ࡱ> 463 )bjbj ( oo 8W${rrr!rrrrvffffzvfrfffbSvf<0fY"fY"fffrrrd m:   UNIVERSITY OF NEVADA, LAS VEGAS ADDITIONAL REPORTABLE COMPENSATION FORM (TAXABLE PERQUISITES) Department ________________________ Mail Code Tel Ext Employee Name Emp ID# Position Number Account Number All perquisites require the prior approval of the President; must be reported to Human Resources; and must be taxed appropriately through Payroll. The issuing department is responsible for reporting taxable perquisites to Payroll, with a copy of the report being provided to the employee. Perquisites generally do not represent additional salary payable (with the exception of moving allowances or cash recognition awards), but do generate a tax liability for the employee and the department which are grossed up through the Payroll System and included in employee W2s. Federal Income Tax withholding is 25% of the reported value. Medicare deductions and matching contributions are 1.45% each. FICA (at 6.4%) or FICA Alternative (at 7.5%) may apply. Perquisites are not subject to retirement, unemployment compensation, or workers compensation charges. Personal Use of University Owned or Leased Vehicles Date Vehicle Received Date Vehicle Turned In Vehicle (Make/Model) Market Value of Vehicle Percentage of Personal Use Taxable Value Other Perquisites Date Provided Cost or FMV Reference Doc Event Tickets (at Face Value) Meal Allowances (Non-Bus Only) ______ ____________ ____________ Moving Allowances ______ ____________ ____________ Personal Clothing or Merchandise ______ ____________ ____________ Recognition Awards (Cash Awds Only) ______ ____________ ____________ Travel Reimbursement (Non-Bus Only) Excess of FMV over Facilities Rental Other __________________________ _________________________ Prepared by: Date Approved by: Date This form may be submitted to Payroll on a transaction or monthly basis, but must be submitted at least quarterly. As a substitute for this form, alternative documentation may be permitted if approved in advance by the Payroll Dept. 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