TITLE I, IASA QUARTERLY REPORT OF CASH DISTRIBUTION

Item 1: Budget Needs for the Third Quarter

Category

/ Employee Salaries Object 61000 / employee benefits object 62000 / purchased services objectS 63000-65000 / materials supplies object 66000 / capital outlay object 67000 / other objects OBJECT 68000 / total for all objects
1 / 2 / 3 / 4 / 5 / 6 / 7
A. Total Budgeted By Object
  1. Expenditures 07-01 to
12-31 by Object
  1. Total Budget Needs
01-01 to 03-31 by Object
D. Remaining Available by Object

Item 2: Reconciliation

A.Beginning Cash Balance 07-01$______

B.Revenue Received 07-01 thru 12-31$______

C.Available 07-01 through 12-31$______

D.Expenditures Through 12-31$______

E.Cash on Hand 12-31$______

F.Budget Needs 01-01 thru 03-31$______

G.Total Funds Requested this Quarter$______

(F minus E)

Item 3: Requested Funds by Month

A.January$______

B.February$______

C.March$______

D.Total Amount Requested$______

(Must Equal Item 2-G)

FOR DEPARTMENT OF EDUCATION USE ONLY
2001 Funds Paid
/
2002 Funds Paid
/ Date Paid
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $

School District ______County ______LEA Code Number ______

Form Prepared By ______Title ______Phone Number ______

QUARTERLY REPORT OF CASH DISTRIBUTION FOR THIRD QUARTER INSTRUCTIONS

Item 1:Enter the total amount budgeted by Object in Line A. These amounts are found in the budget of the approved program

(Part A, Line 3 Totals). Indirect Cost should be included under Object 68000.

On Line B enter the expenditures 07-01 to 12-31 by Object.

On Line C enter the total budget needs of your district for the months of January, February, and March by Object. Do not request funds budgeted for Indirect Cost until June.

The entries for Line D are determined by subtracting the entries in Lines B and C from the entries in Line A.

Item 2:Line A - Enter the Cash on Hand as of July 1. This amount will be on the Notice of Grant Award as well as in the district’s books.

Line B -Enter the Total Revenue you have received or expect to receive for the time period July 1 through December 31.

Line C -Add Cash on Hand (Line A) and Total Revenue Received (Line B). Enter sum in the blank.

Line D -Enter total expenditures (expended or expected to be expended by December 31). This entry should equal Line B, Column 7 of Item 1.

Line E -Subtract Total Expenditures (Line D) from Total Available (Line C) and enter Cash on Hand December 31.

Line F -Enter total budget needs of your district for the months of January, February and March.

Line G -Subtract Line E Cash on Hand from Line F Total Budget Needs This Quarter to determine total funds requested.

Item 3:Enter the funds needed for January, February and March. The total is equal to Item 2, Line G, above and does not include cash on hand.

TO INSURE PAYMENT IN EARLY JANUARY, THIS FORM SHOULD BE RETURNED BY DECEMBER 18 TO:

PATSY HAMMOND, FINANCE OFFICE

ARKANSAS DEPARTMENT OF EDUCATION

#4 CAPITOL MALL, ROOM 204-A

LITTLE ROCK, ARKANSAS 72201-1071