FinancialReportpre2012awardsOMB.xlsx

								OMB Control No. 0551-0035
USDA/CCC FINANCIAL REPORT				This report authorized by the Director, Food Assistance Division
				1. Agreement Number/Country		2. Budget Number		3. Report Number (#1, #2, etc.)
(To be submitted semi-annually with the logistics & monetization reports)
4. Recipient Organization				5. PERIOD COVERED BY THIS REPORT				6. Funds Advanced from CCC
Name:				FROM (month/day/year)		TO (month/day/year)		During This Reporting Period:
Street Address:
				7. USDA/CCC CASH ON HAND				8. CCC Interest Earned This Period:
				Beginning of Period:		End of Period:
City, State								9. Montz. Interest Earned:
and Zip Code:				9. Federal Tax Identification #:
					YOUR DATA!		YOUR DATA!
				Approved	Monetization	Monetization	Approved	USDA/CCC	USDA/CCC
				Monetization	Budget	Funds	CCC	Funds	Funds
Line #	Category	Sub-Category	Line Item	Budget	Expenditures	Remaining	Budget	Expenditures	Remaining
1	Admin	Salaries	ManagementStaff	0	0	0	0	0	0.00
2	Admin	Salaries	SupportStaff	0	0	0	0	0	0.00
3	Admin	Salaries	US HQ Staff	0	0	0	0	0	0.00
4	Admin	Benefits	ManagementStaff	0	0	0	0	0	0.00
5	Admin	Benefits	SupportStaff	0	0	0	0	0	0.00
6	Admin	Benefits	US HQ Staff	0	0	0	0	0	0.00
7	Admin	Benefits	Training	0	0	0	0	0	0.00
8	Admin	Prof. Services	Consultant(s)	0	0	0	0	0	0.00
9	Admin	Prof. Services	Accountant(s)	0	0	0	0	0	0.00
10	Admin	Prof. Services	Lawyer	0	0	0	0	0	0.00
11	Admin	Prof. Services	Other	0	0	0	0	0	0.00
12	Admin	Travel	International	0	0	0	0	0	0.00
13	Admin	Travel	In Country	0	0	0	0	0	0.00
14	Admin	Office	Rent	0	0	0	0	0	0.00
15	Admin	Office	Communications	0	0	0	0	0	0.00
16	Admin	Office	General Expenses	0	0	0	0	0	0.00
17	Admin	Office	Services & Fees	0	0	0	0	0	0.00
18	Admin	Office	Cap. Improve.	0	0	0	0	0	0.00
19	Admin	Office - US HQ	Communications	0	0	0	0	0	0.00
20	Admin	Equipment	Maint & repairs	0	0	0	0	0	0.00
21	Admin	Equip. Leases	Truck/4WD	0	0	0	0	0	0.00
22	Admin	Equip. Leases	Auto	0		0	0	0	0.00
23	Admin	Equip. Leases	Office Equipment	0	0	0	0	0	0.00
24	Admin	Equip. Purchases	Computer w/Monitor	0	0	0	0	0	0.00
25	Admin	Equip. Purchases	Printer	0	0	0	0	0	0.00
26	Admin	Equip. Purchases	Fax	0	0	0	0	0	0.00
27	Admin	Equip. Purchases	Copier	0	0	0	0	0	0.00
28	Admin	Equip. Purchases	Phone Systems	0	0	0	0	0	0.00
29	Admin	Equip. Purchases	Truck/4WD	0	0	0	0	0	0.00
30	Admin	Equip. Purchases	Auto	0	0	0	0	0	0.00
31	Admin	Equip. Purchases	Field Communications	0	0	0	0	0	0.00
32	Admin	ICR	(Incl. ICR on ITSH)	0	0	0	0	0	0.00
TT01	Admin	TOTAL		0	0	0	0	0	0
33	ITSH	Warehouse	Rent	0	0	0	0	0	0
34	ITSH	Warehouse	Casual Labor	0	0	0	0	0	0
35	ITSH	Internal Transportation	Vehicles/Drivers	0	0	0	0	0	0
36	ITSH	Internal Transportation	Rail	0	0	0	0	0	0
37	ITSH	Internal Transportation	Barge/Boat	0	0	0	0	0	0
38	ITSH	Handling	Repack/Load/Unload	0	0	0	0	0	0
39	ITSH	Warehouse	Repairs & Improvement	0	0	0	0	0	0
40	ITSH	Warehouse	Miscellaneous	0	0	0	0	0	0
TT02	ITSH	TOTAL ITSH		0	0	0	0	0	0
	Projects	Projects 1		0	0	0	0	0	0
	Projects	Projects 2		0	0	0	0	0	0
	Projects	Projects 3		0	0	0	0	0	0
	Projects	Projects 4		0	0	0	0	0	0
	Projects	Projects 5		0	0	0	0	0	0
TT03	PROJECTS	Total		0	0	0	0	0	0
TT04	ALL	GRAND TOTAL		0	0	0	0	0	0
12. CERTIFICATION
								DATE SUBMITTED
			AUTHORIZED
			OFFICIAL					TELEPHONE
								( )
								QFR-001
								Export Credits
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