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					FY 2007 Community Development Block Grant Program Application for Funding

Project Budget

Personnel

[Project Name]
Total Units/ Households to be Assisted

[Company Name]

Personnel
Number of Positions Position Title % of CDBG Time 0% 0% 0% 0% 0% 0% Estimated CDBG $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fed Source $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Public/Private Source $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Project Budget $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

(%) Other #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Total (%) CDBG

(%) Total #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Total Direct Salaries

Fringe Benefits
Description FICA Social Security Tax Medicare Tax State Unemployment Ins. Workers Compensation Other: (Specify) Other: (Specify) Other: (Specify) $ $ $ $ $ $ $ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Total Required Estimated CDBG Fed Source Public/Private Source Total Project Budget (%) Other
Total (%) CDBG

(%) Total

Total Benefits

TOTAL PERSONNEL COSTS

$0.00

$0.00

$0.00

$0.00 0 0

#DIV/0!

#DIV/0!

#DIV/0!

FY 2007 Community Development Block Grant Application for Funding

Project Budget

Operating
Operating Admissions Advertising Conferences/Meetings Contractural Services Direct Assist-Beneficiaries Memberships/Subscriptions Equipment Lease Equipment Maint/Repair Equipment Purchase Insurance Legal/Auditing Office supplies Postage/Shipping Printing/Publications Professional Fees Rent/Lease (Other) Telephone Travel - Local Travel- Out of Town Utilities Other (Specify) Other (Specify) Other (Specify) Total Expenses $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Estimated CDBG Estimated CDBG $0.00

[Project Name]

[Company Name]
Total Units/ Households to be Assisted

Fed Source $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total Fed Source $0.00

Public/Private Total Project Source Budget $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ -

(%) Other -----------------------Total (%) Other --

Total (%) CDBG

(%) Total ----------------------------------------------(%) Total --

Total Total Project Public/Private Budget Source $0.00 $0.00

Total (%) CDBG

--

FY 2007-2008 Community Development Block Grant Application for Funding

Project Budget P & O Cost Detail
[Project Name] [Company Name]

Personnel Cost Detail
Line Item Detail Basis for Determing Cost $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Project Total -

Total

$

FY 2007 City of Killeen Community Development Block Grant Applicaton for Funding

Project Budget

Public Facilities and Improvements -Construction, Reconstruction, Rehabilitation; Acquisition; Clearance/Demolition; Historic Preservation; Economic Development
DESCRIPTION Estimated CDBG $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Fed Source Public/Private Source $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total Project Budget $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ (%) Other

[Project Name]

[Company Name]
Number of Units/ Households

0

Total (%) CDBG

(%) Total

Trade Item Accessory Structures Acoustical Air Conditioning Appliances Blinds.Shades Cabinets Concrete Doors Drywall Electrical Elevators Finish Carpentry Flooring Glass Heat/Ventilation Insulation Masonry Metals Painting Plumbing/Hot Water Roofing Rough Carpentry Sheet Metal Special Construction Specialties (ADA Requirements) Tile Work Waterproofing Windows

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

-

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Page 1

FY 2007 City of Killeen Community Development Block Grant Applicaton for Funding

Project Budget

Public Facilities and Improvements -Construction, Reconstruction, Rehabilitation; Acquisition; Clearance/Demolition; Historic Preservation; Economic Development
DESCRIPTION Estimated CDBG $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Fed Source Public/Private Source $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Estimated CDBG $ 0.00 $ 0.00 $ Total Fed Source $ $ Total Public/Private Source $ 0.00 0.00 Total Project Budget Total Project Budget $ 0.00 0.00 $ (%) Other

[Project Name]

[Company Name]
Number of Units/ Households

0

Total (%) CDBG

(%) Total

Site, Roads, Utilities Acquisition (Structure & Land) Clearance/Demoliton Earthwork Land Purchase (Vacant) Lawns/Planting Parking/Driveway-incl new/replacemt Roads/Streets Sidewalks, Curb, Gutter Site Improvements-incl. Drainage Site Utilities (Temporary & Permanent) Unusual Site Conditions Water/Sewer Line Replacement Professional Fees, Requirements Architectural Fee (Total) Bond Premium Builder's Overhead Builder's Profit Engineering Fee (Total) General Requirements Insurance (Builder's Risk, Liabiity) Hazardous Site Asbestos Lead Paint
(Survey, Abatement, Clearance) (Test, Abatement, Clearance)

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

-

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Other (Specify) Other (Specify) Advertising - Bid Advertising Costs for Bid (Min. $700) Total Estimated Expenses

#DIV/0! Total (%) Other #DIV/0!

#DIV/0!
Total (%) CDBG

#DIV/0! (%) Total #DIV/0! Page 2

#DIV/0!

ADJUSTED TOTAL PROJECT BUDGET
(Includes10% Contingency and 7.5% Inflation Factor)

Cost Per Unit

#DIV/0!

FY 2007 Community Development Block Grant Application for Funding

Project Budget

[Project Name]

[Company Name]
Number of Units/ Households

Housing -Construction, Reconstruction, Rehabilitation; Handicapped Accessibility (Removal of Architectural Barriers)
DESCRIPTION Trade Item Accessory Structures Acoustical Air Conditioning Appliances Blinds.Shades Cabinets Concrete Doors Drywall Electrical Elevators Finish Carpentry Flooring Glass Heat/Ventilation Insulation Masonry Metals Painting Plumbing/Hot Water Roofing Rough Carpentry Sheet Metal Special Construction Specialties (ADA Requirements) Tile Work Waterproofing Windows Emergency & Minor Repair (ONLY) Urgent Repair-Unsafe, Unsanitary, Unfit Minor Repair- Mech, Plumb, Elect, Structure Architectural Barrier Removal Removal of Barriers-Elderly/Disabled Estimated CDBG $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Fed Source Public/Private Source $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total Project Budget $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ -------------------------------(%) Other

292

Total (%) CDBG

(%) Total

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

-

--------------------------------

--------------------------------

Page 1

FY 2007 Community Development Block Grant Application for Funding

Project Budget

[Project Name]

[Company Name]
Number of Units/ Households

Housing -Construction, Reconstruction, Rehabilitation; Handicapped Accessibility (Removal of Architectural Barriers)
DESCRIPTION Site, Roads, Utilities Acquisition (Structure & Land) Clearance/Demoliton Earthwork Land Purchase (Vacant) Lawns/Planting Parking/Driveway-incl new/replacemt Roads/Streets Sidewalks, Curb, Gutter Site Improvements-incl. Drainage Site Utilities (Temporary& Permanent) Unusual Site Conditions Water/Sewer Line Replacement Professional Fees, Requirements Architectural Fee (Total) Bond Premium Builder's Overhead Builder's Profit Engineering Fee (Total) General Requirements Insurance (Builder's Risk, Liabiity) Hazardous Site Asbestos Lead Paint
(Survey, Abatement, Clearance) (Test, Abatement, Clearance)

292

Estimated CDBG $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ -

Fed Source

Public/Private Source $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ -

Total Project Budget $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ -

(%) Other

Total (%) CDBG

(%) Total

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

-

------------------------

------------------------

------------------------

Other (Specify) Other (Specify) Advertising - Bid Advertising Costs for Bid (Min. $700) Total Estimated Expenses

$

Estimated CDBG

$

Total Fed Source

$

-

$

-Total (%) Other -Total (%) CDBG

--

-(%) Total -Page 2

$ 0.00 0.00

-

$ 0.00 0.00

-

Total Public/Private Source $ 0.00 0.00

Total Project Budget $ 0.00 0.00 $ -

--

ADJUSTED TOTAL PROJECT BUDGET
(Includes10% Contingency and 7.5% Inflation Factor) 0

Cost Per Unit

$

-

FY 2007 City of Killeen Community Development Block Grant Applicaiton for Funding

[Project Name]

[Company Name]

PROJECT BUDGET TOTAL
PROJECT PERSONNEL and OPERATING
Personnel Direct Salaries Payroll Taxes Employee Benefits Operating Total Project Operating $ $ $ $ Housing Trade Items Site, Roads, Utilities Professional Fees, Requirements Hazardous Site Other Advertising - Bid Emergency & Minor Repair Architectural Barrier Removal Total Project - Personnel and Operating Costs $ Total ESTIMATED Project - Housing and Handicapped Accessibility Costs (No Contingency, No Cost Escalator) Total ESTIMATED CDBG - Housing and Handicapped Accessibility Costs
(No Contingency, No Cost Escalator)

HOUSING and HANDICAPPED ACCESSIBILITY
$ $ $ $ $ $ $ $ $ $ $ $ -

TOTAL CDBG - Housing and Handicapped Accessibility Costs (Includes Adjustments for Contingency and Cost Escalator) Total Project - Housing and Handicapped Accessibility Costs
(Includes ALL Funding Sources with Adjustments)

PUBLIC FACILITIES & IMPROVEMENTS, ACQUISITION, CLEARANCE/DEMOLITION, HISTORIC PRESERVATION, ECONOMIC DEVELOPMENT
Trade Items Site, Roads, Utilities Professional Fees, Requirements Hazardous Site Other Advertising-Bid Total ESTIMATED Project - Public Facilities, Acquisiton, Clearance, Historic, Economic Development
(No Contingency, No Cost Escalator)

PROJECT FUNDING SOURCES
Total Units/Households Assisted 292 Total Federal Sources Total Public-Private Sources Total CDBG Total Project Funding Sources $0.00 $0.00 0.00 $0.00 292

$ $ $ $ $ $

$

-

Total ESTIMATED CDBG - Public Facilities, Acquisiton, Clearance, Historic, Economic Development
(No Contingency, No Cost Escalator)

$

-

Total Cost/Unit - ALL Funding Sources

$

-

TOTAL CDBG - Public Facilities, Acquisiton, Clearance, Historic, Economic Development
(Includes Adjustments for Contingency and Escalator)

$

-

Total Cost Per unit CDBG TOTAL CDBG REQUEST

$

-

Total Project - Public Facilities, Acquisiton, Clearance, Historic, Economic Development
(Includes ALL Funding Sources with Adjustments)

$

-

$0.00

FY 2007 Community Development Block Grant Application for Funding

Income and Expense Statement

Company Name
Company Fiscal Year

Begin

<Month-Day-Year>

to End

<Month-Day-Year> COMPANY TOTAL
Actual 2006-2007 Estimated 2006-2007 Estimated Budget 2007-2008

Current/Estimated Project
Project Actual 2006-2007 Estimated Project Budget 2006-2007 Project Estimated 2007-2008

INCOME
Program Income Program Fees Net Sales Contributions Individuals Board Foundations/Trusts Special Events Organizations Civic Corporate Religious Federal / State/Local CDBG- Killeen Federal Federal Federal Federal State State State State County County County County Municipal Municipal Municipal Municipal College District School District United Way - Greater Fort Hood Area United Way United Way Investment Income Interest, Dividends, Capital Gains Corporate In-Kind Contributions In-Kind Contributions

TOTAL INCOME

$

-

$

-

$

-

$

-

$

-

$

-

FY 2007 Community Development Block Grant Application for Funding

Income and Expense Statement

Company Name
Company Fiscal Year

Begin

<Month-Day-Year>

to End

<Month-Day-Year> COMPANY TOTAL
Actual 2006-2007 Estimated 2006-2007 Estimated Budget 2007-2008

Current/Estimated Project
Project Actual 2006-2007 Estimated Project Budget 2006-2007 Project Estimated 2007-2008

EXPENSES
Advertising/Marketing Advertising Direct marketing Other expenses (specify) Other expenses (specify) Total Advertising/Marketing Expenses $ Payroll Expenses Salaries/Wages Employee Benefits Total Payroll Expenses General and Adminstrative Consumable Supplies Conferences/Meetins Contractural Services Direct Assistance to Beneficiaries Memberships/Subscriptions Equipment Lease/Purchase Equipment Maint/Repair Insurance Legal/Auditing Postage/Shipping Printing/Publications Professional Fees Rent/Lease (Other) Telephone Travel-Local Travel-Out of Town Utilities Other (Specify) Other (Specify) Other (Specify) Total General and Adminstrative Expenses Taxes Income Taxes Payroll Taxes Real Estate Taxes Other (Specify) Other (Specify) Total Tax Expenses $ $ $0.00 $ $ $ $ $0.00 $ $ $ $ $0.00 $ $ $ $ $0.00 $ $ $ $ $0.00 $ $ $ $ $0.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ -

TOTAL EXPENSES

Total Expenses $ Total Income $ Net (+/-)

COMPANY BALANCE SHEET
[Company Name]
Current Year as of [date] Prior Year as of [date]

ASSETS
Current Assets Cash and Cash Equivalents Accounts Receivable Inventory/Investments Prepaid Expenses Other current assets Total Current Assets $ $ $ $ -

Fixed Assets
Machinery and equipment Furniture and fixtures Land and buildings Other fixed assets (LESS accumulated depreciation on all fixed assets) Total Fixed Assets (net of depreciation) $ $ $ $ -

Other Assets
Intangibles Deposits Goodwill Other Total Other Assets $ $ $ $ $ $ -

TOTAL Assets

LIABILITIES AND EQUITY
Current Liabilities Accounts payable Interest payable Taxes payable Notes, short-term (due within 12 months) Current part, long-term debt Other current liabilities Total Current Liabilities $ $ $ $ -

Long-Term Debt
Bank loans payable Notes payable to stockholders LESS: Short-term portion Other long-term debt Total Long-Term Debt $ $ $ $ $ $ -

TOTAL Liabilities

Fund Balance
Unrestricted Temporarily Restricted Permanently Restricted Total Fund Balance $ $ $ $ -

Total Liabilities and Fund Balance

$

-

$

-

Company Name
Five Year Projections Income Statement Net sales Cost of goods sold Net operating income Operating expenses Net income Cash Flow Statement Beginning balance Cash inflow Cash outflow Ending cash balance Balance Sheet Cash Accounts receivable Inventory Prepaid expenses Total current assets Fixed assets Total assets Accounts payable Short-term notes Accrued and other liabilities Total current liabilities Long-term debt Other long-term liabilities Total long-term liabilities Shareholders' equity Total liabilities and equity 2007 2008 2009 2010 2011 2007 $0 2008 $0 2009 $0 2010 $0 2011 $0 2007 $0 2008 $0 2009 $0 2010 $0 [Date] 2011 $0

Fy 2007 City of Killeen Community Development Block Grant Application for Funding

Name

Details
ASSETS - Details Notes and contracts held
From Whom Owing Original Amount Original Date

Personal Financial Statement page 2

Monthly Payment

Maturity Date

History / Purpose

Balance Owing

$

-

$

-

$

-

Total Securities: stocks / bonds / mutual funds
Name of Security Number of Shares Cost

-

$

-

Date of Acquisition

Market Value

$

-

Total Stock in privately held companies
Company Name No. of shares $ Invested Est. Market Value

-

$

-

$

-

Total

-

Fy 2007 City of Killeen Community Development Block Grant Application for Funding Real Estate
Description / Location Amount Owing Original Cost Personal Financial Statement page 3 Purchase Date Market Value

Total LIABILITIES Credit card & charge card debt
Name of Card / Creditor Amount Due

-

$

-

Total Notes payable (excluding monthly bills)
Name of Creditor Original Amount

-

Monthly Payment

Interest Rate

Secured by (Leine)

Amount Owing

$

-

$

-

$

-

Total Mortgage / real estate loans payable
Name of Creditor Original Amount Monthly Payment Interest Rate Secured by (Leine) Amount Owing

-

$

-

$

-

$

-

Total

-

Personal Financial Statement page 1

PERSONAL FINANCIAL STATEMENT
[Name] [Date] Assets Cash - checking accounts Cash - savings accounts Certificates of deposit Securities - stocks / bonds / mutual funds Notes & contracts receivable Life insurance (cash surrender value) Personal property (autos, jewelry, etc.) Retirement Funds (eg. IRAs, 401k) Real estate (market value) Other assets (specify) Other assets (specify) Total Assets Liabilities Current Debt (Credit cards, Accounts) Notes payable (describe below) Taxes payable Real estate mortgages (describe) Other liabilities (specify) Other liabilities (specify) Total Liabilities Net Worth $ $ $ $ $ Amount in Dollars Amount in Dollars -

Signature:

Date:


				
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