Form SS-4

A. Severance pay
B. By the 15th day of the following month
C. Employer’s QUARTERLY Federal Tax Return
D. Application for Employer Identification Number
E. 6.2 percent and 1.45 percent
F. Employee’s application for social security card
G. Cumulative wages of $147,000
H. More than $50,000 in employment taxes in thelookback period
I. 12.4 percent and 2.9 percent
J. Employer’s matching contributions into employees’ deferred compensation arrangements

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Form SS-4 (Rev. December 2019) Department of the Treasury Internal Revenue Service Type or print clearly. 8c 9a 9b 8a Is this application for a limited liability company (LLC) (or a foreign equivalent)? . 10 11 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. Legal name of entity (or individual) for whom the EIN is being requested Myers Payroll Services, Inc. 2 Trade name of business (if different from name on line 1) 18 4a Mailing address (room, apt., suite no. and street, or P.O. box) 5a P.O. Box 212 4b City, state, and ZIP code (if foreign, see instructions) Sacramento, CA 95814-1212 6 County and state where principal business is located Orange County, CA 7a Name of responsible party Catherine Myers 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 Reason for applying (check only one box) Started new business (specify type) ► Payroll Processing Hired employees (Check the box and see line 13.) Compliance with IRS withholding regulations Other (specify) ► ...... If 8a is "Yes," was the LLC organized in the United States? o ne 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 Yes Household Third Party Designee 1120 State . Date business started or acquired (month, day, year). See instructions. July 3, 20-- 3 Executor, administrator, trustee, "care of" name Care of Martin Myers. Street address (if different) (Don't enter a P.O. box.) 3401 Atrium Way 5b City, state, and ZIP code (if foreign, see instructions) Sacramento, CA 95814-0340 No Highest number of employees expected in the next 12 months (enter -0- if none). If no employees expected, skip line 14. Agricultural Other 1 7b SSN, ITIN, or EIN 000-00-6119 8b If 8a is "Yes," enter the number of LLC members. California 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) ► 12 14 EIN Group Exemption Number (GEN) if any ► Foreign country Signature Catherine Myers For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. OMB No. 1545-0003 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) a war Check one box that best describes the principal activity of your business. Transportation & warehousing Finance & insurance ► July 15, 20-- Health care & social assistance Accommodation & food service Other (specify) ▸ Payroll Construction Real estate Rental & leasing Manufacturing Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided. Payroll Processing Yes Date 6/4/.. Closing month of accounting year December 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. 7 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 Designee's fax number (include area code) 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) Catherine Myers, President No Yes State/local government Federal goverment Indian tribal governments/enterprises No Cat. No. 16055N Wholesale-agent/broker Wholesale-other ☐Retail Services Applicant's telephone number (include area code) 919-555-2111 Applicant's fax number (include area code) 919-555-2119 Form SS-4 (Rev. 12-2019)