This financial reporting form will be utilized for Title III Part A, Title III Part B and Title V Program Endowment Activities and Title III Part C Endowment Challenge Grant Program. The purpose of th

INSTRUCTIONS FOR COMPLETION OF THE FINANCIAL REPORT

FOR TITLE III PART A, TITLE III PART B AND TITLE V PROGRAMS

ENDOWMENT ACTIVITY AND TITLE III PART C ENDOWMENT CHALLENGE GRANT PROGRAM

Please use the following link to access the Financial Report for Title III Part A, Title III Part B and Title V Program Endowment Activities and Title III Part C Endowment Challenge Grant Program:

http://efrs.ed.gov

Please use this electronic form to enter your institution's financial data. It is highly recommended that a hard copy be utilized for draft purposes, prior to entering the data into the system. A hard copy has been provided to you along with the PIN number to access the electronic reporting form. A hard copy may also be printed from the Web. In addition, you may utilize your PIN to save your submission and access it at a later time. However, once the reporting form is submitted electronically, it will NOT be accessible for any modifications. All submissions will be time and date stamped. Please pay careful attention to the last section regarding the certification requirement. The certification requirement states that all signature pages must be faxed to the number provided. Your financial report will NOT be considered complete without this certification form.

Please enter the name, address, city, state, and zip code of your institution. Also, enter the name, telephone number, fax number, and email address of the "contact person" for the grant program at your institution. The contact person is responsible for the administration and management of your institution's Title III Part A, Title III Part B and Title V Program Endowment activities and Title III Part C Endowment Challenge Grant Program.

Please follow these instructions:

PR Award Number

Title III Part C only: Enter the Grant Number (GOO _). Grants awarded since 1987 have only a Project Award (PR/Award) Number.

Title III Part A, Title III Part B and Title V Program Endowment Activity only: Enter the Project Award Number (P031 _)

Endowment Fund Corpus - The "Endowment Fund Corpus" is the Federal grant amount plus the institution's matching amount.

Title III Part C only: Enter the amount of the original Endowment Fund Corpus.

Title III Part A & B and Title V Program Endowment Activity only: This amount may change from year to year if you elected to use Federal funds for endowment building more than one year of your five year grant period and added to the original corpus rather than creating a different account for each drawdown. For example, if in year one you raised and matched $50,000 of Federal funds, and you invested $100,000 to form the endowment corpus, then in year two you elected to raise and match $25,000 of Federal funds for a total of $50,000 and decided to add this $50,000 to the original $100,000, your corpus then changes from $100,000 to $150,000. However, if you have chosen to develop a separate endowment corpus for each year, you will report on each individual investment.

Report Number

Enter the report number for which this financial report is being submitted. (For example, the first financial report you submit would be Report Number 1 of 20. The last report you submit would be No. 20 of 20.)

Investment Distribution

Enter the type of savings account or security, the amount invested, and the financial institution(s) managing your Endowment Fund Corpus (Section 628.43 of the program regulations).

AFTER THE FIRST YEAR, THE AMOUNT OF MONEY REPORTED TO BE INVESTED SHOULD BE THE 'CORPUS' PLUS ALL THE UNSPENT OR UNUSED ENDOWMENT FUND INCOME. THIS FIGURE SHOULD BE THE AMOUNT AT THE BEGINNING OF THE INVESTMENT PERIOD. THIS INVESTMENT PERIOD IS FOR THE 12-MONTH PERIOD BEGINNING OCTOBER 1^ST AND ENDING SEPTEMBER 30^TH.

Examples of investment entities include but are not limited to:

1. A federally insured bank savings account;

2. A comparable interest bearing account;

3. Money market fund;

4. Certificates of deposit;

5. Mutual funds;

6. Stocks;

7. Bonds;

8. Exchange Traded Funds; and

9. Other (If not listed in A through G above, please enter the type of investment account.).

Income Earned

Enter the amount of the Endowment Fund Income earned only for the 12-month period covered by this financial report.

Enter the cumulative (aggregate) amount of the Endowment Fund Income earned since the initial investment of your endowment fund corpus.

Income Used

In the appropriate spaces, enter the amount for the reporting year and aggregate amounts of the Endowment fund income which you expended for any of the following categories:

1. Operations and maintenance - Includes expenditures established to provide services and maintenance related to campus grounds and facilities, including utilities, property insurance, fire protection, janitorial services, and similar items.

2. Administration and management of the endowment fund - Includes expenditures for activities carried out to provide for the day-to-day functioning as well as the long-range viability of the institution as an operating organization. This also includes costs for general executive and administrative offices and other expenses of a general character which do not relate solely to (1) instruction, (2) organized research, or (3) other institutional activities.

3. Buying and selling securities - Includes expenditures of income made in the use of buying or selling securities.

4. Academic and support personnel - Includes expenditures for all faculty and academic administrators.

5. Construction and renovation - Includes expenditures for renewal and replacement of the campus grounds and facilities.

6. Community and student services programs and technical assistance - Includes expenditures for activities that primarily provide services beneficial to groups outside the institution. Included in this category are conferences, institutes, programs, advertising, consulting, and similar services to particular sectors of the community. Also included are expenditures for counselors, career guidance and placement personnel as well as expenditures connected with auxiliary programs, student aid administration, student activities, cultural events, student newspaper, intramural athletics , student organizations, student aid administration and student health services. Further included are expenditures for activities of specific professional or technical groups such as conferences, workshops, or meetings where specific and practical advice is given to a group of lawyers, doctors, business executives, etc.

7. Scholarships/Student Financial Aid - Includes expenditures for student aid used for tuition and academic fees and expenses.

8. Other - Includes expenditures for education-related activities not included in the categories above. Indicate in the space provided the nature of the expenditure.

Certification

This financial report must be signed by the President or Chief Executive Officer of the institution certifying that all information is correct to the best of his/her knowledge. After completing the signature page, please fax it to the attention of your program contact at fax number: (202) 453-6013.

IMPORTANT NOTE

If your institution has been awarded more than one Endowment grant, report each separately by submitting individual financial reports with the respective project award and/or grant numbers.

FORM APPROVED

OMB No. 1840-0564

Expiration Date:

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 1.25 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain benefit (Pub.L. 98-95, Sec. 331). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to regulations.gov during the public comment period for this collection of information. If you have specific questions about the form, instrument or survey, please contact U.S. Department of Education, Office of Postsecondary Education, Institutional Service. Attention: Beverly Baker, 400 Maryland Ave., S.W., 268-44, Washington, D.C. 20202.

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