| Form 941 for 2020: | Employer's QUARTERLY Federal Tax Return | 950120 |
| | | Department of the Treasury - Internal Revenue Service | | | OMB No. 1545-0029 |
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| Employer identification number (EIN) | 22-6654454 | Report for this Quarter of 2020 (Check one.) |
| Name (not your trade name) | Toni Prevosti | 1:radio button checked1 of 4 | January, February, March |
| Trade name (if any) | Prevosti Farms and Sugarhouse | 2:radio button unchecked2 of 4 | April, May, June |
| Address | 820 | Westminster Road | | 3:radio button unchecked3 of 4 | July, August, September |
| | Number | Street | | Suite or room number | |
| | Bridgewater | VT | 05520 | 4:radio button unchecked4 of 4 | October, November, December |
| | City | | State (NN) | ZIP code | |
| | | | | Instructions and prior-year forms are available at www.irs.gov/form941. |
| | Foreign country name | Foreign Province/county | Foreign Postal code |
| | | | | | | | |
| 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: June 12 (Quarter 2), September 12 (Quarter 3), or December 12 (Quarter 4) | | |
| 1 | 8 |
| 2 Wages, tips, and other compensation | 2 | 26,322.20 |
| 3 Federal income tax withheld from wages, tips, and other compensation | 3 | 367.00 |
| 4 If no wages, tips, and other compensation are subject to social security or Medicare tax | Check and go to line 6.checkbox unchecked1 of 1 |
| | | | | | | | |
| | | | Column 1 | | Column 2 | | |
| 5a Taxable social security wages | | x 0.124 | 0.00 | | |
| 5a(i) Qualified sick leave wages | 0.00 | x 0.062 | 0.00 | | |
| 5a(ii) Qualified family leave wages | 0.00 | x 0.062 | 0.00 | | |
| 5b Taxable social security tips | 0.00 | 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 | 0.00 | x 0.009 | 0.00 | | |
| 5e Add Column 2 from lines 5a, 5b, 5c, and 5d | 5e | 0.00 |
| 5f Section 3121(q) Notice and Demand - Tax due on unreported tips | (see instructions) | | 5f | 0.00 |
| 6 Total taxes before adjustments. | Add lines 3, 5e, and 5f | | | 6 | 367.00 |
| 7 Current quarter's adjustments for fractions of cents | 7 | |
| 8 Current quarter's adjustments for sick pay | 8 | 0.00 |
| 9 Current quarter's adjustments for tips and group-term life insurance | 9 | 0.00 |
| 10 Total taxes after adjustments. | Combine lines 6 through 9 | | | 10 | 367.00 |
| 11a Qualified small business payroll tax credit for increasing research activities. | Attach Form 8974 | | 11a | |
| 11b Nonrefundable portion of credit for qualified sick and family leave wages from Worksheet 1 | | | 11b | |
| 11c Nonrefundable portion of employee retention credit from Worksheet 1 | | | 11c | |
| 11d Total nonrefundable credits. | Add lines 11a, 11b, and 11c | | | 11d | 0.00 |
| 12 Total taxes after adjustments and credits. | Subtract line 11d from line 10 | | | 12 | 367.00 |
| 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, or 944-X (SP) filed in the current quarter | | |
| 13a | |
| 13b Deferred amount of the employer share of social security tax | | 13b | |
| 13c Refundable portion of credit for qualified sick and family leave wages from Worksheet 1 | | 13c | |
| 13d Refundable portion of employee retention credit from Worksheet 1 | | 13d | |
| 13e Total deposits, deferrals, and refundable credits. | Add lines 13a, 13b, 13c, and 13d | | 13e | 0.00 |
| 13f Total advances received from filing Form(s) 7200 for the quarter | | 13f | |
| 13g Total deposits, deferrals, and refundable credits less advances. | Subtract line 13f from line 13e | | 13g | 0.00 |
| 14 Balance due. | If line 12 is more than line 13, enter the difference and see instructions | | | 14 | 367.00 |
| 15 Overpayment. | If line 13 is more than line 12, enter the difference | 0.00 | Check one: | Apply to next returncheckbox unchecked1 of 2 | Send a refund.checkbox unchecked2 of 2 |
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| 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. 17001Z | Form 941 (Rev. 1-2020) |
| | 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. 2021 McGraw-Hill Education. |
