Tax Counseling for the Elderly Program Semi-Annual/Annual Program Report

• Legal Form Number: 8654
• Year: 2016
• Issuer: Treasury Department
• Section: Treasury Department

Form 8654 (Rev. 4-2016)

www.irs.govCatalog Number 64330H

Form 8654

(April 2016)

Department of the Treasury - Internal Revenue Service

Tax Counseling for the Elderly

Semi-Annual/Annual Program Report

OMB Number

1545-2222

TCE

1. Report type

Semi-AnnualAnnual

2. Fiscal year

3. Recipient organization name

Street addressCityStateZIP code

Account/Identifying number

4. Report period (month, day, year)

From 10 / 01 /

To / /

Reimbursement Expenses

(a)

Numbers(b)

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)