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					 Year-End FY 05 updated 8/03/05




                                            Community Partnerships for Children
                                                              Year-End Fiscal Report

     By August 31, 2005, please complete and return this report to:

                  Pat Cameron
                  Department of Early Education and Care
                  350 Main Street
                  Malden, MA 02148-9150

     PART I

     A)           Grant Recipient: _________________________________________________________________
                                                                     Lead Agency

     B)           Address: _______________________________________________________________________
                                                            Street, City/Town, Zip code

     C)           Project Number: _391_____________________________________________________________


     D)           Name of Grant Program/
                  Source of Funds: _________Community Partnerships for Children_________________________


     E)           Name of the Person Completing this Report: ___________________________________________
                                                                                                        Please type or print


                  ____________________________________________              (__________)_______________________________________
                            Title                                                    Telephone number

     PART II           Assurance


     I certify that all the information contained in this Financial Report is true and correct.


     ____________________________________________ ____________________________________
                  Signature of Authorized Representative                                      Typed or Printed Name
          (e.g. Business Manager/ Lead Agency Accountant)


     _______________________________________________________                _____________________________________________
                         Title                                                                Date Report Submitted




     Please note: this form is different from the Department of Education’s FR1 (Financial Report Form) that asks for
     spending by line item. At year end, submit original Form FR1 to Grants Management, Department of Education, 350
     Main Street, Malden, MA 02148 with a check made payable to the “Commonwealth of Massachusetts” for any
     unexpended funds. All goods and services must be delivered by June 30, 2005.
PART III – Using the FY06 Continuation Grant Attachment B (actual FY05 expenditures), please complete Quarters 3 (Column E) and 4 (Column F) expenditures for
Comprehensive Services ONLY. You do not need to complete Quarter 3 and 4 for any other grant objective.



                              Column A          Column B             Column C      Column D         Column E        Column F        Column G          Column H
      Grant Objective                           1st Quarter         2nd Quarter      Balance       3rd Quarter     4th Quarter        Total             Balance
      (see glossary for     Attachment           Spending            Spending     Unexpended        Spending        Spending       Expended by       Unexpended;
          objective         APPROVED              (July 1-          (October 1-   as of 12/31/04   (January 1-    (April 1- June    Objective       to be returned
         definitions)                         September 30)        December 31)                     March 31)           30)

    Affordability and
    Accessibility

    Collaboration


    Comprehensive
    Services

    Quality


    Outreach

    Program
    Coordination and
    Support

    Administration


    TOTAL


PART IV: Using the FY05 Continuation Grant Attachment G, please report on the number of children proposed to be served in FY05 and actual number who received direct
services.

Number of children proposed to receive direct services in FY05 _______

Year-end: Actual # of children served as of June 30, 2005 ______
 Year-End FY 05 updated 8/03/05

                                               MASSACHUSETTS FAMILY NETWORK

                                                              Year-End Fiscal Report

Please use your FY05 approved MFN grant to complete all sections: Use the totals for each grant objective and
report spending by quarter. Submit the report to Early Education and Care within sixty (60) days of the termination date of the
project (by August 31st ).

        Complete and return this report to:

                  Pat Cameron
                  Department of Early Education and Care
                  350 Main Street
                  Malden, MA 02148-9150

        PART I

             A) Grant Recipient: _________________________________________________________________
                                                                     Lead Agency

             B) Address: _______________________________________________________________________
                                                            Street, City/Town, Zip code

             C) Project Number: _296_____________________________________________________________


             D) Name of Grant Program/
                Source of Funds: _________Massachusetts Family Network______________________________


             E) Name of the Person Completing this Report: ___________________________________________
                                                                                                        Please type or print


                  ____________________________________________              (__________)_______________________________________
                            Title                                                    Telephone number

        PART II        Assurance


        I certify that all the information contained in this Financial Report is true and correct.


        ____________________________________________ ____________________________________
                  Signature of Authorized Representative                                      Typed or Printed Name
          (e.g. Business Manager/ Lead Agency Accountant)


        _______________________________________________________             _____________________________________________
                            Title                                                             Date Report Submitted




        Please note: this form is different from the Department of Education’s FR1 (Financial Report Form) that asks for
        spending by line item. At year end, submit original Form FR1 to Grants Management, Department of Education, 350
        Main Street, Malden, MA 02148 with a check made payable to the “Commonwealth of Massachusetts” for any
        unexpended funds. All goods and services must be delivered by June 30, 2005.
PART III

Column A: Totals of Proposed Grant Objective as Approved for FY05; Refer to Attachment D of your approved FY05 MFN grant.
Year-end: Complete Columns E and F.


                             Column A           Column B           Column C         Column D            Column E       Column F        Column G       Column H
      Grant Objective                          1st Quarter        2nd Quarter         Balance          3rd Quarter    4th Quarter        Total          Balance
      (see glossary for     Attachment          Spending           Spending        Unexpended           Spending       Spending       Expended by    Unexpended;
          objective         APPROVED             (July 1-         (October 1-      as of 12/31/04      (January 1-   (April 1- June    Objective    to be returned
         definitions)                         September30)       December 31)                           March 31)          30)

    Direct Services


    Collaboration


    Outreach


    Quality

    Program
    Coordination and
    Support

    Administration


    TOTAL



PART IV: Please give us an unduplicated count of the number of children and families served in FY05.

Year end: Actual number of children as of June 30, 2005 ______ Actual number of families as of June 30, 2005 _______
 Year-End FY 05 (updated 8/4/05)

                                               Parent-Child Home Program

                                                       Year-End Fiscal Report

Please use your approved FY05 PCHP grant to complete all sections: Please report grant spending for
third and fourth quarter only. Submit the report to Early Education and Care within sixty (60) days of the termination date of
the project (by August 31st ).

Complete and return this report to:

         Pat Cameron
         Department of Early Education and Care
         350 Main Street
         Malden, MA 02148

    PART I

    A) Grant Recipient: _________________________________________________________________
                                                            Lead Agency

    B) Address: _______________________________________________________________________
                                                   Street, City/Town, Zip code

    C) Project Number: _________________________________________________________________


    D) Name of Grant Program/
       Source of Funds:                      PARENT-CHILD HOME PROGRAM


    E) Name of the Person Completing this Report: _____________________________________________________
                                                                                             Please type or print

       ____________________________________________                       (__________)_______________________________________
               Signature and Title                                                Telephone number
    PART II        Assurance

         I certify that all the information contained in this Financial Report is true and correct.

         ____________________________________________                        ____________________________________
          Signature of Authorized Representative                                     Typed or Printed Name
         (e.g. Business Manager/ Lead Agency Accountant)

         _______________________________________________________             _____________________________________________
                   Title                                                             Date Report Submitted


    PART III
    A) Funds awarded                                                                $ ___________________________

    B) Funds expended 3rd Quarter (Jan 1 05-Mar 31 05)                              $ ___________________________

    C) Funds expended 4th Quarter (Apr 1 05-June30 05)                              $ ___________________________

    D) Unexpended balance                                                           $ ___________________________


Please note: this form is different from the Department of Education’s FR1 (Financial Report Form) that asks for spending by
line item. At year end, submit original Form FR1 to Grants Management, Department of Education, 350 Main Street, Malden,
MA 02148 with a check made payable to the “Commonwealth of Massachusetts” for any unexpended funds. All goods and
services must be delivered by June 30, 2005.