Honorarium




Report an honorarium that you received or will receive in Part 2. 

#

Description

EIF

Value

Income Type

Income Amount

1

Loomis County University – 8/14/2019

N/A

 

honorarium

$220

2

Loomis County University – 10/19/2019

N/A

 

honorarium

$220

3

East State College, anticipated honorarium

N/A

$1,001 - $15,000

 

None (or less than $201)

For You

Part 2

Reporting an Honorarium You Have Already Received

If you received honoraria from a single source aggregating more than $200 during the reporting period, report each honorarium received from that source.

DescriptionProvide the name of the source that paid the honorarium and enter the date of the services.

EIFSelect “N/A.”

Income Type:  Describe the type of income as “honorarium.”

Income Amount:  Provide the exact amount of your honorarium.

Reporting an Honorarium You Have Not Received

Report an honorarium that you anticipate receiving if (1) you have provided the service for which the honorarium will be paid or have a contractual right to an honorarium after providing the service in the future and (2) the value of the anticipated honorarium is more than $1,000.

DescriptionProvide the name of the source and write “anticipated honorarium.”  If you have already provided the services, enter the date in the space provided.

EIFSelect “N/A.”

ValueSelect the category that corresponds to the value of the anticipated honorarium.

Income Amount:  Select the “None (or less than $201)” category.

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