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Type the Organization and Program Name <br /> SALARIES 1 Gross Iv <br /> Annual Salary H Funder % of Gross Annual <br /> POSITION LISTING Portion of Salary on Proposed Program Specific Budget Salary <br /> Position Title / Total Hmlwk (Agency) Requested(CIA) <br /> Example: Executive Director/40 hrs 70,000.00 10,000.00 5,000.00 7.14% <br /> Executive Director 75,000.00 0.00 0.00% <br /> Prevention Program Coordiantor 45,000.00 40,500.00 40,500.00 90.00°/ <br /> Information Specialist $13.5 x 35 /w x 52wk 24,570.00 24, 570.00 24,570.00 100.00% <br /> Prevention Program Coordiantor $22.71xl5hi 17,714.00 0.00% <br /> Prevent Program Assistant $14 x 40hr/wk x 5 29, 120.00 0.00% <br /> LST Program Coord $17 x 33 /w x52 wk 29, 172.00 0.00% <br /> LST Educator 1 $14x 30hr p1w x 52 21 ,840.00 0.00% <br /> LST Educator 2 $14x 30hr /w x 52 21 ,840.00 0.00% <br /> Pro r am Success Coord STLucie 30,000.00 0.00°/ <br /> Program Success IRC Coord IRC 28,000.00 0.00% <br /> Program Success IRC $14x 20hr p1w x 52 14,560.00 0.00% <br /> Program SuccessSt Lucie $14x 20hr p1w x 5 14,560.00 0.00% <br /> Drug Testing Pro Coord CMA 25,OGO.001 0.00% <br /> JJCRISP Coord 7,200.00 0.00% <br /> #VALUE! <br /> #DIV/0! <br /> #DIV/0! <br /> #DIV/0! <br /> #DIV/0! <br /> #DIV/0! <br /> Remaining positions throughout thea enc <br /> Total Salaries $383,576.00 $65,070.00 $65,070.00 16.96°/ <br /> FRINGE BENEFITS DETAIL <br /> (Funder Specific Budget I Fonder If Ifl nr v yr vn <br /> Pension Wortlels Unemployme-. Total Fringes Funder <br /> Column C onl , from line 21 to 26 Specific Budget 'FICA z55% Heaftn fns. <br /> y � (Ax %) Compens. of Compens: Specific <br /> Position Title / Total Hrs/wk I <br /> - <br /> Example: .Case Manager140hrs 5,000.00 382.50 206.00 500.00 300.00 " 200.00 1,582.50 <br /> Executive Director 0.00 0.00 0.00 0.00 0.00 0.00 0.0 <br /> Prevention Program Coordiantor 40,500.00 3,098.25 1 ,215.00 4,200.00 631 .80 0.00 9,145.0 <br /> Information Specialist $13.5 x 35 /w x 52wk 24,570.00 1 ,879.61 737.10 4,200.00 383.29 0.00 7,200.D <br /> Prevention Program Coordiantor $22.71xl5hi 0.00 0.001 0.0 <br /> PreventPro ram Assistant $14 x 40hr/wk x 5 0.00 DAO 0.00 <br /> LST Pro ram Coord $ 17 x 33 /w x52 wk 0.00 0.00 0.00 <br /> LST Educator 1 $14x 30hr ptw x 52 0.00 0.00 0.00 <br /> LST Educator 2 $14x 30hr /w x 52 0.00 0.00 0.00 <br /> Pro r am Success Coord STLucie 0.00 0.00 0.00 <br /> Program Success IRC Coord IRC 0.00 0.00 0.00 <br /> Program Success IRC $14x 20hr plw x 52 0.00 0.00 0.00 <br /> Program SuccessSt Lucie $14x 20hr plw x 5 0.00 0.00 0.00 <br /> Drug Testing Pro Coord CMA 0.00 0.00 0.00 <br /> JJCRISP Coord 0.00 0.00 0.00 <br /> 0.001 0.00 0.00 <br /> 0 0.00 0.00 0.0 <br /> 0 omj 0.001 1 1 1 0.00 <br /> 0 0.00 0.00 0.0 <br /> 0 D.0 0.00 0.00 <br /> 0 0.001 0.00 1 1 0.00 <br /> Total Funder Request Fringe Benerit: $bb,UtL).0Lj $4,91t.8til5 . 0 . 0345.05 <br /> C <br /> A Proposed B <br /> EXPENDITURES Total Agency <br /> Total Program Budget Funder Specific Budget Budget <br /> 27 Travel-Daily 750.001 750.001 15,000.00 <br /> # of Staff x average # of miles/wk x50 wks x <br /> $ - Estimated Daily Travel/Mileage Reimb. <br /> 28 Travel/C500.00 5000 15,000.00 <br /> a na per <br /> s a <br /> • Training/Seminar (cost per staff) <br /> • Other Trainings (cost of travel, lodging, <br /> re istration, food <br /> 291 =Supplies'- <br /> lies 1 ,000.0 1 , 000-001 15,000.00 <br /> 5(12D0] B-1 <br />