Question:
Toni Prevosti is opening a new business, Prevosti Farms and Sugarhouse, a small company that will harvest, refine, and sell maple syrup products. In subsequent chapters, students will have the opportunity to establish payroll records and complete payroll information for Prevosti Farms and Sugarhouse.
Toni has decided that she needs to hire employees for the business to grow. Complete the application for Prevosti Farms and Sugarhouse’s Employer Identification Number (Form SS-4) with the following information:
Prevosti Farms and Sugarhouse is located at 820 Westminster Road, Bridgewater, Vermont, 05520 (which is also Ms. Prevosti’s home address), phone number 802-555- 3456. Bridgewater is in Windsor County, Vermont. Toni, the responsible party for a Limited Liability Corporation created in the United States with one member (disregarded entity), has decided that Prevosti Farms and Sugarhouse will pay its employees on a biweekly basis. Toni’s Social Security number is 055-22-0443. The beginning date of the business is February 1, 2022. Prevosti Farms and Sugarhouse will use a calendar year as its accounting year. Toni anticipates that she will need to hire six employees initially for the business, three of whom will be agricultural and three who will be office workers. The first date of wage disbursement will be February 10, 2022. Toni has not had a prior EIN. The reason for filling out the SS-4 is the establishment of the new business.
Transcribed Image Text:
SS-4
Form
(Rev. December 2019)
Department of the Treasury
Internal Revenue Service
Type or print clearly.
8a
8c
9a
9b
13
15
16
17
Application for Employer Identification Number
(For use by employers, corporations, partnerships, trusts, estates, churches,
government agencies, Indian tribal entities, certain individuals, and others.)
►Go to www.irs.gov/FormSS4 for instructions and the latest information.
► See separate instructions for each line. Keep a copy for your records.
1 Legal name of entity (or individual) for whom the EIN is being requested
18
2 Trade name of business (if different from name on line 1)
4b City, state, and ZIP code (if foreign, see instructions)
6 County and state where principal business is located
7a Name of responsible party
4a Mailing address (room, apt., suite no. and street, or P.O. box) 5a Street address (if different) (Don't enter a P.O. box.)
10 Reason for applying (check only one box)
Started new business (specify type) ►
Partnership
Corporation (enter form number to be filed) ►
Personal service corporation
Church or church-controlled organization
Other nonprofit organization (specify) ►
Other (specify) ►
If a corporation, name the state or foreign country (if
applicable) where incorporated
Is this application for a limited liability company (LLC)
(or a foreign equivalent)?
...Yes
If 8a is "Yes," was the LLC organized in the United States?
Type of entity (check only one box). Caution: If 8a is "Yes," see the instructions for the correct box to check.
Sole proprietor (SSN)
Estate (SSN of decedent)
Plan administrator (TIN)
Trust (TIN of grantor)
Military/National Guard
Farmers' cooperative
REMIC
Hired employees (Check the box and see line 13.)
Compliance with IRS withholding regulations
Other (specify)►
11 Date business started or acquired (month, day, year). See instructions.
3
State
Household
Third
Party
Designee
Executor, administrator, trustee, "care of" name
Other
5b City, state, and ZIP code (if foreign, see instructions)
No
Highest number of employees expected in the next 12 months (enter -0-if
none). If no employees expected, skip line 14.
Agricultural
7b SSN, ITIN, or EIN
Check one box that best describes the principal activity of your business.
Transportation & warehousing
Finance & insurance
Construction
Real estate
Rental & leasing
Manufacturing
Indicate principal line of merchandise sold, specific construction work done,
Banking purpose (specify purpose) ►
Changed type of organization (specify new type) ►
Purchased going business
Created a trust (specify type) ►
Created a pension plan (specify type) ►
8b If 8a is "Yes," enter the number of
LLC members..
12
14
EIN
..
Group Exemption Number (GEN) if any ►
Foreign country
OMB No. 1545-0003
Signature ▶
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.
Date ►
First date wages or annuities were paid (month, day, year). Note: If applicant is a withholding agent, enter date income will first be paid to
nonresident alien (month, day, year).
Yes
Health care & social assistance
Accommodation & food service
Other (specify) ►
products produced, or services provided.
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete.
Name and title (type or print clearly) ►
Closing month of accounting year
If you expect your employment tax liability to be $1,000 or
less in a full calendar year and want to file Form 944
annually instead of Forms 941 quarterly, check here.
(Your employment tax liability generally will be $1,000
or less if you expect to pay $5,000 or less in total wages.)
If you don't check this box, you must file Form 941 for
every quarter.
No
State/local government
Federal government
Indian tribal governments/enterprises
Yes
Has the applicant entity shown on line 1 ever applied for and received an EIN?
If "Yes," write previous EIN here ►
Complete this section only if you want to authorize the named individual to receive the entity's EIN and answer questions about the completion of this form.
Designee's name
Designee's telephone number (include area code)
Address and ZIP code
No
Wholesale-agent/broker
Wholesale-other
Cat. No. 16055N
Retail
Designee's fax number (include area code)
Applicant's telephone number (include area code)
Applicant's fax number (include area code)
Form SS-4 (Rev. 12-2019)