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ATTACHMENT I-REPORTING FORMS <br /> FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br /> 2020 -2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE - EMPA <br /> DIVISION FORM 1A -QUARTERLY FINANCIAL REPORT <br /> AGREEMENT#: CLAIM#: 1 <br /> AWARD AMOUNT: QUARTER#: 1 <br /> RECIPIENT: REPORTING FORMS DUE DATES(45 DAYS AFTER QUARTER) <br /> COUNTY: 1. July 1-Sept.30,2020 =Nommber 15,2020 <br /> ADDRESS: 2. October 1-Dec.31,2020 =February 15,2021 <br /> 3. January 1-March 31,2021=May 15,2021 <br /> POINT OF CONTACT: 4. April 1-June 30,2021 =August 15,2021 <br /> PHONE/EMAIL: 123@gmail.com <br /> CUMULATIVE <br /> EMPAALLOCATION CATEGORIES BUDGETED EXPENDED FUNDS REMAINING <br /> ALLOCATIONS Q1 CLAIM Q2 CLAIM Q3 CLAIM Q4 CLAIM <br /> BALANCE <br /> 1.PLANNING $0.00 • $0.00 $0.00 <br /> 2.ORGANIZATION $0.00 • $0.00 $0.00 <br /> 3.EQUIPMENT $0.00 • $0.00 $0.00 <br /> 4.TRAINING $0.00 • $0.00 $0.00 <br /> 5.EXERCISE $0.00 • $0.00 F $0.00 <br /> 6.MANAGEMENT AND ADMIN.(Up to 5%) $0.00 F $0.00 $0.00 <br /> TOTAL $0.00 $0.00 ' $0.00 ' $0.00 ' $0.00 $0.00 $0.00 <br /> AMOUNT OF REIMBURSEMENT FOR THIS CLAIM: <br /> By signing this report,I certify to the best of my knowledge and belief that the report is true,complete,accurate and the expenditures,disbursements and cash receipts <br /> are for the purposes and objectives set forth in the conditions of the 2020.2021 EMPA agreement. <br /> SIGNATURE: <br /> AUTHORIZED REPRESENTATIVE DATE <br /> QUARTERLY STATUS REPORT <br /> Please report EM activities, meetings,training,exercises,or other necessary information to support quarterly progression. <br /> THE SECTION BELOW IS TO BE COMPLETED BY DIVISION <br /> AWARD AMOUNT DIVISION DATE RECEIVED STAMP <br /> PRIOR CLAIMS <br /> THIS CLAIM AMOUNT <br /> BALANCE OF AWARD <br /> 58 <br />