Toni Prevosti is opening a new business, Prevosti Farms and Sugarhouse, a small company that will harvest, refine, and sell maple syrup products. In subsequent chapters, students will have the opportunity to establish payroll records and complete payroll information for Prevosti Farms and Sugarhouse.

Toni has decided that she needs to hire employees for the business to grow. Complete the application for Prevosti Farms and Sugarhouse’s Employer Identification Number (Form SS-4) with the following information:

Prevosti Farms and Sugarhouse is located at 820 Westminster Road, Bridgewater, Vermont, 05520 (which is also Ms. Prevosti’s home address), phone number 802-555- 3456. Bridgewater is in Windsor County, Vermont. Toni, the responsible party for a Limited Liability Corporation created in the United States with one member (disregarded entity), has decided that Prevosti Farms and Sugarhouse will pay its employees on a biweekly basis. Toni’s Social Security number is 055-22-0443. The beginning date of the business is February 1, 2022. Prevosti Farms and Sugarhouse will use a calendar year as its accounting year. Toni anticipates that she will need to hire six employees initially for the business, three of whom will be agricultural and three who will be office workers. The first date of wage disbursement will be February 10, 2022. Toni has not had a prior EIN. The reason for filling out the SS-4 is the establishment of the new business.

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SS-4 Form (Rev. December 2019) Department of the Treasury Internal Revenue Service Type or print clearly. 8a 8c 9a 9b 13 15 16 17 Application for Employer Identification Number (For use by employers, corporations, partnerships, trusts, estates, churches, government agencies, Indian tribal entities, certain individuals, and others.) ►Go to www.irs.gov/FormSS4 for instructions and the latest information. ► See separate instructions for each line. Keep a copy for your records. 1 Legal name of entity (or individual) for whom the EIN is being requested 18 2 Trade name of business (if different from name on line 1) 4b City, state, and ZIP code (if foreign, see instructions) 6 County and state where principal business is located 7a Name of responsible party 4a Mailing address (room, apt., suite no. and street, or P.O. box) 5a Street address (if different) (Don't enter a P.O. box.) 10 Reason for applying (check only one box) Started new business (specify type) ► Partnership Corporation (enter form number to be filed) ► Personal service corporation Church or church-controlled organization Other nonprofit organization (specify) ► Other (specify) ► If a corporation, name the state or foreign country (if applicable) where incorporated Is this application for a limited liability company (LLC) (or a foreign equivalent)? ...Yes If 8a is "Yes," was the LLC organized in the United States? Type of entity (check only one box). Caution: If 8a is "Yes," see the instructions for the correct box to check. Sole proprietor (SSN) Estate (SSN of decedent) Plan administrator (TIN) Trust (TIN of grantor) Military/National Guard Farmers' cooperative REMIC Hired employees (Check the box and see line 13.) Compliance with IRS withholding regulations Other (specify)► 11 Date business started or acquired (month, day, year). See instructions. 3 State Household Third Party Designee Executor, administrator, trustee, "care of" name Other 5b City, state, and ZIP code (if foreign, see instructions) No Highest number of employees expected in the next 12 months (enter -0-if none). If no employees expected, skip line 14. Agricultural 7b SSN, ITIN, or EIN Check one box that best describes the principal activity of your business. Transportation & warehousing Finance & insurance Construction Real estate Rental & leasing Manufacturing Indicate principal line of merchandise sold, specific construction work done, Banking purpose (specify purpose) ► Changed type of organization (specify new type) ► Purchased going business Created a trust (specify type) ► Created a pension plan (specify type) ► 8b If 8a is "Yes," enter the number of LLC members.. 12 14 EIN .. Group Exemption Number (GEN) if any ► Foreign country OMB No. 1545-0003 Signature ▶ For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Date ► First date wages or annuities were paid (month, day, year). Note: If applicant is a withholding agent, enter date income will first be paid to nonresident alien (month, day, year). Yes Health care & social assistance Accommodation & food service Other (specify) ► products produced, or services provided. Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete. Name and title (type or print clearly) ► Closing month of accounting year If you expect your employment tax liability to be $1,000 or less in a full calendar year and want to file Form 944 annually instead of Forms 941 quarterly, check here. (Your employment tax liability generally will be $1,000 or less if you expect to pay $5,000 or less in total wages.) If you don't check this box, you must file Form 941 for every quarter. No State/local government Federal government Indian tribal governments/enterprises Yes Has the applicant entity shown on line 1 ever applied for and received an EIN? If "Yes," write previous EIN here ► Complete this section only if you want to authorize the named individual to receive the entity's EIN and answer questions about the completion of this form. Designee's name Designee's telephone number (include area code) Address and ZIP code No Wholesale-agent/broker Wholesale-other Cat. No. 16055N Retail Designee's fax number (include area code) Applicant's telephone number (include area code) Applicant's fax number (include area code) Form SS-4 (Rev. 12-2019)