Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2006 Page 3

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Timetable:
Program Start Date: __________________________
Program Completion Date: _________________________
NOTE:
A certified 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.
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:
Professional Fund-raising Fees
__________________
Accounting/Legal & Other Expenses (itemized):
a)
__________________
b)
__________________
c)
__________________
d)
__________________
Total Proposed Expenditures:
Form NAA-01 (Rev. 02/06)
Page 3 of 4

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