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Page 5_ of 8 -BUDGET 8UNKRRY - NAME OF APPLICANT: :........ u u ■...... ■ u. ■ u u s. ■ u s s o s o. o u u u. i■ u. I REVENUE SOURCES 1 PERCENT ( ■ u. u u u o■ s MATCX 1 u....... a u........ TOTAL AMOUNT ........ u..■... ■. u.. u. e I NOTES: I ■•■...1 1■ard ...... a■■••■■a......■■•••■•■••■■■III - Round sur. 1 I I I I I I I■■■••6,016 to merestt dotter. 1 r 1 1. CSBG Grant Funds ............. ((I I I I I I I I I I I I I I I I I I I I I I 1 2. Cash Match Funds.............1 17.49 % I 1,052 IIIIIIIIIIIIIIIII111 - Provide: I •1'---•------^- I----------------1------------------1 Min. Cash Not 2X 1 L ......................•^---•^ 1 3. In-kind Match................1 27.35 % 1 1,645 IIIIIIIIIIIIIIIIIIII Min. Total Match 20K 1 -I 1 - ( - L_______________1________.________ ---------------------------------- --------------- 1 4. TOTAL MATCH (Line 2 + Line 3)1 44.84 IIIIIIIIIIIIIIIIII 2,697 _ OO NOT UNDER MATCH. 1 I Iwon ..s■.■o.■■■u..s.......■sa..u1....a.o.......1.......... .uo.1..............u.. 1.99% Cash match Is I 1 5. TOTAL FUNDS (Line 1 + Line4)illllllllllllillllllllllllllllllll 8,713 I not acceptable. 1 ouuou.o■.o.o..a.■..au.a■■o......... ■..■■■..■.■■■u■■■uu■ou■■■a■■u■u■u...■■..uutu.uaaauetaaru■ 1 CSBG FUNDED PROGRAMS ONLY 1 (1) Cssa 1 (2) CASH 1 (3) IN-KIND 1 I EXPENSE CATEGORY 1 FUNDS I MATCH 1 MATCH 1 (4) TOTAL (u■■uu■■oo■000u.........Suu■ss.uso...... I........ a ...... 1............... 1 ■u.uuuuu■ 1 o.uuu.uu■ 1 I 1 GRANTEE ADMINISTRATIVE EXPENSES 1 I I I 1 6. Salaries Including fringe.....................1 I I 1 .............. ------------- j.-7..Mont.and Utilities .................... ........�-------........i..•--------- -i----........ .-i...............j---............ � 1•.,i.............. ........................................ ...............i..............•I•..�...............1 .�. ...........�..----.........� •S.•Travel 1 9. other ......................................... 1...................................................I...............1............................ 1 10. SUBTOTAL (Lines 6 through 9) ..................1 I I I I I.s..a.sr.000..u■0000.uos...... Snows a.oa.l..s■o...ssi.s■ 1...0...u■ou■ Iuu.u.zouo l uuuu.u.u.I SUBGRANTEE ADMINISTRATIVE EXPENSES I I I I 11. salaries including fringe..............I.......1 ............... 826 1 209 I ............... 1035 . ............... ( ................................................... . . . 12.RentandUtilities ............................ ..............::............-::--'.. ii .......... 0 .• 13. Travel ........................................ .......------- -............ t5 ....1�•..... ...-- ............... • . t4.other......................................... I1� 125 ••I 125..... ......... I 1...................................................1...............1..............-1•-•-•• 1 15. SUBTOTAL (Lines 11 through 14) ................1 8261 209 1 210 I 1 245 I Ir.....us.ooau.■..■.us....u..us...■■ss..o..1......a...sp..1.....■..o.....Iuuu.uu■u.1u.. 1 16. TOTAL ADMINISTRATIVE EXPENSE (Ln 10 + Ln 15)..1 826I 209 I 210 I 1 245 1 1 ................................................... I...............1...............1...............1....... 1 17. ADMINISTRATIVE EXPENSE PERCENT (Ln 16 / Ln 1).l 1.5.73 % 1111111 toot to exceed 15% of tine 1) 111111111 I.a.saa■■..uuuu■o.uuuouoo.su.ou.uu (....... 4 ....... 1uuu.wasau■ Iouuuu■ou1■uuuuuuul GRANTEE PROGRAM EXPENSE: I I I I I 1 1B, Salaries Including fringe ..... ....... I 1 ................i 1.••i......---......i...............i..•--•-•--....� 19.Rent and Utilities ............................ I............... I............... �............... ...................................................1............... 120. Travel........................................1 .....--•i............... ............... ...................................................i....... ...•Other......................................... I...............1...............1...............1 i............... i ....................................1............... 1 22. SUBTOTAL (Lines IS through 21) ................1 1 I I lam .... aiosmonsoons .■r■....■.■aaa.....aou..■..aal. s..t■o.s...s.I...siu.su....1 ... max isa.i...s1............... I 1 SUBGRANTEE PROGRAM EXPENSE: I I I I I 1 23. Salaries including fringe .............I ........ 1 4,986 1 843 1 1 5,8Z9 1 --------------- ,720 1.24..Rent-and-Utllitias............................1..---....__....I-------'-------I --'- -I-- ------.I--------------- I............... I 1 25. Travel........................................� 75-- ----- - --- - --- .�_..----- 100 _-I 26. Other.........................................�---------------1291- 1--------------- 1--------------- I 690...-�--- --- 819-.i 1-------------- 1--------------------------------------------------- 1 27. SUBTOTAL (Lines 23 through 26) ................1 5,190 ........ I 843 I ..............■ 1 1,435 1 7,468 1 1...............1...............1 1.ri....aa........xa.........n..i......a..i.......a.1.■....i 1 28. TOTAL PROGRAM EXPENSE: (Line 22 + Line 27)...1 l 5=190 ..............1............... 1 843 1 1,435 1 7,468 I ......■....................... I 1 ................................................... 1 29. SECONDARY ADMINISTRATIVE EXPENSE..............I la .............axxsix............nose..ix.z..zi.niinl...z.a..zz.a...I....azi..a.i...lix.............l...............1 1 30. GRAND TOTAL EXPENSE: (Lines 16 + 28 + 29)....1 xzzzzzxzxsxooxxoazaxxzzxzo.zxxzzznsazzzxzszaninnxxnxzsnnxxannxzx.exxxzassxzzznsxioaznnsoszsxouui.u■ss■s.esssis■■. 6,016 1 1,052 I 1,645 1 8,713 1