The first quarter tax return needs to be filed for Prevosti Farms and Sugarhouse by April 15, 2019. For the purpose of the taxes, assume the second February payroll amounts were duplicated for the March 9 and March 23 payroll periods and the new benefit elections went into effect as planned. The form was completed and signed on April 10, 2019. The gym membership is for a dedicated facility for employees and spouses.

Benefit Information	Exclude: 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: 802-673-2636

Number of employees: 8

Gross quarterly wages: $32,085.15

Federal income tax withheld: $628.00

401(k) contributions: $1,259.90

Insurance withheld: $4,080.00

Gym membership: $90.00 (For the pay-period completed till March 23).

Monthly Deposits		Amount
Month 1	$	0
Month 2	$	2,008.18
Month 3	$	2,904.72

Required:

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

Page 1 of Form 941. (Round your answers to 2 decimal places.) Form 941 for 2019: 950117 OMB No. 1545-0029 Employer's QUARTERLY Federal Tax Return Department of the Treasury - Internal Revenue Service 22-6654454 Toni Prevosti 1: Report for this Quarter 2019 (Check one.) January, February, March April, May, June 2: Employer identification number (EIN) Name (not your trade name) Trade name (if any) Address 1820 Number Bridgewater City 3: Westminster Road Street July, August, September VT State (NN) Suite or room number 05520 ZIP code 104: October, November, December 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 4 If no wages, tips, and other compensation are subject to social security or Medicare tax 1 8 2 3 Check and go to line 6. 5e 0.00 5f 6 0.00 7 Column 1 Column 2 5a Taxable social security wages x 0.124 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 x 0.009 0.00 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 5f Section 3121(9) 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 Apply to next 15 Overpayment. If line 13 is more than line 12, enter the difference 0.00 Check one return 8 9 10 0.00 11 12 0.00 13 14 0.00 Send a refund. You MUST complete both pages of Form 941 and SIGN it. For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Cat. No. 17001Z 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. 2020 McGraw-Hill Education. Next Form 941 (Rev. 1-2019) Page 1 of Form 941. (Round your answers to 2 decimal places.) Form 941 for 2019: 950117 OMB No. 1545-0029 Employer's QUARTERLY Federal Tax Return Department of the Treasury - Internal Revenue Service 22-6654454 Toni Prevosti 1: Report for this Quarter 2019 (Check one.) January, February, March April, May, June 2: Employer identification number (EIN) Name (not your trade name) Trade name (if any) Address 1820 Number Bridgewater City 3: Westminster Road Street July, August, September VT State (NN) Suite or room number 05520 ZIP code 104: October, November, December 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 4 If no wages, tips, and other compensation are subject to social security or Medicare tax 1 8 2 3 Check and go to line 6. 5e 0.00 5f 6 0.00 7 Column 1 Column 2 5a Taxable social security wages x 0.124 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 x 0.009 0.00 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 5f Section 3121(9) 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 Apply to next 15 Overpayment. If line 13 is more than line 12, enter the difference 0.00 Check one return 8 9 10 0.00 11 12 0.00 13 14 0.00 Send a refund. You MUST complete both pages of Form 941 and SIGN it. For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Cat. No. 17001Z 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. 2020 McGraw-Hill Education. Next Form 941 (Rev. 1-2019)