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FEB 16 1993 <br />' Name of <br />APPLICANT: <br />L...)DO buPuC1 SUMumARY Umg7tRA�U <br />REVENUE Percent Match <br />(Col. 1) 1 (Col. 2) <br />1. CSaG Grant Request - <br />2. Cash Match 2 <br />3. In Kind Match <br />23% <br />4. Total Match (lines 2+3) 25 $ <br />5. Total Revenue (lines 4+1) <br />CSBG FUNDED PROGRAMS <br />s <br />ONLY (Lines 6 tog11)' <br />4 o - - <br />- <br />GRANTEE ADMINISTRATIVE EXPENSE <br />6. Salaries (including fringe benefits <br />7. Rent <br />8• Uti 1 itles. •. • <br />9. Travel . . . . . . . . . • <br />10. Supplies . . . . . <br />11. Equ i pment. . . . . . . • .' . . <br />12. Other. . • , , <br />13. TOTAL (lines 6 through 11) <br />SUBGRANTEV S) ADMINiSTRAT'IVE EXPENSE <br />14. Salaries (including fringe benefits) <br />is. Rent . . . . <br />16. Utilities. <br />17. Travel . . . . . . <br />18. Supplies . . . . . <br />19. Equipment. . . . . . . . . <br />20. Other, <br />_ 21. TOTAL (lines 14 through 20). . <br />22. TOTAL ADMINISTRATIVE EXPENSES <br />(lines 13 and 21). . <br />23• TOTAL C58G ADMINISTRATIVE EXPENSE <br />PERCENTAGE (must not exceed 154 <br />of line 1) . . . . , . <br />GGRAN T __PROGRAM EXPENSE <br />24. Salaric;; <br />(including fringe benefits) <br />Z5. Rent . . . . . . . . <br />26. Utilities. . . <br />27. Travel . . . . . . . . . <br />28. Supp l i e's . . <br />29. Equipent. . . . <br />30. Other. . . , • , , , . <br />. <br />31. TOTAL (lines 24 through 30). <br />SBT>EE(S) PROGRAM EXPENSE <br />32. Salaries (including fringe benefits) <br />"33. Rent . . . . . <br />.......... <br />34. utilitie-s. . . <br />35. T rave i . . . . . . . . . . <br />36. Supp,i id's . <br />37. Equ i poumc. . <br />L <br />38. Other. <br />. .......... <br />39• TOTAL (lines 32 through 38). . <br />•40. TOTAL PROGRAM=XPENSE(iines 31 + 3a) <br />41. TOTAL CSi3G EXPENDITURES <br />( I i nes ZZ and 40) . . . . . . . . . .� <br />42. SECOUCARY ACMINISTRATIVE EXPENSES <br />43. TOTAL 31JIGc a� (1 i nes 41 and 4Z) . .� <br />S 162 <br />S1,680 <br />FEDERAL EMPLOYER770. NUM EA.; <br />Total Amounts DEPARTMENT USE ONLY <br />(Col. 3) <br />S 7,158 <br />1.842 <br />Column 4 Column 5 Column 6 Column 7 <br />CSBG CASH IN KIND <br />FUNDS MATCH MATCH TOTAL <br />95Q 162 1 112 <br />100 100 <br />20 �-- 20 <br />100 100 <br />50 50 <br />25 25 <br />1 050 2 75 75 <br />162 70_ � - 1,482 <br />1,050 162 270 1,482 <br />14.7 .�� -'�- <br />c� <br />t <br />I �II <br />5 141 <br />5 141 I <br />600 600 <br />120 120 <br />237 237 <br />280 280 <br />- 690 <br />450 ( ' 690 <br />7' 450 <br />108 '�i <br />1 410 7518 <br />6 108 1 410 7,518. <br />7,158-J.- 162 1,680 9,000 <br />7 158 f 162 ► 1,680 j 9,000 <br />