Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal

Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2010 Page 3

Timetable:

Program start date: __________________________

Program completion date: _________________________

A certiﬁ ed post-project review is due to the municipality overseeing implementation no later than three

months after program completion date for all projects receiving $25,000 or more in NAA funding.

Month your annual accounting period ends: _____________

Method of accounting: 

 Cash

 Accrual

Part III — Financial Information

Program Budget:

Complete in full. Expenditures must equal or exceed total funding.

Sources of Revenue:

NAA funds requested

____________________

Other funding sources - itemized sources:

____________________

Total Funding:

Proposed Program Expenditures:

Direct operating expenses - itemized description:

____________________

Administrative expenses:

Professional fund-raising fees

____________________

Accounting/legal & other expenses - itemized:

____________________

Total Proposed Expenditures:

Form NAA-01 (Rev. 02/10)

Page 3 of 5

Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2010 Page 3