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GYAC - Mental Health Services Pmgram <br /> UNIFORM GRANT APPLICATION <br /> BUDGET NARRATIVE WORKSHEET <br /> IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your <br /> program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific <br /> Budget Forms. <br /> AGENCY/PROGRAM NAME : Gifford Youth Activity Center - Mental health Services Program <br /> FUNDER: Children 's Services of indian River County <br /> _ . _ . . _ . . _ . . _ . . _ . . _ - . _ . . _ . . _ . . _ - . _ . . _ . . . . . . . . . . . . . . . . . . . . . - . _ . . _ . . _ . - _ . . _ . . _ - . . . . . . . . . . . . . <br />. . . _ . . — —, <br /> I <br /> CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in lace. Gra areas should I <br /> Abe used for calculations and to write information only. <br /> Proposed Total Program Funder Specific Total Agency <br /> REVENUES "®1Y1°` O1LY mos g P <br /> 'c„°1amorr„& Budget Budget Budget <br /> 1 Children's Services Council-St Lucie <br /> 2 Children's Services Council-Martin <br /> 3 Advisory Committee-Indian River 60,673.96 60,673.96 153,673.96 <br /> 4 United Way-St. Lucie County <br /> 5 United Way-Martin County <br /> 6 United Way-Indian River County 0.00 0.00 90,000.00 <br /> 7 Department of Children & Families <br /> 8 County Funds 0.00 0.00 163,000.00 <br /> 9 Contributions-Cash 0.00 0.00 228,623.00 <br /> 10 Program Fees 0.00 0.00 73,500.00 <br /> 11 Fund Raising Events-Net 0.00 - 0.00 60,000.00 <br /> 12 Sales to Public - Net <br /> 13 Membership Dues 0.00 0.00 6,300.00 <br /> 14 Investment Income <br /> 15 Miscellaneous 0.00 0.00 96,636.04 <br /> 16 Legacies & Bequests <br /> 17 Funds from Other Sources <br /> 18 Reserve Funds Used for Operating _ 16, 141 .30 0.00 207,000.00 <br /> 19 In-Kind Donations (Not Included In total 0.00 0.00 30,000.00 <br /> 20 TOTAL REVENUES <br /> (doesn't include line 19) $76,815.26 $60,673.96 $1 ,078,733.00 <br /> A B C D <br /> EXPENDITURES UPAYM FM Proposed Total Program Funder Specific Total Agency <br /> n Wy esE way <br /> isawwaaunoasi Budget Budget Budget <br /> 21 Salaries - (must complete chart on next page) 69,563.26 48,640.00 567,650.00 <br /> Salary <br /> 22 FICA - Total salaries x 0.0765 7.65% 3,720.96 <br /> Retirement - nnua pension W qua I le <br /> 23 staff <br /> 800.00 <br /> Life/Health - iCa sofa ort- erm <br /> 24 Disab. 4,000.00 <br /> Workers ompensa on - emp oyees x <br /> 25 rate <br /> 0.00 <br /> ore a Unamployment - If projected <br /> 26 employees x $7,000 x UCT-6 rate 2,013.00 <br /> SALARIES A e o <br /> POSITION LISTING Gross Annual Portion of Salary on Proposed C % of Gross Annual <br /> Salary Program Funder Specific Budget Salary <br /> Position Tide / Total Hrs/wk (Agency) Requested(GA) <br /> Example: ExecuWe Dlrector140hm 70,000.00 109000.00 5,000.00 7.14%. <br /> 92312006 <br /> B-1 <br />