Project Budget Form - NEA Application

NEA Application
Project Budget, Page 1 of 2
Read the
instructions for
this form before
you start.
OMB No. 3135-0112
Expires 11/30/2013
Applicant (official IRS name):
INCOME
1. Amount requested from the Arts Endowment: $
2. Total match for this project Be as specific as possible. Asterisk (*) those funds that are committed or secured.
Cash (Refers to the cash donations, grants, and revenues that are expected or received for this
project)
AMOUNT
Total cash a. $
In-kind: Donated space, supplies, volunteer services (These same items also must be listed as direct costs
under “Expenses” below or in Page 2 of the Project Budget form; identify sources)
Total donations b. $
Total match for this project (2a. cash + 2b. donations) $
3. Total project in come (1 + 2) $
EXPENSES
1. Direct costs: Salaries and wages
TITLE AND/OR TYPE
OF PERSONNEL
NUMBER OF
PERSONNEL
ANNUAL OR AVERAGE
SALARY RANGE
% OF TIME DEVOTED
TO THIS PROJECT
AMOUNT
Total salaries and wages a. $
Fringe benefits
Total fringe benefits b. $
Total salaries, wages, and fringe benefits (a. + b.) $
Page 1/2
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Project Budget Form - NEA Application PDF

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