Using the information from P6-6A, complete the following Form 941 for the first quarter of 2022. The report was signed on April 15, 2022.
EIN: 78-7654398
Address: 23051 Old Redwood Highway, Sebastopol, California, 95482,
phone 707-555-5555
Number of employees: 7
Wages, tips, and other compensation paid during the first quarter of 2022: $244,798
Income tax withheld from employees: $48,000
Social Security tax withheld from employees: $15,177.48
Medicare tax withheld from employees: $3,549.57
Monthly tax liability:

January $28,484.70
February 28,484.70
March 28,484.70

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Form 941 for 2022: Employer's QUARTERLY Federal Tax Return (Rev. March 2022) Department of the Treasury Internal Revenue Service Employer identification number (EIN) Name (not your trade name) Trade name (if any) Address 2 3 4 6 7 Foreign country name Read the separate instructions before you complete Form 941. Type or print within the boxes. Part 1: Answer these questions for this quarter. 1 8 9 Number 10 City 11a 11b Street Foreign province/county 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. 5d Taxable wages & tips subject to Additional Medicare Tax withholding 5e Total social security and Medicare taxes. Add Column 2 from lines 5a, 5a(i), 5a(ii), 5b, 5c, and 5d 5f Section 3121(q) Notice and Demand-Tax due on unreported tips (see instructions) State . Number of employees who received wages, tips, or other compensation for the pay period including: Mar. 12 (Quarter 1)... Wages, tips, and other compensation Federal income tax withheld from wages, tips, and other compensation Total taxes before adjustments. Add lines 3, 5e, and 5f If no wages, tips, and other compensation are subject to social security or Medicare tax Column 1 Column 2 Current quarter's adjustment for fractions of cents 11c Reserved for future use I Suite or room number ■ ZIP code ■ Foreign postal code · ■ . x 0.124 = x 0.062 = x 0.062 = x 0.124 = x 0.029 = × 0.009 = Current quarter's adjustment for sick pay Current quarter's adjustments for tips and group-term life insurance ► You MUST complete all three pages of Form 941 and SIGN it. For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. . ■ . I 1: January, February, March 2: April, May, June 3: July, August, September 4: October, November, December Go to www.irs.gov/Form941 for instructions and the latest information. Report for this Quarter of 2022 (Check one.) 1 2 3 5e 5f 6 7 8 Total taxes after adjustments. Combine lines 6 through 9 Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 11a Nonrefundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021. 9 10 11b 950122 OMB No. 1545-0029 11c Check and go to line 6. *Include taxable qualified sick and family leave wages paid in 2022 for leave taken after March 31, 2021, and before October 1, 2021, on line 5a. Use lines 5a(i) and 5a(ii) only for taxable qualified sick and family leave wages paid in 2022 for leave taken after March 31, 2020, and before April 1, 2021. Cat. No. 17001Z . . Next Form 941 (Rev. 3-2022)