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Dement of the Trury Irenal Service 22-6654454 Toni Preventi Employer defication number (CN) Name (nok your trade name) Trade ramen Address OMB No 1545-0009 Report

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Dement of the Trury Irenal Service 22-6654454 Toni Preventi Employer defication number (CN) Name (nok your trade name) Trade ramen Address OMB No 1545-0009 Report for this Quarter 2018 (Check one.) January February March April May June July August September Bridgewater 00520 October, November December www.ingovom Foreign country Name Foreign Prov i ny Form Red u ctions or you c om 1 Typewrite the Part 1: Answer these questions for this quarter 1 Number of employees who received wepes, or other compensation for the pay parte inching: Mar 11 (arter Sept. 12 Quarter Dec. 12 Quarter 4 2 Wages compensation 3 Federi income tax with from west, and other compensation 4 We wages, and other compensation are w e to sell security or Medicare e 2 Quarter H 2 120 N 0124 Tente Medicare was 0.000 5de wage & Antica Towed 0.000 Se Add Column 2 from na to , and St Section Notice and Demand Tax due an d tips se instructions) To before t he Addis 2.5 7 Current water en forfractions of carts Current quarters ustents for sick pey Current quarter's adjustments for tips and group-torte insurance Com 11 Quae huis pro for increasing research activites Total taxes after adjustments and credits. Sutrine 11 from the 10 depoisors including overpayment from a prior quarter and overpayment oplied to form 4X 41. PRI SA X X Sed in the center 14 Band in 2 more awe 3. the new s ... odly to not need Dement of the Trury Irenal Service 22-6654454 Toni Preventi Employer defication number (CN) Name (nok your trade name) Trade ramen Address OMB No 1545-0009 Report for this Quarter 2018 (Check one.) January February March April May June July August September Bridgewater 00520 October, November December www.ingovom Foreign country Name Foreign Prov i ny Form Red u ctions or you c om 1 Typewrite the Part 1: Answer these questions for this quarter 1 Number of employees who received wepes, or other compensation for the pay parte inching: Mar 11 (arter Sept. 12 Quarter Dec. 12 Quarter 4 2 Wages compensation 3 Federi income tax with from west, and other compensation 4 We wages, and other compensation are w e to sell security or Medicare e 2 Quarter H 2 120 N 0124 Tente Medicare was 0.000 5de wage & Antica Towed 0.000 Se Add Column 2 from na to , and St Section Notice and Demand Tax due an d tips se instructions) To before t he Addis 2.5 7 Current water en forfractions of carts Current quarters ustents for sick pey Current quarter's adjustments for tips and group-torte insurance Com 11 Quae huis pro for increasing research activites Total taxes after adjustments and credits. Sutrine 11 from the 10 depoisors including overpayment from a prior quarter and overpayment oplied to form 4X 41. PRI SA X X Sed in the center 14 Band in 2 more awe 3. the new s ... odly to not need

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