Peaceful Cat Pet Foods is a new business owned by Sylvester Hammond. His first year of operations commenced on June 1, 2019. Company information: EIN: 98-0050036 Address: 1021 Old Plainfield Road, Salina, California 95670 Phone number: 707-555-0303 Number of employees: 11 Wages, tips, and other compensation paid during third quarter 2019: $334,394
Income tax withheld: $66,879
Monthly tax liability: July $ 39,347.10
August $ 39,347.10
September $ 39,347.09
Complete the following Form 941 for third quarter 2019.
Form 941 for 2019: Employer's QUARTERLY Federal Tax Return Department of the Treasury - Internal Revenue Service Employer identification number (EIN) Name (not your trade name) Trade name (if any) Address Number 950117 OMB No 1545-0029 Report for this Quarter 2019 (Check one.) January, February March April, May, June July, August, September Street Suite or room number 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: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4) 2 Wages, tips, and other compensation 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 Check and go to line 6. Column 1 Column 2 5a Taxable social security wages x 0.124 5b Taxable social security tips x 0.124 5c Taxable Medicare wages & tips x 0.029 5d Taxable wages & tips subject to Additional Medicare Tax withholding X 0.009 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 5f Section 3121(q) Notice and Demand - Tax due on unreported tips (see instructions) 6 Total taxes before adjustments. Add lines 3, 5e, and 5f 7 Current quarter's adjustments for fractions of cents 8 Current quarter's adjustments for sick pay 9 Current quarter's adjustments for tips and group-term life insurance 10 Total taxes after adjustments. Combine lines 6 through 9 11 Qualified small business payroll tax credit for increasing research activites. Attach Form 8974 12 Total taxes after adjustments and credits. Subtract line 11 from line 10 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 14 Balance due. If line 12 is more than line 13, enter the difference and see instructions 15 Overpayment If line 13 is more than line 12, enter the difference Check one: Apply to next return Send a refund 5e f 6 7 8 9 10 11 12 13 14 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. 1-2019) 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 Month 1 Required information 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 Pub. 15 (Circular E), section 11. 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 2019) 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 2019) 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 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 2 Month 3 Total liability for quarter 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 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 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 Check here Sign your name here Sylvester Hammond Date (mm/ddlyyyy) 10/10/2019 Print your name here Print your title here Best daytime phone (X-XO-X>0x) Paid Preparer Use Only Check if you are self-employed
