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The information listed below refers to the employees of Lemonica Company for the year ended December 31, 2016. The wages are separated into the quarters

The information listed below refers to the employees of Lemonica Company for the year ended December 31, 2016. The wages are separated into the quarters in which they were paid to the individual employees.

Name Social Security # 1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. Total
Robert G. Cramer 000-00-0001 $5,800 $5,000 $5,000 $5,200 $21,000
Daniel M. English (Foreman) 000-00-0003 13,000 13,400 13,400 13,400 53,200
Ruth A. Small 000-00-1998 2,000 2,300 2,300 2,400 9,000
Harry B. Klaus 000-00-7413 11,600 11,700 11,700 11,700 46,700
Kenneth N. George (Manager) 000-00-6523 13,600 14,000 14,500 15,000 57,100
Mavis R. Jones 000-00-6789 1,600 1,700 1,700 -0- 5,000
Marshall T. McCoy 000-00-3334 11,400 11,400 -0- -0- 22,800
Bertram A. Gompers (President) 000-00-1014 24,500 25,000 25,500 26,300 101,300
Arthur S. Rooks 000-00-7277 -0- 700 1,700 1,700 4,100
Mary R. Bastian 000-00-8111 8,000 8,200 8,200 8,200 32,600
Klaus C. Werner 000-00-2623 2,300 2,500 2,500 2,500 9,800
Kathy T. Tyler 000-00-3534 -0- -0- 11,300 11,700 23,000
Totals $93,800 $95,900 $97,800 $98,100 $385,600

For 2016, State D's contribution rate for Lemonica Company, based on the experience-rating system of the state, was 2.8% of the first $7,000 of each employee's earnings. The state tax returns are due one month after the end of each calendar quarter. During 2016, the company paid $2,214.80 of contributions to State D's unemployment fund. The president of the company prepares and signs all tax forms. The company uses Magnetic Media UC-2A when completing the form.

Employer's phone number: (613) 555-0029. Employer's State D reporting number: 00596.

Using the forms below, complete the following for 2016. When required, round amounts to the nearest cent. Use the rounded answers for subsequent computations, if required.

a. What is the date and amount of the FUTA tax payment for the fourth quarter of 2016? State D is not a credit reduction state. Enter date in mm/dd/yyyy format.

Tax Payment:

Amount $

c. Employer's Annual Federal Unemployment (FUTA) Tax Return-Form 940

Form 940 for 20--: Employer's Annual Federal Unemployment (FUTA) Tax Return
Department of the Treasury Internal Revenue Service OMB No. 1545-0028
Employer identification number (EIN)
0 0 0 0 0 3 7 9 3
Name (not your trade name) LEMONICA COMPANY
Trade name (if any)
Address
123 SWAMP ROAD
Number Street Suite or room number
PIKESVILLE D 10777-2017
City State ZIP code
Foreign country name Foreign province/county Foreign postal code
Type of Return (Select one.)
None of these Instructions and prior-year forms are available atwww.irs.gov/form940.
Read the separate instructions before you fill out this form. Please type or print within the boxes.
Part 1: Tell us about your return. If any line does NOT apply, leave it blank.
1a If you had to pay state unemployment tax in one state only, enter the state abbreviation . . . . . . . . . . 1a
D
1b If you had to pay state unemployment tax in more than one state, you are a multi-state employer . . . 1b Check here. Complete Schedule A (Form 940).
2 If you paid wages in a state that is subject to CREDIT REDUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Check here. Complete Schedule A (Form 940).
Part 2: Determine your FUTA tax before adjustments for 20--. If any line does NOT apply, leave it blank.
3 Total payments to all employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Payments exempt from FUTA tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Select: Blank (no payments exempt from FUTA)
5 Total of payments made to each employee in excess of $7,000 . . . . . . . . . . . . 5
6 Subtotal (line 4 + line 5 = line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Total taxable FUTA wages (line 3 line 6 = line 7) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 FUTA tax before adjustments (line 7 x .006 = line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Part 3: Determine your adjustments. If any line does NOT apply, leave it blank.
9 If ALL of the taxable FUTA wages you paid were excluded from state unemployment tax, multiply line 7 by .054 (line 7 x .054 = line 9). Go to line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 If SOME of the taxable FUTA wages you paid were excluded from state unemployment tax, OR you paid ANY state unemployment tax late (after the due date for filing Form 940), complete the worksheet in the instructions. Enter the amount from line 7 of the worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 If credit reduction applies, enter the total from Schedule A (Form 940) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Part 4: Determine your FUTA tax and balance due or overpayment for 20--. If any line does NOT apply, leave it blank.
12 Total FUTA tax after adjustments (lines 8 + 9 + 10 + 11 = line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 FUTA tax deposited for the year, including any overpayment applied from a prior year . . . . . . . . . . . 13
14 Balance due (If line 12 is more than line 13, enter the excess on line 14.) If line 14 is more than $500, you must deposit your tax. If line 14 is $500 or less, you may pay with this return. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Overpayment (If line 13 is more than line 12, enter the excess on line 15 and check a box below.) . . . . . . . . 15

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