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1 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF FINANCIAL INSTITUTIONS WILLIAM S. HARAF, Commissioner of Financial Institutions COMPLAINT REGARDING AN UNLICENSED MONEY TRANSMITTER / QUEJA CON RESPECTO A UN TRANSMISOR DE DINERO NO AUTHORIZADO Information Regarding / Información acerca de Unlicensed Money Transmitter / Your Personal Information / Transmisor de Dinero Sin Licencia Su Información Personal Name and Office Address / Your Name and Address / Nombre y Dirección de la Oficina Su Nombre y Dirección Telephone / Teléfono Your Address / Su Dirección de Correo Electrónico Contact Person / Persona de Contacto Your Telephone / Su Teléfono Your Fax Number / Su Número de Fax Your Employer / So Empleador How and when did you become aware of this money transmitter? Describe everything you personally observed about the conduct of its money transmission business. Submit copies of the following documents with this form: receipts, advertisements, photographs of money transmitter office(s), and brochures that show the person or company complained of are engaged in the business of money transmission. Cómo y cuándo usted se enteró de este transmisor de dinero? Describe todo lo que personalmente observó sobre la conducta de su negocio de envío de dinero. Envíe copias de los siguientes documentos con esta forma: recibos publicidad, fotografías de transmisor de dinero, y folletos que muestran la persona o la empresa denunciada está dedicado al negocio de transmisión de dinero. 45 Fremont Street, Suite 1700 San Francisco, CA (415) th Street Sacramento, CA (916) S. Spring Street, Suite Los Angeles, CA (213) Metropolitan Drive, Suite 108 San Diego, CA (619)

2 COMPLAINT REGARDING AN UNLICENSED MONEY TRANSMITTER / QUEJA CON RESPECTO A UN TRANSMISOR DE DINERO NO AUTHORIZADO Page / Pagina 2 Are you willing to appear in court to testify to the foregoing? Yes / Sí No / No Está usted dispuesto a comparecer ante el tribunal para dar testimonio de lo anterior? Your Signature / Su Firma Date / Fecha Please complete and mail or fax this form and related documents to the address below. Form 2120 (Rev ) Julio Prada Department of Financial Institutions 45 Fremont Street, Suite 1700 San Francisco, CA Fax #: (415)

3 Paycom - Online Contact Us Toll Free: Home Services Time and Attendance HR Management Background Checks Benefit Administration COBRA Compliance Tax Credits Applicant Tracking Document Management Expense Management On-Boarding/Off-Boarding Solutions By Industry Churches Consumer Services CPA Dealerships Distribution Financial Institutions Franchises Grocers Hospitality Manufacturing Medical Non Profits Professional Services Restaurants Retail Schools Small Business By Title CFO Controllers HR Managers Owner/CEO Payroll Managers About Paycom Paycom History Paycom Philosophy Careers 1/7

4 News & Updates Paycom Reviews Paycom Radio Ads Support Contact Us System Service Savings Paycom Services Spend less time processing payroll with Paycom s easy-to-use web-based payroll services. Logical navigation, simple screens and point and click reporting help you to manage your employee data and process payroll quickly and accurately. Get a Quote View a Demo Real Time Reports Paperless Payroll Online Real-Time Access to Your Payroll Information Real-time is key and a unique benefit of web-based applications like Paycom s. Make changes, run reports, and process payroll when and from where it s most convenient for you. 2/7

5 Multiple offices share the same system keeping information up-to-date and consistent company wide. Unlimited users can work in the system with customized access for separating duties while protecting confidential information. Less Data Entry Enter employee information one time. Whether you start by entering an applicant in the system for a background check, or a new hire for HR, time and attendance, or payroll, their information is populated throughout the system which reduces errors and saves you time. Personal Service from a Dedicated Payroll Specialist Get the live help you need when you need it We don t use automated phone systems or case numbers when you call. Talk to a highly-trained payroll services expert who knows you and your company s payroll objectives. Rely on one point of contact for all your payroll, payroll tax and Paycom software inquiries. Helpful Functionality Designed for payroll professionals by payroll professionals the system is intuitive and efficient. Easily make employee changes from one screen where you can access everything from demographics, pay rates, and taxes, to deductions, accruals, and HR information. Batch editing enables you to make changes for groups of employees. Change 401(k) deductions, PTO accruals, pay rates, Workers Comp codes and more. Effective dating allows you to set a future start date for an earning or deduction that would otherwise start with your next payroll. Create manual checks that factor in all earnings and deductions that are automatically scheduled on the next payroll run Payroll Verification Prior to Processing Eliminate payroll surprises. Before you process your payroll you can check your Input Validation Report to verify that all employee earnings and deductions were entered correctly. If there are changes, you can simply update the payroll rather than start over. Integrated Time and Attendance Lower your labor costs with accurate time tracking and integration with your payroll services. Eliminate paper timesheets and manually keying in employee time card information. 3/7

6 Employees can clock in and out online, enter their time in online timesheets or punch in and out at hardware terminals. Regardless of the Paycom time tracking method used, with a click of your mouse the information is updated in the payroll system. Paycom Pay Eliminate the liability of live payroll checks. With Paycom Pay all live checks issued to employees clear off of a Paycom bank account eliminating for you the tedious job of check reconciliation. Paycom simply drafts your account for your entire net payroll, taxes and fees. Learn more about Paycom s * Contact Name: * Company Name: Title: * City: * State: * Zip Code: * Phone: * Number of Employees: Payroll Frequency: * Current Payroll Provider: * How did you hear about us? Choose One 4/7

7 Payroll Tax Management Limit your payroll tax responsibilities. Paycom will debit your payroll taxes and deposit them on their due date as well as sign and remit your payroll tax filings. Regardless of when you switch during the year, Paycom converts and balances all year to date totals. We take responsibility for the 941 (even in the middle of a quarter), and the 940 (even though we didn t do payroll the entire year), and your employees will only get one W2. Reports Ready Quickly Get the information you need when you need it. Within hours of submitting your payroll, your standard reports are ready in your inbox. Standard reports are plentiful and include Cash Requirements Statement, Check Register, Net Pay Register, Deduction Report, GL Report and more. Create custom reports from our point and click Report Writer that can report on any information stored in the system, filter reports to your specifications, and subtotal by company, employee or department. Report across multiple FEINs. Available in text and excel. All System Changes are Tracked Monitor system changes with our audit trail. Every system change from adding punches to an employee timesheet, to salary increases are tracked. You can report to see the time and date changes were made, who made them, and the old and new values. Contact Us Toll Free Number: Time and Attendance HR Management Background Checks Benefit Administration COBRA Compliance Tax Credits Applicant Tracking Document Management 5/7

8 Expense Management On-Boarding/Off-Boarding Payroll Solutions By Industry Churches Consumer Services CPA Dealerships Distribution Financial Institutions Franchises Grocers Hospitality Manufacturing Medical Non Profits Professional Services Restaurants Retail Schools Small Business Payroll Solutions By Title CFO Controllers HR Managers Owner/CEO Payroll Managers Inside Paycom Paycom Request a Quote Career Opportunities Press Releases Contact Us 6/7

9 Legal Notices RSS Copyright 2010 Paycom. 7/7

Information Regarding / Información acerca de Unlicensed Money Transmitter / Your Personal Information /

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