HomeMy WebLinkAboutFederal Financial Report CDBG19, CDBG18, CDBG17, CDBG16 c )11.3,i
FEDERAL FINANCIAL REPORT
(Follow form instructions)
1. Federal Agency and Organizational Element 2. Federal Grant or Other Identifying Number Assigned by Federal Agency Page of
to Which Report is Submitted (To report multiple grants,use FFR Attachment)
B-19-MC-53-0014, B-18-MC-53-0014, 1 2
Housing and Urban Development B-17-MC-53-0014, B-16-MC-53-0014 pages
3. Recipient Organization(Name and complete address including Zip code)
City of Auburn , 25 West Main Street, Auburn,WA 98001
4a. DUNS Number 4b. EIN 5. Recipient Account Number or Identifying Number x6.Queport Type 7. Basis of Accounting
(To report multiple grants,use FFR Attachment) y
❑Semi-Annual
032942575 91-6001228 CDBG19, CDBG18, CDBG17&CDBG16 0 Annual 0 Cash xAccrual
0 Final
8. Project/Grant Period 9. Reporting Period End Date
I (Month,Day,Year)
From: (Month,Day,Year) To: (Month,Day,Year)
01/01/2019 I 09/30/2019 09/30/2019
Cumulative
10. Transactions
(Use lines a-c for single or multiple grant reporting)
Federal Cash (To report multiple grants,also use FFR Attachment):
$355,296.10
a. Cash Receipts
$468,044.86
b. Cash Disbursements
c. Cash on Hand(line a minus b)
(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 e and t)
h. Unobligated balance of Federal funds(line d minus g)
Recipient Share:
i. Total recipient share required
j. Recipient share of expenditures
k. Remaining recipient share to be provided(line i minus j)
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)
a.Type b.Rate c.Period From Period To
11.Indirect
Expense
g.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 o C alties. (U.S.Tele hone Crea Code,Titicodee 18,a Section
d extension)
253-931-300801)
a. Typed or Printed Name and Title of Authorized Certifying Official 253 931-3008
Nancy Backus, Mayor d. Email address
nbackus@auburnwa.gov
b. Signature of thorized ertifying Official e. Date Report Submitted (Month,Day,Year)
October 21,2019
I se. j V I<
Standard Form 425
OMB Approval Number:0348-0061
Expiration Date:10/31/2011
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