HomeMy Public PortalAbout2023.01.11 SF425_3_0-V3.0 MYL AIP 028 FINAL signed1. Federal Agency and Organizational Element to Which Report is Submitted
4a. DUNS Number
Recipient Organization Name:
Street1:
Street2:
City:
State:
ZIP / Postal Code:Country:
Quarterly
Federal Financial Report
(Follow form Instructions)
County:
Province:
08/31/2022
3-16-0023-028-2020
1889226110000
City of McCall
216 E. Park Street
McCall Valley
ID: Idaho
USA: UNITED STATES 83638-0000
82-6000022
04/30/2020 04/30/2022
Federal Aviation Administration
2. Federal Grant or Other Identifying Number Assigned by Federal
Agency (To report multiple grants, use FFR Attachment)
3. Recipient Organization (Name and complete address including Zip code)
4b. EIN 5. Recipient Account Number or Identifying Number
(To report multiple grants, use FFR Attachment)
6. Report Type
Semi-Annual
Annual
Final
7. Basis of Accounting
Accrual
Cash
8. Project/Grant Period
To:From:
9. Reporting Period End Date
a. Cash Receipts
c. Cash on Hand (line a minus b)
b. Cash Disbursements
0.00
0.00
0.00
10. Transactions Cumulative
(Use lines a-c for single or multiple grant reporting)
Federal Cash (To report multiple grants, also use FFR attachment):
(Use lines d-o for single grant reporting)
Federal Expenditures and Unobligated Balance:
d. Total Federal funds authorized
e. Federal share of expenditures
366,332.00
315,151.83
f. Federal share of unliquidated obligations 0.00
g. Total Federal share (sum of lines e and f)
h. Unobligated balance of Federal Funds (line d minus g)
Recipient Share:
i. Total recipient share required
k. Remaining recipient share to be provided (line i minus j)
j. Recipient share of expenditures
0.00
0.00
0.00
Program Income:
l. Total Federal program income earned
o. Unexpended program income (line l minus line m and line n)
m. Program Income expended in accordance with the deduction alternative
0.00
0.00
0.00
n. Program Income expended in accordance with the addition alternative 0.00
OMB Number: 4040-0014
Expiration Date: 02/28/2022
315,151.83
51,180.17
11 . In direct Expense
a . Type b . Rate c. Period From Period To d . Ba se
e . Am ount f . Federal Share Cha rged
I JCJ I 11 11 11 11 I
I JCJ I 1 1 11 11 11 I
g . T otals: I 11 11 I
12. Remarks: Attach any explanations dee m ed ne cessary or information required by Federa l spon soring agency in comp liance with governing legislation :
I 11 Add Atta chmen t 11 ,,-., h, 11 tachn I
13. Certification: By sig ning this report, I certify to the best of my knowledge and belie f that the report is true, complete , and accu rate , and the
expenditures , disbursements and cas h receipts are for the pu rposes and objectives se t forth in the terms and condit ions of t he Federal award . I
am aware that any false , fi ctit ious , or fr au dulent informatio n, or the omission of any mater ial fact , may su bject me to criminal , civi l or
administrative pena lt ies for fraud , false statements , false claims or oth erw ise . (U .S. Co de Title 18 , Section 100 1 and T itle 31 , Sections 3729-3730
and 3801-3812).
a . Name and Title of A uth or ized Certify ing Offic ial
Prefix : I I First Name : !Robe rt I Middle Name : is. I
Last Name : !Giles I Suffix : I I
Titl e: IMayo r I
b . Signature of Au th o ri ze d Certifying Officia l c. Te le ph one (Area co d e , numbe r and extension)
~AV I
1208 -63 4-71 42 I
d . Email Address e . Date Repo rt Submitted 14. Ag ency use only:
lbg i les@mccall.id.u s I I I
Standa rd Form 425
01/11/2023
Federal Financial Report Instructions
Report Submissions
1) Recipients will be instructed by Federal agencies to submit the Federal Financial Report (FFR) to
a single location, except when an automated payment management reporting system is utilized. In
this case, a second submission location may be required by the agency.
2) If recipients need more space to support their FFRs, or FFR Attachments, they should provide
supplemental pages. These additional pages must indicate the following information at the top of
each page: Federal grant or other identifying number (if reporting on a single award), recipient
organization, Data Universal Numbering System (DUNS) number, Employer Identification Number
(EIN), and period covered by the report.
Reporting Requirements
Note: For single award reporting:
1) Federal agencies may require both cash management information on lines 10(a) through 10(c) and
financial status information lines 10(d) through 10(o).
2) 10(b) and 10(e) may not be the same until the final report.
Line Item Instructions for the Federal Financial Report
FFR
Number
Reporting Item Instructions
Cover Information
1 Federal Agency and
Organizational Element to
Which Report is Submitted
Enter the name of the Federal agency and organizational element
identified in the award document or as instructed by the agency.
2 Federal Grant or Other
Identifying Number
Assigned by Federal
Agency
For a single award, enter the grant number assigned to the award by the
Federal agency. For multiple awards, report this information on the FFR
Attachment. Do not complete this box if reporting on multiple awards.
3 Recipient Organization Enter the name and complete address of the recipient organization
including zip code.
4a DUNS Number Enter the recipient organization's Data Universal Numbering System
(DUNS) number or Central Contract Registry extended DUNS number.
4b EIN Enter the recipient organization's Employer Identification Number (EIN).
5 Recipient Account Number
or Identifying Number
Enter the account number or any other identifying number assigned by the
recipient to the award. This number is for the recipient's use only and is
not required by the Federal agency. For multiple awards, report this
Revised 6/28/2010
The submission of interim FFRs will be on a quarterly, semi-annual, or annual basis, as directed by
the Federal agency. A final FFR shall be submitted at the completion of the award agreement. The
following reporting period end dates shall be used for interim reports: 3/31, 6/30, 9/30, or 12/31.
For final FFRs, the reporting period end date shall be the end date of the project or grant period.
1)
Quarterly and semi-annual interim reports shall be submitted no later than 30 days after the end of
each reporting period. Annual reports shall be submitted no later than 90 days after the end of each
reporting period. Final reports shall be submitted no later than 90 days after the project or grant
period end date.
2)
information on the FFR Attachment. Do not complete this box if
reporting on multiple awards.
6 Report Type Mark appropriate box. Do not complete this box if reporting on multiple
awards.
7 Basis of Accounting
(Cash/Accrual)
Specify whether a cash or accrual basis was used for recording
transactions related to the award(s) and for preparing this FFR. Accrual
basis of accounting refers to the accounting method in which expenses are
recorded when incurred. For cash basis accounting, expenses are
recorded when they are paid.
8 Project/Grant Period,
From: (Month, Day, Year)
Indicate the period established in the award document during which
Federal sponsorship begins and ends.
Note: Some agencies award multi-year grants for a project period that is
funded in increments or budget periods (typically annual increments).
Throughout the project period, agencies often require cumulative
reporting for consecutive budget periods. Under these circumstances,
enter the beginning and ending dates of the project period not the budget
period.
Do not complete this line if reporting on multiple awards.
Project/Grant Period, To:
(Month, Day, Year)
See the above instructions for "Project/Grant Period, From: (Month, Day,
Year)."
9 Reporting Period End
Date: (Month, Day, Year)
Enter the ending date of the reporting period. For quarterly, semi-annual,
and annual interim reports, use the following reporting period end dates:
3/31, 6/30, 9/30, or 12/31. For final FFRs, the reporting period end date
shall be the end date of the project or grant period.
10 Transactions
Enter cumulative amounts from date of the inception of the award through the end date of the
reporting period specified in line 9.
Use Lines 10a through 10c, Lines 10d through 10o, or Lines 10a through 10o, as specified by the
Federal agency, when reporting on single grants.
Use Line 12, Remarks, to provide any information deemed necessary to support or explain FFR data.
Federal Cash (To report multiple grants, also use FFR Attachment)
10a Cash Receipts Enter the cumulative amount of actual cash received from the Federal
agency as of the reporting period end date.
10b Cash Disbursements Enter the cumulative amount of Federal fund disbursements (such as cash
or checks) as of the reporting period end date. Disbursements are the sum
of actual cash disbursements for direct charges for goods and services, the
amount of indirect expenses charged to the award, and the amount of cash
advances and payments made to subrecipients and contractors.
For multiple grants, report each grant separately on the FFR Attachment.
The sum of the cumulative cash disbursements on the FFR Attachment
must equal the amount entered on Line 10b, FFR.
10c Cash On Hand (Line 10a
Minus Line 10b)
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 Federal agency may require an explanation
Revised 6/28/2010
Instructions Reporting Item FFR
Number
FFR
Number
Reporting Item Instructions
on Line 12, Remarks, explaining why the drawdown was made
prematurely or other reasons for the excess cash.
Federal Expenditures and Unobligated Balance: Do not complete this section if reporting on multiple
awards.
10d Total Federal Funds
Authorized
Enter the total Federal funds authorized as of the reporting period end
date.
10e Federal Share of
Expenditures
Enter the amount of Federal fund expenditures. For reports prepared on a
cash basis, expenditures are the sum of cash disbursements for direct
charges for property and services; the amount of indirect expense charged;
and the amount of cash advance payments and payments made to
subrecipients. For reports prepared on an accrual basis, expenditures are
the sum of cash disbursements for direct charges for property and services;
the amount of indirect expense incurred; and the net increase or decrease
in the amounts owed by the recipient for (1) goods and other property
received; (2) services performed by employees, contractors, subrecipients,
and other payees; and (3) programs for which no current services or
performance are required. Do not include program income expended in
accordance with the deduction alternative, rebates, refunds, or other
credits. (Program income expended in accordance with the deduction
alternative should be reported separately on Line 10o.)
10f Federal Share of
Unliquidated Obligations
Unliquidated obligations on a cash basis are obligations incurred, but not
yet paid. On an accrual basis, they are obligations incurred, but for which
an expenditure has not yet been recorded. Enter the Federal portion of
unliquidated obligations. Those obligations include direct and indirect
expenses incurred but not yet paid or charged to the award, including
amounts due to subrecipients and contractors. On the final report, this line
should be zero unless the awarding agency has provided other
instructions.
Do not include any amount in Line 10f that has been reported in Line 10e.
Do not include any amount in Line 10f for a future commitment of funds
(such as a long-term contract) for which an obligation or expense has not
been incurred.
10g Total Federal Share (Sum
of Lines 10e and 10f)
Enter the sum of Lines 10e and 10f.
10h Unobligated Balance of
Federal Funds (Line 10d
Minus Line 10g)
Enter the amount of Line 10d minus Line 10g.
Recipient Share: Do not complete this section if reporting on multiple awards.
10i Total Recipient Share
Required
Enter the total required recipient share for reporting period specified in
line 9. The required recipient share should include all matching and cost
sharing provided by recipients and third-party providers to meet the level
required by the Federal agency. This amount should not include cost
sharing and match amounts in excess of the amount required by the
Federal agency (for example, cost overruns for which the recipient incurs
additional expenses and, therefore, contributes a greater level of cost
Revised 6/28/2010
FFR
Number
Reporting Item Instructions
sharing or match than the level required by the Federal agency).
10j Recipient Share of
Expenditures
Enter the recipient share of actual cash disbursements or outlays (less any
rebates, refunds, or other credits) including payments to subrecipients and
contractors. This amount may include the value of allowable third party
in-kind contributions and recipient share of program income used to
finance the non-Federal share of the project or program. Note: On the
final report this line should be equal to or greater than the amount of Line
10i.
10k Remaining Recipient Share
to be Provided (Line 10i
Minus Line 10j)
Enter the amount of Line 10i minus Line 10j. If recipient share in Line
10j is greater than the required match amount in Line 10i, enter zero.
Program Income: Do not complete this section if reporting on multiple awards.
10l Total Federal Program
Income Earned
Enter the amount of Federal program income earned. Do not report any
program income here that is being allocated as part of the recipient's cost
sharing amount included in Line10j.
10m Program Income Expended
in Accordance With the
Deduction Alternative
Enter the amount of program income that was used to reduce the Federal
share of the total project costs.
10n Program Income Expended
in Accordance With the
Addition Alternative
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.
10o Unexpended Program
Income (Line 10l Minus
Line 10m and Line 10n)
Enter the amount of Line 10l minus Line 10m and Line 10n. This amount
equals the program income that has been earned but not expended, as of
the reporting period end date.
11 Indirect Expense: Complete this information only if required by the awarding agency. Enter
cumulative amounts from date of the inception of the award through the end date of the reporting
period specified in line 9.
11a Type of Rate(s) State whether indirect cost rate(s) is Provisional, Predetermined, Final, or
Fixed.
11b Rate Enter the indirect cost rate(s) in effect during the reporting period.
11c Period From; Period To Enter the beginning and ending effective dates for the rate(s).
11d Base Enter the amount of the base against which the rate(s) was applied.
11e Amount Charged Enter the amount of indirect costs charged during the time period
specified. (Multiply 11b. x 11d.)
11f Federal Share Enter the Federal share of the amount in 11e.
11g Totals Enter the totals for columns 11d, 11e, and 11f.
Remarks, Certification, and Agency Use Only
12 Remarks Enter any explanations or additional information required by the Federal
sponsoring agency including excess cash as stated in line 10c.
13a Typed or Printed Name and
Title of Authorized
Certifying Official
Enter the name and title of the authorized certifying official.
13b Signature of Authorized
Certifying Official
The authorized certifying official must sign here.
13c Telephone (Area Code,
Number and Extension)
Enter the telephone number (including area code and extension) of the
individual listed in Line 13a.
13d E-mail Address Enter the e-mail address of the individual listed in Line 13a.
Revised 6/28/2010
FFR
Number
Reporting Item Instructions
13e Date Report Submitted
(Month, Day, Year)
Enter the date the FFR is submitted to the Federal agency using the
month, day, year format.
14 Agency Use Only This section is reserved for Federal agency use.
Revised 6/28/2010