Legal Cash Reciept Format

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					                                                        PARTNERSHIP FOR CHILDREN OF CUMBERLAND COUNTY, INC.
                                                        351 Wagoner Drive, Suite 200, Fayetteville, NC 28303
                                                        Phone: (910) 867-9700               Fax: (910) 867-7772




                                                  QUARTERLY CONTRIBUTION REPORT FY 2010/2011
                                                                              Quarter:                       I

Agency: Facility Name                                                                                                                           Contract No: Use # Provided on MAF Contract
Activity: More at Four Pre-K Program
Person Completing Report:                Your Name                                                                                           Phone Number: Facility Phone Number

Section I. Cash and In-Kind Contributions

Please report donations and/or gifts that your organization has received during this funding quarter. Do not list contributions from state funds. Federal funds can be included, but only when they are not mixed with
state funds. All reported contributions must relate to the More at Four (MAF) Pre-Kindergarten Program funded activity. The contribution purpose can be classified by the donor as (U) Unrestricted, (R) Restricted,
or (T) Temporarily Restricted. Ensure that proper documentation for each contribution is attached to this report. Refer to the Cash & In-KInd Match Manual which is located on the Grants Recipient page of the
PFC website to determine what documentation must be provided. If no documentation, or inadequate documentation, is provided, then the contribution will NOT be counted. Note that the Partnership for
Children can never be the donor for contributions on this report.



A.    Cash Contributions (cash, checks and other negotiable instruments) Funds must be expended on behalf of the MAF Pre-K Program in the fiscal year in which it is
being reported. If on a portion of it is expended in the current fiscal year, you may only report the amount that is expended. The rest will have to be reported in the following fiscal year.

                                                                                                                                                                                                      Is Adequate
                                                                                                                                                                                                    Documentation
  Date                                                                                                                          State        Reciept or $                        Were these funds attached? (FOR
Received      Donor Name                                               Donor Organization                                       Funds? R/U/T Check # Amount                     spent this quarter? PFC USE ONLY)
 8/25/2009 Mr. Jones, President                                         Kalamazoo Bank                                          No          U             55555       $500.00   Yes




Total Cash Contributions:                                                                                                                                           $ 500.00




Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                                          Page 1 of 14
B.    In-Kind Contribution of Goods (goods, materials, equipment, space contributed, supplies, food, etc.)                                                                  Donors must provide documentation of the
value of the contribution. Discounts cannot be included if the vendor provides the discount to most of its customers - documentation must indicate that the discount was specific to the MAF Pre-K Program. All in-
kin contributions must be reported at fair market value with documentation showing how fair market value was determined. The word "Estimate" should never appear on documentation. Donor assigned values
are never acceptable. The acceptable criterion for valuing is "what an independent third party would sell it or buy it for." The value should be a receipt or market rate or appraisal by an independent third party, or
the like.

                                                                                                                                                                                                          Is Adequate
                                                                                                                                                Methodology                                             Documentation
   Date                                                                      Description/Purpose what was donated &                        How was value computed?                                      attached? (FOR
 Received          Donor Name               Donor Organization                                     why                                      SHOW CALCULATIONS                          $ Amount         PFC USE ONLY)

                                                                               List: Contributions of Supplies & Goods
 8/25/2009       Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                    $          21.50
 8/26/2009       Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                    $        100.00
 8/27/2009       Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                    $          15.00
 8/28/2009       Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                    $          50.00
 8/29/2009       Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                   $             2.46
 8/30/2009       Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                   $             5.50
 8/31/2009       Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                    $          10.25
 9/1/2009        Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                    $          20.00
 9/2/2009        Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                   $             7.50
 9/3/2009        Center's Name               ABC Supply Shop                           Classroom Supplies                         Total Receipt X MAF Student %                   $             1.07
 9/4/2009        Center's Name              Pre-K Child Supply                         Classroom Supplies                         Total Receipt X MAF Student %                    $        225.00
 9/5/2009        Center's Name                 Dollar General                          Classroom Supplies                         Total Receipt X MAF Student %                   $             3.75
 9/6/2009        Center's Name                     Wal-Mart                            Classroom Supplies                         Total Receipt X MAF Student %                    $          11.25
 9/7/2009        Center's Name                     Wal-Mart                            Classroom Supplies                         Total Receipt X MAF Student %                    $          45.99
 9/8/2009        Center's Name                     Wal-Mart                            Classroom Supplies                         Total Receipt X MAF Student %                    $          50.01
 9/9/2009        Center's Name                     Wal-Mart                            Classroom Supplies                         Total Receipt X MAF Student %                    $          75.05
 9/10/2009       Center's Name                     Wal-Mart                            Classroom Supplies                         Total Receipt X MAF Student %                   $             6.75
 9/11/2009       Center's Name                     Wal-Mart                            Classroom Supplies                         Total Receipt X MAF Student %                    $          60.21

Total Contributions of Supplies & Goods                                                                                                                                           $        711.29



Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                                           Page 2 of 14
                                                                                                                                                        Is Adequate
                                                                                                              Methodology                             Documentation
  Date                                                  Description/Purpose what was donated &            How was value computed?                     attached? (FOR
Received      Donor Name      Donor Organization                                why                        SHOW CALCULATIONS             $ Amount     PFC USE ONLY)
                                                       List: Contributions of Materials & Equipment
 8/25/2009   Center's Name     Kinder Kids Store                   Classroom Materials               Total Receipt X MAF Student %   $       120.00
 8/26/2009   Center's Name       School Tools                      Classroom Materials               Total Receipt X MAF Student %   $        75.00
 9/10/2009   Center's Name   ABC Learning Materials               Classroom Equipment                Total Receipt X MAF Student %   $        20.70
 9/11/2009   Center's Name   ABC Learning Materials                Classroom Materials               Total Receipt X MAF Student %   $        40.50
 9/12/2009   Center's Name          Staples                       Classroom Equipment                Total Receipt X MAF Student %   $        23.00
 9/13/2009   Center's Name          Staples                        Classroom Materials               Total Receipt X MAF Student %   $       300.00
 9/14/2009   Center's Name          Staples                       Classroom Equipment                Total Receipt X MAF Student %   $       745.00
                                     Total Contributions of Materials & Equipment                                                    $    1,324.20
                                                                                                                                                        Is Adequate
                                                                                                              Methodology                             Documentation
  Date                                                  Description/Purpose what was donated &            How was value computed?                     attached? (FOR
Received      Donor Name      Donor Organization                                why                        SHOW CALCULATIONS             $ Amount     PFC USE ONLY)
                              List: Contributions of Facility Costs/Space Contributed (REMEMBER MATERIALS ONLY)
 8/25/2009   Center's Name    Joe's Painting Svc      Paint for MAF Room
                                                                                                        Total Receipt X Sq. ft. %    $        50.00
 8/26/2009   Center's Name     Paul's Plumbing        Material Cost for Restroom Repair
                                                                                                        Total Receipt X Sq. ft. %    $       200.00
 9/10/2009   Center's Name   Vicky's Cleaning Svc     Cleaning Products
                                                                                                        Total Receipt X Sq. ft. %    $       100.00
 9/11/2009   Center's Name     Stanley Steamers       Cleaning Products
                                                                                                        Total Receipt X Sq. ft. %    $       250.00
 9/12/2009   Center's Name           PWC              Electricity & Water Utilities                     Total Receipt X Sq. ft. %    $       625.00
 9/13/2009   Center's Name         Embarq             Phone & Fax Service                               Total Receipt X Sq. ft. %    $       302.00
 9/14/2009   Center's Name    Benny's Lawn Svc        Plants, Shrubs, Lawn Materials                    Total Receipt X Sq. ft. %    $     1,200.00
 9/15/2009   Center's Name   Wayne's Construction     Building Supplies for Addition to MAF Room
                                                                                                        Total Receipt X Sq. ft. %    $       500.00
 9/16/2009   Center's Name     Chucky Cheese          Discount for Party Room
                                                                                                        Total Receipt X Sq. ft. %    $        25.00
 9/17/2009   Center's Name          Lowes             Plumbing Materials for Repair
                                                                                                        Total Receipt X Sq. ft. %    $       425.00
 9/18/2009   Center's Name          Lowes             Building Supplies for Repair and Replacement
                                                                                                        Total Receipt X Sq. ft. %    $       150.00
                               Total Contributions of Facility Costs/Space Contributed                                               $    3,827.00

Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                          Page 3 of 14
                                                                                                                                                          Is Adequate
                                                                                                                Methodology                             Documentation
  Date                                                        Description/Purpose what was donated &        How was value computed?                     attached? (FOR
Received      Donor Name       Donor Organization                              why                           SHOW CALCULATIONS             $ Amount     PFC USE ONLY)

                                                                  List: Contributions of Food
                                                         (NOTE: You may use your USDA reimbursement)
                             National School Lunch Program-
 8/25/2009   Center's Name               USDA
                                                                  Food, etc for MAF Students           Total Receipt X MAF Student %   $     1,170.00
                             National School Lunch Program-
 8/26/2009   Center's Name               USDA
                                                                  Food, etc for MAF Students           Total Receipt X MAF Student %   $     3,001.09
                             National School Lunch Program-
 8/27/2009   Center's Name               USDA
                                                                  Food, etc for MAF Students           Total Receipt X MAF Student %   $     5,665.00
 8/28/2009   Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $         5.10
 8/29/2009   Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $        12.02
 8/30/2009   Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $       103.00
 8/31/2009   Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $        75.00
 9/1/2009    Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $        26.50
 9/2/2009    Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $        46.01
 9/3/2009    Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $       600.20
 9/4/2009    Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $         7.30
 9/5/2009    Center's Name           Food Lion                    Food, etc for MAF Students           Total Receipt X MAF Student %   $        72.64
 9/6/2009    Center's Name           Wal-Mart                     Food, etc for MAF Students           Total Receipt X MAF Student %   $        65.50
 9/7/2009    Center's Name           Wal-Mart                     Food, etc for MAF Students           Total Receipt X MAF Student %   $        11.29
 9/8/2009    Center's Name           Wal-Mart                     Food, etc for MAF Students           Total Receipt X MAF Student %   $        12.99
 9/9/2009    Center's Name          Sam's Club                    Food, etc for MAF Students           Total Receipt X MAF Student %   $       220.00
 9/10/2009   Center's Name          Sam's Club                    Food, etc for MAF Students           Total Receipt X MAF Student %   $       150.00
 9/11/2009   Center's Name               IGA                      Food, etc for MAF Students           Total Receipt X MAF Student %   $         1.07
 9/12/2009   Center's Name              Aldi's                    Food, etc for MAF Students           Total Receipt X MAF Student %   $         3.72
 9/13/2009   Center's Name              Aldi's                    Food, etc for MAF Students           Total Receipt X MAF Student %   $         8.57
                                                    Total Contributions of Food                                                        $ 11,257.00



Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                            Page 4 of 14
                                                                                                                                                                                                            Is Adequate
                                                                                                                                                 Methodology                                              Documentation
  Date                                                                       Description/Purpose what was donated &                         How was value computed?                                       attached? (FOR
Received           Donor Name               Donor Organization                                      why                                      SHOW CALCULATIONS                          $ Amount          PFC USE ONLY)

                                                                           List: Contributions of Transportation Costs/Gas
 8/29/2009       Center's Name           Haymont Gas                       Gas for Bus                                             Total Receipt X MAF Student %                    $         120.00
 8/30/2009       Center's Name           Exxon                             Gas for Bus                                             Total Receipt X MAF Student %                    $         200.00
 8/31/2009       Center's Name           Hess                              Gas for Van                                             Total Receipt X MAF Student %                    $           55.00
 9/1/2009        Center's Name           Ed's Tire                         New Tires for Van                                       Total Receipt X MAF Student %                    $         350.00
 9/2/2009        Center's Name
                            Jiffy Lube                                     Vehicle Maintenance                                     Total Receipt X MAF Student %                    $           40.00
Total Contributions of Transportation Costs                                                                                                                                         $        765.00


C.    In-Kind Contributions of Services (professional/specialized services, accounting fees, legal fees, etc.) Professional hours encompass the
services of a lawyer, accountant, doctor, teacher, painter, etc. The hours and services they donate must relate to their professional expertise in order to value their time as a professional service. If services are
donated at a reduced rate, the amount of donation is the difference between the standard rate or fee and the rate or fee charged. If the volunteer provides services over a number of days and hours, it is best to
submit a time sheet listing the date, time and activity. NOTE: Do not include time donated for Board/Committee/Workgroup or other meetings held by the Partnership. These hours cannot be
considered professional time and are already accounted for by the Partnerhsip at the regular volunteer rate.


                                                                                                                                                                                                           Is Adequate
                                                                                                                                                                                                          Documentatio
                                                                                                                                                 Methodology                                               n attached?
  Date                                                                       Description/Purpose what was donated &                         How was value computed?                                         (FOR PFC
Received           Donor Name               Donor Organization                                      why                                      SHOW CALCULATIONS                          $ Amount           USE ONLY)

 8/30/2009       Center's Name              Carole's Accounting                               Tax Prep, etc                             Total Receipt X Sq. ft. %                   $         500.00
 8/31/2009       Center's Name               Attorney Bill Smith                               Legal Fees                               Total Receipt X Sq. ft. %                   $         300.00
 9/1/2009        Center's Name                 MAF Teachers                              Salaries for MAF Svc                           Total Receipt X Sq. ft. %                   $      7,000.00
 9/2/2009        Center's Name                 Paul's Plumbing                    Labor Cost for Restroom Repair                        Total Receipt X Sq. ft. %                   $         150.00
 9/3/2009        Center's Name               Joe's Painting Svc                 Labor Cost for Painting MAF Room                        Total Receipt X Sq. ft. %                   $         375.00
 9/4/2009        Center's Name             Vicky's Cleaning Svc                        Labor Fees for Cleaning                          Total Receipt X Sq. ft. %                   $         200.00
 9/5/2009        Center's Name               Benny's Lawn Svc                     Labor Cost for Landscaping, etc                       Total Receipt X Sq. ft. %                   $         750.00
 9/6/2009        Center's Name            Wayne's Construction                Labor Cost for Addition to MAF Room                       Total Receipt X Sq. ft. %                   $      2,500.00

Total Contributions of Professional Services                                                                                                                                        $ 11,775.00



Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                                             Page 5 of 14
D.    Non-Professional Volunteer Services: All unpaid services provided by volunteers and uncompensated employee time outside the scope of the employee's
normal duties. One service hour is valued at $18.93 per hour. Volunteer vouchers must be provided for each volunteer. Use the group record of attendance form for
activities/meetings with more than one person volunteering time. Use the individual form if only one person volunteers for the event/task. Combine the total number of
hours volunteered for a specific activity or event into one entry below. Round time volunteered to the nearest quarter hour (0.25). NOTE: Do not count time donated for
Board/Committee/Workgroup or other meetings held by the Partnership as these hours are already accounted for by the Partnership.

                                                                                                                                                           # Hours
                                                                                                                                                                                                Is Adequate
                                                                                                                                                           Donated                            Documentation
  Date                                                                                                                                                     (to nearest   $ Value of time      attached? (FOR
Received          Donor Name                      Donor Organization                          Description/Purpose of Services Provided                      1/4 hour)        (Hrs x $18.93)   PFC USE ONLY)

 8/31/2009      Center's Name Cumberland County Fire Department                                          Fire Safety Presentation                              1         $           18.93
 9/1/2009       Center's Name                   WRAL Representative                                        Hurricane Awareness                                0.5        $             9.47
 9/2/2009       Center's Name                    PWC Representative                                 Water Preservation Discussion                            1.25        $           23.66
 9/3/2009       Center's Name                      Ft. Bragg Soldiers                               Illustration of Military Equipment                       1.75        $           33.13
 9/4/2009       Center's Name              Swamp Doggs Baseball Team                                     Fun Exercise for Sports                              1.5        $           28.40
 9/5/2009       Center's Name                             Parent                                              Cup Cake Party                                 0.75        $           14.20
 9/6/2009       Center's Name                  Fire Antz Hockey Team                                             Read to Me                                    1         $           18.93

Total Non-Professional Volunteer Services                                                                                                                                $         146.71

Section II. Program Income
Program Income is any revenue earned from the utilization of MAF Pre-K Program funds. Interest earned on bank accounts and fees charged for services are two examples of program income. (Contract the
Partnership for Children office if you are unsure if you have program income.


                                                                                                                                                                                               Is Adequate
                                                                                                                                                                                              Documentatio
                                                                                                                                                                                               n attached?
  Date                                                                                                                                                                      Program             (FOR PFC
Received                                                                      Source of Income                                                                           Income Earned         USE ONLY)

  9/31/09                                 BANK OF AMERICA-Interested Earned from MAF Pre-K Program Funds                                                                 $           50.00




Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                                  Page 6 of 14
Total Program Income                                                                                                                                          $       50.00


TOTAL CONTRIBUTIONS FOR THE QUARTER                                                                                                                           $         30,356.20

Section III. Attestation

I attest that the information included in this report is accurate and substantiated with the attached proper documentation.




Signature of Person Completing Report                                              Title                                                                     Date


*If you have questions when completing this form, please contact Gayle Tucker, Accounting Specialist or Melissa Thames, Accounting Specialist
 for technical assistance.
* This report is due on the following schedule and should be submitted in hard copy format, with all supporting documentation attached, to Carole Mangum,
Accounting Manager by close of business on the days listed:

            1st Quarter:   Monday, October 4, 2010
           2nd Quarter:    Friday, December 3, 2010 (Note: Due early for OSR Reporting)
           3rd Quarter:    Monday, April 4, 2011
           4th Quarter:    Friday, June 3, 2011




F:\Fiscal\Cumberland Accounting\Child Care Resource & Referral\MAF\MAF 0910\Quarterly Reporting FY 09-10\MAF Quarterly Report BLANK and EXAMPLE COPY- FY 09-10.xlsx




Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                  Page 7 of 14
                                                        PARTNERSHIP FOR CHILDREN OF CUMBERLAND COUNTY, INC.
                                                        351 Wagoner Drive, Suite 200, Fayetteville, NC 28303
                                                        Phone: (910) 867-9700               Fax: (910) 867-7772




                                                  QUARTERLY CONTRIBUTION REPORT FY 2010/2011
                                                                               Quarter:

Agency:                                                                                                                                        Contract No:
Activity:
Person Completing Report:                                                                                                                    Phone Number:

Section I. Cash and In-Kind Contributions

Please report donations and/or gifts that your organization has received during this funding quarter. Do not list contributions from state funds. Federal funds can be included, but only when they are not mixed with
state funds. All reported contributions must relate to the More at Four (MAF) Pre-Kindergarten Program funded activity. The contribution purpose can be classified by the donor as (U) Unrestricted, (R) Restricted,
or (T) Temporarily Restricted. Ensure that proper documentation for each contribution is attached to this report. Refer to the Cash & In-KInd Match Manual which is located on the Grants Recipient page of the
PFC website to determine what documentation must be provided. If no documentation, or inadequate documentation, is provided, then the contribution will NOT be counted. Note that the Partnership for
Children can never be the donor for contributions on this report.



A.    Cash Contributions (cash, checks and other negotiable instruments) Funds must be expended on behalf of the MAF Pre-K Program in the fiscal year in which it is
being reported. If on a portion of it is expended in the current fiscal year, you may only report the amount that is expended. The rest will have to be reported in the following fiscal year.

                                                                                                                                                                                                      Is Adequate
                                                                                                                                                                                                    Documentation
  Date                                                                                                                          State                           $                Were these funds attached? (FOR
Received           Donor Name                                          Donor Organization                                       Funds? R/U/T          Check # Amount            spent this quarter? PFC USE ONLY)




Total Cash Contributions:                                                                                                                                           $      -




Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                                          Page 8 of 14
B.    In-Kind Contribution of Goods (goods, materials, equipment, space contributed, supplies, food, etc.)                                                                  Donors must provide documentation of the
value of the contribution. Discounts cannot be included if the vendor provides the discount to most of its customers - documentation must indicate that the discount was specific to the MAF Pre-K Program. All in-
kin contributions must be reported at fair market value with documentation showing how fair market value was determined. The word "Estimate" should never appear on documentation. Donor assigned values
are never acceptable. The acceptable criterion for valuing is "what an independent third party would sell it or buy it for." The value should be a receipt or market rate or appraisal by an independent third party, or
the like.

                                                                                                                                                                                                          Is Adequate
                                                                                                                                                Methodology                                             Documentation
   Date                                                                      Description/Purpose what was donated &                        How was value computed?                                      attached? (FOR
 Received          Donor Name               Donor Organization                                     why                                      SHOW CALCULATIONS                         $ Amount          PFC USE ONLY)

                                                                               List: Contributions of Supplies & Goods




Total Contributions of Supplies & Goods                                                                                                                                           $              -



Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                                           Page 9 of 14
                                                                                                                                           Is Adequate
                                                                                                  Methodology                            Documentation
  Date                                             Description/Purpose what was donated &     How was value computed?                    attached? (FOR
Received     Donor Name       Donor Organization                    why                        SHOW CALCULATIONS            $ Amount     PFC USE ONLY)
                                                   List: Contributions of Materials & Equipment




                                    Total Contributions of Materials & Equipment                                        $         -
                                                                                                                                           Is Adequate
                                                                                                  Methodology                            Documentation
  Date                                             Description/Purpose what was donated &     How was value computed?                    attached? (FOR
Received     Donor Name       Donor Organization                    why                        SHOW CALCULATIONS            $ Amount     PFC USE ONLY)
                              List: Contributions of Facility Costs/Space Contributed (REMEMBER MATERIALS ONLY)




                               Total Contributions of Facility Costs/Space Contributed                                  $         -



Cash In-Kind Quarterly Report - FY 2009/2010                                                                                           Page 10 of 14
                                                                                                                                           Is Adequate
                                                                                                  Methodology                            Documentation
  Date                                               Description/Purpose what was donated &   How was value computed?                    attached? (FOR
Received     Donor Name       Donor Organization                      why                      SHOW CALCULATIONS            $ Amount     PFC USE ONLY)

                                                            List: Contributions of Food
                                                   (NOTE: You may use your USDA reimbursement)




                                               Total Contributions of Food                                              $         -



Cash In-Kind Quarterly Report - FY 2009/2010                                                                                           Page 11 of 14
                                                                                                                                                                                                            Is Adequate
                                                                                                                                                 Methodology                                              Documentation
  Date                                                                       Description/Purpose what was donated &                         How was value computed?                                       attached? (FOR
Received           Donor Name               Donor Organization                                      why                                      SHOW CALCULATIONS                          $ Amount          PFC USE ONLY)

                                                                           List: Contributions of Transportation Costs/Gas




Total Contributions of Transportation Costs                                                                                                                                         $              -


C.    In-Kind Contributions of Services (professional/specialized services, accounting fees, legal fees, etc.) Professional hours encompass the
services of a lawyer, accountant, doctor, teacher, painter, etc. The hours and services they donate must relate to their professional expertise in order to value their time as a professional service. If services are
donated at a reduced rate, the amount of donation is the difference between the standard rate or fee and the rate or fee charged. If the volunteer provides services over a number of days and hours, it is best to
submit a time sheet listing the date, time and activity. NOTE: Do not include time donated for Board/Committee/Workgroup or other meetings held by the Partnership. These hours cannot be
considered professional time and are already accounted for by the Partnerhsip at the regular volunteer rate.


                                                                                                                                                                                                           Is Adequate
                                                                                                                                                                                                          Documentatio
                                                                                                                                                 Methodology                                               n attached?
  Date                                                                       Description/Purpose what was donated &                         How was value computed?                                         (FOR PFC
Received           Donor Name               Donor Organization                                      why                                      SHOW CALCULATIONS                          $ Amount           USE ONLY)




Total Contributions of Professional Services                                                                                                                                        $              -



Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                                           Page 12 of 14
D.    Non-Professional Volunteer Services: All unpaid services provided by volunteers and uncompensated employee time outside the scope of the employee's
normal duties. One service hour is valued at $18.93 per hour. Volunteer vouchers must be provided for each volunteer. Use the group record of attendance form for
activities/meetings with more than one person volunteering time. Use the individual form if only one person volunteers for the event/task. Combine the total number of
hours volunteered for a specific activity or event into one entry below. Round time volunteered to the nearest quarter hour (0.25). NOTE: Do not count time donated for
Board/Committee/Workgroup or other meetings held by the Partnership as these hours are already accounted for by the Partnership.

                                                                                                                                                           # Hours
                                                                                                                                                                                                  Is Adequate
                                                                                                                                                           Donated                              Documentation
  Date                                                                                                                                                     (to nearest   $ Value of time        attached? (FOR
Received          Donor Name                      Donor Organization                          Description/Purpose of Services Provided                      1/4 hour)        (Hrs x $18.93)     PFC USE ONLY)




Total Non-Professional Volunteer Services                                                                                                                                $              -

Section II. Program Income
Program Income is any revenue earned from the utilization of MAF Pre-K Program funds. Interest earned on bank accounts and fees charged for services are two examples of program income. (Contract the
Partnership for Children office if you are unsure if you have program income.


                                                                                                                                                                                                 Is Adequate
                                                                                                                                                                                                Documentatio
                                                                                                                                                                                                 n attached?
  Date                                                                                                                                                                      Program               (FOR PFC
Received                                                                      Source of Income                                                                           Income Earned           USE ONLY)




Total Program Income                                                                                                                                                     $              -


Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                                                  Page 13 of 14
TOTAL CONTRIBUTIONS FOR THE QUARTER                                                                                                         $                     -

Section III. Attestation

I attest that the information included in this report is accurate and substantiated with the attached proper documentation.




Signature of Person Completing Report                                    Title                                                             Date


*If you have questions when completing this form, please contact Gayle Tucker, Accounting Specialist or Melissa Thames, Accounting Specialist
 for technical assistance.
* This report is due on the following schedule and should be submitted in hard copy format, with all supporting documentation attached, to Carole Mangum,
Accounting Manager by close of business on the days listed:

          1st Quarter:   Monday, October 4, 2010
         2nd Quarter:    Friday, December 3, 2010 (Note: Due early for OSR Reporting)
         3rd Quarter:    Monday, April 4, 2011
         4th Quarter:    Friday, June 3, 2011




Cash In-Kind Quarterly Report - FY 2009/2010                                                                                                                Page 14 of 14

				
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