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2017-46 Closing Agreement with IRSRESOLUTION NO. 2017-46 A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE OF NORTH PALM BEACH, FLORIDA, APPROVING A CLOSING AGREEMENT WITH THE INTERNAL REVENUE SERVICE REGARDING WORKER CLASSIFICATION AND AUTHORIZING THE VILLAGE MANAGER TO EXECUTE THE CLOSING AGREEMENT AND AN ASSESSMENT AGREEMENT FOR ADDITIONAL TAXES; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the Internal Revenue Service ("IRS") conducted an audit for the 2015 tax year and determined that additional taxes were owed for certain employees and/or fringe benefits in the total amount of $9,947.48; and WHEREAS, the IRS further determined that certain recreation and golf instructors were improperly classified as independent contractors and the Village has agreed to execute a Closing Agreement and pay the sum of $11,592.72 in additional taxes as full settlement of this matter for the 2015, 2016 and a portion of the 2017 (through September 30, 2017) tax years; and WHEREAS, the Village Council determines that the execution of a Closing Agreement is in the best interests of the residents and citizens of the Village of North Palm Beach. NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL OF THE VILLAGE OF NORTH PALM BEACH, FLORIDA, as follows: Section 1. The foregoing recitals are ratified and incorporated herein. Section 2. The Village Council hereby approves a Closing Agreement on Final Determination Covering Specific Matters Regarding Worker Classification with the Internal Revenue Service in the amount of $11,592.72 and authorizes the Village Manager to execute the Agreement on behalf of the Village. The Village Council further authorizes the Village Manager to execute an Assessment Agreement relating to the payment of additional taxes for employees and/or fringe benefits in the amount of $9,947.48. Funds for this expenditure shall be allocated as follows: $10,406.72 from Account No. L8070-33115 (Country Club — Legal Settlement) and $11,133.48 from Account No. A5540-33115 (General Fund — Legal Settlement). Section 3. This Resolution shall be effective immediately upon adoption. PASSED AND ADOPTED THIS 22' DAY OF JUNE, 2017. (Village Seal) ATTEST: VILLAGE CLERK 4�46� �o Ott L7�� MAYOR Internal Revenue Service Department of the Treasury Tax Exempt and Government Entities Division Federal, State and Local Governments 1700 Palm Beach Lakes Boulevard Stop 7250 West Palm Beach, FL 33401 Date: 5-26-2017 Taxpayer Identification Number: Village of North Palm Beach 59-6017984 Attn: Erica Ramirez Form Number: 501 US Highway 1 941 North Palm Beach, FL 33408 Tax Period(s) Ended: 12-31-2015 Person to ContactIlD Number: Michael Moore 1000875879 Contact Telephone Number: 561-616-2092 Contact Fax Number: 855-243-4016 Refer Reply To: Stop 7250 Last Date to Respond to this Letter: 6-26-2017 Dear Erica Ramirez, We are proposing changes to your employment tax for the tax periods indicated above. Please tell us whether you agree or disagree with the proposed changes by the date shown above. This letter (known as a 30-day letter) notifies you of your rights to appeal the proposed changes within 30 days. We have enclosed Form 4666, Summary of Employment Tax Examination, Form 4667, Examination Changes -Federal Unemployment Tax, and/or Form 4668, Employment Tax Examination Changes Report. These documents provide details on how we calculated the proposed amount of your additional employment tax liability. Please note that these amounts do not include any interest that may apply. If we propose any adjustments for employment tax that involve a worker classification determination, we will send you a separate letter, Letter 950-C, Employment Tax 30-Day Letter-WC. If you agree with the proposed changes 1. Sign and date the enclosed agreement form(s), Form 2504, Agreement to Assessment and Collection of Additional Tax and Acceptance of Overassessment and/or Form 2504-S, Agreement to Assessment and Collection of Additional Tax and Acceptance of Overassessment (including section 530 statement). Sending us a signed Form 2504/Form 2504-S gives us permission to assess the proposed amounts. Signing Form 2504/Form 2504-5 will not prevent you from filing a claim for refund if you later believe you are entitled to a refund. It will not Letter 950- D (Rev. 11.2010) Catalog Number 48702P 2 prevent us from later determining, if necessary, that you owe additional tax; nor extend the time provided by law for either action. 2. Return the signed Form 2504/Form 2504-S to us. 3. Enclose payment for the employment tax and additions to tax and penalties due. Make your check or money order payable to the United States Treasury. We will bill you for applicable interest, if any. If you pay now, you will limit the amount of any interest, additions to tax, and penalties charged to your account. If you agree with the proposed changes but cannot pay the full amount, we will bill you for the unpaid amount. You may qualify for interest-free treatment if the amounts underreported do not relate to an issue that was raised in an examination of a prior period and if you did not knowingly underreport your employment tax liability. In order for the adjustment to be entirely interest-free, you must pay the amount due when you submit the signed Form 2504/Form 2504-S. Otherwise, interest will accrue from the date you submit the signed Form 2504/Form 2504-S. Even if payment is not made until after receipt of notice and demand, you are nevertheless entitled to interest-free treatment up to the date you submit the signed Form 2504/Form 2504-S; however, interest will accrue from the date the signed Form 2504/Form 2504-S is submitted until the date of payment. Please refer to Publication 3498, The Examination Process, for payment options. If you are a debtor in a bankruptcy case, payment should only be made in accordance with the Bankruptcy Code. If you do not agree with the proposed changes 1. You may request a meeting or telephone conference with the supervisor of the IRS contact person identified on the front page of this letter. If you still do not agree after the meeting or telephone conference, you can: 2. Request a conference with our Appeals Office. If you want to have a conference with an appeals officer, you will need to submit either a small case request or a formal written protest with the IRS contact person named in this letter. Based on the total changes to your employment tax liability for each referenced tax return for the tax periods indicated, we have indicated whether you need to submit either a small case request or a formal written protest. Note: If we've proposed any adjustments for employment tax for a referenced tax return and tax period that involve a worker classification determination (as reflected in a separate letter), we've included those proposed adjustments in tax (including additions to tax and penalties) in computing the total amount. See the box checked below: ® Small case request. If you want to have a conference with an appeals officer, you can submit a small case request. Since the total amount of the proposed changes to your tax, additions to tax, and penalties is $25,000 or less for each referenced tax return for a tax period, you can send us a letter requesting consideration by Appeals. Indicate the issues you do not agree with and the reasons why you do not agree. If you do not want to write a separate letter, you can complete the enclosed Form 13683, Statement of Disputed Issues, and return it to us. ❑ Formal protest. If you want to have a conference with an appeals officer, you must submit a formal written protest. Since the total amount of the proposed changes to your tax, additions to tax, Letter 950-D (Rev. 11-2010) Catalog Number 48702P 3 and penalties is more than $25,000 for any referenced tax return for a tax period, you must submit a formal protest. Note: If more than one tax period is involved and any tax period exceeds the $25,000 threshold, you must submit a formal written protest for all periods involved. Form 13683 cannot be used to make a formal protest. If you request a conference with our Appeals Office, an appeals officer will call you (if necessary) for an appointment to take a fresh look at your case. The Appeals Office is an independent office and most disputes considered by the Appeals Office are resolved informally and promptly. By requesting a conference with our Appeals Office you may resolve the matter sooner. The requirements for filing a formal protest are explained in the enclosed Publication 3498. The publication also includes information on the Declaration of Taxpayer Rights and the IRS Collection Process. References to 90-Day letters and to the United States Tax Court in Publication 3498 do not apply to this case. The United States Tax Court does not have jurisdiction to review this employment tax case because it does not involve worker classification issues. What happens if you do not reach an agreement with our Appeals Office or if you do not respond to this letter? If you do not reach an agreement with our Appeals Office or if you do not respond to this letter, we will assess the employment tax and any applicable interest, additions to tax, and penalties, and notify you of the balance due. You may seek judicial review of the assessment by filing a refund suit in district court or in the United States Court of Federal Claims. Please note that before a refund suit can be filed, you must pay to the IRS the amount of employment tax that relates to one worker for one tax period and file a claim for refund with the IRS. If the claim for refund is denied (or the IRS does not respond to the refund claim within six months), you may file a refund suit in district court or the United States Court of Federal Claims and challenge the employment tax assessment. If you have any questions about this letter, you may write to the IRS contact person whose name is shown on the front page of this letter. If you write, please include your daytime telephone number, the best time for us to call you if we need more information, and a copy of this letter to help us identify your account. Keep the original letter for your records. If you prefer, you may call the IRS contact person at the telephone number on the front page of this letter. If this number is outside your local calling area, there will be a long distance charge to you. You may call the Business and Specialty Tax Line 1-800-829-4933 or you may call or visit your local IRS office to obtain general information. An IRS employee there may be able to help you, but the IRS contact person at the telephone number on the front page of this letter is most familiar with your case. You also have the right to contact a Taxpayer Advocate. The Taxpayer Advocate Service (TAS) is an independent organization within the IRS whose employees assist taxpayers who are experiencing economic harm, who are seeking help in resolving tax problems that have not been resolved through normal channels, or who believe that an IRS system or procedure is not working as it should. If you believe you are eligible for TAS assistance, you can reach them by calling the Letter 950-D (Rev. 11.2010) Catalog Number 48702P 4 TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059. For more information, go to www.irs.govladvocate. If we propose any adjustments for employment tax that involve worker classification issues, you will receive a separate letter. MAIL ALL RESPONSES TO: Internal Revenue Service 1700 Palm Beach Lakes Blvd. Vilest Palm Beach, FL 33401 An envelope is enclosed for your convenience. Thank you for your cooperation. Sincerely yours, Michael Moore Federal, State and Local Governments Enclosures: Copy of this letter Examination Report ® Form 2504 ❑ Form 2504-S ® Form 4666 ❑ Form 4667 ® Form 4668 ® Form 13683 Publication.3� PW Envelope Letter 950-D (Rev. 11-2010) Catalog Number 48702P Date Received by Form 2504 Department of the Treasury-Internal Revenue Service Internal Revenue Service (February 2014) Agreement to Assessment and Collection of Additional Tax and Acceptance of Overassessment (Excise or Employment Tax) Taxpayer(s)name D/B/A SSNIEIN Village of North Palm Beach 59-6017984 Address of taxpayer(s)(number,street) City/Town State ZIP code 501 US Highway 1 North Palm Beach IFL 33408 A�ustment to Tax, Credits and Penalties Tax Period Ended Return Form Kind of Tax and Internal Amount of Tax Credit Increase (Decrease) Penalty number Revenue Code Section Total 9,947.48 0.00 0.00 /consent tothe immediate assessment(Increase intax and penalties endhdecrease in credits)and the collection ofany such amounts. |naddition. | accept any ovenaaoeuament(decrease in tax mndpanwltieoandlh/inomaaaincredits)shown above. |also agree toany interest omprovided bylaw. Sign Date: Here Sign Date: Here Sign JTItIe: Date: Here '-Z/ If you consent to the assessment of the amounts shown in this agreement,your signature will expedite Our adjustment to your account. Your consent will not prevent you from filing aclaim for refund(after you have paid the tax)ifyou later believe you are entitled|oarefund. |twill not prevent uefrom later determining, if necessary,that you owe additional tax; nor extend the time provided by law for either action, Who Must Sign |fyou are making this agreement for opartnership, all partners must sign, However,one partner may sign with appropriate evidence o[authorization ho act for the partnership. For a corporation,enter the officer or officers of the corporation followed by the signature and title of the officer(s)authorized to sign, For an agent or attorney acting under a Power of Attorney authorization must attach the authorization to this form unless it is already filed with us. Memo: Abatement amount under IRC 34U2(d)and/or IRC 31O2(f)(3)-See explanation onForm 48GG Return Form Return Form Tax Period Ended Number IRC Code Credit for Abatement Tax Period Ended Number IRC Code Credit for Abatement Form 2504(Rev.u'uo11) Catalog Number u1rrox publish.no.im.nov oepmnmontmmetmaaury-|nmma|wovnnuamemice Form 4666 Department of the Treasury-Internal Revenue Service (R. Mad,20115 Summary of Emplo ment Tax Examination Name and Address of Employer Employer identification Number Dale of Report Village of North Palm Beach 59.8017984 5/22/2017 501 US Highway 1 Type of Report North Palm Beach FL 33408 Delingaant rax Increase(Decrease)in Tax Ratum riot fried x Return filed X Agreed m+i. p.M..M d m rmlar.W y—A b b%d by 0a Diedar when M N accepbtll Una reed Following is a summary of the results of my examination of your returns as shown on the attached pages of this report. Tax Credits and penalties a b c d a f Calendar Year Return Form Delinquent Tax,increase Increase(Decrease)in Penalty Total Adjustment and Penalties Page number Number (Decrease)in Tax Allowed Credits Code Section Amount (a+d+e) of Report 2015 941 9,947.48 - 9,947.48 Total I $9,947.48 $0.00 9,947.48 Other Information The examination of your employment tax returns as reflected on this Agreement included an examination for employment tax purposes of whether golf, tennis, dance,pool,fitness and karate instructors,a medical director and entertainers should be treated as employees of the taxpayer. Section 530 of the Revenue Act of 1978 as amended by Section 1122 of the Small Business Job Protection Act of 1996 provides that taxpayers may rely on a prior audit commenced after December 31, 1996,when the audit included an examination for employment tax purposes of whether the individual involved(or any individual holding a position substantially similar to the position held by the individual involved)should be treated as an employee of the taxpayer. Based upon this exalmination,yuu maY rely only on the audit of medical director and entertainers that did not result in a reclassification for purposes of the prior audit safe haven for satisfying the reasonebie basis.Cyuirclt"el't of Section 53U. This dices cilli G0115litUte aai 111C.Onie lax ekeipt.1 latio 1. rllnit 2bU4 Gori illi.tieciiu i 1436 i�$1,eti Ei:,fi.:Gd:,J!Fi_ctu�Qr.vti4 ui,^.tu^a'y7 C%!'r:r.'i iJC VEJ M 1,!10-. ....ir..,. �}) •M1M1�O�i Off, �if`� f`1C nM1M1h Calo..y, ,,tee,,, r {•��// (( .1v....�._.._„_�...® u.,,4tti6 ,tc.-u3[u 1} Page of 3 Pages Form 4668 Department of the Treasury-Internal Revenue Service Return Form number (APril2014) Employment Tax Examination Changes Report 941 Name of Employer Employer Identification number Calendar year Village of North Palm Beach 59-6017984 2015 Address of Employer Total tax plus penalty,or(decrease)in tax 801 US Highway 1 Last quarter of this North Palm Beach $ 9,947.48 examination FL 3344$ Total increase or(decrease)in credits December,2015 Examination discussed with(Name and title) x Agreed(Subject to acceptance of the Director) Andy Likasik,Village Manager Unagreed (b) (c) ( e 1st 2nd 3rd 4th Quarter Quarter Quarter Quarter 1 . Total Social security and Medicare tax adjustment(from Schedule of Adjustments,Line 14) 1,748.29 1,748.29 1,748.29 1,748.29 2. Social security and Medicare wage adjustment under IRC 3121(q)(from Schedule of Adjustments,Line 11) 3 Increase(decrease)in tax exemption on exempt wages/tips (From Schedule of Adjustments,Line 13) Total Income tax withholding(from Schedule of 4 Adjustments,Line 20) 738.58 738.58 738,58 738.58 Delinquent tax or increase(decrease)in tax(Lines 1,2 and 5. 4 minus/plus Line 3) 2,486.87 2,486.87 2,486.87 2,486.87 Net increase(decrease)in credits(from Schedule of 6 Adjustments,Line 26) ----- 7. Penalty code section 6651(a)(1) 8 Penalty code section 6651(a)(2) 9. Penalty code section 6656 10. Penalty code section 11 . Total penalty(sum Lines 7,8,9 and 10) $ $ $ $ 12. Maximum tax available for abatement under IRC 3402(d) $ 738.58 $ 738.58 $ 738.58 $ 738.58 13, Maximum tax available for abatement under IRC 3102(f)(3) $ - $ - $ $ Furnish Form W-2(Wage and Tax Statement)or Form W-2c(Corrected Wage and Tax Statement)on or before January 31,2018 to each of the one employees whose wages are adjusted by this report. File Forms W-2 with Form W-3(Transmittal of Wage and Tax Statements)or Forms W-2o with Form W-3c(Transmittal of Corrected Wage and Tax Statements) on or before January 31,2018 with the Social Security Administration(SSA). IRC 6721 and 6722 provide penalties for failure to file and failure to furnish information returns. You must file the information returns electronically if you are required to file 250 or more returns. To obtain specifications for e-filing your returns,visit the SSA's website at www.socialsecur4.gov/employer. If filing paper returns,file with the SSA at the appropriate address in the General Instructions for Forms W-2 and W-3(Including Forms W-2AS,W-2CM,W-2GU,W-2VI,W- 3SS,W-2c,and W-3c). LISPS to: Other Courier Service to: Social Security Administration Social Security Administration Direct Operations Center Direct Operations Center Wilkes-Barre, PA 18769-0001 Attn: W-2c Process 1150 E. Mountain Drive Wilkes-Barre, PA 18702-7997 Form 2504 non-section 7436 issues Examiner's signature Examiner's ID# Group Number Area Date Michael Moore " 1000875879 7252 Gulf Coast May 22,2017 Catalog Number 232752 www.irs.gov Form 4668(Rev.4-2014) Page o2- of__L Pages i, Schedule of Adjustments Name of Employer Employer Identification number Calendar year Village of North Palm Beach 59-6017984 2015 Adjustment to FICA Wages and Tax (a) (b) (c) (d) (e) Applicable 1st 2nd 3rd 4th IRS Ref. Rate Quarter Quarter Quarter Quarter 1 Social security and Medicare wage adjustment subject to 004 12.4% 11,428.75 11,426 75 11,426-75 11,426.75 tax under IRC 3101 and 3111 073 2.90% 11,426 75 11,42675 11.426 75 11,426 75 2 Social security and Medicare wage adjustment subject to 7"% tax under IRC 3509(a) 079 1.74% - - - - 3 Social security and Medicare wage adjustment subject to 8--a ggo� tax under IRC 3509(b) 079 4 Social security and Medicare tip adjustment subject to 005 6,20% tax under PC 3101 and 3111 073 1.46°IQ 5 Additional Medicare wage andlor lip adjustment subject to tax under IRC 3101(b)(2) 074 0.90° 6 Additional Medicare wage and/or tip adjustment subject _ to tax under IRC 3101(b)(2)and 3509(a) 079 0.18°1 7 Additional Medicare wage andlor tip adjustment subject I i to tax under IRC 3101(b)(2)and 3509(b) 079 0.36% II I 8 Otheras dust;nests to Sociat Security and Medicare i 9 9 Other adpuents to Social Security and Medicare efinS rn Total social security and Medicare tax # 1 throkiah 8.-,ern ^r:sin•„n.ls F-y 9' 112 t i ?4°_. C -: t 1-4 ? 1?4`.. I i 1 Social Security and Medicare tax”adju°stmerlt under i 312iiu, I, Std Increase(decrease)in exempt wa(t{`JMPS paid t0 gt;ajiliFri em Dipyilo.;krnn�r IRC, i t ' i i3 Increase trlPrreii5e}In tfl%P%P,mnrkf)n nn+.vBr�P,S�tl r)S en _� I I i I i-ino I22 i L ilia E21:t rat2t i✓Ntdtvy iv iiill'uei 732 r75Z L.........Cj6v. Fc,rm 4c G. I, ev.u-1-E014) Page 3 of 3 Pages Schedule of Adjustments Continued Name of Employer Employer Ident taoaison number Calendar year Village of North Palm Beach 59-6017984 2015 Adjustment to Wages and Tax for Income Tax Withholding (a) (b) (c) (d) (e) Applicable 1st 2nd 3rd 4th IRS Ret. Rate Quarter Quarter Quarter Quarter 14 Income withholding wage adjustment subject to tax under section 3402 6.46% 11,426.75 11,426.75 11,42675 11,426.75 15 Income tax withholding wage adjustment subject to rates under IRC 3509(a) 079 1.50% - - - 16. Income tax withholding wage adjustment subject to rates under IRC 3509(b) 079 3.00% 17. Other income tax withholding wage adjustment 18 Actual income tax withheld but not previously reported 19, Other adjustment to income withholding 20, Total income tax(Lines 14,15,16,17 x rates plus Line 18 plustminus Line 19) 111 $ 738.58 $ 738,58 $ 738.58 $ 738.58 Adjustment to Credits Against the Tax 21 Increase(decrease)in COBRA premium assistance payments under IRC 6432 229 22 Increase(decrease)in Advance Earned Income Credit under IRC 3507 7661767 Increase(decrease)in exempt wagesttips paid to 23. qualified employees March 19-31,2010 under IRC 117 3111(d)(5) 24 Increase(decrease)in credit for exempt wages/tips on Line 23(Line 23 x rate) 296 25. Increase(decrease)in other credits Net increase(decrease)in credits(sum of Lines 21,22, 26. 24 and 25) $ $ $ $ Catalog Number 23275Z www.irs.gov Form 4668(Rev.04-2014) Internal Revenue Service Department of the Treasury Date: 5-26-2017 Taxpayer Identification Number: Village of Palm Beach 59-6017984 Form: 501 US Highway 1 941 Norht Palm Beach, FL 33408 Tax Period(s)Ended: 12-31-2015 Person to Contact: Michael Moore Contact Telephone Number: 561-616-2092 Contact Fax Number: 855-243-4016 Employee Identification Number: 1000875879 Refer Reply to: Stop 7250 Last Date to Respond to this Letter: Dear Erica Ramirez, 6-26-2017 We are proposing changes to your employment tax based on a proposed worker classification determination for the tax periods indicated above. Please tell us whether you agree or disagree with the proposed changes by the date shown above. This letter(known as a 30-day letter) notifies you of your rights to appeal the proposed changes within 30 days. We propose to make three determinations: 1. WORKER CLASSIFICATION. For purposes of federal employment taxes, the individual(s) listed or described in the attachment to this letter are to be legally classified as employees for the tax periods indicated; 2. SECTION 530 TREATMENT. With respect to such individual(s), you are not entitled to relief from employment tax under the treatment described in section 530(a) of the Revenue Act of 1978; and 3. AMOUNT OF EMPLOYMENT TAX. For the tax periods indicated, we propose changes in the amount of employment tax, additions to tax, and/or penalties in the amounts shown in the attachment(s) resulting from the proposed determinations of worker classification and section 530 treatment. Section 530 of the Revenue Act of 1978 provides relief from employment tax obligations to businesses that have failed to pay or withhold employment taxes on remuneration paid to individuals because the businesses did not treat them as employees, if all three of the following requirements are met: 1. For purposes of employment taxes, the business did not treat the individual, or any individual holding a substantially similar position, as an employee for any period; 2. All required Federal tax returns (including information returns) were filed on a basis consistent with the business's treatment of the individual as not being an employee; and Letter 950-C (Rev. 11-2010) Catalog Number 48701E 3. The business had a reasonable basis for not treating the individual as an employee. We propose to make the determination that you are not entitled to relief under section 530 because you do not meet the relief requirements of section 530 with respect to the individual(s) listed or described in the attachment. The enclosed Publication 1976, Do You Qualifyfor Relief Under Section 530?, provides additional details on the requirements of section 530. We have enclosed Form 4666,Summary of Employment Tax Examination, Form 4667, Examination Changes- Federal Unemployment Tax, and/or Form 4668, Employment Tax Examination Changes Report. These documents provide details on how we calculated the proposed amount of your additional employment tax liability that arises from the proposed determination that classifies the individuals) listed or described in the attachment as employee(s). Please note that these amounts do not include any interest that may apply. If we propose any adjustments for employment tax that do not involve a worker classification determination, we will send you a separate letter, Letter 950-D, Employment 30-Day Letter. If you agree with the proposed changes 1. Sign and date the enclosed agreement form(s), Form 2504-WC,Agreement to Assessment and Collection of Additional Tax and Acceptance of Overassessment in Worker Classification Cases. Sending us a signed Form 2504-WC gives us permission to assess the proposed amounts. Signing Form 2504-WC will not prevent you from filing a claim for refund if you later believe you are entitled to a refund. It will not prevent us from later determining, if necessary,that you owe additional tax; nor extend the time provided by law for either action. 2. Return the signed Form 2504-WC to us. 3. Enclose payment for the employment tax and additions to tax and penalties due. Make your check or money order payable to the United States Treasury. We will bill you for applicable interest, if any. If you pay now, you will limit the amount of any interest,additions to tax, and penalties charged to your account. If you agree with the proposed changes but cannot pay the full amount, we will bill you for the unpaid amount. You may qualify for interest-free treatment if the amounts underreported do not relate to an issue that was raised in an examination of a prior period and if you did not knowingly underreport your employment tax liability. In order for the adjustment to be entirely interest-free, you must pay the amount due when you submit the signed Form 2504-WC. Otherwise, interest will accrue from the date you submit the signed Form 2504-WC. Even if payment is not made until after receipt of notice and demand, you are nevertheless entitled to interest-free treatment up to the date you submit the signed Form 2504-WC; however, interest will accrue from the date the signed Form 2504-WC is submitted until the date of payment. Please refer to Publication 3498, The Examination Process, for payment options. If you are a debtor in a bankruptcy case,payment should only be made in accordance with the Bankruptcy Code. If you do not agree with the proposed changes 1. You may request a meeting or telephone conference with the supervisor of the IRS contact person identified on the front page of this letter. If you still do not agree after the meeting or telephone conference, you can: 2. Request a conference with our Appeals Office. If you want to have a conference with an appeals officer, you will need to submit either a small case request or a formal written protest with the IRS contact person Letter 950-C (Rev. 11-2010) 2 Catalog Number 48701 E narned in this letter. Based on the total changes to your employment tax for each referenced tax return for the tax periods indicated, we have indicated whether you need to submit either a small case request or a formal written protest. Note: If we've proposed any adjustments for employment tax for a referenced tax return and tax period that do not involve a worker classification determination (as reflected in a separate letter),we've included those proposed adjustments in tax (including additions to tax and penalties) in computing the total amount. See the box checked below: ® Small case request. If you want to have a conference with an appeals officer, you can submit a small case request. Since the total amount of the proposed changes to your tax, additions to tax, and penalties is $25,000 or less for each referenced tax return for a tax period, you can send us a letter requesting consideration by Appeals. Indicate the issues you do not agree with and the reasons why you do not agree. If you do not want to write a separate letter, you can complete the enclosed Form 13683, Statement of Disputed Issues, and return it to us. ❑ Formal protest. If you want to have a conference with an appeals officer, you must submit a formal written protest. Since the total amount of the proposed changes to your tax, additions to tax, and penalties is more than $25,000 for any referenced tax return for a tax period, you must submit a formal protest. Note: If more than one tax period is involved and any tax period exceeds the $25,000 threshold, you must submit a formai written protest for all periods involved. Form 13683 cannot be used to make a formal protest. If you request a conference with our Appeals Office, an appeals officer will call you (if necessary) for an appointment to take a fresh look at your case. The Appeals Office is an independent office and most disputes considered by the Appeals Office are resolved informally and promptly. By requesting a conference with our Appeals Office you may avoid court costs(such as the Tax Court fling fee)and resolve the matter sooner. The requirements for filing a formal protest are explained in the enclosed Publication 3198. The publication also includes information on the Declaration of Taxpayer Rights and the IRS Collection Process. What happens if you do not reach an agreement with our Appeals Office or if you do not respond to this letter? If you do not reach an agreement with our Appeals Office or if you do not respond to this letter, we will send you Letter 3523 called the Notice of Determination of Worker Classification, that will tell you how to obtain Tax Court Review of your case. The Notice of Determination of Worker Classification is the legal notice that is required to begin a proceeding for determination of employment status in the United States Tax Court. The Notice of Determination of Worker Classification provides a taxpayer with the right to go to the United States Tax Court, but the taxpayer may choose not to do so. After the receipt of a Notice of Determination of Worker Classification, you cannot pay your employment tax liability without interest, even if an interest-free adjustment would have been otherwise available. This letter is NOT the Notice of Determination of Worker Classification. Note: You will not receive a Notice of Determination of Worker Classification if you agree to the proposed changes by signing the Form 2504-WC. Tax Court review is not available for agreed cases. Tax Court review can only be sought if there is a controversy with respect to the proper amount of tax under the determinations of worker classification and/or section 530 issues, i.e.,an unagreed case. You may seek judicial review after the employment tax is assessed by filing a refund suit in district court or in the United States Court of Federal Claims. Please note that before a refund suit can be filed,you must pay the IRS the amount of employment tax Letter 950-C (Rev. 11-2010) 3 Catalog Number 48701E that relates to one worker for one tax period and file a claim for refund with the IRS. If the claim for refund is denied (or the IRS does not respond to the refund claim within six months), you may file a refund suit in district court or the United States Court of Federal Claims and challenge the employment tax assessment. If you have any questions about this letter,you may write to the IRS contact person whose name is shown on the front page of this letter. If you write,please include your daytime telephone number, the best time for us to call you if we need more information, and a copy of this letter to help us identify your account. Keep the original letter for your records. If you prefer, you may call the IRS contact person at the telephone number shown on the front page of this letter. If this number is outside your local calling area, there may be a long distance charge to you. You may call the Business and Specialty Tax Line 1-800-829-4933 or call or visit your local IRS office to obtain general information,bort the IRS contact person at the telephone number on the front page of this letter is most familiar with your case. You also have the right to contact a Taxpayer Advocate. The Taxpayer Advocate Service (TAS) is an independent organization within the IRS whose employees assist taxpayers who are experiencing economic harm, who are seeking help in resolving tax problems that have not been resolved through normal channels, or who believe that an IRS system or procedure is not working as it should. If you believe you are eligible for TAS assistance,you can reach them by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059. For more information, go to www.irs.aov/advocate. If we propose any adjustments for employment tax that do not involve worker classification issues, you will receive a separate letter. Such adjustments are not subject to Tax Court review. MAIL ALL RESPONSES TO: Internal Revenue Service 1700 Palm Beach Lakes Boulevard West Palm Beach, FL 33401 An envelope is enclosed for your convenience. Thank you for your cooperation. Sincerely yours, l` Enclosures: Michael FSLG Specialist Copy of this letter ormT%6-,Ar- Examination %6-,A- Examination Report GZ1 Fortn 2504-WC GZl Form 4666 ❑ Form 4667 V Form 4668 ❑ Form 13683 Publication 1976 Publication -44" sY,t 6 Envelope Letter 950-C (Rev. 11-2010) 4 Catalog Number 48701 E Date Received by Farm 2504-WC Department of the Treasury-Internal Revenue Service Internal Revenue Service (February 2014) Agreement to Assessment and Collection of Additional Tax and Acceptance of Overassessment in Worker Classification Cases (Employment Tax) Taxpayer(s)name DI131A SSNIEIN Village of North Palm Beach 59-6017984 Address of taxpayer(s)(number,street) City/Town State ZIP code 501 US Highway 1 North Palm Beach FL 33408 Adjustment to Tax, Credits and Penalties Tax Period Ended Return Farm Kind of Tax and Internal Amount of Tax Credit Increase(Decrease) Penalty number Revenue Code Section 2015 941 IRC 3101,3111,3402 $ 11,592.72 $ - $ Total 11,592.72 OAO 0.00 I consent to the immediate assessment(Increase in tax and penalties andlor decrease in credits)and the collection of any such amounts. In addition, I accept any overassessment(decrease in tax and penalties andlor increase in credits)shown above. I am waiving the restrictions on assessment provided in sections 7436(d)and 6213(x)of the Internal Revenue Code of 1986. Sign Date: Here Sign Date: Here w._.. Sign B r Title: Here r/2-446.1--" Ali` '114 elle_':, t4✓ l . :'. . Note: If you consent to the assessment of the amounts shown in this agreement,your signature will expedite our adjustment to your account. Your consent will not prevent you from filing a claim for refund(after you have paid the tax)if you later believe you are entitled to a refund. It will not prevent us from later determining, if necessary,that you owe additional tax; nor extend the time provided by law for either action. Who Must Sign If you are making this agreement for a partnership, all partners must sign. However,one partner may sign with appropriate evidence of authorization to act for the partnership. For a corporation, enter the officer or officers of the corporation followed by the signature and title of the officer(s)authorized to sign. For an agent or attorney acting under a Power of Attorney authorization must attach the authorization to this form unless it is already filed with us. Memo: Abatement amount under IRC 3402(d)and/or IRC 3102(f)(3)-See explanation on Form 4666 Return Farm Return Form Tax Period Ended Number IRC Code Credit for Abatement Tax Period Ended Number IRC Code Credit for Abatement Form 2504-WC(Rev.2-2014) Catalog Number 3320202 publish.no.irs.gov Department of the treasury-Internal Revenue Service Form 4666 Department of the Treasury-Internal Revenue Service (aev Mamh2t I Summary of Employment Tax Examination Name and Address of Employer Fmployer Identification Number Date of Report Village of North Palm Beach 59-6017984 5/2212017 501 US Highway 1 Type of Report North Palm Beach FL 3340$ Dettnquent lax Increase(Decrease)in Tax (Return not',led) X (Return filed) X Agreed titers repon is soCiea r,resew end you M]be-bbad by the.Duevtor wFen rt rs acceptetll Una reed Following is a summary of the results of my examination of your returns as shown on the attached pages of this report_ Tax,Credits and Penalties a b c d e 1 Calendar Year Return Form Delinquent Tax,Increase Increase(Decrease)in PenaltyTotal Adjustment and Penalties Page number Number (Decrease)in Tax Allowed Credits Code Section Amount (c+d+e) of Report 2015 941 11,592.72 - 11,592.72 Total 11,592.72 .,¢: e. 11,592.72 Other Information The examination of your employment tax returns as reflected on this Agreement included an examination for employment tax purposes of whether golf,tennis, dance,pool,fitness and karate instructors,a medical director and entertainers should be treated as employees of the taxpayer. Section 530 of the Revenue Act of 1978 as amended by Section 1122 of the Small Business Job Protection Act of 1996 provides that taxpayers may rely on a prior audit commenced after December 31, 1996,when the audit included an examination for employment tax purposes of whether the individual involved(or any individual holding a position substantially similar to the position held by the individual involved)should be treated as an employee of the taxpayer. Based upon this examination,you may rely only on the audit of a medical director and entertainers that did not result in a reclassification for purposes of the prior audit safe haven for satisfying the reasonable basis requirement of Section 530. This does not constitute an income tax examination. Form 2504-WC IRC section 7436 issues Examinrq Oficar's SignaNreJlr�" '`.. Examin,ng tlK�cer�s lD4 Area Michael Moore 1000875879 Gulf Coast Catalog Number 41874S wtiw+.irs.gov Form 4666(Rev.03-2011) Form 4668 Department of the Treasury-Internal Revenue Service Return Form number (April 2014) Employment Tax Examination Chan es Report 941 Name of Employer Employer Identification number Calendar year Village of North Palm Beach 59-6017984 2016 Address of Employer Total tax plus penalty,or(decrease)in tax 601 US Highway 1 Last quarter of this North Palm Beach $ 11,592.72 examination FL 33408 Total increase or(decrease)in credits December $ Examination discussed with(Name and title) Agreed(Subject to acceptance of the Director) Andy Likasik,Village Manager Unagreed (b) {c} d) (e) 1st 2nd 3rd 4th Quarter Quarter Quarter Quarter 1 . Total Social security and Medicare tax adjustment(from Schedule of Adjustments,Line 10) 2,491.13 2,491.13 2,491.13 2,491.13 2. Social security and Medicare wage adjustment under IRC 3121(q)(from Schedule of Adjustments,Line 11) _ _ 3 Increase(decrease)in tax exemption on exempt wages/tips (From Schedule of Adjustments,tine 13) _ - Total Income tax withholding(from Schedule of 4 Adjustments,Line 20) 407,05 407.05 407.05 407.05 Delinquent tax or increase(decrease)in tax(Lines 1,2 and 5. 4 minus/plus Line 3) 2,898.18 2,898.18 2,898.18 2,898.18 Net increase(decrease)in credits(from Schedule of 6 Adjustments,Line 26) 7. Penalty code section 6651(a)(1) 8 Penalty code section 6651(a)(2) 9, Penalty code section 6656 10. Penalty code section 11 . Total penalty(sum Lines 7,8,9 and 10) $ $ $ 12, Maximum tax available for abatement under IRC 3402(d) $ $ $ $ 13. Maximum tax available for abatement under IRC 3102(0(3) $ $ $ $ Furnish Form W-2(Wage and Tax Statement)or Form W-2c(Corrected Wage and Tax Statement)on or before January 31,2018 to each of the one employees whose wages are adjusted by this report. File Forms W-2 with Form W-3(Transmittal of Wage and Tax Statements)or Forms W-2c with Form W-3c(Transmittal of Corrected Wage and Tax Statements) on or before January 31,2018 with the Social Security Administration(SSA). IRC 6721 and 6722 provide penalties for failure to file and failure to furnish information returns. You must file the information returns electronically if you are required to file 250 or more returns. To obtain specifications for e-filing your returns,visit the SSA's website at www.socialsecurity.gov/employer. If filing paper returns,file with the SSA at the appropriate address in the General Instructions for Forms W-2 and W-3(Including Forms W-2AS,W-2CM,W-2GU,W-2VI,W- 3SS,W-2c,and W-3c). USPS to: Other Courier Service to: Social Security Administration Social Security Administration Direct Operations Center Direct Operations Center Wilkes-Barre, PA 18769-0001 Attn: W-2c Process 1150 E. Mountain Drive Wilkes-Barre, PA 18702-7997 Form 2504-WC IRC section 7436 issues Examiner's signature Examiner's ID# Group Number Area Date Michael Moore ZTZ&A 1 1000875879 7252 Gulf Coast May 22,2017 Catalog Number 232752 www.irs.gov Form 4668(Rev.4-2014) Schedule of Adjustments Name of Employer Employer identification number Calendar year Village of North Palm Beach 59-6017984 2015 Adjustment to FICA Wages and Tax (a) (b) Ic) (d) (e) Applicable i st 2nd 3rd 4th IRS Ref. Rate Quarter Quarter Quarter Quarter 1 Social security and Medicare wage adjustment subject to 004 12.4% tax under IRC 3101 and 3111 073 2.90% - - - 2 Social security and Medicare wage adjustment subject to 7.44% 27,136.50 27,136 50 27,136.50 27,136.50 tax under IRC 3509(a) 079 7.74°!n 27,13fi 50 27,136.50 27,136.50 27,136.50 3 Social security and Medicare wage adjustment subject to 8.68% - tax under IRC 3509(b) 079 2.03°l0 - - - 4 Social security and Medicare tip adjustment subject to 005 6.20!0 tax under IRC 3101 and 3111 073 1.45% 5 Additional Medicare wage and/or tip adjustment subject to tax under IRC 3101(b)(2) 074 0.90°!° - - - 6 Additional Medicare wage and/or tip adjustment subject to tax under IRC 3101(b)(2)and 3509(a) 079 0.18°!° - - - 7 Additional Medicare wage and/or tip adjustment subject to tax under IRC 3101(b)(2)and 3509(b) 079 0.36°!° - - - 8 Other adjustments to Social Security and Medicare wages 9 Other adjustments to Social Security and Medicare wages 10 Total social security and Medicare tax (lines 1 through 8 x rates plus/minus line 9) 112 $ 2,401.13 $ 2,491 13 $ 2,491.13 $ 2.491 13 11 Social Security and Medicare tax adjustment under 3121(q) 114 12 Increase(decrease)in exempt wages/tips paid to qualified employees under IRC 3111(d) 115 13 Increase(decrease)in tax exemption on wages/tips on Line 12(Line 12 x rate) 116 Catalog Number 23275Z www.irs.gov Form 4668(Rev.04-2014) Schedule of Adjustments Continued Name of Employer Employer Identification number Calendar year Village of North Palm Beach 59-5017984 2015 Adjustment to Wages and Tax for Income Tax Withholding {a} {b) (c) (d) (e) Applicable 1st 2nd 3rd 4th IRS Ref. Rate Quarter Quarter Quarter Quarter 14 Income withholding wage adjustment subject to tax under section 3402 25.00% 15 Income tax withholding wage adjustment subject to rates under IRC 3509(a) 079 1.50% 27,136.50 27,136.50 27,136.50 27,136-50 16 Income tax withholding wage adjustment subject to rates under IRC 3509(b) 079 3.00% - - 17.Other income tax withholding wage adjustment 18 Actual income tax withheld but not previously reported 19, Other adjustment to income withholding 20 Total income tax(Lines 14,15,16,17 x rates plus Line 18 plus/minus Line 19) 111 $ 407.05 $ 407.05 $ 407.05 407.05 Adjustment to Credits Against the Tax 21 Increase(decrease)in COBRA premium assistance payments under IRC 6432 228 22 Increase(decrease)in Advance Earned Income Credit under IRC 3507 7661767 Increase(decrease)in exempt wagesftips paid to 23. qualified employees March 19-31,2010 under IRC 117 3111(d)(5) 24 Increase(decrease)in credit for exempt wagesttips on Line 23(Line 23 x rate) 286 E l f I 25. Increase(decrease)in other credits 26. Nei increase(decrease)in credits(sum of Lines 21.22, � � 24.and 25) Catalog Number 232752 WVNI.irs.gov Form 4668(Rev.04-2014) Department of the Treasury-Internal Revenue Service Form 4491 Closing Agreement On Final Determination Covering Specific {Mayy 2013} Matters Regarding Worker Classification Under section 7121 of the Internal Revenue Code("IRC"), Village of North Palm Beach , 501 US Highway 1, North Palm Beach, FL 33408,Taxpayer Identification Number 59-6017984, ("taxpayer")and the Commissioner of Internal Revenue ("Commissioner")make the following closing agreement: WHEREAS, there is a dispute between the parties as to whether certain workers classified by taxpayer as Golf, tennis, dance, pool,fitness and karate instructors are independent contractors or employees of taxpayer for purposes of federal income tax withholding, Federal Insurance Contributions Act(FICA)and Federal Unemployment Tax Act (FUTA)taxes("federal employment tax'); WHEREAS, the taxpayer is presently treating the Golf,tennis, dance, pool,fitness and karate instructors as independent contractors; WHEREAS, the taxpayer has timely filed Forms 1099 for each of its Golf,tennis,dance, pool, fitness and karate instructors for all applicable periods from January 1,2015 through December 31, 2015, in accordance with the provisions of paragraph 3.02 of Rev. Proc. 85-18, 1985-1 C.B. 518,and Rev. Rul. 81-224, 1981-2 C.B. 197; and WHEREAS, the parties wish to resolve this dispute for all Golf,tennis, dance, pool, fitness and karate instructors engaged by the taxpayer on or after January 1,2014 NOW IT IS HEREBY DETERMINED AND AGREED for federal employment tax purposes that: (1) The Internal Revenue Service will assess and the taxpayer will pay the following amounts to the United States Government in full discharge of any federal employment tax liability it may owe for the periods shown below resulting directly or indirectly from its failure to pay and/or withhold federal income tax, FICA, or FUTA taxes on the payments to its Golf,tennis, dance, pool,fitness and karate instructors: Period Type of Tax Amount to be Assessed Tax Penalties 2015 FICA and Income Tax $11,592.72 $0.00 (2) The Internal Revenue Service will not disturb taxpayer's classification of such Golf, tennis, dance, pool,fitness and karate instructors for federal employment tax purposes for any period from January 1, 2014 through September 30, 2017. (3) Beginning October 1, 2017,and for all periods thereafter, Golf,tennis,dance, pool,fitness and karate instructors and persons performing equivalent duties regardless of taxpayer's job titles will be treated as employees for all federal employment tax purposes. Catalog Number 62648W www.irs.gov Form 14491 (5-2013) Closing Agreement With Village mfNorth Palm Beach (4) The taxpayer waives any right dmay have hmclaim relief under section 53Uofthe Revenue Act of 1978. (b) IRC Section G2O5shall apply bothe amounts contained inparagraph(1)above, except FUTAtax. This agreement|sfinal and conclusive except: (1)the matter it relates to may be reopened in the event of fraud, malfeasance, or misrepresentation of material facts; (2)it|osubject tVthe Internal Revenue Code sections that expressly provide that effect begiven totheir provisions (including any stated exception for Code section 7122) notwithstanding any other law or rule of law; and (3)if it relates to a tax period ending after the date of this agreement, it is subject to any law, enacted after the agreement date,that applies tuthe tax period. By signing,the above parties certify that they have read and agreed to the terms of this document. 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