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• • IRC W/NySw Coalkn• kt - <br /> TLC Ner6unPW mww.os <br /> UNIFORM GRANT APPLICATION <br /> TOTAL PROGRAM BUDGET <br /> FY2004-05 <br /> AGENCY/PROGRAM NAME: IRC HealthyStart Coalition. Inc. - TLC Newborn Program <br /> FY 02/03 FY 03104 FY 04105 % INCREASE <br /> FWL711/02-W30/03 FYE_711/01-6130/04 FYE 711/04.6/30/05 CURRENT VS. <br /> NEXT FY BUDGET <br /> A B C D <br /> ACTUAL TOTAL PROPOSED � �, By�, B <br /> REVENUES BUDGETED BUDGETED <br /> 1 Children's Services Council-St Lucie 0.00 #DN/p! <br /> 2 Children's Services Council-Martin 0.00 #DN/pl <br /> 3 Advisory Committee4ndlan River 15 000.00 1500000-S 15 000.00 0.00% <br /> a United Wa t Lucie County t 0.00 #DNlO! <br /> s United Way-Martin County >,> .. a• ' 0.00 #DN/01 <br /> 6 United Way-Indian River County45 000.00 45 000.00 5500000 22.2270 <br /> 7 Department of Children & Families 0.00 #DN/O! <br /> 8 CountyFunds 0.00 #DN/O! <br /> Contributions-Cash ti-14-14" <br /> 0.00 #DN/01 <br /> 4 ° ` 10 Program Fees" * 0.00 #DN/0! <br /> � JFFFI, ' F11 Fund Raisin Events-Net + Alr1�a� 7 495.00 •r 3000.00 <br /> IL wk„ « 'sk j s.,• . ve 3500.00 ' # 16.6790 <br /> 12 Sales to Public-Net '« <br /> 13 Membershi Dues <br /> 0.00 #DN/Oi <br /> 14 Investment Income <br /> 0.00 #DN/O! <br /> 15 Miscellaneous 0.00 #DN/O!0.00 ' " #DN/0! <br /> 16 Legacies & Bequests <br /> 0.00 #DNl01 <br /> 17 Funds from Other Sources 15 000.00 0.00 -100.00% <br /> 18 Reserve Funds Used for Operating <br /> 0.00 #DN/0! ' <br /> r 19 In-Kind Donations OW kckK °d In roaq 30 000.00 30 000.00IIIIIIN <br /> w 30 DO0.DO 0.00% <br /> 20 TOTAL v. +� yea > 6749500 78 000.00 73 500.00 ' .5.77% <br /> ay <br /> 0.9P EXPENDITURES 4. 1 <br /> Itl <br /> .r. . �, : >4 . a <br /> IF <br /> a <br /> IV <br /> 7 s 21 Salarl � Jf, t 4 700 . :#i -° Sa 000.00 a:. <br /> , t FICA"=` ' f 5581100 s 3.359. ` <br /> g fir : to t G "e •<' 3 2.00tf j4131.00 4270.00 "" tt ,, . - 3.36% <br /> 23 Retirement ' .-- ` I IF , 1346.00 1 750.00 1954.00 1166% <br /> Y 24 Life/Health" ' > " <br /> 31550.00 49616.00 0.00 100.00% <br /> 25 Workers Compensation 0.00 #DN/Ol <br /> 26 Florida Unemployment 0.00 #DN/0! <br /> 27 Travel-Dail 11014,00 1 425.00 706.00 <br /> 28 Travel/Conferences/Training11029.00 500.00 500.00 0.00% <br /> 29 Office on lies 595.00 800.00 700.00 -12.50% <br /> 3o Tele hone : ^ 0.00 #DN/01 <br /> 31 Postage/Shipping31562.00 488400 4,884.00 0.00% <br /> 32 Utilities <br /> 0.00 #DN/0! <br /> 33 Occupancy Buildin & Grounds) , 0.00 #DN/0! ': <br /> 34 Printin &" Publications 29296.00 271900 250000 " -8.059° <br /> '35 Subscri tion/Dues/Membersht s�uVre , I <br /> 0.00 #DN/0! <br /> 36 Insurance .. ,' 0.00 #DN/0! <br /> 37 E ui ment.Rental & Maintenance . ` - 0.00 #DN/O! <br /> 38 Advertisin 0.00 #DN/0! „ <br /> 39 Equipment Purchases:Ca ital Expense 0.00 N/Ot <br /> 40 Professional Fees (Legal, Consulting) 0.00 #DN/O! <br /> 41 Books/Educational Materials 31201 .00 500.00 500.00 0.00% <br /> 42 Food & Nutrition 0.00 #DN/0l <br /> 43 Administrative Costs 0.00 #DIV/O! ' <br /> 44 Audit Expense <br /> 0.00 #DIV/01 <br /> 45 Specific Assistance to Individuals 0.00 #DIVlO! <br /> 46 Other/Miscellaneous 474.00 175.00 175.00 0.00% <br /> 47 Other/Contract' 1 ,400.00 29500.00 150000 -40.00% <br /> 48 TOTAL 63 946.00 78 000.60 73 500.00 <br /> 49 REVENUES OVER! UNDER EXPENDITURES 31549,00 0.00 0.00 #DIV/01 <br /> S i � <br /> r•s lf�'MS ' r Y: ').. I <br /> '..,. ''Sf.,• t p <br /> Lu <br /> Y . tt <br /> , <br /> Y ,� '� ' ' aq 9'1. f r ✓ 'S k Y <br /> kr 1 1Sia . , E ' °Lk ',� 4y4 '{2hr� 'Ayp r i <br /> Mt <br /> Nod i <br /> .,R 6xk>, .� �' � "h .•• find �: '�" >;j ' � S? I tr q in' � " � 5 i � r.z <br /> ,gw�"2y s • ' < t, v3 ft' r Y F ;� f A F .-€ d r , w .�4. a,+.2 c, " ' ,P. I� Ys <br /> y <br /> •" 3'" " sti.`W 1y h y ° y : }f4 41I '"1 4 '' ; r S -.IS <br /> IF I <br /> , <br /> r S S <br /> f � <br /> a <br /> tY�rtt <br /> r .^!}N ` . _ .. "' A a , . ... ., , `, rFi ,:" k 14 �y£y� : . : 'r+� k. 'k• ._ -. . SPL }{ ,3 <br />,`a" � s a x II- <br /> IFF. ' �. <br />