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Form 1E - United Way Abilene

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Form 1E - United Way Abilene Powered By Docstoc
					United Way of Abilene                                                                                                                             Form 1E
Application - 2011-2012 Investment Program Review                                                                                  Due Date: July 14, 2011


                                     AGENCY & PROGRAM BUDGET SUMMARY (Form 1E)
                 This chart has been set to calculate automatically lines 5, 9, and 11. Round all numbers to the nearest dollar.


PROGRAM:
AGENCY:
                                                                       2010                           2011                          2012
        Agency & Program Budget Summary                                                      Agency          Program       Agency          Program
                                                             Agency           Program
                                                            Year-end          Year-end       Budgeted       Budgeted       Proposed       Proposed
    1   Revenue: United Way of Abilene
    2   Revenue: Other United Ways by location
   2a
   2b
   2c
    3   Revenue: Grants
   3a
   3b
   3c
   3d
    4   Revenue: All other
   4a   Program Fees
   4b   Membership Fees
   4c   Local Fundraising
   4d   Other:
   4e   Other:
    5   TOTAL REVENUE:
         (Add lines 1 - 4)
                                                                       0                 0              0              0              0              0

        PROGRAM:
United Way of Abilene                                                                                                                         Form 1E
Application - 2011-2012 Investment Program Review                                                                              Due Date: July 14, 2011



          AGENCY:


                                                                    2010                            2011                          2012
          Agency & Program Budget Summary
                                                                                           Agency          Program       Agency          Program
                                                          Agency            Program
                                                         Year-end           Year-end       Budgeted       Budgeted       Proposed       Proposed
     6a   Payroll
     6b   Payroll Taxes
          Benefits
     6c   Health Insurance
     6d   Retirement
     6e   Other:
      7   Expenses: Occupancy
      8   Expenses: All other
     8a   Payments to Regional/National Affiliate
     8b   Consultant/Professional Fees
     8c   Other:
      9   TOTAL EXPENSES:
           (Add lines 6 - 8)                                        0                  0              0              0              0              0
     10   Surplus (Deficit)
           (Subtract line 9 from line 5)                            0                  0              0              0              0              0
     11   UWAb Revenue as % of Total Revenue


Has funding for this program been lost from another funder?

1.   Source:
Amount of program revenue:                           $                  %
2.   Source:
Amount of program revenue:                           $                  %

				
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