Social Club Does Paid by Employer
Documentation of Business and Personal Use
Calendar Year ______
Employee Name________________________________
Employee Social Security Number__________________________________
|
IF BUSINESS USE: |
|||||
|
Name of Social Club |
Date of Use |
Personal Use (Y/N) |
Amount of Expenditure |
Business Reason for Activity/Expenditure |
Name and Business Relationship of Individual(s) Involved |
Signed________________________________
Return to Fringe Benefit section 3.11.B "Club Memberships and Dues"
Return to Appendix A
