The first$-$quarter tax return needs to be filed for Prevosti Farms and Sugarhouse by April $30,2023.$ For 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 $11,2023.$ Page $2$ of form $941.$

Note: Round your final answers to $2$ decimal places.

Part $3$: $,$ Tell us about your business. If a question does NOT apply to your business, leave it blank.

$17$ If your bualness has closed or you stopped paying wages

enter the final date you paid wages $($mm$/$ddilyyy$)$

; also attach a staternent to your return. See instructions

$18$ If you are a seasonal employer and you do not have to flie a return for every quarter of the year

$19$ Qualified health plan expenees allocable to qualified alck leave wages for leave taken before Aprll

$1,2021$

$20$ Qualifled health plan expenses allocable to qualified family leave wages for leave taken before

Aprll $1,2021$

$21$ Reaerved for future use

$22$ Reserved for future use

$23$ Quallfled alck leave wagea for leave taken after March $31,2021,$ and before October $1,2021$

$24$ Qualified health plan expenees allocable to qualified slck leave wages reported on line $23$

$25$ Amounta under certain collectively bargained agreementa allocable to qualified slck leave wages

reported on llne $25$

$26$ Quallifed famlly leave wages for leave taken after March $31,2021,$ and before October $1,2021$

$27$ Qualifled health plan expenses allocable to qualified famlly leave wages reported on llne $26$

$28$ Amounta under certain collectively bargalned agreementa allocable to qualified familly leave

wages reported on llne $26$

Part $4$: May we speak with your third$-$party designee?

Do you want to allow an employee, a pald tax preparer, or another person to dlacuse thle return with the IR $$?$ See the Instructions for detalls.

Yes.

No$.$

Select a $5-$digit Perspnal Identification Number $($PIN$)$ to use when talking to IRS

$($PIN$)$ to use wher talking to IRS

Benefit Information Exempt

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 $820$ Westminster Road, Bridgewater, VT $05520.$

Phone $802-555-3456$

Number of employees $8$

Gross quarterly wages $($exclusive of fringe benefits$)$ $ $37,804\mathrm{.}40$

Federal income tax withheld $ $552\mathrm{.}00$

$401($k$)$ contributions $ $1,471\mathrm{.}45$

Section $125$ withheld $ $4,080\mathrm{.}00$

Gym Membership $($add to all taxable wages, not included above$)$ $ $90\mathrm{.}00$

Month $1$ Deposit $ $0\mathrm{.}00$

Month $2$ Deposit $ $2,256\mathrm{.}96$

Month $3$ Deposit $ $3,468\mathrm{.}65$

Required:

Complete Form $941$ for Prevosti Farms and Sugarhouse. Prevosti Farms and Sugarhouse was assigned EIN $22-6654454.$

Note: Instructions on format can be found on certain cells within the forms.