3B R1university2012 13 by JDBmSR3


									                                                Employer Remittance Report for Employee
                                        and Employer Matching Contributions for Fiscal Year 2012-13                                                                               Universities
                                                               Kentucky Teachers' Retirement System
                                                       479 Versailles Road, Frankfort, Kentucky 40601-3800                                                       KTRS Use Only
                                                                 (502) 848-8640 or 1-888-891-2696                                                                JV Number

Part A                                                                                                                               Unit Number
Pay Period - From                                                                                                                    Employer Name
            - To                                                                                                                     Pay Date

Part B                                                      Members Before July 1, 2008                          Members On/After July 1, 2008
                                                                                    Employer Matching                                    Employer Matching
                                                                                       for Employees                                       for Employees
                                                            Employee                    Paid from                 Employee                   Paid from
                                                           Contributions             Federal Programs            Contributions            Federal Programs               Totals
A.   Gross Salaries Paid to Members for Period
B.   Contribution Rate for Members                          6.840%                      14.520%                   7.160%                    14.840%
C.   Gross Amount Due to KTRS                                              -                            -                        -                           -
D.   Payroll Adjustments
E.   Net Amount Due KTRS                                                   -                            -                        -                           -                      -

Part C                       Check Number                   Amount                      Amount                    Amount                    Amount                       Total
Remittance Recap                                                                                                                                                                    -
F. Remittance Should Agree with Totals on E                                -                            -                        -                           -                      -

Part D                  Optional Retirement Plan KRS 161.569 (5a)                                                                                                    Check Number                Amount
                                                                                              A. Gross Salaries Paid
                                                                                         B. Optional Retirement Percentage                   5.100%
                                                                                              C. Amount Due KTRS                                             -                                            -

Part E                  Employer Remittance for Retired Employees KRS 161.605(12)                                                                                    Check Number                Amount
                                                                                             A. Gross Salaries Paid
                                                                                        B. Employer Remittance Percentage                   16.100%
                                                                                             C. Amount Due KTRS                                              -                                            -

                        I hereby certify that the amounts reported above and transmitted herewith represent the complete and correct deductions from and
                        proper matching for salaries of members of the Teachers' Retirement System of the State of Kentucky.

                                                                                                                                     Chief Payroll Officer

                                                                                      Click Here for Instructions for this Form

                                                                                                                                                                                        Form R-1 University

To top