Stan Barker opened Quik-Stop Market on January 1, 2016. The business is subject to FICA taxes. At the end of the first quarter of 2016, Barker, as president of the company, must file Form 941, Employer's Quarterly Federal Tax Return. Using Form 941 (Parts 1 through 5), reproduced on pages 3-59 and 3-60 (given below), prepare, sign, and date the return on the basis of the information shown below.
Employer's address: 234 Oak, Austin, TX 78711-0234
Employer's ID number: 00-0005874
Phone number: (512) 555-1111
Each employee is paid semimonthly on the 15th and last day of each month. Shown below is the payroll information for the first quarter of 2016. All pay periods were the same.

None of the employees reported tips during the quarter.

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PAYROLL INFORMATION FOR IANUARY-MARCH Quarterly OASDI Federal Total Employee Albert Greer 000-00-7233 $10,440 647.28 $151.38 $1,260.00 $2,058.66 8,381.34 Patty Dilts Jerod Hughs 000-00-3668 23,220 ,439.64 336.72 ,080.00 2,856.36 20,363.64 Denise Eaton 000-00-6527 11,700 SSN Wage HI Tax Income Tax Deductions Net Pay ах 000-00-8451 10,530 652.86 52.70 1,200.002,005.56 8,524.44 725.40 169.68 9,664.92 $55,890 $3,465.18 $810.48 $4,680.00 $8,955.66 $46,934.34 1,140.00 Totals Employer's FICA taxes For the Quarter $3,465.18 OASDI $810.41 HI The total taxes per payday are: Employees' FICA Tax-OASDI 577.53 577.53 135.08 135.07 780.00 Employer's FICA Tax-OASDI Employees' FICA Tax-HI Employer's FICA Tax-HI Employees' FIT Tax Total 6 deposits = $13,231.26 for the quarter Fom 941 for 20--: Employer's QUARTERLY Federal Tax Return Dapartmant of the Treaury - Intamal Rlawanue Service OMB No. 1545-0020 Report for this Quarter of 20-- Check ona Emplayer identhication number (EIN 1:January, February, March 2 Apri, May, June Juy August, September 4: October, November, December Nama phot your trado namaySTAN BARKER QUIK-STOP MARKET nama pt any) Addross 234 OAK Instructions and prior year forms are avallable at www.lirs.gowrorm941 AUSTIN TX 78711-0234 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 ), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4 Wages, tips, and other compensation Federal income tax withheld from wages, tips, and other compensation If no wages, tips, and other compensation are subject to social security or Medicare tax 1 2 3 4 Check and go to line 6. Column 1 Column 2 5a Taxable social security wages. 5b Taxable social security tips . . . 5c Taxable Medicare wages & tips. 5d Taxable wages &tips subject to x124- x124- x 029- x.009- Additional Medicare Tax withholding 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 5f Section 3121(4) Notice and Demand Tax due on unreported tips (see instructions) 6 Total taxes before adjustments. Add ines 3, 5e, and 5f 7 Current quarter's adjustment for fractions of cents 8 Curnt 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 5f 10 11 Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941-X (PR), 944-Х, 944-X PR), or 944-X (SP) filed in the current quarter 12 Balance due. If ine 10 is more than line 11, enter the difference and see instructions 12 13 Overpayment. If line 11 is more than Ine 10, enter the difference Check one: □ Apply tonat ran sad a rand 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. Form 941 Raw. 12015 Cat. No. 170012 your STAN BARKE 00-0005874 Part 2: Tell us about your deposit schedule and tax liability for this quarter If you are unsure about whether you are a monthly schedule deposltor or a semiweekly schedule deposltor, see Pub. 15 (Circular E), section 11. Line 10 on this return is less than $2,500 or line 10 on the roturn for the prior quartor was kss than $2,500, and you did not incura $100,000 next-day deposit obligation during the curront quartor. If ino 10 for tha prior quartar was lass than $2,500 but lino 10 on this rotum you aro a monthly schadule dapositor,complate the dapost 14 Check one: $100,000or mora, you mustprovide anoood of your fodaal tax schadula balow, i# you aro a samiwookly schodule dapositor, attach Schodule B(Form 941). Go to Part 3 lablity for the quarter, then go to Part 3. Tax llablty: Month 1 You were a monthly schedule deposltor for the entire quarter. Enter your tax lablity for each month and total Month 2 Month 3 Total labllity for quarter □ You were a semtweekly Schedule depositor for any part of this quarter, complete Schedule B Form 941), Total must equal line 10. Report of Tax Llablity for Semiweekly Schedule Depositors, and attach t to Form 941 Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank. If your business has closed or you stopped paying wages enter the final date you paid wages 15 Check here, and 16 If you are a seasonal employer and you do not have to tile a retun for every quarter of the year Part 4: Check here. May we speak with your third-party designee? Do you want to allow an employee, a pald tax preparer, or another person to discuss this return with the IRS? See the Instructions or detalls. Yes. Designee's name and phone number Select a 5-digit Personal Identification Number (PIN) to use when talking to the IRS. No. Part 5: Sign here. You MUST complete both pages of Form 941 and SIGN it. under por ties of pajury, I dodara that I hava aamnd this return, including accompan ng scho es and statamants, and to the bat of my knowladge and balid, it is trua, corract, and oomplate. Daclaration of praparor (othar than taxpayor is basad on all information of which proparor has any knowladga Sign your name here Print your name here Print your itile here Date Best daytime phone d Preparer Use Check It you are self-employed Preparer's name Preparer's signature Fim's name(or PTN Date EIN AddressS Phone City State ZiP code Fom 941 Raw. 1-2015