
Grant Name:
Grant Number:
Reporting Period:
Grantee Organization:
Report Prepared By:
Date Prepared:
Item | Amount | |
|---|---|---|
Beginning Fund Balance: | ||
Grant Funds Received: | ||
Other Funding Sources (Source 1): | ||
Other Funding Sources (Source 2): | ||
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 | |
|---|---|---|---|---|---|---|
Program Coordinator | 100 | 4 | 3 | $45,000.00 | $33,750.00 | |
Total: | $33,750.00 |
Salaries using Hourly Rate:
Position | % Time Dedicated to Grant | Hours Worked | Hourly Rate | Total Cost | |
|---|---|---|---|---|---|
Project Manager | 50 | 7 | $60.00 | $210.00 | |
Total: | $210.00 |
Fringe Benefits:
Employee Name/Position | Benefit Type | Cost for Reporting Period | |
|---|---|---|---|
Total: | $0.00 |
Consultant Fees:
Consultant Name | Services Provided | Hourly Rate Amount | Hours Worked | Total Cost | |
|---|---|---|---|---|---|
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
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$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
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$0.00 | |||||
Total: | $0.00 |
Category | Item Description | Quantity | Unit Cost | Total Cost | |
|---|---|---|---|---|---|
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
$0.00 | |||||
Total: | $0.00 |
Trip Purpose | Destination | Airfare | Lodging | Meals | Mileage | Other Expenses | Total Cost | |
|---|---|---|---|---|---|---|---|---|
$0.00 | ||||||||
$0.00 | ||||||||
$0.00 | ||||||||
$0.00 | ||||||||
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$0.00 | ||||||||
$0.00 | ||||||||
$0.00 | ||||||||
$0.00 | ||||||||
$0.00 | ||||||||
Total: | $0.00 |
Description of Equipment | Quantity | Unit Cost | Total Cost | |
|---|---|---|---|---|
$0.00 | ||||
$0.00 | ||||
$0.00 | ||||
$0.00 | ||||
$0.00 | ||||
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$0.00 | ||||
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$0.00 | ||||
$0.00 | ||||
Total: | $0.00 |
Contractor Name | Services Provided | Contract Amount | Amount Paid During Reporting Period | |
|---|---|---|---|---|
Total: | $0.00 |
Expense Description | Amount | |
|---|---|---|
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.