CCSA USDAFS FOR USERY TRAILS EXHIBIT A FINANCIALS.PDF

U.S. Forest Service OMB 0596-0217
FS-1500-17C
Attachment Exhibit A
USFS Agreement No.: 12-CS-11031203-021 Mod No.
Cooperator Agreement No.:
This Financial Plan may not be used to collect
funds AND disburse funds on the same
agreement. Separate agreements must be used
in this situation.
Agreements Financial Plan (Medium Form)
1. Financial Plan Matrix: Note: All columns may not be used. Use depends on source and type of contribution(s).
FOREST SERVICE CONTRIBUTIONS COOPERATOR CONTRIBUTIONS
(a) (b) (c) (d) (e) (f)
Volunteer Cash
COST ELEMENTS Noncash Labor to Noncash In-Kind Other Federal (g)
(Direct Costs) (In-Kind) Cooperator TOTAL
Salaries/Labor $4,521.20 $0.00 $0 $4,521 $0 $0.00 $9,042
Travel $0.00 $0.00 $0 $0 $0 $0.00 $0
Equipment $0.00 $0.00 $0 $0 $0 $0.00 $0
Supplies/Materials $100.00 $0.00 $0 $100 $0 $0.00 $200
Printing $0.00 $0.00 $0 $0 $0 $0.00 $0
Other $0.00 $0.00 $0 $0 $0 $0.00 $0
Other $0.00 $0.00 $0 $0 $0 $0.00 $0
Subtotal $4,621.20 $0.00 $0 $4,621 $0 $0.00 $9,242
Cooperator Indirect Costs $0 $0 $0
FS Overhead Assessment $0.00 $0
Gross Total $4,621.20 $0.00 $0 $4,621 $0 $0.00 $9,242
Matching Costs Determination
Total Forest Service Share = (h)
(a+b+c)/(g) = (h) 50.00%
Other Federal Contribution = (i)
(f)/(g) = (i) 0.00%
Total Federal Share = (j)
(h+i) = (j) 50.00%
Total Cooperator Share (k)
(d+e)/(g) = (k) 50.00%
Total (l)
(j+k) = (l) 100.00%
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