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					                   2009/2010 BCLS Carryover Budget Form

Project:                                                                                     Grant ID #:
Phone:                                                                    ext.:

                                                          2009/2010           Unspent           Proposed
                                                            BCLS               BCLS             Carryover
Cost Category*                                              Award              Funds             Budget*
 1. Lawyers No. _.4 FTE___
 2. Paralegals No. ___
 3. Others No. ____
Salary Subtotal                                                       0                 0                   0
 4. Employee Benefits
Total Personnel                                                       0                 0                   0

 5. Space                                                                               57
 6. Equipment Rental
 7. Supplies
 8. Telephone
 9. Travel
 10. Training
 11. Library
 12. Insurance
 13. Audit
 14. Litigation
 15. Contractual Services
 16. Capital Additions (Specify)
 17. Other (Specify)
Total Non-Personnel

                   GRAND TOTAL
                (Total Personnel + Total Non-personnel)

Narrative: (Must be completed)

* please refer to the INSTRUCTIONS on the next worksheet

2009/2010 Budget of Unspent Funds - Report anticipated unspent funds from your most recent Approved
Annual Budget in the appropriate cost categories.

Proposed Carryover Budget: Report carryover funds in the applicable cost categories. It is not required that
unspent funds in a particular cost category be carried over to the same cost category.

Narrative: Please include, in the space provided, a narrative explaining how funds will be used in the fist six
months of the next Grant Period, and the circumstances that resulted in your under-expenditure of BCLS funds

Example:                   2009                        Proposed
                         Budget of                     Carryover
                       Unspent Funds                    Budget

Lawyer's salary        $          -                $        2,300
Supplies               $          300              $          -
Travel                 $        1,000              $          -
Training               $          -                $          -
Capital additions      $        1,000              $          -

Total Unspent Funds    $        2,300              $        2,300

For further reference, you may wish to refer to Article XI of the IOLTA General Grant Provisions.
G. Prohibited Activity              (BCLS Funds only)

  1. Potential Prohibited Activities
     Place a check mark next to any activity below in which the organization might engage with funds other than
     BCLS. (Rule 8 * prohibits the use of any BCLS funds, directly or indirectly, to support any of the activities

        a.   Class action lawsuits
        b.   Abortion-related litigation
        c.   A lawsuit against a governmental entity
        d.   A lawsuit against a political party
        e.   A lawsuit against a candidate
        f.   A lawsuit against an officeholder for action taken in the individual's official capacity
        g.   Lobbying for or against any candidate or issue
        h.   Representation of any individual during a time when that individual is confined to a local,
             state, or federal jail or prison. (For the purposes of the BCLS Program, a person is
             considered to be so confined if it is as a result of a determination of criminal responsibility
             by a court of competent jurisdiction or if the person is being held under

        i.   Legal services to any individual who is not legally in this country, unless necessary to
             protect the physical safety of the individual
        j.   Filing claims for actual or punitive damages in lawsuits to compel the payment of
             government benefits to which the claimant is entitled

     Note: BCLS funds must be budgeted in accordance with Rule 9.7. (see below)

  2. Uses of Requested BCLS Funds ONLY
     Your response to this section must correlate to the budget you submitted in worksheet, "A. Proposed
     Budget," column b.

      a. Personnel
        If you requested BCLS funds for personnel expenses, list below the positions for which BCLS funds will
        be used, recognizing that these positions are prohibited from performing any activity that is prohibited by
        the Rules.

             Other Staff:
             Employee Benefits:

     Note: Rule 9.7 (i) states that with regard to personnel-related direct expenses, BCLS funds may be used
     only if the person for which the funds are being used engages in no prohibited activities while working for the
     funded organization, regardless of the

     * All BCLS rules referenced here are rules in the "Order Approving Rules & Procedures Governing the
     Administration of the Basic Civil Legal Services Program, Including the Distribution of and Sanctions with
     Respect to the Funds."

                                   TAJF IOLTA/BCLS Grant Application 2009-10
                         Prohibited Activityee46ce7b-ac26-4253-81ed-b9c56d0855a5.xls
G. Prohibited Activity           (BCLS Funds only - continued)

  2. Uses of Requested BCLS Funds ONLY (continued)
    Your response to this section must correlate to the budget you submitted in worksheet, "A. Proposed
    Budget," column b.

     b. Non-Personnel
       Describe the specific costs for which the requested BCLS funds will be used; for example, “purchasing
       supplies”, “paying for 8 hours of CLE for 3 staff attorneys”, etc. Note that BCLS funds can be used for
       overhead expenses only as permitted by rule 9.7(

          Equipment Rental:
          Capital Additions:
          Contract Services:

    Note: Rule 9.7(ii) In compliance with Generally Accepted Accounting Principles, overhead expenses may
    be allocated to the grant but are limited to the lesser of the following:
        1. The dollar amount specified in the Approved Funds Budget; or
        2. The dollar amount calculated by the percentage ratio of indirect expenses to direct expenses
            calculated on an entity-wide basis. That is, the indirect expense to direct expense ratio from the
            Approved Funds Budget cannot exceed the same ratio on an entit
    Overhead expenses are those that are fungible in nature in that they cannot be separately identified as
    having been incurred for a specific purpose. Some examples of overhead expenses are occupancy,
    office supplies, utilities, telephone, and other equipm

                              TAJF IOLTA/BCLS Grant Application 2009-10
                      Proh. Act.(cont.)ee46ce7b-ac26-4253-81ed-b9c56d0855a5.xls

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