Orig Agency Code

   Contract Number

11000

  


New York State Education Department
Model Transition Program (MTP)
Appendix B
Budget Summary – Period 2

Budget for the Period: December 1, 2008 to November 30, 2009

 

Contractor Name:
Contractor Contract Person: Telephone:


  Expenditure Item Amount
Line 1 Personal Service $
Line 2 Fringe Benefits  
Line 3 General Operating  
Line 4 (Sum of Lines 1, 2 and 3) TOTAL DIRECT COSTS ► $
Line 5 Indirect Cost Rate

%
Line 6 Indirect Cost  
Line 7 Equipment  
Line 8 Purchased Services  
Line 9 (Sum of Lines 4, 6, 7 and 8) TOTAL EXPENSES ► $

Revenue Amount
1.   $
2.    
Line 10

TOTAL REVENUE ►

 $

 

Net Budgeted Operating Costs

 Amount
Line 11

(Line 9 minus Line 10)
NET BUDGETED OPERATING COSTS ►

 $

 

New York State Education Department
Model Transition Program (MTP)
Appendix B
Budget Summary – Period 2

Orig Agency Code

   Contract Number

11000

  

 

Contractor Name: _________________________________________________________

Section 1: Direct Operating Personal Service Listing
Title Social Security
Number
(if available)		 Annual Salary % Time Allocated
to Program		 Salary Allocated
to Program
         
         
         
         
         
         
         
         
         

1.

Total Personal Service-Direct Operating Salaries
(To Budget Summary, Line 1) ►

 $

2.

Fringe Benefits Rate ►

%

3.

Total Fringe Benefits
(To Budget Summary, Line 2) ►

 $

 

Section II: General Operating Expenses
Item Cost Item Amount Item Cost Item Amount
1. Insurance $ 10. Travel-Staff Out/State $
2. Building Main. & Repair   11. Utilities  
3. Office Supplies   12. Vehicles-Oper. Expenses  
4. Program Supplies   13. Staff Training  
5. Telephone   14. Advertising  
6. Rent   15. Printing  
7. Travel-Staff in State   16.    
8. Contractual Svcs   17.    
9. Dues & Subscriptions   18.

Total G/O Expenses ►
(To Budget Summary, Line 3)

 $

 

 

Orig Agency Code

   Contract Number

11000

  

New York State Education Department
Model Transition Program (MTP)
Appendix B
Budget Summary – Period 2

Contractor Name: ____________________________________________________________

 

Section III: Equipment Purchases
Item / Description Amount
A. Office Furniture $
B. Office Computers  
C.    
Total Equipment Purchases

(To Budget Summary, Line 7) ►

$

 

Section IV: Purchased Services
Cost Item Amount
A.   $
B.    
C.    
Total Equipment Purchases

(To Budget Summary, Line 8) ►

 $