This is an example of a completed Form 1120-S (Page 1 only).Form 1120-S, Page 1, current year returnTop left corner of Form 1120-S reads: DRAFTThere is a text box at the center top of the form that reads: Today’s Date is June 6Box A shows March 30, 2020 for the effective date of the S electionBox B shows 236110 for the Business Activity CodeBox D shows 00-0071904 for the Employer Identification Number (EIN)Box E shows February 21, 2021, for the date incorporated.DJ Willow is shown on the name line and DJWI is underlined as the name control999 Cedar Corner is shown for the street address lineSalt Lake City, UT 84100 is shown for the city, state, and ZIP code lineThere is a 2 edited to the right of Box E for the Initial Return CodeBox I shows 1 for the Number of Shareholders during any part of the tax yearLine 1a, Gross receipts or sales, shows 1,900,000Line 1b, Returns and allowances, shows 1,000,000Line 1c, Balance, shows 900,000Line 3, Gross profit, shows 900,000Line 6, Total income (loss) shows 900,000In the middle of the Form 1120-S is a Received Date Stamp that reads: RECEIVED00105092025OGDEN, UT IRS-OSCLine 7, Compensation of officers, shows 10,000Line 9, Repairs and maintenance, shows 2,000Line 11, Rents, shows 2,000Line 13, Interest, shows 15,000Line 19, Other deductions, shows 5,000Line 20, Total deductions, shows 34,000Line 21, Ordinary business income (loss) shows 866,000Line 23a, Estimated tax payments, shows 168,000Line 23d, Add lines 23a through 23c, shows 168,000Line 26, Overpayment, shows 168,000Line 27, Enter amount from Line 26 Credited to estimated tax, center of line, shows 140,000Line 27, Enter amount from Line 26 Credited to estimated tax, shows 28,000Sign Here box: Signature of officer: Robert MagnoliaSign Here box: Date: 4/25/25Sign Here box: Title: PresidentPaid Preparer Use Only box: Paid Preparer name: Raymond Spruce, signed Raymond Spruce, 4-7-25Firm’s name: Elm Accounting ServiceFirm’s EIN: 00-1645689Firm’s address: 641 Ash Dr. Salt Lake City UT 84100Action Code 341 is edited in the bottom left margin of the form