Language and Culture Camp Final Report Form ... - First Peoples

Section 11: Financial Statement Summary11a. Language and Culture Camp Financial ReportName of First Nation/organization:This is the First Nation or organization that applied to FPCCFPCC file number:This is the number that was assigned to you by FPCC. (FP-LC-09-XXXX)Date of reporting period:This period starts and ends on the same dates as your project (include pre-planning and training time)Department:Which department or office is completing the financial section? Accountant or coordinator?11b. Language Program Revenue:Language and Culture Camp Grant Amount: What was the grant amount approved for yourproject?11c. Language Program Expenses:This is a summary, and does not qualify as official financial documents. Please include an officialgeneral ledger and an official financial statement on separate pages to support this summary.Activity per MOU Agreement $ MOU Amount $ Actual ExpendituresFor example:Honorarium $4,000 $3,500Contractors/consultants $3,000 $2,900Equipment rental $1,000 $1,050Resource materials $100 $75Food $1,000 $1,200Transportation $1,000 $500Total: $10,100 $9,225TOTAL EXPENSES: $9,225BALANCE REMAINING: (-$ 875)In this example, a project amendment request would be needed to explain the differences between theactual expenses and the MOU amounts.Note: It is mandatory that your language project activities and expenses reflect those activitiesand expenses approved in the Memorandum of Understanding agreement. Please complete thissection in collaboration with your organization’s accountant/bookkeeper.It is also mandatory that this Financial Statement Summary is accompanied by an official generalledger and financial statements as stated in the Memorandum of Understanding agreement.______________________Initial – Accountant/BookkeeperPlease have your accountant or bookkeeper initial this section.Language and Culture Camp Final Report 2011–12 7/8