The first quarter tax return needs to be filed for Prevosti Farms and Sugarhouse by April 15, 2020. For the purpose of the taxes, assume the second February payroll amounts were duplicated for the March 6 and March 20 payroll periods and the new benefit elections went into effect as planned. The form was completed and signed on April 10, 2020. Benefit Information Health Insurance Life Insurance Long-term Care FSA 401(k) Gym Exempt Federal FICA Yes Yes Yes Yes Yes Yes Yes Yes Yes No 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: $31,545.10 Federal income tax withheld: $367.00 401(k) contributions: $1,232.90 Insurance withheld: $4,080.00 Gym membership: $90.00 Amount Monthly Deposits Month 1 Month 2 Month 3 $ 1,900.53 $ 2,682.52 Form 941 for 2020: Employer's QUARTERLY Federal Tax Return 95013 Department of the Treasury - Internal Revenue Service OMB No. 1545-00 Employer identification number (EIN) Report for this Quarter of 2020 (Check one.) Name (not your trade name) 1: January, February, March Trade name (if any) 2: April, May, June Address 3: July August September Number Street Suite or room number 04: October, November, December City State (NN) ZIP code Instructions and prior-year forms are available at Foreign country name Foreign Province/county Foreign Postal code www.irs.gov/form941. 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 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Check and go to line 6. Column 1 5a Taxable social security wages 5a(i) Qualified sick leave wages 5a(ii) Qualified family leave wages 5b Taxable social security tips 5c Taxable Medicare wages & tips Taxable wages & tips subject to Additional Medicare Tax withholding x 0.124 x 0.062 x 0.062 x 0.124 X 0.029 X 0.009 Column 2 0.00 0.00 0.00 0.00 0.00 0.00 Ch 0.00 5e 5f 0.00 6 7 8 9 10 0.00 11a 11b 11c 11d 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 11a Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 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 credits. Subtract line 11d 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, or 944-X (SP) filed in the current quarter 13b Deferred amount of the employer share of social security tax 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, deferrals, and refundable credits. Add lines 13a, 136, 13c, and 13d 13f Total advances received from filing Form(s) 7200 for the quarter 13g Total deposits, deferrals, and refundable credits less advances. Subtract line 13f from line 13e 14 Balance due. If line 12 is more than line 13, enter the difference and see instructions 0.00 0.00 12 13a 13b 13c 13d 13e 0.00 13f 13g 14 0.00 0.00 15 Overpayment. If line 13 is more than line 12, enter the difference 0.00 Check one: Apply to next return Send a refund. 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. 1-2020) 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. 2021 McGraw-Hill Education. The first quarter tax return needs to be filed for Prevosti Farms and Sugarhouse by April 15, 2020. For the purpose of the taxes, assume the second February payroll amounts were duplicated for the March 6 and March 20 payroll periods and the new benefit elections went into effect as planned. The form was completed and signed on April 10, 2020. Benefit Information Health Insurance Life Insurance Long-term Care FSA 401(k) Gym Exempt Federal FICA Yes Yes Yes Yes Yes Yes Yes Yes Yes No 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: $31,545.10 Federal income tax withheld: $367.00 401(k) contributions: $1,232.90 Insurance withheld: $4,080.00 Gym membership: $90.00 Amount Monthly Deposits Month 1 Month 2 Month 3 $ 1,900.53 $ 2,682.52 Form 941 for 2020: Employer's QUARTERLY Federal Tax Return 95013 Department of the Treasury - Internal Revenue Service OMB No. 1545-00 Employer identification number (EIN) Report for this Quarter of 2020 (Check one.) Name (not your trade name) 1: January, February, March Trade name (if any) 2: April, May, June Address 3: July August September Number Street Suite or room number 04: October, November, December City State (NN) ZIP code Instructions and prior-year forms are available at Foreign country name Foreign Province/county Foreign Postal code www.irs.gov/form941. 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 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Check and go to line 6. Column 1 5a Taxable social security wages 5a(i) Qualified sick leave wages 5a(ii) Qualified family leave wages 5b Taxable social security tips 5c Taxable Medicare wages & tips Taxable wages & tips subject to Additional Medicare Tax withholding x 0.124 x 0.062 x 0.062 x 0.124 X 0.029 X 0.009 Column 2 0.00 0.00 0.00 0.00 0.00 0.00 Ch 0.00 5e 5f 0.00 6 7 8 9 10 0.00 11a 11b 11c 11d 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 11a Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 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 credits. Subtract line 11d 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, or 944-X (SP) filed in the current quarter 13b Deferred amount of the employer share of social security tax 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, deferrals, and refundable credits. Add lines 13a, 136, 13c, and 13d 13f Total advances received from filing Form(s) 7200 for the quarter 13g Total deposits, deferrals, and refundable credits less advances. Subtract line 13f from line 13e 14 Balance due. If line 12 is more than line 13, enter the difference and see instructions 0.00 0.00 12 13a 13b 13c 13d 13e 0.00 13f 13g 14 0.00 0.00 15 Overpayment. If line 13 is more than line 12, enter the difference 0.00 Check one: Apply to next return Send a refund. 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. 1-2020) 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. 2021 McGraw-Hill Education