SF 425 Federal Financial Report

VrYI!ed Stales Oopanrnon~ d Agf'tCUituto

Food Programs

Food and Nutrition Service

Aepcrting System

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On line For ms

Post

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Reject 1 C erti~r 1 New Submission

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1 Ex pert Search

Due Date

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iJ IQ.t,lffiiiiij

Overdue Submission

Submission Studio
F o r m Name :

S F-4 25 ( 10 -0 8 )

F o r m D e s c r iption :

Fe d e ra l Fin a n cia l R e p o rt

Pr o g r am :

SNAP H e a lt h y I n ce n t ive-s Pilo t

St a t e :

MA

Age n c y Co d e :

2 59290 1
Se p t e m b e r 2 0 10

Pr o g r am Tim e :
Subm ission Type :
Subm ission St a tus :

Q u a rte rly
Ne w Su b m issio n

Age n c y Name :

M A D e p a rtme n t o f Tra n sit io n a i A ssis t a n ce

R e p o rt Tim e :

Se p t e m b e r 2 0 10

R e v ision :

0

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R e p o rt

10. Transact•ons

a . Cash R e ce ip t s
b . Cash Disb urs e m e n t s
c. Cash o n H a n d (lin e a m in u s b )
Federal Expenditures and Unobhgate-d Balance:
d . Tot a l Fe d e ra l f u n d s a u t h o rized

e . Fe d e ra l sh a re o f e x p e n d it ure-s
f , Fe d e ra l sh a re o f u n liq u id a t e d o b ligat io n s
g . Tot a l Fe d e ra l sh a re (su m o f lin es e a n d f )
h , Un o b ligat e d b a la n ce o f Fe d e ra l f u n d s (lin e d m in u s g )

Cumulatrve

i , To t a l re cip ie n t sh a re re q u ire d

j . R e cip ie n t sh a re o f e x p e n d it ures
k . R e m a in in g re cip ie n t sh a re t o b e p ro vid e d (lin e i m in u s j)

Program Income:
I. To t a l Fe d e ra l p ro g ra m in co m e e a rn e d
m . Pro g ra m in co m e e x p e n d e d in a cco rd a n ce wit h t h e d e d u ctio n a lt e rn a t iv e
n . Pro g ra m in co m e e x p e n d e d in a c-co rd a n ce wit h t h e a ddit io n a lt e rn a t iv e
o . Un e x p e n d e d p ro g ra m in co m e (lin e I m in u s lin e m o r lin e n )

11. Indn·e-ct Expense
e. Amount Charged

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~---------------"L-------------" [9 ' - - - - - - - - - ' C9
g . To t a ls:

Untted Stales Oepanrnen~ d Agri<::uleure

Food Progra'l\S

Food and Nutrition Service

Pos t 1 Reject I

C erti~r

1 New Submission

Aepcrting System

Due Date 1 Overdue Submission

Submission Studio
F o r m Name :

S F-4 2 5 ( 10 · 0 8 )

F o r m D e s c r iption :

Fe d e ra l Fin a n cia l R e p o rt

Pr o g r am :

SNAP H e a lt h y I n ce n t ive-s Pilo t

St a t e :

MA

Age n c y Co d e :

2 59290 1

Age n c y Name :

M A D e p a rtm e n t o f Tra n sit io n a i A ssis t a n ce

Pr o g r am Time :

Sep t e m b e r 2 0 10

R e p o rt Time :

Sep t e m b e r 2 0 10

Subm ission Type :

Q u a rte rly
Ne w Su b m issio n

R e v ision :

0

Subm ission St a tus :

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R e port

12. Remarks
A