The Work Number

Employment Data Report

07/09/2024

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Dear Christos,

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Your Employment Data Report includes all employment and income data in your file and a list of all verifiers
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who have requested your data in the past 24 months. An important document titled "A Summary of Your
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Rights Under the Fair Credit Reporting Act" is included below. Great care has been taken to report this
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information correctly. If you would like to dispute your data, please visit https://theworknumber.com/solutions
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/consumers/employee-data-dispute.
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The information provided in this document is an unofficial report, intended for personal use by the employee-
recipient only. Using this document for consumer verification purposes is not an authorized use of this
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document and does not meet industry verification standards. If someone is asking you to provide verification
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of employment or income, please direct them to www.theworknumber.com. If you need further assistance or
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wish to dispute any information in your Employment Data Report, please contact our Client Service Center at
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866-222-5880 Monday through Friday 8am-7pm CT or go to https://theworknumber.com/solutions/consumers

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/employee-data-dispute. Please reference case number 973887981410. If you wish, you may also contact your
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employer(s) at the address indicated in each employment record. Certain fields within The Work Number
verifications may be unavailable if the employer did not report the information; if the information provided by
the employer was determined to be inaccurate, incomplete or unverifiable; or if applicable laws or regulations
prevent the disclosure of the information.

Sincerely,
The Work Number Service Team

Attachment
MM, MS

973887981410 Page 1 of 36
Verifiers who have procured or attempted to procure your data in the past 24 months

Date of Request: 11/09/2023

Organization Name Target Corp

Date of Request: 10/19/2023

Organization Name Nordstrom Card Services

List of Employers

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Additional information for each employer is included below.

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Temple University Section 1
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Employment Status: No Longer Employed

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Original Hire Date: 03/01/2013

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Date of Termination: 09/30/2013

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NorthStar Anesthesia Section 2

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Employment Status: Active

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Original Hire Date: 07/01/2018

WEST CHESTER ANESTHESIA ASSOCIATES Section 3

Employment Status: Inactive

Original Hire Date: 01/01/2016

Date of Termination: 06/30/2018

Emergency Medical Services Corp & American Medical Response Section 4

Employment Status: Separated

973887981410 Page 2 of 36
 Original Hire Date: 11/01/2009

Date of Termination: 04/01/2013

Cleveland Clinic Foundation, The Section 5

Employment Status: No Longer Employed

Date of Termination: 04/30/2007

Section 1

Employer Information for Temple University

Employee Information

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Employee Name Christos Kessaris

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Date of Birth 07/16/1969
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SSN XXX XX 0464

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Employee Address 83 Blue Ridge Cir , Newark , DE , 19702-2984

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Employee Phone Number

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Employer Information
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Employer Name Temple University

Employment Status No Longer Employed

Information Current as of 12/19/2013

Employer Code 15162

Employer Address 1805 N. Broad Street , Philadelphia , PA , 19122-6003

Job Title Asst Prof Clinician Scholar

973887981410 Page 3 of 36
 Total Time with Employer

FEIN 231365971

Division 05400

Work Location (Job Site)

Union Affiliation

Rate of Pay $0.00 Monthly

Average Hours per Pay Period

Original Hire Date 03/01/2013

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Most Recent Start Date 03/01/2013

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Date of Termination 09/30/2013
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Reason for Termination

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Yearly Income Summary

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2013
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Base Pay $159259.02

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Overtime

Commission $0.00

Bonuses

Other $2346.25

Holiday

Pension

973887981410 Page 4 of 36
 Shift
Differential

Severance

Stock(Vested)

Sick

Vacation

Tips

Total Pay $161605.27

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Historical Pay Period Summary

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Pay Period Pay Period Hours Gross

Pay Date Net
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Begin Date End Date Worked Earnings

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09/30/2013 09/30/2013 1.00 $637.50 $585.96

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08/31/2013 08/30/2013 346.66 $26955.67 $18149.31

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07/31/2013 07/31/2013 346.66 $26693.17 $17477.21

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06/30/2013 06/28/2013 346.66 $26818.17 $16462.91

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05/31/2013 05/31/2013 346.66 $27364.42 $16748.17

04/30/2013 04/30/2013 346.66 $26593.17 $16341.64

03/31/2013 03/29/2013 346.66 $26543.17 $16312.62

Pay Period Income Detail - 09/30/2013

Total Gross Earnings $637.50

973887981410 Page 5 of 36
 Pension

Other Income

Pay Period Withholding Detail - 09/30/2013

Federal Tax

State Tax

Local Tax

Social Security

Medicare

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Retirement/401k

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Cafeteria Plan
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Garnishments
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Other Withholding
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Pay Increase Information

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Next Projected Date of Pay Increase

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Next Projected Amount of Pay Increase

Last Date of Pay Increase

Last Amount of Pay Increase

Income & Deductions

Average Hours Per Pay Period

Pay Cycle Monthly

973887981410 Page 6 of 36
 Payroll Deduction for All Insurance Coverage

Workers' Compensation

Receiving Workers' Compensation

Carrier

Date of Inquiry

Date of Award

Claim Number

Claim Pending

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Employer Level Disclaimer
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VOI: In the wake of the COVID-19 epidemic, updated information is sent weekly to ensure verification of employment records are up to date
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and current.Garnishment requests should be sent to:Temple UniversityTASB 083-54 Attn: Payroll Management1852 N. 10th
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StreetPhiladelphia, PA 19122
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SSV: In the wake of the COVID-19 epidemic, updated information is sent weekly to ensure verification of employment records are up to date
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and current.Garnishment requests should be sent to:Temple UniversityTASB 083-54 Attn: Payroll Management1852 N. 10th
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StreetPhiladelphia, PA 19122
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VOE: In the wake of the COVID-19 epidemic, updated information is sent weekly to ensure verification of employment records are up to date
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and current.Garnishment requests should be sent to:Temple UniversityTASB 083-54 Attn: Payroll Management1852 N. 10th
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StreetPhiladelphia, PA 19122
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Section 2
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Employer Information for NorthStar Anesthesia

973887981410 Page 7 of 36
 Employee Information

Employee Name Christos Kessaris

Date of Birth 07/16/1969

SSN XXX XX 0464

Employee Address 162 Oldbury Drive , Wilmington , DE , 19808

Employee Phone Number

Employer Information

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Employer Name NorthStar Anesthesia
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Employment Status Active

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Information Current as of 06/28/2024

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Employer Code 30102

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Employer Address 6225 N. State Hwy 161 , Ste. 200 , Irving , TX , 75038
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Job Title Medical Director of Anesthesia

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Total Time with Employer

FEIN 463047726

Division NSPA

Work Location (Job Site)

Union Affiliation

Rate of Pay $445000.00 Annual

973887981410 Page 8 of 36
 Average Hours per Pay Period 80.00

Original Hire Date 07/01/2018

Most Recent Start Date 07/01/2018

Date of Termination

Reason for Termination

Yearly Income Summary

2024 2023 2022 2021

Base Pay $234423.38 $478439.11 $508769.87 $453600.78

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Overtime $248.00 $0.00 $15000.00 $0.00
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Commission $0.00 $0.00 $0.00 $0.00

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Bonuses $9000.00 $20000.00 $20000.00 $22500.00

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Other $128.96 $138.06 $138.06 $138.06

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Holiday
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Pension
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Shift
Differential

Severance

Stock
(Vested)

Sick

Vacation

973887981410 Page 9 of 36
 Tips

Total Pay $243800.34 $498577.17 $543907.93 $476238.84

2020 2019 2018

Base Pay $443905.88 $440700.84 $191238.85

Overtime $0.00 $0.00 $0.00

Commission $0.00 $0.00 $0.00

Bonuses $19000.00 $20000.00 $20000.00

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Other $143.37 $138.06 $41.52

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Holiday
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Pension
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Shift
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Differential
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Severance
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Stock(Vested)
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Sick

Vacation

Tips

Total Pay $463049.25 $460838.90 $211280.37

Historical Pay Period Summary

973887981410 Page 10 of 36
 Pay Period Pay Period Pay Date Hours Gross Net
Begin Date End Date Worked Earnings

06/09/2024 06/22/2024 06/28/2024 $18076.93 $10936.00

05/26/2024 06/08/2024 06/14/2024 $18076.99 $10936.05

05/12/2024 05/25/2024 05/31/2024 $18076.93 $11111.94

04/28/2024 05/11/2024 05/17/2024 $18076.93 $10950.77

04/14/2024 04/27/2024 05/03/2024 $22076.93 $12231.50

03/31/2024 04/13/2024 04/19/2024 $18076.93 $10036.29

03/17/2024 03/30/2024 04/05/2024 $18076.93 $10036.28

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03/03/2024 03/16/2024 03/22/2024 $18076.93 $10036.28

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02/18/2024 03/02/2024 03/08/2024 $18076.93 $10036.29

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02/04/2024 02/17/2024 02/23/2024 $18076.93 $10036.28

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01/21/2024 02/03/2024 02/09/2024 $18076.93 $10036.28

Em
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01/07/2024 01/20/2024 01/26/2024 $23076.93 $12780.41

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12/24/2023 01/06/2024 01/12/2024 $17748.16 $9861.53

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12/10/2023 12/23/2023 12/29/2023 $17500.01 $11646.54

11/26/2023 12/09/2023 12/15/2023 $18461.55 $12204.02

11/12/2023 11/25/2023 12/01/2023 $18461.62 $12204.09

10/29/2023 11/11/2023 11/17/2023 $18461.55 $11987.52

10/15/2023 10/28/2023 11/03/2023 $23461.55 $15812.59

10/01/2023 10/14/2023 10/20/2023 $18461.55 $12204.03

973887981410 Page 11 of 36
 09/17/2023 09/30/2023 10/06/2023 $20261.55 $13226.46

09/03/2023 09/16/2023 09/22/2023 $20461.62 $13336.46

08/20/2023 09/02/2023 09/08/2023 $31153.88 $19850.45

08/06/2023 08/19/2023 08/25/2023 $16538.47 $11089.04

07/23/2023 08/05/2023 08/11/2023 $18338.47 $12132.66

07/09/2023 07/22/2023 07/28/2023 $16538.47 $10594.41

06/25/2023 07/08/2023 07/14/2023 $16538.53 $9905.92

06/11/2023 06/24/2023 06/30/2023 $29038.47 $16781.35

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05/28/2023 06/10/2023 06/16/2023 $16538.53 $9945.72

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05/14/2023 05/27/2023 06/02/2023
U $19038.47 $11438.71
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04/30/2023 05/13/2023 05/19/2023 $16538.47 $10048.48

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04/16/2023 04/29/2023 05/05/2023 $19038.47 $10375.30

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04/02/2023 04/15/2023 04/21/2023 $20838.47 $11130.07

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03/19/2023 04/01/2023 04/07/2023 $16538.47 $9066.18

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03/05/2023 03/18/2023 03/24/2023 $18538.47 $10071.23

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02/19/2023 03/04/2023 03/10/2023 $24038.47 $13033.70

02/05/2023 02/18/2023 02/24/2023 $16538.47 $9066.18

01/22/2023 02/04/2023 02/10/2023 $16538.47 $9066.18

01/08/2023 01/21/2023 01/27/2023 $16538.47 $9066.19

12/25/2022 01/07/2023 01/13/2023 $19038.59 $10301.47

12/11/2022 12/24/2022 12/30/2022 $16538.47 $11081.68

973887981410 Page 12 of 36
 11/27/2022 12/10/2022 12/16/2022 $19038.47 $12506.48

11/13/2022 11/26/2022 12/02/2022 $27338.53 $17706.42

10/30/2022 11/12/2022 11/18/2022 $19038.47 $12506.48

10/16/2022 10/29/2022 11/04/2022 $21038.47 $13606.27

10/02/2022 10/15/2022 10/21/2022 $16538.47 $11081.67

09/18/2022 10/01/2022 10/07/2022 $16538.47 $11081.67

09/04/2022 09/17/2022 09/23/2022 $22838.53 $14596.13

08/21/2022 09/03/2022 09/09/2022 $20838.47 $13496.29

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08/07/2022 08/20/2022 08/26/2022 $21138.47 $13661.25

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07/24/2022 08/06/2022 08/12/2022 $24038.47 $15889.79
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07/10/2022 07/23/2022 07/29/2022 $26738.47 $16736.16

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oy
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06/26/2022 07/09/2022 07/15/2022 $19038.53 $12506.51

Em
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06/12/2022 06/25/2022 07/01/2022 $21588.47 $12845.75

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05/29/2022 06/11/2022 06/17/2022 $19038.53 $11381.54

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05/15/2022 05/28/2022 06/03/2022 $16538.47 $10082.75

05/01/2022 05/14/2022 05/20/2022 $31838.47 $18481.95

04/17/2022 04/30/2022 05/06/2022 $31346.22 $17718.01

04/03/2022 04/16/2022 04/22/2022 $19946.17 $10887.54

03/20/2022 04/02/2022 04/08/2022 $20296.17 $10988.85

03/06/2022 03/19/2022 03/25/2022 $20746.17 $11186.60

02/20/2022 03/05/2022 03/11/2022 $16346.17 $9147.96

973887981410 Page 13 of 36
 02/06/2022 02/19/2022 02/25/2022 $18346.17 $10080.96

01/23/2022 02/05/2022 02/11/2022 $21346.17 $11916.49

01/09/2022 01/22/2022 01/28/2022 $19346.17 $10547.44

12/26/2021 01/08/2022 01/14/2022 $16346.23 $9147.99

12/12/2021 12/25/2021 12/31/2021 $17546.23 $11615.34

11/28/2021 12/11/2021 12/17/2021 $16346.17 $10919.43

11/14/2021 11/27/2021 12/03/2021 $16346.23 $10919.45

10/31/2021 11/13/2021 11/19/2021 $22746.17 $14478.37

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10/17/2021 10/30/2021 11/05/2021 $21346.17 $14305.10
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10/03/2021 10/16/2021 10/22/2021 $25246.17 $15853.12

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09/19/2021 10/02/2021 10/08/2021 $16346.17 $10919.43

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09/05/2021 09/18/2021 09/24/2021 $17546.23 $11615.33

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08/22/2021 09/04/2021 09/10/2021 $16346.17 $10919.43

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08/08/2021 08/21/2021 08/27/2021 $16346.17 $10919.42

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07/25/2021 08/07/2021 08/13/2021 $20446.17 $12464.16

07/11/2021 07/24/2021 07/30/2021 $23146.17 $14046.76

06/27/2021 07/10/2021 07/16/2021 $16346.23 $10030.88

06/13/2021 06/26/2021 07/02/2021 $16346.17 $10030.83

05/30/2021 06/12/2021 06/18/2021 $17346.23 $10647.56

05/16/2021 05/29/2021 06/04/2021 $16346.17 $10172.70

973887981410 Page 14 of 36
 05/02/2021 05/15/2021 05/21/2021 $17596.17 $10840.87

04/18/2021 05/01/2021 05/07/2021 $21346.17 $12885.95

04/04/2021 04/17/2021 04/23/2021 $18346.17 $10140.58

03/21/2021 04/03/2021 04/09/2021 $16346.17 $9195.51

03/07/2021 03/20/2021 03/26/2021 $16346.17 $9195.49

02/21/2021 03/06/2021 03/12/2021 $16346.17 $9195.50

02/07/2021 02/20/2021 02/26/2021 $17846.17 $9904.30

01/24/2021 02/06/2021 02/12/2021 $16346.17 $9195.52

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01/10/2021 01/23/2021 01/29/2021 $23096.17 $12827.37

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12/27/2020 01/09/2021 01/15/2021
U $16346.23 $9195.53
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12/13/2020 12/26/2020 12/31/2020 $17346.23 $11488.04

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11/29/2020 12/12/2020 12/18/2020 $16346.17 $10906.09

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11/15/2020 11/28/2020 12/04/2020 $11500.08 $8361.54

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11/01/2020 11/14/2020 11/20/2020 $10500.02 $7228.12

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10/18/2020 10/31/2020 11/06/2020 $16346.17 $10906.10

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10/04/2020 10/17/2020 10/23/2020 $21596.17 $14333.25

09/20/2020 10/03/2020 10/09/2020 $16346.17 $10906.11

09/06/2020 09/19/2020 09/25/2020 $18596.23 $12303.53

08/23/2020 09/05/2020 09/11/2020 $20731.09 $13196.90

08/09/2020 08/22/2020 08/28/2020 $16346.47 $10017.67

07/26/2020 08/08/2020 08/14/2020 $18846.17 $11331.36

973887981410 Page 15 of 36
 07/12/2020 07/25/2020 07/31/2020 $16346.23 $10116.29

06/28/2020 07/11/2020 07/17/2020 $20346.23 $12599.15

06/14/2020 06/27/2020 07/03/2020 $16346.47 $10116.40

05/31/2020 06/13/2020 06/19/2020 $17596.17 $10780.71

05/17/2020 05/30/2020 06/05/2020 $16346.23 $10217.86

05/03/2020 05/16/2020 05/22/2020 $18096.23 $11204.22

04/19/2020 05/02/2020 05/08/2020 $16346.17 $10258.18

04/05/2020 04/18/2020 04/24/2020 $16846.17 $10528.46

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03/22/2020 04/04/2020 04/10/2020 $20346.30 $11641.66

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03/08/2020 03/21/2020 03/27/2020 $18346.17 $10237.63
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02/23/2020 03/07/2020 03/13/2020 $16346.17 $9280.48

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02/09/2020 02/22/2020 02/28/2020 $18346.17 $10237.62

Em
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01/26/2020 02/08/2020 02/14/2020 $16351.48 $9280.47

ep
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01/12/2020 01/25/2020 01/31/2020 $16351.48 $9280.48

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12/29/2019 01/11/2020 01/17/2020 $21351.55 $12119.76

12/15/2019 12/28/2019 01/03/2020 $16351.55 $9280.49

12/01/2019 12/14/2019 12/20/2019 $17601.48 $11682.29

11/17/2019 11/30/2019 12/06/2019 $16351.55 $10973.70

11/03/2019 11/16/2019 11/22/2019 $18351.48 $12094.71

10/20/2019 11/02/2019 11/08/2019 $21351.48 $13819.83

10/06/2019 10/19/2019 10/25/2019 $16351.48 $8541.78

973887981410 Page 16 of 36
 09/22/2019 10/05/2019 10/11/2019 $16351.48 $10915.58

09/08/2019 09/21/2019 09/27/2019 $18101.48 $11344.50

08/25/2019 09/07/2019 09/13/2019 $16351.55 $10125.79

08/11/2019 08/24/2019 08/30/2019 $16351.48 $10125.73

07/28/2019 08/10/2019 08/16/2019 $16351.48 $10125.75

07/14/2019 07/27/2019 08/02/2019 $18351.48 $11299.70

06/30/2019 07/13/2019 07/19/2019 $21351.55 $13365.48

06/16/2019 06/29/2019 07/05/2019 $17601.48 $10910.33

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06/02/2019 06/15/2019 06/21/2019 $16351.48 $10238.30
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05/19/2019 06/01/2019 06/07/2019 $16351.55 $10312.89

rs
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05/05/2019 05/18/2019 05/24/2019 $18101.48 $11337.41

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04/21/2019 05/04/2019 05/10/2019 $16351.48 $10380.81

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04/07/2019 04/20/2019 04/26/2019 $16601.48 $10517.47

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03/24/2019 04/06/2019 04/12/2019 $16351.48 $9976.60

no
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03/10/2019 03/23/2019 03/29/2019 $18101.48 $10247.20

02/24/2019 03/09/2019 03/15/2019 $21351.48 $12275.07

02/10/2019 02/23/2019 03/01/2019 $18851.48 $10599.51

01/27/2019 02/09/2019 02/15/2019 $16351.48 $9399.08

01/13/2019 01/26/2019 02/01/2019 $16351.48 $9399.10

12/30/2018 01/12/2019 01/18/2019 $21351.55 $12275.11

973887981410 Page 17 of 36
 12/16/2018 12/29/2018 01/04/2019 $17551.55 $10028.88

12/02/2018 12/15/2018 12/21/2018 $16349.63 $10394.82

11/18/2018 12/01/2018 12/07/2018 $19799.70 $12293.87

11/04/2018 11/17/2018 11/23/2018 $16349.63 $10461.36

10/21/2018 11/03/2018 11/09/2018 $15676.55 $10093.46

10/07/2018 10/20/2018 10/26/2018 $15388.09 $9752.93

09/23/2018 10/06/2018 10/12/2018 $15388.09 $9001.76

09/09/2018 09/22/2018 09/28/2018 $20388.09 $11881.93

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08/26/2018 09/08/2018 09/14/2018 $15388.16 $9001.83

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08/12/2018 08/25/2018 08/31/2018
U $15388.09 $9001.76
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07/29/2018 08/11/2018 08/17/2018 $15388.09 $9143.62

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ee
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07/15/2018 07/28/2018 08/03/2018 $15388.09 $9143.61

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07/01/2018 07/14/2018 07/20/2018 $30388.16 $19342.42

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Pay Period Income Detail - 06/22/2024

ffi
no
U

Total Gross Earnings $18076.93

Pension

Other Income

Pay Period Withholding Detail - 06/22/2024

Federal Tax

State Tax

973887981410 Page 18 of 36
 Local Tax

Social Security

Medicare

Retirement/401k

Cafeteria Plan

Garnishments

Other Withholding

Pay Increase Information

y.
nl
Next Projected Date of Pay Increase

O
se
U
Next Projected Amount of Pay Increase
al
on
rs

Last Date of Pay Increase

Pe
ee

Last Amount of Pay Increase

oy
pl
Em
ort

Income & Deductions

ep
R
al
ci

Average Hours Per Pay Period 80.00

ffi
no
U

Pay Cycle Bi-weekly

Payroll Deduction for All Insurance Coverage

Workers' Compensation

Receiving Workers' Compensation

Carrier

Date of Inquiry

973887981410 Page 19 of 36
 Date of Award

Claim Number

Claim Pending

Employer Level Disclaimer

VOI: This is a general employer message and is provided on every verification for your information and convenience. Garnishment requests
should be sent to: NorthStar Anesthesia6225 N. State Hwy. 161Ste. 200Irving, TX 75038
SSV: This is a general employer message and is provided on every verification for your information and convenience. Garnishment requests
should be sent to: NorthStar Anesthesia6225 N. State Hwy. 161Ste. 200Irving, TX 75038
VOE: This is a general employer message and is provided on every verification for your information and convenience. Garnishment requests
should be sent to: NorthStar Anesthesia6225 N. State Hwy. 161Ste. 200Irving, TX 75038

Section 3

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Employer Information for WEST CHESTER ANESTHESIA ASSOCIATES

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Employee Information
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on
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Employee Name Christos P Kessaris

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oy
pl

Date of Birth 07/16/1969

Em
o rt
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SSN XXX XX 0464

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al
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Employee Address 83 Blue RIdge Circle , Newark , DE , 197020000

ffi
no
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Employee Phone Number

Employer Information

Employer Name WEST CHESTER ANESTHESIA ASSOCIATES

Employment Status Inactive

Information Current as of 06/29/2018

Employer Code 3311866

973887981410 Page 20 of 36
 Employer Address PO BOX 555 , WEST CHESTER , PA , 19381-0555

Job Title Data Not Provided

Total Time with Employer

FEIN 232607421

Division

Work Location (Job Site)

Union Affiliation

Rate of Pay $12708.33 Semi-monthly

y.
nl
O
Average Hours per Pay Period

se
U
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Original Hire Date 01/01/2016

on
rs
Pe

Most Recent Start Date 01/01/2016

ee
oy
pl

Date of Termination 06/30/2018

Em
rt
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Reason for Termination

ep
R
al
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Yearly Income Summary

ffi
no
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2018

Base Pay

Overtime

Commission

Bonuses

Other

973887981410 Page 21 of 36
 Holiday

Pension

Shift
Differential

Severance

Stock(Vested)

Sick

Vacation

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Tips

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O
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Total Pay $181566.62
al
on
rs
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Historical Pay Period Summary

ee
oy
pl
Em

Pay Period Pay Period Hours Gross

Pay Date Net
Begin Date End Date
rt

Worked Earnings
o
ep
R
al

06/16/2018 06/30/2018 06/29/2018 0.00 $22641.66 $15145.61

ci
ffi
no
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05/29/2018 06/12/2018 06/15/2018 0.00 $12708.33 $8862.92

05/16/2018 05/31/2018 05/31/2018 0.00 $17508.33 $11907.98

04/29/2018 05/15/2018 05/15/2018 0.00 $14708.33 $9378.24

04/16/2018 04/28/2018 04/30/2018 0.00 $16708.33 $10541.95

03/29/2018 04/15/2018 04/13/2018 0.00 $21041.66 $12909.14

03/16/2018 03/28/2018 03/30/2018 0.00 $15208.33 $9698.65

03/01/2018 03/15/2018 03/15/2018 0.00 $12083.33 $7692.48

973887981410 Page 22 of 36
 02/16/2018 02/28/2018 02/28/2018 0.00 $12083.33 $7692.48

01/29/2018 02/15/2018 02/15/2018 0.00 $12083.33 $7692.48

01/16/2018 01/28/2018 01/31/2018 0.00 $12083.33 $7692.48

12/29/2017 01/15/2018 01/12/2018 0.00 $12708.33 $7649.56

Pay Period Income Detail - 06/30/2018

Total Gross Earnings $22641.66

Pension

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Other Income

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O
se
U
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Pay Period Withholding Detail - 06/30/2018

on
rs
Pe
ee

Federal Tax
oy
pl

State Tax
Em
rt
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Local Tax
ep
R
al

Social Security
ci
ffi
no
U

Medicare

Retirement/401k

Cafeteria Plan

Garnishments

Other Withholding

Pay Increase Information

973887981410 Page 23 of 36
 Next Projected Date of Pay Increase

Next Projected Amount of Pay Increase

Last Date of Pay Increase

Last Amount of Pay Increase

Income & Deductions

Average Hours Per Pay Period

Pay Cycle Semi-monthly

Payroll Deduction for All Insurance Coverage

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nl
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Workers' Compensation
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on
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Receiving Workers' Compensation

Pe
ee

Carrier
oy
pl
Em

Date of Inquiry
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Date of Award
R
al
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Claim Number
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Claim Pending

Employer Level Disclaimer

SSV: This is a Historical Record reflecting the Employee Information at the Point in Time shown in the As of Date Field.
TSV: Please use Headquarters Address above for garnishment requests.
VOE: This is a Historical Record reflecting the Employee Information at the Point in Time shown in the As of Date Field.
VOI: This employer only provides total pay for YTD earnings

Section 4

973887981410 Page 24 of 36
Employer Information for Emergency Medical Services Corp & American Medical
Response

Employee Information

Employee Name Christos P Kessaris

Date of Birth 07/16/1969

SSN XXX XX 0464

Employee Address 83 Blue Ridge Circle , Newark , DE , 19702

Employee Phone Number (302) 737-7206

y.
nl
O
Employer Information
se
U
al
on

Employer Name Emergency Medical Services Corp & American Medical Response
rs
Pe
ee

Employment Status Separated

oy
pl
Em

Information Current as of 04/21/2013

ort
ep
R

Employer Code 70103

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ci
ffi
no

Employer Address 6200 South Syracuse Way , Suite 200 , Greenwood Village , CO , 80111
U

Job Title Anesthesiologist

Total Time with Employer

FEIN 951488421

Division WILMINGTON S

Work Location (Job Site)

Union Affiliation EMSC

973887981410 Page 25 of 36
 Rate of Pay $26666.67 Monthly

Average Hours per Pay Period

Original Hire Date 11/01/2009

Most Recent Start Date 11/01/2009

Date of Termination 04/01/2013

Reason for Termination

Yearly Income Summary

2013 2012 2011

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Base Pay $56082.49 $254324.12 $213562.75
se
U
al
on

Overtime $0.00
rs
Pe
ee

Commission $0.00
oy
pl
Em

Bonuses $0.00
rt
o
ep
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Other
al
ci
ffi
no

Holiday
U

Pension

Shift
Differential

Severance

Stock(Vested)

Sick

973887981410 Page 26 of 36
 Vacation

Tips

Total Pay $58796.69 $314100.32 $275134.13

Historical Pay Period Summary

Pay Period Pay Period Hours Gross

Pay Date Net
Begin Date End Date Worked Earnings

03/16/2013 03/31/2013 04/15/2013 0.00 $0.00 $0.00

03/01/2013 03/15/2013 03/29/2013 0.00 $0.00 $-49.06

y.
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02/16/2013 02/28/2013 03/15/2013 88.00 $6195.16 $3521.57

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se
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01/16/2013 01/31/2013 02/15/2013 176.00 $11856.47 $7337.91
al
on
rs

01/01/2013 01/15/2013 01/31/2013 96.00 $12841.05 $8322.48

Pe
ee
oy

12/16/2012 12/31/2012 01/15/2013 104.00 $12594.90 $8044.74

pl
Em
rt

12/01/2012 12/15/2012 12/31/2012 48.00 $6933.60 $2946.15

o
ep
R
al

11/16/2012 11/30/2012 12/14/2012 96.00 $7329.88 $3519.35

ci
ffi
no

11/01/2012 11/15/2012 11/30/2012 112.00 $12594.91 $8784.38

U

10/01/2012 10/15/2012 10/31/2012 144.00 $12102.61 $8292.08

09/16/2012 09/30/2012 10/15/2012 112.00 $5949.02 $2138.49

09/01/2012 09/15/2012 09/28/2012 120.00 $12102.62 $8292.09

08/16/2012 08/31/2012 09/14/2012 128.00 $12594.91 $8784.38

08/01/2012 08/15/2012 08/31/2012 104.00 $12594.90 $8784.37

07/16/2012 07/31/2012 08/15/2012 168.00 $11856.47 $8045.94

973887981410 Page 27 of 36
 07/01/2012 07/15/2012 07/31/2012 96.00 $12717.98 $8907.45

06/16/2012 06/30/2012 07/13/2012 144.25 $11979.55 $8169.02

06/01/2012 06/15/2012 06/29/2012 6.67 $1026.12 $-2784.41

05/16/2012 05/31/2012 06/15/2012 168.00 $11856.47 $8045.94

05/01/2012 05/15/2012 05/31/2012 96.00 $13087.20 $9101.92

04/16/2012 04/30/2012 05/15/2012 152.00 $12102.62 $7781.34

04/01/2012 04/15/2012 04/30/2012 96.00 $11241.12 $6919.84

03/16/2012 03/31/2012 04/13/2012 88.00 $6318.24 $1996.96

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nl
O
03/01/2012 03/15/2012 03/30/2012 96.00 $12841.05 $8519.77

se
U
al

02/16/2012 02/29/2012 03/15/2012 112.00 $12594.91 $8273.63

on
rs
Pe

02/01/2012 02/15/2012 02/29/2012 128.00 $12348.77 $7582.24

ee
oy
pl

01/16/2012 01/31/2012 02/15/2012 144.00 $12102.61 $8727.07

Em
rt
o

01/01/2012 01/15/2012 01/31/2012 128.00 $12348.77 $8994.86

ep
R
al
ci

12/16/2011 12/31/2011 01/13/2012 96.00 $12038.48 $9007.65

ffi
no
U

11/16/2011 11/30/2011 12/15/2011 144.00 $11346.20 $7418.67

11/01/2011 11/15/2011 11/30/2011 112.00 $12038.48 $7919.03

10/16/2011 10/31/2011 11/15/2011 168.00 $10884.67 $6957.15

10/01/2011 10/15/2011 10/31/2011 6.67 $961.60 $-2965.93

09/16/2011 09/30/2011 10/14/2011 128.00 $11346.21 $7418.68

09/01/2011 09/15/2011 09/30/2011 112.00 $11461.58 $7550.65

973887981410 Page 28 of 36
 08/16/2011 08/31/2011 09/15/2011 104.00 $12038.48 $8533.94

08/01/2011 08/15/2011 08/31/2011 144.00 $11346.20 $7841.67

07/16/2011 07/31/2011 08/15/2011 80.00 $10884.64 $7380.10

07/01/2011 07/15/2011 07/29/2011 184.00 $10653.92 $7149.38

06/16/2011 06/30/2011 07/15/2011 96.00 $10233.36 $6912.46

06/01/2011 06/15/2011 06/30/2011 136.00 $9633.39 $6784.75

05/16/2011 05/31/2011 06/15/2011 184.00 $9233.40 $6107.76

05/01/2011 05/15/2011 05/31/2011 80.00 $10833.34 $7368.14

y.
04/16/2011 04/30/2011 05/13/2011 48.00 $6833.34 $3491.49

nl
O
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04/01/2011 04/15/2011 04/29/2011 64.00
U $3833.34 $491.48
al
on
rs

03/16/2011 03/31/2011 04/15/2011 96.00 $8833.34 $5810.39

Pe
ee
oy

03/01/2011 03/15/2011 03/31/2011 152.00 $9833.34 $6854.86

pl
Em

02/16/2011 02/28/2011 03/15/2011 136.00 $9833.34 $6854.86

rt
o
ep
R

02/01/2011 02/15/2011 02/28/2011 88.00 $10833.34 $7854.86

al
ci
ffi
no

01/16/2011 01/31/2011 02/15/2011 122.97 $10833.63 $7855.02

U

01/01/2011 01/15/2011 01/31/2011 122.97 $9833.61 $6855.02

Pay Period Income Detail - 03/31/2013

Total Gross Earnings $0.00

Pension

Other Income

973887981410 Page 29 of 36
 Pay Period Withholding Detail - 03/31/2013

Federal Tax

State Tax

Local Tax

Social Security

Medicare

Retirement/401k

Cafeteria Plan

Garnishments

y.
nl
O
Other Withholding
se
U
al
on
rs

Pay Increase Information

Pe
ee
oy

Next Projected Date of Pay Increase

pl
Em
rt

Next Projected Amount of Pay Increase

o
ep
R

Last Date of Pay Increase

al
ci
ffi
no

Last Amount of Pay Increase

U

Income & Deductions

Average Hours Per Pay Period

Pay Cycle Semi-monthly

Payroll Deduction for All Insurance Coverage

Workers' Compensation

973887981410 Page 30 of 36
 Receiving Workers' Compensation No

Carrier

Date of Inquiry

Date of Award

Claim Number

Claim Pending No

Employer Level Disclaimer

SSV: This is a Historical Record reflecting the Employee Information at the Point in Time shown in the As of Date Field.
VOE: This is a Historical Record reflecting the Employee Information at the Point in Time shown in the As of Date Field.
VOI: This is a Historical Record reflecting the Employee Information at the Point in Time shown in the As of Date Field.

y.
nl
O
se
U
al

Section 5
on
rs
Pe

Employer Information for Cleveland Clinic Foundation, The

ee
oy
pl

Employee Information
Em
o rt
ep

Employee Name CHRISTOS KESSARIS

R
al
ci
ffi

Date of Birth
no
U

SSN XXX XX 0464

Employee Address 1010 VARISTY LANE , BEAR , DE , 19701

Employee Phone Number

Employer Information

Employer Name Cleveland Clinic Foundation, The

973887981410 Page 31 of 36
 Employment Status No Longer Employed

Information Current as of 05/15/2007

Employer Code 10787

Employer Address 9500 Euclid Ave , Cleveland , OH , 44195

Job Title CLINICAL FELLOW

Total Time with Employer

FEIN 340777619

Division 340714585

y.
Work Location (Job Site)

nl
O
Union Affiliation se
U
al
on
rs

Rate of Pay $2066.00 Semi-monthly

Pe
ee

Average Hours per Pay Period

oy
pl
Em

Original Hire Date

rt
o
ep
R

Most Recent Start Date 05/01/2006

al
ci
ffi
no

Date of Termination 04/30/2007

U

Reason for Termination

Yearly Income Summary

2007 2006

Base Pay

Overtime

973887981410 Page 32 of 36
 Commission

Bonuses

Other

Holiday

Pension

Shift
Differential

Severance

Stock(Vested)

y.
nl
O
se
Sick U
al
on

Vacation
rs
Pe
ee

Tips
oy
pl
Em

Total Pay $16528.00 $31936.00

rt
o
ep
R

Historical Pay Period Summary

al
ci
ffi
no
U

Pay Period Pay Period Hours Gross

Pay Date Net
Begin Date End Date Worked Earnings

04/30/2007 04/30/2007 88.00 $2066.00

04/15/2007 04/13/2007 80.00 $2066.00

03/31/2007 03/30/2007 88.00 $2066.00

03/15/2007 03/15/2007 88.00 $2066.00

02/28/2007 02/28/2007 72.00 $2066.00

973887981410 Page 33 of 36
 02/15/2007 02/15/2007 88.00 $2066.00

01/31/2007 01/31/2007 96.00 $2126.00

01/15/2007 01/12/2007 88.00 $2006.00

12/31/2006 12/29/2006 80.00 $2006.00

12/15/2006 12/15/2006 88.00 $2006.00

11/30/2006 11/30/2006 88.00 $2006.00

11/15/2006 11/15/2006 88.00 $2006.00

10/31/2006 10/31/2006 96.00 $2006.00

y.
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10/15/2006 10/13/2006 80.00 $2006.00

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se
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09/30/2006 09/29/2006 80.00 $2006.00
al
on
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09/15/2006 09/15/2006 88.00 $2006.00

Pe
ee
oy

08/31/2006 08/31/2006 96.00 $2006.00

pl
Em
rt

08/15/2006 08/15/2006 88.00 $2006.00

o
ep
R
al

07/31/2006 07/31/2006 88.00 $2006.00

ci
ffi
no

07/15/2006 07/14/2006 80.00 $2006.00

U

06/30/2006 06/30/2006 88.00 $1966.00

06/15/2006 06/15/2006 88.00 $1966.00

05/31/2006 05/31/2006 96.00 $1966.00

Pay Period Income Detail - 04/30/2007

Total Gross Earnings $2066.00

973887981410 Page 34 of 36
 Pension

Other Income

Pay Period Withholding Detail - 04/30/2007

Federal Tax

State Tax

Local Tax

Social Security

Medicare

y.
Retirement/401k

nl
O
Cafeteria Plan se
U
al
on

Garnishments
rs
Pe
ee

Other Withholding
oy
pl
Em
rt

Pay Increase Information

o
ep
R
al
ci

Next Projected Date of Pay Increase

ffi
no
U

Next Projected Amount of Pay Increase

Last Date of Pay Increase

Last Amount of Pay Increase

Income & Deductions

Average Hours Per Pay Period

Pay Cycle

973887981410 Page 35 of 36
 Payroll Deduction for All Insurance Coverage

Workers' Compensation

Receiving Workers' Compensation

Carrier

Date of Inquiry

Date of Award

Claim Number

Claim Pending

y.
nl
O
Employer Level Disclaimer
se
U
VOE: Total time with employer represents time with Cleveland Clinic Foundation and any of Cleveland Clinic Foundation's legal entities
al

including service time prior to integration into Cleveland Clinic Foundation.?In some rare cases, the total time with employer may only
on

capture time with Cleveland Clinic Foundation.Additional historical information for employees that worked for Akron General Medical
rs

Center? prior to (07/11/2018) may be found under employer code 10482.

Pe

SSV: Cleveland Clinic Foundation and its affiliates do not provide Benefits Detail to The Work Number. For Benefits Information please contact
ee

Cleveland Clinic's HR Shared Service Center: 216.448.CCHR (2247) or Toll free 877.668.CCHR (2247)Total time with employer represents
oy

time with Cleveland Clinic Foundation and any of Cleveland Clinic Foundation's legal entities including service time prior to integration
pl

into Cleveland Clinic Foundation. In some rare cases, the total time with employer may only capture time with Cleveland Clinic
Em

Foundation.? Additional historical information for employees that worked for Akron General Medical Center? prior to (07/11/2018) may
be found under employer code 10482.
o rt

VOI: Total time with employer represents time with Cleveland Clinic Foundation and any of Cleveland Clinic Foundation's legal entities
ep

including service time prior to integration into Cleveland Clinic Foundation.In some rare cases, the total time with employer may only
R

capture time with Cleveland Clinic Foundation.Additional historical information for employees that worked for Akron General Medical
al

Center? prior to (07/11/2018) may be found under employer code 10482.

ci
ffi
no
U

973887981410 Page 36 of 36
State of Pennsylvania - Notice to Consumers

Note: The terms "consumer report", "credit report" and "credit file" as may be used in this notice are intended to reference your
Employment Data Report issued by TALX Corporation, a provider of The Work Number®. The term "consumer reporting agency" or
similar terms in this notice refer to TALX Corporation, a provider of The Work Number. Please note that The Work Number does not
provide traditional credit information, but state law may include the employment and income data provided by The Work Number within its
definition of a consumer report.

You may request that a security freeze be placed on your credit report by sending a request in writing by mail to a consumer reporting
agency. The security freeze on your credit report will prohibit a credit reporting agency from releasing any information in your credit report
without your express authorization. The security freeze is designed to prevent a credit reporting agency from releasing your credit report
without your consent. However, you should be aware that using a security freeze to take control over who is allowed access to the
personal and financial information in your credit report may delay, interfere with or prohibit the timely approval of any subsequent request
or application you make regarding a new loan, credit, mortgage, insurance, government services or payments, rental housing,
employment, investment, license, cellular telephone, utilities, digital signature, Internet credit card transaction or other services, including
an extension of credit at point of sale. When you place a security freeze on your credit report, you will be provided a personal
identification number or password to use if you choose to remove the security freeze from your credit report or to authorize the temporary
release of your credit report for a specific party or period of time while the security freeze is in place. To provide that authorization, you
must contact the credit reporting agency and provide all the following:

1. Proper identification.
2. The unique personal identification number or password provided by the credit reporting agency.
3. The proper information regarding the third party who is to receive your credit report or the time period for which your credit report must
be available.

A credit reporting agency must remove the security freeze from your credit file or authorize the temporary release of your credit report not
later than 3 business days after receiving the above information.

A security freeze does not apply to certain persons, including a person, or collection agencies acting on behalf of a person, with whom
you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account.

How to Freeze Your Report

A security freeze request may be sent via mail to:

Equifax Workforce Solutions

Attn: Employment Data Freeze
3470 Rider Trail South
Earth City, MO 63045

You may also send a freeze request to:

Email: [email protected]
Phone: 1-866-222-5880
Fax: 877-879-8182

We will provide you with confirmation of the placement of your freeze. Please note that although some state laws may allow us to charge
a fee, TALX Corporation never charges any fees to place or remove a security freeze.
 Para información en español, visite www.consumerfinance.gov/learnmore o escribe a la
Consumer Financial Protection Bureau, 1700 G Street NW, Washington, DC 20552.

A Summary of Your Rights Under the Fair Credit Reporting Act

The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and
privacy of information in the files of consumer reporting agencies. There are many types of
consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies
that sell information about check writing histories, medical records, and rental history records).
Here is a summary of your major rights under FCRA. For more information, including
information about additional rights, go to www.consumerfinance.gov/learnmore or write
to: Consumer Financial Protection Bureau, 1700 G Street NW, Washington, DC 20552.

● You must be told if information in your file has been used against you. Anyone who
uses a credit report or another type of consumer report to deny your application for credit,
insurance, or employment – or to take another adverse action against you – must tell you,
and must give you the name, address, and phone number of the agency that provided the
information.

● You have the right to know what is in your file. You may request and obtain all the
information about you in the files of a consumer reporting agency (your “file
disclosure”). You will be required to provide proper identification, which may include
your Social Security number. In many cases, the disclosure will be free. You are entitled
to a free file disclosure if:

o a person has taken adverse action against you because of information in your
credit report;
o you are the victim of identity theft and place a fraud alert in your file;
o your file contains inaccurate information as a result of fraud;
o you are on public assistance;
o you are unemployed but expect to apply for employment within 60 days.

In addition, all consumers are entitled to one free disclosure every 12 months upon
request from each nationwide credit bureau and from nationwide specialty consumer
reporting agencies. See www.consumerfinance.gov/learnmore for additional information.

● You have the right to ask for a credit score. Credit scores are numerical summaries of
your credit-worthiness based on information from credit bureaus. You may request a
credit score from consumer reporting agencies that create scores or distribute scores used
in residential real property loans, but you will have to pay for it. In some mortgage
transactions, you will receive credit score information for free from the mortgage lender.

● You have the right to dispute incomplete or inaccurate information. If you identify
information in your file that is incomplete or inaccurate, and report it to the consumer
reporting agency, the agency must investigate unless your dispute is frivolous. See
www.consumerfinance.gov/learnmore for an explanation of dispute procedures.

1
● Consumer reporting agencies must correct or delete inaccurate, incomplete, or
unverifiable information. Inaccurate, incomplete, or unverifiable information must be
removed or corrected, usually within 30 days. However, a consumer reporting agency
may continue to report information it has verified as accurate.

● Consumer reporting agencies may not report outdated negative information. In

most cases, a consumer reporting agency may not report negative information that is
more than seven years old, or bankruptcies that are more than 10 years old.

● Access to your file is limited. A consumer reporting agency may provide information
about you only to people with a valid need – usually to consider an application with a
creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a
valid need for access.

● You must give your consent for reports to be provided to employers. A consumer
reporting agency may not give out information about you to your employer, or a potential
employer, without your written consent given to the employer. Written consent generally
is not required in the trucking industry. For more information, go to
www.consumerfinance.gov/learnmore.

● You may limit “prescreened” offers of credit and insurance you get based on
information in your credit report. Unsolicited “prescreened” offers for credit and
insurance must include a toll-free phone number you can call if you choose to remove
your name and address from the lists these offers are based on. You may opt out with the
nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).

● The following FCRA right applies with respect to nationwide consumer reporting
agencies:

CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE

You have a right to place a “security freeze” on your credit report, which will
prohibit a consumer reporting agency from releasing information in your credit
report without your express authorization. The security freeze is designed to prevent
credit, loans, and services from being approved in your name without your consent.
However, you should be aware that using a security freeze to take control over who gets
access to the personal and financial information in your credit report may delay, interfere
with, or prohibit the timely approval of any subsequent request or application you make
regarding a new loan, credit, mortgage, or any other account involving the extension of
credit.

As an alternative to a security freeze, you have the right to place an initial or extended
fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is
placed on a consumer’s credit file. Upon seeing a fraud alert display on a consumer’s
credit file, a business is required to take steps to verify the consumer’s identity before
extending new credit. If you are a victim of identity theft, you are entitled to an extended
fraud alert, which is a fraud alert lasting 7 years.

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 A security freeze does not apply to a person or entity, or its affiliates, or collection
agencies acting on behalf of the person or entity, with which you have an existing account
that requests information in your credit report for the purposes of reviewing or collecting
the account. Reviewing the account includes activities related to account maintenance,
monitoring, credit line increases, and account upgrades and enhancements.

● You may seek damages from violators. If a consumer reporting agency, or, in some
cases, a user of consumer reports or a furnisher of information to a consumer reporting
agency violates the FCRA, you may be able to sue in state or federal court.

● Identity theft victims and active duty military personnel have additional rights. For
more information, visit www.consumerfinance.gov/learnmore.

States may enforce the FCRA, and many states have their own consumer reporting laws.
In some cases, you may have more rights under state law. For more information, contact
your state or local consumer protection agency or your state Attorney General. For
information about your federal rights, contact:

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 TYPE OF BUSINESS: CONTACT:
1.a. Banks, savings associations, and credit unions with total assets a. Consumer Financial Protection Bureau
of over $10 billion and their affiliates 1700 G Street, NW
Washington, DC 20552

b. Such affiliates that are not banks, savings associations, or credit b. Federal Trade Commission
unions also should list, in addition to the CFPB: Consumer Response Center
600 Pennsylvania Avenue, NW
Washington, DC 20580
(877) 382-4357
2. To the extent not included in item 1 above: a. Office of the Comptroller of the Currency
a. National banks, federal savings associations, and federal Customer Assistance Group
branches and federal agencies of foreign banks P.O. Box 53570
Houston, TX 77052

b. State member banks, branches and agencies of foreign banks b. Federal Reserve Consumer Help Center
(other than federal branches, federal agencies, and Insured State P.O. Box 1200
Branches of Foreign Banks), commercial lending companies Minneapolis, MN 55480
owned or controlled by foreign banks, and organizations operating
under section 25 or 25A of the Federal Reserve Act. c. Division of Depositor and Consumer Protection
National Center for Consumer and Depositor Assistance
c. Nonmember Insured Banks, Insured State Branches of Foreign Federal Deposit Insurance Corporation
Banks, and insured state savings associations 1100 Walnut Street, Box #11
Kansas City, MO 64106
d. Federal Credit Unions
d. National Credit Union Administration
Office of Consumer Financial Protection (OCFP)
1775 Duke Street
Alexandria, VA 22314
3. Air carriers Asst. General Counsel for Office of Aviation Consumer Protection
Department of Transportation
1200 New Jersey Avenue, SE
Washington, DC 20590
4. Creditors Subject to the Surface Transportation Board Office of Public Assistance, Governmental Affairs, and Compliance
Surface Transportation Board
395 E Street, SW
Washington, DC 20423
5. Creditors Subject to the Packers and Stockyards Act, 1921 Nearest Packers and Stockyards Division Regional Office
6. Small Business Investment Companies Associate Administrator, Office of Capital Access
United States Small Business Administration
409 Third Street, SW, Suite 8200
Washington, DC 20416
7. Brokers and Dealers Securities and Exchange Commission
100 F Street, NE
Washington, DC 20549
8. Institutions that are members of the Farm Credit System Farm Credit Administration
1501 Farm Credit Drive
McLean, VA 22102-5090
9. Retailers, Finance Companies, and All Other Creditors Not Federal Trade Commission
Listed Above Consumer Response Center
600 Pennsylvania Avenue, NW
Washington, DC 20580
(877) 382-4357