Required information [The following information applies to the questions displayed below ] Peaceful Cat Pet Foods is a new business owned by Wren Hammond. The first year of operations commenced on January 1,2022. Company infarmation: EIN: 98-0050036 Address: 1021 Old Plainfield Read. Salina, California, 95670 Phone: 707-555-0303 Number of employees: 7 Wages, tips, and other compensation paid during the first quarter of 2022 $354,625 Social Security taxable wages: $320,000 Medicare taxable wages: $320,000 Income tax withheld: $70,925 Monthly tax liability: January % 39,961.67 February 39,961.67 March 39,981.66 Required: Complete the following Form 941 for the first quarter of 2022. The form was signed by the owner on April 11, 2022, Note: Instructions on format can be found on certain cells within the forms. Form 941 for 2022: Employer's QUARTERLY Federal Tax Return 950121 (Rev. March 2022) Department of the Treasury - Internal Revenue Service OMB Mo. 1545-0028 98-0050036 Report for this Quarter 2022 {Check one.) January, February, March Employer identification number (EIN) Name (not your trade namea} Trade name (if any) Address April, May, June July, August, September October, November, December Go to wwnw.irs.gov/Form941 for instructions and the latest information. Foreign counfry name Foreign Provincelcounty Foreign Postal code Read the separate instructions before you complete form 941, Type or print within the boxes Answer these questions for this quarter. 1 Mumber of employees who received wages, tips, or other compensation for the pay period including: March 12 (Quarter 1}, June 12 (Quarter 2), September 12 (Quarter 3}, or December 12 (Quarter 4) 1 2 Wages, tips, and other compensation 2 3 Federal income tax withheld from wages, tips, and other compensation =5 : 4 If no wages, tips, and other compensation are subject to social security or Medicare tax D Check and go to line 6. Column 1 Column 2 5a Taxable social security wages x 0.124 0.00 5a (i) Qualified sick leave wages x 0.062 0.00 5a (i) Qualified family leave wages x 0062 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 * 0.009 0.00 5e Total social security and Medicare taxes. Add Column 2 from lines 5a, 5ali), 5alii), &b, 5c, and 5d 5f Section 3121(q) Notice and Demand - Tax due on unreported tips (zsee instructions) 6 Total taxes before adjustments. Add lines 3, 5e, and 3 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 10 Total taxes after adjustments. Combine lines & through 9 11a Qualified small business payroll tax credit for increasing research activities. Aftach Form 5974 11b Nonrefundable portion of credit for qualified sick and family leave wages from Worksheet 1 11c Nonrefundable portion of employee retention credit from Worksheet 1 11d Total nonrefundable credits. Add lines 11a, 11b, and 11c 12 Total taxes after adjustments and nonrefundable credits Subtract line 11d from line 10 12 0.00 13a 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 Reserved for future use 13b 13c Refundable portion of credit for qualified sick and family leave wages from Worksheaet 1 13e 13d Refundable portion of employee retention credit from Worksheet 1 13d 13e Total deposits and refundable credits. Add lines 13a, 13c, and 13d 13e 13f Total advances received from filing Form(s) 7200 for the quarter 13f 13g Total deposits and refundable credits less advances. Subtract line 13f from line 13e 13g 14 Balance due. If line 12 is more than line 13g, enter the difference and see instructions 14 Send a refund. 16 Owverpayment. If line 13g iz more than line 12, enter the difference 0.00 Check one: D Apply to next return You MUST complete both pages of Form 944 and SIGN it. m Mame (not your irade name) Employer identification number (EIN) Wren Hammond 980050036 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: D Line 12 on this return is less than $2,500 or line 12 on the return for the prior quarter was less than $2,500, and you didn't incur a $100,000 next-day depeosit obligation during the current quarter. If line 12 for the prior quarter was less than 32 500 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 fo Part 3. D 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 Maonth 3 Total liability for quarter 0.00 Total must equal line 12. D 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 341. Go to Part 3. Tell us about your business. If a question does NOT apply to your business, leave it blank. 17 i your business has closed or you stopped paying wages D Check here, and > B L) ; also attach a statement to your return. See instructions. 18 If you are a seasonal employer and you don't have to file a return for every quarter of the year Check here. 19 Qualified health plan expenzes allocable to qualified sick leave wages 19 20 Qualified health plan expenzes allocable to qualified family leave wages 20 21 Qualified wages for the employee retention credit 21 22 Qualified health plan expenzes allocable to wapges reported on line 21 22 23 Credit from Form 5884-C, line 11, for thiz quarter 23 24 Reserved for future use 24 25 Reserved for future use 25 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. X Sign your Print your name here name here Print your title here Date (mm/dd/yyyy) Best daytime phone (xxx-xxx->xxx) Paid Preparer Use Only Check if you're 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