5100-126 Financial Government Payment Report (Sample web form)

Airports Grants Program

Form-5100-126-Sample.html

OMB: 2120-0569

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, (CATS) Operating and Financial Summary Report 126 Ver: 2019.10.2
    FAA Home Airports Airport Compliance CATS

(CATS) Operating and Financial Summary Report 126

OMB CONTROL NUMBER:  2120-0569
EXPIRATION DATE:  06/30/2023

Paperwork Reduction Act Burden Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The collection of this information is addressed under OMB control number 2120-0569. Public reporting for this collection of information is estimated to be approximately 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

Financial Government Payment Record
For Airport: ABILENE REGIONAL
LocID: ABI
Year: 2022 As of 06/01/2023
Date Filed: 03/29/2023
Date Modified: 03/29/2023
Payments to Governmental Entity City of Abilene - City
Type Of Payment Amount
Law Enforcement $ 0
Firefighting $ 0
Legal Services $ 0
Engineering $ 0
Mayor and City Council $ 0
General Cost of Government $ 0
Central Services $ 0
Payments in Lieu of Tax $ 0
  
Type Of Payment Amount
Impact Fees $ 0
Utilities $ 27,779
Fleet Services $ 45,099
Promotion and Marketing $ 0
Repayment of Contributions $ 0
Repayment of Loans $ 0
Lobbying Fees $ 0
Ground Access Projects $ 0
  
Type Of Payment Amount
Community Services $ 0
Grandfathered Payments $ 0
Land and Facility Rental $ 0
Parking and Sales Tax $ 10,961
Aviation Fuel Tax $ 0
Economic and/or Redevelopment Costs $ 0
Other $ 141,993
   
Total   $ 225,832
 
Property and Services provided to Governmental Entity:
Department Service Provided Use Type Fair Market Value Value of In-Kind Services Cash Compensation
Fire Department Leased building N FMV $ 28,000 $ 0 $ 0
CityLink (Transit Department) CityLink (Transit Department) Administrative services N FMV $ 44,130 $ 0 $ 44,130
Fleet Department Administrative services N FMV $ 64,010 $ 0 $ 64,010
 
Financial Government Payment Record
For Airport: ABILENE REGIONAL
LocID: ABI
Year: 2022 As of 06/01/2023
Date Filed: 03/29/2023
Date Modified: 03/29/2023
Payments to Governmental Entity State of Texas - State
Type Of Payment Amount
Law Enforcement $ 0
Firefighting $ 0
Legal Services $ 0
Engineering $ 0
Mayor and City Council $ 0
General Cost of Government $ 0
Central Services $ 0
Payments in Lieu of Tax $ 0
  
Type Of Payment Amount
Impact Fees $ 0
Utilities $ 0
Fleet Services $ 0
Promotion and Marketing $ 0
Repayment of Contributions $ 0
Repayment of Loans $ 0
Lobbying Fees $ 0
Ground Access Projects $ 0
  
Type Of Payment Amount
Community Services $ 0
Grandfathered Payments $ 0
Land and Facility Rental $ 0
Parking and Sales Tax $ 34,253
Aviation Fuel Tax $ 0
Economic and/or Redevelopment Costs $ 0
Other $ 0
   
Total   $ 34,253
 
Property and Services provided to Governmental Entity:
Department Service Provided Use Type Fair Market Value Value of In-Kind Services Cash Compensation
N/A N/A - N/A $ 0 $ 0 $ 0
 

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