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HomeMy WebLinkAboutFederal Financial Report HUD 2019FEDERAL FINANCIAL REPORT (Follow form instructions) 1. Federal Agency and Organizational Element to Which Report is Submitted Housing and Urban Development 2. Federal Grant or Other Identifying Number Assigned by Federal Agency Page (To report multiple grants, use FFR Attachment) B14 -MC -53-0014 B -16 -MC -53-0014 B -18 -MC -53-0014 B15 -MC -53-0014 B -17 -MC -53-0014 Q 1 of 2 pages 3. Recipient Organization (Name and complete address including Zip code) City of Auburn, 25 West Main Street, Auburn, WA 98001 4a. DUNS Number 032942575 4b. EIN 91-6001228 5. Recipient Account Number or Identifying Number (To report multiple grants, use FFR Attachment) CDBG16, CDBG17 & CDBG18 6. Report Type N Quarterly O Semi -Annual ❑ Annual ❑ Final 7. Basis of Accounting ❑ Cash -4 Accrual 8. Project/Grant Period From: (Month, Day, Year) To: (Month, Day, Year) 01/01/2018 12/31/2018 9. Reporting Period End Date (Month, Day, Year) 12/312018 10. Transactions Cumulative (Use lines a -c for single or multiple grant reporting) Federal Cash To report multiple grants, also use FFR Attachment): a. Cash Receipts 799,463.28 b. Cash Disbursements 907,254.65 c. Cash on Hand (line a minus b) (107,791.37) (Use lines d -o for single grant reporting) Federal Expenditures and Unobligated Balance: d. Total Federal funds authorized e. Federal share of expenditures f. Federal share of unliquidated obligations g. Total Federal share sum of lines a and 0 0.00 h. Unobligated balance of Federal funds (line d minus g) 0.00 Recipient Share: i. Total recipient share required . Reci lent share of expenditures k. Remaining recipient share to be provided (fine i minus j) 0.00 Program Income: I. Total Federal program income earned m. Program income expended in accordance with the deduction alternative n. Program income expended in accordance with the addition alternative o. Unexpended program income (line I minus line m or line n) 0.00 a. Tyoe b. Rate 1c. Period From Period To d. Base e. Amount Charged f. Federal Share 11. Indirect Expense t%- § 9. Totals: 12. Remarks: Attach any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation: 13. Certification: By signing this report, I certify that it is true, complete, and accurate to the best of my knowledge. I am aware that any false, fictitious, or fraudulent information may subject me to criminal, civil, or administrative penalities. (U.S. Code, Title 18, Section 1001) a. Typed or Printed Name and Title of Authorized Certifying Official Nancy Backus, Mayor c. Telephone (Area code, number and extension) 253-931-3008 d. Email address nbackus@aubumwa.gov b. Signature of Auth ' Certifyin cial IlkJanuary e. Date Report Submitted (Month, Day, Year) 23,2019 14 Agency use only fi c Irr 'afar/ f �r� 5 giq��`, i U Standard Form 425 OMB Approval Number: 0348-0061 Expiration Date: 1 0/3 112 01 1 Paperwork Burden Statement According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is 0348-0061. Public reporting burden for this collection of information is estimated to average 1.5 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budge(, Paperwork Reduction Project ( 0348-0060), Washington, DC 20503. FEDERAL FINANCIAL REPORT ATTACHMENT (For reporting multiple grants) 1. Federal Agency and Organizational Element to Which Report is Submitted (Box 1 on Page 1) Housing& Urban Development P 2. Recipient Organization (Box 3 on Page 1) City of Auburn 25 west Main Street Auburn, WA 98001 3a. DUNS Number (Box 4a on Page 1) 032942575 4. Reporting Period End Date (Box 9 on Page 1) (Month, Day, Year) 12/31/2018 Page 2 of 2 3b. EIN (Bax 4b on Page 1) 91-6001228 5. List Information below for each grant covered by this report. Use additional pages if more space is required. Federal Grant Number Recipient Account Number Cumulative Federal Cash Disbursement B -18 -MC -53-0014 cdbgl8 $ 538,958.65 B -17 -MC -53-0014 cdbg 17 45, 744.95 B -16 -MC -53-0014 cdbgl6 161,313.87 B -15 -MC -53-0014 cdbg 16 68,210.99 B -14 -MC -53-0014 cdbg 16 93,026.19 TOTAL (Should correspond to the amount on Line 10b on Page 1) $ 907,254.65 Standard Form 425A OMB Approval Number. 0748-0061 Expiration Date: 10!3 UM 1 Paperwork Burden Statement According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is 0348-0061. Public reporting burden for this collection of information is estimated to average thirty (30) minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget. Paperwork Reduction Project ( 0348-0061), Washington, DC 20503.