Download Form Excel 32424 | Fy22 Cdvsa Monthly Finance Report Form

Partial file snippet.

Sheet 1: CDVSA INFO

	
	
		CDVSA CONTACTS
		
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		Shannen O'Brien
		

		

		Ann Rausch
		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		Grants Administrator II
		

		

		Program Coordinator II
		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		(907) 465-2278
		

		

		(907) 465-5015
		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		shannen.obrien@alaska.gov
		

		

		ann.rausch@alaska.gov
		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		Marjorie Hamburger
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		Program Coordinator I
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		(907) 465-4673
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		marjorie.hamburger@alaska.gov
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		Meggie Stogner
		

		

		

		

		MaryBeth Gagnon
		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		Program Coordinator II
		

		

		

		

		Criminal Justice Planner
		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		(907) 465-8938
		

		

		

		

		(907) 465-4321
		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		

		meggie.stogner@alaska.gov
		

		

		

		

		marybeth.gagnon@alaska.gov
		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

	
	
		REIMBURSEMENT SCHEDULE
		
	
		

		

		

		

		

		

		

		

		

		

	
	
		MONTH
		START DATE
		END DATE
		DATE DUE TO: CDVSA.Grants@alaska.gov
		
	
		JULY
		7/1/2021
		7/31/2021
		8/15/2021
		
	
		AUGUST
		8/1/2021
		8/31/2021
		9/15/2021
		
	
		SEPTEMBER
		9/1/2021
		9/30/2021
		10/15/2021
		
	
		OCTOBER
		10/1/2021
		10/31/2021
		11/15/2021
		
	
		NOVEMBER
		11/1/2021
		11/30/2021
		12/15/2021
		
	
		DECEMBER
		12/1/2021
		12/31/2021
		1/15/2022
		
	
		JANUARY
		1/1/2022
		1/1/2022
		2/15/2022
		
	
		FEBRUARY
		2/1/2022
		2/28/2022
		3/15/2022
		
	
		MARCH
		3/1/2022
		3/31/2022
		4/15/2022
		
	
		APRIL
		4/1/2022
		4/30/2022
		5/15/2022
		
	
		MAY
		5/1/2022
		5/31/2022
		6/15/2022
		
	
		JUNE
		6/1/2022
		6/30/2022
		7/15/2022
		
	
		

		

		

		

		

		

		

		

		

		

	
	
		INSTRUCTIONS
		
	
		
 
		
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		



Sheet 2: Monthly Financial Report Form

	
	
		GRANTEE NAME
		CDVSA SUBAWARD No.
		REPORTING PERIOD
		
	
		Select Organization
		

		FROM:
		TO:
		
	
		SUB-AWARD FUNDING TYPE
		Select a Month
		MM/DD/YY
		
	
		Select a Funding Type
		
	
		CDVSA PROGRAM NAME
		
	
		AWARD AMOUNT
		MATCH %
		MATCH REQUIRED
		Select a Program Type
		

	
	
		

		0.00%
		 $-   
		MATCH WAIVER
		PERCENT WAIVED
		
	
		 YES 
		
		Match Reduction:
Enter the amount of match wavied as a positive number. The match % in cell D8 and the match amount ind cell E8 will update automatically.

For example, if the regular match amount is 25% and the new match amount is %15 enter 10 in this cell.
		100%
		
	
		

		
	
		MONTHLY REPORTING EXPENDITURES OF STATE-FUNDED SUBAWARDS
		
	
		COST CATEGORY
		SUBAWARD BUDGET
		YTD EXPENSES
		MONTHLY EXPENSES
		REMAINING BALANCE
		
	
		100: Personnel Services
		

		

		

		 $-   
		
	
		200: Travel
		

		

		

		 $-   
		
	
		300: Facilities
		

		

		

		 $-   
		
	
		400: Commodities
		

		

		

		 $-   
		
	
		500: Equipment
		

		

		

		 $-   
		
	
		600: Contract & Other
		

		

		

		 $-   
		
	
		700: In-Direct
		

		

		

		 $-   
		
	
		Total:
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		

		
	
		COST CATEGORY
		MATCH BUDGET
		YTD MATCH
		MONTHLY MATCH
		REMAINING BALANCE
		
	
		100: Personnel Services
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		200: Travel
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		300: Facilities
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		400: Commodities
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		500: Equipment
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		600: Contract & Other
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		700: In-Direct
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		Total:
		 $-   
		 $-   
		 $-   
		 $-   
		
	
		

		
	
		

		

		

		

		

	
	
		PREPARED BY:
		SIGNATURE
		

		DATE
	
	
		

		
	
		

		

		

		

		

	
	
		AUTHORIZED BY:
		

		SIGNATURE
		

		DATE
	
	
		

		

		

		

		

		

		

		

		

		

	
	
		Effective July 1, 2021, the Council on Domestic Violence and Sexual Assault (CDVSA) requires all subaward recipients to provide a monthly report of expenditures of their state-funded awards. State-funded awards include all General Fund Victim Service Awards, Community Readiness (CR) and Community Based Primary Prevention Programs (CBPPP), Battering Intervention Programs (BIP), and Prison Battering Prevention (PBP) awards. These reports are due on the 15th following every monthly reporting period and need to be emailed to CDVSA.Grants@alaska.gov. if the 15th falls on a weekend or holiday then they are due the following state business day.
This monthly expenditure report does not need to be an accurate reconciliation of your accounts but rather a snapshot of expenditures recorded so far in your accounting system. This report is a tool to monitor spending performance and is not expected to be perfectly accurate. When using this form there are three columns to complete:
1. The Subaward and Match Budget categories need to match the signed Grant Agreement or the most recently approved Budget Adjustment Agreement (BAR);
2. The Year-to-Date (YTD) expenses should be an accumulation of all prior monthly expenditures. 
3. The Monthly expenses for the subaward and match only need to be a “snapshot” from your accounting system.  They do not need to be complete monthly reconciliations. 
These monthly expenditure reports do not replace the Quarterly Financial Reports (QFR). The QFRs are still required and are expected to be quarterly reconciliations of accounts. 

		



Sheet 3: VENDOR TABLE

	
	
	
	
		PROGNAME
		DUNS
		VENDOR
		ACTV
	
	
		Select Organization
		0
		0
		0
	
	
		Abused Women's Aid in Crisis
		086830692
		AWA84952
		6106
	
	
		Advocates for Victims of Violence
		838435113
		AFC84302
		6105
	
	
		Aiding Women in Abuse and Rape Emergencies
		037997772
		AWA84383
		6101
	
	
		Alaska Family Services
		883461154
		VWR84162
		6104
	
	
		Alaska Institute for Justice
		626541523
		AIJ05313
		6118
	
	
		Alaska Network on Domestic Violence & Sexual Assault
		942891789
		AND85295
		6117
	
	
		Anchorage Community Mental Health Services
		020242434
		ACM84469
		6129
	
	
		Arctic Women in Crisis
		079248290
		NSB84460
		6107
	
	
		Bering Sea Women's Group
		099832909
		BSW84463
		6108
	
	
		Bristol Bay Area Health Corporation
		081488264
		BBN13205
		6130
	
	
		Catholic Community Services
		035736420
		CCS84357
		6131
	
	
		Copper River Basin Child Advocacy Center
		832746460
		CRB08199
		6132
	
	
		Cordova Family Resources Center
		945492288
		CFR95219
		6120
	
	
		Emmonak Women Shelter
		163721215
		EWS15021
		6129
	
	
		Helping Ourselves Prevent Emergencies
		829910244
		HOP11214
		6125
	
	
		Interior Alaska Center for Non-Violent Living
		102866829
		WIC84308
		6109
	
	
		Kenaitze Indian Tribe
		149211364
		KIT97069
		6119
	
	
		Ketchikan Indian Community
		093681401
		KEI93110
		6127
	
	
		Kodiak Women's Resources & Crisis Center
		959065566
		KWR84708
		6110
	
	
		LeeShore Center
		618157267
		WRC84223
		6111
	
	
		Maniilaq Family Crisis Center
		081923526
		MAA90102
		6126
	
	
		Providence Alaska Medical Center
		083350751
		VS004748
		6133
	
	
		Resource for Parents and Children Stevie's Place
		144246776
		RCP05017
		6134
	
	
		Safe & Fear-Free Environment
		004261942
		SFF96240
		6102
	
	
		Seward Prevention Coalition
		080450835
		SCC84100
		6121
	
	
		Sitkans Against Family Violence
		798374963
		SAV84255
		6112
	
	
		South Peninsula Haven House
		627816721
		RHL10134
		6103
	
	
		Standing Together Against Rape
		802078782
		STA84241
		6113
	
	
		Tanana Chiefs Conference
		071845358
		TCC99214
		6135
	
	
		The Children's Place
		107122744
		CHP99091
		6136
	
	
		Tundra Women's Coalition
		067231548
		TWC84343
		6114
	
	
		Unalaskans Against Sexual Assault and Family Violence
		018230743
		USA84194
		6122
	
	
		Victims for Justice
		793831702
		VIJ89135
		6115
	
	
		Volunteers of America Alaska
		147659932
		ARC85200
		6137
	
	
		Women In Safe Homes
		075135277
		WSH84234
		6116
	
	
		Working Against Violence for Everyone
		016192623
		PBG11333
		6124

The words contained in this file might help you see if this file matches what you are looking for:

...Sheet cdvsa info contacts shannen o brien ann rausch grants administrator ii program coordinator shannenobrien alaskagov annrausch marjorie hamburger i marjoriehamburger meggie stogner marybeth gagnon criminal justice planner meggiestogner marybethgagnon reimbursement schedule month start date end due to cdvsagrants july august september october november december january february march april may june instructions monthly financial report form grantee name subaward no reporting period select organization from funding type a mmddyy award amount match required waiver percent waived yes reduction enter the of wavied as positive number in cell d and ind e will update automatically for example if regular is new this expenditures statefunded subawards cost category budget ytd expenses remaining balance personnel services travel facilities commodities equipment contract amp other indirect total prepared by signature authorized effective council on domestic violence sexual assault requires all ...

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CDVSA CONTACTS

	Shannen O'Brien			Ann Rausch

	Grants Administrator II			Program Coordinator II

	(907) 465-2278			(907) 465-5015

	shannen.obrien@alaska.gov			ann.rausch@alaska.gov

	Marjorie Hamburger

	Program Coordinator I

	(907) 465-4673

	marjorie.hamburger@alaska.gov

	Meggie Stogner			MaryBeth Gagnon

	Program Coordinator II			Criminal Justice Planner

	(907) 465-8938			(907) 465-4321

	meggie.stogner@alaska.gov			marybeth.gagnon@alaska.gov

REIMBURSEMENT SCHEDULE

MONTH		START DATE	END DATE	DATE DUE TO: CDVSA.Grants@alaska.gov
JULY		7/1/2021	7/31/2021	8/15/2021
AUGUST		8/1/2021	8/31/2021	9/15/2021
SEPTEMBER		9/1/2021	9/30/2021	10/15/2021
OCTOBER		10/1/2021	10/31/2021	11/15/2021
NOVEMBER		11/1/2021	11/30/2021	12/15/2021
DECEMBER		12/1/2021	12/31/2021	1/15/2022
JANUARY		1/1/2022	1/1/2022	2/15/2022
FEBRUARY		2/1/2022	2/28/2022	3/15/2022
MARCH		3/1/2022	3/31/2022	4/15/2022
APRIL		4/1/2022	4/30/2022	5/15/2022
MAY		5/1/2022	5/31/2022	6/15/2022
JUNE		6/1/2022	6/30/2022	7/15/2022

INSTRUCTIONS

GRANTEE NAME		CDVSA SUBAWARD No.		REPORTING PERIOD
Select Organization				FROM:	TO:
		SUB-AWARD FUNDING TYPE		Select a Month	MM/DD/YY
		Select a Funding Type
				CDVSA PROGRAM NAME
AWARD AMOUNT		MATCH %	MATCH REQUIRED	Select a Program Type
		0.00%	$-	MATCH WAIVER	PERCENT WAIVED
				YES	Match Reduction: Enter the amount of match wavied as a positive number. The match % in cell D8 and the match amount ind cell E8 will update automatically. For example, if the regular match amount is 25% and the new match amount is %15 enter 10 in this cell. 100%

MONTHLY REPORTING EXPENDITURES OF STATE-FUNDED SUBAWARDS
COST CATEGORY	SUBAWARD BUDGET		YTD EXPENSES	MONTHLY EXPENSES	REMAINING BALANCE
100: Personnel Services					$-
200: Travel					$-
300: Facilities					$-
400: Commodities					$-
500: Equipment					$-
600: Contract & Other					$-
700: In-Direct					$-
Total:	$-		$-	$-	$-

COST CATEGORY	MATCH BUDGET		YTD MATCH	MONTHLY MATCH	REMAINING BALANCE
100: Personnel Services	$-		$-	$-	$-
200: Travel	$-		$-	$-	$-
300: Facilities	$-		$-	$-	$-
400: Commodities	$-		$-	$-	$-
500: Equipment	$-		$-	$-	$-
600: Contract & Other	$-		$-	$-	$-
700: In-Direct	$-		$-	$-	$-
Total:	$-		$-	$-	$-


PREPARED BY:			SIGNATURE			DATE


AUTHORIZED BY:			SIGNATURE			DATE

Effective July 1, 2021, the Council on Domestic Violence and Sexual Assault (CDVSA) requires all subaward recipients to provide a monthly report of expenditures of their state-funded awards. State-funded awards include all General Fund Victim Service Awards, Community Readiness (CR) and Community Based Primary Prevention Programs (CBPPP), Battering Intervention Programs (BIP), and Prison Battering Prevention (PBP) awards. These reports are due on the 15th following every monthly reporting period and need to be emailed to CDVSA.Grants@alaska.gov. if the 15th falls on a weekend or holiday then they are due the following state business day. This monthly expenditure report does not need to be an accurate reconciliation of your accounts but rather a snapshot of expenditures recorded so far in your accounting system. This report is a tool to monitor spending performance and is not expected to be perfectly accurate. When using this form there are three columns to complete: 1. The Subaward and Match Budget categories need to match the signed Grant Agreement or the most recently approved Budget Adjustment Agreement (BAR); 2. The Year-to-Date (YTD) expenses should be an accumulation of all prior monthly expenditures. 3. The Monthly expenses for the subaward and match only need to be a “snapshot” from your accounting system. They do not need to be complete monthly reconciliations. These monthly expenditure reports do not replace the Quarterly Financial Reports (QFR). The QFRs are still required and are expected to be quarterly reconciliations of accounts.

PROGNAME	DUNS	VENDOR	ACTV
Select Organization	0	0	0
Abused Women's Aid in Crisis	086830692	AWA84952	6106
Advocates for Victims of Violence	838435113	AFC84302	6105
Aiding Women in Abuse and Rape Emergencies	037997772	AWA84383	6101
Alaska Family Services	883461154	VWR84162	6104
Alaska Institute for Justice	626541523	AIJ05313	6118
Alaska Network on Domestic Violence & Sexual Assault	942891789	AND85295	6117
Anchorage Community Mental Health Services	020242434	ACM84469	6129
Arctic Women in Crisis	079248290	NSB84460	6107
Bering Sea Women's Group	099832909	BSW84463	6108
Bristol Bay Area Health Corporation	081488264	BBN13205	6130
Catholic Community Services	035736420	CCS84357	6131
Copper River Basin Child Advocacy Center	832746460	CRB08199	6132
Cordova Family Resources Center	945492288	CFR95219	6120
Emmonak Women Shelter	163721215	EWS15021	6129
Helping Ourselves Prevent Emergencies	829910244	HOP11214	6125
Interior Alaska Center for Non-Violent Living	102866829	WIC84308	6109
Kenaitze Indian Tribe	149211364	KIT97069	6119
Ketchikan Indian Community	093681401	KEI93110	6127
Kodiak Women's Resources & Crisis Center	959065566	KWR84708	6110
LeeShore Center	618157267	WRC84223	6111
Maniilaq Family Crisis Center	081923526	MAA90102	6126
Providence Alaska Medical Center	083350751	VS004748	6133
Resource for Parents and Children Stevie's Place	144246776	RCP05017	6134
Safe & Fear-Free Environment	004261942	SFF96240	6102
Seward Prevention Coalition	080450835	SCC84100	6121
Sitkans Against Family Violence	798374963	SAV84255	6112
South Peninsula Haven House	627816721	RHL10134	6103
Standing Together Against Rape	802078782	STA84241	6113
Tanana Chiefs Conference	071845358	TCC99214	6135
The Children's Place	107122744	CHP99091	6136
Tundra Women's Coalition	067231548	TWC84343	6114
Unalaskans Against Sexual Assault and Family Violence	018230743	USA84194	6122
Victims for Justice	793831702	VIJ89135	6115
Volunteers of America Alaska	147659932	ARC85200	6137
Women In Safe Homes	075135277	WSH84234	6116
Working Against Violence for Everyone	016192623	PBG11333	6124

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