OMB Number
Department of the Treasury - Internal Revenue Service
8654
1545-2222
Form
Tax Counseling for the Elderly
(April 2016)
TCE
Semi-Annual/Annual Program Report
1. Report type
2. Fiscal year
4. Report period
(month, day, year)
Semi-Annual
Annual
From 10 / 01 /
3. Recipient organization name
To
/
/
Street address
City
State
ZIP code
Account/Identifying number
Reimbursement Expenses
(a)
(b)
Numbers
Cost
5. To volunteer tax assistors/quality reviewers
6. To volunteer instructors
7. To volunteer coordinators/administrators
8. Total (ADD lines 5-7)
Administrative Expenses
9. Salaries/Benefits (clerical, administrative or technical staff only)
10. Supplies/Volunteer Recognition—For TCE Program
11. Rent/Utilities/Custodial Services—When additional and necessary for TCE
Program
12. Auditing
13. Daily Site Operations Travel (includes travel of paid staff to monitor sites)
14. Program Publicity Development
15. Interpreter Services
16. Telephone Installation (No 800 Lines) or Internet Connectivity costs
17. Other (postage and/or food costs)
18. Total Administrative Expenses (ADD lines 9 through 17, column (b)). This
figure should not be more than 30% of line 19
19. Program Cost (ADD lines 8 and 18 column (b))
20. Cost of Travel to IRS Office/IRS Training
21. Costs for Electronic Filing Supplies/Services
22. Total Program Cost (ADD lines 19, 20, and 21 column (b))
23. Total amount of TCE federal award
24. Unexpended Balance of TCE federal award (Subtract line 22 from line 23)
25. Refund to IRS (Complete on annual report ONLY)
8654
Catalog Number 64330H
Form
(Rev. 4-2016)