271-22 Attachment-SUBMISSION.pdf

Dear Business Representative, Thank you for your recent filing with the State of New Jersey. Following is a confirmation of your fee payment, please print a copy for your records. Payment Type: Credit card transaction charge on 5/20/2022 9:39:30 PM Submission [D: 127139 Payment Transaction !D: 232866 i Effective Date: 05/20/2022 Paid Amount: $150.00 Convenience Fee: $3.50 Total Paid Amount: $153.50 Confirmation Number: e13fa5e7-aded-442b-8317-35e985ac5427 Form Name: Initial AA302 Form Description: Empioyee Information Report (AA302 Initial) Please allow at least one (1) business day for your payment to post to your account.