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Form 941 for 2018: Employer's QUARTERLY Federal Tax Return <br />(Rev. January 2018) Department of the Treasury — Internal Revenue Service OMB No. 1545-0029 <br />Employer identification number (EIN) <br />U_ 1 •: 1 <br />Name (not your trade name) MENDEL 76 SOUTHEAST TX INVESTMENTS, LLC <br />Trade name (if any) DBA Pipeline Grill <br />Address DBA PIPELINE GRILL <br />4601 GARTH ROAD, SUITE #101 <br />TX 77521-2418 <br />1: January, February, March <br />2: April, May, June <br />3: July, August, September <br />I A 1 4: October, November, December <br />Go to www.irs.gov/Forrn941 for <br />instructions and the latest information. <br />Read the separate instructions before you complete Form 941. Type or print within the boxes. <br />1� Answer these questions for this quarter. <br />1 Number of employees who received wages, tips, or other compensation for the pay period 206 <br />including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4). <br />2 Wages, tips, and other compensation ................... 2 760723.49 <br />3 Federal income tax withheld from wages, tips, and other compensation.. . ................... 3 32392,69 <br />4 It no wages, tips, and other compensation are subject to social security or Medicare tax ....... E]Check and go to line 6. <br />Column I Column 2 <br />5a Taxable social security wages ......... 578519.821,,0,124 = 71736A61 <br />5b Taxable social security tips ...... 3.26 <br />182203.67 0,124 = 22597 <br />5c Taxable Medicare wages & tips. 760723.49 x 0.029 = 22(=)6098 <br />5d Taxable wages & tips subject to <br />Additional Medicare Tax withholding ... 0.00 x 0.009 = 0.00 <br />5e Add Column 2 from lines 5a, 5b, 5c, and 5d .................................... ......... 5e 116390.70 <br />5f Section 3121(q) Notice and Demand—Tax due on unreported tips (see instructions) ............. Sf 0.00 <br />6 Total taxes before adjustments. Add lines 3, 5e. and 5f ......... ........... ....... 6 148783.39 <br />7 Current quarter's adjustment for fractions of cents ....................................... 7 (1,50) <br />8 Current quarter's adjustment for sick pay ............................................... 8 0.00 <br />9 Current quarter's adjustments for tips and group -term life insurance ........................ 9 (65.36) <br />10 Total taxes after adjustments. Combine lines 6 through 9 ................................... 10 148716.53 <br />11 Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 ... 11 0.00 <br />12 Total taxes after adjustments and credits. Subtract line 11 from line 10 ........................ 12 148716.53 <br />13 Total deposits for this quarter, including overpayment applied from a prior quarter and 148716.53 <br />overpayments applied from Form 94114, 941-X (PIR), 944-X, or 944-X ($P) filed in the current quarter 13 <br />14 Balance due. It line 12 is more than line 13, enter the difference and see instructions ............... 14 0.00 <br />15 Overpayment. If line 13 is more than line 12, enter the differencel 0.00Checkone: � Apply to next return. � Send a refund. <br />11, You MUST complete both pages of Form 941 and SIGN it. <br />For Privacy Act and Paperwork Reduction Act Notice, see Payment Voucher. CAA B18941 NTF 2582099 8 9411 Form 941 (Rev, 1-2018) <br />MEND1602 01112119 09:27 01/12/19 08:27 <br />