ED-209I Version 4. Revolving Loan Fund Income and Expense Report

Economic Development Administration
Revolving Loan Fund Income and Expense Statement
ED-209I Version 4.2

Reporting Period 10/01/2012 - 03/31/2013
Reporting Unit Number

([SHQVHV&KDUJHGWR5/),QFRPH
RLF Income:
Employee Salaries:
Employee Fringe Benefits:
RLF-related Travel:
Loan Processing/Closing Costs:
Professional Services:
Marketing:
RLF Staff Training:
Equipment – Rental:
Equipment- Acquisition:
Space (rent):
Audit:
Indirect Costs:
Other (specify):
7RWDO([SHQVHV
1HW5/),QFRPH
&XPXODWLYH1HW5/),QFRPH
([SHQVHVDVRI5/),QFRPH

Most Recent Paid

Prior Period

$ 0.00
$ 0.00

$ 0.00
$ 0.00

0.00%

0.00%

For the current 12-month period, provided an estimate of projected RLF Income and the percentage expected to be used for RLF
administrative expenses:
Projected RLF Income:
Percentage for Administrative Expenses:

0.00%

In box below, list all personnel positions which were funded partially or in full with RLF Income for the most recent period only;
list the aggregate dollar amount for salaries and fringe benefits for each listed position, and the amount and percent which were
funded by RLF Income.

&HUWLILFDWLRQRI$XWKRUL]HG5HSUHVHQWDWLYH'HVLJQDWHG5/)$GPLQLVWUDWRURU&KLHI)LQDQFLDO2IILFHU
I hereby certify that the information provided in my organization's electronic submission of the RLF Income and Expense
Statement (ED-209I) for this period is complete and accurate to the best of my knowledge.


Signature of Authorized Official

Date

Name of Authorized Official

Title of Authorized Official
OMB Approved Form ED-209I
OMB Control Number 0610-0095
Expires 09/30/2014