The Commonwealth of Massachusetts
Department of Early Education and Care
600 Washington Street, 6th floor 350 Main Street, 4th floor
Boston, Massachusetts 02111 Malden, Massachusetts 02148-5023
Tel: 617-988-6600 Tel: 781-338-6364
Fax: 617-988-2451 Fax: 781-338-3370
TO: PCHP Coordinators
FROM: Kevin Sullivan, Budget Director
DATE: January 26, 2006
RE: PCHP Mid-Year Report
Please find attached the FY06 PCHP Mid-Year Report. It is the same as last year, asking for quarterly expenditures. Refer to your approved FY06 grant. EEC needs this information to complete its federal reporting requirement for TANF.
This report is due to Charlene Magner at EEC Malden either by email or hard copy to the Malden office or fax at 781.338.3370 by Friday, March 3, 2006.
If you have any questions, please contact your liaison.
Parent-Child Home Program
FY06 Mid-Year Fiscal Report
Please use your approved FY06 PCHP grant to complete all sections: Please report grant spending for first and second quarters only. The report is due March 3, 2006 and includes data from July 1 through December 31, 2005. Complete and return this report to:
Department of Early Education and Care
350 Main Street
Malden, MA 02148-9150 ATTN: Charlene Magner
This report can be submitted electronically to or fax 781.338.3370.
PART I
A) Grant Recipient:______
Lead Agency
B) Address: ______
Street, City/Town, Zip code
C) Project Number: ______
D) Name of Grant Program/Source of Funds: PARENT-CHILD HOME PROGRAM___
E) Name of the Person Completing this Report: ______
Please type or print
______(______)______
Signature and Title Telephone number
PART II
A) Funds awarded $ ______
B) Funds expended 1st Quarter (July1 05-Sept 30 05) $______
C) Funds expended 4th Quarter (Oct 1 05-Dec 31 05) $______
D) Unexpended balance $______
PART III Assurance
I certify that all the information contained in this Financial Report is true and correct.
______
Signature of Authorized Representative Typed or Printed Name
(e.g. Business Manager/ Lead Agency Accountant)
______
Title Date Report Submitted
Revised January 2006