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Program Operating Budget document sample
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AC 08-09 Budget Form Appendix C ServeMinnesota
Number of years operating including Year of this
APPLICANT NAME: Organization Name Proposal 6
Section I. Program Operating Costs - Applicant Match: Minimum 33% of Total Operating Costs (Sec. I + III) Benchmarks
Type of Match: Cash or In-Kind Source of Funds Amount or Estimate Intended Purpose
1) $ -
2)
$ -
3)
$ -
4)
$ -
5)
$ -
6)
$ -
Total $ -
A. Personnel Expenses
Total Program
Applicant Match Section I
% Time Spent on In-Kind Youth
Position (List each separately) Annual Salary Cost Cost CNCS Share Applicant Match Cash Match + III > 33%
Program Match Works
1) Position (List each separately) $ - 0% $ - $ - $ - #DIV/0! #DIV/0!
2)
$ - 0% $ - $ - $ -
3)
$ - 0% $ - $ - $ -
4)
$ - 0% $ - $ - $ -
5) $ - 0% $ - $ - $ -
Totals $ - $ - $ - $ - $ - $ -
B. Personnel Fringe Benefits
Total Program Applicant In-Kind Youth
Purpose Calculation CNCS Share Cash Match
Cost Match Match Works
1) FICA $ - $ -
2) Workers Compensation $ - $ -
3) Leave $ - $ -
4) Other $ - $ -
5)
Other $ - $ -
Totals $ - $ - $ - $ - $ -
C.1. Staff Travel
Total Program Applicant In-Kind Youth
Purpose Miles Cost/Mile Tot.Mileage Other Travel All Travel CNCS Share Cash Match
Cost Match Match Works
1) Description 0 0.000 0 0 $ - $ - $ -
2) 0 0.000 0 0 $ - $ - $ -
3) 0 0.000 0 0 $ - $ - $ -
4) 0 0.000 0 0 $ - $ - $ -
5)
0 0.000 0 0 $ - $ - $ -
Totals $ - $ - $ - $ - $ - $ -
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AC 08-09 Budget Form Appendix C ServeMinnesota
Number of years operating including Year of this
APPLICANT NAME: Organization Name Proposal 6
Section I. Program Operating Costs - Applicant Match: Minimum 33% of Total Operating Costs (Sec. I + III) Benchmarks
C. 2. Member Travel
Total Program Applicant In-Kind Youth
Purpose Miles Cost/Mile Tot.Mileage Other Travel All Travel CNCS Share Cash Match
Cost Match Match Works
1) Description 0 0.000 0 0 $ - $ - $ -
2) 0 0.000 0 0 $ - $ - $ -
3) 0 0.000 0 0 $ - $ - $ -
4) 0 0.000 0 0 $ - $ - $ -
5)
0 0.000 0 0 $ - $ - $ -
Totals $ - $ - $ - $ - $ - $ - $ -
D. Equipment - (Not greater than 10% of Total CNCS Budget)
Total Program Applicant In-Kind Youth
Item & Purpose Quantity Unit Cost CNCS Share Cash Match
Cost Match Match Works
1)
$ - $ -
2)
$ - $ -
3)
$ - $ -
4)
$ - $ -
5)
$ - $ -
Totals $ - $ - $ - $ - $ -
E. Supplies - (Includes Member Service Gear)
Total Program Applicant In-Kind Youth
Description Gear Cost/pack Total Gear Other Costs All Supplies CNCS Share Cash Match
Cost Match Match Works
1)
Member Service Gear 0 0 0 0 $ - $ - $ -
2)
Other 0 0 0 0 $ - $ - $ -
3)
Other 0 0 0 0 $ - $ - $ -
4)
Other 0 0 0 0 $ - $ - $ -
5)
0 0 0 0 0 $ - $ - $ -
Totals $ - $ - $ - $ - $ - $ - $ -
F. Contractual & Consultant Services - (Not to exceed CNCS maximum $540/day)
Total Program Applicant In-Kind Youth
Purpose Calculation Daily Rate CNCS Share Cash Match
Cost Match Match Works
1)
$ - $ -
2)
$ - $ -
3)
$ - $ -
4)
$ - $ -
5)
$ - $ -
Totals $ - $ - $ - $ - $ -
2 of 6
AC 08-09 Budget Form Appendix C ServeMinnesota
Number of years operating including Year of this
APPLICANT NAME: Organization Name Proposal 6
Section I. Program Operating Costs - Applicant Match: Minimum 33% of Total Operating Costs (Sec. I + III) Benchmarks
G.1. Staff Training
Total Program Applicant In-Kind Youth
Purpose Calculation Daily Rate CNCS Share Cash Match
Cost Match Match Works
1)
$ - $ -
2)
$ - $ -
3)
$ - $ -
4)
$ - $ -
5)
$ - $ -
Totals $ - $ - $ - $ - $ -
G.2. Member Training
Total Program Applicant In-Kind Youth
Description MSY Cost/MSY Total Train. Other Costs All Mem. Train. CNCS Share Cash Match
Cost Match Match Works
1)
0 0 0 0 $ - $ - $ -
2)
0 0 0 0 $ - $ - $ -
3)
0 0 0 0 $ - $ - $ -
4)
0 0 0 0 $ - $ - $ -
5)
0 0 0 0 $ - $ - $ -
6)
0 0 0 0 $ - $ - $ -
7)
0 0 0 0 $ - $ - $ -
8)
0 0 0 0 $ - $ - $ -
9)
0 0 0 0 $ - $ - $ -
10)
0 0 0 0 $ - $ - $ -
Totals $ - $ - $ - $ - $ - $ - $ -
H. Evaluation - (Not to exceed CNCS maximum $540/day)
Total Program Applicant In-Kind Youth
Purpose Calculation Daily Rate CNCS Share Cash Match
Cost Match Match Works
1)
$ - $ -
2)
$ - $ -
3)
$ - $ -
4)
$ - $ -
5)
$ - $ -
Totals $ - $ - $ - $ - $ -
I. Other Program Operating Costs
Total Program Applicant In-Kind Youth
Purpose Calculation CNCS Share Cash Match
Cost Match Match Works
1)
$ - $ -
2)
$ - $ -
3)
$ - $ -
4)
$ - $ -
5)
$ - $ -
3 of 6
Totals $ - $ - $ - $ - $ -
TOTAL SECTION I 0 0 0 0 0 0
AC 08-09 Budget Form Appendix C ServeMinnesota
Number of years operating including Year of this
APPLICANT NAME: Organization Name Proposal 6
Section I. Program Operating Costs - Applicant Match: Minimum 33% of Total Operating Costs (Sec. I + III) Benchmarks
Section II. Member Costs - Applicant Match: Minimum 15% Cash Match of Total Member Costs Applicant Match Section II
>= 15%
Type of Match: Cash or In-Kind Source of Funds Amount or Estimate Intended Purpose
#DIV/0! #DIV/0!
1)
2)
3)
4)
5)
6)
Total $ -
A. Living Allowance Applicant Match
Total Program Applicant In-Kind Youth Living Allowance >= 15%
Item # Members Allowance Rate # with Allowance # w/o Allowance CNCS Share Cash Match
Cost Match Match Works
1) Full Time (1700 hrs) 0.00 $ - 0.00 $ - $ - #DIV/0! #DIV/0!
2)
Half Time (900 hrs) 0.00 $ - 0.00 $ - $ -
3)
Reduced Half Time (675 hrs) 0.00 $ - 0.00 $ - $ -
4) Quarter Time (450 hrs) 0.00 $ - 0.00 $ - $ -
5)
Minimum Time (300 hrs) 0.00 $ - 0.00 $ - $ - TOTAL MSY
6) 0.00 $ - 0.00 $ - $ - 0.00
Totals $ - $ - $ - $ - $ - $ -
Totals Tie # $ - Total CNCS and applicant share must tie to "Total Program Cost"
B. Member Support Costs Applicant Match
Total Program Applicant In-Kind Youth Health Care >= 15%
Purpose Calculation CNCS Share Cash Match
Cost Match Match Works
1) FICA - (7.65% of Total Member living Allowances) Rate = 7.65% $ - $ - #DIV/0! #DIV/0!
2)
Worker's Compensation - (or other Death & Dismemberment coverage) $ - $ -
3)
Health Care (CNCS Requirement: Required for FT members, optional for PT) $ - $ -
4)
Other $ - $ -
5)
Other $ - $ -
Total Mem.Csts $ - $ - $ - $ - $ - $ -
Two lines must equal Totals Tie # $ - Total FICA tax in CNCS column plus and "Applicant Share" must equal FICA shown in "Total Program Cost"
TOTAL SECTION II. 0 0 0 0 0 0
4 of 6
AC 08-09 Budget Form Appendix C ServeMinnesota
Number of years operating including Year of this
APPLICANT NAME: Organization Name Proposal 6
Section I. Program Operating Costs - Applicant Match: Minimum 33% of Total Operating Costs (Sec. I + III) Benchmarks
Section III. Administrative/Indirect Costs - Applicant Match: Minimum 33% of Total Operating Costs (Sec. I + III) CNCS
Choose Option A or Option B Admin <= 5%
A. Corporation Fixed Percentage Method: ((Sum of Section I + II) * .0526*.80) #DIV/0! #DIV/0!
Total Program Applicant In-Kind Youth
Purpose Calculation CNCS Share Cash Match
Cost Match Match Works
1) Corporation Administration $ - $ - $ -
Totals $ - $ - $ - $ - $ -
OR
CNCS AMOUNT CAN NOT EXCEED 0
B. Federally Approved Indirect Cost Rate Method TOTAL Match
Total Program Applicant In-Kind Youth
Cost Type Basis Calculation Rate Rate Claimed
Cost
CNCS Share
Match
Cash Match
Match Works > 34.00%
1) Corporation Administration $ - $ - #DIV/0! #DIV/0!
Totals $ - $ - $ - $ - $ -
CNCS AMOUNT CAN NOT EXCEED $ -
C. ServeMinnesota Share of Administration Costs
Total Program Applicant In-Kind Youth
Purpose Calculation CNCS Share Cash Match
Cost Match Match Works
1)
1 % ServeMinnesota Administrative Fee [(Corporation Section I + II Total) * .01) $ - $ -
Totals $ - - $ - $ - $ -
CNCS Maximum Totals - Form G: Narrative $ - $ - $ - $ - $ - $ -
= $12,600/MSY #DIV/0! #DIV/0! Totals - Form H: Budget $ - $ - $ - $ - $ - $ -
Variance $ - $ - $ - $ - $ - $ -
Youth Works Maximum = #DIV/0! #DIV/0!
$750/MSY
5 of 6
APPLICANT NAME: Organization Name
Section I. PROGRAM OPERATING COSTS - (Applicant Match: Minimum 33% of total Operating Costs) Benchmarks
Item Column 1 Col. 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8
A. % Time
Annual Total CNCS Applicant
Position (List each separately) Spent on Cash In-Kind Youth Works
Salary Program Cost Share Match
Program
Position (List each separately) 0 0% $ - $ - $ - $ - $ -
0 0 0% $ - $ - $ - $ - $ -
0 0 0% $ - $ - $ - $ - $ -
0 0 0% $ - $ - $ - $ - $ -
0 0 0% $ - $ - $ - $ - $ -
Subtotal Personnel: $ - $ - $ - $ - $ -
B. Personnel Fringe Benefits $ - $ - $ - $ - $ -
C. 1. Staff Travel $ - $ - $ - $ - $ -
C. 2. Member Travel $ - $ - $ - $ - $ - $ -
D. Equipment - (Not greater than 10% of Total CNCS Budget) $ - $ - $ - $ - $ -
E. Supplies - (Includes Member Service Gear) $ - $ - $ - $ - $ - $ -
F. Contractual & Consultant Services - (Not to exceed CNCS maximum $540/day) $ - $ - $ - $ - $ -
G.1. Staff Training $ - $ - $ - $ - $ -
G.2. Member Training $ - $ - $ - $ - $ - $ -
H. Evaluation - (Not to exceed CNCS maximum $540/day) $ - $ - $ - $ - $ - Applicant Match Section I
I. Other Program Operating Costs $ - $ - $ - $ - $ - + III >= 33%
SUBTOTAL SECTION I: $ - $ - $ - $ - $ - $ - #DIV/0! #DIV/0!
Section II. MEMBER COSTS - (Subtotal not to exceed 85% CNCS Funds. Must have minimum 15% Cash match) TOTAL MSY
Column 3 Column 4 Column 5 Column 6 Column 7 Column 8 0.00
No. of Members
Members w/out Total CNCS Applicant
A. Living Allowance Rate Cash In-Kind Youth Works
with Living Living Program Cost Share Match
Allowance Allowance
1 year FT: 1700 hours $ - $ - 0.0 $ - $ - $ - $ - $ - Applicant Match Section II
1 year HT: 900 hours $ - $ - 0.0 $ - $ - $ - $ - $ - >= 15%
Reduced HT: 675 hours $ - $ - 0.0 $ - $ - $ - $ - $ - #DIV/0! #DIV/0!
Quarter Time: 450 hours $ - $ - 0.0 $ - $ - $ - $ - $ -
Mininum Time: 300 hours $ - $ - 0.0 $ - $ - $ - $ - $ - Applicant Match
Living Allowance >= 15%
Subtotal-Living Allowance / MSY: $ - $ - $ - $ - $ - #DIV/0! #DIV/0!
B. FICA (7.65% of Total Member Living Allowances) $ - $ - $ - $ - $ -
C. Worker’s Compensation (or other Death & Dismemberment coverage) $ - $ - $ - $ - $ - Applicant Match
D. Health Care (CNCS Requirement: Required for FT members, optional for HT) $ - $ - $ - $ - $ - Health Care >= 15%
E. Other Member Costs $ - $ - $ - $ - $ - #DIV/0! #DIV/0!
SUBTOTAL SECTION II: $ - $ - $ - $ - $ -
Section III. ADMINISTRATIVE COSTS
Corp. Admin. not to exceed 5 % of Corp. Section I + Section II. Up to 10% Match Column 3 Column 4 Column 5 Column 6 Column 7 Column 8
Total CNCS Applicant
Choose either A OR B. ServeMinnesota 1% fee required. Cash In-Kind Youth Works
Program Cost Share Match CNCS Admin < 5%
A. Applicant Administrative Costs [(Section I + II) * .0526) * .80] $ - $ - $ - $ - $ -
B. Federally-approved or State-established Indirect Cost Rate $ - $ - $ - $ - $ - #DIV/0! #DIV/0!
C. ServeMinnesota Share of Admin Costs [(Section I + II) * .01) $ - $ -
SUBTOTAL SECTION III: $ - $ - $ - $ - $ - 10% Budget
0
TOTAL PROGRAM OPERATING BUDGET:
$ - $ - $ - $ - $ - $ -
(Sum of SECTIONS I and III)
TOTAL BUDGET COSTS: $ - $ - $ - $ - $ - $ -
TOTAL Match
CNCS Maximum = $12,600/MSY #DIV/0! 34.00%
Youth Works Maximum = $750/MSY #DIV/0!
>
#DIV/0! #DIV/0!
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