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Budget Form
<br />(October 1 , 201 1 - December 31 , 201 1 )
<br />All costs related to the program activities described in the proposal must be included on the Budget Form. A budge
<br />narritive must be attached on a separate sheet of paper for all line items marked with an � astrisk.
<br />"`See Budget Form Instructions
<br />Note: Audit Requirements
<br />States, local governments and non - profit institutions who receive $500,000 or more in federal funds in a fiscal year
<br />shall meet the audit requirements of the OMB Circular A -133, "Audits of States, and Local Governments and Non-
<br />profit Institutions."
<br />Administrative
<br />No more than 10%
<br />allowed_
<br />Program
<br />Total WIA
<br />Match /In -Kind
<br />Total
<br />P s.�`.` �'P.ersonr`iel�, " '
<br />u . .rx,� =�. •,t�.���
<br />: r x:z;;
<br />.. e. - ;ctw :
<br />.wuw 3�*� *�w,� -�,�
<br />a�- .� r .
<br />Salaries
<br />1 . FYLP Peer Mentors
<br />(at .625 FTE at $14.00 /hr.)
<br />2. FYLP Supervisor (.15 FTE)
<br />3. Senior Accountant (.1 O FTE)
<br />Use separate sheet if necessary.
<br />$4,550
<br />$4,550
<br />$4,550
<br />$1,751
<br />$1,751
<br />$1,751
<br />Benefits'
<br />1. FYLP Supervisor (23 %)
<br />2. Senior Accountant (23 %)
<br />Use separate sheet if necessary.
<br />Total Personnel
<br />$O
<br />$6,301
<br />$6,301
<br />$6,301
<br />�f(
<br />Oper "atin"Ezpen's`es � �,^� =iFf
<br />�_. a, �.._ .Y+Q
<br />�.. "� � ;i �� � .'$
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<br />z°�3' �_ Est ,
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<br />? %' j -'+'�` �
<br />..na L J ';
<br />M:, ot�::'%�a..t
<br />'f Y�l +r 3 d
<br />y
<br />�� ,k Mt e v .a� F
<br />T
<br />Rent or user fee'
<br />Utilities
<br />Phones
<br />Internet fees
<br />Parking fees
<br />Securit
<br />Maintenance
<br />Insurance
<br />Equipment rental fees°
<br />Vehicle lease
<br />Office expenses
<br />consumables
<br />Accountin Services
<br />Legal services
<br />Auditing services
<br />Indirect costs`
<br />Staff training
<br />Staff travel /mileage
<br />Participant Wages"
<br />Sup ort services"
<br />$778
<br />$778
<br />$778
<br />Participant Incentives*
<br />$200
<br />$200
<br />$200
<br />Other (list "
<br />Total Operatin Expenses
<br />$O
<br />$978
<br />$978
<br />$O
<br />$978
<br />v r .r
<br />s '+kSY ��*_�,.. .5=. '3 T ?'"
<br />� �a r. -Y 't��+:ii�.u.� �
<br />,, "'` � � 'f'
<br />��"� GRAND�.T.O1�AL, z4,�,
<br />tTotal Pe sonnel?+ T��,��x'•�'��
<br />O �ratlq�enSeS �'�.fz .i�.
<br />- •.y,
<br />:. d s c+ �»` .
<br />i1 a �
<br />$O m
<br />� t:,NY.�'�wa a
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<br />�'a T .�w°
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<br />N x
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<br />+ ,+"�
<br />h�L
<br />�`�a BHA .��,�
<br />T bL9 i.p -. a '" r,. =r+
<br />,i'" °iv4 ,�""'�: $ x
<br />!x ry.�,t+s w r� x
<br />t` $ �2t .9 :
<br />� a,� � �
<br />�s�pJ �� ,�
<br />'^t V
<br />° Y.rSk 9 . - •rte �
<br />�. gs'?.y'
<br />f *" '��
<br />r.,, r R �
<br />�: � i$O
<br />„ "'a�� "` �;x
<br />"� V �'
<br />� �:.,' l", -
<br />V4
<br />P �:'.".i y, 4 ..
<br />� '� t, $' �+� v.i
<br />.r � .'`� .
<br />�,�7 '279 .�
<br />,�',tE�"��,�`"�i��i
<br />Y � f •Y
<br />n,� ,f.' >� i� t -x:
<br />"`See Budget Form Instructions
<br />Note: Audit Requirements
<br />States, local governments and non - profit institutions who receive $500,000 or more in federal funds in a fiscal year
<br />shall meet the audit requirements of the OMB Circular A -133, "Audits of States, and Local Governments and Non-
<br />profit Institutions."
<br />
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