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DocuSign Envelope ID:2B4D73E9-BDB5-489D-89B3-EE18EFAA6AEF <br /> DAAS-735 <br /> (revised 2/16) <br /> The following provides a summary of reporting requirements under NCGS 143C-6-22 and 23 <br /> and OMB Uniform Guidance 2 CFR Part 200 based upon funding received and expended <br /> during the service provider's fiscal year. <br /> Annual Expenditures Re ort Required to AAA Allowable Cost for Reporting <br /> ■ Less than$25,000 in Certification form and State NIA <br /> State or Federal funds Grants Compliance Re- <br /> porting<$25,000 (item# 11, <br /> Activities and Accomplishments <br /> does not have to be completed) <br /> OR <br /> Audited Financial Statements in <br /> Compliance with GAO/GAS <br /> (i.e. Yellow Book) <br /> * Greater than $25,000 Certification form and Schedule of NIA <br /> and less that$500,000 Grantee Receipts>$25,000 and <br /> in State Funds or Schedule of Receipts and Expendi- <br /> $750,000 in Federal tures <br /> Funds <br /> OR <br /> Audited Financial Statements in <br /> Compliance with GAO/GAS <br /> (i.e. Yellow Book) <br /> * $500,000+in State funds Audited Financial Statement in May use State funds,but <br /> but Federal pass through compliance with GAO/GAS (i.e. not Federal Funds <br /> in an amount less than Yellow Book) <br /> $750,000 <br /> * $500,000+in State funds Audited Financial Statement in May use State and Federal <br /> and$750,000+in Federal compliance with OMB Uniform funds <br /> pass through funds Guidance 2 CFR Part 200 <br /> (i.e. Single Audit) <br /> * Less than$500,000 in State Audited Financial Statement in May use Federal funds, <br /> funds and $750,000+in compliance with OMB Uniform but not State funds. <br /> Federal pass through funds Guidance 2 CFR Part <br /> (i.e. Single Audit) <br /> 6 <br />