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Attachment B
<br />Health and WellnessTrust Fund Commission
<br />Teen Community Schools Grant Application Budget
<br />Year 2 Approved Budget
<br />Applicant Agency: Orange County Health Department
<br />Contact Person for Budget: Donna King HWTFC
<br />Contact Phone: 919 245 2449 Approved: Richard Clark
<br />Fax: 919 644 3007 Effective date: 3-1-2004
<br />e-mail: dking a(7,co.orange.nc.us Comments
<br />Federal Tax I.D. or 501(c)(3):
<br />1. Year 1 starting on or about 3/1/2003 and ending 2/29/2004
<br />2. Year 1 starting on or about 3/1/2004 and ending 2/28/2005
<br />3. Year 3 startin on or about 3/1/2005 and endin 2/28/2006
<br />3/1/2003--2/29/2004 3/1/2004--2/28/2005 3/1/2005--2/28/2006 Pro'ect Total
<br />
<br />Cate o Proposed-
<br />amount In-Kind Proposed
<br />amount In-Kind Proposed
<br />amount In-Kind Proposed
<br />amount In-Kind
<br />Direct Ex enses:
<br />Sala /Wa es/Benefits $45,382.00 $8,800.00 $47,272.00 $8,800.00 $49,257.00 $8,800.00 $141,911.00 $26,400.00
<br />Contracted Staff $3,000.00 $3,000.00 $0.00
<br />Other (Please clarif below) $4,000.00 $8,000.00 $8,000.00 $16,000.00 $4,000.00 $16,000.00 $16,000.00 $40,000.00
<br />Subtotal: $49,382.00 $16,800.00 $58,272.00 $24,800.00 $53,257.00 $24,800.00 $160,911.00 $66,400.00
<br />
<br />Other Than Personnel
<br />Support (OTPS)
<br />Su lies/Material $4,000.00 $1,000.00 $4,150.47 $1,000.00 $4,000.00 $1,000.00 $12,150.47 $3,000.00
<br />Communication Costs
<br />(telephone, postage, freight)
<br />$1,217.00
<br />$500.00
<br />$982.00
<br />$500.00
<br />$982.00
<br />$500.00
<br />$3,181.00
<br />$1,500.00
<br />Occupancy Costs (rent,
<br />utilities, repairs, maintenance)
<br />$0.00
<br />$9,600.00
<br />$0.00
<br />$9,600.00
<br />$0.00
<br />$9,600.00
<br />$0.00
<br />$28,800.00
<br />Capital Outlay (furniture,
<br />e ui ment, data processing)
<br />$5,000.00
<br />$0.00
<br />$1,983.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$6,983.00
<br />$0.00
<br />Other (Please clarif below) $6,000.00 $0.00 $7,000.00 $0.00 $4,000.00 $0.00 $17,000.00 $0.00
<br />Subtotal $16.217.00 $11,100.00 $14,115.47 $11,100.00 $8,982.00 $11,100.00 $39,314.47 $33,300.00
<br />
<br />Media
<br />Central Media Fund
<br />(earmarked)
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />Local Event Promotion $1,000.00 $500.00 $2,321.02 $0.00 $500.00 $0.00 $3,821.02 $0.00
<br />Subtotal $1,000.00 $500.00 $2,321.02 $0.00 $500.00 $0.00 $3,821.02 $0.00
<br />
<br />Travel Ex enses
<br />Travel (mileage,
<br />transportation, meals, hotels)
<br />$7,752.00
<br />$0.00
<br />$10,384.28
<br />$0.00
<br />$6,252.00
<br />$0.00
<br />$24,388.28
<br />$0.00
<br />Meetings $7,000.00 $0.00 $9,380.36 $0.00 $7,000.00 $0.00 $23,380.36 $0.00
<br />Other (Please clarif below) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
<br />Subtotal $14,752.00 $0.00 $19,764.64 $0.00 $13.252.00 $0.00 $47,768.64 $0.00
<br />
<br />Total Direct Ex enses 51,351.00 $28,400.00 $94,473.13 $35,900.00 $75,991.00 $35,900.00 5251,815.13 $99,700.00
<br />Year 1 unspent funds
<br />carried forward to Year 2
<br />-$18,967.13
<br />-$18,967.13
<br />$0.00
<br />Total Re uest $62,383.87 $28,400.00 $94,473.13 $35,900.00 $75,991.00 $35,900.00 $232,848.00 $99,700.00
<br />Program Grantees are required to include Training and Development expenses in the Annual Budget Section of the proposal. Grantees are
<br />required to attend all regional and Statewide Tobacco Prevention and Control Coalition meetings including: New Grantee Kickoff event, Local
<br />Coalition Coordinator meetings, Youth Summits, State TPC Training Event. A minimum of $1,500 per individual (up to there) attending these
<br />events should be included for travel and lodging to support these expenses.
<br />In addition, grantees may want to budget an additional $1,800 per individual for travel, lodging and per diem (up to two) to attend the annual
<br />Tobacco Use and Prevention Training Institute (TUPT/) and another $1,200 per individual (up to two) to attend aself-selected tobacco control
<br />national or regional conference/workshop.
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