sfsp forms 02sponsorbudget2012

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					SFSP                                                                                                          Indiana Department of Education
Sponsor Budget
Sponsor Name                                                                   Sponsor #                              Program Year             2012
Administrative Staffing Plan
                                               Hours      Volun
                                     # of     per day     -teer      Hourly                        Total Wages for                    Duties
        Title of Position                                                          # of Days
                                     staff   spent on                Wage                             Program             (List the SFSP related tasks)
                                               SFSP




                 (Use an extra sheet if additional space is needed) Subtotal
                                                    Total Administrative Labor Costs
Operating Staffing Plan
                                               Hours
                                    # of      per day     Volun      Salary/       # of Days       Total Salary for
        Title of Position           staff    devoted      -teer      Hourly                           Program                        Duties
                                             to SFSP                 Wage




Program Budget
                     Estimated Operating Costs                                                 Estimated Administrative Costs
Labor                                                                            Total Administrative Salaries

Food Cost                                                                        Rent for Office Space
                                                                                 (Mail a copy of contract to IDOE)
Non-Food Supplies                                                                Utilities
Utilities                                                                        Telephone
Rental (Kitchen, Equipment, Truck, etc.)                                         Office Supplies
(Mail a copy of contract(s) to IDOE)
Other                                                                            Audit Fees
                                                                                 Transportation
                                                                                 Postage
                                                                                 Other
Total Operation Costs                                                            Total Administrative Costs

            Please check the box: I certify that the information on the form is true and accurate to the best of my knowledge; that I will accept the
            final administrative and financial responsibility for the total Summer Food Service Program operations and all sites under my
            sponsorship. I understand that this information is being given in connection of my receipt of federal funds and the deliberate
            misrepresentation may subject me to prosecution under applicable State and Federal Criminal Statutes.

            Name of the person who completed the form ____________________________ Title ______________________________

            Signature ________________________________________________________ Date _____________________________

				
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