6. Complete the Form 941 for the 2nd quarter of 2019 for Charming's Distributing Co. (employer identification #11-3333333). Assume that Charming's Distributing (located at 819 Swamp Lane, Fremont, CA 94538) chooses to complete and mail Form 941 on the due date. Based on the lookback period, Charming's Distributing is a monthly depositor. Assume that all necessary deposits were made on a timely basis and that the employer made deposits equal to the total amount owed for the quarter. All five employees worked during each of the three months, and the company does not choose to allow a third party to discuss the form with the IRS. Note that the form is signed by the company's president, Prince Charming (telephone #510-555-8293). Second quarter earnings, and associated taxes withheld from employee earnings, are as follows. None of the employees had Additional Medicare tax deductions. April Taxes May Taxes June Taxes 2nd Quarter Earnings FWT $905.00 $884.93 $930.12 $12,895 Social Security $255.39 $263.50 $280.60 $12,895 Medicare $65.44 $59.74 $61.83 $12,895 941 for 2019: Employer's QUARTERLY Federal Tax Return 950117 Form Pev. January 2018) Department of the Treasury - Internal Revenue Service OMB No. 1546-0029 Employer identification number (EIN) Report for this Quarter of 2019 (Check one.) Name (not your trade name) 1: January, February, March 2: April, May, June Trade name (if any) 3: July, August, September Address 4: October, November, December Sulte or room number Go to www.irs.gov/Form941 for instructions and the latest information. Nurber City Stato ZIP Code Foreign country ramo Foreign provinca county Foreign postal code 1 2 3 Read the separate instructions before you complete Form 941. Type or print within the boxes. Part 1: Answer these questions for this quarter. 1 Number of employees who received wages, tips, or other compensation for the pay period including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept 12 (Quarter 3), or Dec. 12 (Quarter 4) 2 Wages, tips, and other compensation 3 Federal income tax withheld from wages, tips, and other compensation 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Column 1 Column 2 5a Taxable social security wages. x 0.124 = 5b Taxable social security tips . x 0.124 = 5c Taxable Medicare wages & tips. x 0.029 = 5d Taxable wages & tips subject to Additional Medicare Tax withholding x 0.009 = Check and go to line 6 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 5e 5f Section 3121(q) Notice and Demand Tax due on unreported tips (see instructions) 5f 6 Total taxes before adjustments. Add lines 3,5e, and 5f 6 7 7 8 8 9 9 10 Current quarter's adjustment for fractions of cents Current quarter's adjustment for sick pay Current quarter's adjustments for tips and group-term life insurance 10 Total taxes after adjustments. Combine lines 6 through 9 11 Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 11 Total taxes after adjustments and credits. Subtract line 11 from line 10 12 Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X (SP) filed in the current quarter Balance due. If line 12 is more than line 13, enter the difference and see instructions 14 15 Overpayment. If line 13 is more than line 12, enter the difference Check one: Apply to next ratum. You MUST complete both pages of Form 941 and SIGN it Next For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Cat. No. 170017 Form 941 (lev. 1-2019) 12 13 13 14 Sand a ratund. 950217 Name (not your trade rame) Employer identification number (EIN) Part 2: Tell us about your deposit schedule and tax liability for this quarter. If you are unsure about whether you are a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15. 16 Check one: Line 12 on this return is less than $2,500 or line 12 on the return for the prior quarter was less than $2,500, and you didn't Incur a $100,000 next-day deposit obligation during the current quarter. If line 12 for the prior quarter was less than $2,500 but Ine 12 on this return is $100,000 or more, you must provide a record of your federal tax liability. If you are a monthly schedule depositor, complete the deposit schedule below. If you are a semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3 You were a monthly schedule depositor for the entire quarter. Enter your tax liability for each month and total liability for the quarter, then go to Part 3. Tax liability: Month 1 Month 2 Month 3 Total liability for quarter Total must equal line 12. You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941), Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941. Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank. 17 If your business has closed or you stopped paying wages Check here, and enter the final date you paid wages 18 If you are a seasonal employer and you don't have to file a return for every quarter of the year Check here. Part 4: May we speak with your third-party designee? Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions Yes. Designee's name and phone number Select a 5-digit Personal Identification Number (PIN) to use when talking to the IRS. for details. I No. Part 5: Sign here. You MUST complete both pages of Form 941 and SIGN it. Under penalties of perjury, I declare that I have examined this return, Including accompanying schedules and statements, and to the best of my knowledge and ballet, it is true, correct, and complete. Declaration of preparer(other than taxpayer) is based on all Information of which preparer has any knowledge. Print your Sign your name here name here title here X Print your Date Best daytime phone Check if you are self-employed Paid Preparer Use Only Preparer's name PTIN Date Preparer's signature Firm's name (or yours if self-employed EIN Address Phone City State ZIP code Page 2 Form 941(Rev. 1-2019) 6. Complete the Form 941 for the 2nd quarter of 2019 for Charming's Distributing Co. (employer identification #11-3333333). Assume that Charming's Distributing (located at 819 Swamp Lane, Fremont, CA 94538) chooses to complete and mail Form 941 on the due date. Based on the lookback period, Charming's Distributing is a monthly depositor. Assume that all necessary deposits were made on a timely basis and that the employer made deposits equal to the total amount owed for the quarter. All five employees worked during each of the three months, and the company does not choose to allow a third party to discuss the form with the IRS. Note that the form is signed by the company's president, Prince Charming (telephone #510-555-8293). Second quarter earnings, and associated taxes withheld from employee earnings, are as follows. None of the employees had Additional Medicare tax deductions. April Taxes May Taxes June Taxes 2nd Quarter Earnings FWT $905.00 $884.93 $930.12 $12,895 Social Security $255.39 $263.50 $280.60 $12,895 Medicare $65.44 $59.74 $61.83 $12,895 941 for 2019: Employer's QUARTERLY Federal Tax Return 950117 Form Pev. January 2018) Department of the Treasury - Internal Revenue Service OMB No. 1546-0029 Employer identification number (EIN) Report for this Quarter of 2019 (Check one.) Name (not your trade name) 1: January, February, March 2: April, May, June Trade name (if any) 3: July, August, September Address 4: October, November, December Sulte or room number Go to www.irs.gov/Form941 for instructions and the latest information. Nurber City Stato ZIP Code Foreign country ramo Foreign provinca county Foreign postal code 1 2 3 Read the separate instructions before you complete Form 941. Type or print within the boxes. Part 1: Answer these questions for this quarter. 1 Number of employees who received wages, tips, or other compensation for the pay period including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept 12 (Quarter 3), or Dec. 12 (Quarter 4) 2 Wages, tips, and other compensation 3 Federal income tax withheld from wages, tips, and other compensation 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Column 1 Column 2 5a Taxable social security wages. x 0.124 = 5b Taxable social security tips . x 0.124 = 5c Taxable Medicare wages & tips. x 0.029 = 5d Taxable wages & tips subject to Additional Medicare Tax withholding x 0.009 = Check and go to line 6 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 5e 5f Section 3121(q) Notice and Demand Tax due on unreported tips (see instructions) 5f 6 Total taxes before adjustments. Add lines 3,5e, and 5f 6 7 7 8 8 9 9 10 Current quarter's adjustment for fractions of cents Current quarter's adjustment for sick pay Current quarter's adjustments for tips and group-term life insurance 10 Total taxes after adjustments. Combine lines 6 through 9 11 Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 11 Total taxes after adjustments and credits. Subtract line 11 from line 10 12 Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X (SP) filed in the current quarter Balance due. If line 12 is more than line 13, enter the difference and see instructions 14 15 Overpayment. If line 13 is more than line 12, enter the difference Check one: Apply to next ratum. You MUST complete both pages of Form 941 and SIGN it Next For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Cat. No. 170017 Form 941 (lev. 1-2019) 12 13 13 14 Sand a ratund. 950217 Name (not your trade rame) Employer identification number (EIN) Part 2: Tell us about your deposit schedule and tax liability for this quarter. If you are unsure about whether you are a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15. 16 Check one: Line 12 on this return is less than $2,500 or line 12 on the return for the prior quarter was less than $2,500, and you didn't Incur a $100,000 next-day deposit obligation during the current quarter. If line 12 for the prior quarter was less than $2,500 but Ine 12 on this return is $100,000 or more, you must provide a record of your federal tax liability. If you are a monthly schedule depositor, complete the deposit schedule below. If you are a semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3 You were a monthly schedule depositor for the entire quarter. Enter your tax liability for each month and total liability for the quarter, then go to Part 3. Tax liability: Month 1 Month 2 Month 3 Total liability for quarter Total must equal line 12. You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941), Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941. Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank. 17 If your business has closed or you stopped paying wages Check here, and enter the final date you paid wages 18 If you are a seasonal employer and you don't have to file a return for every quarter of the year Check here. Part 4: May we speak with your third-party designee? Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions Yes. Designee's name and phone number Select a 5-digit Personal Identification Number (PIN) to use when talking to the IRS. for details. I No. Part 5: Sign here. You MUST complete both pages of Form 941 and SIGN it. Under penalties of perjury, I declare that I have examined this return, Including accompanying schedules and statements, and to the best of my knowledge and ballet, it is true, correct, and complete. Declaration of preparer(other than taxpayer) is based on all Information of which preparer has any knowledge. Print your Sign your name here name here title here X Print your Date Best daytime phone Check if you are self-employed Paid Preparer Use Only Preparer's name PTIN Date Preparer's signature Firm's name (or yours if self-employed EIN Address Phone City State ZIP code Page 2 Form 941(Rev. 1-2019)