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GRANT APPLICATION Paqe 4 of 7 <br />Name of Applicant:. Economic Opportunity Council <br />Fiscal Officer Responsible for Grant: <br />Name: Mrs V Z Evans . <br />Address: P.O. Box 2766. Vero Beach, Florida 32960• <br />Telephone: 305-562-4177 <br />11. TOTAL BUDGET <br />(Include figures from all programs operated) <br />1. <br />PPVENUF. <br />1. <br />State Grant_ _ _ _ _ _ _ _ <br />$5,700.00 <br />2. <br />Cash f-atch (no federal funds. except -reyenue.shating, a IDwhd)-.. <br />2,850.00 <br />3. <br />In-Kinc� Match _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />2,850.00 <br />�. <br />TTOTAi,VENIJE----•m----_ <br />11,400.00 <br />GRANTER ADMINI.STPATIVF. EXPENSE <br />; <br />5.• <br />Salaries_____________________ _ <br />6. <br />Rental Space_____________________ <br />7. <br />Travel <br />R. <br />Sur)nlies <br />9. <br />Uther Ts�ecifv_on attachment)_ _ _ _ _ _ _ _ _ _ _ <br />10. <br />Total Tunes 5 through 9) <br />DELEGATE ADMINISTRATIVE EXPENSE <br />11. <br />Salaries _ _ _� ` _ _ '_ _' _ <br />600.00 <br />12. <br />_ _ _ <br />Rental Soace_____________________ <br />1-3. <br />Travel _ ______ <br />------____ <br />- <br />14. <br />Supplies------ <br />15. <br />----- ----- <br />Other (s�ecify_on attachment] _ <br />16. <br />- - - - - - - - - - -- <br />Total Tlines 11 through 16) <br />17. <br />_____________ <br />TOTAL ADMINISTRATIVE COSTS* (Line 10 and Line 16) <br />60- <br />GRANTEE PROGRAM EXPENSE <br />18. <br />Salaries_• _ _ _ _ _ _ _ _ _ $_1,_17_5,_00_ I_nk_in_d <br />1,175.00 <br />19. <br />Rental Space _ _ _ _ _ _ _ _ _ - _ - - _ -------- <br />1,175.00 <br />20. <br />Travel _$500.00_Inkind Bus &enta_l_ - _ - - - - - _ <br />2,000 00 <br />21. <br />_ <br />Equipment <br />22. <br />_ _ <br />Other (specify on attachment) _ <br />23. <br />_ _ _ _ _ - _'- <br />-Total Tlines_18 throuah 22) _ - _ - _ _ - _ _ _ <br />4,350.00 <br />DELEGATE. PROGRAM EXPENSE <br />24. <br />Salaries_ _ _ _ _ _ _ _ _ _ _ _ _ <br />3,100.00 <br />• 25. <br />_ _ <br />Rental SnacP_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Inkiad _ _ <br />1.175.00 <br />26. <br />T.ravel------------- - - - - -- <br />- <br />27. <br />---- <br />Rqui�me»t _ _ _ _ <br />495.00_ <br />28. <br />Other TsHecify_on attachment) _ ! _ _ _ _ _ Heat•_ _ _ <br />1. 6, 8Q, 00 <br />29. <br />Total (lines 24 through - - - - - - - - - - - - - - - 6.450.00 <br />30. <br />TOTAL PROGRAM EXPENSES (Line 23 and line 29) <br />- - - - - - - - - - - - - - <br />10+ 800.00 <br />31. <br />TOTAL EXPENDITURES (1.ine-17 and line-30)- _ _ _ <br />11I[Q-(),QO <br />:VOTE: 'DOTAL REVENUE MUST EQUAL TOTAL EXPENDITURES <br />*May not exceed 153 of 2 times the state grant; <br />i +• <br />' i <br />,, <br />'EXAMPLE: State Grantl'; -1,0,000 ` <br />.F <br />Cash Match •• <br />' In-Kind Match 1.0,000 <br />TOTAL RFVt;NUL 25.000 <br />435 <br />FEB 91977 <br />