431423
Schedule R (Form 943):                       Allocation Schedule for Aggregate Form 943 Filers
(Rev. December 2023)                         Department of the Treasury — Internal Revenue Service                    OMB No. 1545-0035
                                                                                                                                                                                        Report for calendar year:
Employer identification number (EIN)                               —                                                                                                                            (Same as Form 943):

Name as shown on Form 943                                                                                                                                                                                2023
                                                                                                                                                                                        This Schedule R is attached to:
Type of filer (check one):          Section 3504 Agent                  CPEO               Other Third Party
                                                                                                                                                                                                Form 943          Form 943-X
Read the instructions before you complete Schedule R. Type or print within the boxes. Complete a separate line for the amounts 
allocated to each of your clients. The term “client” as used on this form includes the term “customer.” See the instructions.
      (a) Client’s EIN        (b) Type of wages       (c) Form 943, line 1       (d) Form 943, line 2            (e) Form 943, line 2a    (f) Form 943, line 2b       (g) Form 943, line 4           (h) Form 943, line 6          (i) Form 943, line 8
                                   (CPEO     only)                                                                                                                                                                                                         
1                                                                                                   .                             .                         .                           .                           .                            .
2                                                                                                   .                             .                         .                           .                           .                            .
3                                                                                                   .                             .                         .                           .                           .                            .
4                                                                                                   .                             .                         .                           .                           .                            .
5                                                                                                   .                             .                         .                           .                           .                            .
6 Subtotals for clients. Add lines 1 through 5                                                      .                             .                         .                           .                           .                            .
7 Enter the combined subtotal from line 9 
  of all Continuation Sheets for Schedule R                                                         .                             .                         .                           .                           .                            .
8 Enter Form 943 amounts for your employees                                                         .                             .                         .                           .                           .                            .
9 Totals. Add lines 6, 7, and 8.                                                                    .                             .                         .                           .                           .                            .

    (j) Form     943, line 12a     (k) Form      943, line 12b     (l) Form      943, line 12d      (m) Form     943, line 13     (n) Form     943, line 14a     (o) Form     943, line 14d     (p) Form     943, line 14f     (q) Form     943, line 18     
1                          .                          .                               .                               .                             .                              .                              .                              .
2                          .                          .                               .                               .                             .                              .                              .                              .
3                          .                          .                               .                               .                             .                              .                              .                              .
4                          .                          .                               .                               .                             .                              .                              .                              .
5                          .                          .                               .                               .                             .                              .                              .                              .
6                          .                          .                               .                               .                             .                              .                              .                              .
7                          .                          .                               .                               .                             .                              .                              .                              .
8                          .                          .                               .                               .                             .                              .                              .                              .
9                          .                          .                               .                               .                             .                              .                              .                              .
    (r) Form 943, line 19          (s) Form 943, line 22           (t) Form 943, line 23            (u) Form 943, line 24           (v) Form 943, line 25        (w) Form 943, line 26          (x) Form 943, line 27          (y) Form 943-X, lines 15c 
                                                                                                                                                                                                                               and 24c,     column 1, total     
1                          .                          .                               .                               .                             .                              .                              .                              .
2                          .                          .                               .                               .                             .                              .                              .                              .
3                          .                          .                               .                               .                             .                              .                              .                              .
4                          .                          .                               .                               .                             .                              .                              .                              .
5                          .                          .                               .                               .                             .                              .                              .                              .
6                          .                          .                               .                               .                             .                              .                              .                              .
7                          .                          .                               .                               .                             .                              .                              .                              .
8                          .                          .                               .                               .                             .                              .                              .                              .
9                          .                          .                               .                               .                             .                              .                              .                              .
For Paperwork Reduction Act Notice, see the separate instructions.                                      www.irs.gov/Form943                                           Cat. No. 69329E                        Schedule R (Form 943) (Rev. 12-2023)

Page         of                                                                                                                                                                                                                                       431523
Continuation Sheet for Schedule R (Form 943)
(Rev. December 2023)
                                                                                                                                                                                        Report for calendar year:
Employer identification number (EIN)                               —                                                                                                                            (Same as Form 943):

Name as shown on Form 943                                                                                                                                                                                2023
                                                                                                                                                                                        This Schedule R is attached to:
Type of filer (check one):          Section 3504 Agent                  CPEO               Other Third Party
                                                                                                                                                                                                Form 943          Form 943-X

         (a) Client’s EIN     (b) Type of wages       (c) Form 943, line 1       (d) Form 943, line 2            (e) Form 943, line 2a    (f) Form 943, line 2b       (g) Form 943, line 4           (h) Form 943, line 6          (i) Form 943, line 8
                                   (CPEO     only)                                                                                                                                                                                                         
1                                                                                                   .                             .                         .                           .                           .                            .
2                                                                                                   .                             .                         .                           .                           .                            .
3                                                                                                   .                             .                         .                           .                           .                            .
4                                                                                                   .                             .                         .                           .                           .                            .
5                                                                                                   .                             .                         .                           .                           .                            .
6                                                                                                   .                             .                         .                           .                           .                            .
7                                                                                                   .                             .                         .                           .                           .                            .
8                                                                                                   .                             .                         .                           .                           .                            .
9 Subtotals for clients.      Add lines 1 through 
  8.  Include  the  subtotals  from  this  line  on 
  Schedule R, Page 1, line 7.                                                                       .                             .                         .                           .                           .                            .

    (j) Form     943, line 12a     (k) Form      943, line 12b     (l) Form      943, line 12d      (m) Form     943, line 13     (n) Form     943, line 14a     (o) Form     943, line 14d     (p) Form     943, line 14f     (q) Form     943, line 18     
1                          .                          .                               .                               .                             .                              .                              .                              .
2                          .                          .                               .                               .                             .                              .                              .                              .
3                          .                          .                               .                               .                             .                              .                              .                              .
4                          .                          .                               .                               .                             .                              .                              .                              .
5                          .                          .                               .                               .                             .                              .                              .                              .
6                          .                          .                               .                               .                             .                              .                              .                              .
7                          .                          .                               .                               .                             .                              .                              .                              .
8                          .                          .                               .                               .                             .                              .                              .                              .
9                          .                          .                               .                               .                             .                              .                              .                              .
       (r) Form 943, line 19       (s) Form 943, line 22           (t) Form 943, line 23            (u) Form 943, line 24           (v) Form 943, line 25        (w) Form 943, line 26          (x) Form 943, line 27          (y) Form 943-X, lines 15c 
                                                                                                                                                                                                                               and 24c, column 1, total     
1                          .                          .                               .                               .                             .                              .                              .                              .
2                          .                          .                               .                               .                             .                              .                              .                              .
3                          .                          .                               .                               .                             .                              .                              .                              .
4                          .                          .                               .                               .                             .                              .                              .                              .
5                          .                          .                               .                               .                             .                              .                              .                              .
6                          .                          .                               .                               .                             .                              .                              .                              .
7                          .                          .                               .                               .                             .                              .                              .                              .
8                          .                          .                               .                               .                             .                              .                              .                              .
9                          .                          .                               .                               .                             .                              .                              .                              .
                                                                                                                                                                                                             Schedule R (Form 943) (Rev. 12-2023)