EFTA00187055

<table><thead><tr><th rowspan="3">Today&#x27;s Date JUNE 2, 1977</th><th colspan="8">PERSONNEL DEPARTMENT</th></tr><tr><th colspan="4">Dept or Branch N.Y. OPTIONS</th><th colspan="4">Effective Date of Change APRIL 25, 1977</th></tr><tr><th colspan="8">Employee Name (Last-Middle First) EPSTEIN Jeffrey</th></tr></thead><tbody><tr><td>ACCESSIONS</td><td>Complete Items</td><td>SEPARATIONS</td><td>Complete Items</td><td>CHANGES</td><td>Complete Items</td><td>LOAN</td><td>Complete Items</td><td>1,6</td></tr><tr><td>[ ] Additions to Staff</td><td>3,6</td><td>[ ] Cust Replaced</td><td>1,6</td><td>KR Salary</td><td>1,2,3,6</td><td colspan="4">AMOUNT $</td></tr><tr><td>[ ] Replacement</td><td>3,4,6</td><td>[ ] Discharged</td><td>1,6</td><td>[ ] Title or Position</td><td>1,2,3,6</td><td rowspan="6" colspan="4">Repayment Schedule<br>[ ] Per Pay Day With Balance From Any Bonus<br>[ ] Total Repayment From Bonus<br>[ ] Other</td></tr><tr><td>[ ] Refire</td><td>2,3,6</td><td>[ ] Released</td><td>1,6</td><td>[ ] Department or Branch</td><td>1,2,3,6</td></tr><tr><td>[ ] Reinstate from Leave</td><td>2,3,6</td><td>[ ] Laid Off</td><td>1,6</td><td>Shift (Day/Night)</td><td>1,2,3,6</td></tr><tr><td>[ ] Permanent Part Time</td><td>Full Time [ ] Returned to School</td><td>1,2,6</td><td rowspan="3"></td><td rowspan="3"></td></tr><tr><td>[ ] Temporary Part Time [ ] Deleted</td><td>[ ] Exit Interview</td><td>1,2,6</td></tr><tr><td>[ ] Summer File Number</td><td>Lewis of Absence Military Maternity Exit Interview Attached</td><td></td></tr><tr><td colspan="8">1 PRESENT STATUS</td><td colspan="3">2 SALARY HISTORY</td></tr><tr><td>Grade</td><td>Title Associate</td><td>Salary $300.00</td><td>O/T Status Off</td><td colspan="2">Date of Employment 3/15/76</td><td colspan="3">Starting Salary $225.00</td></tr><tr><td colspan="2">Department or Branch N.Y. Options</td><td colspan="2">Dept. Code No. 600-00</td><td colspan="2">Date Last Increase 8/16/76</td><td colspan="3">Amount Last Increase $75.00</td></tr><tr><td colspan="8">3 NEW EMPLOYEE AND STATUS CHANGE</td><td colspan="3">4 FOR REPLACEMENT ONLY</td></tr><tr><td>Grade</td><td>Title 24E Associate</td><td>Salary $24,000/Yr</td><td>O/T Status</td><td colspan="2">Name of Employee Replaced</td><td colspan="3">Date Separated</td></tr><tr><td colspan="2">Department or Branch NY Options</td><td colspan="2">Dept. Code No. 862</td><td colspan="2"></td><td colspan="3"></td></tr><tr><td colspan="8">5 PART TIME EMPLOYMENT</td><td colspan="2">Salary</td><td>Grade</td></tr><tr><td>Rate</td><td colspan="8">Hours Needed Each Day</td></tr><tr><td>$ / Hour</td><td colspan="8">From AM To AM DM</td></tr><tr><td colspan="8">6 REASON TO BE EXPLAINED IN ALL CASES</td></tr><tr><td colspan="10">Per: L.Rabinowitz</td></tr><tr><td colspan="10">RETRO TO APRIL 25, 1977</td></tr><tr><td colspan="10">Administrative Partner Director of Personnel</td></tr><tr><td colspan="10">ADP CODES</td></tr><tr><td>CATEGORY</td><td>0</td><td>1</td><td>2</td><td>3</td><td>4</td><td>5</td><td>6</td><td>7</td><td>8</td></tr><tr><td>Effective Date</td><td>401</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Major Medical</td><td>402</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Prior Care</td><td>403</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Type Employee</td><td>404</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Birth Date</td><td>392</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Annual Salary</td><td>762</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Jock Number</td><td>330</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>