Using a blank form 941, complete Part 1, lines 1-6, using the following information: (lf a box is not used in the table leave the box empty: do not enter a zero. Round your calculations to the nearest cent as needed.) Total employees during the first quarter Total wages during the first quarter, none came from tips $26,910.58 Federal income tax withheld $ 2,100.00 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 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), Dec. 12 (Quarter 4) 2 Wages, tips, and other compensation 3 Federal income tax withheld from wages, tips, and other compensation 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 ...... x. 124 = 5b Taxable social security tips x. 124 = 5c Taxable Medicare wages & tips ..... .029 = 5d Taxable wages & tips subject to Additional Medicare Withholding.... .009 = 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 5f Section 3121(9) Notice and Demand - Tax due on unreported tips (see instructions) 6 Total taxes before adjustments. Add lines 3, 5e and 5f