The first quarter tax return needs to be filed for Prevosti Farms and Sugarhouse by April 15, 2021. For the taxes, assume the second February payroll amounts were duplicated for the March 5 and March 19 payroll periods, and the new benefit elections went into effect as planned. The form was completed and signed on April 9,2021. 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): $32,086.87 Federal income tax withheld: $360.00 401(k) contributions: \$1,259.90 Section 125 withheld: $4,080.00 Gym membership: $90.00 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. Complete this question by entering your answers in the tabs below. Pace 1 of Form 941. (Round your final answers to 2 decimal places.) 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) 2 Wages, tips, and other compensation 3 Federal income tax withheld from wages, tips, and other compensation Check and go to line 6 . 5a Taxable social security wages 5a(i) Qualified sick leave wages 5a(ii) Qualified family leave wages 5b Taxable social security tips 5 c Taxable Medicare wages \& tips 5 daxable wages \& tips subject to Additional Medicare Tax withholding 5e Total social security and Medicare taxes. Add Column 2 from lines 5a,5a(i),5a(ii),5b,5c, and 5d 5f Section 3121(q) Notice and Demand - Tax due on unreported tips 6 Total taxes before adjustments. 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 6 through 9 11a Qualified small business payroll tax credit for increasing research activities. 11b Nonrefundable portion of credit for qualified sick and family leave wages from Worksheet 1 11 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 13a Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941X (PR), 944X, or 944 X(SP) filed in the current quarter 13b Reserved for future use 13c Refundable portion of credit for qualified sick and family leave wages from Worksheet 1 13d Refundable portion of employee retention credit from Worksheet 1 13e Total deposits and refundable credits. 13f Total advances received from filing Form(s) 7200 for the quarter 13g Total deposits and refundable credits less advances. 14 Balance due. If line 12 is more than line 13g, enter the difference and see instructions 15 Overpayment. If line 13g is more than line 12 , enter the difference You MUST complete both pages of Form 941 and SIGN it. Part 2: Tell us about your deposit schedule and tax liability for this quarter. 226654454 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: 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 deposit obligation during the current quarter. If line 12 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. then go to Part 3. Enter your tax liability for each month and total liability for the quarter, Tax liability: Month 1 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 . Go to Part 3. 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 ) ; also attach a statement to your return. See instructions 18 If you are a seasonal employer and you do not have to file a return for every quarter of the year 19 Qualified health plan expenses allocable to qualified sick leave wages 20 Qualified health plan expenses allocable to qualified family leave wages 21 Qualified wages for the employee retention credit 22 Qualified health plan expenses allocable to wages reported on line 21 23 Credit from Form 5884-C, line 11, for this quarter 24 Reserved for future use 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 preparef has any inowledge The first quarter tax return needs to be filed for Prevosti Farms and Sugarhouse by April 15, 2021. For the taxes, assume the second February payroll amounts were duplicated for the March 5 and March 19 payroll periods, and the new benefit elections went into effect as planned. The form was completed and signed on April 9,2021. 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): $32,086.87 Federal income tax withheld: $360.00 401(k) contributions: \$1,259.90 Section 125 withheld: $4,080.00 Gym membership: $90.00 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. Complete this question by entering your answers in the tabs below. Pace 1 of Form 941. (Round your final answers to 2 decimal places.) 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) 2 Wages, tips, and other compensation 3 Federal income tax withheld from wages, tips, and other compensation Check and go to line 6 . 5a Taxable social security wages 5a(i) Qualified sick leave wages 5a(ii) Qualified family leave wages 5b Taxable social security tips 5 c Taxable Medicare wages \& tips 5 daxable wages \& tips subject to Additional Medicare Tax withholding 5e Total social security and Medicare taxes. Add Column 2 from lines 5a,5a(i),5a(ii),5b,5c, and 5d 5f Section 3121(q) Notice and Demand - Tax due on unreported tips 6 Total taxes before adjustments. 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 6 through 9 11a Qualified small business payroll tax credit for increasing research activities. 11b Nonrefundable portion of credit for qualified sick and family leave wages from Worksheet 1 11 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 13a Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941X (PR), 944X, or 944 X(SP) filed in the current quarter 13b Reserved for future use 13c Refundable portion of credit for qualified sick and family leave wages from Worksheet 1 13d Refundable portion of employee retention credit from Worksheet 1 13e Total deposits and refundable credits. 13f Total advances received from filing Form(s) 7200 for the quarter 13g Total deposits and refundable credits less advances. 14 Balance due. If line 12 is more than line 13g, enter the difference and see instructions 15 Overpayment. If line 13g is more than line 12 , enter the difference You MUST complete both pages of Form 941 and SIGN it. Part 2: Tell us about your deposit schedule and tax liability for this quarter. 226654454 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: 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 deposit obligation during the current quarter. If line 12 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. then go to Part 3. Enter your tax liability for each month and total liability for the quarter, Tax liability: Month 1 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 . Go to Part 3. 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 ) ; also attach a statement to your return. See instructions 18 If you are a seasonal employer and you do not have to file a return for every quarter of the year 19 Qualified health plan expenses allocable to qualified sick leave wages 20 Qualified health plan expenses allocable to qualified family leave wages 21 Qualified wages for the employee retention credit 22 Qualified health plan expenses allocable to wages reported on line 21 23 Credit from Form 5884-C, line 11, for this quarter 24 Reserved for future use 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 preparef has any inowledge