Complete Form SS-4 for TCLH Industries. The company was formed on December 1, 2019, as a corporation (which files Form 1120S and was incorporated in North Carolina) by Michael Sierra (CEO; SSN 232-32-3232) and David Alexander (President; SSN 454-54-5454). Day-to-day operations, such as the filing and signing of federal and state forms, are handled by the CEO, whose phone number and fax number are 919-555-7485 and 919-555-2000, respectively. The company is located at 202 Whitmore Avenue, Durham, NC 27701 (in Durham county), where it receives all mail. The company uses the calendar year as its fiscal year, and expects to employ four individuals (earning an expected average of $90,000/year) throughout the first 18 months of operations. Payroll is to be paid weekly on Thursdays, with the first pay date scheduled for Thursday, December 19, 2019 (for the one-week period ending the prior Sunday). The company does not assign a third-party designee.
Notes: The type of business should be entered as "Cleaning Product Manufacturer" and the principal line of products produced should be entered as "Manufacturing of Household Cleaning Products."
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SS-4
Application for Employer Identification Number
OMB No. 15450003
EIN
of business (if different from name on line 1) executor, administrator, trustee, care of name (income, apl., iruile no. and street, or P.O. box) Street address (if different) (Do not enter a P.O. box.) Type or print clearly. City, state, and ZIP code (if foreign, see instructions) ab City, state, and ZIP code (if foreign, see instructions) SSN, ITIN, or EIN
8a
Is this application for a limited liability company (LLC) or a foreign equivalent? Y8 Nc
IT Sa is Yes, enter the number of
8c
If Ba is Yes, was the LLC organized in the United States?.
No
9a
bot lo check
Sole proprietor (SSN) Partnership
Corporation Personal service
Check Other non-profit organization (specify) Check Other (specify)
non-military
REMIC
Indian Initial g
(specify type)
new type) I
check the box and see line 13.)
11
Date business
ired (month, day MMDDYYYY
Closing
ling yes
13
Highest ns
onths (en)e
If you expect your employment tax liability to be $1,000 or less:
5, skip line 14 Household
Other
15
First date wages or annuities were paid (month, day, year). Not. If applicant is a withholding agent, enter date income will first be paid to the day, year MMDDYYYY
- Check one box that best describes the principal activity of your business C Construction Met Manufacturing
Health
Wh
/toncke
ber Relai
Other (specify)
