED LIFE SAL DED WAIT SAL DED RED SAL DED
EMPLOYEE NAME ID DOB SAL T CD AMT PL B B2 C D E1 E2 BASE AMT PER BASE AMT CD AMT PL % AMT
____________________________________________________________________________________________________________________________________
ROWAN, CLAY ********* 080941 0 F C1 R 69.00 SM Y 30 MAX 60 0 70836 106.91 120 4427 19.04 110 117.00 T1 10.00 0.00
KOCH, KAE ********* 111141 1868 C U1 R 36.00 SM Y 0 MAX 0 0 26376 18.47 060 2198 24.62 0.00 P2 1.18 22.04
KUZMAK, ALEX ********* 042642 0 C C1 R 69.00 NS N 0 0 0 0 0.00 0 0.00 0.00 P2 1.18 0.00
KOCHIS, L I ********* 051942 0 C C1 R 30.00 SM N 0 0 0 0 0.00 0 0.00 0.00 P2 1.18 0.00
NASS, C I ********* 052942 0 E CA1 R 131.00 SM N 0 MAX 40 0 55400 63.36 090 4617 34.17 0.00 T1 10.00 0.00
FOX, COLLEEN ********* 072642 5843 E CA1 R 44.00 NS 0 0 0 0 0.00 060 5843 78.88 0.00 T1 10.00 584.30
FOCHT, NANCY ********* 101342 2586 C C1 R 30.00 SM N 0 45 0 31032 29.70 180 2586 7.50 085 15.00 P2 1.18 30.51
ALLEN, ERIKA ********* 112642 2526 C C1 R 69.00 NS Y 0 0 0 0 0.65 0 0.00 0.00 P2 1.18 29.81
ABALOS, JULIA ********* 120942 0 P U1 R 36.00 0 0 0 0 0.00 060 1434 19.36 0.00 T1 10.00 0.00
FLANNERY, JAMES ********* 121942 0 F U1 R 36.00 SM N 0 0 0 0 0.00 0 0.00 110 450.00 W1 6.00 0.00
DESJARDIN, G ********* 122842 3460 C C1 R 69.00 SM Y 0 MAX 0 F 50 41520 29.57 030 3460 73.01 0.00 P2 1.18 40.83
MAGGARD, TIM ********* 010943 2937 C U1 R 36.00 NS N 0 0 0 0 0.00 0 0.00 0.00 P2 1.18 34.66
IBARRA, MARIA ********* 011043 4468 E U1 R 109.00 NS Y 25 025 50 F 100 53620 68.05 0 0.00 0.00 P2 1.18 52.72
KIN, BEVERLY ********* 012143 4616 E U1 R 109.00 SM Y 0 0 0 0 0.65 0 0.00 101 250.00 T1 10.00 461.60
COLE, GRACE ********* 021543 0 C CA1 R 98.00 SM N 0 0 0 0 0.00 090 2262 13.80 0.00 P2 1.18 0.00
VALDEZ, JEREMY ********* 042143 0 F U1 R 36.00 SM N 0 MAX 30 0 70836 66.66 180 4427 12.84 0.00 W1 6.00 0.00
ADAMS, ANDREA ********* 061943 0 F U1 R 36.00 NS 0 20 0 66503 13.00 090 4156 30.75 0.00 T1 10.00 0.00
LAM, YAU ********* 073043 0 P B1 R 67.00 0 0 0 0 0.00 0 0.00 0.00 T1 10.00 0.00
YOUNG, J M ********* 082043 0 P CH1 R 10.00 0 0 0 0 0.00 0 0.00 0.00 T1 10.00 0.00
SOLBRACK, TOM ********* 091143 2526 C CA1 R 98.00 SM Y 50 010 90 0 30312 99.65 0 0.00 0.00 P2 1.18 29.81
BERRETH, DON DC ********* 092743 2198 C C1 R 30.00 SM N 0 0 0 0 0.00 0 0.00 0.00 P2 1.18 25.94
HUNT, JULIE ********* 100843 0 F B1 R 194.00 NS Y 20 MAX 0 0 70836 59.80 240 4427 13.72 0.00 T1 10.00 0.00
JONER, LISA ********* 102343 0 E U1 R 82.00 NS 0 0 0 0 0.00 060 1473 19.89 0.00 T1 10.00 0.00
FRI, JAN 9, 2004, 3:46 PM PAGE 15
16 WASHINGTON COMMUNITY COLL. REPORT PS0365
SUMMARY OF EMPLOYEE BENEFITS AND DEDUCTIONS VER015
HEALTH/
DENTAL LIFE INSURANCE LTD ANNUITY RETIREMENT
------------ ----------------------------------- ---------------- ---------- ---------------
EMPLOYEE MO E DED LIFE SAL DED WAIT SAL DED RED SAL DED
EMPLOYEE NAME ID DOB SAL T CD AMT PL B B2 C D E1 E2 BASE AMT PER BASE AMT CD AMT PL % AMT
____________________________________________________________________________________________________________________________________
FANCHER, JICK ********* 102471 0 F C1 R 30.00 NS 0 MAX 0 0 63036 2.94 0 0.00 0.00 T5 5.00 0.00
LEINUM, CAROLYN ********* 120871 0 P U1 R 36.00 0 0 0 0 0.00 0 0.00 0.00 T5 5.00 0.00
BEAUDRY, DOUGLA ********* 122971 0 P C1 R 91.00 0 0 0 0 0.00 0 0.00 0.00 T5 5.00 0.00
VILLEGAS, D R ********* 040772 2467 C C1 R 30.00 NS Y 0 0 0 0 0.65 0 0.00 0.00 H1 5.00 123.35
WEED, LYNN ********* 091772 0 P U1 R 36.00 0 0 0 0 0.00 0 0.00 0.00 T5 5.00 0.00
GAMMAGE, JAMES ********* 011173 0 F CA1 R 131.00 NS Y 0 0 0 0 0.65 0 0.00 0.00 T5 5.00 0.00
CALAHAN, HELEN ********* 072073 2586 C C1 R 30.00 0 0 0 0 0.00 090 2586 15.77 0.00 P2 1.18 30.51
LADD, SCOTT ********* 051074 0 P C1 R 30.00 0 0 0 0 0.00 0 0.00 0.00 T5 5.00 0.00
WEEDMAN, STEPHE ********* 052774 0 F U1 R 36.00 0 0 0 0 0.00 0 0.00 0.00 T5 5.00 0.00
GORDER, ROBERT ********* 031675 0 F U1 R 36.00 NS 0 050 50 0 63036 4.40 0 0.00 0.00 T5 5.00 0.00
BOAST, ROY ********* 061575 0 C C1 R 52.00 0 0 0 0 0.00 0 0.00 0.00 P2 1.18 0.00
SANDERS, L R ********* 071275 2100 C C7 R 91.00 NS Y 25 50 0 25200 3.95 0 0.00 0.00 P2 1.18 24.78
LOPEZ, GLORIA ********* 083075 2353 C C4 R 52.00 NS 0 0 0 0 0.00 0 0.00 0.00 P2 1.18 27.77
ORTEGA, VICTOR ********* 091275 0 C C1 R 30.00 0 0 0 0 0.00 0 0.00 0.00 J1 7.00 0.00
TOWNE, D ********* 032376 0 P C4 R 69.00 NS Y 50 100 0 64769 7.25 120 4048 17.41 0.00 T5 5.00 0.00
SPEER, KRISTINA ********* 062776 0 P B7 R 194.00 0 0 0 0 0.00 0 0.00 0.00 T5 5.00 0.00
MCCORD, WILLIAM ********* 110976 2945 E CA1 R 44.00 NS 0 0 0 0 0.00 090 2578 19.08 0.00 T5 5.00 147.25
SERNS, DAN ********* 102878 3549 C U1 R 82.00 0 0 0 0 0.00 060 3253 36.43 0.00 P2 1.18 41.88
EVERITT, JUDY ********* 030179 2100 C C1 R 30.00 NS 0 0 0 0 0.00 0 0.00 0.00 P2 1.18 24.78
OROZCO, BLANCA ********* 052879 0 C C4 R 69.00 NS Y 25 50 0 25200 3.95 090 1925 11.74 0.00 P2 1.18 0.00
ZAVALA, RAFAEL ********* 101980 1747 C C1 R 91.00 SM Y 0 0 0 0 0.65 0 0.00 0.00 P2 1.18 20.61
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