Tesla, Inc.

Pay Statement
12832 Frontrunner Blvd Period Start Date 12/17/2018
Draper, UT 84020
Period End Date 12/30/2018
510-249-3520
Pay Date 01/04/2019
Document 3296657
Net Pay $1,766.49

Pay Details
Walter Emmons Employee Number 699857 Pay TMI - Bi-Weekly Federal Income Tax S 0
219 s 6th st SSN XXX-XX-XXXX Group CA State Income Tax (Residence) S 0
Patterson, CA 95363 Job Production Associate Location NA-US-CA-Fremont-CDC CA  State Income Tax (Work) S 0
USA Pay Rate $19.0000 Cost 172000 - Fremont - Model 3 -
Center Assem
Pay Frequency Biweekly
SIO G5000 - Direct Labor
Project
AX 77 - NA-US-CA-Fremont-CDC
Location

Earnings

Pay Type Week Hours Pay Rate Current YTD

Regular Pay 2nd SFT 1 40.0000 $20.9000 $836.00
Overtime 1 13.0500 $31.3502 $409.12
Paid Time Off 1 2.0000 $20.9000 $41.80
Regular Pay 2nd SFT 2 24.0000 $20.9000 $501.60 $1,337.60
Overtime 2 11.2500 $31.3502 $352.69 $761.81
Paid Time Off 2 16.0000 $20.9000 $334.40 $376.20
Holiday 2 16.0000 $19.0000 $304.00 $304.00
Group Term Life 2 $1.25 $1.25

Total Hours Paid 122.3000

Deductions

Employee Employer

Deduction Pre-Tax Current YTD Current YTD

401k Yes $277.96 $277.96 $0.00 $0.00
Dental Pretax Yes $5.00 $5.00 $0.00 $0.00
Group Term Life No $1.25 $1.25 $0.00 $0.00
Medical Pretax Yes $15.00 $15.00 $0.00 $0.00
Vision Yes $2.50 $2.50 $0.00 $0.00

Taxes

Tax Current YTD

Federal Income Tax $353.97 $353.97
Employee Medicare $40.00 $40.00
Social Security Employee Tax $171.02 $171.02
CA State Income Tax $120.10 $120.10
CA Disability Employee $27.57 $27.57

Paid Time Off Net Pay Distribution

Plan Balance Account Number Account Type Amount

Paid Time Off 12.2200 xxxxxx6463 Checking $1,766.49
Total $1,766.49

Pay Summary

  Gross FIT Taxable Wages Taxes Deductions Net Pay

Current $2,780.86 $2,480.40 $712.66 $301.71 $1,766.49
YTD $2,780.86 $2,480.40 $712.66 $301.71 $1,766.49

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