Group B Non-Standardized NOAs

GROUP B

Notice of Award - 1
1. Recipient Name
Issued Date: 09-08-2016
Hats for Cats, Inc.
3. Address
1121 Winslow Avenue, Rockville, MD 20852
4. Recipient POC: Anthony Duckworth

2. Assistance Type
Cooperative Agreement
Fixed Amount Award
Grant

Phone Number (555) 123- 1234

Property Grant

Email [email protected]

Voluntary Contribution

5. Type of Entity
Non-Profit
8. CFDA Number
93.223
11. Period of Performance
Start Date 9/15/2016

6. Unique Entity Identifier
9. Statutory Authority for Assistance
42 USC 2991 ET SEQ
End Date 9/16/2017

13. Accounting and Appropriation Data

7. EIN / TIN
11234567A1
10. FAIN
CCDL123499
12. Amendment Number
0
14. Funds Certified By

Funding Distribution
Total Prior Costs
New Costs
Total Cost
U.S. Share of Costs
$20,000
$0
$20,000
Recipient Share of Costs
$80,000
$0
$80,000
Total Costs
$100,000
$0
$100,000
16. Award Description
15b. Indirect Cost Rate ___________
Development and Coordination of Rural Health Services
15a.

17a. Specific Award Conditions __No__________

17b. Check if R&D ____________

If yes, see section _____________________________________________________________
Agreement
The recipient agrees to execute the work in accordance with the Notice of Award, the approved application incorporated herein by reference or as
attached, and 2 CFR Parts 200 and 600 including any subsequent revisions.

18a. Recipient Name
Anthony Duckworth
18b. Recipient Signature
18c. Title
Federal Liaison

19a. Grants Officer Name
Reginald Washburn
19b. Grants Officer Signature
18d. Date (mm-dd-yyyy)
09-08-2016

19c. Bureau/Office/Post
ABC Agency

Email
[email protected]
Phone
555-555-1999
19d. Date (mm-dd-yyyy)
09-08-2016

By signing this Federal award, the recipient acknowledges that it will comply with Federal regulations, the Terms and Conditions, and any Special Award Conditions
associated with this award. Receipt of the recipient's signature and return of the Federal Award Coversheet is required within ten (10) business days of the Grants Officer's
signature. Please return to the Grants Officer address indicated here.

_________________________________________________________________

SAI NUMBER:

NOTICE OF AWARD - 2

PMS DOCUMENT NUMBER:

1. AWARDING OFFICE
ISSUED DATE: 10/11/2016 2. ASSISTANCE TYPE:
3. FAIN:
4. CFDA NUMBER
EEDL456899
94.885
Grant Giving Agency
Discretionary Grant
5. TYPE OF AWARD:
6. TYPE OF ACTION:
7. AWARD AUTHORITY
Other
New
88 USC 1234 EE SEQ
8. BUDGET PERIOD
9. PROJECT PERIOD
10. CAT NO.:
THRU
11/14/2017
THRU 11/14/2017
98.18
11/15/2016
11/15/2016
11a. RECIPIENT ORGANIZATION
11b. UNIQUE ENTITIY IDENTIFIER
12. AWARD DESCRIPTION:
Hats for Cats, Inc.
HfC Pilot Program
1121 Winslow Avenue
Rockville, MD 20852
13. COUNTY

14. CONGR. DIST:

15. PRINCIPAL INVESTIGATOR OR PROGRAM DIRECTOR:

Montgomery

08

Joe Davola

16. APPROVED BUDGET

17. AWARD COMPUTATION:

Personnel……………………………………

$

50,000 A. NON-FEDERAL SHARE

$

20,000

20%

Fringe Benefits……………………………

$

30,000 B. FEDERAL SHARE

$

80,000

80%

Travel………………………………………….

18. FEDERAL SHARE COMPUTATION

Equipment…………………………………..

A. TOTAL FEDERAL SHARE

$

80,000

Supplies………………………………………

B. UNOBLIGATED BALANCE FEDERAL SHARE

$

-

Contractual…………………………………

C. FED. SHARE AWARDED THIS BUDGET PERIOD

$

-

19. AMOUNT AWARDED THIS ACTION:

$

80,000

$

80,000

Facilities/Construction………………
Other…………………………………………..

$

Direct Costs………………………………..

$

20,000 20. FEDERAL $ AWARDED THIS PROJECT PERIOD
100,000

Indirect Costs……………………………..
At

21. AUTHORIZED TREATMENT OF PROGRAM INCOME

% of $

Additional Costs
In Kind Contributions…………………
Total Approved Budget……………….

22. APPLICANT EIN:
$

100,000 1123456777B2

R&D
23. PAYEE EIN
1123456777B2

25. FINANCIAL INFORMATION
ORGN

DOCUMENT NO.
99L001001

NO

24. OBJECT CLASS:
50.9
DUNS

APPROPRIATION
CAN NO.
NEW AMT
UNOBLIG.
7955227
1-Z995212
$
80,000
26. REMARKS: (Continued on separate sheets)

123456789
NONFED %

New award for $80,000.00

27. SIGNATURE - GGA GRANTS OFFICER
Art Vandelay
Email
Phone
[email protected] 555-555-1234
29. SIGNATURE AND TITLE - PROGRAM OFFICIAL(S)

DATE:

28. SIGNATURE(S) CERTIFYING FUND AVAILABILITY

10/11/2016

DATE:

Notice of Award - 3
Exploratory/Development Grant
Department of Fictitious Grants

Issue Date: 09/12/2016

Grant Number: 1L12EM123456 – 01
Unique Entity Identifier: XPU8N9871
Principal Investigator(s):
Burt Macklin
Award Description: Feline Fashion
Mr. Sal Salamander
Hats for Cats, Inc.
123 Yawkey Way
Lycurgus, NY
Award email to: [email protected]
Budget Period: 10/01/2016 – 09/30/2017
Project Period: 10/01/2016 – 09/30/2017
Dear Business Official:
The Department of Fictitious Grants hereby awards a grant in the amount of $850,000 (see “Award
Calculation” in Section I and “Terms and Conditions” in Section III) to Hats for Cats, Inc. in support of
the above referenced project. This award is pursuant to the authority of 62 USC 123 62 CFR 12 and is
subject to the requirements of this statute and regulation and of other referenced, incorporated or
attached terms and conditions.
Acceptance of this award including the “Terms and Conditions” is acknowledged by the grantee
when funds are drawn down or otherwise obtained from the grant payment system.
Each publication, press release, or other document about research supported by an DFG award must
include an acknowledgment of DFG award support and a disclaimer such as “Research reported in
this publication was supported by the Department of Fictitious Grants under Federal Award
Identification Number (FAIN) BBEM123456. The content is solely the responsibility of the authors and
does not necessarily represent the official views of the Department of Fictitious Grants.” Prior to issuing
a press release concerning the outcome of this research, please notify the DFG in advance to allow
for coordination.
Award recipients must promote objectivity in research by establishing standards that provide a
reasonable expectation that the design conduct and reporting of research funded under DFG
awards will be free from bias resulting from an Investigator’s Financial Conflict of Interest (FCOI), in
accordance with the 2011 revised regulations. The organization shall submit all FCOI reports to the
DFG through the eRA Commons FCOI Module. The regulation does not apply to Phase I Small Business
Innovative Research (SBIR) and Small Business Technology Transfer (STTR) awards. Consult the DFG
website for a link to the regulation and additional important information.
If you have any questions about this award, please contact the individual(s) referenced in Section IV.
Sincerely yours,
Grant Edwards
Grants Management Officer
Department of Fictitious Grants

555-555-9988
[email protected]

Notice of Award - 3
Exploratory/Development Grant
Department of Fictitious Grants

Issue Date: 09/12/2016

Additional information follows
Award Calculation (U.S. Dollars)
Indirect Cost Rate
Research & Development

Yes

Federal Direct Costs
Federal F&A Costs
Approved Budget
Federal Share
TOTAL FEDERAL AWARD AMOUNT

$700,000
$150,000
$850,000
$850,000
$850,000

AMOUNT OF THIS ACTION (FEDERAL SHARE)

$850,000

YR

SUMMARY TOTALS FOR ALL YEARS
THIS AWARD

CUMULATIVE TOTALS

1
$850,000
$850,000
2
$300,000
$300,000
Recommended future year total cost support, subject to the availability of funds and satisfactory
progress of the project.
Fiscal Information:
CFDA Number:
EIN:
Document Number:

99.111
1213141516B9
RES123456B

PMS Account Type:
Fiscal Year:

P(subaccount)
2016

IC
CAN
2016
2017
ES
8460099
$850,000
$300,000
Recommended future year total cost support, subject to the availability of funds and satisfactory
progress of the project.
DFG Administrative Data:
PCC: 2L99W55
Award Processed: 08/08/2016 12:15:31 PM
Section II – PAYMENT/HOTLINE INFORMATION - 1L12EM123456 – 01
For payment and HHS Office of Inspector General Hotline information, see the DFG Home page.
SECTION III – TERMS AND CONDITIONS – 1L12EM123456 – 01
This award is based on the application submitted to, and as approved by, DFG on the above-titled
project and is subject to the terms and conditions incorporated either directly or in reference at the
DFG home page.
SECTION IV – ES SPECIAL TERMS AND CONDITIONS – 1L12EM123456 – 01
This award is issued in accordance with the DFG fiscal policies described in the DFG Guidbook.
STAFF CONTACTS
The Grants Management Specialist is responsible for the negotiation, award and administration of this
project and for interpretation of Grants Administration policies and provisions. The Program Official is
responsible for the scientific, programmatic and technical aspects of this project. These individuals

Notice of Award - 3
Exploratory/Development Grant
Department of Fictitious Grants

Issue Date: 09/12/2016

work together in overall project administration. Prior approval requests (signed by an Authorized
Organizational Representative) should be submitted in writing to the Grants Management Specialist.
Requests may be made via e-mail.
Grants Management Specialist: Dennis Duffy
Email: [email protected] Phone: 555-123-1419 Fax: 555-222-3456
Program Official: Devon Banks
Email: [email protected] Phone: 555-123-1920 Fax: 555-222-3457
SPREADHSEET SUMMARY
GRANT NUMBER: 1L12EM123456 – 01
INSTITUTION: Hats for Cats, Inc.
Budget

Year 1

Year 2

TOTAL FEDERAL DC

$700,000

$250,000

TOTAL FEDERAL F&A

$150,000

$50,000

TOTAL COST

$850,000

$300,000

Facilities and Administrative Costs

Year 1

Year 2

F&A Cost Rate 1

53.6%

53.6%

F&A Cost Base 1

$280,000

$93,284

F&A Cost 1

$150,000

$50,000