Form 14581 - Fslg Compliance Self-Assessment Page 9

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Page 9
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Flag Item Fringe Benefits – See
Publication 15-B
and
Publication 5137, Fringe Benefit Guide
F. Educational Assistance
Yes
No
Note: May be excludable if qualifies:
• under educational assistance program (up to $5,250 per year).
• as a working condition fringe benefit.
For more information, see
Publication
970, Tax Benefits for Education.
G. Achievement awards or length of service awards
Yes
No
Note: For more information, see
Publication
535, Business Expenses.
H. Membership Fees Paid
Yes
No
Note: Excludable if for professional and business-related organizations and reasonable business purpose.
Use of athletic or recreation facilities, on employer premises (Includes the use of employer’s on-premise facilities to
conduct summer sports camps.)
Note: May be excludable if substantially all use is by employee, spouse or dependent children. Use of third-party
owned facilities is generally taxable.
For more information, see
Publication
15-B.
I. Moving Expenses
Yes
No
Note: Exempt (up to limits) if expenses would be deductible if the employee had paid them.
These rules are further illustrated in
Publication
521, Moving Expenses.
J. Gift Certificates
Yes
No
Note: Gift certificates that are cash equivalent are not excludable from income as de minimis fringe benefits.
Notes
14581
Catalog Number 66247V
Form
(Rev. 3-2015)

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