Form 1122-0000 STOP Match Worksheet

STOP Match Calculation Worksheet
The STOP Program statute requires a match of 25% on grant funds under the program to each state (territories are exempted). However, match is exempted for subawards to tribes and subawards to victim service providers for victim services. Thus, the amount of match owed is one third of the total award minus any subawards to victim service providers for victim services or to tribes. The purpose of this form is to document the amount of funds that supported sub-awards to victim services providers for victim services and to tribes, so states may accurately calculate their match requirement for each STOP Program award. States should complete this worksheet during the closeout period for each award. The worksheet must be submitted with the closeout packet. Please note, the Program Manager will request the worksheet if it is not submitted with the closeout packet. Awards cannot be closed without a completed Match Worksheet. Please note: All yellow cells require user input.
Grantee Name	Governor's Office of Emergency services
Fiscal Year	Please select a fiscal year
State	Please select a state
Award Number	2014-WF-AX-0045
Award Amount	$100,000.00
Total Sub-awards to Victim Service Providers for Victim Services or to Tribes	$35,000.00
Percentage of Sub-awards for Victim Services or Tribes	35.00%
Award Amount Minus Total Sub-awards to Victim Service Providers for Victim Services or to Tribes	$65,000.00
Funds that Must be Matched	$65,000.00
Match Amount (1/3 of Funds that Must be Matched)	$21,666.67
Stop Administrator Printed Name: