Instructions: Adjust the following as appropriate. Include any financial records that may be necessary.
PROGRAM/PROJECT NAME:
ITEMIZED EXPENSES: (Not applicable for general operating expenses)
Item 1
Item 2
Item 3
Etc.
TOTAL COST (A)--total of itemized expenses:
FUNDS AVAILABLE FOR PROGRAM/PROJECT:
Gifts & Grants (pledged or paid)
Trustees
Corporations
Foundations
Government
Other (earned income, special events, membership, subscriptions, ticket sales etc.)
TOTAL FUNDS AVAILABLE (B):
BALANCE REQUIRED (A minus B):
AMOUNT REQUESTED: