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3 �[ ➢ F <br /> t <br /> i <br /> UNIFORM GRANT APPLICATION <br /> TOTAL PROGRAM BUDGET <br /> AGENCY/PROGRAM NAME:CEBH IRMH/ Child/Adolescent Psychiatric Mental Health Clinic <br /> FY 02/03 FY 03104 FY 04105 % INCREASE <br /> FYEL.gf30UM FYE 9/30/2004 FYE 9/30MM CURRENT VS. <br /> NEXT FY BUDGET <br /> A B C D <br /> ACTUAL TOTAL PROPOSED (coL C-coL BNcoL B <br /> REVENUES BUDGETED BUDGETED <br /> 1 Children's Services Counc%St Lucie 0.00 #DN/0I <br /> ,y 2 Children's Services Council Martin 0.00 #DN/0! <br /> 3 Advisory Committee Indian River 76 000.00 S76 000.00 p,pp•� <br /> 4 United Wa t Lucie County <br /> a United Way-Martin County 0.00 #DN/Ot <br /> 6 United Way-Indian River County 0.00 #DIV/0! <br /> 7 Department of Children & Families 0.00 #DN/O! <br /> s county Funds 0.00 #DIV/O! <br /> - V - . 9 Contributions.Cash 0.00 #DN/0l <br /> 10 Pr ram Fees 0.00 #DN/0! <br /> 49l839,00 7600000 76 000.00 <br /> 0,00•,y <br /> 11 Fund Raising Events-let <br /> 12 Sales to Public-Net 0.00 #DIYlO! <br /> 13 Membershi Dues 0.00 #DN/O! <br /> 14 Investment Income 0.00 #DN/0l <br /> 15 Miscellaneous 0.00 #DIV/0I <br /> 1s Legacies & Bequests 0.00 #DIV/Of <br /> 17 Funds from Other Sources 0.00 #DN/01 <br /> 0.00 #DIV/0! <br /> 1s Reserve Funds Used forOperating0.00 #DN/O! <br /> 19 In Kind Donations Mu tnebaoe in tOW4 13105.00 94 396.00 101 777.00 7,8296 <br /> 20 TOTAL 49 839.00 151 000.00 151000-00 <br /> 0.00% <br /> EXPENDITURES <br /> 21 Salaries 44w684.75q29 <br /> 184 267.00 3.09% <br /> 22 FICA 3 18.38 7 956.00 6.06°� <br /> 23 Retirement 2149.34 8 863.24 3.09°,6 <br /> 24 L!fe/Health 7A1 ,27 29 943.39 3.09°k <br /> 25 Workers Compensation 790.92 3261 .53 3.09°� <br /> 26 Florida Unemployment 214.49 . 884.48 3.09°A° <br /> 27 Travel-Daily 0.00 0.00 #ON/O! <br /> 2e Travel/Conferences/Traini 376.00 1600.00 1600.00 0.00% <br /> 29 Office Su ies 712.75 11600.00M <br /> 732.00 g,25P <br /> 30 Telephone 217.60 870.00 870.00 0.00% <br /> 31 Posta elShi in 20.00 100.00 100.00 0.00% <br /> 32 Utilities <br /> 450.00 500.00 <br /> 33 Occupancy Buildin & Grounds 1 250.00ww� 67000,00 5 000.00 0.00% <br /> 34 Printing & Publications 0.00 0.00 #DIV/O! <br /> 35 Subscri tiorWues/Membershi s0.00 200.00 200.00 0100%36 Insurance l260,00 61000,00 500000 <br /> 0.00% <br /> 37 E ui ment:Rental ✓L Maintenance 0.00 #DN/O! <br /> 38 Advertising0.00 200.00 200.00 0100%39 Equipment Purchases:Ca ital ExDense 0.00 #DIV/Ot <br /> 40 Professional Fees (Leqal, Consulting) 0.00 #DIV/O! <br /> 47 Books/Educational Materials 100.00 500.00 600.00 0.00% <br /> 42 Food & Nutrition 0.00 0.00 #DN/O! <br /> 43 Administrative Costs 500.00 200000 29000.00 0.000% <br /> 44 Audit Expense <br /> 45 SPecifiC, Assistance to Individuals 0.00 #pry/p! <br /> 0.00 #DIV/O! <br /> 46 Other/Miscellaneous 0.00 0.00 #DN/01 <br /> 47 Other/Contract <br /> 48rROE <br /> TAL 0.00 #DN/O! <br /> 62 944A0 245 396.05 252 777.64 3.01 °k <br /> 49VENUES OVER/ UNDER EXPENDITURES 43105AO -94,396.05 401777.64 7.82% <br /> ov:alaw <br /> e� <br />