Page 1 of Form 941. Note: Round your final answers to 2 decimal places. Form 941 for 2023: (Rev. March 12, 2023) Employer Identification number (EIN) Name (not your trade name) Employer's QUARTERLY Federal Tax Return Department of the Treasury - Internal Revenue Service 78-7654398 Skyler Peoples Veryclear Glassware 950121 OMB No. 1545- 0029 Report for this Quarter 2023 (Check one.) January, February, March Trade name (if any) Address 23051 Number Old Redwood Highway Street Sebastopol City 1: 2: April, May, June 3: Suite or room number July, August, September CA 95482 04: State (NN) ZIP code Foreign Postal October, November, December Instructions and prior-year forms are available at www.irs.gov/form941. code Foreign country name Foreign Province/county Read the separate instructions before you complete this form. Please type or print within the boxes. Part 1: Answer these questions for this quarter. 1 Number of employees who received wages, ups, or other compensation for the pay period including: March 12 (Quarter 1), 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 1 9 2 294,509.00 58,901.80 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Check and go to line 6. Column 1 Column 2 5a Taxable social security wages 5a (1) Qualified sick leave wages 5a (II) Qualified family leave wages 294,509.00 x 0.124 36,519.12 0.00 x 0.062 0.00 294,509.00 x 0.062 18,259.56 5b Taxable social security tips 0.00 x 0.124 0.00 5c Taxable Medicare wages & tips x 0.029 0.00 5d Taxable wages & tips subject to Additional Medicare Tax 0.00 x 0.009 0.00 withholding 5e Total social security and Medicare taxes Add Column 2 from lines 5a, 5a(1), 5a (II), 5b, 5c, and 5d 50 54,778.68 6 Total taxes before adjustments. 5f Section 3121(q) Notice and Demand - Tax due on unreported tipe 7 Current quarter's adjustment for fractions of cente 8 Current quarter's adjustment for alck pay 9 Current quarter's adjustments for tips and group-term life Insurance 10 Total taxes after adjustments. (see instructions) 5f 0.00 Add lines 3, 5e, and 5f 6 113,680.48 7 0.00 x 8 0.00 9 0.00 Combine lines 6 through 9 10 113,680.48 11a Qualified small business payroll tax credit for Increasing research activities. Attach Form 8974 11a 0.00 11b Nonrefundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021 11b 0.00 11c Reserved for future use 11c 0.00 11d Nonrefundable portion of credit for qualified sick and family leave wages for leave taken after March 31, 2021, and before 110 0.00 October 1, 2021 11e Reserved for future use 110 11f Reserved for future use 11f 11g Total nonrefundable credits. 12 Total taxes after adjustments and nonrefundable credits. Add lines 11a, 11b, and 11d Subtract line 11g from line 10 11g 12 113,680.48 13b Reserved for future use 13a 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) filled in the current quarter 13c Refundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021 13a 0.00 x 13b 0.00 13c 0.00 . < Prev 6 7 of 7 Next >