REPORT OF EXPENDITURES OF FEDERAL FUNDS - 7974-JUN-2015

(Revised: 06/2015)

At year-end, departments will prepare a Report of Expenditures of Federal Funds, Report No. 13, for all federal funds. Departments must report expenditures and encumbrances for each federal award by Catalog of Federal Domestic Assistance (CFDA) number and program title. Expenditures shall include accruals of all valid obligations incurred and receivables earned as of June 30. Encumbrances shall include commitments that will become expenditures after June 30 when goods or services are received. For additional guidance on year-end financial reporting, refer to SAM section 17130.

The original signed Report No. 13 is submitted to the Department of Finance (Finance), Fiscal Systems and Consulting Unit by August 20th. A copy of Report No. 13 must be submitted to the State Controller’s Office with the year-end financial reports. Supporting documentation used to prepare the Report No. 13 must be maintained by the department in the event Finance, Office of State Audits and Evaluations or the California State Auditor’s Office requests to review.

For reporting requirements for the annual Single Audit, refer to SAM section 7974.1.

A sample of Report No. 13 is shown in the 7974 Illustration.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page No:

1

 

REPORT 13 - REPORT OF EXPENDITURES OF FEDERAL FUNDS

 

Department of Training - 1234

 

Fund 0890

 

Fiscal Year 20XX - XX

 

As of 06/30/20XX

 

 

Business Unit:

1234 - Department of Training

Report ID:

RPTGL161

 

Fund:

0890 - Federal Trust Fund

Run Date:

8/20/20XX

 

Run Time:

10:33:03

 

Adjusting Period:

998

 

 

 

 

 

 

CFDA

Description 1/

Expenditures

Encumbrances

Total

 

10.664

Forestry Assistance

3,253,898.39

191,872.03

3,445,770.42

 

10.225

Community Food Projects

1,708,824.54

25,935.85

1,734,760.39

 

99.999

Tree Assistance Program

231,909.56

8,443.85

240,353.41

 

 

Total Fund: 2/

5,194,632.49

226,251.73

5,420,884.22

 

 

 

I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT AND THAT I HAVE NOT VIOLATED ANY OF THE PROVISIONS OF ARTICLE 4, CHAPTER 1, DIVISION 4, TITLE 1, GOVERNMENT CODE (COMMENCING WITH SECTION 1090).

 

 

SUBSCRIBED AND EXECUTED THIS _______ DAY OF __________________ AT SACRAMENTO, CALIFORNIA.

 

______________________

 

SIGNATURE OF OFFICER

 

_______________________________

 

TYPE OR PRINT NAME OF OFFICER

 

________________

 

TITLE OF OFFICER

 

 

 

1/ Catalog of Federal Domestic Assistance (CFDA) and description of each federally funded program.

 

2/ Expenditures + Encumbrances = Total

 

 

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