Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2017 Page 3
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5Timetable:
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.
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:
______________________
Proposed Program Expenditures:
Direct operating expenses - itemized description:
a)
_______________________________________________
______________________
b)
_______________________________________________
______________________
c)
________________________________________________
______________________
d)
_______________________________________________
______________________
Administrative expenses - itemized description:
a)
_______________________________________________
______________________
b)
_______________________________________________
______________________
c)
________________________________________________
______________________
d)
_______________________________________________
______________________
Total Proposed Expenditures:
______________________
Form NAA-01 (Rev. 03/17)
Page 3 of 5
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