Company Name: MATC Flower Shop

Owner: Vicki Martin

Address: 6665 South Howell Avenue Oak Creek, WI 53154

FEIN: 39-1513690

FORM 940 PAYROLL INFORMATION FOR THE CALENDAR YEAR 2017:

Gross Wages: $294,857.00

The employer paid $55,143 in fringe benefits for the employees.

The employers 401K match is $10,000

All 30 employees exceeded the maximum amount of taxable wages for FUTA.

The FUTA deposits were made in 2017 evenly in the first two quarters of the year.

50% of the liability was incurred in the first quarter and 50% of the liability was incurred in the second quarter.

There isnt a third-party designee.

The form was completed on January 12, 2018

Form 940 for 2018: Employer's Annual Federal Unemployment (FUTA) Tax ReturnDepartment of the Treasury Internal Revenue Service

850113

OMB No. 1545-0028

Employer identification number (EIN)

Name (not your trade name)Trade name (if any)Address

Number

City

Foreign country name

Street

Suite or room number

ZIP code

Foreign postal code

Foreign province/county

State

Type of Return(Check all that apply.)

a. Amended b. Successor employer

c. No payments to employees in 2018

d. Final: Business closed or stopped paying wages

Go to www.irs.gov/Form940 for instructions and the latest information.

Read the separate instructions before you complete this form. Please type or print within the boxes.

Part 1:

Tell us about your return. If any line does NOT apply, leave it blank. See instructions before completing Part 1.

1a If you had to pay state unemployment tax in one state only, enter the state abbreviation . 1a

1b If you had to pay state unemployment tax in more than one state, you are a multi-state

employer . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b

2 If you paid wages in a state that is subject to CREDIT REDUCTION . . . . . . . . 2

Check here. Complete Schedule A (Form 940).

Check here. Complete Schedule A (Form 940).

Part 2:

Determine your FUTA tax before adjustments. If any line does NOT apply, leave it blank.

.

3 Total payments to all employees . . . . . . . . . . . . . . . . . ..3

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6 Subtotal (line 4 + line 5 = line 6) . . . . . . . . . . . . . . . . . . ..6

7 Total taxable FUTA wages (line 3 line 6 = line 7). See instructions . . . . . . . ..7

8 FUTA tax before adjustments (line 7 x 0.006 = line 8) . . . . . . . . . . . ..8

4 Payments exempt from FUTA tax . . . . . .Check all that apply: 4a Fringe benefits

. 4 4c Retirement/Pension 4e

Other

4d Dependent care$7,000 . . . . . . . . . . . . . . . . 5

4b Group-term life insurance 5 Total of payments made to each employee in excess of

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Part 3:

Determine your adjustments. If any line does NOT apply, leave it blank.

9 If ALL of the taxable FUTA wages you paid were excluded from state unemployment tax, multiply line 7 by 0.054 (line 7 0.054 = line 9). Go to line 12 . . . . . . . . . . 9

10 If SOME of the taxable FUTA wages you paid were excluded from state unemployment tax, OR you paid ANY state unemployment tax late (after the due date for filing Form 940), complete the worksheet in the instructions. Enter the amount from line 7 of the worksheet . . 10

11 If credit reduction applies, enter the total from Schedule A (Form 940) . . . . . . . 11

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Part 4:

Determine your FUTA tax and balance due or overpayment. If any line does NOT apply, leave it blank.

12 Total FUTA tax after adjustments (lines 8 + 9 + 10 + 11 = line 12) . . . . . . . .

13 FUTA tax deposited for the year, including any overpayment applied from a prior year

14 Balance due. If line 12 is more than line 13, enter the excess on line 14.

If line 14 is more than $500, you must deposit your tax.

If line 14 is $500 or less, you may pay with this return. See instructions . . . . . .

. 12. 13

. 14

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15 Overpayment. If line 13 is more than line 12, enter the excess on line 15 and check a box below 15 You MUST complete both pages of this form and SIGN it. Check one: Apply to next return. Send a refund.

Next

For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Cat. No. 11234O

Form 940 (2018)

850212

Name (not your trade name) Employer identification number (EIN)

16 Report the amount of your FUTA tax liability for each quarter; do NOT enter the amount you deposited. If you had no liability for

Part 5:

Report your FUTA tax liability by quarter only if line 12 is more than $500. If not, go to Part 6.

a quarter, leave the line blank. 16a 1st quarter (January 1 March 31) .

. . . . . .

.. .. .. ..

16c +

.. .. .. ..

16d =

.. 16a.. 16b.. 16c.. 16d

line 17) 17

. . . . . Total must equal line 12.

16b 2nd quarter (April 1 June 30) . .

16c 3rd quarter (July 1 September 30)

16d 4th quarter (October 1 December 31)

.17 Total tax liability for the year (lines 16a + 16b +

Part 6:	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 for details. Yes. Designee's name and phone number Select a 5-digit Personal Identification Number (PIN) to use when talking to IRS No.
Part 7:	Sign here. You MUST complete both pages of this form 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 belief, it is true, correct, and complete, and that no part of any payment made to a state unemployment fund claimed as a credit was, or is to be, deducted from the payments made to employees. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign your name here Date / / Print your name here Print your title here Best daytime phone
Paid Preparer Use Only Preparer's name Preparer's signature Firm's name (or yours if self-employed) Address City Check if you are self-employed Date / / EIN Phone ZIP code PTIN