
Grant Name:
Grant Number:
Reporting Period:
Grantee Organization:
Report Prepared By:
Date Prepared:
Item | Amount | ||
|---|---|---|---|
A | B | ||
1 | Beginning Fund Balance: | ||
2 | Grant Funds Received: | ||
3 | Other Funding Sources (Source 1): | ||
4 | Other Funding Sources (Source 2): | ||
5 | |||
6 | |||
7 | |||
8 | |||
9 | |||
10 | Total Funds Available: | $0.00 |
Salaries using Annual Rate:
Position | % Time Dedicated to Grant | Number of Pay Periods in Year | Number of Pay Periods in Reporting Period | Annual Rate | Total Cost | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | Program Coordinator | 100 | 4 | 3 | $45,000.00 | $33,750.00 | |
2 | |||||||
3 | |||||||
4 | |||||||
5 | |||||||
6 | |||||||
7 | |||||||
8 | |||||||
9 | |||||||
10 | Total: | $33,750.00 |
Salaries using Hourly Rate:
Position | % Time Dedicated to Grant | Hours Worked | Hourly Rate | Total Cost | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | Project Manager | 50 | 7 | $60.00 | $210.00 | |
2 | ||||||
3 | ||||||
4 | ||||||
5 | ||||||
6 | ||||||
7 | ||||||
8 | ||||||
9 | ||||||
10 | Total: | $210.00 |
Fringe Benefits:
Employee Name/Position | Benefit Type | Cost for Reporting Period | ||
|---|---|---|---|---|
A | B | C | ||
1 | ||||
2 | ||||
3 | ||||
4 | ||||
5 | ||||
6 | ||||
7 | ||||
8 | ||||
9 | ||||
10 | ||||
11 | Total: | $0.00 |
Consultant Fees:
Consultant Name | Services Provided | Hourly Rate Amount | Hours Worked | Total Cost | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | $0.00 | |||||
2 | $0.00 | |||||
3 | $0.00 | |||||
4 | $0.00 | |||||
5 | $0.00 | |||||
6 | $0.00 | |||||
7 | $0.00 | |||||
8 | $0.00 | |||||
9 | $0.00 | |||||
10 | $0.00 | |||||
11 | Total: | $0.00 |
Category | Item Description | Quantity | Unit Cost | Total Cost | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | $0.00 | |||||
2 | $0.00 | |||||
3 | $0.00 | |||||
4 | $0.00 | |||||
5 | $0.00 | |||||
6 | $0.00 | |||||
7 | $0.00 | |||||
8 | $0.00 | |||||
9 | $0.00 | |||||
10 | $0.00 | |||||
11 | Total: | $0.00 |
Trip Purpose | Destination | Airfare | Lodging | Meals | Mileage | Other Expenses | Total Cost | ||
|---|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | H | ||
1 | $0.00 | ||||||||
2 | $0.00 | ||||||||
3 | $0.00 | ||||||||
4 | $0.00 | ||||||||
5 | $0.00 | ||||||||
6 | $0.00 | ||||||||
7 | $0.00 | ||||||||
8 | $0.00 | ||||||||
9 | $0.00 | ||||||||
10 | $0.00 | ||||||||
11 | Total: | $0.00 |
Description of Equipment | Quantity | Unit Cost | Total Cost | ||
|---|---|---|---|---|---|
A | B | C | D | ||
1 | $0.00 | ||||
2 | $0.00 | ||||
3 | $0.00 | ||||
4 | $0.00 | ||||
5 | $0.00 | ||||
6 | $0.00 | ||||
7 | $0.00 | ||||
8 | $0.00 | ||||
9 | $0.00 | ||||
10 | $0.00 | ||||
11 | Total: | $0.00 |
Contractor Name | Services Provided | Contract Amount | Amount Paid During Reporting Period | ||
|---|---|---|---|---|---|
A | B | C | D | ||
1 | |||||
2 | |||||
3 | |||||
4 | |||||
5 | |||||
6 | |||||
7 | |||||
8 | |||||
9 | |||||
10 | |||||
11 | Total: | $0.00 |
Expense Description | Amount | ||
|---|---|---|---|
A | B | ||
1 | |||
2 | |||
3 | |||
4 | |||
5 | |||
6 | |||
7 | |||
8 | |||
9 | |||
10 | |||
11 | Total: | $0.00 |
Indirect Cost Rate (%):
Base for Indirect Cost:
Total Indirect Costs:
Total Funds Available:
Grand Total for Expenses:
Ending Fund Balance:
Form Template Instructions
Please remove Form Template Instructions before publishing this form
This form is a comprehensive Grant Fund Expense Report, designed to capture all the essential financial information about how grant funds were used during a specific reporting period. Here's a breakdown of the insights it provides:
Purpose:
Structure and Content:
The form is logically structured, starting with general information, then moving to revenue/funding, detailed expenses, and finally a financial summary.
General Information: This section identifies the grant, the grantee, and the reporting period. It provides context for the financial data.
Revenue/Funding: This section shows the total funds available for the reporting period, including the beginning balance, new grant funds received, and any other funding sources.
Expenses: This is the core of the report. It requires a detailed breakdown of expenses by category. The categories should align with the budget approved by the grantor. Common categories include:
Total Expenses: This is the sum of all expenses across all categories.
Financial Summary: This section provides a high-level overview of the financial status, showing the total funds available, total expenses, and the resulting ending fund balance.
To configure an element, select it on the form.