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					Transaction No. 11
                                                                                                                                a
                                                AMOUNT OF DEPOSIT (Do NOT type, please print)            Darken only one        n   Darken only one
                                                         DOLLARS                       CENTS              TYPE OF TAX           d    TAX PERIOD
   MONTH TAX                                                                                                                                 1st
                                                                                                          941         945                Quarter
   YEAR ENDS
                                                                                                                                             2nd
                                                                                                         990C         1120               Quarter
   EMPLOYER IDENTIFICATION NUMBER                                                                                                            3rd
                                                                                                          943        990-T               Quarter
          BANK NAME/                                                                                                                         4th
                                                                                                          720        999-PF              Quarter
          DATE STAMP                                                                   IRS USE
                                  Name                                                   ONLY
                                                                                                         CT-1         1042

                                                                                                          940        944
                                  Address                                                                                                   7b

                                  City

                                  State             ZIP


                             Telephone number                                                         FOR BANK USE IN MICR ENCODING
Federal Tax Deposit Coupon
Form 8109           (Rev. 12-2005)


Transaction No. 25
                                                                                                                                a
                                                AMOUNT OF DEPOSIT (Do NOT type, please print)            Darken only one        n   Darken only one
                                                         DOLLARS                       CENTS              TYPE OF TAX           d    TAX PERIOD
   MONTH TAX                                                                                                                                 1st
                                                                                                          941         945                Quarter
   YEAR ENDS
                                                                                                                                             2nd
                                                                                                         990C         1120               Quarter
   EMPLOYER IDENTIFICATION NUMBER                                                                                                            3rd
                                                                                                          943        990-T               Quarter
          BANK NAME/                                                                                                                         4th
                                                                                                          720        999-PF              Quarter
          DATE STAMP                                                                   IRS USE
                                  Name                                                   ONLY
                                                                                                         CT-1         1042

                                                                                                          940        944
                                  Address                                                                                                   7b

                                  City

                                  State             ZIP


                             Telephone number                                                   FOR BANK USE IN MICR ENCODING
Federal Tax Deposit Coupon
Form 8109           (Rev. 12-2005)
Transaction No. 33
                                                                                                                           a
                                                AMOUNT OF DEPOSIT (Do NOT type, please print)       Darken only one        n   Darken only one
                                                         DOLLARS                       CENTS         TYPE OF TAX           d    TAX PERIOD
   MONTH TAX                                                                                                                            1st
                                                                                                     941         945                Quarter
   YEAR ENDS
                                                                                                                                        2nd
                                                                                                    990C         1120               Quarter
   EMPLOYER IDENTIFICATION NUMBER                                                                                                       3rd
                                                                                                     943        990-T               Quarter
          BANK NAME/                                                                                                                    4th
                                                                                                     720        999-PF              Quarter
          DATE STAMP                                                                   IRS USE
                                  Name                                                   ONLY
                                                                                                    CT-1         1042

                                                                                                     940        944
                                  Address                                                                                              7b

                                  City

                                  State               ZIP


                             Telephone number                                                    FOR BANK USE IN MICR ENCODING
Federal Tax Deposit Coupon
Form 8109           (Rev. 12-2005)


Transaction No. 36

                                                                                                                           a
                                                AMOUNT OF DEPOSIT (Do NOT type, please print)       Darken only one        n   Darken only one
                                                         DOLLARS                       CENTS         TYPE OF TAX           d    TAX PERIOD
   MONTH TAX                                                                                                                            1st
                                                                                                     941         945                Quarter
   YEAR ENDS
                                                                                                                                        2nd
                                                                                                    990C         1120               Quarter
   EMPLOYER IDENTIFICATION NUMBER                                                                                                       3rd
                                                                                                     943        990-T               Quarter
          BANK NAME/                                                                                                                    4th
                                                                                                     720        999-PF              Quarter
          DATE STAMP                                                                   IRS USE
                                  Name                                                   ONLY
                                                                                                    CT-1         1042

                                                                                                     940        944
                                  Address                                                                                              7b

                                  City

                                  State               ZIP

                                                  (
                             Telephone number                                                    FOR BANK USE IN MICR ENCODING
Federal Tax Deposit Coupon
Form 8109           (Rev. 12-2005)
Transaction No. 2

                                 STATE FILING INFORMATION WORKSHEET
           Company Name                              Payment Frequency
           Employer Account #                        Gross Compensation
           Employer ID#                              PA Withholding Tax
           Employer Password                         Credits
           Quarter Ending Date                       Interest
           Telephone Number                          Payment


Transaction No. 4

                                 STATE FILING INFORMATION WORKSHEET
           Company Name                              Payment Frequency
           Employer Account #                        Gross Compensation
           Employer ID#                              PA Withholding Tax
           Employer Password                         Credits
           Quarter Ending Date                       Interest
           Telephone Number                          Payment


Transaction No. 14

                                 STATE FILING INFORMATION WORKSHEET
           Company Name                              Payment Frequency
           Employer Account #                        Gross Compensation
           Employer ID#                              PA Withholding Tax
           Employer Password                         Credits
           Quarter Ending Date                       Interest
           Telephone Number                          Payment


Transaction No. 18

                                 STATE FILING INFORMATION WORKSHEET
           Company Name                              Payment Frequency
           Employer Account #                        Gross Compensation
           Employer ID#                              PA Withholding Tax
           Employer Password                         Credits
           Quarter Ending Date                       Interest
           Telephone Number                          Payment
Transaction No. 27

                                                             STATE FILING INFORMATION WORKSHEET
                       Company Name                                                             Payment Frequency
                       Employer Account #                                                       Gross Compensation
                       Employer ID#                                                             PA Withholding Tax
                       Employer Password                                                        Credits
                       Quarter Ending Date                                                      Interest
                       Telephone Number                                                         Payment


Transaction No. 31

                                                             STATE FILING INFORMATION WORKSHEET
                       Company Name                                                             Payment Frequency
                       Employer Account #                                                       Gross Compensation
                       Employer ID#                                                             PA Withholding Tax
                       Employer Password                                                        Credits
                       Quarter Ending Date                                                      Interest
                       Telephone Number                                                         Payment


Transaction No. 12

                                                                  Monthly Wage Tax
                                                                 Account #:   6791855   From:        10/01   1. TAX DUE PER WORKSHEET, Line 8
GLO-BRITE PAINT COMPANY
2215 SALVADOR STREET                                                                                         2. INTEREST AND PENALTY
                                                                 Tax Type:    01        To:          10/31
PHILADELPHIA, PA 19175-0682

                                                                 Period/Yr:   10/08     Due Date:    11/16   3. TOTAL DUE (LINE 1 & 2)




             Joseph O’Neil
Signature:                                                       Philadelphia Revenue Department             Make checks payable to:
                                                                 P.O. Box 8040                               CITY OF PHILADELPHIA
                                                                 Philadelphia, PA 19101-8040
             I hereby certify that I have examined this return
             and that it is to the best of my knowledge
Phone #:     (215) 555-9559


Transaction No. 26

                                                                  Monthly Wage Tax
                                                                 Account #:   6791855   From:        11/01   1. TAX DUE PER WORKSHEET, Line 8
GLO-BRITE PAINT COMPANY
2215 SALVADOR STREET
                                                                 Tax Type:    01        To:          11/30   2. INTEREST AND PENALTY
PHILADELPHIA, PA 19175-0682

                                                                 Period/Yr:   11/08     Due Date:    12/15   3. TOTAL DUE (LINE 1 & 2)




             Joseph O’Neil
Signature:                                                       Philadelphia Revenue Department             Make checks payable to:
                                                                 P.O. Box 8040                               CITY OF PHILADELPHIA
                                                                 Philadelphia, PA 19101-8040
             I hereby certify that I have examined this return
             and that it is to the best of my knowledge
Phone #:     (215) 555-9559
Transaction No. 34

                                                                  Monthly Wage Tax
                                                                 Account #:   6791855   From:         12/01   1. TAX DUE PER WORKSHEET, Line 8
GLO-BRITE PAINT COMPANY
2215 SALVADOR STREET
                                                                 Tax Type:    01        To:           12/31   2. INTEREST AND PENALTY
PHILADELPHIA, PA 19175-0682

                                                                 Period/Yr:   12/08     Due Date:     1/15    3. TOTAL DUE (LINE 1 & 2)




             Joseph O’Neil
Signature:                                                       Philadelphia Revenue Department              Make checks payable to:
                                                                 P.O. Box 8040                                CITY OF PHILADELPHIA
                                                                 Philadelphia, PA 19101-8040
             I hereby certify that I have examined this return
             and that it is to the best of my knowledge
Phone #:     (215) 555-9559


Transaction No. 43

                                                  PA Employer’s Quarterly Reconciliation Worksheet
                     Company Name
                     Account Number
                     ID #
                     Telephone #
                     Quarter Ending Date
                     Record PA Withholding Tax:
                      st
                     1 half of month                                  $                             1. Total Compensation             $
                         nd
                     2        half of month                                                         2. Total PA W/H Tax
                         st
                     1        half of month                                                         3. Total Deposits/Quarter
                         nd
                     2        half of month                                                         4. Tax Due
                         st
                     1 half of month
                         nd
                     2        half of month
                     TOTAL                                            $
Transaction No. 35
Form  941 for 20--:                        Employer’s QUARTERLY Federal Tax Return
(Rev. January 2007)                        Department of the Treasury — Internal Revenue Service                                                  OMB No. 1545-0029

  (EIN)
  Employer identification number
                                                          –

  Name (not your trade name)

  Trade name (if any)

  Address
              Number                        Street                                             Suite or room number


              City                                                              State              ZIP code
Read the separate instructions before you fill out this form. Please type or print within the boxes.

   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).. 1

 2 Wages, tips, and other compensation.......................................................................................... 2                               ■

 3 Total income tax withheld from wages, tips, and other compensation...................................... 3                                                    ■

 4 If no wages, tips, and other compensation are subject to social security or Medicare tax ......                                            Check and go to line 6.
 5 Taxable social security and Medicare wages and tips:
                                           Column 1                                                           Column 2
   5a Taxable social security wages                                             ■        × .124 =                          ■

   5b Taxable social security tips                                              ■        × .124 =                          ■

    5c Taxable Medicare wages & tips                                            ■        × .029 =                          ■

    5d Total social security and Medicare taxes (Column 2, lines 5a + 5b + 5c = line 5d) ................................ 5d                                     ■

 6 Total taxes before adjustments (lines 3 + 5d = line 6) .................................................................. 6                                   ■

 7 TAX ADJUSTMENTS (Read the instructions for line 7 before completing lines 7a through 7h.):
    7a Current quarter’s fractions of cents ...................................................                                      ■

    7b Current quarter’s sick pay ..................................................................                                 ■

    7c Current quarter’s adjustments for tips and group-term life insurance                                                          ■

    7d Current year’s income tax withholding (attach Form 941c) ...............                                                      ■

    7e Prior quarters’ social security and Medicare taxes (attach Form 941c)                                                         ■

     7f Special additions to federal income tax (attach Form 941c) ..............                                                    ■

    7g Special additions to social security and Medicare (attach Form 941c)                                                          ■

    7h TOTAL ADJUSTMENTS (Combine all amounts: lines 7a through 7g.) ............................................ 7h                                                    ■

 8 Total taxes after adjustments (Combine lines 6 and 7h.) .............................................................                 8                              ■

 9 Advance earned income credit (EIC) payments made to employees ........................................                                9                              ■

10 Total taxes after adjustment for advance EIC (line 8 – line 9 = line 10) .......................................                      10                             ■

11 Total deposits for this quarter, including overpayment applied from a prior quarter ..............                                    11                             ■

12 Balance due (If line 10 is more than line 11, write the difference here.) .........................................                   12                             ■
   Follow the Instructions for Form 941-V, Payment Voucher.
13 Overpayment (If line 11 is more than line 10, write the difference here.)                                                         ■         Check one     Apply to next return.
► You MUST fill out both pages of this form and SIGN it.                                                                                                     Send a refund.
                                                                                                                                                                     Next ▬►
For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher.                                 Cat. No. 1700lZ           Form    941                (Rev. 1-2007)
Name (not your trade name)                                                                                            Employer identification number (EIN)


  Part 2: Tell us about your deposit schedule and tax liability for this quarter.
If you are unsure about whether you are a monthly schedule depositor or a semiweekly schedule depositor, see Pub. 15
(Circular E), section 11.
                       Write the state abbreviation for the state where you made your deposits OR write “MU” if you made your
14                     deposits in multiple states.

15 Check one:                  Line 10 is less than $2,500. Go to Part 3.

                               You were a monthly schedule depositor for the entire quarter. Fill our your tax
                               liability for each month. Then go to Part 3.

                               Tax liability:           Month 1                                  ■

                                                        Month 2                                  ■

                                                        Month 3                                  ■

                               Total liability for quarter                                                   Total must equal line 10.
                                                                                                 ■

                               You were a semiweekly schedule depositor for any part of this quarter. Fill out Schedule B (Form 941):
                               Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to this form.
  Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank.
16 If your business has closed or you stopped paying wages .......................................................................        Check here, and
     enter the final date you paid wages                      /     /           .
17 If you are a seasonal employer and you do not have to file a return for every quarter of the year .........                            Check here.
  Part 4: May we speak with your third-party designee?
       Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? (See the
       instructions for details.)

              Yes.    Designee’s name

       Select a 5-digit Personal Identification Number (PIN) to use when talking to IRS.

              No.

  Part 5: Sign here. You MUST fill out both pages of this form and SIGN it.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to
the best of my knowledge and belief, it is true, correct, and complete.




  x
              Sign your                                                                        Print your      Joseph O’Neil
              name here
                                   Joseph O’Neil                                               name here

                                                                                               Print your       President
                                                                                               title here

                        Date        2/2/09                                                     Best daytime phone                    (215) 555-9559
  Part 6: For PAID preparers only (optional)
       Paid Preparer’s
       Signature

       Firm’s name

       Address                                                                                                 EIN

                                                                                                               ZIP code

       Date                                     /      /                Phone       (   )        -             SSN/PTIN
                                                    Check if you are self-employed.

Page   2                                                                                                                               Form   941   (Rev. 1-2007)
Transaction No. 37
PA State Form UC-2, Rev 6-2000, Employer’s Report for Unemployment Compensation
                                                                                                                                   QTR./YEAR
Read Instructions—Answer Each Item                                                                                                 01/31/2008
                                                                                                         DUE DATE
                                                                                                st        nd                 rd
                                                                                              1          2 MONTH             3 MONTH
                                                                                            MONTH
INV.        EXAMINED BY                     1.    TOTAL COVERED EMPLOYEES IN
                                                                     th
                                                  PAY PERIOD INCL. 12 OF MONTH
                                                                  2. GROSS WAGES                                                             FOR DEPT. USE
Signature certifies that the information contained herein is true 3. EMPLOYEE
and correct to the best of the signer’s knowledge                     CONTRIBUTIONS
               Joseph O’Neil                                         4. TAXABLE WAGES
           10. SIGN HERE—DO NOT PRINT                                   FOR EMPLOYER
                                                                            CONTRIBUTIONS
TITLE  President                DATE       2/2/09                    5. EMPLOYER CONTRI-
PHONE # (215) 555-9559                                                  BUTIONS DUE
                                                                        (RATE X ITEM 4)
11. FILED                                                            6. TOTAL CONTRI-
    X PAPER UC-2A              MAGNETIC MEDIA UC-2A                     BUTIONS DUE
                                                                            (ITEMS 3 + 5)
EMPLOYER’S
CONTRIBUTION         .035%     EMPLOYER’S        CHECK               7. INTEREST DUE
    RATE                       ACCT. NO.         DIGIT                  SEE INSTRUCTIONS
                                                                     8. PENALTY DUE
                                                           1            SEE INSTRUCTIONS
                                                                     9. TOTAL REMITTANCE
                                                                            (ITEMS 6 + 7 + 8)
            GLO-BRITE PAINT COMPANY                                                     MAKE CHECKS PAYABLE TO : PA UC FUND
              2215 SALVADOR STREET
                PHILADELPHIA, PA                                         DATE PAYMENT RECEIVED         SUBJECTIVITY REPORT          REPORT DELINQUENT DATE
                   19175-0682
See instructions on separate sheet. Information MUST be typewritten or printed in BLACK ink. Do NOT use commas (,) or dollar signs ($). If typed,
disregard vertical bars and type a consecutive string of characters. If hand printed, print in CAPS and within the boxes as below:
         Employer name                     Employer D UC           Check                 Quarter and year                         Quarter ending date
(Make corrections on Form UC-2B)            account no.             digit
     GLO-BRITE PAINT CO.                    146-3-3300               1                        4/2008                                  12/31/2008
1.     Name and telephone number      2.    Total number of pages in this       3.   Total number of employees          4.        Plant number (if approved)
       of preparer                          report                                   listed in item 8 on all pages of
                                                                                     Form UC-2A
Joseph O’Neil
(215) 555-9559
 5. Gross wages, MUST agree with item 2 on UC-2                                 6.   Fill in this area of you would like the Department to preprint your
     and the sum of item 11 on all pages of Form UC-2A                               employees’ names & SSNs on Form UC-2A next quarter 
                                                               .
7.     Employee’s social security number              8.     Employee’s name                                      9.     Gross wages paid          10.
                                                           FIRST NAME       MI              LAST NAME             this qtr. (Example:                Credit
                                                                                                                  123456.00)                         Weeks




LIST ANY ADDITIONAL EMPLOYEES ON CONTINUATION SHEETS IN THE REQUIRED FORMAT (SEE INSTRUCTIONS)
                                                 11. Total gross wages for this page:                                                    .
                                                 12. Page 1 of 1
Transaction No. 10
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c Employer’s name, address, and ZIP code                                             3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.




Transaction No. 24
                                                                            For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b                                                                                    1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.
Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.




Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.
Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.




Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.
Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code      S      $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.




Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.
Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f      Employee’s address and ZIP code                                                                                                               Code             $
15


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.




Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.
Transaction No. 38
                          a Employee’s social security number               For Official Use Only
    22222   Void                                                            OMB No. 1 545-0008

b Employer identification number (EIN)                                               1       Wages, tips, other compensation                               2   Federal income tax withheld

                                                                                $
c                                                                                    3

                                                                                $
                                                                                     5

                                                                                $
                                                                                     7       Social security tips                                          8   Allocated tips

                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.




Transaction No. 38
    22222   Void
b


c




                                                                                $                                                                      $
d Control number                                                                     9       Advance EIC payment                                       10      Dependent care benefits

                                                                                $                                                                      $
e Employee’s first name and initial   Last name                     Suff.           11      Nonqualified plans                                         12a     See instructions for box 12

                                                                                $                                                                    Code             $
                                                                                    13 Statutory              Retirement       Third-party             12b
                                                                                         employee             plan             sick pay              Code             $
                                                                                                                                                       12c
                                                                                    14      Other                                                    Code             $
                                                                                                                                                       12d
f    Employee’s address and ZIP code                                                                                                                 Code            $
15 State   Employer’s state ID number 16          State wages, tips, etc.           17     State income tax      18   Local wages, tips, etc.       19    Local income tax         20    Locality name


                                         $                                      $                               $                                  $
                                                                                                                                                Department of the Treasury—Internal Revenue Service
                         Wage and Tax
    W-2                  Statement
                                                                                          20--                                                                             For Privacy Act and Paperwork
                                                                                                                                                                 Reduction Act Notice, see back of Copy D.
Transaction No. 39
            DO NOT STAPLE OR FOLD

        33333         a Control number               For Official Use Only 
                                                     OMB No. 1545-0008
    b                        941     Military      943         944                1 Wages, tips, other compensation                    2 Federal income tax withheld




                
         Kind                                                                $                                                    $
         of                           Hshld. Medicare        Third-party          3 Social security wages                              4 Social security tax withheld
         Payer               CT-1     emp. govt. emp.         sick pay       $                                                    $
                                                                                  5 Medicare wages and tips                            6 Medicare tax withheld
    c    Total number of Forms W-2              d Establishment number       $                                                    $
                                                                                  7 Social security tips                               8 Allocated tips
    e    Employer identification number (EIN)                                $                                                    $
         31-0450660                                                               9 Advance EIC payments                           10 Dependent care benefits
    f    Employer’s name                                                     $                                                    $
         GLO-BRITE PAINT COMPANY                                              11 Nonqualified plans                                12 Deferred compensation
         2215 SALVADOR STREET                                                $                                                    $
         PHILADELPHIA, PA                                                     13 For third-party sick pay use only
                 19175-0682
                                                                              14 Income tax withheld by payer of third-party sick pay
    g    Employer’s address and ZIP code                                     $
    h    Other EIN used this year


    15 State              Employer’s state I.D. number                       16      State wages, tips, etc.                      17      State income tax
                                                                             $                                                    $
                                                                              18 Local wages, tips, etc.                           19 Local income tax

                                                                             $                                                    $
         Contact person                                                              Telephone number                                     For Official Use Only


         E-mail address                                                              Fax number


    Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief,
    they are true, correct, and complete.


    Signature 
                                 Joseph C. O’Neil                            Title             President                         Date               3/2/09


Form            W-3         Transmittal of Wage and Tax Statements                                                   20--                             Department of the Treasury
                                                                                                                                                        Internal Revenue Service

Transaction No. 40
Rev-1667 RAS (01-04)                              YEAR                           EMPLOYEER ACCOUNT ID                                                              ENTITY ID (EIN)
PA DEPARTMENT OF REVENUE

                                            2 0          0 8           3 1 -           0     4 5            0 6          6 0            1 0 0 9 - 5                           5 5 5
                                                                                                                                       W-2 TRANSMITTAL                  DUE DATE
                                                                                                                                                                      JANUARY 31
Part I    W-2 RECONCILIATION                                                                                                               Part III FOR TAPE REPORTING
1a       Number of W-2 forms                                                                                                               NUMBER OF TAPES                               DENSITY
1b       Number of W-2(s) reported on magnetic tape                                                                                        TRACKS                                        PARITY
1c       Number of 1099 forms with PA withholding tax
1d       Add 1a, 1b, 1c. Enter total here                                                                                                                  BUSINESS NAME AND ADDRESS
2        Total compensation subject to PA             $                                                              .                                 GLO-BRITE PAINT COMPANY
         withholding tax                                                                                                                   LEGAL NAME
3        PA INCOME TAX WITHHELD                       $                                                              .                     TRADE NAME
                                                                                                                                                           2215 SALVADOR STREET
Part II ANNUAL RECONCILIATION                                                                                                              ADDRESS
        Wages paid subject to PA withholding tax                                           PA tax withheld                                            PHILADELPHIA, PA 19175-0682
1st Quarter                                                                                                                                CITY STATE ZIP
2nd Quarter                                                                                                                                DO NOT SEND PAYMENT WITH THIS FORM.
3rd Quarter                                                                                                                                Attach adding machine tape(s) or some acceptable listing of tax withheld as
                                                                                                                                           reported on accompanying paper W-2 form(s) to substantiate reported PA
4th Quarter                                                                                                                                withholding tax. This tape or listing applies only to paper W-2(s), not
                                                                                                                                           magnetic media reporting
TOTAL

00022        DATE:     2/1/09        DAYTIME TELEPHONE #             (215) 555-9559            TITLE:          President       SIGNATURE:                               Joseph O’Neil
Transaction No. 44

                                                             ANNUAL RECONCILIATION OF WAGE TAX
                                                                           20--
Due Date:
2/28/--                                                                                                                                                      Print your number like this:
                                                                                                                                                1 2 3 4 5 6 7 8 9                                               0
Glo-Brite Paint Company
2215 Salvador Street
Philadelphia, PA 19175-0682                                                                                                                                                       Type Tax            W
SEE INSTRUCTIONS ON BACK                                                                                                            ACCOUNT NO.              6 7 9 1 8 5 5
DATE WAGES TERMINATED:
        (IF APPLICABLE)
DATE BUSINESS TERMINATED:                                                                                                                3 1                 0 4 5 0 6 6 0
        (IF APPLICABLE)
PREPARER’S DAYTIME PHONE:                            (215) 555-9559                                                                      Number of Residents                      Number of Non-Residents



GROSS COMPENSATION PER W2’S ------------------                                                                                                                                                .
1. Taxable Residents Compensation                                                                                                                                                              .
2. Line 1 times .0426 (4.26%)                                                                                                                                                                  .
3. Taxable Non-Residents Compensation
4. Line 3 times .037716 (3.7716%)
5. Total Tax Due (Line 2 plus Line 4)                                                                                                                                                          .
6. Tax Previously Paid For 20--                                                                                                                                                                .
NAME:                                                                                                                              ACCOUNT NO.                           PERIOD:                      YEAR:
                                                                                                                                    TYPE TAX:
If Line 5 is Greater Than Line 6, Use Line 7
7. Tax Due (Line 5 Minus Line 6)
Make Check Payable To: City of Philadelphia
If Line 5 is less than Line 6, use Line 8
8. Tax Overpaid (Line 6 Less Line 5)
     (SEE INSTRUCTIONS)



Signature:      Joseph O’Neil, President                                                                                          Date: 2/1/2009
I certify that all amounts indicated as due the City of Philadelphia on this return were actually withheld from the gross compensations paid by this taxpayer to its employees during the periods) covered by
this filing, and that I am authorized to so state

				
DOCUMENT INFO