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The first quarter tax return needs to be filed for Prevosti Farms and Sugarhouse by April 17, 2018. For the purpose of the taxes, assume the second February payroll amounts were duplicated for the March 10 and March 24 payroll periods and the new benefit elections went into effect as planned. The form was completed and signed on April 11, 2018. Exclude : Benefit Information Federal FICA Health Insurance Yes Yes Life Insurance Yes Yes Long-term Care Yes Yes FSA Yes Yes 401 (k) Yes No Gym No No Owner's name: Toni Prevosti Address: 850, Westminster Road, Bridgewater, VT, 00520. Phone: 802-555-3456 Number of employees: 8 Quarterly wages: $32,010.19 Federal income tax withheld: $942.00 401(k) contributions: $1,257.65 Insurance withheld: $4,080.00 Gym membership: $90.00 Monthly Deposits Amount Month 1 $ 0 Month 2 $ 2, 109.22 Month 3 $ 3, 106.08 Required: Complete Form 941 for Prevosti Farms and Sugarhouse. Prevosti Farms and Sugarhouse was assigned EIN 22-6654454.941 PG 1 941 PG 2 Page 1 of Form 941. (Round your answers to 2 decimal places.) Form 941 for 2018: Employer's QUARTERLY Federal Tax Return 950117 Department of the Treasury - Internal Revenue Service OMB No. 1545-0029 Employer identification number (EIN) 22-6654454 Report for this Quarter 2018 (Check one.) Name (not your trade name) Toni Prevosti 1: January, February, March Trade name (if any) Prevosti Farms and Sugarhouse 2: April, May, June Address 850 Westminster Road 3: Number Suite or room number July, August, September Street Bridgewater VT 00520 4 City State (NN) ZIP code October, November, December Instructions and prior-year forms are available at Foreign country name Foreign Province/county Foreign Postal code www.irs.gov/form941. 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) 8 2 Wages, tips, and other compensation 32,010.19 3 Federal income tax withheld from wages, tips, and other compensation 942.00 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Check and go to line 6. Column 1 Column 2 5a Taxable social security wages x 0.124 0.00 5b Taxable social security tips x 0.124 0.00 5c Taxable Medicare wages & tips x 0.029 0.00 5d Taxable wages & tips subject to Additional Medicare Tax withholding x 0.009 0.00 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 0.00 5f Section 3121/a) Notice and Demand - Tax due on unreported tins (see instructions 5fColumn 1 Column 2 5a Taxable social security wages x 0.124 0.00 5b Taxable social security tips x 0.124 0.00 5c Taxable Medicare wages & tips x 0.029 0.00 5d Taxable wages & tips subject to Additional Medicare Tax withholding x 0.009 0.00 50 Add Column 2 from lines 5a, 5b, 5c, and 5d 5c 0.00 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 942.00 7 Current quarter's adjustments for fractions of cents 8 Current quarter's adjustments for sick pay Current quarter's adjustments for tips and group-term life insurance 10 Total taxes after adjustments. Combine lines 6 through 9 10 942.00 11 Qualified small business payroll tax credit for increasing research activites. Attach Form 8974 11 12 Total taxes after adjustments and credits. Subtract line 11 from line 10 12 942.00 13 Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941-X (PR), 944-X, 944-X (PR), or 944-X (SP) filed in the current quarter 13 14 Balance due. If line 12 is more than line 13, enter the difference and see instructions 14 942.00 15 Overpayment. If line 13 is more than line 12, enter the difference 0.00 Check one: Apply to next return Send a refund. 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. 170012 Form 941 (Rev. 1-2018) THIS FORM IS A SIMULATION OF AN OFFICIAL U.S. TAX FORM. IT IS NOT THE OFFICIAL FORM ITSELF. DO NOT USE THIS FORM FOR TAX FILINGS OR FOR ANY PURPOSE OTHER THAN EDUCATIONAL. @ 2019 McGraw-Hill Education. Page 2 of Form 941. (Round your answers to 2 decimal places.) Name (not your trade name) Employer identification number (EIN) Toni Prevosti 22-6654454 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 (line 10 if the prior quarter was the fourth quarter of 2018) on the return for the prior quarter was less than $2,500, and you did not incur a $100,000 next-day deposit obligation during the current quarter. If line 12 (line 10 if the prior quarter was the fourth quarter of 2018) for the prior quarter was less than $2,500 but line 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. V 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 0.00 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 (mm/dd/yyyy) 18 If you are a seasonal employer and you do not 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 for details. Yes. Designee's name and phone numberPart 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 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 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 belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. X Sign your Print your name here Toni Prevosti name here Print your title here Owner Date (mm/dd/yyyy) Best daytime phone (xxx-xxx-xxxx) 802-555-3456 Paid Preparer Use Only Check if you are self-employed Preparer's name PTIN Preparer's signature Date (mm/dd/yyyy) Firm's name (or yours if self-employed) EIN Address Phone City State (NN) ZIP code Page 2 Form 941 (Rev. 1-2018)