SAMPLEForm 941 Employer's Quarterly Federal Tax ReturnQuarter 1: January, February, March · 2026For informational / sample purposes only — not an official IRS document.Employer Employer Name , CA EIN—Part 1: Answer these questions for this quarterLine 1 · Number of employees who received wages this quarter1Line 2 · Wages, tips, and other compensation$0.00Line 3 · Federal income tax withheld from wages$0.00Line 5a · Taxable social security wages (× 12.4%)$0.00Line 5c · Taxable Medicare wages & tips (× 2.9%)$0.00Line 5d · Additional Medicare Tax withholding (× 0.9%)$0.00Line 6 · Total taxes before adjustments$0.00Line 12 · Total taxes after adjustments and credits$0.00Line 13 · Total deposits for this quarter$0.00