1. Financial
Report
A. Provide the
following information regarding the program or project for which you received
funds.
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Total Anticipated
Support/Revenue |
Actual Support/Revenue |
1. This grant
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2. Fundraising events |
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3. Gifts/bequests |
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4. Miscellaneous contributions |
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5. Foundation/corporate grant support |
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6. United Way |
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7. Grants/contracts: govt. agencies |
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8. Program service fees |
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9. Membership dues |
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10.
Investment income/transactions |
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11.
Sales: services, products, crafts |
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12.
Miscellaneous revenue |
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13. Subtotal Direct
Support/Revenue |
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14.
General & Management Income (prorated) |
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15. Total
Support/Revenue
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Total Anticipated Expenses |
Total Actual Expenses |
16.
Salaries of provider staff
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17.
Fringe benefits |
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18.
Professional fees (contract, consultant) |
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19.
Supplies (consumable) |
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20.
Printing and postage |
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21.
Occupancy |
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22.
Phone and fax |
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23.
Travel and meetings |
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24.
Training |
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25.
Evaluation |
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26.
Equipment purchases |
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27.
Miscellaneous expenses |
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28. Subtotal Direct
Expenses |
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29.
General & Management Expenses (prorated) |
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30. Total
Expenses
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31. Surplus (Deficit) |
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B. Explain any variances between budgeted and actual figures that are larger than 10%.