National Park Service Financial Assistance Guidance

Review of the SF-425

National Park Service P12AC35678 under P11AC31234

1

Recipient Organization A, 123 Main Street, Anytown, XX 12345

123456789 12-3456789x

x

02/07/2011 01/31/2012 12/31/2011

Enter the name of the Federal Agency

Enter the Agreement # assigned by the Federal Agency

Enter the number of pages included in the report – usually one.

Enter the name and complete

address of the recipient

organization.

Enter the DUNS # and the EIN # of the recipient organization.

This is the start date of the period of performance for this award.

Indicate the report type.

Indicate the recipient’s basis of accounting.

This field is optional and for the recipient’s use only.

This is the end date of the period of performance for this award.

The reporting period end date must be 3/31, 6/30, 9/30 or 12/31.

Single award reporting is required by the National Park Service as is the completion of all lines in section 10. Enter cumulative amounts from date of inception of the award through the end date of the reporting period specified in line 9.

Enter the cumulative amount of actual cash received from the NPS as of the reporting period end date. This should match the ASAP draw down amount.

Enter the cumulative amount of Federal fund disbursements as of the reporting period end date.

Enter the amount of line 10a minus line 10b. This amount represents immediate cash needs. If more than three business days of cash are on hand, the NPS may request a written explanation detailing the reason for the excess cash.

PLEASE NOTE: All fields in section 10 are cumulative from the date of the inception of the award through the reporting period end date specified in line 9.

500,000.00 500,000.00

0.00

800,000.00 500,000.00 100,000.00 600,000.00

200,000.00

Total award amount authorized by the NPS for this financial assistance action as of the reporting period end date.

For cash basis, the sum of cash disbursements related to Federal funding.

For accrual basis, the sum of cash disbursements and the sum of expenditures incurred and recorded but not yet paid related to Federal funding.

For cash basis, the sum of expenditures incurred but not yet paid related to Federal funding.

For accrual basis, the sum of expenditures incurred but for which an entry has not yet been recorded related to Federal funding.

The sum of lines 10e and 10f. This amount represents the sum of recipient expenditures related to Federal funding.

The amount of Line 10d minus 10g. This amount represents the amount of Federal funds authorized by the NPS but not expended by the recipient.

200,000.00 125,000.00

75,000.00

Enter the total required recipient share (the sum of cash and in-kind).

Enter the recipient share of actual cash disbursements or outlays, including the value of allowable in-kind contributions, as of the reporting period end date specified in line 9.

Enter the amount of line 10i minus line 10j. If line 10j is greater than the required match amount in line 10i, enter zero. This amount indicates the recipient share yet to be provided.

Enter the amount of Federal program income earned excluding any program income that is being allocated as part of the recipient’s cost sharing amount included in line 10j.

Program income is gross income earned by the recipient that is directly generated by a supported activity or earned as a result of the award and is not the Federal funding received via financial assistance award. Program income is a rare occurrence and is therefore frequently zero.

Enter the amount of program income that was used to reduce the Federal share of the total project costs.

Enter the amount of program income that was added to funds committed to the total project costs and expended to further eligible project or program activities.

Enter the amount of line 10l minus line 10m or 10n. This amount equals the program income that has been earned but not expended, as of the reporting period end date.

0.00 0.00

0.00

0.00

Final 20% Jan 2011 Dec 2012 Total Fed Direct Exp 133,333.33 133,333.33

133,333.33 133,333.33

State whether the indirect cost rate is provisional, predetermined, final or fixed.

Enter the indirect cost rate in effect during the reporting period.

Enter the beginning and ending effective dates for the rate.

Enter the base against which the rate was applied (ex. Total Federal Direct Expenses, Total Salaries and Benefits, etc.)

Multiply 11b times 11d. This is the amount of indirect costs charged during the time period specified.

Enter the Federal share of the amount in 11e. This is usually equal to 11e.

Mr. John Smith, Executive Director

X Recipient Organization Signature

(303) 123-4567

John.smith@recipientorganization.org

01/31/2012

ATR Signature & CO Signature

Enter any explanations or additional information required by the NPS including regarding excess cash as stated in line 10c.

Complete information regarding recipient organization authorized certifying official. The recipient organization certifying official must sign where indicated.