State Financial St State Financial Status Report Final

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Financial Status Report- Final
Select fiscal year:

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Recipient Organization:
Recipient DUNS:
Recipient EIN:

General Information
Federal Award or Other Identifying Number Assigned By Federal Agency

Total Federal Funds Authorized for This Funding Period

Recipient Account Number or Identifying Number

Report Basis
Cash

Accrual

Funding Award Period of Performance
Start Date:
End Date:

Period Covered By This Report
Start Date:
End Date:
Total SLAA fund expended to meet the purposes of LSTA, including the Five-Year-Plan (MOE)

Minimum MOE Required

MATCH- State funds expended specifically on the Five-Year-Plan

MATCH-Other funds expended specifically on the Five-Year-Plan

Total MATCH

Minimum MATCH required

All other MATCH funds not previously reported

Total unliquidated obligations to clear by Dec. 30 or later IMLS-approved date

Unobligated balance of Federal funds (these funds to be deobligated)

LSTA (Federal) funds expended specifically on the Five-Year-Plan

Administrative Costs
Allowed

Actual

IMLS-approved date by which unliquidated obligations must clear

Name of Authorized Certifying Official

Title of Authorized Certifying Official

Signature of Authorized Certifying official

Report Status

Difference