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Type the Organization and Program Name <br /> A <br /> SALARIES Gross Annual B C % of Gross Annual <br /> POSITION LISTING Salary Portion of Safety <br /> o9 on Proposed Funder Specific Budget Salary <br /> Position Title / Total Hrs/wk (Agency) Requested(CIA) <br /> Example: Executive Director/ 40 hrs 70,000.00 10, 000.00 5,000.00 7. 14% <br /> Program Director 49, 140 . 00 49910 .00 0.00% <br /> Independent Support Coordinator 28 ,600. 00 28 ,600. 00 0. 00% <br /> Life Skills Specialist 25 ,480 . 00 25 ,480. 00 12 ,740.00 50 .00% <br /> Life Skills Specialist 25 , 050. 00 25 ,050 .00 0.00% <br /> #DIV/0 ! <br /> #DIV/0 ! <br /> #DIV/0 ! <br /> #DIV/0 ! <br /> #DIV/0 ! <br /> #DIV/0 ! <br /> #DIV/0 ! <br /> #DIV/0 ! <br /> #DIV/0 ! <br /> #DIV/0! <br /> #DI V/0 ! <br /> #DIV/0 ! <br /> #DIV/0! <br /> #DIV/0 ! <br /> #DIV/0! <br /> #DIV/0 ! <br /> Remaining positions throughout the agency <br /> Total Salaries $ 1280270.001 $84,040. 00 $ 12 , 740.00 9.93% <br /> FRINGE BENEFITS DETAIL A <br /> (Funder Specific Budget Funder B c D E Unem /o <br /> F <br /> Pension yme Total Fringes Funder <br /> 's <br /> Column C only, from line 22 to 27) Specific FICA 7. 65% (A x Yo) Health Ins. <br /> Worker <br /> Budget Compens. nt Compens. Speck <br /> Position Title / Total Hrs/wk <br /> Example: Case Manager/ 40 hrs 51000.00 382. 50 200. 00 500.00 300,001 200.00 1, 582. 50 <br /> Program Director 0 .00 0.00 0. 0 <br /> Independent Support Coordinator 0. 00 0 .00 1 0.0 <br /> Life Skills Specialist 12 , 740 .00 974.61 974 .61 <br /> Life Skills Specialist 0. 00 0 .00 0.0 <br /> 0 0.00 0.00 0.0 <br /> 0 _ 0 . 00 0.00 0. 0 <br /> 0 0. 00 0 .00 0 .0 <br /> 0 0.00 0. 00 0 . 0 <br /> 0 0. 00 0.00 0. 0 <br /> 0 0.00 V0.00 <br /> 0.00 <br /> 0 0.00 0.0 <br /> 0 0. 00 0. 00 <br /> 0 0.00 0. 00 <br /> 0 0 . 00 0 .0 <br /> 0 0.00 0.0 <br /> 0 0 .00 0. 00 0. 0 <br /> 0 0. 00 0 .00 0 .0 <br /> 0 0. 00 0 .00 0.00 <br /> 0 0 .00 0. 00 0. 00 <br /> 0 0 .001 0.00 0.001 <br /> Total Funder Request Fringe Benefits $ 12 , 740. 001 $974. 611 $0. 001 $0. 001 $0.001 $0 .001 $974 .61 <br /> A B C D <br /> EXPENDITURES GRAY AREAS FOR Proposed Total Program LFunder Specific Total ArYenc <br /> AGENCY USE ONLY TO Agency <br /> SHOW DETAIL Budget Budget Budget <br /> 5/27/2003 <br /> 16 <br />