Exhibit 64 - part two — USA v. Crowther (Dkt. 136.41)

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Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 1 of 110 PageID 1789
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:31 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578672
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Alex Gaspar
SSN: 563-13-4827
EE [illegible]d: 21101320644
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:31:28
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential Information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
5
5 of 5
EX_64_070
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 2 of 110 PageID 1790
Gaspar, Alex   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: H .00   Local Tax 1:
5284 Galaxy Dr   SocSecNum: XXX-XX-4827   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Ft Myers, FL 33909   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 12/13/95   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 980.00 980.00 .00 74.97 .00 .00 .00 .00 .00 .00 905.03
05/29/20 .00 .000 .000 .000 .00 .00 1100.00 1100.00 .00 84.15 .00 .00 .00 .00 .00 .00 1015.85
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3130.00 3130.00 .00 239.45 .00 .00 .00 .00 .00 .00 2890.55
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3130.00 | FICA - OASDI 194.06 |
| FICA - Medicare 45.39 |
EX_64_071
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 3 of 110 PageID 1791
578667-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Arman[illegible]o Hernandez
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tases salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y pueda
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED
MAY 15 2020
T.W.
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EX_64_072
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 4 of 110 PageID 1792
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Arman[illegible]o Hernande[illegible]
Client Company Name (Nombre de la Compañía- Cliente) [illegible]arg[illegible]t Roofing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8810
Rate of Pay (Tasa de pago) $ 10 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn line runs from the Rate of Pay entry toward the Hourly and Part Time boxes]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [x] 5 - Office and Clerical (Oficina y administrativo)
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] [illegible] - Service Workers (Trabajadores de servicios)
[a pen stroke runs from the box 5 mark across "3 - Technichians"]
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
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EX_64_073
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 5 of 110 PageID 1793
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established [illegible]0 day probationary period
(Informe inmediatamente a su garente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quua ha leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) Armando Hernand[illegible]z
Date of Birth (Fecha de nacimiento) [struck-out character] 07/[illegible][illegible]/1978
Address (Dirección): 4774 Hunte[illegible]s
City, State, Zip (Ciudad, Estado, Zip): F[illegible][illegible]t Myers FL 33[illegible]05
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 531-[illegible]9-5495
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EX_64_074
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 6 of 110 PageID 1794
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Armando   Last name: He[illegible]and[illegible]z
(b) Social security number: 531-[illegible]9-5[illegible]95
Address: 4774 Hunt[illegible][illegible]s
City or town, state, and ZIP code: Fo[illegible]t M[illegible]s FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 4
Multiply the number of other dependents by $500 . . . . $ [illegible]
Add the amounts above and enter the total here . . . . . 3 $ [illegible],500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date
Employers Only
Employer's name and address   First date of employment   Employer identification number (EIN)
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
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EX_64_075
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 7 of 110 PageID 1795
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:33 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578667
(1)
JUN [illegible]6 2020
R.D.
An employee was terminated on the web by 054554.
Armando Hernandez
SSN: 531-29-5495
EE Id: 21101320641
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:32:47
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
2
5 of 5
EX_64_076
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 8 of 110 PageID 1796
Hernandez, Armando   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4774 Hunters   SocSecNum: XXX-XX-5495   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Part Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 07/22/78   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 990.00 990.00 .00 75.74 .00 .00 .00 .00 .00 .00 914.26
05/29/20 .00 .000 .000 .000 .00 .00 1095.00 1095.00 .00 83.77 .00 .00 .00 .00 .00 .00 1011.23
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3135.00 3135.00 .00 239.84 .00 .00 .00 .00 .00 .00 2895.16
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3135.00 | FICA - OASDI 194.37 |
| FICA - Medicare 45.47 |
EX_64_077
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 9 of 110 PageID 1797
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha):
Employee Name (Nombre del empleado) Calixto Dimax
Date of Birth (Fecha de nacimiento) 1/[illegible][illegible]/1991
Address (Dirección): 4628 New York
City, State, Zip (Ciudad, Estado, Zip): Ft Myers FL 33[illegible]05
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 65[illegible]-31-6379
1 of 4
EX_64_078
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 10 of 110 PageID 1798
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Calixto Dimas
Client Company Name (Nombre de la Compañía- Cliente) Targ[illegible]t Ro[illegible][illegible]ing and S[illegible]eet M[illegible]ta[illegible]
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) [illegible]810
Rate of Pay (Tasa de pago) $ 10.00 [x] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn check stroke has its vertex at the lower-left corner of the 5 box; the box interior is blank]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
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EX_64_079
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 11 of 110 PageID 1799
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Ca[illegible]ixto   Last name: Dimas
(b) Social security number:
Address: 4628 New Yo[illegible][illegible]
City or town, state, and ZIP code: Fort Myers FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 6
Multiply the number of other dependents by $500 . . . . $
Add the amounts above and enter the total here . . . . . 3 $ 12,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/11/20
Employers Only
Employer's name and address   First date of employment   Employer identification number (EIN)
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
3 of 4
EX_64_080
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 12 of 110 PageID 1800
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:30 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578668
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Calixto Dimas
SSN: 652-31-6379
EE Id: 21101320642
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:29:51
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
9
4 of 4
EX_64_081
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 13 of 110 PageID 1801
Dimas, Calixto   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4628 New York   SocSecNum: XXX-XX-6379   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 01/22/91   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 995.00 995.00 .00 76.12 .00 .00 .00 .00 .00 .00 918.88
05/29/20 .00 .000 .000 .000 .00 .00 997.00 997.00 .00 76.27 .00 .00 .00 .00 .00 .00 920.73
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3042.00 3042.00 .00 232.72 .00 .00 .00 .00 .00 .00 2809.28
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3042.00 | FICA - OASDI 188.60 |
| FICA - Medicare 44.12 |
EX_64_082
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 14 of 110 PageID 1802
578697 (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Felipe Guerra
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 2020
[illegible]
1 of 5
EX_64_083
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 15 of 110 PageID 1803
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/[illegible]/[illegible]
Employee Name (Nombre del empleado) Felipe Guerra
Date of Birth (Fecha de nacimiento) 4/19/1970
Address (Dirección): 495[illegible] J[illegible]pit[illegible][illegible]
City, State, Zip (Ciudad, Estado, Zip): F[illegible][illegible]t Mye[illegible]s, FL 3[illegible]05
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 516-66-7841
2 of 5
EX_64_084
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 16 of 110 PageID 1804
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Felipe Guerra
Client Company Name (Nombre de la Compañía- Cliente) Target [illegible]o[illegible]fing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) [illegible]810
Rate of Pay (Tasa de pago) $ 11 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn line runs from the upper right along the top edge of the Hourly box and ends in a hook outside the box, left of its upper-left corner]
[a second hand-drawn line runs from the upper right to the top edge of the Part Time box, along it, and ends in a short tail past its upper-left corner]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [illegible] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line passes over the 5 box and bends down-left at its left edge; the stroke cannot be told from the box outline]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_085
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 17 of 110 PageID 1805
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Feli[illegible]e   Last name: Guerra
(b) Social security number: 51[illegible]-66-7841
Address: 4956 Jupiter
City or town, state, and ZIP code: Fo[illegible]t [illegible]y[illegible]rs [illegible]L 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ [illegible]
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 1[illegible],500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date
Employers Only
Employer's name and address   First date of employment   Employer identification number (EIN)
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_086
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 18 of 110 PageID 1806
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:32 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578697
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Felipe Guerra
SSN: 516-66-7841
EE [illegible]d: 21101320660
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:32:19
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
3
5 of 5
EX_64_087
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 19 of 110 PageID 1807
Guerra, Felipe   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4956 Jupiter   SocSecNum: XXX-XX-7841   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Ft Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 11.000 HOURLY   Birthdate: 04/19/90   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 990.00 990.00 .00 75.74 .00 .00 .00 .00 .00 .00 914.26
05/29/20 .00 .000 .000 .000 .00 .00 1095.00 1095.00 .00 83.77 .00 .00 .00 .00 .00 .00 1011.23
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3135.00 3135.00 .00 239.84 .00 .00 .00 .00 .00 .00 2895.16
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3135.00 | FICA - OASDI 194.37 |
| FICA - Medicare 45.47 |
EX_64_088
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 20 of 110 PageID 1808
578688-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Franci[illegible]co Imul
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED
MAY 15 2020 [illegible]
T.W.
1 of 5
EX_64_089
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 21 of 110 PageID 1809
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/11/2020
Employee Name (Nombre del empleado) Francisco Imul
Date of Birth (Fecha de nacimiento) 7/19/1980
Address (Dirección): 1[illegible]17 M[illegible]
City, State, Zip (Ciudad, Estado, Zip): Ft My[illegible][illegible] FL 3[illegible][illegible]0[illegible]
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 69[illegible]-8[illegible]-439[illegible]
2 of 5
EX_64_090
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 22 of 110 PageID 1810
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Francisco Imul
Client Company Name (Nombre de la Compañía- Cliente) Target Roofin[illegible] Sheet Metal
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) [illegible]810
Rate of Pay (Tasa de pago) $ 1[illegible].00 [x] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [illegible] 5 - Office and Clerical (Oficina y administrativo)
[a large hand-drawn check stroke surrounds the 5 box with its vertex below the box; the stroke cannot be told from the box outline]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[illegible] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
[a hand-drawn scribble covers the 8 box; the stroke cannot be told from the box outline]
Job Description (Descripción del trabajo) Ro[illegible][illegible]er
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_091
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 23 of 110 PageID 1811
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Francisco   Last name: I[illegible][illegible]l
(b) Social security number: [illegible]9[illegible]-8[illegible]-439[illegible]
Address: 1517 Mark[illegible]ond
City or town, state, and ZIP code: F[illegible]rt Myers EL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ [illegible]
Multiply the number of other dependents by $500 . . . . $ [illegible]
Add the amounts above and enter the total here . . . . . 3 $ 10,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date
Employers Only
Employer's name and address   First date of employment   Employer identification number (EIN)
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_092
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 24 of 110 PageID 1812
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:15 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578688
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Francisco Imul
SSN: 693-88-4395
EE [illegible]d: 21101320657
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:14:59
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential Information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
12
5 of 5
EX_64_093
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 25 of 110 PageID 1813
Imul, Francisco   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
1517 Markland   SocSecNum: XXX-XX-4395   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 07/19/80   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 1005.00 1005.00 .00 76.88 .00 .00 .00 .00 .00 .00 928.12
05/29/20 .00 .000 .000 .000 .00 .00 980.00 980.00 .00 74.97 .00 .00 .00 .00 .00 .00 905.03
06/05/20 .00 .000 .000 .000 .00 .00 40.00 40.00 .00 3.06 .00 .00 .00 .00 .00 .00 36.94
TOTALS .000 .000 .000 .00 .00 2025.00 2025.00 .00 154.91 .00 .00 .00 .00 .00 .00 1870.09
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 2025.00 | FICA - OASDI 125.55 |
| FICA - Medicare 29.36 |
EX_64_094
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 26 of 110 PageID 1814
578684-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Irma [illegible]eticia Perez
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente pueda tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED 9/14
MAY 15 2020
T.W.
1 of 5
EX_64_095
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 27 of 110 PageID 1815
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): [illegible]/1/20
Employee Name (Nombre del empleado) Irma Leticia Per[illegible]z
Date of Birth (Fecha de nacimiento) 6/21/1994
Address (Dirección): 462[illegible] New Yor[illegible]
City, State, Zip (Ciudad, Estado, Zip): Ft. Myers FL [illegible]340[illegible]
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 7[illegible]1-55-4892
2 of 5
EX_64_096
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 28 of 110 PageID 1816
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Irma Leti[illegible][illegible]a Pe[illegible][illegible]z
Client Company Name (Nombre de la Compañía- Cliente) [illegible]arget Roofing S[illegible]eet [illegible][illegible]ta[illegible]
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) [illegible]810
Rate of Pay (Tasa de pago) $ 1[illegible].[illegible]0 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn line runs from the upper right down to the upper-left corner of the Hourly box and ends there in a short turn]
[a hand-drawn line runs from the left edge of the Completed by Client frame to the Full Time box]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line runs from the upper right to the upper-left corner of the 5 box and hooks up to the left; the box interior is blank]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] [illegible] - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_097
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 29 of 110 PageID 1817
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Irma   Last name: Leticia Per[illegible]z
(b) Social security number: 721-55-4892
Address: 4628 New York
City or town, state, and ZIP code: F[illegible][illegible]t M[illegible][illegible]rs FL 3[illegible]01
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ [illegible]
Multiply the number of other dependents by $500 . . . . $ [illegible]
Add the amounts above and enter the total here . . . . . 3 $ 1[illegible],500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ 0
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ 0
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ 0
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/11/2[illegible]
Employers Only
Employer's name and address   First date of employment   Employer identification number (EIN)
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_098
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 30 of 110 PageID 1818
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:16 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578684
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Irma Leticia Perez
SSN: 721-55-4892
EE Id: 21101320654
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:15:56
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
9
5 of 5
EX_64_099
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 31 of 110 PageID 1819
Leticia Perez, Irma   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4628 New York   SocSecNum: XXX-XX-4892   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33901   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 06/21/94   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 1020.00 1020.00 .00 78.03 .00 .00 .00 .00 .00 .00 941.97
05/29/20 .00 .000 .000 .000 .00 .00 1087.00 1087.00 .00 83.15 .00 .00 .00 .00 .00 .00 1003.85
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3157.00 3157.00 .00 241.51 .00 .00 .00 .00 .00 .00 2915.49
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3157.00 | FICA - OASDI 195.73 |
| FICA - Medicare 45.78 |
EX_64_100
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 32 of 110 PageID 1820
57868[illegible]-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Je[illegible]us C[illegible]ant[illegible]
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED 9/14
MAY 15 2020
T.W.
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EX_64_101
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 33 of 110 PageID 1821
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) J[illegible]sus C[illegible]ar[illegible]a
Date of Birth (Fecha de nacimiento) [illegible]/21/1990
Address (Dirección): [illegible]77[illegible] Hunt[illegible]rs
City, State, Zip (Ciudad, Estado, Zip): Ft My[illegible][illegible]s [illegible]L 339[illegible]5
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 761-[illegible]4-5497
2 of 5
EX_64_102
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 34 of 110 PageID 1822
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Jesus C[illegible][illegible]rit[illegible]
Client Company Name (Nombre de la Compañía- Cliente) Target Roo[illegible]ing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8[illegible]10
Rate of Pay (Tasa de pago) $ 10 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn line runs from the upper right across the upper-left corner of the Hourly box (the box interior is blank) and ends in a turn along the bottom edge of the Part Time box at its lower-left corner]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line runs from the end of the 1.2 row down to the 5 box]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_103
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 35 of 110 PageID 1823
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Jesus   Last name: C[illegible]ant[illegible]
(b) Social security number: 761-24-5497
Address: 4774 Hunters
City or town, state, and ZIP code: Fo[illegible]t Myers FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[illegible] Married filing jointly (or Qualifying widow(er))
[a hand-drawn line runs from the upper right into the Married filing jointly box along its bottom edge to the lower-left corner; the stroke cannot be told from the bottom edge]
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ [illegible]
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 1[illegible] 500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/1/[illegible]0
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_104
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 36 of 110 PageID 1824
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:29 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578682
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Jesus Charita
SSN: 761-24-5497
EE [illegible]d: 21101320652
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:28:32
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential Information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
12
5 of 5
EX_64_105
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 37 of 110 PageID 1825
Charita, Jesus   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4774 Hunters   SocSecNum: XXX-XX-5497   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Part Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 02/21/90   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 990.00 990.00 .00 75.74 .00 .00 .00 .00 .00 .00 914.26
05/29/20 .00 .000 .000 .000 .00 .00 989.00 989.00 .00 75.66 .00 .00 .00 .00 .00 .00 913.34
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3029.00 3029.00 .00 231.73 .00 .00 .00 .00 .00 .00 2797.27
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3029.00 | FICA - OASDI 187.80 |
| FICA - Medicare 43.93 |
EX_64_106
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 38 of 110 PageID 1826
578690 (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Jo[illegible]e Gonzalez
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 2020
[illegible]
1 of 5
EX_64_107
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 39 of 110 PageID 1827
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quua he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) Jose Gonzalez
Date of Birth (Fecha de nacimiento) 5/15/1994
Address (Dirección): 491[illegible] How[illegible]rd
City, State, Zip (Ciudad, Estado, Zip): Ft. My[illegible], FL [illegible]39[illegible]5
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 797-55-4[illegible]81
2 of 5
EX_64_108
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Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Jose [illegible]onzalez
Client Company Name (Nombre de la Compañía- Cliente) Target Ro[illegible][illegible]ing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8[illegible]1[illegible]
Rate of Pay (Tasa de pago) $ 10 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn line runs from the upper right past the upper-left corner of the Hourly box and on to the left, where it turns back in a short hook; the box interior is blank]
[a hand-drawn line runs down past the right side of the Full Time box and curls under the words Full Time; it does not touch the box]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line runs from the upper right over the 5 label, down the right edge of the 5 box and along its bottom edge, and curls up left of the box]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_109
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Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Jose   Last name: [illegible][illegible]nzalez
(b) Social security number: 797-55-[illegible]281
Address: 491[illegible] H[illegible]ard
City or town, state, and ZIP code: Fo[illegible]t My[illegible]s FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 6
Multiply the number of other dependents by $500 . . . . $ [illegible]
Add the amounts above and enter the total here . . . . . 3 $ 12,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/[illegible]/202[illegible]
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_110
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 42 of 110 PageID 1830
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:32 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578690
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Jose Gonzalez
SSN: 797-55-4281
EE [illegible]d: 21101320658
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:31:50
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential [illegible]nformation that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
4
5 of 5
EX_64_111
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 43 of 110 PageID 1831
Gonzalez, Jose   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4916 Howard   SocSecNum: XXX-XX-4281   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Ft Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 05/15/94   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 1025.00 1025.00 .00 78.41 .00 .00 .00 .00 .00 .00 946.59
05/29/20 .00 .000 .000 .000 .00 .00 1095.00 1095.00 .00 83.77 .00 .00 .00 .00 .00 .00 1011.23
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3170.00 3170.00 .00 242.51 .00 .00 .00 .00 .00 .00 2927.49
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3170.00 | FICA - OASDI 196.54 |
| FICA - Medicare 45.97 |
EX_64_112
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 44 of 110 PageID 1832
57868[illegible] (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Juan Garci[illegible]
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente pueda tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 2020
[illegible] 9/14
1 of 5
EX_64_113
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Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quua he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) [struck-out word] Juan Garci[illegible]
Date of Birth (Fecha de nacimiento) 7/[illegible]5/197[illegible]
Address (Dirección): [illegible][illegible]33 [illegible][illegible]ckett
City, State, Zip (Ciudad, Estado, Zip): Fort [illegible] FL 33[illegible]0[illegible]
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 671-44-71[illegible]5
2 of 5
EX_64_114
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Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Juan Gar[illegible]a
Client Company Name (Nombre de la Compañía- Cliente) Target Roofing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) [illegible]810
Rate of Pay (Tasa de pago) $ 10 [x] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp Code (Código Compensación Trabajadores) ____________
[a hand-drawn U-shaped stroke runs down left of the Part Time box, under it, meets its lower-right corner and runs on up to the right over the word Part; the box interior is blank]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [illegible] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line runs from the upper right over the 5 label to the lower-right corner of the 5 box, along its bottom edge and on past the lower-left corner; the stroke cannot be told from the box outline]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
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EX_64_115
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 47 of 110 PageID 1835
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Juan   Last name: Garcia
(b) Social security number: 671-44-71[illegible]5
Address: 4933 Lockett
City or town, state, and ZIP code: Fo[illegible]t Mye[illegible][illegible] FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[ ] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 5
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 10,5[illegible]0
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/11/20
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
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EX_64_116
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 48 of 110 PageID 1836
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:31 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578685
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Juan Garcia
SSN: 671-44-7125
EE [illegible]d: 2110132065[illegible]
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:31:08
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
6
5 of 5
EX_64_117
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 49 of 110 PageID 1837
Garcia, Juan   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: S .00   Local Tax 1:
4933 Luchett   SocSecNum: XXX-XX-7125   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Ft Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 07/25/95   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 985.00 985.00 .00 75.35 .00 .00 .00 .00 .00 .00 909.65
05/29/20 .00 .000 .000 .000 .00 .00 1095.00 1095.00 .00 83.77 .00 .00 .00 .00 .00 .00 1011.23
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3130.00 3130.00 .00 239.45 .00 .00 .00 .00 .00 .00 2890.55
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3130.00 | FICA - OASDI 194.06 |
| FICA - Medicare 45.39 |
EX_64_118
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 50 of 110 PageID 1838
578683 (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: J[illegible][illegible]o C[illegible]opin
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 2020
[illegible] [illegible]14
1 of 5
EX_64_119
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Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original )
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quua he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/2[illegible]
Employee Name (Nombre del empleado) JU[illegible]O C[illegible]open
Date of Birth (Fecha de nacimiento) 1/14/1992
Address (Dirección): [illegible][illegible]33 [illegible][illegible]ch[illegible]tt
City, State, Zip (Ciudad, Estado, Zip): F[illegible][illegible]t [illegible], FL 33[illegible]0[illegible]
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 514-74-6598
2 of 5
EX_64_120
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Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Ju[illegible][illegible] C[illegible]apen
Client Company Name (Nombre de la Compañía- Cliente) Tar[illegible][illegible]t Ro[illegible][illegible]ing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8[illegible]1[illegible]
Rate of Pay (Tasa de pago) $ 10 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[a hand-drawn line runs from the left to the lower-left corner of the Hourly box; the box interior is blank]
[ ] Full Time (Tiempo completo) [x] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1 2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [x] 5 - Office and Clerical (Oficina y administrativo)
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_121
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 53 of 110 PageID 1841
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Julio   Last name: C[illegible]Open
(b) Social security number: 514-74-6598
Address: 4933 Luchett
City or town, state, and ZIP code: F[illegible]t my[illegible]rs FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 6
Multiply the number of other dependents by $500 . . . . $ [illegible]
Add the amounts above and enter the total here . . . . . 3 $ 12,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/[illegible]/20
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_122
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 54 of 110 PageID 1842
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:29 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578683
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Julio Chopin
SSN: 516-74-6598
EE [illegible]d: 21101320653
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:28:51
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential [illegible]nformation that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
11
5 of 5
EX_64_123
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 55 of 110 PageID 1843
Chopin, Julio   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4933 Luchett   SocSecNum: XXX-XX-6598   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Ft Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 01/16/92   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 995.00 995.00 .00 76.12 .00 .00 .00 .00 .00 .00 918.88
05/29/20 .00 .000 .000 .000 .00 .00 1020.00 1020.00 .00 78.03 .00 .00 .00 .00 .00 .00 941.97
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3065.00 3065.00 .00 234.48 .00 .00 .00 .00 .00 .00 2830.52
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3065.00 | FICA - OASDI 190.03 |
| FICA - Medicare 44.45 |
EX_64_124
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 56 of 110 PageID 1844
578680-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: [illegible]is R[illegible]v[illegible]ra
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED [illegible]
MAY 15 2020
T.W.
1 of 5
EX_64_125
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 57 of 110 PageID 1845
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) [illegible]is Rivera
Date of Birth (Fecha de nacimiento) 10/1[illegible]/1985
Address (Dirección): [struck-out character] 4721 Nottingham
City, State, Zip (Ciudad, Estado, Zip): Ft Mye[illegible]s FL 33905
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 619-78-84[illegible]3
2 of 5
EX_64_126
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 58 of 110 PageID 1846
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) [illegible]is Rivera
Client Company Name (Nombre de la Compañía- Cliente) Targ[illegible]t Ro[illegible]fing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8[illegible]10
Rate of Pay (Tasa de pago) $ 10.00 [x] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn U-shaped stroke runs under the Part Time box; the box interior is blank]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [x] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn stroke runs down the left edge of the 5 box and along its bottom edge; a rising stroke crosses the box interior from its left edge to its upper-right corner]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_127
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 59 of 110 PageID 1847
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Luis   Last name: Rivera
(b) Social security number: 619-78-8423
Address: 47[illegible]1 Nottingham
City or town, state, and ZIP code: Fo[illegible]t My[illegible]rs FL 3390[illegible]
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[ ] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
[a hand-drawn check stroke has its vertex below the lower-left corner of the Head of household box and its long arm runs along the bottom edge and out past the lower-right corner, then up through Married filing; the box interior is blank]
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 6
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 12,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date [illegible]/11/[illegible]0
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_128
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 60 of 110 PageID 1848
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:27 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578680
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Luis Rivera
SSN: 619-78-8423
EE [illegible]d: 21101320651
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:27:25
Term type: Involuntary
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential [illegible]nformation that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
10
5 of 5
EX_64_129
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 61 of 110 PageID 1849
Rivera, Luis   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: H .00   Local Tax 1:
4721 Nottingham   SocSecNum: XXX-XX-8423   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Part Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 10/12/85   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 1020.00 1020.00 .00 78.03 .00 .00 .00 .00 .00 .00 941.97
[illegible]5/29/20 .00 .000 .000 .000 .00 .00 1010.00 1010.00 .00 77.27 .00 .00 .00 .00 .00 .00 932.73
[illegible]6/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3080.00 3080.00 .00 235.63 .00 .00 .00 .00 .00 .00 2844.37
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3080.00 | FICA - OASDI 190.96 |
| FICA - Medicare 44.67 |
EX_64_130
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 62 of 110 PageID 1850
578673 (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Mario Perez
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 2020
[illegible] 9/14
1 of 5
EX_64_131
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 63 of 110 PageID 1851
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) Ma[illegible]o Perez
Date of Birth (Fecha de nacimiento) 1/21/1998
Address (Dirección): [struck-out characters] 4925 M[illegible]s st
City, State, Zip (Ciudad, Estado, Zip): Ft. My[illegible]s, FL 33[illegible]05
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 739-45-8[illegible]14
2 of 5
EX_64_132
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 64 of 110 PageID 1852
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) M[illegible]o Per[illegible]z
Client Company Name (Nombre de la Compañía- Cliente) Target Ro[illegible]fing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8[illegible]10
Rate of Pay (Tasa de pago) $ 11 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[a hand-drawn line runs from the upper right to the upper-left corner of the Hourly box and ends just past it; the box interior is blank]
[x] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line runs from the upper right along the top edge of the 5 box and ends past its upper-left corner; the box interior is blank]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
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EX_64_133
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 65 of 110 PageID 1853
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Mario   Last name: Perez
(b) Social security number: 739-45-8[illegible]14
Address: [struck-out character] 49[illegible]5 Mars St
City or town, state, and ZIP code: Fo[illegible]t My[illegible]rs FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[illegible] Married filing jointly (or Qualifying widow(er))
[hand-drawn strokes run from the Single box down to the Married filing jointly box and along its left edge; the stroke cannot be told from the box outline]
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ [illegible]
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 12,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_134
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 66 of 110 PageID 1854
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:26 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578673
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Mario Perz
SSN: 739-45-8214
EE [illegible]d: 21101320645
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:25:43
Term type: Involuntary
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
16
5 of 5
EX_64_135
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 67 of 110 PageID 1855
Perz, Mario   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4825 Mars St   SocSecNum: XXX-XX-8214   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
[illegible]y Myers, FL 33909   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 11.000 HOURLY   Birthdate: 01/21/98   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 985.00 985.00 .00 75.35 .00 .00 .00 .00 .00 .00 909.65
05/29/20 .00 .000 .000 .000 .00 .00 1082.00 1082.00 .00 82.77 .00 .00 .00 .00 .00 .00 999.23
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3117.00 3117.00 .00 238.45 .00 .00 .00 .00 .00 .00 2878.55
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3117.00 | FICA - OASDI 193.25 |
| FICA - Medicare 45.20 |
EX_64_136
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 68 of 110 PageID 1856
578674-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Ma[illegible]o Pas[illegible]al
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED
MAY 15 2020
T.W.
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EX_64_137
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 69 of 110 PageID 1857
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): [illegible]/1/2[illegible]
Employee Name (Nombre del empleado) Mauro Pasc[illegible]al
Date of Birth (Fecha de nacimiento) 10/15/1996
Address (Dirección): 342 D[illegible]oit
City, State, Zip (Ciudad, Estado, Zip): [illegible]t Myers FL 33[illegible]05
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 749-[illegible]1-5971
2 of 5
EX_64_138
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Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Target Roo[illegible]ing
Client Company Name (Nombre de la Compañía- Cliente) Mauro Pasc[illegible]al
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8[illegible]10
Rate of Pay (Tasa de pago) $ 10 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [x] 5 - Office and Clerical (Oficina y administrativo)
[ ] [illegible] - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
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EX_64_139
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Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Mauro   Last name: Pasc[illegible]al
(b) Social security number: 749-61-5971
Address: 392 Detr[illegible]t
City or town, state, and ZIP code: Fo[illegible]t My[illegible]rs FL 339[illegible]5
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 5
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 10,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date [illegible]/11/20
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
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EX_64_140
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 72 of 110 PageID 1860
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:25 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578674
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Mauro Pascual
SSN: 749-61-5971
EE id: 21101320646
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:24:42
Term type: Involuntary
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
19
5 of 5
EX_64_141
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 73 of 110 PageID 1861
Pascual, Mauro   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
392 Detroit   SocSecNum: XXX-XX-5971   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Ft Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 10/15/96   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 995.00 995.00 .00 76.12 .00 .00 .00 .00 .00 .00 918.88
05/29/20 .00 .000 .000 .00[illegible] .00 .00 1082.00 1082.00 .00 82.77 .00 .00 .00 .00 .00 .00 999.23
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3127.00 3127.00 .00 239.22 .00 .00 .00 .00 .00 .00 2887.78
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3127.00 | FICA - OASDI 193.87 |
| FICA - Medicare 45.35 |
EX_64_142
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 74 of 110 PageID 1862
578679 (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Miguel Tix[illegible]l
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 [illegible]
[illegible] 9/14
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EX_64_143
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Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established [illegible]0 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) Migul Tixcul
Date of Birth (Fecha de nacimiento) 7/26/1981
Address (Dirección): 4[illegible]28 Sh[illegible]rry
City, State, Zip (Ciudad, Estado, Zip): Ft. My[illegible]rs FL 33905
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 671-33-4326
2 of 5
EX_64_144
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Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Migue Tixcol
Client Company Name (Nombre de la Compañía- Cliente) Targ[illegible]t Ro[illegible]fing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) [illegible]10
Rate of Pay (Tasa de pago) $ 10 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn loop runs around the left and bottom of the Part Time box; the box interior is blank]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [illegible] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line runs from the upper right across the top of the 5 box and hooks at the left; the stroke cannot be told from the box outline]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
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EX_64_145
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Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Mi[illegible]uel   Last name: Tixcul
(b) Social security number: [illegible]71-83-4326
Address: 9982 Sherry
City or town, state, and ZIP code: Fo[illegible] M[illegible]S FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 5
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 10,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/11/20
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
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EX_64_146
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 78 of 110 PageID 1866
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:30 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578679
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Miguel Tixcul
SSN: 671-33-4326
EE id: 21101320650
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:29:31
Term type: Involuntary
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential Information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
4
5 of 5
EX_64_147
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 79 of 110 PageID 1867
Tixcul, Miguel   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4925 Sherry   SocSecNum: XXX-XX-4326   Company Hire Date: 05/15/20   State Tax Setup: FL .00   Local Tax 2:
Ft Myers, FL 339[illegible]5   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 07/26/81   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
[illegible]5/22/20 .00 .000 .000 .000 .00 .00 995.00 995.00 .00 76.12 .00 .00 .00 .00 .00 .00 918.88
[illegible]5/29/20 .00 .000 .000 .000 .00 .00 1022.00 1022.00 .00 78.18 .00 .00 .00 .00 .00 .00 943.82
[illegible]6/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3067.00 3067.00 .00 234.63 .00 .00 .00 .00 .00 .00 2832.37
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3067.00 | FICA - OASDI 190.15 |
| FICA - Medicare 44.48 |
EX_64_148
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 80 of 110 PageID 1868
578676-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Oscar Ramos
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED [illegible] 9/14
MAY 15 2020
T.W.
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EX_64_149
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Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established [illegible]0 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/[illegible]0
Employee Name (Nombre del empleado) OSCAR RamOS
Date of Birth (Fecha de nacimiento) 11/21/1992
Address (Dirección): 4774 Hunt[illegible]s
City, State, Zip (Ciudad, Estado, Zip): Ft My[illegible]s 33[illegible]05 F.L.
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 549-71-1362
2 of 5
EX_64_150
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Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) OSCaR Ramo[illegible]
Client Company Name (Nombre de la Compañía- Cliente) Target Roo[illegible]ing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 881[illegible]
Rate of Pay (Tasa de pago) $ 10 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[illegible] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn looped stroke runs down over the Full Time box and curls right under it; the stroke cannot be told from the box outline]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line runs from the right under the 5 box; the box interior is blank]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_151
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 83 of 110 PageID 1871
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: OSCaR   Last name: Ramos
(b) Social security number: 549-71-1362
Address: 4774 Hunt[illegible]s
City or town, state, and ZIP code: Fo[illegible]t My[illegible]S FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
[a hand-drawn stroke rises from the check in the Married filing jointly box and ends on the bottom edge of the Single box; the Single box interior is blank]
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,0[illegible]0 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 6
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 12,50[illegible]
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 6/11/20
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_152
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 84 of 110 PageID 1872
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:27 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578676
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Oscar Ramos
SSN: 549-71-1362
EE Id: 21101320648
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:27:05
Term type: Involuntary
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
11
5 of 5
EX_64_153
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 85 of 110 PageID 1873
Ramos, Oscar   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4774 Hunters   SocSecNum: XXX-XX-1362   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 11/21/92   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 1020.00 1020.00 .00 78.03 .00 .00 .00 .00 .00 .00 941.97
05/29/20 .00 .000 .000 .000 .00 .00 991.00 991.00 .00 75.81 .00 .00 .00 .00 .00 .00 915.19
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3061.00 3061.00 .00 234.17 .00 .00 .00 .00 .00 .00 2826.83
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3061.00 | FICA - OASDI 189.78 |
| FICA - Medicare 44.39 |
EX_64_154
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 86 of 110 PageID 1874
578677 (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Pedro Vargas
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 2020 [illegible] 9/14
1 of 5
EX_64_155
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Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established [illegible]0 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/2/20
Employee Name (Nombre del empleado) Pedro VargaS
Date of Birth (Fecha de nacimiento) 5/18/1987
Address (Dirección): 4928 [illegible]herry
City, State, Zip (Ciudad, Estado, Zip): Fort myer[illegible] F[illegible] 33905
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 571-[illegible][illegible]-4938
2 of 5
EX_64_156
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 88 of 110 PageID 1876
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Pedro Vargas
Client Company Name (Nombre de la Compañía- Cliente) Target Roof[illegible]g
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8810
Rate of Pay (Tasa de pago) $ 10 [x] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [x] 5 - Office and Clerical (Oficina y administrativo)
[ ] [illegible] - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_157
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 89 of 110 PageID 1877
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Pedro   Last name: [illegible]argaS
(b) Social security number: 571-[illegible][illegible]-493[illegible]
Address: 4928 Sh[illegible]rry
City or town, state, and ZIP code: Fo[illegible] M[illegible]S F[illegible] [illegible]3905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ [illegible]
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ [illegible]
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/11/2020
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_158
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 90 of 110 PageID 1878
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:30 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578677
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Pedro Vargas
SSN: 571-22-4938
EE [illegible]d: 211[illegible]1320649
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:29:59
Term type: Involuntary
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
2
5 of 5
EX_64_159
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 91 of 110 PageID 1879
Vargas, Pedro   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4928 Sherry   SocSecNum: XXX-XX-4938   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Ft Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 05/18/87   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 1010.00 1010.00 .00 77.27 .00 .00 .00 .00 .00 .00 932.73
05/29/20 .00 .000 .000 .000 .00 .00 1022.00 1022.00 .00 78.18 .00 .00 .00 .00 .00 .00 943.82
[illegible]6/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3082.00 3082.00 .00 235.78 .00 .00 .00 .00 .00 .00 2846.22
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3082.00 | FICA - OASDI 191.08 |
| FICA - Medicare 44.70 |
EX_64_160
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 92 of 110 PageID 1880
578670-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Uriel Cardenas
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED [illegible] 9[illegible]14
MAY 15 2020
T.W.
1 of 5
EX_64_161
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 93 of 110 PageID 1881
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established [illegible]0 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/[illegible]0
Employee Name (Nombre del empleado) Uriel Cardenas
Date of Birth (Fecha de nacimiento) 1/14/197[illegible]
Address (Dirección): 4721 N[illegible]ngh[illegible]
City, State, Zip (Ciudad, Estado, Zip): Ft My[illegible]rs FL 5390[illegible]
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 549·77·5934
2 of 5
EX_64_162
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 94 of 110 PageID 1882
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Urie[illegible] Cardenas
Client Company Name (Nombre de la Compañía- Cliente) Targ[illegible]t Roo[illegible]ng
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8810
Rate of Pay (Tasa de pago) $ 10.[illegible]0 [x] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn line runs from the right to the lower-right corner of the 5 box; the box interior is blank]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_163
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 95 of 110 PageID 1883
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: [illegible]riel   Last name: Cardenas
(b) Social security number: ____________
Address: 4721 No[illegible]ing[illegible]am
City or town, state, and ZIP code: Fo[illegible]t M[illegible]s FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[ ] Married filing jointly (or Qualifying widow(er))
[a hand-drawn line runs from the upper right along the top edge of the Married filing jointly box and ends past its upper-left corner; the box interior is blank]
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ 5
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 10,500
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/11/20
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_164
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 96 of 110 PageID 1884
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 9:28 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578670
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Uriel Cardenas
SSN: 549-77-5934
EE id: 21101320643
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 09:27:40
Term type: Resignation
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential Information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
14
5 of 5
EX_64_165
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 97 of 110 PageID 1885
Cardenas, Uriel   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4721 Nottingham   SocSecNum: XXX-XX-5934   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 11/14/75   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 1005.00 1005.00 .00 76.88 .00 .00 .00 .00 .00 .00 928.12
05/29/20 .00 .000 .000 .000 .00 .00 1037.00 1037.00 .00 79.33 .00 .00 .00 .00 .00 .00 957.67
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3092.00 3092.00 .00 236.54 .00 .00 .00 .00 .00 .00 2855.46
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3092.00 | FICA - OASDI 191.70 |
| FICA - Medicare 44.84 |
EX_64_166
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 98 of 110 PageID 1886
578686-4
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Carlos [illegible]x
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
ENTERED [illegible]
MAY 15 2020
T.W.
1 of 5
EX_64_167
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 99 of 110 PageID 1887
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established 90 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) Carlos Lux
Date of Birth (Fecha de nacimiento) [illegible]/[illegible][illegible]/1980
Address (Dirección): 7721 Nottin[illegible]ham
City, State, Zip (Ciudad, Estado, Zip): Ft Mye[illegible]s FL 33905
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): [illegible]49-78-56[illegible]1
2 of 5
EX_64_168
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 100 of 110 PageID 1888
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Carlos Lux
Client Company Name (Nombre de la Compañía- Cliente) Target Roo[illegible]ng
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8810
Rate of Pay (Tasa de pago) $ 10.00 [illegible] Hourly (Por hora) [illegible] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[a hand-drawn stroke rises over the Hourly box in a peak and runs on to the left; the stroke cannot be told from the box outline]
[ ] Full Time (Tiempo completo) [x] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn stroke runs along the top of the Salary box and down over its left side; the stroke cannot be told from the box outline]
[a hand-drawn stroke runs down left of the Part Time box, along its bottom edge and up through its lower interior]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn stroke runs down the left edge of the 5 box, along its bottom edge and on up to the right across the "5 - Office" label and through "(Técnicos)"; the box interior is blank]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_169
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 101 of 110 PageID 1889
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Carlos   Last name: Lux
(b) Social security number: ____________
Address: [illegible]721 No[illegible]ingham
City or town, state, and ZIP code: Fort My[illegible]rs FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ [illegible]
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ [illegible]
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date ____________
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_170
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 102 of 110 PageID 1890
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:17 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
57[illegible]684
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Carlos Lux
SSN: 649-78-5621
EE [illegible]d: 21101320656
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:17:04
Term type: Involuntary
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential information that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
5
5 of 5
EX_64_171
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 103 of 110 PageID 1891
Lux, Carlos   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4721 Nottingham   SocSecNum: XXX-XX-5621   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Fort Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Part Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 12/22/80   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 1015.00 1015.00 .00 77.65 .00 .00 .00 .00 .00 .00 937.35
05/29/20 .00 .000 .000 .000 .00 .00 1100.00 1100.00 .00 84.15 .00 .00 .00 .00 .00 .00 1015.85
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3165.00 3165.00 .00 242.13 .00 .00 .00 .00 .00 .00 2922.87
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3165.00 | FICA - OASDI 196.23 |
| FICA - Medicare 45.90 |
EX_64_172
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 104 of 110 PageID 1892
5[illegible]867[illegible] (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Daniel Mejia
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 2020
[illegible] 9/14
1 of 5
EX_64_173
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 105 of 110 PageID 1893
Drug Testing Authorization
I agree to comply with any drug/alcohol testing policy, which Workforce Business Services has or may adopt. I specifically
agree to post-accident drug/alcohol testing for any work injury regardless of whether I am able to give consent at that time.
This authorization or a photocopy hereof is my authority and consent to post-accident drug/alcohol testing in all instances.
(Prueba Antidrogas Estoy de acuerdo en cumplir con cualquier políticas de pruebas de drogas/alcohol cual Workforce Business Services
(WBS-por sus siglas en Ingles) tenga o pueda adoptar. Yo específicamente estoy de acuerdo a pruebas de drogas/alcohol después de cada
accidente de trabajo sin importar si puedo dar consentimiento en ese tiempo. Esta autorización o una fotocopia de esta autorización es mi
autoridad y consentimiento para pruebas de drogas/alcohol en todos los casos.)
Workers' Compensation Medical Authorization Release
I authorize any physician, medical practitioner, hospital, clinic or other health facility, or employer, to release any and all medical
and non-medical information in its possession about me to Workforce Business Services' Workers' Compensation carrier or its
legal representatives for purposes of a workers' compensation claim. (Medical information means all information in the posses-
sion of or derived from providers of health care regarding the medical history, mental or physical condition, or treatment of me.)
I shall comply with the provisions of Florida Statute 440 concerning claims for workers' compensation benefits. If I provide false,
misleading or incomplete information to obtain workers' compensation benefits, I may be denied such benefits. I may request
and receive a copy of this authorization. A photocopy of this authorization shall be valid as the original.
(Acuerdo de Autorización medica para compensación del trabajador Nadie está obligado a proveer ninguna información médica
hasta que una oferta de empleo se ha hecho y se ha aceptado. Yo autorizo a cualquier doctor, médico practicante, hospital, clínica u otra
entidad de salud o empleador, para liberar toda la información médica y no médica en su posesión acerca de mí al portador del seguro de
compensación a los trabajadores de Servicios de Personal Empresariales (WBS-por sus siglas en Ingles) o a sus representantes legales para
propósitos de una reclamación de compensación de trabajadores (Información médica significa toda la información en posesión de, o derivadas
de los proveedores de atención de salud, relacionados con la historia médica, condición física o mental, o con mi tratamiento). Cumpliré con las
provisiones del Estatuto 440 de la Florida concernientes a reclamaciones para beneficios de compensación. Si proporciono información falsa,
engañosa o incompleta para obtener beneficios de compensación de trabajadores, tales beneficios me pueden ser negados. Puedo solicitar y
recibir una copia de esta autorización. Una fotocopia de esta autorización será válida como la original.)
I agree to promptly and without delay report all accident, injuries, potential safety hazards, safety suggestions and health
related issues to my manager.
If I am a new hire, I acknowledge I am hereby notified within 7 days of my employment with Workforce Business Services that
I am being employed on an established [illegible]0 day probationary period
(Informe inmediatamente a su gerente todo accidente, lesion, peligros potenciales, sugerencias sobre seguridad y asuntos relacionados con
la salud.)
I certify that I have read, understand, and agree to the conditions and requirements contained in this document, including my
authorization for drug testing and for release of my medical and non-medical information.
(Yo certifico quue he leido, entiendo, y estoy de acuerdo con las atorizaciones, reconocimientos, condiciones y requisitos contenidos en la sección.)
Employee Signature (Firma del empleado)X [signature] Date (Fecha): 5/1/20
Employee Name (Nombre del empleado) Dani[illegible] [illegible]ejia
Date of Birth (Fecha de nacimiento) 3/10/1993
Address (Dirección): 4916 Howard
City, State, Zip (Ciudad, Estado, Zip): Fort Myers[illegible] FL. 33905
Telephone Number (Número telefónico) ____________ Social Security No (No. Seguridad Social): 7[illegible]1-99-4584
2 of 5
EX_64_174
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 106 of 110 PageID 1894
Voluntary EEO Identification (Identificación del EEO voluntario)
Various agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for
which an applicant applies. The information requested here is for compliance with certain record keeping requirements.
Varias entidades del gobierno de Estados Unidos exigen a los empleadores que mantengan información sobre los solicitantes en relación con factores como raza, sexo y
tipo de cargo para el cual se presenta el candidato. La información que aquí se solicita es para cumplir con ciertos requisitos de registro.
[ ] White (Not of Hispanic or Latino origin) - Origins of Europe, North Africa, or the Middle East. Blanco (No de origen Hispánico ni Latino) - Originario de Europa, África del Norte o del Medio Oriente
[ ] Black or African American (Not of Hispanic or Latino origin) - Origins in any of the Black racial groups of Africa. Negro o Afro-Americano (No de origen Hispánico ni Latino) - Orígenes en cualquiera de los grupos raciales negros de África
[ ] Hispanic or Latino - Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. Hispano o Latino - Mexicano, Puertorriqueño, Cubano, Centro o Suramericano o de otra cultura u origen proveniente de España, independientemente de la raza
[ ] Asian (Not of Hispanic or Latino origin) - Origins of the Far East, Southeast Asia, the Indian Subcontinent Asiático (no de origen Hispánico ni Latino) - Originario del Lejano Oriente, Sudeste Asiático, o Subcontinente Indio
[ ] Native Hawaiian or other Pacific Islander - Origins of Hawaii, Guam, Samoa, or other Pacific Islands. Nativo Hawaiano o de otra Isla del Pacífico - originario de Hawai, Guam, Samoa u otras Islas del Pacífico
[ ] American Indian/Alaska Native - Origins of North or South America (including Central America), who maintain tribal affiliation and community recognition Indígena Americano / Nativo de Alaska - Originario de América del Norte o del Sur (incluyendo América Central) que mantiene su afiliación tribal y reconocimiento de la comunidad.
[ ] Two or more races (Not of Hispanic or Latino origin) - All persons who identify with more than one of the listed races. Dos o más razas (No de origen Hispano ni Latino) - Todas las personas que se identifiquen con más de una de las razas mencionadas
[ ] If the employee elected not to complete this information, the employer has completed it through visual identification as required by law Si el empleado decidió no suministrar esta información, el empleador la suministra mediante identificación visual, de conformidad con lo dispuesto por la ley.
Completed by Client (Para ser diligenciado por el cliente)
New Hires (Nuevas Contrataciones)
You must fax, call or email the following information to WBS on or before the new hire starts work: name, WC Code, Social Security Number, Pay Rate and Date of Birth.
Workforce Business Services can not pay any employee without receiving this information on or before the employee begins work. Nor will this employee be covered with
workers' compensation coverage until this information has been submitted to us. To report a new hire after hours, please fax or call our offices and leave a detailed message.
WBS tiene que recibir este Informe de Vinculación En la fecha de contratacion o antes. Usted puede informar esta nueva contratación a WBS por fax o por
teléfono y recibirá un número de identificación de confirmación. Workforce Business Servicesno podrá efectuar pagos a empleados sin el número de identificación del
empleado. El empleado tampoco quedará cubierto por la compensación de trabajadores hasta que esta información nos haya sido presentada. Para informar sobre alguna
contratación fuera de las horas laborales, por favor envíe un fax o llame a nuestras oficinas y deje un mensaje detallado.
THE EMPLOYEE ENROLLMENT FORM MUST BE RETURNED TO WBS WITHIN THREE DAYS OF THE DATE OF HIRE.
EL INFORME DE VINCULACIÓN DE EMPLEADOS MEDIANTE ARRENDAMIENTO DEBE SER ENVIADOA WBS
DENTRO DE LOS TRES DÍAS SIGUIENTES A LA FECHA DE CONTRATACIÓN.
Employee Name (Nombre del empleado) Danie[illegible] Mejia
Client Company Name (Nombre de la Compañía- Cliente) Target Ro[illegible]fing
Department (if applicable) (Departamento) (si es el caso) ____________ Job Code (if applicable) (Código de trabajo) (si es el caso) 8[illegible]10
Rate of Pay (Tasa de pago) $ 10 [ ] Hourly (Por hora) [ ] Salary (Salario) [ ] Exempt (Exento) [ ] Non-Exempt (No Exento)
[ ] Full Time (Tiempo completo) [ ] Part Time (Medio Tiempo) Work Comp. Code (Código Compensación Trabajadores) ____________
[a hand-drawn loop runs around the left and bottom of the Part Time box and runs on up to the right past the upper-left corner of the Hourly box; neither box interior is marked]
From the EEO job classifications listed, which one best describes the employee's position?
¿De las clasificaciones de trabajos mencionadas, cuál es la que describe mejor el cargo del empleado?
[ ] 1.1 - Executive/Senior Level Officers and Managers (Ejecutivo/Funcionarios y gerentes de nivel superior)
[ ] 1.2 - First / Mid Level Officers and Managers (Funcionarios y gerentes de primer nivel/nivel medio)
[ ] 2 - Professionals (Profesionales) [ ] 3 - Technichians (Técnicos)
[ ] 4 - Sales (Vendedores) [ ] 5 - Office and Clerical (Oficina y administrativo)
[a hand-drawn loop runs around the 5 box and runs on up to the right across "3 - Technichians"; the box interior is blank]
[ ] 6 - Craft Workers (skilled) (Artesanos (capacitados)) [ ] 7 - Operative (semi-skilled) (Operarios (capacitación media))
[ ] 8 - Laborers (unskilled) (Obreros (no capacitados) ) [ ] 9 - Service Workers (Trabajadores de servicios)
Job Description (Descripción del trabajo) ____________
Original Date of Hire (Fecha de contratación original) ____________
3 of 5
EX_64_175
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 107 of 110 PageID 1895
Form W-4
Department of the Treasury Internal Revenue Service
Employee's Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
OMB No. 1545-0074
2020
Step 1: Enter Personal Information
(a) First name and middle initial: Daniel   Last name: Mejia
(b) Social security number: 7[illegible]1-99-4584
Address: 4916 Howard
City or town, state, and ZIP code: Fort Mye[illegible]s FL 33905
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(c) [ ] Single or Married filing separately
[x] Married filing jointly (or Qualifying widow(er))
[ ] Head of household (Check only if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option
is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . [ ]
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000 $ [illegible]
Multiply the number of other dependents by $500 . . . . $ 1
Add the amounts above and enter the total here . . . . . 3 $ 10,50[illegible]
Step 4 (optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect
this year that won't have withholding, enter the amount of other income here. This may
include interest, dividends, and retirement income . . . . . 4(a) $ ____________
(b) Deductions. If you expect to claim deductions other than the standard deduction
and want to reduce your withholding, use the Deductions Worksheet on page 3 and
enter the result here . . . . . 4(b) $ ____________
(c) Extra withholding. Enter any additional tax you want withheld each pay period . 4(c) $ ____________
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
[signature]
Employee's signature (This form is not valid unless you sign it.) Date 5/11/20
Employers Only
Employer's name and address ____________  First date of employment ____________  Employer identification number (EIN) ____________
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2020)
4 of 5
EX_64_176
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 108 of 110 PageID 1896
Tracy Wetter
From: webchanges@gowbs.com
Sent: Tuesday, June 16, 2020 10:17 AM
To: twetter@gowbs.com
Subject: Web Termination From - 2110132
578675
(1)
JUN 16 2020
R.D.
An employee was terminated on the web by 054554.
Daniel Mejia
SSN: 721-99-4584
EE [illegible]d: 21101320647
Term date: 6/5/2020
Date entered on web: 2020-06-16
Time entered on web: 10:17:23
Term type: Involuntary
Term notes:
Please do not respond to this message. It is an automated message sent to you from the server.
Confidentiality Notice: This message is intended only for the named recipient(s) and may contain confidential [illegible]nformation that is
privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the
dissemination, distribution or copying of this message is strictly prohibited. If you received this message and are not the intended
recipient, please notify the sender immediately by return e-mail and delete all copies of the message. Do not forward or otherwise
copy the message.
4
5 of 5
EX_64_177
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 109 of 110 PageID 1897
Mejia, Daniel   Workforce Business Services 12   Target Roofing & Sheet Metal   Federal Tax Setup: M .00   Local Tax 1:
4916 Howard   SocSecNum: XXX-XX-4584   Company Hire Date: 05/15/20   State Tax Setup: FL 00 .00   Local Tax 2:
Ft Myers, FL 33905   WkComp Code: FL-8810   Subscriber Hire Dt: 05/15/20   Status: Full Time   Term'd   Local Tax 3:
Pay Rate 1: 10.000 HOURLY   Birthdate: 03/10/93   Termination Date: 06/05/20
Period: 01/01/20 to 11/06/20   Pay Rate 2: .000   Insurance Codes: NN   Dept 1:   Period: 01/01/20 to 11/06/20
Pay Cycle: WEEKLY   Dept 2:
HOURS | EARNINGS | GROSS PAY | TAXES | DEDUCTIONS | DIRECT DEPOSIT | NET PAY
CHECKDATE RATE | REGULAR OVERTIME OTHER | REGULAR OVERTIME OTHER | | FEDERAL FICA STATE LOCAL | 401K INSURANCE OTHER | |
05/22/20 .00 .000 .000 .000 .00 .00 995.00 995.00 .00 76.12 .00 .00 .00 .00 .00 .00 918.88
05/29/20 .00 .000 .000 .000 .00 .00 1000.00 1000.00 .00 76.50 .00 .00 .00 .00 .00 .00 923.50
06/05/20 .00 .000 .000 .000 .00 .00 1050.00 1050.00 .00 80.33 .00 .00 .00 .00 .00 .00 969.67
TOTALS .000 .000 .000 .00 .00 3045.00 3045.00 .00 232.95 .00 .00 .00 .00 .00 .00 2812.05
Earnings Hours | Earnings Amounts | Taxes | Deductions
Piece Work 3045.00 | FICA - OASDI 188.79 |
| FICA - Medicare 44.16 |
EX_64_178
Case 2:20-cr-00114-JES-M_M Document 136-41 Filed 03/31/21 Page 110 of 110 PageID 1898
578696 (4)
WBS WORKFORCE BUSINESS SERVICES
TO BE COMPLETED BY THE BUSINESS OWNER
Client Company ____________ Client # ____________
Employee Name: Diego Santos
Florida Employee Enrollment Form
This Employment Enrollment Form is NOT an application for employment and should not be used as such.
(Informe de vinculación de empleados mediante arrendamiento Este Informe Laboral NO es una solicitud de trabajo y NO debe ser
utilizado como tal.)
Employee Acknowledgment
I hereby acknowledge my current employer (Client Company) has entered into an client services agreement contract with Workforce
Business Services (WBS). Through this contract WBS will provide Client Company with certain professional employer services.
services. Under this arrangement Client Company and WBS will become co-employers. Under this co-employer relationship, I will
be an assigned solely and exclusively to Client Company. I will remain an employee of Client Company and Client Company will
continue to have control over my day-to-day job duties and the work site. Client Company will also continue to provide all on site
supervision, including but not limited to, determining my job assignments and training requirements, evaluating my performance, and
establishing pay rates. Client Company may have the right to accept or cancel the assignment. WBS will not have an on-site supervisor
or representative at my work-site.
(Reconocimiento del arrendamiento de empleados Por la presente reconozco que he sido informado de que mi empleador actual (compañía cliente)
ha entrado en un acuerdo con Servicios de Personal Empresariales (WBS sus iniciales). A través de este contrato, WBS proporcionará a la compañía
cliente ciertos servicios profesionales de empleadores. En virtud de este acuerdo la Compañía cliente y WBS se convertirán en Co-Empleadores. Bajo
esta relación de Co-Empleadores, seré un empleado por arrendo de WBS, asignado únicamente y exclusivamente a la compañía cliente. WBS se reserva
el derecho de dirección y control sobre los empleados arrendados asignados al lugar de trabajo de la compañía cliente. Continuaré siendo un empleado
de la compañía cliente y la compañía cliente seguirá teniendo control sobre mis funciones de trabajo diarias y mi lugar de trabajo. La compañía cliente
también continuará prestando toda la supervisión en el lugar de trabajo, incluyendo pero no limitándose a determinar la asignación de mi trabajo y los
requisitos de entrenamiento, evaluación de mi desempeño y establecimiento de tasas salariales. WBS mantendrá la autoridad para contratar, terminar,
disciplinar y reasignar a los empleados arrendados. Sin embargo, la compañía cliente puede tener el derecho de aceptar o cancelar la asignación. WBS
no tendrá un supervisor o representante en mi lugar de trabajo.)
I further understand that WBS is an at-will employer and as such, employment with WBS is not for a fixed term or definite period and
may be terminated at any time at the will of either WBS or myself, with or without cause, and without prior notice. The client services
agreement between Client Company and WBS will not affect any agreement for employment or compensation which exists with my
Client Company. If the contract between my Client Company and WBS is terminated, my work site employee status with WBS will
also end on the date of the contract termination.
(Además entiendo que WBS es un empleador a voluntad y como tal, el empleo con WBS no es por un periodo fijo determinado o definido y puede
terminarse en cualquier momento por mi propia voluntad o la de WBS, con o sin causa y sin previo aviso. El acuerdo de arrendo de empleados entre la
compañía cliente y WBS no afectará ningún acuerdo de empleo o compensación que existen con mi compañía cliente. Si el contrato entre mi compañía
cliente y WBS se termina, mi calidad de empleado asignado al lugar de trabajo con WBS también terminará en la fecha de terminación del contrato.)
If WBS does not receive payment from my Client Company for services which I perform, WBS may then pay me the minimum wage
or the legally required minimum salary or overtime pay for that period and I agree to this method of compensation. WBS assumes
responsibility for the payment of such minimum wages to co-employees without regard to payments by Client Company to WBS. I
also agree that WBS does not assume responsibility for payment of any bonuses, commissions, severance pay, deferred compensation,
profit sharing, vacation, sick, or other paid time off pay, or for any other payment, unless WBS has received in advance full payment for
such items from Client Company. If the contract with my Client Company is terminated, my employment with WBS will end the date the
contract terminates and WBS's responsibilities as a co-employer shall also terminate at that time. WBS assumes full responsibility for
payment of payroll taxes and collection of payroll taxes and collection of taxes from payroll on co-employees.
(Si WBS no recibe pago de mi compañía cliente por los servicios que preste, WBS me pagará el salario mínimo, o el salario mínimo legal, o pagará las
horas extras de ese periodo y estoy de acuerdo con este método de compensación. WBS asume responsabilidad por el pago de salarios de empleados
arrendados sin tener en cuenta los pagos efectuados por la compañía cliente a WBS. También estoy de acuerdo en que WBS no asume responsabilidad
por pago alguno de bonos, comisiones, indemnizaciones por despido, compensación diferida, compartir utilidades, vacaciones, enfermedad u otro tiempo
a pagar, o por cualquier otro pago, donde WBS no ha recibido el pago completo por adelantado para tales propósitos por la compañía cliente. Si se
termina el contrato con mi compañía cliente, mi empleo con WBS terminará en la fecha que termina el contrato y las responsabilidades de WBS como
Co-empleador también terminarán al mismo tiempo. WBS asume plena responsabilidad por el recaudo y pago de impuestos de nómina y por el recaudo
de impuestos de nómina a empleados arrendados.)
CDC
MAY 15 2020
[illegible] 9/14
1 of 5
EX_64_179


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