“During the third calendar quarter of 2010, bayview inn, owned by diane r. peters, employed the persons listed below. Also given are the employees’ salaries or wages and the amount of tips reported to the owner. The tips were reported by the 10th of each month. The federal income tax and FICA tax to be withheld from the tips were estimated by the owner and withheld equally over the 13 weekly pay periods. The employer’s portion of FICA tax on the tips was estimated as the same amount.Employee Salary or wage Quarter’s wages Quarter’s Tips Quarters’ OASDI Quarter’s HI Quarter’s FITGrant Frazier $25,000/year $6250.01 $387.53 $90.61 $845.00Joseph LaVanga 18,000/year 4,499.95 278.98 65.26 546.00Susanne Ayers 250/week 3,250.00 $2,240.90 340.47 79.69 520.00Howard Cohen 225/week 2,925.00 2,493.10 335.92 78.52 611.00Lee Soong 250/week 3,250.00 2,640.30 365.17 85.41 650.00Mary Yee 250/week 3,250.00 2,704.00 369.20 86.45 663.00Helen Woods 325/week 4,225.00 261.95 61.23 429.00Koo Shin 325/week 4,225.00 261.95 61.23 533.00Aaron Abalis 400/week 5,200.00 322.40 75.40 689.00David Harad 170/week 2,210.00 137.02 32.11 234.00$39,284.96 $10,078.30 $3,060.59 $715.91 $5,720.00Employees are paid weekly on Friday. The following paydays occurred during this quarter:July August September5 weekly paydays 4 weekly paydays 4 weekly paydaysTaxes withheld for the 13 paydays in the third quarter followWeekly employee’s Federal Income Tax Weekly Employees’ and Employer’s FICA Taxes Withheld Weekly Employees’ and Employer’s FICA taxes on Tips$440 per week OASDI HI OASDI HI$187.36 $43.83 $48.07 $11.24$187.36 43.82 48.07 11.24Based on the information give, complete Form 941 on the following pages for Diane R. Peters. Phone number (901)555-7959EIN 65-4263607Trade name Bayview InnAddress 404 Union Ave. Memphis, TN 38112”

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