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AGM COMMON PROPOSAL FORM PROJECT & ORGANIZATION BUDGET SUMMARY

Organization Name Enter Organization Name Here Federal ID # 04-1234567 Fiscal Year End #######
Enter Program/Project Name Here This Request Total Project Budget % to Total Income Total Organization Budget -

Income Sources
Government Grants Foundation and Corporate Grants United Way Individual Contributions Earned Income Interest Income In-Kind Support Other Income Total Income 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0%

Expenses
Salaries and Wages Employee Benefits -and Taxes Total Personnel Costs Bank/Investment Fees Depreciation Expense Equipment Rental & - Maintenance Food Costs Fundraising/Development Expenses Insurance ExpenseMarketing/Advertising Postage and Delivery Professional Development Professional Fees Rent and Occupancy Supplies and Materials Telephone Expense Travel Expense Other Expense 1 Other Expense 2 Miscellaneous Expenses Total Non Personnel Costs Total Expenses -

0.0% 0.0%
0.0%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0% 0.0% 0.0%

Excess of Revenue Over Expenses -

Enter Footnotes Here

MARY

Organization

% to Total Income

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%


0.0%

0.0% 0.0%
0.0%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
0.0% 0.0% 0.0%

Agency Name:

repared by: Date:


Board & Staff F M Board Chair/President of Board Other Board Officers Other Board Members Asian Total 0 0 0 Black Total 0 0 0

% 0% 0% 0%

Subtotals

0
0

0%
0%

0
0

Management Staff Executive Director Other Manage ment or Supervis ory Staff

0%

Subtotals
Other Staff Program Staff Support Staff

0
0 0

0%
0% 0%

0
0 0

Subtotals
Volunteer

0
0

0%
0%

0
0

Subtotals

0 0

0 0

0% 0%

0 0

0 0

0 0

Grand Total 0
Agency Populatio n Served

0%

Program Populatio n Served (if applicabl e)

0%

Comments:

This document has been provided courtesy of Hyams Foundation

Notes: Now that you've downloaded this spreadsheet, 1. Go to File, Save as, and save it in the folder of your choice. If you need a clean copy, simply downloa Do not copy and paste the spreadsheet - this will corrupt the formulas. 2. Begin by entering the Agency Name, the name of the preparer and the date in the top. 3. Enter the diversity data in the corresponding cells, and the formulas will automatically do the calculatio 4. Please review when finished to confirm that the data is correct.

ack % 0% 0% 0% F M

Latino(a) Total 0 0 0

White % 0% 0% 0% F M

0%
0%

0
0

0%
0%

0%

0%

0%
0% 0%

0
0 0

0%
0% 0%

0%
0%

0
0

0%
0%

0% 0%

0 0

0 0

0 0

0% 0%

0 0

0 0

0%

0%

0%

0%

d a clean copy, simply download it again from http://agmconncet.org/cpf

e date in the top. ll automatically do the calculations.

White Total 0 0 0

% 0% 0% 0%

Other Total 0 0 0

Total % 0% 0% 0% F 0 0 0

0
0

0%
0%

0
0

0%
0%

0
0

0%

0%

0
0 0

0%
0% 0%

0
0 0

0%
0% 0%

0
0 0

0
0

0%
0%

0
0

0%
0%

0
0

0 0

0% 0%

0 0

0 0

0 0

0% 0%

0 0

0%

0%

0%

0%

Total Total 0 0 0 0 0 0

% 0% 0% 0%

0
0

0
0

0%
0%

0%

0
0 0

0
0 0

0%
0% 0%

0
0

0
0

0%
0%

0 0

0 0

0% 0%

0%

0%

AGM COMMON PROPOSAL FORM PROJECT & ORGANIZATION BUDGET SUMMARY


Organization Name AAACharity Inc Federal ID # 04-1234567 Fiscal Year End #######
Enter Program/Project Name Here Total % to This Project Total Request Budget Income

Total Organization Budget 125,000 300,000 25,000 25,000 25,000 500,000

Income Sources
Government Grants 25,000 Foundation and 20,000 Corporate Grants 60,000 United Way Individual Contributions 5,000 Earned Income 5,000 Interest Income In-Kind Support 5,000 Other Income Total Income 20,000 100,000 25.0% 60.0% 0.0% 5.0% 5.0% 0.0% 5.0% 0.0%
100.0%

Expenses
Salaries and Wages 5,000 25,000 Employee Benefits 1,000and Taxes 5,000 Total Personnel Costs 6,000 30,000 Bank/Investment Fees Depreciation Expense Equipment Rental 800 & Maintenance 4,000 Food Costs 500 2,500 Fundraising/Development Expenses Insurance ExpenseMarketing/Advertising Postage and Delivery 100 500 Professional Development Professional Fees Rent and Occupancy Supplies and 10,700 Materials 53,500 Telephone Expense 100 500 Travel Expense 800 4,000 Project Evaluation 1,000 Consultant 5,000
Miscellaneous Expenses Total Non Personnel Costs 14,000 Total Expenses 20,000 70,000 100,000 -

25.0% 5.0%
30.0%

0.0% 0.0% 4.0% 2.5% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 53.5% 0.5% 4.0% 5.0% 0.0% 0.0%
70.0% 100.0% 0.0%

125,000 25,000 150,000 1,500 8,500 20,000 12,500 5,000 3,500 8,500 2,500 3,500 10,000 36,000 200,000 2,500 20,000 15,000 500 349,500 499,500 500

Excess of Revenue Over Expenses -

Enter Footnotes Here

MARY

Organization

% to Total Income

25.0% 60.0% 0.0% 5.0% 5.0% 0.0% 5.0% 0.0%


100.0%

25.0% 5.0%
30.0%

0.3% 1.7% 4.0% 2.5% 1.0% 0.7% 1.7% 0.5% 0.7% 2.0% 7.2% 40.0% 0.5% 4.0% 3.0% 0.0% 0.1%
69.9% 99.9% 0.1%

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