| USDA/CCC FINANCIAL REPORT |
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This report authorized by the Director, Food Assistance Division |
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1. Agreement Number/Country |
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2. Budget Number |
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3. Report Number (#1, #2, etc.) |
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| (To be submitted semi-annually with the logistics & monetization reports) |
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| 4. Recipient Organization |
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5. PERIOD COVERED BY THIS REPORT |
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6. Funds Advanced from CCC |
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| Name: |
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FROM (month/day/year) |
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TO (month/day/year) |
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During This Reporting Period: |
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| Street Address: |
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7. USDA/CCC CASH ON HAND |
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8. CCC Interest Earned This Period: |
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Beginning of Period: |
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End of Period: |
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| City, State |
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9. Montz. Interest Earned: |
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| and Zip Code: |
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9. Federal Tax Identification #: |
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YOUR DATA! |
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YOUR DATA! |
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Approved |
Monetization |
Monetization |
Approved |
USDA/CCC |
USDA/CCC |
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Monetization |
Budget |
Funds |
CCC |
Funds |
Funds |
| Line # |
Category |
Sub-Category |
Line Item |
Budget |
Expenditures |
Remaining |
Budget |
Expenditures |
Remaining |
| 1 |
Admin |
Salaries |
ManagementStaff |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 2 |
Admin |
Salaries |
SupportStaff |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 3 |
Admin |
Salaries |
US HQ Staff |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 4 |
Admin |
Benefits |
ManagementStaff |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 5 |
Admin |
Benefits |
SupportStaff |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 6 |
Admin |
Benefits |
US HQ Staff |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 7 |
Admin |
Benefits |
Training |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 8 |
Admin |
Prof. Services |
Consultant(s) |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 9 |
Admin |
Prof. Services |
Accountant(s) |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 10 |
Admin |
Prof. Services |
Lawyer |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 11 |
Admin |
Prof. Services |
Other |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 12 |
Admin |
Travel |
International |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 13 |
Admin |
Travel |
In Country |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 14 |
Admin |
Office |
Rent |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 15 |
Admin |
Office |
Communications |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 16 |
Admin |
Office |
General Expenses |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 17 |
Admin |
Office |
Services & Fees |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 18 |
Admin |
Office |
Cap. Improve. |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 19 |
Admin |
Office - US HQ |
Communications |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 20 |
Admin |
Equipment |
Maint & repairs |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 21 |
Admin |
Equip. Leases |
Truck/4WD |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 22 |
Admin |
Equip. Leases |
Auto |
0 |
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0 |
0 |
0 |
0.00 |
| 23 |
Admin |
Equip. Leases |
Office Equipment |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 24 |
Admin |
Equip. Purchases |
Computer w/Monitor |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 25 |
Admin |
Equip. Purchases |
Printer |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 26 |
Admin |
Equip. Purchases |
Fax |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 27 |
Admin |
Equip. Purchases |
Copier |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 28 |
Admin |
Equip. Purchases |
Phone Systems |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 29 |
Admin |
Equip. Purchases |
Truck/4WD |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 30 |
Admin |
Equip. Purchases |
Auto |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 31 |
Admin |
Equip. Purchases |
Field Communications |
0 |
0 |
0 |
0 |
0 |
0.00 |
| 32 |
Admin |
ICR |
(Incl. ICR on ITSH) |
0 |
0 |
0 |
0 |
0 |
0.00 |
| TT01 |
Admin |
TOTAL |
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0 |
0 |
0 |
0 |
0 |
0 |
| 33 |
ITSH |
Warehouse |
Rent |
0 |
0 |
0 |
0 |
0 |
0 |
| 34 |
ITSH |
Warehouse |
Casual Labor |
0 |
0 |
0 |
0 |
0 |
0 |
| 35 |
ITSH |
Internal Transportation |
Vehicles/Drivers |
0 |
0 |
0 |
0 |
0 |
0 |
| 36 |
ITSH |
Internal Transportation |
Rail |
0 |
0 |
0 |
0 |
0 |
0 |
| 37 |
ITSH |
Internal Transportation |
Barge/Boat |
0 |
0 |
0 |
0 |
0 |
0 |
| 38 |
ITSH |
Handling |
Repack/Load/Unload |
0 |
0 |
0 |
0 |
0 |
0 |
| 39 |
ITSH |
Warehouse |
Repairs & Improvement |
0 |
0 |
0 |
0 |
0 |
0 |
| 40 |
ITSH |
Warehouse |
Miscellaneous |
0 |
0 |
0 |
0 |
0 |
0 |
| TT02 |
ITSH |
TOTAL ITSH |
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0 |
0 |
0 |
0 |
0 |
0 |
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Projects |
Projects 1 |
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0 |
0 |
0 |
0 |
0 |
0 |
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Projects |
Projects 2 |
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0 |
0 |
0 |
0 |
0 |
0 |
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Projects |
Projects 3 |
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0 |
0 |
0 |
0 |
0 |
0 |
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Projects |
Projects 4 |
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0 |
0 |
0 |
0 |
0 |
0 |
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Projects |
Projects 5 |
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0 |
0 |
0 |
0 |
0 |
0 |
| TT03 |
PROJECTS |
Total |
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0 |
0 |
0 |
0 |
0 |
0 |
| TT04 |
ALL |
GRAND TOTAL |
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0 |
0 |
0 |
0 |
0 |
0 |
| 12. CERTIFICATION |
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DATE SUBMITTED |
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AUTHORIZED |
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OFFICIAL |
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TELEPHONE |
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( ) |
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QFR-001 |
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Export Credits |
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U. S. Department of Agriculture |
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