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IRCHSC/HF-IRC 05-06 <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 : Indian River County Healthy Start Coalition , Inc ./Healthy Families -IRC <br /> FUNDER : IRC BOCC Children 's Service Advisory Committee = 05 -06 <br /> I CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should <br /> Abe used for calculations and to write information only. <br /> GRAY AREAS FOR Proposed <br /> REVENUES AGENCY USE ONLY sed Total Program Funder Specific Total Agency <br /> " gCALG;� Budget Budget Budget <br /> 1 Children's Services Council-St, Lucie <br /> 2 Children's Services CounciWartin <br /> 3 Advisory Committee-Indian River 55,000.00 559000.00 75,000 . 00 <br /> 4 United Way=St. Lucie County <br /> 5 United Way-Martin County <br /> 6 United Way-Indian River County 46,000.00 <br /> 7 DOH-0unce of Prevention 488,085.00 945,315.00 <br /> 8 County Funds <br /> 9 Contributions-Cash 12 ,500.00 <br /> 10 Program Fees <br /> 11 Fund Raising Events-Net 12,500.00 <br /> 12 Sales to Public • Net <br /> 13 Membership Dues <br /> 14 Investment Income <br /> 15 Miscellaneous 50 ,000.00 <br /> 16 Legacies & Bequests <br /> 17 Funds from Other Sources 12 ,500.00 <br /> 18 Reserve Funds Used for Operating <br /> 19 In•Kind Donations (Not included in total) <br /> 20 TOTAL REVENUES <br /> (doesn't include line 19) $543,085.00 $55,000. 001 $ 1 , 153,815. 00 <br /> A B C D <br /> EXPENDITURES GRAY AREAS FOR Proposed Total Program Funder Specific Total Agency <br /> AGENCY USE ONLY <br /> (SHOW CALCULAMNS) Budget Budget Budget <br /> 21 Salaries - (must complete chart on next page) 3302581 .00 55,000 .00 773,281 . 00 <br /> Salary <br /> 22 FICA . Total salaries x 0. 0765 7.65% 25,290 . 00 47207.50 59, 156 .00 <br /> e firemen - Annual pension tor qualm &k <br /> 23 staff ( note: this includes WC, UC and 0 . 00 88,000.00 <br /> Life/Health - Medical/Dental/Short-term <br /> 24 Disab. 41 ,000.00 0 . 00 <br /> Workers Compensation - # employees x <br /> 25 rate 4,200 .00 0 .00 <br /> Honda unemployment - pro)ec e <br /> 26 employees x $7,000 x UCT-6 rate 49000.00 0 . 00 <br /> SALARIES A a D <br /> Gross Annual c % of Gross Annual <br /> POSITION LISTING Salary Portion of Salary Proposed Funder Specific Budget Salary <br /> Position Title / Total Hrs/wk (Agency) Programm Requested(CIA) <br /> Example: Executive Director/ 40 hrs 70,000. 00 10,000.00 5, 000.00 7. 14% <br /> 5/13/2005 <br /> B-1 <br />