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Form 940 for 2013: Employer's Annual Federal Unemployment (FUTA) Tax Return Department of the Treasury Internal Revenue Service Employer identification number (EIN) 850113 OMB No. 1545-0028 Type of Return (Check all that apply.) Name (not your trade name) a. Amended Trade name (if any) b. Successor employer Address c. No payments to employees in 2013 d. Final: Business closed or stopped paying wages Number Street Suite or room number Instructions and prior-year forms are available at www.irs.gov/form940. City ZIP code State Foreign country name Foreign postal code Foreign province/county 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. 1a 1b If you had to pay state unemployment tax in one state only, enter the state abbreviation . 1a 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 . Part 2: Total payments to all employees . . . . . . . 4 Payments exempt from FUTA tax . . . . . . . . . . . . . . . . Check here. Complete Schedule A (Form 940). 2 7 Total taxable FUTA wages (line 3 - line 6 = line 7) (see instructions) 8 FUTA tax before adjustments (line 7 x .006 = line 8) . . . . . . . . . . . . . . . . . 4e . 3 Other . Subtotal (line 4 + line 5 = line 6) . . . Retirement/Pension Dependent care 6 . . 4 Check all that apply: 4a Fringe benefits 4c 4b Group-term life insurance 4d Total of payments made to each employee in excess of $7,000 . . . . . . . . . . . . . . . . 5 Part 3: . Determine your FUTA tax before adjustments for 2013. If any line does NOT apply, leave it blank. 3 5 . . . . . . . . . . . . . 6 . . . . . . . . 7 . . . . . . . . 8 10 11 If credit reduction applies, enter the total from Schedule A (Form 940) Part 4: . . . . . . . . . . 11 Determine your FUTA tax and balance due or overpayment for 2013. If any line does NOT apply, leave it blank. 12 Total FUTA tax after adjustments (lines 8 + 9 + 10 + 11 = line 12) . . . 12 13 FUTA tax deposited for the year, including any overpayment applied from a prior year . 13 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) . . 14 15 . . . Determine your adjustments. If any line does NOT apply, leave it blank. If ALL of the taxable FUTA wages you paid were excluded from state unemployment tax, multiply line 7 by .054 (line 7 .054 = line 9). Go to line 12 . . . . . . . . . . . 9 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 9 Check here. Complete Schedule A (Form 940). . . . . . . . . . . . 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 Form 940-V, Payment Voucher. Cat. No. 11234O Form 940 (2013) 850212 Employer identification number (EIN) Name (not your trade name) Part 5: Report your FUTA tax liability by quarter only if line 12 is more than $500. If not, go to Part 6. 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 a quarter, leave the line blank. 17 16a 1st quarter (January 1 - March 31) . . . . . . . . . 16a 16b 2nd quarter (April 1 - June 30) . . . . . . . . . . 16b 16c 3rd quarter (July 1 - September 30) . . . . . . . . 16c 16d 4th quarter (October 1 - December 31) . . . . . . . 16d . . . . . Total tax liability for the year (lines 16a + 16b + 16c + 16d = line 17) 17 Part 6: Total must equal line 12. 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. Print your name here Sign your name here Date Print your title here / Best daytime phone / Paid Preparer Use Only Check if you are self-employed Preparer's name PTIN Preparer's signature Date Firm's name (or yours if self-employed) EIN Address Phone City Page 2 State / . / ZIP code Form 940 (2013) Form 940-V, Payment Voucher Purpose of Form Specific Instructions Complete Form 940-V, Payment Voucher, if you are making a payment with Form 940, Employer's Annual Federal Unemployment (FUTA) Tax Return. We will use the completed voucher to credit your payment more promptly and accurately, and to improve our service to you. Box 1Employer Identification Number (EIN). If you do not have an EIN, you may apply for one online. Go to IRS.gov and click on the Apply for an EIN Online link under Tools. You may also apply for an EIN by calling 1-800-829-4933, or you can fax or mail Form SS-4, Application for Employer Identification Number, to the IRS. If you have not received your EIN by the due date of Form 940, write \"Applied For\" and the date you applied in this entry space. Box 2Amount paid. Enter the amount paid with Form 940. Box 3Name and address. Enter your name and address as shown on Form 940. Enclose your check or money order made payable to the \"United States Treasury.\" Be sure to enter your EIN, \"Form 940,\" and \"2013\" on your check or money order. Do not send cash. Do not staple Form 940-V or your payment to Form 940 (or to each other). Detach Form 940-V and send it with your payment and Form 940 to the address provided in the Instructions for Form 940. Note. You must also complete the entity information above Part 1 on Form 940. To avoid a penalty, make your payment with your 2013 Form 940 only if your FUTA tax for the fourth quarter (plus any undeposited amounts from earlier quarters) is $500 or less. If your total FUTA tax after adjustments (Form 940, line 12) is more than $500, you must make deposits by electronic funds transfer. See When Must You Deposit Your FUTA Tax? in the Instructions for Form 940. Also see sections 11 and 14 of Pub. 15 (Circular E), Employer's Tax Guide, for more information about deposits. Caution. Use Form 940-V when making any payment with Form 940. However, if you pay an amount with Form 940 that should have been deposited, you may be subject to a penalty. See Deposit Penalties in section 11 of Pub. 15 (Circular E). Form Detach Here and Mail With Your Payment and Form 940. 940-V Department of the Treasury Internal Revenue Service 1 Enter your employer identification number (EIN). Payment Voucher Do 2 OMB No. 1545-0028 2013 not staple or attach this voucher to your payment. Enter the amount of your payment. Making Payments With Form 940 Dollars Cents Make your check or money order payable to \"United States Treasury\" 3 Enter your business name (individual name if sole proprietor). Enter your address. Enter your city, state, and ZIP code or your city, foreign country name, foreign province/county, and foreign postal code. Form 940 (2013) Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. We need it to figure and collect the right amount of tax. Chapter 23, Federal Unemployment Tax Act, of Subtitle C, Employment Taxes, of the Internal Revenue Code imposes a tax on employers with respect to employees. This form is used to determine the amount of the tax that you owe. Section 6011 requires you to provide the requested information if you are liable for FUTA tax under section 3301. Section 6109 requires you to provide your identification number. If you fail to provide this information in a timely manner or provide a false or fraudulent form, you may be subject to penalties. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books and records relating to a form or instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section 6103. However, section 6103 allows or requires the IRS to disclose or give the information shown on your tax return to others as described in the Code. For example, we may disclose your tax information to the Department of Justice for civil and criminal litigation, and to cities, states, the District of Columbia, and U.S. commonwealths and possessions to administer their tax laws. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal non-tax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. The time needed to complete and file this form will vary depending on individual circumstances. The estimated average time is: Recordkeeping . . . . . . . . . . 9 hr., 19 min. Learning about the law or the form . . 1 hr., 23 min. Preparing, copying, assembling, and sending the form to the IRS . . . . . 1 hr., 36 min. If you have comments concerning the accuracy of these time estimates or suggestions for making Form 940 simpler, we would be happy to hear from you. You can send us comments from www.irs.gov/formspubs. Click on More Information and then click on Comment on Tax Forms and Publications. Or you can send your comments to Internal Revenue Service, Tax Forms and Publications Division, 1111 Constitution Avenue, NW, IR-6526, Washington, DC 20224. Do not send Form 940 to this address. Instead, see Where Do You File? in the Instructions for Form 940. 941 for 2014: Form (Rev. January 2014) Employer's QUARTERLY Federal Tax Return 950114 OMB No. 1545-0029 Department of the Treasury Internal Revenue Service Report for this Quarter of 2014 Employer identification number (EIN) (Check one.) 1: January, February, March Name (not your trade name) 2: April, May, June Trade name (if any) 3: July, August, September 4: October, November, December Address Number Street Suite or room number City State Foreign country name Instructions and prior year forms are available at www.irs.gov/form941. ZIP code Foreign postal code Foreign province/county Read the separate instructions before you complete Form 941. Type or print within the boxes. Part 1: 1 Answer these questions for this quarter. 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) 1 2 Wages, tips, and other compensation . . . . . . 2 3 Federal income tax withheld from wages, tips, and other compensation . . . . . . 3 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 . . 5b Taxable social security tips . . . 5c Taxable Medicare wages & tips . . 5d Taxable wages & tips subject to Additional Medicare Tax withholding 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 5f Section 3121(q) Notice and DemandTax due on unreported tips (see instructions) 6 Total taxes before adjustments. Add lines 3, 5e, and 5f . . . . . . . . . 7 Current quarter's adjustment for fractions of cents . . . . . . . . . 8 Current quarter's adjustment for sick pay . . . . . . . . 9 Current quarter's adjustments for tips and group-term life insurance . . . . . . . . .124 = .124 = .029 = .009 = . . . . . . Check and go to line 6. . . . . . . 5e . . 5f . . . 6 . . . . 7 . . . . . 8 . . . . . . 9 . . . . . . . . . 10 Total taxes after adjustments. Combine lines 6 through 9 . 10 11 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 . . . . . . . . . . . . . . . . . . . . . . . 11 12 Balance due. If line 10 is more than line 11, enter the difference and see instructions 12 13 Overpayment. If line 11 is more than line 10, enter the difference . . . . . . . . . . Check one: . . . . . . . . . Apply to next return. Next You MUST complete both pages of Form 941 and SIGN it. For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Send a refund. Cat. No. 17001Z Form 941 (Rev. 1-2014) 950214 Name (not your trade name) Part 2: Employer identification number (EIN) 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 Pub. 15 (Circular E), section 11. 14 Check one: Line 10 on this return is less than $2,500 or line 10 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 10 for the prior quarter was less than $2,500 but line 10 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 10. 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. 15 If your business has closed or you stopped paying wages . . . . Check here, and 16 If you are a seasonal employer and you do not have to file a return for every quarter of the year . . Check here. enter the final date you paid wages 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 number Select a 5-digit Personal Identification Number (PIN) to use when talking to the 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. Print your name here Sign your name here Date Print your title here / / Best daytime phone Paid Preparer Use Only Check if you are self-employed Preparer's name PTIN Preparer's signature Date Firm's name (or yours if self-employed) EIN Address Phone City Page 2 State / . . . / ZIP code Form 941 (Rev. 1-2014) Form 941-V, Payment Voucher Purpose of Form Specific Instructions Complete Form 941-V, Payment Voucher, if you are making a payment with Form 941, Employer's QUARTERLY Federal Tax Return. We will use the completed voucher to credit your payment more promptly and accurately, and to improve our service to you. Box 1Employer identification number (EIN). If you do not have an EIN, you may apply for one online. Go to IRS.gov and click on the Apply for an EIN Online link under Tools. You may also apply for an EIN by faxing or mailing Form SS-4, Application for Employer Identification Number, to the IRS. If you have not received your EIN by the due date of Form 941, write \"Applied For\" and the date you applied in this entry space. Box 2Amount paid. Enter the amount paid with Form 941. Box 3Tax period. Darken the circle identifying the quarter for which the payment is made. Darken only one circle. Box 4Name and address. Enter your name and address as shown on Form 941. Enclose your check or money order made payable to the "United States Treasury." Be sure to enter your EIN, "Form 941," and the tax period on your check or money order. Do not send cash. Do not staple Form 941-V or your payment to Form 941 (or to each other). Detach Form 941-V and send it with your payment and Form 941 to the address in the Instructions for Form 941. Note. You must also complete the entity information above Part 1 on Form 941. To avoid a penalty, make your payment with Form 941 only if: Your total taxes after adjustments for either the current quarter or the preceding quarter (Form 941, line 10) are less than $2,500, you did not incur a $100,000 next-day deposit obligation during the current quarter, and you are paying in full with a timely filed return, or You are a monthly schedule depositor making a payment in accordance with the Accuracy of Deposits Rule. See section 11 of Pub. 15 (Circular E), Employer's Tax Guide, for details. In this case, the amount of your payment may be $2,500 or more. Otherwise, you must make deposits by electronic funds transfer. See section 11 of Pub. 15 (Circular E) for deposit instructions. Do not use Form 941-V to make federal tax deposits. Caution. Use Form 941-V when making any payment with Form 941. However, if you pay an amount with Form 941 that should have been deposited, you may be subject to a penalty. See Deposit Penalties in section 11 of Pub. 15 (Circular E). Form Detach Here and Mail With Your Payment and Form 941. 941-V Payment Voucher Department of the Treasury Internal Revenue Service 1 Do OMB No. 1545-0029 2014 not staple this voucher or your payment to Form 941. 2 Enter your employer identification number (EIN). Making Payments With Form 941 Dollars Cents Enter the amount of your payment. Make your check or money order payable to \"United States Treasury\" 4 Enter your business name (individual name if sole proprietor). 3 Tax Period 1st Quarter 3rd Quarter 2nd Quarter 4th Quarter Enter your address. Enter your city, state, and ZIP code or your city, foreign country name, foreign province/county, and foreign postal code. Form 941 (Rev. 1-2014) Privacy Act and Paperwork Reduction Act Notice. We ask for the information on Form 941 to carry out the Internal Revenue laws of the United States. We need it to figure and collect the right amount of tax. Subtitle C, Employment Taxes, of the Internal Revenue Code imposes employment taxes on wages and provides for income tax withholding. Form 941 is used to determine the amount of taxes that you owe. Section 6011 requires you to provide the requested information if the tax is applicable to you. Section 6109 requires you to provide your identification number. If you fail to provide this information in a timely manner, or provide false or fraudulent information, you may be subject to penalties. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books and records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section 6103. However, section 6103 allows or requires the IRS to disclose or give the information shown on your tax return to others as described in the Code. For example, we may disclose your tax information to the Department of Justice for civil and criminal litigation, and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. The time needed to complete and file Form 941 will vary depending on individual circumstances. The estimated average time is: Recordkeeping . . . . . . . . . . . . . 11 hr. Learning about the law or the form . . . . 47 min. Preparing, copying, assembling, and sending the form to the IRS . . . . . . . . 1 hr. If you have comments concerning the accuracy of these time estimates or suggestions for making Form 941 simpler, we would be happy to hear from you. You can send us comments from www.irs.gov/formspubs. Click on More Information and then click on Comment on Tax Forms and Publications. Or you can send your comments to Internal Revenue Service, Tax Forms and Publications Division, 1111 Constitution Ave. NW, IR-6526, Washington, DC 20224. Do not send Form 941 to this address. Instead, see Where Should You File? in the Instructions for Form 941. \fNebraska Withholding Return FORM 941N Read instructions on reverse side. Please use e-file and e-pay at revenue.nebraska.gov. PLEASE DO NOT WRITE IN THIS SPACE Nebraska ID Number 000-00-3300 Reporting Period Oct - Dec 20XX Due Date 1/31/XX NAME AND LOCATION ADDRESS NAME AND MAILING ADDRESS Black Company 2215 Salvador Street Lincoln, NE 68850 Black Company 2215 Salvador Street Lincoln, NE 68850 If you are not licensed to report withholding, or are changing name and/or address information, see instructions. Check this box if you no longer make payments subject to withholding in Nebraska. Do not check this box if you are only changing payroll services. 1\tNebraska wages, tips, other compensation, gambling winnings, pensions and annuities, nonresident personal services, and construction services subject to Nebraska withholding........ 1 00 2\tNebraska income tax withheld for the reporting period identified above................................ 2 3\tAdjustments of income tax withheld for preceding quarters of calendar year, if applicable. Do not adjust withholding for any previous year or report deposits on this line....................... 3 4\tAdjusted total (line 2 plus or minus line 3) .................................................................................... 4 5\tNebraska incentive withholding credits (see instructions - if none, enter -0-).............................. 5 6\tSubtotal (line 4 minus line 5)......................................................................................................... 6 7\tFirst monthly deposit....................................................................... 7 8\tSecond monthly deposit.................................................................. 8 9\tTotal tax due (line 6 minus lines 7 and 8)...................................................................................... 9 10 Penalty (see instructions).............................................................................................................. 10 11 Interest ( % per year of line 9 amount if filed after due date)............................................ 11 12 Previous balance with payments received through 12 Check this box if your payment is being made by electronic funds transfer (EFT). 13 BALANCE DUE (total of lines 9 through 12). Pay in full with return.............................................. 13 sign here Under penalties of perjury, I declare that, as taxpayer or preparer, I have examined this return and, to the best of my knowledge and belief, it is correct and complete. Authorized Signature Title Date ( ) Daytime Phone Email Address Signature of Preparer Other than Taxpayer Date ( ) Address Daytime Phone Preparer's PTIN E-file and e-pay, or mail this return and remit payment. If required, payment must be made by electronic funds transfer (EFT). Nebraska Department of Revenue, PO Box 98915, Lincoln, NE 68509-8915 revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729 Retain a copy for your records. 8-009-1967 Rev. 1-2014 Supersedes 8-009-1967 Rev. 1-2013 Black Company 2215 Salvador Street Lincoln, NE 68850 0321456789 00-0000660 0321456789 00-0000660 1 1 7-8 Payroll Accounting a Employee's social security number 22222 000-00-3481 Void b For Official Use Only OMB No. 1 545-0008 Employer identification number (EIN) Employer's name, address, and ZIP code c 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 10 Dependent care benefits $ 00-0000660 $ Black Company Paint Company Glo-Brite 2215 Salvador 2215 Salvador Street Street Philadelphia, PA 19175-0682 Lincoln, NE 68850 $ $ d $ 9 Control number $ e Employee's first name and initial Anthony V. Jack Last name $ 11 Suff. Nonqualified plans 12a $ Bonno Black Code 13 Statutory employee 694 BRISTOL AVENUE PHILADELPHIA, Lincoln, NE 68850 PA 19135-0617 Retirement plan NEPA Code 14 Employee's address and ZIP code 16 Employer's state ID number State wages, tips, etc. 17 Other Code State income tax 18 Local wages, tips, etc. 19 Code $ Local income tax 20 $ $ Department of the TreasuryInternal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D. 20-- a Employee's social security number 000-00-8645 Void Locality name PHILA $ W-2 For Official Use Only Jack OMB No. 1 545-0008 Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 10 Dependent care benefits $ 00-0000660 Employer's name, address, and ZIP code c $ 12d 000-0-3300 Wage and Tax Statement b $ 12c $ 22222 $ 12b Third-party sick pay Union Dues $121.00 f 15 State See instructions for box 12 $ Black Company Paint Company Glo-Brite 2215 Salvador Street Street 2215 Salvador Lincoln, NE 68850 Philadelphia, PA 19175-0682 $ $ d $ 9 Control number $ e Employee's first name and initial James C. Joseph Last name 11 Suff. Ferguson $ Nonqualified plans 12a $ 13 Statutory employee 808 SIXTH STREET PHILADELPHIA, Lincoln, NE 68850 PA 19106-0995 See instructions for box 12 Code Retirement plan 12b Third-party sick pay Code $ 12c 14 Other Code $ 12d f 15 State PA NE Employee's address and ZIP code 16 Employer's state ID number State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 000-0-3300 20 Locality name PHILA $ Wage and Tax Statement W-2 Code $ Local income tax $ $ 20-- $ Department of the TreasuryInternal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D. Transaction No. 38 a Employee's social security number 22222 000-00-4567 Void b For Official Use Only OMB No. 1 545-0008 Employer identification number (EIN) Employer's name, address, and ZIP code c 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 10 Dependent care benefits $ 00-0000660 $ Black Company Paint Company Glo-Brite 2215 Salvador Street Street 2215 Salvador Lincoln, NE 68850 Philadelphia, PA 19175-0682 $ $ d $ 9 Control number $ e Employee's first name and initial Last name Catherine L. Logan $ 11 Suff. Nonqualified plans 12a $ Ford Code 13 Statutory employee 18 DUNDEE AVENUE PHILADELPHIA, Lincoln, NE 68850 PA 19151-1919 Retirement plan See instructions for box 12 $ 12b Third-party sick pay Code $ 12c 14 Other Code $ 12d f 15 State PA NE Employee's address and ZIP code 16 Employer's state ID number State wages, tips, etc. 17 $ W-2 19 Code $ Local income tax 20 000-00-9352 Void Locality name $ Department of the TreasuryInternal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D. 20-- a Employee's social security number For Official Use Only OMB No. 1 545-0008 Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 10 Dependent care benefits $ 00-0000660 Employer's name, address, and ZIP code c Local wages, tips, etc. PHILA $ Wage and Tax Statement b 18 000-0-3300 $ 22222 State income tax $ Black Company Paint Company Glo-Brite 2215 Salvador Street Street 2215 Salvador Lincoln, NE 68850 Philadelphia, PA 19175-0682 $ $ d $ 9 Control number $ e Employee's first name and initial Last name Dewey W. 11 Suff. Mann $ Nonqualified plans 12a $ Code 13 Statutory employee 3007 BISQUE DRIVE PHILADELPHIA, PA 19199-0718 See instructions for box 12 Retirement plan 12b Third-party sick pay Code $ 12c 14 Other Code $ 12d f 15 State PA NE Employee's address and ZIP code 16 Employer's state ID number State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 000-0-3300 20 Locality name PHILA $ Wage and Tax Statement W-2 Code $ Local income tax $ $ 20-- $ Department of the TreasuryInternal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D. Transaction No. 39 DO NOT STAPLE OR FOLD 33333 941Military 943 b Kind of Payer c For Official Use Only OMB No. 1545-0008 a Control number 944 Hshld. Medicare Third-party CT-1emp.govt. emp. sick pay d Establishment number 3 Social security wages $ Social security tax withheld 6 Medicare tax withheld 8 Allocated tips 10 Dependent care benefits Social security tips $ 9 Black Company GLO-BRITE PAINT COMPANY 2215 SALVADOR STREET PHILADELPHIA, Lincoln, NE 68850 PA 19175-0682 Advance EIC payments $ $ 11 Employer's address and ZIP code h Other EIN used this year Employer's state I.D. number 000-0-3300 12 Nonqualified plans $ Deferred compensation $ 13 For third-party sick pay use only 14 g State 4 $ 7 Employer's name NE PA Federal income tax withheld Medicare wages and tips $ 00-0006600 15 2 $ $ 6 Employer identification number (EIN) f Wages, tips, other compensation 5 Total number of Forms W-2 e 1 $ Income tax withheld by payer of third-party sick pay $ 16 17 State wages, tips, etc. State income tax $ 18 19 Local wages, tips, etc. Local income tax $ Contact person Telephone number For Official Use Only (215) 555-9559 E-mail address Fax number ( ) Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete. Signature Form W-3 Joseph T. O'Neill Title PRESIDENT Transmittal of Wage and Tax Statements Date 20-- 3/2/-Department of the Treasury Internal Revenue Service ACCT 2690 - Capstone Accounting - Payroll Black Company recently hired you to prepare the monthly payroll along with other accounting tasks on October 1. You will find attached an excel spreadsheet and several pdf forms that will assist you in preparing their manual payroll entries. Personal data for the 4 employees (including yourself, the President, a Salesperson and the Manager) is provided on the Employee Earnings tab in the excel workbook. All employees are paid monthly with the Manager and President being paid a salary and the other two being paid an hourly rate. Both you and the Salesperson are not considered white-collar employees, so the company is responsible to pay you overtime for time worked beyond 40 hours per week. The following taxes are levied upon Black Company and its employees Federal Income Taxes (FIT) - Please use the attached PUB 15 to calculate these taxes Nebraska State Income Taxes (SIT) - 4.05% Nebraska State Unemployment Taxes (SUTA) - 2.75% on the first $9,000 of wages Federal Unemployment Taxes (FUTA) - .6% on the first $7,000 of wages FICA (OASDI) - 6.2% on the first $113,700 of gross earnings FICA (HI) - 1.45% on total gross earnings. Other deductions The President and Manager currently put money into the company sponsored SIMPLE Retirement Plan. As a new employee you will not be allowed to participate. While the company does match these, that is handled by a CPA company and is not your responsibility to keep track of. You will be required to use it when calculating the employees net pay and other deductions. The State of Nebraska for SIT allows for the same benefits as the Federal government for FIT calculations. Taxes are deposited according to the following schedule Federal Taxes - OASDI, HI and FIT taxes must be deposited on or before the 15th of the month following the month in which the taxes were withheld State - States taxes are deposited quarterly. The must be remitted along with the 941N by the month following the end of the quarter SUTA taxes are deposited quarterly. The must be remitted along with the 941N by the month following the end of the quarter FUTA taxes are deposited in accordance with Federal guidelines. NOTE: Be sure you input your name where [STUDENT] shows up. For the SS Acount No. - use any 4 digits you choose in lieu of the XXXX The following transactions and events occurred during the last quarter of the year 10/15 10/31 10/31 10/31 Prepare a journal entry to record the deposit of Federal Taxes from the prior month and post to the appropriate GL. (NOTE: the amount due is the same as the balance carry forward from the GL. This include the deposit of FICA and FIT taxes) SUTA Taxes were paid for the previous quarter SIT Taxes were paid for the previous quarter Prepare the payroll for the last day of the period of October. There were 5 weeks during October and you worked the following during those 5 weeks (45 hours, 38 hours, 42 hours, 32 hours and 48 hours) Logan is considered part-time and worked the following (22 hours, 32 hours, 15 hours, 20 Page 1 ACCT 2690 - Capstone Accounting - Payroll 11/15 11/20 11/30 12/4 12/15 12/31 hours and 12 hours) NOTE: Be sure you record the both the employees and the employers Journal Entries. PROCESS: Prepare Register, then Employee Earnings, prepare your Journal Entry and then Post to the GL Prepare a journal entry to record the deposit of Federal Taxes from the prior month and post to the appropriate GL. Logan submitted a new W-4 that changed his Marital Status to Married and allowances to 1. This will take effect on the Nov 30 paycheck. Prepare the payroll for the last day of the period of November There were 4 weeks during November and you worked the following during those weeks (45 hours, 45 hours, 40 hours and 40 hours) Logan worked the following (20 hours, 28 hours, 20 hours, 21 hours) Joseph submitted a new W-4 that changed exemptions to 3 Prepare a journal entry to record the deposit of Federal Taxes from the prior month and post to the appropriate GL. Prepare the payroll for the last day of the period of December There were 4 weeks during December and you worked the following during those weeks (40 hours, 40 hours, 42 hours and 40 hours) Logan worked the following (13 hours, 12 hours, 20 hours, 25 hours) Prepare all journal entries needed in January to pay taxes due. Be sure you date them properly. NOTE: Do not post these to the General Ledger Required: Using the above transactions complete the Payroll Register, Earnings Reports, Journal Entries and General Ledger accounts as found in the attached excel template. Complete the proper yearend tax forms by using the attached pdf files: o 941 o 941N (Nebraska) o Form UI (Nebraska) o 940 o W-2 o W-3 Answer the following questions on a blank Word document o The total payroll tax expense incurred by the employer on salaries and wages paid during the quarter ended December 31 was _____________ o The total payroll tax expense incurred by the employer on the total earnings of Jack Black during the fourth quarter was _________________ o Black has decided to give all current employees (including himself) a bonus payment during January equal to 5% of their total gross pay for last year. Determine the total amount of his bonus payment and total amount of payroll tax expenses associated with this bonus. Page 2