Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2015 Page 3

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Timetable:
Program start date:
Program completion date:
The program completion date must not be more than two years from the program start 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:
a)
____________________
b)
____________________
c)
____________________
d)
____________________
Total Funding:
____________________
$ 0.00
Proposed Program Expenditures:
Direct operating expenses - itemized description:
a)
____________________
b)
____________________
c)
____________________
d)
____________________
Administrative expenses:
Professional fund-raising fees
____________________
Accounting/legal & other expenses - itemized:
a)
____________________
b)
____________________
c)
____________________
d)
____________________
$ 0.00
Total Proposed Expenditures:
____________________
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Form NAA-01 (Rev. 02/15)
Page 3 of 5

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