Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT B.3. GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount INTEREST AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount DEPRECIATION AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount OTHER NON-PERSONNEL AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount CAPITAL PURCHASE AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount ATTACHMENT B.4. GRANT BUDGET Grantee Name Non-Public School Name The grant budget line-item amounts below shall be applicable only to expense incurred during the following Applicable Period: BEGIN: DATE END: DATE POLICY 03 Object Line-item Reference EXPENSE OBJECT LINE-ITEM CATEGORY 1 GRANT CONTRACT GRANTEE PARTICIPATION TOTAL PROJECT 1. 2 Salaries, Benefits & Taxes 0.00 0.00 0.00 4, 15 Professional Fee, Grant & Award 2 0.00 0.00 0.00 5, 6, 7, 8, 9, 10 Supplies, Telephone, Postage & Shipping, Occupancy, Equipment Rental & Maintenance, Printing & Publications 0.00 0.00 0.00 11. 12 Travel, Conferences & Meetings 0.00 0.00 0.00 13 Interest 2 0.00 0.00 0.00 14 Insurance 0.00 0.00 0.00 16 Specific Assistance To Individuals 0.00 0.00 0.00 18 Other Non-Personnel 2 0.00 0.00 0.00 20 Capital Purchase 2 0.00 0.00 0.00 22 Indirect Cost 0.00 0.00 0.00 24 In-Kind Expense 0.00 0.00 0.00 25 GRAND TOTAL 0.00 0.00 0.00
Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A . (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT B (2 of 2) GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount INTEREST AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount DEPRECIATION AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount OTHER NON-PERSONNEL AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount CAPITAL PURCHASE AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount ATTACHMENT C Notice of Audit Report Check one of the two boxes below and complete the remainder of this document as instructed. Send completed documents as a PDF file to xxx.xxxxxxxxxxx@xx.xxx. The Grantee should submit only one, completed “Notice of Audit Report” document to the State ninety (90) days prior to the Grantee’s fiscal year. Grantee Legal Entity Name is subject to an audit for fiscal year #. Grantee Legal Entity Name is not subject to an audit for fiscal year #. Grantee’s Edison Vendor ID Number: Xxxxxxx’s fiscal year end: Any Grantee that is subject to an audit must complete the information below. Type of funds expended Estimated amount of funds expended by end of Xxxxxxx’s fiscal year Federal pass-through funds a. Funds passed through the State of Tennessee b. Funds passed through any other entity a. b. Funds received directly from the federal government Non-federal funds received directly from the State of Tennessee Auditor’s name: Auditor’s address: Auditor’s phone number: Auditor’s email: ATTACHMENT D Parent Child Information Send completed documents as a PDF file to xxx.xxxxxxxxxxx@xx.xxx. The Grantee should submit only one, completed “Parent Child Information” document to the State during the Grantee’s fiscal year if the Grantee indicates it is subject to an audit on the “Notice of Audit Report” document.
Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxx://xxx.xxxxx.xx.xx/finance/act/documents/policy3.pdf).
Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT A – PAGE TWO GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount INTEREST AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount DEPRECIATION AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount OTHER NON-PERSONNEL AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount CAPITAL PURCHASE AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount
Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT TWO Parent Child Information The Grantee should complete this form and submit it with the Grant Contract. The Grantee should submit only one, completed “Parent Child Information” document to the State during the Grantee’s fiscal year.
Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. GRANT BUDGET East Tennessee Children’s Hospital Association, Inc. The grant budget line-item amounts below shall be applicable only to expense incurred during the following Applicable Period: BEGIN: December 1, 2024 END: November 30, 2025 POLICY 03 Object Line-item Reference EXPENSE OBJECT LINE-ITEM CATEGORY 1 GRANT CONTRACT GRANTEE PARTICIPATION TOTAL PROJECT 1. 2 Salaries, Benefits & Taxes 0.00 0.00 0.00 4, 15 Professional Fee, Grant & Award 2 $2,000,000.00 0.00 $2,000,000.00 5, 6, 7, 8, 9, 10 Supplies, Telephone, Postage & Shipping, Occupancy, Equipment Rental & Maintenance, Printing & Publications 0.00 0.00 0.00 11. 12 Travel, Conferences & Meetings 0.00 0.00 0.00 13 Interest 2 0.00 0.00 0.00 14 Insurance 0.00 0.00 0.00 16 Specific Assistance To Individuals 0.00 0.00 0.00 17 Depreciation 2 0.00 0.00 0.00 18 Other Non-Personnel 2 0.00 0.00 0.00 20 Capital Purchase 2 0.00 0.00 0.00 22 Indirect Cost 0.00 0.00 0.00 24 In-Kind Expense 0.00 0.00 0.00 25 GRAND TOTAL $2,000,000.00 0.00 $2,000,000.00
Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Annual All Inclusive Payment (See Proforma Section A.6.) $2,000,000.00 Recruiting and training behavioral health support teams Personnel investments to expand mental health services in emergency departments and clinics Developing integrated teams to support children with chronic illness or disabilities Creating safe physical environments and therapeutic care for patients in the hospital while awaiting placement in facilities or outpatient programs Pediatric mental health community education programs Support of trauma-related mental health programs Expanding mental health interventions in primary care locations
