Form Vec Fc-27 - Report To Determine Liability For State Unemployment Tax - Virginia Employment Commission - 2001 Page 2
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28.
NONPROFIT EMPLOYERS: Is your organization exempt from Tax under Section 501(a) and 501(c)(3) of the Internal Revenue
Code? Yes ___ No___. If “Yes,” attach a copy of your letter of exemption from the IRS and specify below the number of weeks
during the current and preceding 3 years you had four or more workers performing services for you for some portion of a day in
Virginia: Wks. ____Yr.____ | Wks .____Yr.____ | Wks. ____Yr.____ | Wks. ____ Yr.____.
If “Yes,” enter the date you reached the 20th week for the first time with four (4) or more workers: ____________.
9.
Have you acquired a business in Virginia? Yes____ No____. If “Yes,” did you acquire all or part? All ____ Part ____
Date acquired: ________________ (MM/DD/YYYY). From whom did you acquire the business (enter legal entity name and
trade name)____________________________________________________________________________________.
Previous owner’s VEC Account Number: _____________ (See instructions on Acquisitions).
10. Are you now, or have you ever been, liable for the Federal Unemployment Tax? (This is not to be confused with Social Security
or Workers’ Compensation) Yes____ No____. If “Yes,” what year(s): _____________________________.
11. Describe the kind of business in Virginia, giving specific details of items, customers, etc., such as retail-women’s clothes;
wholesale-office equipment; construction-single family homes, etc. (See instructions) ___________________________
________________________________________________________________________________________________.
12. Is the Virginia business primarily performing services for other units of the same company? Yes ____ No ____
If “Yes,” indicate: Administrative (Headquarters, DP center, etc.) ______ Research, Development or Testing _______
Storage (Warehouse) ________ Other (Specify) ________________________________________
13.
Name the Virginia CITY or Virginia COUNTY in which the business is located (Specify the location where work is actually
performed). ___________________________________.
14. List the Name, Social Security Number, Residence Address & zip code of the Owner, Partners, or Corporate Officers.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
_______________________________________
I certify that the information contained in this report is true and correct to the best of my knowledge.
Employer’s Signature: ___________________________________________________ Date: ______________
Mail completed form to: VEC, Employer Accounts - Room 108, P.O. Box 1358, Richmond, VA 23218-1358
or FAX to 804-786-5890
The VEC is an Equal Opportunity Employer/Program. Auxiliary aids and services available upon request to individuals with disabilities.
******************************************************************************************************
ACCOUNT STATUS CODING (FOR VEC USE ONLY)
EMP-ACCT-NO
________________
NEW-ACCT-CD
_______________
TRADE-NAME-CD ________________
ADDRESS-CD
________________
HOW-LIABLE-CD
______________
CONTRBTR-CD
________________
AC-STATUS-DTE
________________
AC-STATUS-CD
_______________
FIRST-EMP-DTE
________________
LIABILITY-DTE
________________
ACQ-CD
_______________
COMBINED-AC-CD ________________
ACQ-DTE
________________
SUBSID-AC-NO
_______________
MASTER-AC-NO
________________
WAGE-RPT-CD
________________
TYPE-BUSINESS-CD _______________
FOREIGN-CTR-CD ________________
VEC-20
________________
SUCC-ACCT-NO
_______________
PRED-ACCT-NO
________________
ATTACH/EST-QTR/YR ______________
VERIFIED
_______________
AREA-CD
_______________
SIC-OWN-CD
_______________
AUX-CD
________________
MULTI-PLANT-CD _______________
VEC FC-27 (4/ 01)
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