Form 8654 - Tax Counseling For The Elderly Program Semi-Annual / Annual Program Report
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1
2
3Department of the Treasury — Internal Revenue Service
8654
OMB Number
Tax Counseling for the Elderly Program
Form
1545-2222
(Rev. May 2012)
Semi-Annual / Annual Program Report
1. Report Type
2. Fiscal Year
Semi-Annual
Annual
4. Report Period (Month, day, year)
3. Recipient Organization Name
10
01
From
/
/
To
/
/
City
Street Address
State
Zip Code
Account/Identifying Number
(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)
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 WATTS or 800 Lines) or Internet
connectivity costs
17. Postage
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
Form
(Rev. 5-2012)
Catalog Number 64330H
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