Laserfiche WebLink
Program/Service Budget <br /> 1.Complete the program/service budget,which clearly identifies how your organization will utilize <br /> the grant funds being sought. <br /> PROGRAM/SERVICE INCOME <br /> • <br /> CASH Anticipated,* Committed* Total Proposed Income <br /> Waiwai Grant Award $ 15,000.00 $ 0.00 $ 15,000.00 <br /> Applicant Organization $2,750.00 $ 0.00 $2,750.00 <br /> Other Funding Sources(list): <br /> Donations $4,214.00 $0.00 $4,214,00 <br /> TOTAL $21,964.00 $ 0.00 $21,964.00 <br /> IN-KIND CONTRIBUTION Anticipated Value Committed Value Total Proposed Income <br /> Dog food $ 750.00 $ 0.00 $750.00 <br /> 5t type of contribution <br /> Dog beds,leashes,collars $250.00 $ 0.00 $250.00 <br /> Lt type of contribution <br /> TOTAL $ 1,000.00 $ 0.00 $ 1,000.00 <br /> • <br /> INCOME TOTAL $22,964.00 $ 0.00 $ 22,964.00 <br /> Please provide a brief narrative justification,for each service income.* <br /> A4A receives an adoption fee of$125/dog.The amount shown is for 22 dogs.A4A does not receive the adoption <br /> fee for the 8 dogs transferred to mainland U.S.'and Canada rescues. <br /> • A4A is requesting$15,000.00 in Waiwai grant and plans to cover the balance of the needed funds with <br /> donations and in-kind donations of dog food,dog beds,leashes,and collars. <br /> PROPOSED PROGRAM/SERVICE EXPENSES • <br /> • . <br /> Expense Description Waiwai Grant Other Sources* Total Expenses <br /> Request* <br /> A.Salary and Wages $0.00 $ 0.00 $0.00 <br /> B.Professional Fees $0.00 $ 0.00 $0.00 <br /> C.Operations $6,720.00 $ 0.00 $6,720.00 <br /> D.Supplies $5,100.00 $ 0.00 $5,100.00 <br /> E.Equipment $ 1,440.00 $ 0.00 $ 1,440.00 <br /> F.Other(list): <br /> Veterinary services $ 1,740.00 $ 1,260.00 $3,000.00 <br /> Health check(for travel) $0.00 $ 1,504.00 $ 1,504.00 <br /> Transportation $0.00 $ 3,200.00 $3,200.00 <br />