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Indian River County Healthy Start Coalition , Inc. Page 14 <br /> 2003-04 TLC Newborn Program <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 Speck <br /> Budget Forms. <br /> AGENCY/PROGRAM NAME : Indian River County Healthy Start Coalition , Inc. = TLC Newborn Progral <br /> FUNDER : IRC BOCC = CSAC <br /> L _ . <br /> AEN Y Proposed Total Program Funder Specific Total A <br /> REVENUES (SHOWDETAIL6 Budget gency <br /> CALCULAnoNs) g Budget Budget <br /> 1 Children's Services Council-St. Lucie <br /> 2 Children's Services Council-Martin <br /> 3 Children's Services Council-0keechobee <br /> 4 Advisory Committee-Indian River 20,000.00 209000.00 75,000. 00 <br /> 5 United Way-St, Lucie County <br /> 6 United Way-Martin County <br /> 7 United Way-Okeechobee County <br /> 8 United Way-Indian River County 55,000.00 559000.00 <br /> 9 Department of Children & Families <br /> 10 County Funds <br /> 11 Contributions-Cash 3 ,000.00 <br /> 12 Program Fees <br /> 13 Fund Raising Events-Net 31000. 00 12,000.00 <br /> 14 Sales to Public • Net <br /> 15 Membership Dues <br /> 16 Investment Income <br /> 17 Miscellaneous John's Island Community Service League 109000.00 109000.00 <br /> 18 Legacies & Bequests <br /> DOH/FL Ounce/ <br /> 19 Funds from Other Sources March of Dimes 7499171 .00 <br /> 20a Reserve Funds Used for Operating <br /> 20b In-Kind Donations (Not included in total) 30 ,000. 00 479000.00 <br /> 21 TOTAL REVENUES (doesn't <br /> Include line lob $88,000 .00 $209000.00 $9049171 .00 <br /> A B C D <br /> EXPENDITURES GRAY AREAS FOR Proposed Total Program Funder Specific Total Agency <br /> AGENCY USE ONLY <br /> (SHOW CALCULATIONS) Budget Budget Budget <br /> 22 Salaries - (must complete chart on next page) 54 ,000.00 20,000 .00 6129251 .00 <br /> 0 <br /> Salary <br /> 23 FICA - Total salaries x 0. 0765 7.65% 41131 .00 0.00 469837.00 <br /> e Yemen - Annual pension or qua I le <br /> 24 staff 7.30% 11750. 00 0 . 00 249504.00 <br /> Life/Health - Medical/Dental/Short-term <br /> 25 Disab. 19.25% 4 ,616 . 00 0 .00 45,000.00 <br /> Workers Compensation - # effip5oyees x <br /> 261 rate (HF-IRC only 2,900.00 <br /> on a unemployment - prolec a 0.00 2,900.00 <br /> 27 employees x $7,000 x UCT-6 rate (HF-IRC only 0. 00 11200. 00 <br /> 5/27/03 <br /> 14 <br />