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Harvey L. Leiderman (SBN 55838) Email: [email protected] Jeffrey R. Rieger (SBN 215855) Email: [email protected] REED SMITH LLP 101 Second Street, Suite 1800 San Francisco, CA 94105-3659 Telephone: +1415 543 8700 Facsimile: +I 415 391 8269
Attorneys for Petitioner The Judges' Retirement System
BOARD OF ADMINISTRATION
CALIFORNIA PUBLIC EMPLOYEES' RETIREMENT SYSTEM
In re the Matter of the Recalculation of Benefits of
PAUL G. MAST,
Respondent.
I, Pamela Montgomery, declare as follows:
AGENCY CASE NO. 2010-0825
OAH NO. 2015030996
DECLARATION OF PAMELA MONTGOMERY
1. I began working for the California Public Employees' Retirement System
("CalPERS") in November 1974. From March 2005 through November 2011, I was a CalPERS
Staff Services Manager II, responsible for the administration of the Judges' Retirement System
("JRS"). I retired from my full time position with the JRS on November 2, 2011, and since February
2012, I have been working part time for the JRS. I make this declaration based on my own personal
knowledge of the facts stated in this declaration.
2. As a result of my employment experiences with the JRS, I am familiar with the
operations and record-keeping practices of the JRS.
3. The JRS has records that show all payments that the JRS has made to Respondent
Paul G. Mast ("Mast") since April 6, 2009. True and correct copies of those records are attached
DECLARATION OF PAMELA MONTGOMERY
Attachment I (F) Declaration of Pamela Montgomery Page 1 of 108
1 hereto as Exhibit A.
2 4. Government Code section 75033.5 requires that Mast's allowance must be equal to
3 49.4572% of the compensation payable to the judge holding the office which Mast last held prior to
4 his discontinuance of his service as judge. That 49.4572% figure is the product of 3.75% times
5 Mast's years of judicial service (approximately 13.2 years).
6 5. Using the records attached hereto as Exhibit A, I created a spreadsheet that compares
7 how much Mast received from the JRS, since April 6, 2009, with how much Mast would have
8 received from the JRS if his retirement allowance had been calculated in compliance with
9 Government Code section 75033.5, since April 6, 2009. I also calculated 7% simple interest on all
IO overpayments that the JRS made to Mast since April 6, 2009, with interest running through August
11 31, 2016. That spreadsheet is attached hereto as Exhibit B.
12 6. Using the records attached hereto as Exhibit A, I created a spreadsheet that compares
13 how much Mast received from the JRS, since December 29, 2011, with how much Mast would have
14 received from the JRS if his retirement allowance had been calculated in compliance with
15 Government Code section 75033.5, since December 29, 2011. I also calculated 7% simple interest
16 on all overpayments that the JRS made to Mast since December 29, 2011, with interest running
17 through August 31, 2016. That spreadsheet is attached hereto as Exhibit C.
18 I declare, under penalty of perjury, under the laws of the State of California, that the
19 foregoing is true and correct and that this declaration was executed in Sacramento, California, on
20 June 8, 2016.
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- 1 -
I/
Pamela Montgomery
DECLARATION OF PAMELA MONTGOMERY
Attachment I (F) Declaration of Pamela Montgomery Page 2 of 108
EXHIBIT A
Attachment I (F) Declaration of Pamela Montgomery Page 3 of 108
~.CalPEJZS
June 'lO, 2015
Paul G. Mast _.
P.O. Box 8427'15 Sacramento. CA 84229-2715 OtHI CalPERS (or 1133-225-7377) I Fax: (800) 959-6545 www.calpors.cn.gov
Judgos' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Juclges' Retirement System P 0. Box 942705, Sacramento, CA 94229-2705 (916} 795-3688 (916) 795-3240
GROSS $6,928.93
Base Allowance
TOT ;\L GROSS
• One Time Acljustment
OLL CONTROL NO A0073928
my:calPERS 095'1
OEDUCTJONS $386.34
$6,928.93
$(),928 03
Page 1of1
TO: Paul G. Mast ID#···· ID#: .Judges Retirement Fund
ISSUE DATE: April 30, 2009
PERS CARE -
NET $6,542.59
DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Deduction
$8Hi5
S30.94 $;'!()7 75
JRS-A 001333
AR000273
Attachment I (F) Declaration of Pamela Montgomery Page 4 of 108
~.Ca!PERS
June 10, 20·15
Paul G. Mast
P.O. Box 942?l5 Sacramento, CA 94229-2715 tl86 CalPERS (or 8tl6-225-7377) I Fax: (800) 959-6545 www.calpe1·s.ca.gov
Judges' Retirement System
Duplicate Warrant Slaternent. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento. CA 94229-2705 (916) 795-3688 (916) 795-3240
TO: Paul G. Mast ID# __ _
ID#: Judges Retirement Fund
ISSUE DATE: May 31, 2009
_._ ____ ···----····------·····---------GROSS $6,928.93
Base Allowance
TOTAi. GROSS
' One Time AdJUStment
ROLL CONTROL NO A0073929
myjCalPERS 0951
DEDUCTIONS $386.34
$6.928.93
S6,9:W.93
Page 1 of 1
PERS CARE-
NET $6,542.59
DEL TAPREMIER
PERS I.ONG TERM
TOTAL DEDUCTIONS
'One Tirne Oeduclion
$87.65
$30.94
$267.75
$386.34
.JRS-A 001334
AR000274
Attachment I (F) Declaration of Pamela Montgomery Page 5 of 108
June 10, 2015
Peul G. Mast _.
P 0. Box 942715 Sacramento, CA 94229-2715 33B CalPERS (or 838-225-7377) I F~w: (800) 959·6545 www.calpors.ca.gov
Judges' Rtltirnment System
Duplicate Warrant Statement. Please retain for your records.
Judges· Retirement System P.O. Box 942705, Sacramento, CA 94229··2705 (9'16) 7115-3688 (916) 795-3240
GROSS $6.928.93
TOTAL GROSS
Time Adjustment
CONTROL NO A0073930
myJCalPERS 0951
DEDUCTIONS $386.34
Page 1 of 1
TO: Paul G. Mast 10#:··· ID#: Judges Hetirement Fund
ISSUE DATE: June 30, 2009
NET $6,542.59
DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
• One T11ne Deduction
$30.94
$267.75
$386 '.l•l
JRS-A 001335
AR000275
Attachment I (F) Declaration of Pamela Montgomery Page 6 of 108
June 10, 2015
Paul G, Mast _.
P,O. l3ox9427'15 Sacramento. CA 94229-Z/15 888 Ca!PERS (or 888-225·73t7) I F;1x: (800) 959-6545 www.catpers.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P,O, Box 942705, Sacramento, CA 94229-2705 (91i3) 795-3688 (916) 795-3240
GROSS $6,928.93
Base Allowance
TOTAL GROSS
• One Time Adjustment
ROLL CONTROL NO A007393'1
myjCalPERS 0951
DEDUCTIONS $386.34
$6,928.93
$6,928.93
Page 1 of ·1
TO: Paul G. Mast ID#: __ _
1011: Judges Retirement Fund
ISSUE DA TE: July :i ·1, 2009
PERS CARE·
NET SG,542.G9
DEL TAPREMIER
PERS LONG TERM
TOTAL DEDUCTIONS
·One Time Deduction
$87.65
$30.94
$267.75
$386.34
.ms~A 001336
AR000276
Attachment I (F) Declaration of Pamela Montgomery Page 7 of 108
Ca!PERS
June 10, 20'15
Paul G. Mast _.
PO. Box 942715 Sacramento, CA 94229-2715 888 CalPERS (01 !lB!l-22!»7377) ! Fat<: (800) 959·6M5 wwv1.calpers.ca.gov
Judges' Ratfremcnt System
Duplicate Warrant State111ent. Please retain for your records.
,Judges' Retirement System P.O. Box 942705. Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GFWSS $6,928.93
Base Allowance
TOTAL GROSS
• One Time Adjustment
---......... -... ·---ROLL CONTROL NO A0073932
rny!CalPERS 0951
DEDUCTIONS $386.34
$6.928.93
$6,928.93
Page ·1 of 1
TO: Paul G. Mast ID···· ID#: Judges Retirement Fund
ISSUE DATE: August 31, 2009
PERS CARE-
NET $6,542.59
DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Deduction
$87.65 $30.94
S267.75
$386.3·1
JRS-A 001337
AR000277
Attachment I (F) Declaration of Pamela Montgomery Page 8 of 108
.June 10, 2015
Paul G. Mast _.
P.O. Box M2715 Sacrwmmto, CA 94229-2715 1l88 Ca!PERS (or 888-225·7:377) I Fnx· (800) 959-6545 'W'NW.calpers.ca.gov
,Judges' Retll'emont System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
Base Allowance $6,928.93
TOTAL GROSS SG,028.93
Adjustment
ROLL CONTROL NO A0073933
myfCalPERS 0951
Page 1of1
TO: Paul G. Mast IOI#:··· ID#: Judges Retirement Fund
ISSUE DATE: September 30, 2009
PERS CARE -
NET $6,542.59
DEL TAPREMIER PERS LONG TERl\ll
TOTAL DEDUCTIONS
• One Time Deduction
$87.65
$30.94 $267 75
$386.34
.ms-A 001338
AR000278
Attachment I (F) Declaration of Pamela Montgomery Page 9 of 108
J~~- CalPEFS
June 10, 20·15
P<1UI G. Mast _.
P.O. Box 942715 Sacramento, CA >14229-2715 1388 CalPERS (or 886-225-7377) I Fax: (800) 959-6545 www.calpers.ca.gov
,Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229~2705 (916) 795-3688 (9"16) 795-3240
GF'IOSS $7, 121 73
Medicare
8<1se Allowance
TOTAL GROSS
1-- • One Time Adjustment
ROLL CONTROL NO A0073934
myjCalPERS 0951
DEDUCTIONS $298.69
$192.80 $6,928.93
S7:121.73
Page 1 of ·1
TO: Paul G. Mast ID#···· ID#: Judges Hetirement Fund
ISSUE DATE: October 3·1, 2009
NET $6,823.04
DEL TAPREMIEI~ PERS LONG TERM
TOTAL DEDUCTIONS
* One Time Deduction
$0,00
$30.94 $267.75
$298.69
.JRS~A 001339
AR000279
Attachment I (F) Declaration of Pamela Montgomery Page 10 of 108
J\!P~. (CalPERS
June 10, 2015
Paul G. Mast _.
P 0. Box 942715 Sacramento, Cr\ 94229-2715 338 Ca!PERS (or !H38·225·7'.l!!) ! Fax: (800) 959.5545 wwv.1.calpers.ca.gov
Judoes' Retirement Systom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System FO. Box 942705, Sacramento, CA 94229-2705 (9'16) '195-3688 (916) 795-3240
GROSS s1.·12·1.73
Medicare
Base Allowance
TOT1\L GROSS
Time 1-Vljustment
l~OLL CONTROL NO A0073935
my!Ca!PERS 0951
DEDUCTIONS $298.69
$192.80 $6,928.93
$7,121 ?'.)
Page ·1 of ·1
TO: PatJI G. Mas1
ID#:··· ID#: .Judges Retirement Fund
ISSUE DATE: November 30. 2009
PERS CARE·
NET $6,823.04
DEL TAPREMIER PERS LONG TERM
TOTP..L DEDUCTIONS
• One Tirne Deduction
$0.00
S30.94 $267 75
$298 60
.JRS-A 001340
AR000280
Attachment I (F) Declaration of Pamela Montgomery Page 11 of 108
'4ll CalPERS
June rn, 2015
Paul G. Mast _.
P.O. Bo:< 942715 Sacramento, CA SM'.1.29-27'15 888 CalPERS (or 888-225-7377) I Fnx: (800) 959-6545 ww•N.calpers.ca.gov
Judges' RnUrement System
Duplicate Warrant Statement. Please retain for your records.
.Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (91 G) 795-3240
GROSS $6,928.03
Base Allowance
TOTAL GROSS
• One Time J\djustrnent
DEDUCTIONS $419.35
$6,928.93
SG.828 93
TO: Paul G, Mast
iDI~:··· 10#: Judges Retirement Fund
ISSUE DA TE: December :; I, 2009
PERS CARE·
NET $6,509.58
DEL TAPREMIER
PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Deduction
$118.10 $33.50
$267 75
5419.35
___ . __ ,, ... __ ,,_, ___________ -:-------·"'''--------.............. --............. _,,-j
ROLL CONTROL NO /l.0073936
my!CalPERS 095'1
Page ·1of1
JRS-A 001341
AR000281
Attachment I (F) Declaration of Pamela Montgomery Page 12 of 108
'.
~ 0 fl'
CORRECTED (If ciloelta(l)
~P-,.-v""e"'R·"'s-nam-.-,.-.-ee-1-0""<1<1""re-.. -.-cHy.,,.._.""•1'"'a1'""e"'on-d'"'Z:-::IP::-oc=de-
Judgas' Reilrement S11stem P.O. aox942705 Sacrrunerrio, CA 94229-2705
I . -!··.u.P'4 ·.i!L. _._,__F_o_rm_~_ ----1
J :tl\ T1xabie am-)Unt T.,J!a:J 1»1 datsnnlne<J aisttlbuUon
1:··
.~~
·• ··'~ .
f•
• :l · .. s_~. ·Iv
I
·11·
P~YER'S lederal ldenllf\callon 111JTilber RECIPIENTS ltlem\f~iiQ~~;-- 3: Cepttal gain (\nclucl3d ~emf tno0tfiei&x v. • '1held
94-2653740 RECIPIENT'S name, -· -- (Incl. Op(. no.). cily, ... ,. Brod ZIP code
PAULGMAST
~
In box 2aJ
8 Nol llllreal!z&d app<edalion 7 Ol>lribullon cede(&) lo emp!ayefe aeourflieo
7 ea Your p""'"°lflga ol 1o1ol dlslrlbUllon 9b Total employee conltibutlons
1-----.,.-...,,-,..,-.,.,.--:---..,.-.,..,.--.,...,....,.....,=-::-""'."'.':----l.10 Stele tax Y1llhheld 11 Slolo/Payo(• stall no. 12 Slole cfislr1bu1lon Aooolllll number ( .. o lllatruclions) 101year01 rle<lig. Roth contnb. ~---- __ Jl..,JUJ...._ ___ __aa.~ ::.iiZ~:.i__ _ __ al. .. l.~9. .. ~Q __ _
Cq •y . . . 13 Local w wilhholcl 14 Name ot locality 15 Local dlatribollon
~~~=°4~ .;'t~:S,~~~~ 't:tu;u,tfrt~~w;i:":t:m~~1':;:r~n~~ --------------- --------- ----- ---------------turnlshod to the h'ltemol Revenue Sariloo,
.I
Judges' Retlrnmf:nl Syf-\lem P.O. Box 942705 SacrainHnlo, CA ··1:1::. ··; .;:•70!)
,. ---.fl ,_:__1 1.11· ii111. 1 1 . • ,
';lf1-2653740 R1:•WJ.u1 n1t1o .. "' ••
PAULGMAST -l ,1 1. •1 CX11Unll.
'1.· .1 .. ·· :1 ..
\ l.•· ..... . ' , .
' 'h'J .,., .•. · II CORRECTED (if checked)
PAYER'S name, street --··city, ala!G and ZIP cod<)
Judges' Retirement System " P.O. Box 942705 Sacramento, QA 94229-2705
JUDS Form l\lo. 10-000021 Department of tl1e Treasuiy • fntemaJ Revenue Sel\lfe<>
1GIOOOclistribulion OMB No. 1545·0119 I•. f .. I ' . r .. u, .. ;. Is
. ' 83.147.16 ~©)t···· .. • · ·'I" 1· "Ht
· 2a Taxable amount l•' •• 1; ~ i' '
Is Al l "" &n Form 1• 1:.1· •· ··i ... I ·f .: . 2b Taxab!G amouni Total •· ·h· lt·
I
·.• .,
not de!Grmlnec:f dlstribU11cn c ' '• PAVER'S ledanll ldonlillcatlon number I RECIPIENT'S lckln\Hioallon number a cap11o1 goJn (lnolude<1 4 Fedarel Income tax wi- 6---
94-2653740 ., bOlC 2•) :=z:.'":,~-"'
Is Is n nn Is ., ,n·n• 7~· RECIPIENrS oame, a!T801 adc!r ... (In<!. apt. no.), city, stale and ZIP code e Nal unreellzod appraciallon 7 OlaUibUltcn code(•) I """ 80tl>ar
I PAULGMAST In omploye(a s~ . .,,, - $ 7
S<~Pte Is %
9~ Your percentage o11oto.I dlatribuUon · l 9b Tola! ompbyee oontrlbuUonl
,.. to S1a1a w wl1hhold 11 Slate/Payer's "81• no. 12S1<11edlslrit>ution
Account 1>Jmbof (aoo lna1nrcllon•) I fit year of daslg. Rolh conlrll>. :--- ___ Jl ... JJJL ___ - __ ao.~=.Z6.U:.i_ __ It __ ai. .. u~ .. 40, ___ $
C({·: C .~. ·· t: 1rr i·':r. . 13 Local lax ~hOfd 14 Namo at locally 15Loca!Wstril>rtloo .. ; ·,:· :s Is $--------------- -------------- r--------------Thia ~tonnatlon Is being lumlshed to !he fnlemal Revenue Servk;e. (keep for your records) JUDS Fonn No. 10-000021 Department of the Treasuiy ·Internal Revenue Servl<:e
JUDS Fenn No. 10·000021
JRS-A 001342
AR000282
Attachment I (F) Declaration of Pamela Montgomery Page 13 of 108
~I
Record of Payments
Made by J RS to
Paul G. Mast
Year: 2010
JRS-A 001343
AR000283
Attachment I (F) Declaration of Pamela Montgomery Page 14 of 108
%.CalPERS
June 10, 2015
Paul G. Mast _.
P.O. Box 94271[! Sacramento, CA G•l:<29-2715 888 Ca!PERS {or 3Sll-225-'f3T/) I Fax: (B00) 959.55,15 www.calpers.ca.gov
Judges' Retlrnment System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sm:ramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
TO: Paul G. Mast 10#:···· ID#: Judges Retirement Fund
ISSUE DATE: January 31, 2010
·------------·----·------_________ ... ____ ,,
GROSS $6.928.93
Base Allowance
TOTAL GROSS
• One T1111e Adjustment
DEDUCTIONS $41935
$6,928.93
$6,928.93
f\JET SG,509.58
PERS CARE·
OELTAPREMIER PERS LONG TERM
TOTtiL DEDUCTIONS
• One Time Deduction -·-••••.,-·~~·----··•••••••••••••-•-••••No--•-"•'"'"'""""'-"'""~~"""'·--""·-~--------·
ROLL CONTROL NO A0073937
my!CalPERS 0951
Page 1of1
$11310
$33.50 $26'1.75
$4'19.35
JRS-A 001344
AR000284
Attachment I (F) Declaration of Pamela Montgomery Page 15 of 108
,.CalPERS
,June ·10, 2015
Paul G. Mast _.
f>,O .. Box 942715 Sacrnmento, CA 94229-2'116 038 CalPERS (or 381.l·225-737l) i Fax. (800) 959-6545 www.calpers.ca.gov
,Judgos' Retirement Syslem
Duplicate Warrant Statement. Please retain for your records.
,Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $6,928.93
Base Allowance
TOTAL GROSS
• One Time Adjustrnent
ROLL CONTROL NO A00739:l8
myjCalPERS 095'1
DEDUCTIONS $419.35
$6,928.93
$6,928.93
Page 1 of 1
TO: Paul G. Mast
ID·-· ID#: Judges Retirement Fund
ISSUE DATE: February 28, 2010
PERS CARE·
NET $6,509.58
DEL TAPREMIER
PERS LONG TERM
TOTAL DEDUCTIONS
' One Time D0duciifJr1
$118:10
S33 50 $267 75
JRS-A 001345
AR000285
Attachment I (F) Declaration of Pamela Montgomery Page 16 of 108
J.t~. CalPERS
June 10, 2015
Paul G. Mast _.
P.O. Box 942715 Sacramento, CA 94229-2715 883 CalPERS (or 883·225·7377) I F8x: (HOO) 959-6545 www.calpors.ca.gov
Judges' Retirement System
Duplicate Warrant Staternent. Please retain for your records .
.Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229·2705 (916) 795-3688 (916) 795-3240
TO: Paul G. Mast 1ofll·••• ID#: Judges Retirement Fund
ISSUE DATE: March 31, 2010
.....--------------·------------------·-·-·-GROSS $6,928.93
TOTAL GROSS
• One TirnG Adjustment
ROLL C01'/TROL MO A0073939
rnyjCaiPERS 0951
DEDUCTIONS $419.35
Page 1of1
NET $6,509.58
DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS,
• One Time Deduction
$33.50
$267.75
$419 35
.JRS-A 001346
AR000286
Attachment I (F) Declaration of Pamela Montgomery Page 17 of 108
A
,~~~. CalPERS
June ·1 O, 20·15
Paul G. Mast _.
P.O. Box 942715 Sacramento, CA 94229-2115 080 CalPERS (or 606-225-7377) I Fax· (BOO) 959-6545 www.calpors.ca.gov
Judges' Retirement Syste111
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $6,928.93
TOTAL GROSS
' One Time Adjustment
DEDUCTIONS $419.35
$6,928.93
TO: Paul G. Mast ID#:•••• 1011: Judges Retirement Fund
ISSUE DATE: April 30, 2010
NET $6,509.58
DEL TAPREfv11ER
PERS LONG TERM
TOTAL DEDUCTIONS
• One Time De\iuction
s33.5o I $267. 75 I $419.35 I
.... --·----""'"'·----····---·--- ~ ···-----·~"'"~'" ___ ........ ""'""""'
ROLL CONTROL NO A0073940 -
my/CalPERS 0951
Page 1 of 1
JRS-A 001347
AR000287
Attachment I (F) Declaration of Pamela Montgomery Page 18 of 108
~4CalPERS
June 10, 2015
Paul G. Mast _.
P 0. Box 942715 Sacrament<,. CA 94229-2'?15 BllO CatPERS (or 880-225-737'1) I Fax: (UOO) 959-135~1> ;w1w.calpers.ca.gov
Judges' Ratlrnment System
Otlplicate Warrant Statement Please retain for your records.
,Judqes' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $6,928.93
Bvse Allowance
TOTAL GROSS
' One Time /1cfjustmenl
ROLL CONTROL NO 1\007394'1
mylCalPERS 0951
DEDUCTIONS $419.35
$6,928.93
$6,928.93
Page ·1 of 1
TO: Paul G. Mast tDll:··· IO#; Judges Retirement Fund
ISSUE DATE: May 31. 2010
NET SG,509.58
PERSCARE
DELTAPf~EMIEH
PERS LONG TERM
TOTAi. DEDUCTIONS
• One Time Deduction
$118. 10
$33.50 $267,75
$4'19.35
JRS-A 001348
AR000288
Attachment I (F) Declaration of Pamela Montgomery Page 19 of 108
Ca1PERS
June 1 O, 2015
Paul G. Mast _.
P 0 Box 942715 Sm;ramenio, CA 94229-2715 BBB CalPERS (or 6138-22&-7377) \Fa:<: (800) 959-G545 www.calpers.ca.fJOV
Judges' Ratlremcnt System
Duplicate Warrant Statement. Please retain for your records .
• Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (9'16) 795-3240
Base 1\llowance
DEDUCTIONS $478.27
$6,928.93
TO: Paul G. Mast ID#: ..... ID#: Judges Relirement Fund
ISSUE DA TE: June 30, 2010
PERS CARE·
MET $6.450.66
DEL TAPREMIER PERS LONG TERM
$118.10
$33 50
$326.67
""'·" _I ~~::~~~0~~1_,~_1:1_: ·-..... -.... =====- -'":j TOTAL GROSS
• One Time Acljustment
~Oll CONTROL NO A0073942
my\CalPERS 0951
Page 1 of ·1
.JRS-A 001349
AR000289
Attachment I (F) Declaration of Pamela Montgomery Page 20 of 108
June i 0, 2015
Paul G. Mast _.
P.O. Sox 942715 Sacrarmm10. GA 94229·2715 883 CalPERS (er 860·225-73rl) I Fax: (800) 959·6545 www.calpcrs.ca.nov
Judges' Rotiromcnt Systom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirernen\ System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $6,928.93
Base Allowance
TOT.AL GROSS
• One Time l'.djustrnent
ROLL CONTROL NO f\00'13943
myfCaiPERS 0051
OEDUCTIOf\IS $478.27
$6,928.93
$0,928.9'.>
Page 1 of ·1
TO,,.: IPa1
u111a1. 1M1a1st
101,. ID#: Judges Retirement Fund
ISSUE DATE: July :11, 2010
PERS CARE -
f\IET $6,450.66
DEL TAPREMlER
PERS LONG TERM
TOTAL DEDUCTIONS
' One T:me Deduction
$118. 10
.JRS-A 001350
AR000290
Attachment I (F) Declaration of Pamela Montgomery Page 21 of 108
~CaIPERS
June 10, 2015
Paul G. Mast _.
P 0. i3o:< 942715 Sacramento, Cl\ 94229-7.715 888 Cal PERS (or 883-225-7377) I Fax: (800) 959-654$ www.calpws.ca.uov
Judges' Retlrnment Systam
Duplicate Warrant Statement. Please retain for your records .
. Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (9'16) 795-3688 (916) 795·3240
m~oss
$17,335.68
Base Allowance Base Allowance
TOTAL GROSS
• One Time Adjustmeni
ROLL CONTROL NO A0073944
myjCalPERS 0951
DEDUCTIONS $478.27
$7,246.78
$10.088.90
$17,335.68
Page 1of1
fO: Paul G. Mast
ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: August 31. 2010
NET $16.857.4'1
PERS CARE.
DELTAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Deduction
$118.10
$33 50 $326 67
JRS-A 001351
AR000291
Attachment I (F) Declaration of Pamela Montgomery Page 22 of 108
Cal PERS
June 10, 2015
Paul G. Mllst _.
PO. Box 942715 Sacramento. C1\ 94229·2715 088 CalPERS (m 888·225·7377) 1 fax: (SDD\ 959-6545 www.calpers.cn.gov
Judges' Ret!rnme11t Syst<lm
Duplicate Warrant Statement. Please retain for )lour records.
JiJdges' Retirement Syslern P 0. Box 942705, Sacramento, CA 94229 .. 2705 (916) 795-3688 (\Y16) 795-3240
GROSS $7,438.09
Base Allowance
TOTAL GROSS
• One Time Adjustrnonl
ROLL CONTROL NO A0073945
rnyjCalPERS 0951
DEDUCTIONS $478.27
$7,438.09
$7,438 OH
Page 1of1
TO: Paul G. l\llas\
ID#:··· ID#: Judges rietiremen! Fund
ISSUE DATE: September :lo, 2010
PERS CARE·
NET $6.959.82
DEL TAPREMIER PERS LONG TERM
TOT AL DEDUCTl<ms
• One Tirne Deduction
$'118. i 0
$33.50 $326.!rt
.fRS-A 001352
AR000292
Attachment I (F) Declaration of Pamela Montgomery Page 23 of 108
~.CalPEH5
June ·to, 20·15
Pe1ul G. Mast _.
P 0. Bo~ 9427·15 Sncramenlo, CA 94229-2715 080 Ca!PERS (or 088-225-7377) j F1Jx: (300) 959-6545 www.calpors.ca.gov
Judges• Retirement System
Duplicate Warrant Statement Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (91 (5) 795-3240
GROSS $7,438.09
Base Allov1ance
TOTA.I.. GROSS
' One nme Adju.strnent
ROLL CONTROL NO 1\0073946
inyfCalPERS 0951
DEDUCTIONS $478.27
$7.438 09
Page 1 of 1
TO: Paul G. Mast 10··--!Dtl: Judges ReHrer11ent Fund
ISSUE DATE: October 31. 2010
NET :$G.959.82
DEL TAPREMIER PE.RS LONG TEHM
TOT/l,L DEDUCTIONS
• One Time Deduclion
S11fl 10
$33.50
$326.67
.JRS-A 001353
AR000293
Attachment I (F) Declaration of Pamela Montgomery Page 24 of 108
June 10. 2015
Paul G. Mast _..
P.O. Box 9•127'15 Sacramento, CA 94229-2716 aaa CalPERS (or 888-225·7377) i F~x: ($00) llf'.>9·6!.W3 ;wrw.calpers.ca.gov
,ludgos' Retirnmunt System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P 0, Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $7,438.09
Base Allowance
TOTAL GROSS
• One Time Alijustmont
ROLL CONTROL NO A0073947
rriy!CalPERS 0951
DEDUCTIONS $47827
$7,438.09
:>7,438.00
Page 1 of 1
TO: Paul G. Mast ID# __ _
ID#: Judges Retirement Fund
ISSUE DATE: November 30, 2010
NET $6,959.82
PERS CARE· DELTAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
' One Time Deduction
$118.10
$33.50
$326,67
,JRS-A 001354
AR000294
Attachment I (F) Declaration of Pamela Montgomery Page 25 of 108
,,CalPERS
June rn. 2015
Paul G. Mast _.
P 0. Box 9'\2715 Sacramenttl, CA 84229-2715 888 CalPERS (or 608-225-7377) I Fax: (800) 959-0545 www.calpers.ca.gov
Judges' Retirement System
Duplicate Warrant Statern<>nL Please retain for your records.
Judges' l'<etirement System P.O. Dm< 942705, Sacramento, CA 94229-2705 (9'16) 795-3688 (9'16) 795-3240
GROSS $7.438.09
flase Allowance
TOTAL GROSS
DEDUCTIONS $412.35
S?,438.09
$7,438 09
TO: Paul G. Mast ID#:··· ID#: Jud9es Ret'lremen1 Fund
ISSUE DATE: December 31. 20·:0
NET $7,025.74
PERS CARE·
DELTAPREMIER PERS LONG TEHM
TOTAL DEDUCTIONS
$51.08 $34.liO
$326.67
' Ono Time Adjustment • One T:tne Deduction
ROLL CONTROL NO c'\0073948
my[CalPERS 0951
Page 1 of 1
JRS-A 001355
AR000295
Attachment I (F) Declaration of Pamela Montgomery Page 26 of 108
I 1 ·-
_J.,". r -·,.~,
•"
0 111 !;: ~ .-u.
:f'~~~v~;-·~--~---L--'--.,...c~o_R_R_e_c_·r_e_o~1i_lcheci< __ ed~l-~1urcooch1ributlon PAYER'S name, .Wcat IHtdren. c;tty, 313ta and ZIP cocre
OMB No, 1545-0119 ...• ·.~·)(" ,: .. :;~;;._j·.:·1~·t ·:~~::: :;;t:~~I~
Judges' Retirement System P.O. Box 942705 Sacramento, CA 94229-2705
PAYER'S i.tdfttAJ Jdon;&caUon number
94-2653740 AECIPIENiS ldaMlficatil;ln numbot
I 95,590.55 j 2Q Tau.able amount ~©)':\I· ~ 93,577. 79 Form; •: · '2b Tll>lsbls amDUtrt ____ ._T_o_bJJ _____ --1
"°' delerrn/lled dlSltibuUon 3 Cap1141 goJn (lndllded
In box 2e)
~··. 'i ·.:./~ h~. ,·h. :;1 ,: i·· .1:~, ~F. ~-... ,
_: • ~ l :•·~ j :·· •.
Cor ... , ., '·
BOlhor
Sb Total ernployee -
!T"' _, _____ ...____. ____ ·c_· ----~~590. 55 ./
Judges' Retirement System P.O. Box 942705 Sacramento, CA 94229-2705 93.577.79 ---------'----·----l
·---s--·----,,-"- --------·----------~---·---, 94-2653740 o.oo
"C·.
PAULGMAST - .•. 7
------ --------------- ,,;· -- - ___ ,!l.:.!l.!J ____ _,_ __ l!'!.~: ~~~~ -9 I" 93,577. 79 I
CORRECTED QI cheekO<I)
PAYE.A'S n.BJTI&, B11tol llddross, Cify, stale and ZIP cocb
Judges' Retirement. System P.O. Box 942705 Sacramento, CA 94229-2705
PAYER'S - ldl<lllff<:allon ........ 1 REClPlllNT'S ldcnUnceucn numbe•
. 94-2653740 RECIPIENT"S rwno. street addrNO (Ind. tapl. no.), Qty, GUltO and ZIP code
PAULGMAST -
·--------------~ ! --------------------------- ___________________ ,
JUDS"'Form NO. 11-000859
1 Gross. di$tributlon
~ 95,590.55
~ 93,577. 79 lb r ... ...., amount
not dttermlnad
G Not unraaJlud l.PP"lr:latlon tn omplo)'Of• ....,...,..
~
OMB No. 1545-0119
Fom 1 .... · .. v, Total als1ri!Juaon
4 Fed4rel lnc::ome tax wlthhtkt
o.oo 7 Otslril>Otlon <Odo(•) I 'IW .... ,
7 SIMPU
:i.; '.;(' ir:k : Fr· ·li ·:r1 ~- , ilnr,r: :_.
~Hr: . ··ni: . i•
~"i''\'.•: ... '•'.,~ ·t_.· :~1 .. ::-., .(". ... :,
rns•':" .. ::::· c .. 1 .. ·~1·::.:·, E:-'i'1:,
6~~~~or
• 2.012.76 8 Other
I •
1-,,_--..,-,-""""'°'---,(.-.. -.-"5lructlo--:-ns-:-J --.,.-, l'"'.,-y-oar-o!:-d<l:-:og""· -. ::cROlh..,,...con......,1n°"·b-. ---l:~o_s:: :~~ ____ _ 11 Slalo/Psyefa slats no. 1a Slllle U'otrbullon
803-2673-9 ~ 93,577;79 -------------- ~--------------
C•J: C,' · r.. f, : ~ • '; • ' ~
Thia fnlormatlon Is t>tlng tumlshod lo t.h8 lnloma:J Revenue SeMce.
L_ J FR(
• (keep for your racortfs)
_J _J
···-'---· " ......... - .. -· ""··-·--
13 t.oca! IBX wilhhol<I 14 NMIO ot loco!lly 15 1.ocal dl$tril>ullon
--------------- -------------- }--------------Depanmeni of the Treasury · ln1emal Revenue Setvlce
l 1 1
JUOS Form No, 11-000659
JRS-A 001356
AR000296
Attachment I (F) Declaration of Pamela Montgomery Page 27 of 108
Record of Payments
Made by J RS to
Paul G. Mast
Year: 2011
--··--·--···~----·---·-·····---~-·-- ·--·----·-···--- ------·-_/
JRS-A 001357
AR000297
Attachment I (F) Declaration of Pamela Montgomery Page 28 of 108
.,,CalPEHS
June 10, 20·15
Paul G. Mast _.
P 0. Box 942715 Sacramento. CA 94229-2715 800 CalPERS (or 880-225-7377) I Fax: (800) 959-5545 vvww.calpurs.ca.gov
Judges' Retirement Sysfom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (9'16) 795-3240
GROSS $7,488.13
Medicare
Medicare
Base Allowance
GROSS
Time Adjustment
CONTROL NO A0073949
rny/CalPERS 0951
DEDUCTIONS $310.19
$25.02
$25.02
$7,438.09
$7,488.13
Page 1of1
TO: Paul G. Mast
ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: January 31. 2011
NET $7, 177.94
'PERS CARE -
PERS CARE-
DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Deduction
($5'108)
$0.00
$34.60
S326.67
$310.19
.JRS-A 001358
AR000298
Attachment I (F) Declaration of Pamela Montgomery Page 29 of 108
.June '10, 2015
Paul G. Mast _.
P.O. Box 9<12715 S;icramer.to, CA 94229-2715 038 CalPERS (or 880-225-1'.l?T) I h1x. \!JOO) DSB-6545 WW\v,calpers.ca.gov
Judges' Retirement System
Duplicate Warrant Statement, Please retain for your records.
.Judges' Retirement System Po. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (9'16) 795-3240
$7,463.'1 'I
Medicare
TOT/l.L GROSS
• One Time Adjustment
ROLL CONTROL NO A0073950
my!CalPERS 0951
DEDUCTIONS $361.27
$25.02
$7,438 09
$1,463.'i 1
Page i of 1
TO: Paul G, Mast
JD#··· ID#: Judges Retiremnnt r:und
ISSUE DATE: February 28, 20'11
NET $7, 101.84
PERS CARE-
DEL TAPREMJER
PERS LONG TERM
TOTAL DEDUCTIONS
$0 00 $34 60
$326.67
$361 27
.mS-A 001359
AR000299
Attachment I (F) Declaration of Pamela Montgomery Page 30 of 108
CalPEHS
,June rn, 2015
Poul G. Mast _.
P 0 Box 942715 Sacramento. CA 94229-2715 380 CalPERS (or Stl!l-225'·7377) I Fnx: (800) 959-6545 www.calpars.ca.gov
Judgas' Retlromm1t System
Duplicate Warrant Statement. Please retain for your records.
Judges' f~etiremetH System P 0. Box 942705, Sacramento. CA 94229-2705 (916) 795-3688 (916) "195-3240
GROSS $7,463.11
Medicare
Base Allowance
TOTAL GROSS
• One Time Adjustment
l CONTROL NO A0073951
rny!CalPERS 0951
DEDUCTIONS $361.27
$25.02 S'l,438.09
$7,463.1 'l
Page 1 of 1
TO: Poul G. Mast ID#: ID#: Judges Reliremeo\ Fund
ISSUE DATE: March 3·1, ;!011
NET $7,'101 84
OELTAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Deduction
S0.00 $34.60
.JRS-A 001360
AR000300
Attachment I (F) Declaration of Pamela Montgomery Page 31 of 108
'\ )i
-,,,"'
"CalPERS
June '10, 20·15
Paul G. Mast _.
P 0. Oox 942715 Sacrnrnento, CA g.-\229-27 l 5 888 Ca!PERS (or 6613-225·7377) I Fnx: (800) 959-6545 www.calpors.cn.gov
Judges' Retirnmont System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Gox 942705, Sacrnmento, CA 94229-2705 (016) 795-3688 (9'16) 795-3240
GROSS $7.~63.11
Medic am Base Allowance
TOTAL GROSS
• One Time Adjustment
ROLL CONTROL NO A0073952
rnyfCalPERS 0951
DEDUCTIONS $361.27
$25.02 $7,-138.09
Page 1 of 1
TO'. Paul G. Mas\
ID#·-· ID#: Judges Re!ir0rnent Fund
ISSUE DA rt=.: April 30, 20·11
NET $7,101.84
PERS CARE·
DELTAPREMIER PERS LONG "fERM
TOTAL DEDUCTIONS
• One Time Diduction
$000 '.$34 60
$326.67
$361 27
JRS-A 001361
AR000301
Attachment I (F) Declaration of Pamela Montgomery Page 32 of 108
~,.CalPERS
Juno 10, 2015
Paui G. Mast _.
P.O. Box 942715 Sacramento, C/1 94229-2716 ans Ca!PERS (Of BllO·t..:15.'/37'?) l F;:ix (fl00) 05'.J.6545 www.calp11rs.ca.gov
Judges' Retirement System
Duplicate Warrant StaternenL Please retain for your records.
Judges' Retirement System P.O. Bou 942705. Sacramento. CA 94229-2705 (9'16) 795-3688 (9'16) '?95-3240
GROSS $7,463."l'I
Medicare
Bas(i f..!lowence
TOTAL GROSS
• One Time Adjustment
ROLL CONTROL NO A0073953
my!CalPERS 0951
DEDUCTIONS $36'1.27
$25.02
$7,438.09
Page '1 cf 1
TO: Paul G. Mast
IDil:··-10#: Judges Retirement Fund
ISSUE DATE May 31, 2011
NET $7, 101.84
PERS CARE -
DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Deducoon
$0.00 $34.60
$326.67
,JRS-A 001362
AR000302
Attachment I (F) Declaration of Pamela Montgomery Page 33 of 108
,.CalPEHS
June 10, 20·15
Paul G. Mast _.
PJl Box 942715 Sacramento, CA 94279·2'115 303 CalPERS (m BGB-225-7377) I Fnxc (1300) 959-6545 www.calpcrs.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $7;163.11
Medicare
Base AHowance
TOTAL GROSS
' One Time Adjustment
ROLL CONTROL NO A0073954
my(CaiPERS 095 l
DEDUCTIONS $377.60
$25,02
S7.438.0H
Pnge 1 cf 1
TO: Paul G. Mast 10·1111••• 10#: Judges Retirement Fund
ISSUE DATE: June 30. 2011
PERS CARE -
NET $7,085.51
DEL TAPREMIER
PERS LONG TERM
TOTf\L DEDUCTIONS
Time Deduction
'.10.00 $34 60
$343 00
S377 60
.IRS-A 001363
AR000303
Attachment I (F) Declaration of Pamela Montgomery Page 34 of 108
,,.CalPERS
June 10, 2015
P.O. l:loi< 942715 Sacromcn1o, CA 94220-2715 888 CnlPERS (or 008-225·7317) I Fax: (HOO) 959-65•15 www.calpors.cn.gov
Jud9es' Retirement System
Duplicate Warrant Statement Please retain for your records.
Judgos' RGtirement System P.O. Box 94270$, Sacr:.o"lw1110, CA 94229-2705 (01G) 705-3688 (Sl"li:i) 795-3240
GROSS $7/\63,·t'I
Medicare
Bme Allowance
TOTAL GROSS
• One "fin~e Adjustment
ROLL CONTROL NO A0073955
myiCalPERS 0851
DEDUCTIONS $3"17.60
$25.02 $7,438.09
$7,463.11
Pnr;e ·1 of 1
TO: Paul G. Mas\ 1011: IDll: Judgos Rotiremenl Fund
ISSUE DATE: July '.l1, 20"11
PERS CARE·
NET $7,085.51
DEL TAP RE MIER
PERS LONG TERM
TOTAL DEOUCTJONS
' One Time Deduction
:so.on S'.l4.60
S3•13.00
3377 GO
.ms-A 001364
AR000304
Attachment I (F) Declaration of Pamela Montgomery Page 35 of 108
June 10, 2015
Paul G, Mast _.
P,O, Box 942715 Sacrnrnento, CA 9il229-2"!15 088 CalPERS (or 660-225-7377) I Fax (800) 959-6545 vtwvv.calpets,cfl.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
,Jud9es' Retirement System P (), Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $7,<163.11
Medicare
Base Allowance
TOTAL GROSS
• One Time Adjustmer\\
CONTROL NO A0073956
myfCaiPERS 0951
DEDUCTIONS $377.60
$25,02 $7,438.09
$7,463,'l 1
TO: Paul G. Mas!
ID#:··· ID#: Judges Retirement Funcl
ISSUE DATE: August 3·1, 2011
NET !57,085.5'1
PERS CARE·
DELTAPREMIER
PERS LONG TERM
TOTAL DEDUCTIONS
' One Time Deduction
$0,00 $34,GO
$34~l00
s:r17 ec
.ms-A 001365
AR000305
Attachment I (F) Declaration of Pamela Montgomery Page 36 of 108
~ .. c::allPEltS
June 10, 20·15
Paul G. Mast _.
P 0. Box 9427'1(i Sacramento. CA 94229-2715 uaa CalPERS (01 Oll0-225-7377) I Fax: (800) 959-6545 www.calpers.ca.gov
Judges' Rntlromont System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirernent System P.O. Box 942705, Sacrarnento, C1\ 94229-2705 (9'16) 795-3688 (916) 795-3240
GROSS $7.463.11
Base Allowance
TOTAL GROSS
•One Time Adjustment
DEDUCTIONS $377.60
$7,438.09
$7,463.1 'l
TO: Paul G. Mast
10#:••• 10#: Judges Retirement Funcl
ISSUE DA'fE: September 30, 2011
f\JET $7,085.51
DEL TAPREMIER PERS LO~lG TERM
TOTAL DEDUCTIONS
• One Time Deduction
$34.60 $343.00
$377 60
.. ·--·---~--·----------------------1 ROLL CONTROL NO A0073957
·····--····-·-···-·-··-------.. -------
my/CalPERS 0951
Page 1 of ·1
.ms-A 001366
AR000306
Attachment I (F) Declaration of Pamela Montgomery Page 37 of 108
June 'IO, 20'15
Paul G. Mast _.
P 0. Box 942715 Sacramento. CA fJ4229-2715 aaa CalPERS (or nnB-225-7377) I Fax. {BM) 959-6545 www.calpurs.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
.Judges' Retirernent System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (!:J'l6) 795-3240
TO: Paul G. Mast
ID#···· ID#: Judges Retirement Fun<.1
ISSUE DATE: October 3·1. 20·11
----------·-·--.. ·······--·-.. ---·-....... GROSS S7,70!l.57
Medicare
Base Allowance
Br.se Allowance
TOTAL GROSS
' One Time Adjustment
ROLL CONTROL NO A0073958
111ylCalPERS 095·1
DEDUCTIONS $377.60
$25.02
$122.73
$7,560.82
$7,708.5'7
Page 1 of 1
PERS CARE-
NET $7,330.97
DEL TAPREMIER
PERS LONG TERM
TOTAL DEDUCTIONS
' One Time Deduction
$0.00 $34.60
$343.00
$377 60
.ms-A oou67
AR000307
Attachment I (F) Declaration of Pamela Montgomery Page 38 of 108
June ·10. 2015
Paul G. Mast _.
P 0 Box 942715 Saornnwn\o, Ci\ 94229-2715 HOB Ca!PERS (or 81ltl·22f,.7Tl7) I Fax (BOO) \lfSlJ.6545 www.calpers.ca.gov
Judues• Rctiromont S11stom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 84229·2705 (916) 795-3688 (916) 795-3240
GROSS $7,585.84
i\~edicare
Base Allowance
TOT1\L GROSS
• One Time Adjustment
ROLL CONTHOL NO A0073959
my/CaiPERS 0951
DEDUCTIONS $377.60
$25.02 $7,560.82
$7.585.84
TO: Paul G. iVlast
ID#:••• ID#: Judges Retirement Fund
ISSUE DATE: Novembm 30, 2011
PERS CARE -
NET $7,208.24
DEL TAPREiv'llER PERS LONG TERM
TOTAL DEDUCTIOMS
' One Time Deduction
$0.00
$34.60
$343.00
'(.37i'J)0
JRS-A 001368
AR000308
Attachment I (F) Declaration of Pamela Montgomery Page 39 of 108
June ·10, 2015
Paul G Mast _.
P.O. Box 942715 Sacnmento. CA 94229-2715 886 CalPERS (or fl88-225-'l'.l1'1) I Fax (800} 959-6.S,15 www.calpers.ca.gov
Judges' Rctlremunt System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Bo)( 942705, Sacramento, CA 94229-2705 (916) 795-3688 (91G) ?95-3240
GROSS $7,645.53
Bose All<Jv.1ance
TOTAL GROSS
Tinie Adjustment
CONTROL NO A0073960
my!CalPERS 0951
DEDUCTIONS $378.12
,,,_ ., I
$7
P<igo 'I of ·1
TO: Paul G. Mast
ID·-· ID#: Judges Re\irarnent Fund
ISSUE DATE: December 31, 20·11
NET $7,267 ·11
DEL T APREMIER PERS LONG TERM
TOT1~.L DEDUCTIONS
• One Time Deduction
$35 12 5'..l43 00
S378 12
.JRS-A 001369
AR000309
Attachment I (F) Declaration of Pamela Montgomery Page 40 of 108
Form 10!.'.~R PAYE.R'S n&IN, IU'ffladO't ... Olfr.~ Vflfl!Pcodl"
Judges' Retirement System P.O. Box 942705 Sacramento, CA 94229·2705
Plt.Vfilttl1"'1dk;l"'*-tklnturfMf' A~ldellfi'lcll.lor\~
94•U53740 RfQPl!Ht'S'*"", $11MI ..... (WL. noJ, tJlt, alf1 W ZIP coat
PAULGMAST •
Judges' Retirement System P.O. Box 942705 · Sacramenla. CA 94229-2705
··s t1
94•2653740 ;:ia~'-S:\lr' • .tu!f
PAULGMAST
I'"''°' I
--"2 !10~.
i"lll\!ll1Co11V\.fllhf0Uft\IU.tlty.or loc&I~ flNm.\'ll'ltnffq11lr1d.
I'• m 10S9" .. n CORN!ClEO (tr ct\Od:odl
PA\'Vl'S """" Pwt IOljm .. at,. ~ &NJ ZIP t.Ocll
Judges' Relirement System P .o. Box 942705 Sacramento. CA 94229-2705
PAVIR&C.Oml~tu'l'C* l"fC\11".tH'tS~~ 94 • Z65.374D
flfCIPISlfT! flOo'l'O, ~lrffl iodd'HI {Wt l!P. l\O I· Ol)I, lit ... lrd ZIP c:o4•
PAULGMAST
AUouMflUl'ntl4r1"9·-..~ I'' 111.,..wGf~ Roeh~.
I OroHdblrJbutlotl OMB No, 1545-(1119 Dfstrlbuttona From
89,70.00 ~@.
f'onslons, Annulllse, Retirement or
:r1fuallh~ ProfH·Sharlng 87, 735. Z4 Form 106!1..ff Plana, IR: .a,
2bltutllel«ICU'll "'" tnourar.ca
... - - Cc:itracta, le • l~pll\~ i 'f'flkt&l I~ \4S wMhtld -lnl*hj ~.:::..~"
o. 00 2, 012. 7& 1Nelm"u1;tsd~ 70l~COOI{ .. .,,
'"""' ""~' ........ -7 -. ..
.. ---.. -,-. "'" ._,,...
o.oa 2.alZ.76
--· -~ ---.-. . •••••• JJ • .DJJ •••• , ... aD3,•?..6.U~9. •• • • .a'l..7.3S.Z4.. ·-,-- -,,.--·-
JUOS Form No. 11-000879'
lOlcil~ CMS No. 164U1 t9 Distributions From
a•., •• nn Penolons, AnnufttGIJ,
$ ~@. Retirement or 29 Tan~ arno.n ' Froflt-Sharlng ~ A> 7'0 ~ Form11 9•R Plane, IRAs, <lbT~#'IQUl'll T""
Insurance ...... ..- ......_ Contracts, etc • 1~9111\~ 4, ...... ~tu~ ·-·~~ ~"'"'
~- ............... --~ • n nn ' _, n1., "JL
DNtlUl'ofttlqtd ... Plttiltiotl JOlat1~Codt(1JlnN •o-\
\'I tmplopl't """1Wf• .... 7 ...... • %
t&Y;utC:IKWlli~otlOla.ldlt.rb.'10A ,,lt11Total~c.or.t~
12Sl1Jtt..-~ l:S~.,......ia11to. 14~~
·····• .• D • .0.0 •••• •• .AJl.3.•.U.i.3....S.. }--.a.i.~us...24. ••
Copy C l'O~ll.ctQUtilfCOIRRwi1Nn5ym; t&t.onlta~ 11 Nam.olloc4&oy 17locM~
!'•" F: clplent's ~<mis ....... -- .. -- ... -- ........ ............................. _ '-····-·····-··· TNI WOnNl!ctl Ir DD10 ..
Judgoe' Rollromonr Syal om P.O. Box 942705 sa...,,,.n1o, CA 94'121!·2705
Important Tax Oocunu.~nl Enefosed
JUD$ Form No. 11-000876 0cpartmcnt a' "'° TrellSl.U'f • lnlotnaJ AevetMI S1tv1ico
JUDS Form No. 11.000676
First-Class Mall
PAUL G HAST 24299 PASED DE VALENCIA 1223 'AGUNA WOODS CA 92~37
JRS-A 001370
AR000310
Attachment I (F) Declaration of Pamela Montgomery Page 41 of 108
· Record of Payments
Made by J RS to
Paul G. Mast
Year: 2012
JRS-A 001371
AR000311
Attachment I (F) Declaration of Pamela Montgomery Page 42 of 108
June 10. 2015
Paul G. Mast _.
P.O, Box 942715 Sacmmen(o, CA 94229·2715 088 CalPERS {or 888-225-7377} I Fax: (1300) 959-6545 W'Nw.calpers.c~.gov
,Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
,ludges' Retirement Syste111 P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $7,645,53
Base Atlowance
TOTAL GROSS
• One Time Adjustmeni
DEDUCTIONS 3378 ·12
$7,560.82
$7,645.53
TO: Paul G. Mast lD#: IDlt: Judges Retirement Fund
ISSUE DATE January 3·1, 2012
NET 57,267.41
DEL TAPREM!ER PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Deduction
$35.12 $343,00
$378.12
Certain changes may affec\ the net amount otyour Jan 1, 013 r;:;tirernent allowance: health/dental insurance premiums, PPPA (purchasing power protection allowance) payn1ent, federal/state tax withholding. Please compare this statement with Oe~embers before calling toll free 888-CalPERS (or
ROLL CONTROL NO A0073961
myjCalPERS 0951
Page 1 of 1
.mS-A 001372
AR000312
Attachment I (F) Declaration of Pamela Montgomery Page 43 of 108
~CalPEHS
,June ·10, 2015
Paul G. Mast _.
P.O. Bex 9427'15 Sncrnmen1o, Cf'.., 9~122S<:Oi5 888 CalPF.RS (or 883-225-73?7) I Fax (800) 950-0545 WVNJ.calpcrs.ca.gov
Judges' Retlremnnt System
Duplicate Warrant Statement Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 {916) 795-3240
GROSS $7,645.53
Medicare
Base Allowance
DEDUCTIONS $378.12
:S84.i'1
$'7,560 82
TO..;:IPlallull lliGl. llMllallilst 10,1 10#: Judges Relirement Fund
ISSUE DATE: Februa1y 29. 2012
NET $7,267.41
PERS CARE·
OELTAPREMIER
PERS LONG TERM
$0.00 $35.12
$:H3.00
TOTAL GROSS $7.645.53 i TOTAL DEDUCTIONS $3i'812
I • Ona Time Adjustment j "One Tirne Dedu<:!ion
! Ca!PERS A.utornS1Ed"SYsteiYliSJV8Tlab!e 24 hrs a (tay, Call Toll Ff0YEi~B·aa~~~C81P~EJ:;z~r(or aas .. 225~7377) fto order Fornis, Publications, or to receive ge11eral information. To speak with a service representative call M-F, 8AM-5PM. Visi!J:~E-~~~1-2!t1:1.Y:!YIJW-CelP..~J:'J?!:~gov for information or self-service ~':-~lures.
ROLL CONTROL NO A0073962
myjCalPERS 0951
Page 1of1
.. IRS-A 001373
AR000313
Attachment I (F) Declaration of Pamela Montgomery Page 44 of 108
Cal PER~
June 10, 2015
P:rn! G. Mast _.
P 0. Box 942715 Sacramento, CA 94229-2715 888 CalPERS (or 88U·225·7:m) I Fax: (800) 959-%45 \WNJ,calpers.c3.gov
Judges' Retirement Systnm
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P 0. Box 942705. Sacramento, CA 94229-2705 (~!'16) 795-3688 (916) 795-3240
GROSS $7,645.53
,, B 1care
Base Allowance
DEDUCTIONS $378.12
$84.71 $'(,560.82
TO: Paul G. Mast ID#:··· ID#: Judges Retirement Fvnd
ISSUE DATE: March 31, 2012
PERS ARE·
NET !v?.201.41
DEL TAPREMIER PERS LONG TERM
$0.00 $35, 12
$343.00
TOlAL GROSS $7.645 53 TOT/1L DEDUCTIONS $378.12
--~~e Time Adjustment .............. _J · One Time Deduc.lio~ ......... . ..... J 1 C<iiPERS AutomaierJ Systen1 is available 24 hrs a day. Cail Toll Free 888-CalPERS (or 8813-225-7377) i jto ordEer Forms, Publicalions. or to r0celv.:: g&nernl information. To speak With a $ervice representative ;
r.~: :::~~~~~~;:;:"~~ :'-~" '°' '°' ;ofo~.Ooo ~'""""' I
my!CalPERS 095'1
Page 1of1
.JRS~A 001374
AR000314
Attachment I (F) Declaration of Pamela Montgomery Page 45 of 108
June 10, 20·15
P;.1ui G. Mast _.
?.O Box 942715 Sncrnrnento. CA 94229-2715 083 CalPERS (or 888·225·7317) I Pax: (800) 959·65'15 www.calpors.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Reiirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916} 795-3688 (9'!6) '/95-3240
GROSS $7,645.53
MerJicare
Base Allowance
TOTAL GROSS
DEDUCTIONS $378.12
$84.7'1 $7,560.82
$7,545.53
TO: Paul G. Mast
ID#:··· ID#: .Judges Retirement Fund
ISSUE DATE: April :'JO, 2012
PERS C/\RE •
t'-IET $7~267.4'1
DEL TAPREMlloR PERS LONG TEHM
TOTAL DEDUCTIONS
• One Time /ldjustrnent • One Time De<luction
$0.00
$35.12 $343.00
$371112
'''''ff'ie'May 1st warrant includes the ann\ial Cost-Of-living increa$e, HeTirees,beneticfriiTes, and eligii)le·i survivors receive the COLA if the effective elate of the benefit was pnor to 2010. Should you have any I questions about H~~ .. iD.~::.~ase _e!_~<?El:J .. ~<:lll_~88-Ca1P.§f3§.('?T .... ?~: .. ~?·7377).
I_ .. ~.~~.~ CONTROL NO A0073964
my!CalPERS 0951
Page 1 of ·1
JRS-A 001375
AR000315
Attachment I (F) Declaration of Pamela Montgomery Page 46 of 108
June 10, 2015
Paul G. Mast _.
P.O. Box 942'ii5 Sacrnmtinhi, CA 94229-27·15 888 CalPERS (or888-225-7377) I Fax: (800} 95\l·Go4$ www.cnlpi>rs.ca.gov
Judges' Retiroment Systom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P O. Box 942705, Sacramento, CA 94229-2705 (916) 795·3688 (916) 795-3240
TO: Paul G. Mast ID#:··· 1011: Judges f~efoemenl Fund
ISSUE DATE: May 31, ;w12
------··'"--.----.~ .. ~·-·-~--·--------GROSS $7,645.53
hh,dicare
Base Allowance
TOTAL GROSS
DEDUCTIONS s:m.i.12
$84.71 S7.5!l0 82
:37.1345 53
NET $7,267.41
PERS LONG TERM
PEf-":S C/1.RE -
DELTAPREMIER
TOTAL DEDUCTIONS
S34'.l00
$0.00 $35.'!2
s:mi 12
• One Time ;'\rJjustment _ _ ----~ne Tii~:.~."~thir~.'.~~·-· ··----···-·-·--CalPERS Automated System Is available 24 hrs a day. Call Toll Free 8130-CalPERS (or 888-225-7377)
to order Forms, Publications, or to receive genor:il information. To speak with a service representative call M-F, 8AM-5PM. Visit our Web site ~\~f_':'Y:g01PERS.ca.gov roi:_.i!,lforr~ation or self-service_~~~!l.!L~?-
ROLL CONTROL NO !<2603720
!. ....... --------------------~---------~«~ ... ------~
my!CalPERS 0951
P;;ige,i 'l of ·1
.JRS-A 001376
AR000316
Attachment I (F) Declaration of Pamela Montgomery Page 47 of 108
~.CalPERS
,June ·10, 2015
Paul G. Mast _.
P.O. Box 942715 Sacrnmento, CA 9'1'.129.2715 88$ CalPERS (<lt 888-n5-73TI) 1 Fax: (BOO) 959·6545 www.calpers.ca.gov
.Judges' Rellromont System
Duplicate Warrant Statement. Please retain for your records.
.ludges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795·3240
GROSS $7,645.53
Gase Allowance
TOTAL GROSS
DEDUCTIONS $395.29
$7,550.82
$7,645.53
TO: Paul G. Mast ID#:··· ID#: Jud9es Retirement Fund
ISSUE DATE: June 30. 2012
NET $7,250.24
PERS CARE·
DEL TAPREMIER
STATE T<\X
PERS LOMG TEf~M
TOTAL DEDUCTIONS
$0.00 $35.12
$0.00 $360.17
$395.29
I · One Time Adjusiment • One Tir'(le Deduction I l.... .. .............................. - ........ --·---.J,_ ............. -----·------............... __ .... _............. . -c-1
I. CalPERS Automated System is available 24 hrs a day. Call Toll Free 3313-CatPERS (or 888-225-7317) to order Forms. Publications, or to receive general information. To speal\ wiU1 a service representative ~.'.~ M-F. 8AM-5PM. Visit ou_r.2!Vel?~!!£~J.Ca1Pf.~§ ca.gov for information or self-service features ..
ROLL CONTROL NO 1<3'185456
rny!CalPERS 0951
Page 1of1
JRS-A 001377
AR000317
Attachment I (F) Declaration of Pamela Montgomery Page 48 of 108
~~CalPERS
June 10, 2015
Paul G. Mast _.
P 0. Sox 942715 Sacramento, CA 94229·2715 888 CalPERS {or 886·225· 7377) I F~t. {800) 9(39·65·1.5 www.calpcrs.ca.gov
Judges' Retirement Systom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229·2705 (9'16) 795-3688 (916) 795-3240
Medicare
Base Allowance
TOTi\L GROSS
DEDUCTIONS $395.29
$84.71 $7,560.82
$7,1345 53
TO: Paul G. Mast ID# __ _
1011: Judges Retirement Fund
ISSUE DATE: Juiy 31, 2012
FEDERAL TAX STATE TAX
hJET $7,250.24
PERS LONG TERM PERS CARE· DEL TAPREM!ER
TOTAL DEDUCTIONS
$000 so.on
$360.'17
$0.00
$35.12
$395.29
. j · One Time Adjustment • One Time Deduction
: CalPERS Automated Sys1em 1s m7'aifrlbie 24 hr& a day. Call Toil Free IJ88·Ca1PERS (or SBS-225-7377)! Ito order Forms, Publicalions, or to receive general 1nforrnat1on. To speak with a service rapresentat1ve J ~call M-F, 8AM-5PM Visit our 1.0.:'.<:b.srte_~_'?:IPS,f.'S.ca gov for information or self·s:~~~~-~~".:
I ROLL CONTROL NO K3764449
-- -· --- -·---- -- -------
my!CalPERS 0951
Page 1 of 1
,lRS-A 001378
AR000318
Attachment I (F) Declaration of Pamela Montgomery Page 49 of 108
Cal PERS
June 10, 2015
Paul G. Mast _.
P,O. Box 942715 Sacramento, CA SM229<<?15 oaa CalPERS (or 888-225-7377) I Fax: (300) 959-6545 •N\MN.calpeNJ.cn.gov
.Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento. CA 94229-2705 (916) 795·3688 (916) 795-3240
TO: Paul G. Mast ID#:··· 10#: Judges Retirement Fund
ISSUE DATE: August 3·1, 20·12
''"'""'"~···-···--""'~~~··~ft··~-----
GROSS $7,645.53
Base Allowance
DEDUCTIONS $395.29
STATE TAX
NET $'1.250.24
PERS LONG TERM PERS CARE· DEL TAPREMIER
SO.DO $360 17
$0.00
I TOTAL GROSS $7.645 53 TOTAL DEDUCTIONS $395 29
I · One Tirne Adjustment • One Time Deduction
I CALPERS HEALTH & STATE RETll~EE DENTAl.""r"'R""'o"'"G""'R""'A.,...M,..,...,.M7.:E"'rv..,.,IB""E=R""s"":2=0~1""2~0""p""E~N---·---l !ENROLLMENT PERIOD IS SEP 10-0CT 5. CHANGES ARE EFFECTIVE JAN 1, 2013. YOU CAN ENROLL OR CHANGE YOUR PLAN BY CALLING JUDGES' & LEGISLATORS?RETIREMENT SYSTEMS (9'16) 795-3688. FOR INFO VISIT WWW.CALPERS.CA.GOV OR WWWCALHR.CA.GOV
ROLL CONTROL NO 1<4344570
'---------------------------·---·-···--· ..
rny!CalPERS 0951
Pagel of ·1
,JRS-A 001379
AR000319
Attachment I (F) Declaration of Pamela Montgomery Page 50 of 108
~. CalPEf{_<)
June 10, 2015
Paul G. Mast _.
P.O. Box 94271G Sacramento, CA 94229-2711i 886 CalPERS (or 868·225·7377) I Fsx: (800) 959·6545 www.calpers.ca.~iov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento. CA 94229-2705 (9'16) 795-3688 (916) 795-3240
GROSS $"1,645.53
Medicare
Base Allowance
DEDUCTIOMS $395.29
$84.71
$7,560.82
TO: Paul G. Mast
ID#:·-· ID#: Judges Retirement Fund
ISSUE DATE: September 30, 2012
FEDERAL TAX
STATE TAX
NET $7,250.24
PERS LONG TERM
PERS CARE -
$0.00 $0.00
$360,'l 7
$0.00 DELTAPREMIER $35.12
TOTAL GROSS $7,645.53 . I TOTAL DEDUCTIONS $395.29 1·
• One Time Adjt1s:nie~.~ _ I · One Time Oecl\1cti~~1- ___ 1
CalPERS ALJtomated System is available 24 hrs a day. Call Toll Free 888-CalPERS (or 888-225·7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M-i=:: 8AM-5Pf\/I. Vi~?..!:!.r .. '('/eb site WWW.CalPERS.ca.gov for lnlo~f!latlon or self-service features.
ROLL CONTROL NO K4924205
rnyJCalPERS 09.51
Page 1 of 1
JRS-A 001380
AR000320
Attachment I (F) Declaration of Pamela Montgomery Page 51 of 108
.June 10, 2015
Paul G. Mast _.
P.O. Box 942715 Sacramento, CA 94229·2715 888 CalPERS (or 888-225-7377) I Fax· (800) 95'J%45 www.calpers.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795·3688 (916) 795-3240
GROSS $8,024.75
Base Allowance
Base Allowance
COLA
TOTAL GROSS
DEDUCTIONS $395.20
$7,560.82 $189.61 $189.61
$8,024. 75
TO: Paul G. Mast
ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: October 31, 2012
FEDERAL TAX STATE TAX PERS CARE -
NET $7,629.46
DEL TAPREMIER
TOTAL DEDUCTIONS
$0.00 $0.00 $0 00
$35.'12 i
$395.29 I • One Time Adjustment • One Time Deduction !
>----~----· ____ .......................... _ ' -- _J CalPERS Automated System is available 24 hrs a day. Call Toil Free 888-CalPERS (or 888-225-7377) I
to order Forms, Publications, or to receive general in1ormation. To speak with a service representative call M-F, 8AM-.5PM. \(isit Ol_!r We.l?. .. ~ite WNW.C<iJ.r:'.5RS.ca.gov for lnform_~~~?.!: .. s.~J!.:.~~ice feat~l!
ROLL CONTROL NO 1<5509472 -
rnyfCalPERS 095-1
Page 1 of 1
JRS-A 001381
AR000321
Attachment I (F) Declaration of Pamela Montgomery Page 52 of 108
June 10, 20'15
Poul G. Mast _.
P.O. Box '142715 Sacramento, CA 94229-2715 868 CnlPERS {or 088·225-7'.l?7) I Fnx: (€00) 959-6545 w1vw.calporn.ca.gov
,Judges' Rotirement Systom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System TO: Paul G. Mast P 0. Box 942"?05, Sacramento, CA 94229·2705 (9'1U} 795-3688 IDll···· IDll: .Judges Retirement Fund (916) 795-3240
GROSS S7,835. 14
Medicare
Base fa,llo\'1<111CO
COLA
ISSUE DATE: November 30, 2012
DEDUCTIONS $395.29
NET $7,439.85
$84.71 I PERS , TERM
$7,560.82 1
FEDERAL TAX
$189.61 I· STATETAX I I PERS CARE·
$360.17 SC.CO $0.00 $0.00
\ DELT1WREMIER S35. 12
TOTAL 'GROS~ ~;7,835.'14 I TOTAL_DEDUCTIOMS $395.29 I ' One T1rne Ad)l!Strnent l • One l lme Deduction I
_.,,, ___ , ...................... ,_ .. , .... _ .......... ,,,,,, _______ ,, .. ,_ ·--.. --·--··••<>»••····-----.. ·----·-· ____ , Cal PERS Automated System is available 24 hrs a day. Call Toll Free 888-CalPERS (C<r 888-225-7377):
Ito order Forms, Publicmio11s, or to receive general information. To speak with a service representative ; cail M·F, 8AM-5PM. Visit our Web site V\11/liW.CalPERS.ca.gov for information or self-ser1ice ieatures. I , ______ ............................... -......... --·--·--............. ----- I I ROLL CONTROL NO 1<6092655 _J ~,.,, ___ ,,,,,,,,,,,__,,_,,, .. ,,,,,,_,,,,,_,,_,,,,,, ,,,,,,,..,,,,_,,,_,,,_. ____ ,,,,_
myJCalPERS 0951
Page 1 of 1
JRS-A 001382
AR000322
Attachment I (F) Declaration of Pamela Montgomery Page 53 of 108
.CalPE1RS
June 10, 20·15
Paul G, Mast _.
P.O flox 942715 S8cramen10, CA 94229-2715 388 CalPERS (or 888-225·7377) I Fax: (800) 959-6545 www,calpors.co.gov
,Judges' Retlremont System
Duplicate Warrant Statement Please retain for your records.
JL1dges' Retirement System P.O. 1'3ox 942705, Sacramento, Cl\ 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,154,'!4
Bnse Allowance
GOLA Medicare
TOTAL GROSS
• One Tin1e Adiustment
niyiCalPERS 0951
DEDUCTIONS $395,29
$7,560.82
$189,61 $403.71
$f3:154, 14
Page ·1ol1
TO: Paul G, Mast ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: Dece111ber 31, 2012
NET 57,758,85
PERS LONG TERM
FEDERAL TAX
STATE TAX
PERS CARE·
OELTAPREMIER
TOTAL DEDUCTIONS
• One Time Deduction
$360, 17
$0,00
$0.00 $0.00
$35, 12
$395 29
.IRS-A 001383
AR000323
Attachment I (F) Declaration of Pamela Montgomery Page 54 of 108
Form 1099·R 0 MN,1"'"1 ottn, ,llal••n
Judges" ReUremonl Syatom · PO BOX 842705
SACRAMENTO, CA 94229·2105
Judgas' Rollreman' S)'alorn PO BOX 842705 SACRAMENTO, CA 04220·2705
PPelhl•S-PJWIU.~r1l1i.,cli)>,or
IOUI IMO.Gt lll;ll rotlUtl,. wh111 n11~11Cnd.
CDRRECTEP (\I d'locked)
CORRECTED (Uchadl96) -
-Jr•.fOW$1m10ttl
OM8 No. 15"15-0119
20·12
Distributions From Pensions, Annuities,
Retirement or Pront·Sharlng
Plane,IRAe, Insurance
Controch, otc •
...
1 rou~~·--~0-M-9-N-,_-15-,-... -,-,,~ Distributions From Pen&lons·, Annuities,
Retirement or Profit.Shoring
Plans, IRAs, lmsuranco
Contrac1s, otc.
91,4118.28 2012
Da1"11Ulmcsnlal 11 fClm!tJ'•
OMB Ho. 1$45-0'111 Distributions From Pvnsfons. Annulllu,
Retirement or Proflt.Shartng
Plana, IRAs, Insurance
cantrocte, ate.
10.. SPS3239 12·73977969
iUJl4... Judgu' Rotframaht SyG14m C1111:11S PO BOX 9•2705 SACRAMENTO, CA 84229-27o5
lmpo.nant TalC Oowmant Encfosod First-Class Mail
PaulG. Mast -JRS-A 001384
AR000324
Attachment I (F) Declaration of Pamela Montgomery Page 55 of 108
,.-_,, .JI
Record of Payments
. Made by JRS to.
Paul G. Mast
Year: 2013
JRS-A 001385
AR000325
Attachment I (F) Declaration of Pamela Montgomery Page 56 of 108
P.O. 8ox 942715 Sacramento, CA 94229-4715 088 CalPERS (or 888-225-7377) l Fax: (800) 959-654$ www.calpors.ca.gov
Judges' Ret!rament System
June 10, 2015
Paul G. Mast _. Duplica1e Warrant Statement. Please retain for your records.
,ludgas' l~etire1nent System P.O. Box 942705, Sacramento, CA 94229-2705 {916) '{95-3688 (916) )'l'.)5-3240
GROSS $8. '154. 14
Base Allowance
COLA tdedicare
DEDUCTIONS $395.29
$7,560.82 $189.Gi $403.71
TO: Paul G. Mast ID··· 10#: J\ldges Retirement Fund
ISSUE DATE. Jamiar; :31, 2013
NET $7,758.85
PERS LONG TERM
FEDERAL TAX
STATE TAX PERS CARE·
i DEL TAPREMIER
• ... ! TOTAL GF~OSS $8, 154.'ltl TOTAL DEDUCTIONS
$360.'17 $0 00 $0.00 $000
$35.12
$395.2$
• One Time Adjustment J · One Time Deduction
··criiirl~·Rs ALitoma'ied System is a;/a1lable 24 hrsa day, Call Toll Free 888-CalPERS (or 888-225-7,,, to order Forms, Publications. or to receive general informt1tion. To speak with a service representative (;~Ii M-F, 8AM-5Pfvt_Y.;2_i!._<?_ur ~~b site VVVWV CalP~_f3S,.ca.gov for information or se~:!'.t1,fY,i':'.e_featur.:'.tl;,, __ ,
ROLL CONTROL NO K7271978
my!CalPERS 0951
Page 1 of 1
JRS-A 001386
AR000326
Attachment I (F) Declaration of Pamela Montgomery Page 57 of 108
0,,CalPERS
June 10, 2015
Paul G. Mast _.
P.O. 80x 942715 Sacramento, Ci\ 94229-2715 383 CalPE.RS {or 888-225·7377) I Fax: (SOOJ 959-6545 www.c3fpers.ca.gov
Judges' Retirement System
Duplicate V\/arrant Statement. Please retain for your records.
Judgos' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (9'16) 795-3688 (916) 795-3240
GROSS $8;154.'14
Base Allowance
COLA Medicme
TOTAL GROSS
DEDUCTIONS $395.29
$7.560.82 $189.61
$403.71
$8, 154. 14
TO: Paul G. Mast IOI···· ID#: Judges Retirement Funt!
ISSUE DATE: February 28, 2013
i<.JET $7,758.85
PERS LONG TERM
FEDERAL TAX
~;TATE TAX
PERS CARE·
DEL TAPREMIER
TOTAL DEDUCTIONS
• One Tirne Adjustment • One Time Decluctlon .
$360.17
$0.00 $0.00
$0.00 s:is.12
$3<95 29
Ca1Pfn~~ecr8ys!en1is available 24 hrs a day'.'"Call Toil FreeSB8·CalPERS (or 886-225-7377} w order Forms. Publications. or to •eceive general information. To speak wilh a service representative call M·f'..'._8A1:'1..::.5.~~'.1 y1,:;.~t.2.1:'.'.~e.~. site WWW CafPER§>.:.<:~·gov for inlO!..flJE!i::?_i:_~r self-setvice features.
ROLL CONTROL NO K7865864
my[CaJPERS 0951
Page 1of1
.JRS-A 00l387
AR000327
Attachment I (F) Declaration of Pamela Montgomery Page 58 of 108
P 0. Box 942715 S3crarnento. CA S42W·27\5 388 Ca!PERS (or 888-225-7377) I Fox: ($(l0) 959·6545 www.calpers.c~.gov
Judges' Retirement System
June 10, 2015
Paul G. Mast _. Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,154.14
DEDUCTIONS $395.29
TO: Paul G. Mast
ID#:··· IDlf: Judges Retirement Fund
ISSUE DATE: March 31. 2013
NET $7,758.85
PERS Ci\.RE ·
DEL TAPREbllER
TOTAL GROSS $8.154.14 I TOTAL DEDUCTIONS
• Oni;, Time Adjustmerit . • One Time Deduction
$0.00 $35.12
$395,29
.. ,~·· CalPERS Autornated Systen1 is avtil!able 24 hrs a d'ii'Y,-CZlll Toll Free 808-.c~a~l=P=E=R=s=(o_r_8_6·a:2~r5:7377) !to order Forms, Publications, or to receive general information. To speak with a service representative /_i:a.il M·F, 8AM-5PM, Visit our Web sit.~WV\J\fl/.Ca1PERS.~~:9~v for i.r,:!~~tlon or self-service features.
l ROLL CONTROL NO K845819.~.--·- .. ---·-.. --------·
mylCalPERS 095'1
P;;ige 1 of 1
.JRS-A 001388
AR000328
Attachment I (F) Declaration of Pamela Montgomery Page 59 of 108
:e.<CalPERS
June ·10. 2015
Paul G. Mast _.
P 0. 8-0x 942715 Sacramento, Cl\ !N220-2'/15 aou CalPERS (<)r 888-225-7377) 1 Fax: (800) 959-6545 www.calpnrs.ca.gov
Judges' Rotiromcnt System
Duplicate \II/arrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento. CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,'154.14
Base Allowance COLA
DEDUCTIONS $395.29
$7,560.82 $'189.G'l
TO: PmJI G. Mast
ID#;··· ID#: Judges Retirement Fund
ISSUE DATE: April 30, 2013
NET $7.758.85
PERS LONG TERM
FEDERAL TAX $360. 17
$0.00 Me<:iic;ira $403.71 STATE TAX $0.00
PERS C/\RE • $0.00 I DEL TA.PREMIER $35. 12 ·
TOTAL GROSS $8,'154.14 TOTAL DEDUCTIOMS $395.29 I .•. - ... '. ... ~.11e Time Adjustment . . -·-· j ' One Time Deducti-:in ·-·---~--_]
CalPERS Au!cmateci System Is available 24 hrs a day. Call Toil Free 888-CaiPERS (of 888-225·7377) to order Forms, Publications, or to receive general information. To speak with a service representative ?~l)Y,1.£. SAM-SPM Visit our WE:!2 .. ~.i_~vyww.ca!_PERS.ca.gov for injotmaiion or self-service features.
ROLL CONTROL NO f\9056326
my(CalPERS 095·1
Page 1cf1
.JHS-:\. 001389
AR000329
Attachment I (F) Declaration of Pamela Montgomery Page 60 of 108
JJ~calPERS
June 10, 2015
Paul G. Mast _.
P 0, Bo~ 9~2715 Sacramento, CA 94229-2715 888 Cal PERS (or 888-225-1311) J Fux: (800) 959·6545 www.calpers.ca.gov
Judges' Rntirement System
Duplicate Warrant Statement Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (£116) 795-3688 (916) 795-3240
GROSS $3:154. 14
DEDUCTIONS $395,29
TO: Paul G. Mast
IDI···· ID#: Judges Retirement Fund
ISSUE DATE: Moy 31, 2013
NET $7,758-85
Medicare S403.71 STATE TAX $0,00 PERS CARE· $0_00
i DEL TAr0 REMIER $35, 12
I TOTAL GROSS $8.154. 14 i TOTAL DEDUCTIONS ·3395 29
I • One f1me Aci1us1111ent I ' One Time Deduction
t CalPERS Automated System is available 24 hrs a day. Call Toil Free 888-CalPERS \or BllB-225-7377)
o order Forms, Publications, or to receive general information. To speak with a service representative all M·F, 8AM-5PM. Visit our W~~-s!te WWW.CalPERS ca.gov for information or self-service features.
ROLL CONTROL NO 1<9651973
myjCalPERS 0951
f>age -1 of 1
.JRS-A 001390
AR000330
Attachment I (F) Declaration of Pamela Montgomery Page 61 of 108
~.CalPERS
June 10, 2015
Paul G. Mast _.
P.O. Box 942715 Sacramento, CA 94229-2715 888 Ca!PERS (or 888-225·'/3T1) ! l'ax: (800) 959-6545 www.calpers.ca.gov
Judges' Retirement Systom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 195-3688 (916) 795-3240
GROSS $8, 154.14
Base Allowance
COLA Medicare
TOTAL GROSS
DEDUCTIONS $413.29
$7,560.82
$189.6'1 $403.71
$8,'154, 14
TO: Paul G. Mast
ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: June 30, 2013
FEDERAL TAX
STATE TAX PERS Cr\RE •
NET $7,740.85
DEL TAPREMIER
PERS LONG TERM
TOTAL DEDUCTIONS
• One Time Adjustment • One Time Deduction
$0.00
$0.00 $0.00
$35 12
$378. '17
$413.29
CalPERS Automated System is av.aiiable 24 hrs a day. Call Toll Free 888-CalPERS {or 888-225-7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M-F, 8AM-5PM. Visit our Web site VVWW.Cali:'.ERS.ca.gov for.information or self-service features.
ROLL CONTROL NO L0252555
mYICalPERS 0951
Page ·1 of ·1
JRS-A 001391
AR000331
Attachment I (F) Declaration of Pamela Montgomery Page 62 of 108
J~lCalPEHS
June 10, 20'15
Paul G. Mast _.
P 0 Sex 942715 S~cmmento. CA \:M229<'.!715 aaa CalPERS (or aaa-225-73'17) I fax (800) %£H3545 www.calpors.ca.gov
,Judges' Retirement System
Duplicate Warrant Statement Please retain for your recorcls.
Judg11s· Retirement System P.O. Box 942705, Sacramento, C.i\ 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8, 154.14
Mc<Jicnre
TOTAL GROSS
DEDUCTIONS $413.29
$189 6'1
$403.71
$8, 154, 14
TO: Paul G. Mast ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: .July 31, 2013
-------~.
STATE TAX PERS CARE·
NET $7,740.8()
DEL TAPREMIEFZ l'ERS LONG TERM
TOT AL DEDUCTIONS
$0.00 $0.00
$35.12 $378.1i'
$413.29
• One T'.~".,-~C:ju~trnent ··- .. ... ....... • One Time Deduction . . J CalPERS Automated Systarn is available 24 hrs a day. Call Toll Free 888-CalPERS {or 888-225-7377) i
to order Forms, Pubhcaiions. or to receive general information. To speak with a service 1€presentalive I
"'~::~~! :::::::'" WMV C~?ERS"'°" fO' iofmm,,roo 01 ~'!'!" fu''"j
my!CaiPERS 095'1
Page 1 oi 1
JHS-A 001392
AR000332
Attachment I (F) Declaration of Pamela Montgomery Page 63 of 108
C llil£RS0 ~, ar " P 0. Box 94?.?15 Sm;rnmenlo, CA 94229·2715 388 CalPERS (or 883·225-7371) I Fax: (HOO) 959·6545 www.calpers.ca,gov
Judges' Rotlromont System
June ·10, 2015
Paul G. Mast _. Duplicate Warrant Statement. Please retain for your records .
.Judges' FMirement System P O Box 84270S. Sacrarnen!o, CA 94229-2705 (916) 795<3688 (916) 795-3240
GROSS $8, 154. 1,1
Medicare
DEDUCTIONS $4'13.29
$403.11
TO: Paul G. Mast
ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: f\ugust 31. 2013
PERS CARE-
NET $7,740.85
: DELTAPREMiER
i PERS LONG TERM , I
• One Time Adjustment J • One Time Deduction
so 00 $35. 12
$378.'l'l
$4'13.29
I: TOTAL GROSS $8,'154. '14 I TOTAL DEDUCTIONS
--CALPERS HEALTH B, STATERETIREE DENTAL Pl~OGRAM MEMBERS: 2013 OPEf'l ENROLLMENT PERIOD IS SEP 16-0CT 11. CHANGES ARE EFFECTIVE Jfl.N1, 2014. YOU CAN ENROLL OR CHANGE YOUR PLAN BY CALLING JUDGES? & LEGISLATORS? RETIREMENT
ROLL CONTROL NO l.'1454859
my:calPERS 0951
Page 1 of i
.JRS-A 001393
AR000333
Attachment I (F) Declaration of Pamela Montgomery Page 64 of 108
f<,Ca1PERS
June 'IO, 2015
Paul G, Mast _.
P.O, Box 942715 Sacrnrn•;n!o, CA 94229-2715 838 CalPERS (or 388-225·7377) I Fax: (BOO) 959-6545 www.calpers.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Refaomon1 System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,15414
Base Allowance
COLA lvledicare
TOTAL GROSS
DEDUCTIONS $4'13.W
$7,560.82 $189.61
$403.71
$8.154.14
TO: Paul G. Mast
IDll:···· ID#: Judges Retirement Fund
ISSUE DATE; Sept(;rnber 30, 2013
FEDERAL TAX
STATE TAX PERS CARE-
NET $7,740.85
DEL TAPREMiER
PERS LONG TERM
TCHAL DEDUCTIONS
$0.00 S0.00 $0.00
'$35 12 $378. 17
:31113.29
• One Time Adjustment • One Time Deduciion
·-·-alPERS Automated Syslem-1savailab1e 24 hrs a day ··call Toll Free 888-c'iilrEHS (or il88-'225-7377l I rder Fmrns, Publ1cat1ons, or to receive general information. To speak w1lh a service reoresentat1ve
I M-F' 8AM-5PM v .. ,, °"' Wob "" ~-c~~J!R_S " '"' '°' mlo1ma1io~ "-'-'•":.~•""ra' I ROLL CONTROL ~JO L2063140
L-------- ---------'""'""'"'~-~"'""" ___ .
my!Ca!PERS 0951
Page 1 of 1
.JRS-A 001394
AR000334
Attachment I (F) Declaration of Pamela Montgomery Page 65 of 108
%C~alPERS
June 'I 0, 2015
Paul G. Mast _.
P 0 Box 942715 Sacrnmento, CA 942?.9-2715 nnn Ca1PERS (or 888-225-7377) I Fax: (800) 959-6545 www.cfllpors.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System p O. Box 942705, Sacr:amento, CA 94229-2705 (916) 795-3688 (9'16) 795-3240
GROSS $8, 154:14
Base Allowance
COLA Me(1icare
DEDUCTIONS $413.29
$"/,560.82
$189.61 $403.71
TO: Paul G. Mast ID#:··· 1011: Judges Retirement Fund
ISSUE DA TE: October 31, 2013
FEDERAL TAX
STATE TAX PERS CARE·
NET $7,740.85
DEL TAPREMIER PERS LONG TERM
L GROSS $8. 154 14 TOTAL DEDUCTIONS
l'mie Ad1ustment ' One Time Deduction
$000 $0.00
$0.00 3'.35.12
$378. 17
$413 29
CalPERS Automated System is available 24 his a day. Call Toll Free 888-CalPERS (or 888-225·7377)
Ito order Forms, Publica'.ions. or to receive general inforrnalion. To sp.eak with a service representa1ive ~II M-F, 8AM-5PM. V1s1t our Web site WWW.CalPERS.ca.gov for 1nron11alton or self-serv!?e features.
I ROL~ CONTROL NO l.2668728 ---·--·-------
111yjCa1PERS 0951
Page 1 of 1
.ms-A 001395
AR000335
Attachment I (F) Declaration of Pamela Montgomery Page 66 of 108
June '10, 20·15
Paul G. Mast _.
P.O. Box 942715 S~cramen!o, C/1 94229-2715 088 CnlPERS (or 388-225·7377) I Fax. (800) 059-6545 www.calpers.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records.
JudgGs' Retirement System P.O. Box 942705, Sacrnmento. CA 94228-2705 (916) 795-3688 (916) 795-3240
GROSS ~~8. 154.14
COLA Medicate
I • TOT AL GROSS
I ' One Time Adjus!ment
DEDUCTIONS $413.29
$403 71
$8,154.14
TO: Poul G. Mast ID!I:··· ID#: Judges Retirement Fund
ISSUE DATE: November 30, 2013
NET S?,740 BS
STATE Tr\X
PERS Cr\RE • DEL TAPf'{EMIER
PEl'{S LONG TERM
TOTAL DEDUCTIONS
• One Time Deducfon
$0.QQ
$378,17
$413.29
~..... . ~..,----c-""·--· .. , .. _____ .. .. ..... _ I CiliPERS AutomaterJ System is available 24 hrs a day. Call Toll Free 888-CoiPERS {or 88'3·225-7377) \to order Forms, Publications, or to receive general information, To speak with a service representative
~:~~:~::rt:::::::''° WWW.ColPERS oo g>, ~<;~90~1';?~'-•~"'--
rny!CaiPERS 095'1
Page l of 1
.JRS-A 001396
AR000336
Attachment I (F) Declaration of Pamela Montgomery Page 67 of 108
"~'~ CalPERS
June 10, 2015
Paul G. Mast _.
P.O. Box \142115 Sacramento, CA 94229-2715 368 CalPERS (or 868-225·7377) I Fax: (000) 959-6545 www.calpers.ca,gov
Judges' Retlroment System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento. CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS SB, 170.03
Meciicare
DEDUCTIONS $409,00
$419.60
TO: Paul G. Mast
ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: December31, 2013
STATE TAX
NET $7,76'103
PERS LONG TERM
PERS CARE
OELTAPREMIER
$378.17 $0.00
$30.83
TOTAL GROSS $8, 170.03 i TOTAL DEDUCTIONS $409.00
• One Time Acljustment __j_ · One Time Deduction --·
The Slafi of the California P•:blic Employees' Retirement System wisl1es you a peaceful an-d""j"'"o-yo_u_s _ _., ho!iday season.
I ROLL CONTR~L NO L3883576
1ny!Ca1PERS 0951
Page
,ms-A 001397
AR000337
Attachment I (F) Declaration of Pamela Montgomery Page 68 of 108
Form 1099 .. R 0 CORRecTG:OQ:fdwQ:adJ uu1nt.Ut.11t•ta•MlWco4o----·-
Judges' Rolfromanl Syslam PO BOX 9<12706 SACRAMENTO, CA 94228•2705
f1111P11a~p,..n11r-•kll•,l.lt)l,11r
ltc.1lkl~ .. 11f9hlm,"119llnlq1,11tff,
~!f~.!;,lplenc•a Records Tf\lll~i1MW!f~,.15k41111N ltl•Mlll~ laMca.(U•p fofyoot fOQOtdl)
OMBNQ, 1645-0119
2013
'k SPS3534 13·79735483 4. ~ J11dgn' RatlroRHn1 Sys.tom
( .111'1.I\~ PO BOX 942705 SACRAMENTO, CA 942211-2705
lmpcrtanl Tax Document Enclosod
Paul G Mast ---
Distributions From Ponslons, Annulttes,
Retlroment or Profit-Sharing
Plane, IRAs, lnst1ranca
. ConCracla, etc.
Distributions From Ponslons, AnnulUos,
RoUremont or Profit.Sharing
Plans, IRAs, Insurance
Contrac;ts, etc.
Olelributlono From Pensions, AnnulUes,
Ra11roment or Profit-Sharing
Plana, IRAs, Insurance
Contraols, ate.
First-Class Mail
JRS-A 001398
AR000338
Attachment I (F) Declaration of Pamela Montgomery Page 69 of 108
Record of Payments
M~de by JRS to
Pa·u1 G. Mast
Year: 2014
JRS-A 001399
AR000339
Attachment I (F) Declaration of Pamela Montgomery Page 70 of 108
<;CalPERS
June ·10, 20·15
Paul G. Mast _.
P 0. Box 942715 Sacramc:mto, CA 9422().2715 8$8 CRIPERS (or 888-225-737'7) j f-nx: (800) 959-6545 lffW\V,calpors.ca,gov
Judges' Retirumont System
Duplicate Warrant Statement Please retain for your records.
Judges' Retirement System P 0. Box 942705, S;:icramento. CA 94229-2705 (916) 795-3688 (916) 795-3240
GHOSS $8,'170.03
Base Allowanc•,
COLA Medicare
DEDUCTIONS $409.00
$7,660.82 $189.61 $419 60
TO: Paul G. Mast 1011:•••• ID#: J~1dges Retirement Fund
ISSUE DATE: January :3'1, 20·14
NET S7,76i 03
PERS LONG TERM
FEDERAL TAX STATE TAX PERS CARE
DELTAPREMIER
$378,17
$0.00 $0.00 $0.00
S30 B3
TOTt;l GROSS $8.170.03 I TOTAL DEDUCTIONS S409 00,
• One Time A<:i;ust111e11t I · One Tirne Decluction ! ,cai'PE RS Atlto1naTe(fl3'~;;;1;;ir1-is iwaffaT:liia;l"Tirsa';:J~;y:·:"c'affToll Free 888-CalPERS (or ssif:22s.:t 377) I Ito order Forms, Publications, or to receive general information. To speak wit11 a service representative 1 ':_a~J:.~-F. 8AM-5PM. Visit our V~2~_2ite W!VW.CalPERS ca,gov for information '.:r se!!:~ervice !'3..~~ures:... .. __ 'I'
ROLL CONTROL NO L509 I 142
-~ ~-- - -~=-- --·~·~-----· -----
mylCalPERS 0951
Page 1 of 1
.ms-A 001400
AR000340
Attachment I (F) Declaration of Pamela Montgomery Page 71 of 108
.CalPERS
June ·10, 2015
Paul G. Mast _.
P 0. Box 942715 Sacramento, CA 94?.29-2715 838 CalPERS (or 888-225-13/l) i Fax: \U00) 9$9-6545 ww.-i.calpers.ca.gov
,Judges' Rotlrcmont System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirerrmnt System P.O. Box 942705, Sacramento, CA 94229-2705 (9'16) 795-3688 (916) 795-3240
OF.ZOSS $8, 170 03
Base Allowance
COLI\ Medicare
DEDUCTIONS $409.00
$7,560.82
$11.JS.61 $419.130
TO: Paul G. Mast
ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: February 28, 2014
HET $7,76103
PERS LONG TERM $376.17
FEDER1\L TAX $0.00 STATE TAX $0.00 PERS CARE · $0.00
I DELTAPREfv11ER $30.83
TOl'AL GROSS $8, 170 03 I TOTAL DEDUCTIONS $409 00
I · One Time Adjustment L • One rime Deduction
~Caif-iR onnounc-ed a 1.4% increase to statutory JudfcTaT'saia'ries.effoctive 7/1i2o13 This JUdiCial salmyroase will be applied \o all e!lg1ble retirement allowances with the wa1ra11t issued 4130/2014. The yment will also Include all applicable retro-active salRry adjustments.
_:oLLCONTROLNO L5109150 ·-·----· ----~~-=--·_J
myJCalPERS 0%1
Page ·1 of ·1
.ms-A 001401
AR000341
Attachment I (F) Declaration of Pamela Montgomery Page 72 of 108
~~~CalPERS
June 10, 20'15
Paul G. Mast _.
P 0 Box 942715 Sacramento, CA 94229·2715 880 CalPERS (or B80-<25·73TI) I Fax: (800) 959-6545 www.calpcrn.ca.nov
Judges' R(ltlrnmont Systom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916/ 795-3688 (916) 795-3240
GROSS $8,170 03
Base Allowance
COLA Medicare
DEDUCTIONS $409.00
$7,560.82 $189.6! $4'19.60
TO: Paul G. Mast
IDll:····· ID#: J\ldges Retirement Fund
ISSUE DATE: March 3·1, 2014
NET $7,761.03
LONG TERM
FEDERAL TAX
STflTE TAX PERS CAl\E ·
DEL T1\PREMIER
S371U7 $0.00
$0.00 $0 00
$30.83
TOTf\L GROSS $8, I /0.03 J' TOTAL DEDUCTIONS $409 00 ·
• One Time Ad1us~men1 • One Time Deduction ;
- Ca!PERS Autornater{Systen1 IS available 24 hrs a day.-1.::a11 Toll Free 888-CalPERS (or'88s-225:737~) to order Forms. Publicahons, or to receive general infonnat.on. To speak with a service representative call M-F, 3AM-5PM. V1~.:!_~t:'.:__Web_y1te :1::0MNCalP~_f'1~.c~:.fl9_v for !!_l~rrnal1on or self-service fea!.:!~<:~·
ROLL CONTROL N~---~572~087 .. _____________ .. ___ ,, .. ______ _]
myfCalPERS 0951
Page 1of1
JRS-A 001402
AR000342
Attachment I (F) Declaration of Pamela Montgomery Page 73 of 108
~,CalPERS
June 10, 2015
Paul G. Mast _.
f>,O. Box 942'1'15 Sacramento. Cl\ 94229-2715 usa CalPl:RS (or 888-225-7377) I Fax: (800) 959-6545 www.calpors.ca.gov
Judgns' Rotlromont Sys tom
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento. CA 94229-2705 (916) 795-3688 (916) 795-3240
r·· GROSS S8Yi0.03
DEDUCTIONS $409.00
TO: Paul G. Mast ID#:··· IDlf: Judges Retirement Fund
ISSUE DATE: April 30, 2014
NET $7,761.03
COLA $189 61 FEDERAL TAX S0.00 Medicare $419:60
1
1 STATE TAX S0.00
PERS CARE - $0.00
l DEL Ti\Pf-<EMIER $30.83
TOTAL GROSS SS, 170.03 TOTAL DEDUCTIONS $•109.00
• One Time t<djustrnent • One Tune Deduction ___ ......... . ..................... _,._._ .............. __ .. ---------------- ----·--~..,-,.e----~--i
1 This warrant inciudes tile CalHR '1.4% increast~ to statl1lory judicial salaries effective 711/2013 to all (llg1ble rehre~~;,t,1!_~~Y.'.%nc~ This :::'.:'.a_:r;;i::it alsc;: inc•udes all app!fcable retroactive salary ad1ustmerns
1
ROLL CONTROL NO L6339898 _,,_,_, __ .... . --- --~J
myjCalPERS 0951
Page 1of1
JRS-A 001403
AR000343
Attachment I (F) Declaration of Pamela Montgomery Page 74 of 108
)
"CalPERS
June 10, 2015
Paul G. Mast _.
P.O. Box 942715 Sacramento, C;\ 94229-2715 800 CalPERS (or UOB-2:15-7377) I Fax. (800) 959·65·15 \WJW.calpors.ca.gov
Judges' Rotirnmont System
Duplicate Warrant S!Alement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacrnmento, C/1 94229-2705 (916) 785-3688 (916) 795·3240
$8,170.03
Medicare
TOTAL GROSS
• One Time Ad1ustrnent
DEDUCTIONS $409.00
$419.60
Sl'J, 170.03
TO: Paul G. Mast 1011··· IOfl· Judges Retirement Fund
ISSUE DATE: May 31, 2014
STATE TAX PERS CARE-
NET $7,761.03
DEL TAPREMIER
TOTAL DEDUCTIONS
' One Time Deduction
$0.00 so 00
$30.83
$409.00
j CalPERS Automated System is available 2·4 hrs a day. a I Toll Free 888-Ca!PERS (or 888~225-7377); jlo order Forms, Pt1blications, or to receive general information. To speak with a service representative :cail M-F, 8AM-5PM. Visit our Web site WJ'iW.CalPERS.ca.gov for information or sslk;ervice features. 1-, .. ·-···~······ ·-·-··· .......... ___ _ i ROLL CONTROL NO l\3056264 i l---···---·~----··------------·----·-----
inylCa!PERS 0951
Page 1of1
JRS·A 001404
AR000344
Attachment I (F) Declaration of Pamela Montgomery Page 75 of 108
)
Ca1PEHS
June 10, 20!5
P,Q, 8ox 842715 Sacramento, CA 94229·2715 MB CalPERS {or 088·225·7377) ! Fax: (800) 95S·6545 VNNJ.cnlpors,cn,gov
Duplicate Warrant Stotement. Please retain for your records.
Judqn$' Re!ircrr:er.t Syr.t0n1 PO. flox 942705, Sacrnmomo. C/\ 94220·2705 (916) 795-3688 {n16) 795-3240
<;ROSS $9,7B7.63
Bnse A!lowam;e COL/1 Base Allo«..vnnce
TO'TAL GROSS
• One Time 1\djustrncnt
ROLL CONTROL NO L75739B5
rny;CalPERS 0951
DEDUCTIONS $427.\11
S7,5€0.S2 $352.37
s·t,d64.84
$9,797,63
TO: Paul G. Mast ID ___ ._ __ _
lP#: Judges Retirement Fund
FEDEl~AL TAX
STATE TAX
PERS CARE·
DELT ,\PREMIER
NET S9,369J2
TOTr\l DEDUCTIONS
" One Th:rie (')EH:luctlon
$0,00
$000 $0.00
S'.30,81
$427 0'1
.!HS-A OOWJS
AR000345
Attachment I (F) Declaration of Pamela Montgomery Page 76 of 108
June '10, 2015
Paul G. Mast _.
P 0. Box 042715 Sacramonto, CA 94229·2715 888 CalPERS (or 888-225-7377) I Fax: (800) 959·6545 w>w1.calpers.ca.gov
Judges' Rotlremant System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System PO. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,332.79
Base Allowance COL/\
TOT.AL GROSS
• Om; Time Adjustment
DEDUCTIONS $427.91
$7,560.82
$352.37
$8,33279
TO: Paui G. Mas! ID#···· IDll: Judges Retirement Fund
ISSUE DATE: July 3·1, 2014
STATE TAX PERS C,i\RE,
NET $7,904.88
DELTAPREMIER
TOTAL DEDUCTIONS
• Orie Tim<'! Deduction
\5a1PER.i:Diutoma!ed System is available 24 hrs :i'ctay. Call Toll Free 888-CalP
$0.00
$0.00 z,o 00
$:30.83
$427.91
to order Forms, Publications. or to receive general information. To speak with as ~!l:'.!:£:,_.~~M.::?J:>M. Visit c1Jr Web site \IV\tJVv.CalPER_~<'.9~(;10V for information or self-service featur
ROLL CONTROL NO L8195918
rnyjCaiPERS 0951
Page ·1 of ·1
.ms-A 001406
AR000346
Attachment I (F) Declaration of Pamela Montgomery Page 77 of 108
";.CalPERS
June rn, 20'15
Paul G. Mast _.
P.O. Box 942715 Sacramnnto, C/\ 9,\229-2715 888 CalPERS (or 888-225-7377) j Fax: (800) 959-6545 1t1ww.calpers.ca.9ov
Judgos' Rotlmmnnt Sy$tcm
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-36$8 (916) 795-~>240
GROSS $8,332.7~)
Base Allowance
COLA
TOTAL GROSS
• One Time f1djl1stment
DEDUCTIONS $427.91
$352.37
SB.332 79
TO: Paul G. Mast
ID#···· !D#: .Jud9es R<lllrement Fund
ISSUE DATE: August 3'1. 2014
FEDERAL Tt\X
STATE TAX PERS Cf.RE·
NET $7,904 88
DEL TAPREMIER
TOTAL DEDUCTIONS
• One Time Deduction
$0.00 so .. oo
$30.83
$427.91
CALPERS HEAL nr& STATE-RETIREE DENTAL PROGRAM MEMBERs:2014 OPEN ENROLLMENT PERIOD IS SEP 15-0CT "10. CHANGES ARE EFFECTIVE JAN 1, 20'15, YOU CAN ENROLL OR CHANGE YOUR PLAN BY CALLING JUDGES' & LEGISLATORS' RETIREMENT SYSTEMS (916) 795-3688. FOR INFO VISIT VVWWCALPE.RS.CA.GOV OR WVVWCALHR.CA.GOV
ROLL CONTROL NO L8820479
myjCalPERS 095 l
Page ·1 of l
JRS-A 001407
AR000347
Attachment I (F) Declaration of Pamela Montgomery Page 78 of 108
CalPEHS
June '10, 2015
P 0 Box 942·r15 Sacmmento, CA >1'1229·2715 8llll CalPERS (or 686·225·7'.ln) I Fax: (800) 959·6545 www.catpors.ca.gov
Judges' Retirement System
Duplicate Warrant Statement. Please retain for your records .
.Judges' Retirement System P.O. Box 942705. Sacramento, CA 94229-2705 (916) 795-3688 (916) 785-3240
GROSS $8,460 67
DEDUCTIONS $427.91
TO: Paul G. Mast ID#: IDll: Judges Retirement Fund
ISSUE DATE: September 30, 2014
NET $8,032.76
Base Allowance
""'::: 1,.11'. ~~~~Fc:~RxE. DELTAPREMIER
$8,460337 TOTAL DEDUCllONS
COLA
TOTAL GROSS
$0.00
$0.00 S0.00
$30,83
$427.91
1
1 ~-One Time Adjustment _ l •One Tm1e Ded::~~ __ Th:s warrant includes the CalHR 1 83% increase to statutory judicial salanes effective 7/112014 to all
['.3l!g1l~e retirement allowances This.warrant also includes al! appl•cable re~roachve s~!~ry ~J~stments
ROLL CONTROL f\10 l.0449404
---- - -----
myiCalPERS 0951
Page 1of1
.JRS-A 001408
AR000348
Attachment I (F) Declaration of Pamela Montgomery Page 79 of 108
CalPEHS
Jtme 10, 2015
P 0. Box 942715 Socromento. CA 04229·2715 860 CatPERS (or 088·22!.\.7377) I Fax: (8C-0) !l50.j)545 vvww.calpors.ca.gov
Judge~· Rotlrcmont syutnm
Duplicate W;irrant Statement. Please retain for your records.
.Judges' Retirement System P.O. Box 942705, Sacr<'.lmento, CA 94220-2705 (916) 795-3688 (916) 795<l240
GROSS $8;:60.57
Medicare
Base /\l!cwanco
COLA
TOTtl.l GROSS
• One Time Mjustma0t
DEDUCTIONS $427.91
$419.60 57,560.82
$460.25
S8.~60.67
TO: Paul G. Mast IOI·------· ID#: Judges Retirement Fuml
ISSUE Dl\TE: October 31, 2014
HET $8,032.76
PERS LONG TERM $397.08 FEDERAL T/\X S0.00 ST1\TETAX :so.co PEf~S Ci\RE · $0.00 DELTAPREMIEf~ $30.83
TOTAL DEDUCTIONS $427.91
• One Time Deduction
·-· CalPERS Automated System is available 24 hrs a day. Call Toll Free 1388-CalPERS (or 888-225-7:177) to order Fom1s, Pllbiications, or to mceive Qilneral information. To speak with a service represen1ative call M·F, MM-5PM. Visit c111r Web si\e W\NW.C.alPERS.c~gov !~~:!~:r~.L~~self~eatures.
ROLL CONTROL NO MC080177
'-------···----------------------- ------~-----'
rnylCalPERS 0951
Page 'l of l
.IRS-A 001409
AR000349
Attachment I (F) Declaration of Pamela Montgomery Page 80 of 108
~ .. CalPERS
June 10, 20'15
Paul G, Mast _.
P.O. Gox 942715 Sacramento, CA 94229-2715 880 CalPERS (or 088-225-7377) I Fax: (800) 959-6545 www.calpers.ca,gov
Judges' Retlrnment System
Duplicate Warrant Statement Please retain for your records.
Judges' Retirement System P 0. Box 942705, Sacramento, CA 94229-2705 (9'16) 795-3688 (916) 795-3240
GROSS $8;160.67
Medicare
Base /\llowance
COLA
TOTAL GROSS
• One Time /-1djustment
DEDUCTIONS $427 9-1
$419.60
$7,560.82 $480.25
$8,460.67
TO: Paul G. Mast ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: November 30, 2014
NET $8,032.76
PERS LONG TERM
FEDERAL TAX STATE TAX PERS CARE-
DELTA PREMIER
TOTAL DEDUCTIONS
' One Time Deduction
$397.08 $0.00
$0.00 $0.00
$30.83
$427.91
CalPERS Automated Sys1em is available 24"f;r:s a day. Call Toll Free 888-CalPERS (or 888-225-7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M-F, 8AM-5P1VL Visit our Web site WVVW.Ca!PERS.ca.gov for information or self-service features.:
ROLL CONTROL NO M0710516
myjCalPERS 0951
Page ·1of1
JHS-A 001410
AR000350
Attachment I (F) Declaration of Pamela Montgomery Page 81 of 108
~.Ca!PERS
June ·10, 2015
Pnul G Mast _.
P 0. Box 942715 Sacranvmto, CA 94229-2715 888 CalPERS (er 888-225-7377) I Fax·. (800) 959·6545 W1N\v.calpers.ca.gov
Judges' Retfrement System
Duplicate Warrant Statement. Please retain for your records.
,Judges' Retirernen( System P 0. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,460.67
Medicare
DEDUCTIONS $427.90
$480.25 $41 fl60
TO~:·P·alull G •. ~,vlle.st ID •. 1 10#: Judges Retirement Fund
ISSUE DATE: December 31, 2014
NET $8.032.77
FEDEr~Al TAX STATE TAX PERS CARE
OEL TAPREMIER
$0.00 $0.00
$30 82
TOTAL GF:oss $8.4G0.67 TOTAL DEDucr10Ns s·121.9o I • One Time i\djustment ' One Time Deduction J
Certiim changes'lnay Dffoctfr\e net amcunf"of your Dec 31, 2014 retirement ailowance.-heal!hidentar insurance premiums, Medicare Pm! B rein1bursement Compare this statement with Novembers before ~.'3,lling (916) 795-3688.
ROLL CONTROL NO M1341349
my/CalPERS 0951
Page 1 of 'I
,JRS-A 001411
AR000351
Attachment I (F) Declaration of Pamela Montgomery Page 82 of 108
OMB Hct, 1545:0119
Form 1099-R
- . QMiJNo,1545-0119
OMB Na. 15'5-0119
-.h.wn/f0ffl'l10llt
;\\ff~ SPS3652 14·85183814 4" ~"\ Judgiie' Ratl,..monl Syalom
CdlVtS PO BOX 942705 SACRAMENTO, CA 942211-2705
Paul G Masi _.
Distributions Fron1 Penolons, Annult1as,
Rotlromant or ProlH..Sharlng
Plons,IRAt, lnsuronco
Controcts, etc.
Dlstrlbullons From Ponslona, AnnultJes,
Rollramant or Proflt..Shartng
Plans, IRA•, Insurance
Contracts, et~
DlolrlbuUono From Ponslona, Annuities,
ReUremant or Proflt·Sharlng
Plana, IRAs, lnsuranct
Contracts, ate,
JRS-A 001412
AR000352
Attachment I (F) Declaration of Pamela Montgomery Page 83 of 108
Record of Payments
Made by J RS to
Paul G. Mast
Year: 2015
JRS-A 001413
AR000353
Attachment I (F) Declaration of Pamela Montgomery Page 84 of 108
)
c:aIPERS
June 'IO, 2015
Paul G. Mast _.
P.O. Box 042715 Sacramento, CA 94229-2715 008 Calf'E:RS (\lt 836-225-7377) I Fax: (800) 959-6545 www.c~lpers.ca.gov
Judges' Rotlroment System
Duplicate Warrant Statement. Please retain for your records.
Judges' F~etirement System P.O. Box 842705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795<l240
GROSS $8,460.67
Medicare
DEDUCTIONS $427.90
$480.25 $419.60
TO· Paul G. Mast 1011:··· 10#« Judges Retirement Fund
ISSUE DATE: January 3i. 2015
FEDERAL TAX STATE TAX PERS CARE·
NET $8,032,77
$0.00
so.co so 00
DEL TAPREMIER :330.82 i
i TOTl\L GROSS SSA60.67 i TOTAL DEDUCTIONS $427.SO I I • One Time Adjustment [ • One Time Deduction i
r -Fe·Ci'eraTan(JSfrite tax rate changesniayaTtect ~n1ClUrit of this 1)ayn1ent. Pleasec-ornpare'iiliii-1 \,s.~~tement with December's before calling Judges? Retirement System (91§l_?95-3G88. .
I ROLL CONTROL NO M2592230
L............... ······················ ......... - .......... - ............. - .... ·-------· ....... _ ..... , ____ , __________ _
niy!CalPERS 0951
Page ·1 ol l
JRS-A 001414
AR000354
Attachment I (F) Declaration of Pamela Montgomery Page 85 of 108
,.CalPERS
,June 10, 20·15
Paul G. Mas! _.
P.O. Box 9427 lfi Sacrnmenlo. CA 94220-2715 BO!l Ca!Pt::RS (or 60U·225·7377) I Fax: (800) 959-6545 www.calpers.ca.gov
.Judges' Retirement System
Duplicate Warrant Statement Please retain for your records.
Judges' Retirement System P.O. Box 942705, S;icrnmento. CA 94229-2705 (9'16) 795-3688 (916) 795-3240
GROSS SB.460 67
Base Allowance
COLA Medicare
TOTl\L GROSS
myjCalPERS 095·1
DEDUCTIONS $427.90
$4B0.25
$410.60
$8,4130.67
Page 1 of 1
TO: Paul G. Mast ID#: 10#: .Jwlges Retirement Fund
ISSUE DATE: Februa1y 28, 20·15
FEDEPAL TAX
STATE TAX PERS CARE·
NET $8,032.77
DEL TAPREMIER
TOTAL DEDUCTIONS
so 00 $000 SOOD
$30 82
$427,SO
.JRS-A 001415
AR000355
Attachment I (F) Declaration of Pamela Montgomery Page 86 of 108
June ·10, 20·15
Paul G. Mast _.
f'.O. Box 942715 Sao<imento, CA 94229-2715 ORO CalPERS (or IJM-225-7377) I Fax: (800) 959-65,15 l,vww,calpers.ca.gov
Judges' Retirement Syst<>m
Duplicate Warrant Statement. Please retain for your records.
,Judges' Retirr,ment System P 0. Box 942705, Sacramonto. CA 94229-2705 (916) '/95-3688 (916) 795-3240
GROSS $8.460.67
Medicare
TOTAL GROSS
' One Time Adjustment
DEDUCTIONS $427,90
$419.60
$8,460.G'/
TO: Paul G. Masi
ID#:··· ID#: Judges Retirement Fund
ISSUE DATE: March 31, 2015
STllTE TAX PERS CARE.
NET $8,032.77
DEL TAF'REMIER
TOTAL DEDUCTIONS
• One Time DerJuct1on
$0 00 S0.00
$30.82
$427.90
L-----,,,~~------ .. ··-·~--"""""''""" . .._,..] I CalPERS Automated System is available 24 hrs a day. Call Toll Free 888-CalPERS (or 868-225·7377) I Ito order Forms, Publications. or to receive general information. To speak with a service representative
1~-0,11_~~-F. 8AM,::,:~M. ,visit9~_1(~e..~ site '[_V''/Y:!L9.<::IP~_f3S (;;9,JLC>X.!or in~c:~~!l.!.i?1~~-~-!l'!:'.l~Yic_e._l~<:tures.
i ____ R_o_L_L_c_o_N_r_~o_L_N_o_:3_2_4e~~~------- _______________ )
myjCalPERS 0951
Pi'lge 1of1
JRS-A 001416
AR000356
Attachment I (F) Declaration of Pamela Montgomery Page 87 of 108
Ca~PEJRS
June 10, 2015
Paul G. Mast _.
P.O. Box 942715 Sacrnmonto, CA 94229·2"115 BliB CalPERS (of Bfl8·225-"f3T/) I Fax: {800) 959-6545 wwv1,calpars.ca.gov
Jurlgos' Reliramont System
Duplicate Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramenlo. CA 94229-2705 (916) 705-3688 (916) 795-3240
GROSS $8,460.67
Medicare
TOTAL GROSS
DEDUCTIONS $427.90
$480.25
$419.60
$8,460.67
TO: Paul G. Masi ID#···· ID#: .Judges Retirement Fund
ISSUE DATE April 30, 2015
FEDERAL TAX
STATE TAX PERS CARE·
NET $3,032 77
DELTAPREMIER
TOTAL DEDUCTIOMS
$0.00 $0.00
$0.00
$30.82
$427 90
• One Time Adjustment • One T1rne Deducli?n
l-e:·a1PERS Automated System ffia~e24lm a day ca11 Toli Free·aaa:catPERS (or 888-225-7377) to order Forms. Publications, or to receive general lnformat1on To speak with a service representative
rll Mj\~M·S~M v,,,, °"' - "" WNW C'"RS " gw l<><J"l<>rn""'° oc '"'·"!'.''" '"'"''''. ROLL CONTROL NO M3890094
- "---- ·~~~--· ----.
myjCalPERS 0951
Page ·1of1
.ms-A 001-i11
AR000357
Attachment I (F) Declaration of Pamela Montgomery Page 88 of 108
P o Box 942715 Sacrarnen!o, CA fl<l2W·?.71 !; IHlO CalPERS (or 0138-225·7377) I Fax: (800) 958·6545 www.calpers.ca.gov
.Judges' Retirement System
June 101 2015
Paul G. Mast _. Duplicate Warrant Statement. Please retain for your records.
Juci\jes· F~etirament System P.O. Box 942705, Sacramento. CA 94229-2705 (91G) 795-3688 (9113) 795·3240
COLA Medicare
DEDUCTIONS $427.90
$480.25
'S419.60
TO: Paul G. IVlast
1011:··· 10#: Judges Retirement Fund
ISSUE DATE: May 31, 2015
FEDERAL TAX STATE TAX PERS CARE·
NET $8,032.77
, DEl.Tf1PREMIER
so 00 $0.00
$427 90 TOTAL GROSS $8.460 67 LTOT!\L DEDUCTIONS
• One Time Adjustment • One lime Deduction !~···-·-'"''''''''Am~~ ""~------~--------,.___ ·-·-A- ........ -·~-PH•H••~ ... ''°''""---·-·-····--1 CalPERS Automated System is available 24 11rs a day. Call Toll Free 888-CalPERS (or 888-:~25-7377) 'Ito order Forms, Publications, or to receive general information. To speak with a service representative ,~ii M-F. Bf\M:_5Pfv.1: Vi.iJ.!t..9..':!! lf.'.~.~ti_~:'W·':'.~PE.f3.S.ca.gov !or information or self-service_ features. .
ROLL CONTROL NO M4530902
L
myJCalPERS 0851
Page 1 of i
.JRS-A 001418
AR000358
Attachment I (F) Declaration of Pamela Montgomery Page 89 of 108
AcaIPERS
June 07, 2016
Paul G. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-73n) I Fax: (916) 795-1500 www.calpers.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,460.67
DEDUCTIONS $570.85
PAYEE: Paul G. Mast CID: · FUND: Judges' Retirement Fund
ISSUE DATE: June 30, 2015
NET $7,889.82
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance COLA Medicare
TOTAL GROSS
$7,560.82 $480.25 $419.60
$8,460.67
FEDERAL TAX STATE TAX PERS CARE-DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
" One Time Adjustment • One Time Deduction
$0.00 $0.00 $0.00
$30.82 $540.03
$570.85
CalPERS Automated System is available 24 hrs a day. Call Toll Free 888-CalPERS (or 888-225-7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M-F, 8AM-5PM. Visit our Web site WWW.CalPERS.ca.gov for information or self-service features.
ROLL CONTROL NO M5171604
my!CalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 90 of 108
AcaIPERS P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpers.ca.gov
-----·-------------------------------Judges' Retirement System
June 07, 2016
Paul.G Mast
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,460.67
DEDUCTIONS $570.85
PAYEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: July 31, 2015
NET $7,889.82
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance COLA Medicare
TOTAL GROSS
$7,560.82 $480.25 $419.60
$8,460.67
FEDERAL TAX STATE TAX PERS CARE-DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
* One Time Adjustment * One Time Deduction
$0.00 $0.00 $0.00
$30.82 $540.03
$570.85
CalPERS Automated System is available 24 hrs a day. Call Toll Free 888-CalPERS (or 888-225-7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M-F, 8AM-5PM. Visit our Web site WWW.QalPERS.ca.gov for information or self-service features.
ROLL CONTROL NO M5817230
myjCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 91 of 108
AcaIPERS
June 07, 2016
Paul G. Mast
P.O. Box 942705, Sacramento, CA 94229·2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpers.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229·2705 (916) 795-3688 (916) 795-3240
GROSS $8,460.67
DEDUCTIONS $570.85
PA YEE: Paul G. Mast CIO:I FUND: Judges' Retirement Fund
ISSUE DATE: August 31, 2015
NET $7,889.82
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance COLA Medicare
TOTAL GROSS
$7,560.82 $480.25 $419.60
$8,460.67
FEDERAL TAX STATE TAX PERSCARE-DEL TAPREMIER PERS LONG TERM
TOTAL DEDUCTIONS
* One Time Adjustment * One Time D8Quction
$0.00 $0.00 $0.00
$30.82 $540.03
$570.85
CALPERS HEALTH & STATE RETIREE DENTAL PROGRAM MEMBERS:2015 OPEN ENROLLMENT PERIOD IS SEP 14-0CT 9. CHANGES ARE EFFECTIVE JAN 1, 2016. YOU CAN ENROLL OR CHANGE YOUR PLAN BY CALLING JUDGES' & LEGISLATORS' RETIREMENT SYSTEMS (916) 795-3688. FOR INFO VISIT WWW.CALPERS.CA.GOV OR WWW.CALHR.CA.GOV (DENTAL)
ROLL CONTROL NO M7100515
myjCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 92 of 108
AcaIPERS P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpers.ca.gov
·-----·-·--·· .. ·----------------Judges' Retirement System
June 07, 2016
Pauf G. Mast
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
PAYEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: September 30, 2015
GROSS $8,529.70
DEDUCTIONS $570.85
NET $7,958.85
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Medicare Base Allowance COLA
TOTAL GROSS
$419.60 $7,560.82
$549.28
$8,529.70
PERS LONG TERM FEDERAL TAX STATE TAX PERSCARE-DEL TAPREMIER
TOTAL DEDUCTIONS
* One Time Adjustment * One Time Deduction
$540.03 $0.00 $0.00 $0.00
$30.82
$570.85
Caf PERS Automated System is available 24 hrs a day. Call Toll Free 888-CalPERS (or 888-225-73n) to order Forms, Publications, or to receive general information. To speak with a service representative call M-F, 8AM-5PM. Visit our Web site WWW.CalPERS.ca.gov for information or self-service features.
ROLL CONTROL NO M7116976
mylCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 93 of 108
AcaIPERS
June 07, 2016
PaulG. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpera.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3666 (916} 795-3240
GROSS $8,529.70
DEDUCTIONS $648.13
PAYEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: October 31, 2015
NET $7,661.57
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Medicare Base Allowance COLA
TOTAL GROSS
" One Time Adjustment
$419.60 $7,560.82
$549.28
$8,529.70
PERS LONG TERM FEDERAL TAX STATE TAX *RECOVER PERSCAREDELTAPREMIER
TOTAL DEDUCTIONS
• One Time Deduction
$540.03 $0.00 $0.00
$77.28 $0.00
$30.62
$648.13
This warrant includes the CalHR 2.40% increase to statutory judicial salaries effective 7/1/2015 to all eligible retirement allowances. This warrant also Includes all applicable retroactive salary adjustments.
ROLL CONTROL NO M7768599
mylCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 94 of 108
AcaIPERS
June 07, 2016
Paul G. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpers.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
PAYEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: November 30, 2015
GROSS $8,529.70
DEDUCTIONS $570.85
NET $7,958.85
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Medicare Base Allowance COLA
TOTAL GROSS
$419.60 $7,560.82
$549.28
$8,529.70
PERS LONG TERM FEDERAL TAX STATE TAX PERSCARE-DEL TAPREMIER
TOTAL DEDUCTIONS
• One Time Adjustment • One Time Deduction
$540.03 $0.00 $0.00 $0.00
$30.82
$570.85
CalPERS Automated System is available 24 hrs a day. Call Toll Free 888-CalPERS (or 888-225-7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M·F, 8AM-5PM. Visit our Web site WWW.CalPERS.ca.gov for information or self-service features.
ROLL CONTROL NO M8422152
mylCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 95 of 108
AcaIPERS
June 07, 2016
Paul G. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpers.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
PA YEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: December31, 2015
GROSS $8,529.70
DEDUCTIONS $571.39
NET $7,958.31
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance COLA Medicare
TOTAL GROSS
$7,560.82 $549.28 $419.60
$8,529.70
PERS LONG TERM FEDERAL TAX STATE TAX PERS CARE· DELTAPREMIER
TOTAL DEDUCTIONS
* One Time Adjustment * One Time Deduction
$540.03 $0.00 $0.00 $0.00
$31.36
$571.39
Certain changes may affect the net amount of your Dec 31, 2015 retirement allowance: health/dental insurance premiums/Medicare Part B reimbursement. Compare this statement with Novembers before calling (916) 795-3688.
ROLL CONTROL NO M9074873
myjCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 96 of 108
AcaIPERS
June 07, 2016
Paul G. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpers.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retir~ment System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,529.70
DEDUCTIONS $571.39 .
PAYEE: Paul G. Mast CID:. FUND: Judges' Retirement Fund
ISSUE DATE: January 31, 2016
NET $7,958.31
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance COLA Medicare
TOTAL GROSS
* One Time Adjustment
$7,560.82 $549.28 $419.60
$8,529.70
PERS LONG TERM FEDERAL TAX. STATE TAX PERSCARE-DEL TAPREMIER
TOTAL DEDUCTIONS
* One Time Deduction
$540.03 $0.00 $0.00 $0.00
$31.36
$571.39
FederaVstate tax withholding changes may affect the net amount of this payment. Please compare this statement with December?s before calling (916) 795-3688.
ROLL CONTROL NO M9732910
mylCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 97 of 108
AcaIPERS -----~---···--·------------·
June 07, 2016
Paul G. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpera.ca.gov
Judge•' Retirement Syetem
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,529.70
DEDUCTIONS $571.39
PA YEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: February 29, 2016
NET $7,958.31
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance COLA Medicare
TOTAL GROSS
* One Time Adjustment
$7,560.82 $549.28 $419.60
$8,529.70
PERS LONG TERM FEDERAL TAX STATE TAX PERSCARE-DEL TAPREMIER
TOTAL DEDUCTIONS
* One Time Deduction
$540.03 $0.00 $0.00 $0.00
$31.36
$571.39
Medicare enrollees with a Part B premium exceeding $104.90 may be eligible for an increased reimbursement. Mail a copy of your entire 2016 Social Security premium notice to JRS at PO Box 942705 Sacramento, CA 94229-2705 to request increased reimbursement.
ROLL CONTROL NO N0394916
mylCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 98 of 108
AcaIPERS
June 07, 2016
Paul G. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpera.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,529.70
DEDUCTIONS $571.39
PAYEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: March 31, 2016
NET $7,958.31
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance COLA Medicare
TOTAL GROSS
$7,560.82 $549.28 $419.60
$8,529.70
PERS LONG TERM FEDERAL TAX STATE TAX PERS CARE· DEL TAPREMIER
TOTAL DEDUCTIONS
* One Time Adjustment * One Time Deduction
$540.03 $0.00 $0.00 $0.00
$31.36
$571.39
CalPERS Automated System is available 24 hrs a day. Call Toll Free 888-CalPERS (or 888-225-7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M-F, 8AM-5PM. Visit our Web site WWW.CalPERS.ca.gov for information or self-service features.
ROLL CONTROL NO N1059299
my(CalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 99 of 108
AcaIPERS
June 07, 2016
Pauf G. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) l Fax: (916) 795-1500 www.calpera.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P .0. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,529.70
DEDUCTIONS $571.39
PA YEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: April 30, 2016
NET $7,958.31
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance COLA Medicare
TOTAL GROSS
$7,560.82 $549.28 $419.60
$8,529.70
PERS LONG TERM FEDERAL TAX STATE TAX PERSCARE-DEL TAPREMIER
TOTAL DEDUCTIONS
• One Time Adjustment • One Time Deduction
$540.03 $0.00 $0.00 $0.00
$31.36
$571.39
CalPERS Automated System is available 24 hrs a day. Call Toll Free 888-CalPERS (or 888-225-7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M-F, BAM-5PM. Visit our Web site WWW.CalPERS.ca.gov for Information or self-service features.
ROLL CONTROL NO N1720408
my!CalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 100 of 108
AcaIPERS ------·---------·
June 07, 2016
PaulG. Mast
P.O. Box 942705, Sacramento, CA 94229-2705 888 CalPERS (or 888-225-7377) I Fax: (916) 795-1500 www.calpers.ca.gov
Judges' Retirement System
Benefit Warrant Statement. Please retain for your records.
Judges' Retirement System P.O. Box 942705, Sacramento, CA 94229-2705 (916) 795-3688 (916) 795-3240
GROSS $8,529.70
DEDUCTIONS $571.39
PAYEE: Paul G. Mast CID: FUND: Judges' Retirement Fund
ISSUE DATE: May 31, 2016
NET $7,956.31
ITEMIZED GROSS ITEMIZED DEDUCTIONS
Base Allowance
COLA Medicare
TOTAL GROSS
$7,560.62
$549.28
$419.60
$8,529.70
PERS LONG TERM
FEDERAL TAX
STATE TAX PERS CARE-
DEL TAPREMIER
TOTAL DEDUCTIONS
* One Time Adjustment * One Time Deduction
$540.03
$0.00
$0.00
$0.00 $31.36
$571.39
CalPERS Automated System is available 24 hrs a day. Call Toll Free 886-CalPERS (or 888-225-7377) to order Forms, Publications, or to receive general information. To speak with a service representative call M-F, 6AM-5PM. Visit ow Web site WWW.CalPERS.ca.gov for information or self-service features.
ROLL CONTROL NO N2385473
mylCalPERS 0951
Page 1of1
Attachment I (F) Declaration of Pamela Montgomery Page 101 of 108
EXHIBITB
Attachment I (F) Declaration of Pamela Montgomery Page 102 of 108
Paul Mast
Overpaym
ent from 4/6/2009 through 3/31/2016. Interest through 8/31/2016
wo
uld
h
ave
been p
aid
7%
Sim
ple
b
ase
d o
n
Inte
rest O
n 49.4572%
of
Actu
al G
ross
Accu
mu
late
d
Diffe
ren
ce T
hru
Y
ear S
tart D
ate E
nd
Date
Jud
icial S
ala
ry Ju
dicia
l Sa
lary
Am
ou
nt P
aid D
iffere
nce
O
verp
aym
en
t 8/31/16
2009 416109
4130109 14,899.08
6,140.56 5,774.11
-366.45 -$366.45
-$188.28 5/1/09
5/31/09 14,899.08
7,368.67 6,928.93
-439.74 -$223.33
6/1/09 6130109
14,899.08 7,368.67
6,928.93 -439.74
-$220.80 7/1/09
7/31/09 14,899.08
7,368.67 6,928.93
-439.74 -$218.19
8/1/09 8/31/09
14,899.08 7,368.67
6,928.93 -439.74
-$215.58 9/1/09
9130109 14,899.08
7,368.67 6,928.93
-439.74 -$213.05
10/1 /09 10/31 /09
14,899.08 7,368.67
6,928.93 -439.74
-$210.44 11 /1 /09
11 /30/09 14,899.08
7,368.67 6,928.93
-439.74 -$207.91
12/1/09 12/31/09
14,899.08 7,368.67
6,928.93 -439.74
--$3,884.35 -$205.30
2010 1/1/10
1/31/10 14,899.08
7,368.67 6,928.93
-439.74 -$4,324.09
-$202.68 2/1/10
2/28/10 14,899.08
7,368.67 6,928.93
-439.74 -$200.32
3/1/10 3/31/10
14,899.08 7,368.67
6,928.93 -439.74
-$197.71 4/1/10
4/30/10 14,899.08
7,368.67 6,928.93
-439.74 -$195.18
5/1/10 5/31/10
14,899.08 7,368.67
6,928.93 -439.74
-$192.57 6/1/10
6/30/10 14,899.08
7,368.67 6,928.93
-439.74 -$190.04
7/1/10 7/31/10
14,899.08 7,368.67
6,928.93 -439.74
-$187.43 8/1/10
8/31/10 14,899.08
7,368.67 17,335.68
9,967.01 $3,004.50
$4, 189.01 9/1/10
9/30/10 14,899.08
7,368.67 7,438.09
69.42 $3,073.92
$28.78 10/1/10
10/31/10 14,899.08
7,368.67 7,438.09
69.42 $3,143.34
$28.37 11/1/10
11/30/10 14,899.08
7,368.67 7,438.09
69.42 $3,212.77
$27.97 12/1/10
12/31/10 14,899.08
7,368.67 7,438.09
69.42 $3,282.19
$27.55
2011 1 /1 /11
1/31/11 14,899.08
7,368.67 7,438.09
69.42 $3,351.61
$27.14 2/1/11
2/28/11 14,899.08
7,368.67 7,438.09
69.42 $3,421.03
$26.77 3/1/11
3/31/11 14,899.08
7,368.67 7,438.09
69.42 $3,490.45
$26.36 4/1/11
4/30/11 14,899.08
7,368.67 7,438.09
69.42 $3,559.88
$25.96 5/1/11
5/31/11 14,899.08
7,368.67 7,438.09
69.42 $3,629.30
$25.55 6/1/11
6/30/11 14,899.08
7,368.67 7,438.09
69.42 $3,698.72
$25.15 7/1/11
7/31/11 14,899.08
7,368.67 7,438.09
69.42 $3,768.14
$24.73 8/1/11
8/31/11 14,899.08
7,368.67 7,438.09
69.42 $3,837.57
$24.32 9/1/11
9/30/11 14,899.08
7,368.67 7,438.09
69.42 $3,906.99
$23.92 10/1/11
10/31/11 14,899.08
7,368.67 7,683.55
314.88 $4,221.87
$106.63 11/1/11
11/30/11 14,899.08
7,368.67 7,560.82
192.15 $4,414.02
$63.97 Page 1
Attachment I (F) Declaration of Pamela Montgomery Page 103 of 108
Paul Mast
Overpaym
ent from 4/6/2009 through 3/31/2016. Interest through 8/31/2016
wo
uld
h
ave
been p
aid
7%
Sim
ple
b
ase
d o
n
Inte
rest O
n
49.4572% o
f A
ctua
l Gro
ss A
ccum
ula
ted
D
iffere
nce
Th
ru
Year
Sta
rt Date
End D
ate Ju
dicia
l Sa
lary
Jud
icial S
ala
ry A
mo
un
t Paid
Diffe
ren
ce
Ove
rpa
yme
nt
8/31/16
12/1/11 12/31/11
14,899.08 7,368.67
7,560.82 192.15
$4,606.17 $62.82
2012 1/1/12
1/31/12 14,899.08
7,368.67 7,560.82
192.15 $4,798.33
$61.68 2/1/12
2/29/12 14,899.08
7,368.67 7,560.82
192.15 $4,990.48
$60.62 3/1/12
3/31/12 14,899.08
7,368.67 7,560.82
192.15 $5,182.63
$59.47 4/1/12
4/30/12 14,899.08
7,368.67 7,560.82
192.15 $5,374.78
$58.37 5/1 /12
5/31/12 14,899.08
7,368.67 7,560.82
192.15 $5,566.94
$57.23 6/1/12
6/30/12 14,899.08
7,368.67 7,560.82
192.15 $5,759.09
$56.12 7/1/12
7/31/12 14,899.08
7,368.67 7,560.82
192.15 $5,951.24
$54.98 8/1/12
8/31/12 14,899.08
7,368.67 7,560.82
192.15 $6,143.39
$53.84 9/1/12
9/30/12 14,899.08
7,368.67 7,560.82
192.15 $6,335.54
$52.73 10/1/12
10/31/12 14,899.08
7,368.67 7,940.04
571.37 $6,906.92
$153.41 11/1/12
11/30/12 14,899.08
7,368.67 7,750.43
381.76 $7,288.68
$100.31 12/1/12
12/31/12 14,899.08
7,368.67 7,750.43
381.76 $7,670.44
$98.04 2013
1/1/13 1/31/13
14,899.08 7,368.67
7,750.43 381.76
$8,052.20 $95.77
2/1/13 2/28/13
14,899.08 7,368.67
7,750.43 381.76
$8,433.96 $93.72
3/1/13 3/31/13
14,899.08 7,368.67
7,750.43 381.76
$8,815.73 $91.46
4/1/13 4/30/13
14,899.08 7,368.67
7,750.43 381.76
$9,197.49 $89.26
5/1/13 5/31/13
14,899.08 7,368.67
7,750.43 381.76
$9,579.25 $86.99
6/1/13 6/30/13
14,899.08 7,368.67
7,750.43 381.76
$9,961.01 $84.80
7/1/13 7/31/13
15, 107.66 7,471.83
7,750.43 278.60
$10,239.62 $60.23
8/1/13 8/31/13
15, 107.66 7,471.83
7,750.43 278.60
$10,518.22 $58.57
9/1/13 9/30/13
15, 107.66 7,471.83
7,750.43 278.60
$10,796.83 $56.97
10/1/13 10/31/13
15,107.66 7,471.83
7,750.43 278.60
$11,075.43 $55.32
11/1/13 11/30/13
15,107.66 7,471.83
7,750.43 278.60
$11,354.04 $53.71
12/1/13 12/31/13
15,107.66 7,471.83
7,750.43 278.60
$11,632.64 $52.06
2014 1/1/14
1/31/14 15,107.66
7,471.83 7,750.43
278.60 $11,911.24
$50.40 2/1/14
2/28/14 15,107.66
7,471.83 7,750.43
278.60 $12, 189.85
$48.91 3/1/14
3/31/14 15,107.66
7,471.83 7,750.43
278.60 $12,468.45
$47.25 4/1/14
4/30/14 15, 107.66
7,471.83 7,750.43
278.60 $12,747.06
$45.65 5/1/14
5/31/14 15, 107.66
7,471.83 7,750.43
278.60 $13,025.66
$44.00 6/1/14
6/30/14 15,107.66
7,471.83 9,378.03
1,906.20 $14,931.87
$290.07 7/1/14
7/31/14 15,384.16
7,608.57 7,913.19
304.62 $15,236.48
$44.54
Page 2
Attachment I (F) Declaration of Pamela Montgomery Page 104 of 108
Paul Mast
Overpaym
ent from 4/6/2009 through 3/31/2016. Interest through 8/31/2016
Wo
uld
h
ave been p
aid
7% S
imp
le b
ased on
Interest O
n 49.4572%
of
Actu
al Gro
ss A
ccum
ulated
D
ifference T
hru
Y
ear S
tart Date
End D
ate Ju
dicial S
alary Ju
dicial S
alary A
mo
un
t Paid
Differen
ce O
verpaym
ent
8/31/16
8/1/14 8/31/14
15,384.16 7
,60
8.5
7
7,913.19 304.62
$15,541.10 $42.73
9/1/14 9/30/14
15,384.16 7
,60
8.5
7
8,041.07 4
32
.50
$15,973.59
$58.19 10/1/14
10/31/14 15,384.16
7,6
08
.57
8,041.07
43
2.5
0
$16,406.09 $55.62
11/1/14 11/30/14
15,384.16 7
,60
8.5
7
8,041.07 4
32
.50
$16,838.58
$53.13 12/1/14
12/31/14 15,384.16
7,608.57 8,041.07
43
2.5
0
$17,271.08 $50.56
2015 1/1/15
1/31/15 15,384.16
7,6
08
.57
8,041.07
43
2.5
0
$17,703.57 $47.99
2/1/15 2/28/15
15,384.16 7
,60
8.5
7
8,041.07 4
32
.50
$18,136.07
$45.67 3/1/15
3/31/15 15,384.16
7,6
08
.57
8,041.07
43
2.5
0
$18,568.56 $43.10
4/1/15 4/30/15
15,384.16 7,608.57
8,041.07 4
32
.50
$19,001.06
$40.61 5/1/15
5/31/15 15,384.16
7,608.57 8,041.07
43
2.5
0
$19,433.55 $38.05
6/1/15 6/30/15
15,384.16 7,608.57
8,041.07 4
32
.50
$19,866.05
$35.56 7/1/15
7/31/15 15,753.41
7,791.20 8,041.07
24
9.8
7
$20,115.92 $19.06
8/1/15 8/31/15
15,753.41 7,791.20
8,041.07 2
49
.87
$20,365.80
$17.58 9/1 /15
9/30/15 15,753.41
7,791.20 8, 110.10
318.90 $20,684.70
$20.60 10/1/15
10/31/15 15,753.41
7,791.20 8,110.10
318.90 $21,003.61
$18.70 11/1/15
11/30/15 15,753.41
7,791.20 8, 110.10
318.90 $21,322.51
$1
6.8
7
12/1/15 12/31/15
15,753.41 7,791.20
8,110.10 318.90
$21,641.42 $14.97
2016 1/1/16
1/31/16 15,753.41
7,791.20 8,110.10
318.90 $21,960.32
$13.08 2/1/16
2/29/16 15,753.41
7,890.17 8,110.10
21
9.9
3
$22,180.25 $7.80
3/1/16 3/31/16
15,753.41 7,791.20
8, 110.10 318.90
$22,499.16 $9.41
4/1/16 4/30/16
15,753.41 7,791.20
8,110.10 $22,499.16
$0.00 5/1/16
5/31/16 15,753.41
7,791.20 8,110.10
$22,499.16 $0.00
$4,461.95
Overpaym
ent $22,499.16 Interest thru 8/31 /2016 $
4,4
61
.95
Page 3
Attachment I (F) Declaration of Pamela Montgomery Page 105 of 108
EXHIBITC
Attachment I (F) Declaration of Pamela Montgomery Page 106 of 108
Paul Mast
Overpaym
ent from 1
2/2
9/2
01
1 through 3/31/2016. Interest through 8/31/2016
Wo
uld
h
ave b
een p
aid
7% S
imp
le b
ased on
Interest O
n
49.4572% o
f A
ctual G
ross
Accu
mu
lated
Differen
ce Th
ru
Year
Start D
ate E
nd Date
Jud
icial Salary
Jud
icial Salary
Am
ou
nt P
aid
Differen
ce O
verpaym
ent
8/31/16
2011 12/29/11
12/31/11 14,899.08
713.10 731.69
18.59 $18.59
$5.86
2012 1/1/12
1/31/12 14,899.08
7,368.67 7,560.82
192.15 $210.75
$59.40 2/1/12
2/29/12 14,899.08
7,368.67 7,560.82
192.15 $402.90
$58.33 3/1/12
3/31/12 14,899.08
7,368.67 7,560.82
192.15 $595.05
$57.19 4/1/12
4/30/12 14,899.08
7,368.67 7,560.82
192.15 $787.20
$56.09 5/1/12
5/31/12 14,899.08
7,368.67 7,560.82
192.15 $979.35
$54.94 6/1/12
6/30/12 14,899.08
7,368.67 7,560.82
192.15 $1,171.51
$53.84 7/1/12
7/31/12 14,899.08
7,368.67 7,560.82
192.15 $1,363.66
$52.70 8/1/12
8/31/12 14,899.08
7,368.67 7,560.82
192.15 $1,555.81
$51.56 9/1/12
9/30/12 14,899.08
7,368.67 7,560.82
192.15 $1,747.96
$50.45 10/1/12
10/31/12 14,899.08
7,368.67 7,940.04
571.37 $2,319.34
$146.62 11/1/12
11/30/12 14,899.08
7,368.67 7,750.43
381.76 $2,701.10
$95.77 12/1/12
12/31/12 14,899.08
7,368.67 7,750.43
381.76 $3,082.86
$93.50 2013
1 /1/13 1/31/13
14,899.08 7,368.67
7,750.43 381.76
$3,464.62 $91.24
2/1/13 2/28/13
14,899.08 7,368.67
7,750.43 381.76
$3,846.38 $89.19
3/1/13 3/31/13
14,899.08 7,368.67
7,750.43 381.76
$4,228.15 $86.92
4/1/13 4/30/13
14,899.08 7,368.67
7,750.43 381.76
$4,609.91 $84.72
5/1/13 5/31/13
14,899.08 7,368.67
7,750.43 381.76
$4,991.67 $82.46
6/1/13 6/30/13
14,899.08 7,368.67
7,750.43 381.76
$5,373.43 $80.26
7/1/13 7/31/13
15,107.66 7,471.83
7,750.43 278.60
$5,652.04 $56.92
8/1/13 8/31/13
15,107.66 7,471.83
7,750.43 278.60
$5,930.64 $55.26
9/1/13 9/30/13
15, 107.66 7,471.83
7,750.43 278.60
$6,209.25 $53.66
10/1/13 10/31/13
15,107.66 7,471.83
7,750.43 278.60
$6,487.85 $52.01
11/1/13 11/30/13
15,107.66 7,471.83
7,750.43 278.60
$6,766.45 $50.40
12/1/13 12/31/13
15,107.66 7,471.83
7,750.43 278.60
$7,045.06 $48.75
2014 1/1/14
1/31/14 15, 107.66
7,471.83 7,750.43
278.60 $7,323.66
$47.09 2/1/14
2/28/14 15, 107.66
7,471.83 7,750.43
278.60 $7,602.27
$45.60 3/1/14
3/31/14 15,107.66
7,471.83 7,750.43
278.60 $7,880.87
$43.94 4/1/14
4/30/14 15,107.66
7,471.83 7,750.43
278.60 $8,159.48
$42.34 5/1/14
5/31/14 15, 107.66
7,471.83 7,750.43
278.60 $8,438.08
$40.69 6/1/14
6/30/14 15,107.66
7,471.83 9,378.03
1,906.20 $10,344.29
$267.42 7/1/14
7/31/14 15,384.16
7,608.57 7,913.19
304.62 $10,648.90
$40.92
Page 1
Attachment I (F) Declaration of Pamela Montgomery Page 107 of 108
Paul Mast
Overpaym
ent from 1
2/2
9/2
01
1 through 3/31/2016. Interest through 8
/31
/20
16
Wo
uld
h
ave been p
aid
7% S
imp
le b
ased on
Interest O
n 49.4572%
of
Actu
al Gro
ss A
ccum
ulated
D
ifference T
hru
Y
ear S
tart Date
End D
ate Ju
dicial S
alary Ju
dicial S
alary A
mo
un
t Paid
Differen
ce O
verpaym
ent
8/31/16
8/1/14 8/31/14
15,384.16 7,608.57
7,913.19 304.62
$10,953.52 $39.11
9/1/14 9/30/14
15,384.16 7,608.57
8,041.07 432.50
$11,386.01 $53.05
10/1/14 10/31/14
15,384.16 7,608.57
8,041.07 432.50
$11,818.51 $50.48
11/1/14 11/30/14
15,384.16 7,608.57
8,041.07 432.50
$12,251.00 $47.99
12/1/14 12/31/14
15,384.16 7,608.57
8,041.07 432.50
$12,683.50 $45.42
2015 1/1/15
1/31/15 15,384.16
7,608.57 8,041.07
432.50 $13,115.99
$42.85 2/1/15
2/28/15 15,384.16
7,608.57 8,041.07
432.50 $13,548.49
$40.53 3/1/15
3/31/15 15,384.16
7,608.57 8,041.07
432.50 $13,980.98
$37.96 4/1/15
4/30/15 15,384.16
7,608.57 8,041.07
432.50 $14,413.48
$35.48 5/1/15
5/31/15 15,384.16
7,608.57 8,041.07
432.50 $14,845.97
$32.91 6/1/15
6/30/15 15,384.16
7,608.57 8,041.07
432.50 $15,278.47
$30.42 7/1/15
7/31/15 15,753.41
7,791.20 8,041.07
249.87 $15,528.34
$16.09 8/1 /15
8/31/15 15,753.41
7,791.20 8,041.07
249.87 $15,778.22
$14.61 9/1 /15
9/30/15 15,753.41
7,791.20 8,110.10
318.90 $16,097.12
$16.81 10/1/15
10/31/15 15,753.41
7,791.20 8,110.10
318.90 $16,416.03
$14.91 11/1/15
11/30/15 15,753.41
7,791.20 8,110.10
318.90 $16,734.93
$13.08 12/1/15
12/31/15 15,753.41
7,791.20 8,110.10
318.90 $17,053.84
$11.18 2016
1/1/16 1/31/16
15,753.41 7,791.20
8,110.10 318.90
$17,372.74 $9.29
2/1/16 2/29/16
15,753.41 7,890.17
8,110.10 219.93
$17,592.67 $5.18
3/1/16 3/31/16
15,753.41 7,791.20
8,110.10 318.90
$17,911.57 $5.62
4/1/16 4/30/16
15,753.41 7,791.20
8,110.10 $17,911.57
$0.00 5/1/16
5/31/16 15,753.41
7,791.20 8,110.10
$17,911.57 $0.00
$2,759.01 O
verpayment $17,911.57
Interest $2,759.01 (thru 8/31/2016)
Page 2
Attachment I (F) Declaration of Pamela Montgomery Page 108 of 108