USCO Reporting Agent Authorization 1 Federal Employer dentition Number 9g (State Limited Power of Attorney & ee Tax Filing Service ~— Tax Information Authorization) 88-0622205 Un ecardance wih tral Revenue Serie Revenve Procedures) 2 __ Hyou are a seasonal employer, check here g 3__ TAXPAYER LEGAL NAME (Uso all capita letters. Include spaces. amporsands, and hyphens. Do not enter any ther punctuation) EXXO! 4 DBA NAME (Use all capil eters. Include spaces, ampersands, and hyphens. Do nol enter any other punctuation) ‘adeas (habe sea, and room alana) ‘iy ort, sat, and ZP code St Ste R, Sheridan, WY 8290 0.N Gould REPORTING AGENT: ZenPayrll, ne., DBA Gusto, §28 20th Steet, San Francisco, GA 84107, (800)896-0883, 45.3942850 ‘Authorization of Reporting Agent to Sign and File Returns (Caution: See Authorization Agreement) ‘Indicate the tax retum(s) to be signed and fled. For quarterly retums, use °YYYYIMMT format. "MIM" isthe last month ofthe quater for which the authorization begins ((or example, "2018103" for ird quarter of 2018). For annual returns, use "YYYY" format to indicat the year for which the ‘authorization begins, 940 2022 941 2022/03 940-PR 944-PR 9418s 943 943-PR 944 2022 944-PR 945 2022 ‘Authorization of Reporting Agent to Make Deposits and Payments (Caution. See Authorization Agreement) 7 Indicate the tax cetun(s) for which the reporting agent is aulhorized to make deposits or payments. Use the “YYYYiMM" format to enter the "month in which the authorzation begins (for example, "2019/08" for August 2019), 940202203 941 2022/03 943 | _—= 944 2022/03 945 2022 103 Duplicate Notices to Reporting Agents ‘8 Check here to request the IRS to Issue tothe reporting agent duplicate copies of naices and correspondence ‘regarding retums filed and deposits or payments made by the reporting agent oO Disclosure Authorization for Forms Series W.2 andlor 1099 9 The Reporting Agent authorized o exchange otherwise confidential taxpayer information wih the IRS, including responding fo certain IRS atleos relating to the Form W-2/7099 sores information retumns, This author is effective for calondar years beginning: We2 2022 1099 2022 State and Local Authorization (Caution: See Authorization Agroement) 0 by chang box wr na sana 811 Dl, isava tas ov herby apo Guo ws Repaira Ane ne wana Gun aevios power Bl ‘eter crear vrei a apples en alr, ers using oa conan nao ee a stele oa es ieleaccare ed “ape scorer ees nd apoio prc iin ech noe Reoatretited PairsS5 hc ua Smeets nce ry bm oe red Sa Laser nerd efesampnt 92 1 2022 ‘Authorization Agreement 11 Signature of Taxpayer or Authorized Representative cary hat hae the auhory to executa this form end ethorzecslesure ot ators ‘conga fran ov bana of a oper Payment Sytem (EFTPS) 0 view epost Sa itimsTvcoren te Repeing get arectone saatetedts | hear ‘ysl dt ae Tae See epg Aer nara sere ‘Serer enog get fan autrang e dace arse Siecle ator eaten agar fe tpeyer ana IS reco of | RT orm S66, Th amor raed on Frm tal nt okey Powe of Passos ‘Atomey (ar 208 Teron Auoraaton rom S02)