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San Leandro Community Assistance Funding <br />GRANT APPLICATION <br />ORGANIZATION: <br />PROGRAM TITLE: <br />ORGANIZATION & FINANCIAL OVERSIGHT -Second Year Budget <br />1. Program Budget (Complete this budget only for the program for which you are requesting Community Assistance <br />funding. BUDGET PERIOD: JULY 1, 2009 to JUNE 30, 2010) <br />Allocation of <br />San Leandro . <br />EXPENSES Grant Total <br />Request Program; REVENUE Committed Pending <br />Personnel (salaries ~ $ $ Fund Raising $ $ <br />fringe benefits) <br />Operating $ $ Foundations/Corp $ $ <br />(Includes all nonpersonnel program-related expenses. Note: SLCA Individual Donations $ $ <br />does not make grants for the purchase of capital items, organizational <br />deficits, interest on indebtedness or depreciation expenses.) <br />Counties: <br />Total Program Expenses $ $ , <br />Cost Per Client or Service Unit <br />State Grants <br />$ Federal Grants <br />Cities: <br />Total Program Revenue <br /> <br />$ <br />$ <br /> <br />$ <br />$ <br /> <br />Have you received a United way grant in the past 3-5 years? <br />Yes No <br />2. Program Staffing (Identify each paid staff position in this program by title and the full time equivalent percentage.) <br />Paid Program Staff Title FTE% <br />3. Committed Funding. (Enclose evidence of any committed funds for this program. Evidence may include copies of award <br />letters and grant contracts, including the source, amounts, and description of how these funds will be used. If the Board of <br />Directors has allocated any organizational or special funds for this program, enclose a letter signed by the Board President or <br />Chair indicating that such action has been taken.) <br />4. Total Organizational FY 2009-2010 Budget <br />Total Organization Expenses <br />(including this program) <br />Total Organization Revenue <br />(including this program) <br />$ <br />21 <br />