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SECTION A - BUDGET SUMMARY $ BUDGET INFORMATION - Non-Construction Programs OMB Number: 4040-0006 Expiration Date: 02/28/2025 Grant Program Function or Activity (a) Catalog of Federal Domestic Assistance Number (b) Estimated Unobligated Funds New or Revised Budget Federal (c) Non-Federal (d) Federal (e) Non-Federal (f) Total (g) 5. Totals 4. 3. 2. 1. $ $ $ $ $ $ $ $ 695,511.00 695,511.00 695,511.00 695,511.00 $ Standard Form 424A (Rev. 7- 97) Prescribed by OMB (Circular A -102) Page 1 SECTION B - BUDGET CATEGORIES 7. Program Income d. Equipment e. Supplies f. Contractual g. Construction h. Other j. Indirect Charges k. TOTALS (sum of 6i and 6j) i. Total Direct Charges (sum of 6a-6h) (1) Authorized for Local Reproduction Prescribed by OMB (Circular A -102) Page 1A Standard Form 424A (Rev. 7- 97) GRANT PROGRAM, FUNCTION OR ACTIVITY (2) (3) (4) (5) Total 6. Object Class Categories a. Personnel b. Fringe Benefits c. Travel 498,054.00 58,957.00 27,500.00 0.00 0.00 111,000.00 0.00 0.00 695,511.00 695,511.00 498,054.00 58,957.00 27,500.00 0.00 0.00 111,000.00 0.00 0.00 695,511.00 695,511.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ SECTION D - FORECASTED CASH NEEDS 14. Non-Federal SECTION C - NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (d) Other Sources (c) State (e)TOTALS $ $ $ $ $ $ $ $ $ $ 8. 9. 10. 11. 12. TOTAL (sum of lines 8-11) 15. TOTAL (sum of lines 13 and 14) 13. Federal Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter 614,277.00 614,277.00 153,569.00 153,569.00 153,569.00 153,569.00 153,569.00 153,569.00 153,570.00 153,570.00 $ $ $ $ $ $ $ $ $ FUTURE FUNDING PERIODS (YEARS) SECTION F - OTHER BUDGET INFORMATION SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT Authorized for Local Reproduction $ $ $ $ $ $ 16. 17. 18. 19. 20. TOTAL (sum of lines 16 - 19) 21. Direct Charges: 22. Indirect Charges: 23. Remarks: (a) Grant Program (b)First (c) Second (d) Third (e) Fourth HIDTA ISC 20,308.00 20,308.00 20,308.00 20,310.00 20,308.00 20,308.00 20,308.00 20,310.00 $ $ Standard Form 424A (Rev. 7- 97) Prescribed by OMB (Circular A -102) Page 2 HIDTA CY25 Application SF-424A Form 3a Maricopa County ATTEST: Juanita Garza Date Clerk of the Board of Supervisors APPROVED AS TO FORM This ____ day of ____________________, 20__ By: ___________________________________ Deputy Maricopa County Attorney