Quarterly Report Closeout Report

CARES Act Loan and Payroll Support Programs for Air Carriers and Other Eligible Businesses

1505-0263 PSP Template Draft 2023-0906 v1

OMB: 1505-0263

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Amount
Unspent to
Total Reported
Total Reported
be Returned
Total of All PSP
Spending with
Spending Before
to U.S.
Awards Paid
the Correction
Correction
Department
Provided
of the
Treasury conspicuous diplay of this green panel
500,500.00
485,000.00
490,000.00
10,500.00
Enter correction to the PSP1 Spent data, if any. Enter correction to the PSP1 Top off Spent data, if any.
Reporting
PSP1 Award
PSP1 Spent
PSP1 Top off PSP1 Top off Spent
Correction
Correction
Period
Amount
Reported Data
Award Amount
Reported Data
200,500
30,000
Q1 2020
Q2 2020
50,000.00
50,000.00
10,000.00
10,000.00
Q3 2020
50,000.00
50,000.00
10,000.00
10,000.00
Q4 2020
Q1 2021
50,000.00
50,000.00
Q2 2021
40,000.00
50,500.00
15,000.00
10,000.00
Q3 2021
Q4 2021
Q1 2022
Q2 2022
Q3 2022
Q4 2022
Q1 2023
Total
190,000.00
200,500.00
35,000.00
30,000.00

Instructions for Recipients:
1. Please enter spent amount correction for PSP1, PSP1 Top off, PSP2, PSP3 for any quarterly reporting period.
2. Note that correction of any quarterly PSP funds spent data must be supported with 941 upload if not previously submitted.
3. Any unspent funds will need to be returned to the U.S. Department of the Treasury.

Enter correction to the PSP2 Spent data, if any.
PSP2 Award
PSP2 Spent
Amount
Reported Data
Correction
120,000

Enter correction to the PSP3 Spent data, if any.
PSP3 Award
PSP3 Spent
Correction
Amount
Reported Data
150,000

60,000.00
70,000.00

60,000.00
60,000.00

70,000.00
60,000.00

70,000.00
80,000.00

130,000.00

120,000.00

130,000.00

150,000.00


File Typeapplication/pdf
File Modified2023-09-15
File Created2023-09-06

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