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M-111r.81r. <br />Form 940 (2018) Page 2 <br />Name (not your trade name) Employer identification number (EIN) <br />Mendel 76 Southeast TX Investments, LLC 1 822039870 <br />Report your FUTA tax liability by quarter only if line 12 is more than $500. If not, go to Part 6. <br />16 Report the amount of your FUTA tax liability for each quarter, do NOT enter the amount you deposited. If you had no liability for <br />a quarter, leave the line blank. <br />16a 1st quarter (January 1 - March 31) ........................... 16a <br />5219.621 <br />16b 2nd quarter (April 1 - June 30) . . ....... .................. 16b <br />2442.411 <br />16c 3rd quarter (July 1 - September 30) .......................... 16c <br />1701.81 1 <br />16d 4th quarter (October 1 - December 31) ......... ............ 16d <br />1234.571 <br />17 Total tax liability for the year (lines 16a+ 16b + 16c + 16d =line 17) ...... 17 <br />10598.41 <br />1 Total must equal line 12, <br />1� May we speak with your third -party designee? <br />Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions <br />for details. <br />I—XI Yes. Designee's name and phone number I Tina Hoffman 11281491-1400 <br />F�Select a 5 -digit Personal Identification Number (PIN) to use when talking to IRS <br />No. <br />Sign here. You MUST complete both pages of this form and SIGN it. <br />Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the <br />best of my knowledge and belief, it is true, correct, and complete, and that no part of any payment made to a state unemployment <br />fund claimed as a credit was, or is to be, deducted from the payments made to employees. Declaration of preparer (other than <br />taxpayer) is based on all information of which preparer has any knowledge. <br />XSign your <br />name here <br />J-2 <br />Print your <br />name here <br />Print your <br />tide here <br />[Tina Hoffman <br />Affiliated Payroll Services, LIC <br />I <br />Date <br />01/12/20197 <br />Best daytime phone <br />281-491-1400 <br />Paid Preparer Use Only <br />Preparer's name T Hoffman <br />Preparer's <br />signature <br />Finn's name (or yours <br />if self-employed) Affiliated Payroll Services, LLC <br />Address 4655 Techniplex Dr.,Suite #100 <br />City Stafford I State I TX <br />Check if you are self-employed El <br />PTIN P01350836 <br />Date 01/12/20197] <br />EIN 770672303 <br />Phone 281-491-1400 <br />ZIP code 77477 <br />CAA 89402 NTF 2582630 8 9402 Form 940 (2o19) <br />