Spreadsheet For Expenses 33330 | Bridge Loan 2021 Financial Audit Forms

Partial file snippet.

Sheet 1: St of Prog Cost 

	
	
	
	
	
	
		State of Connecticut 
		
	
		         Department of Economic and Community Development
		
	
		Statement of Program Cost
		
	
		

		Emergency Bridge Loan Program (Small Business Express (EXP)
		
	
		

		

		

		

		

		

	
	
		
		Name of the company being audited.

		Auditee:
		   
		
	
		
		Name applicant has given to the DECD request.

		Project Name: 
		Emergency Bridge Loan Program
		
	
		Loan Number:
		

		 
		

		

		

	
	
		
		You must identify a budget period.  The budget period start date is the date that you submit your application.  The end date is a date you identify on this budget as the date you will be able to complete this request.

		Cumulative Totals for the period:
		Start date:
		  
		End Date:
		    
	
	
		                      DECD Funding:            
		 Grant: 
		   
		 Loan: 
		    
	
	
		

		

		

		

		

		

	
	
		

		

		Actual Expenses
		
	
		

		

		Non-DECD
		DECD
		DECD 
		Total
	
	
		

		

		Funds
		Grant
		Loan
		Actual
	
	
		

		

		

		

		

		

	
	
		

		OPERATING EXPENSES
		

		

		

		

	
	
		1410.1
		
		Insert cost of training new employees.

		Training
		   
		   
		   
		 $-   
	
	
		1410.3
		
		costs associated with relocation payments to individuals or incurred for moving the business to a new location.

		Relocation
		

		

		

		 $-   
	
	
		1415.2
		
		Insert costs for bookkeeping services.

		Accounting
		

		

		

		 $-   
	
	
		1415.3
		
		Insert fees and expenses paid to an independent public accounting firm in connection with a state or federal project audit.

		Audit
		

		

		

		 $-   
	
	
		1415.4a
		
		Fees associated with acquiring a project site or fees associated with executing a DECD closing.

		Legal Fees
		

		

		   
		 $-   
	
	
		1415.4b
		
		Legal fees DECD incurs in contract closing. 

		Legal-DECD 
		

		

		   
		 $-   
	
	
		1415.4c
		
		Insert costs in connection with the examination of property title.

		Title Examination
		

		

		

		 $-   
	
	
		1415.4d
		
		Insert costs associated with recording of deeds or other instruments associated with the project.

		Recording Fees
		

		

		

		 $-   
	
	
		1415.5
		
		Insert the costs associated with business travel in connection with the project.

		Travel
		

		

		

		 $-   
	
	
		1415.6
		
		Insert  rental paid for office space.
		Office Rent
		

		

		   
		 $-   
	
	
		1415.7
		
		Insert Company's share of contribution towards a pension plan.

		Pension and Other Funds
		

		

		

		 $-   
	
	
		1415.8
		
		Insert company's share of health/life insurance,  and other costs related to salary and wages.
		Fringe Benefits
		

		

		

		 $-   
	
	
		1415.9
		
		Insert the project's share of payroll taxes, including FICA, Medicare Taxes and State and Federal Unemployment Taxes.

		Payroll Taxes
		   
		   
		

		 $-   
	
	
		1415.10
		
		Insert the cost of all stationary, office supplies, postage,binders, vouchers and checks.

		Office Expense
		   
		   
		

		 $-   
	
	
		1415.11
		
		Insert costs for telephone, telegraph and messenger/answering services.

		Communications
		   
		   
		

		 $-   
	
	
		1415.13
		
		Insert the cost of insurance premiums that are not related to land or buildings.

		Insurance
		   
		

		

		 $-   
	
	
		1415.15
		
		Insert costs associated with professional consulting services to survey, evaluate and prepare reports on anticipated market impacts.  Also include costs associated with advertising products or business.

		Marketing 
		   
		   
		   
		 $-   
	
	
		1415.16
		
		Insert contractural services costs relating directly with the functions mof the project/program.

		Contractual Services
		

		

		

		 $-   
	
	
		1420.1
		
		Insert interest to be paid or accrued on loan advances from other lending institutions.

		Interest Expense
		

		

		

		 $-   
	
	
		1420.2
		
		Insert cost of project property and general liability insurance.
		Property Insurance
		   
		

		

		 $-   
	
	
		1420.3
		
		Insert cost of project property taxes paid or accrued.

		Taxes
		   
		

		

		 $-   
	
	
		1420.4
		
		If applicable, insert cost of insurance.
		Environmental Insurance
		

		

		

		 $-   
	
	
		1425.1a
		
		Insert fees paid to the project Architect.
		Design Consultant/Architect
		

		

		

		 $-   
	
	
		1425.1b
		
		Insert fees paid to project Engineer.

		Design Consultant/Engineer
		

		

		

		 $-   
	
	
		1425.2
		
		Insert costs incurred for boring or tests in connection with selection of the project site.

		Environmental Testing
		

		

		

		 $-   
	
	
		1425.30
		
		Insert the costs of all surveys and maps company is required to pay for in accordance with the architects agreement.

		Surveys & Maps
		

		

		

		 $-   
	
	
		1435.2
		
		Insert the cost of purchasing company merchandise and raw materials to made into finished goods for sale.

		Inventory
		

		

		   
		 $-   
	
	
		1445.1
		
		Insert costs associated with discovering new knowledge about products, processes and services.

		Research & Development
		

		

		

		 $-   
	
	
		

		Sub-Total Operating Expenses
		 $-   
		 $-   
		 $-   
		 $-   
	
	
		

		OTHER AUTH. EXPENSES
		

		

		

		

	
	
		1415
		

		

		

		

		

	
	
		1415.1
		
		example: insert up to 50% salary exp or other Commissioner approved expenses. 

		Salaries
		

		

		

		 $-   
	
	
		

		

		   
		   
		   
		 $-   
	
	
		

		

		

		

		

		 $-   
	
	
		

		

		

		

		

		 $-   
	
	
		

		

		

		

		

		 $-   
	
	
		

		

		

		

		

		 $-   
	
	
		

		

		

		

		

		 $-   
	
	
		

		

		

		

		

		 $-   
	
	
		

		

		

		

		

		 $-   
	
	
		

		

		

		

		

		 $-   
	
	
		

		
		example: insert up to 50% salary exp or other Commissioner approved expenses. 

		

		

		

		

		 $-   
	
	
		

		 Total Other Auth. Expenses
		 $-   
		 $-   
		 $-   
		 $-   
	
	
		

		

		

		

		

		

	
	
		

		TOTAL PROJECT COST
		 $-   
		 $-   
		 $-   
		
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Comment:
    This total should match total expenses on the Profit and Loss Statement of the auditee
	 $-   
	
	
		

		

		

		

		

		

	
	
		I certify that the information provided on this form is accurate and complete.  False statements made in the preparation and submission of this document
		

		

		

		

		

	
	
		and related materials are punishable as a Class A Misdemeanor under Connecticut General Statutes 53a-157b.
		

		

		

		

		

	
	
		

		

		

		

		

		

	
	
		Applicant:
		

		

		

		

		

	
	
		   
		

		

		

		

		

	
	
		Printed Name and Title of Authorized Officer
		

		

		

		Date
		

	
	
		

		

		

		

		

		

	
	
		Signature of Authorized Officer
		

		

		

		

		

	



Sheet 2: Detailed Sch of Exps

	
	
	
	
	
	
	
	
		State of Connecticut
		
	
		Department of Economic and Community Development
		
	
		Detailed Schedule of Expenditures
		
	
		Emergency Bridge Loan Program Small Business Program (EXP)
		
	
		

		

		

		

		

		

		

		

	
	
		

		Auditee:
		   
		

		

		

		

		

	
	
		

		Contract Number/Loan Number
		   
		

		

		

		

		

	
	
		

		DECD Funding
		Grant $
		 
		Loan $
		

		 
		

	
	
		

		Project Name
		Emergency Bridge Loan Program
		

	
	
		

		For the Period
		From:
		 
		

		To:
		   
		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		Date
		

		

		 Non-DECD 
		 DECD 
		 DECD 
		Expense Category
		Budget
	
	
		Paid
		Payee
		Check #
		 Funds 
		 Grant 
		 Loan 
		

		Account No.
	
	
		 
		 
		 
		   
		   
		   
		 
		 
	
	
		 
		 
		 
		   
		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		   
		   
		   
		 
		 
	
	
		  
		 
		  
		   
		

		   
		 
		 
	
	
		  
		 
		  
		   
		

		   
		 
		 
	
	
		  
		 
		  
		   
		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		   
		   
		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		  
		 
		  
		

		

		   
		 
		 
	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		Totals
		

		$0.00
		$0.00
		$0.00
		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		Summary of Expenditures by Budget Line Item:
		

		

		

		

		

		

		

	
	
		

		

		Acct.
		

		

		

		

		

	
	
		Budget Line Item Account
		

		No.
		Amount
		

		

		

		

	
	
		 
		

		 
		 
		

		

		

		

	
	
		 
		

		 
		 
		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		Total
		

		

		$0.00
		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		Note: This Schedule may be submitted utilizing other formats, provided that the information submitted is substantially the same as that requested.
		

		

		

		

		

		

		

	
	
		Additional sheets may be necessary.
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		I certify that the information provided on this form is accurate and complete.  False statements made in the preparation and submission of this document
		

		

		

		

		

		

		

	
	
		and related materials are punishable as a Class A Misdemeanor under Connecticut General Statutes 53a-157b.
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		Applicant:
		

		

		

		

		

		

		

	
	
		   
		

		

		

		

		

		

		

	
	
		Printed Name and Title of Authorized Officer
		

		

		

		Date
		

		

		

	
	
		

		

		

		

		

		

		

		

	
	
		Signature of Authorized Officer
		

		

		

		

		

		

		

	



Sheet 3: SAMPLE Prog Cost

	
	
	
	
	
	
	
	
	
	
		State of Connecticut 
		

		

		

		

	
	
		         Department of Economic and Community Development
		

		

		

		

	
	
		Statement of Program Cost
		

		

		

		

	
	
		

		SMALL BUSINESS EXPRESS PROGRAM (EXP) - (SAMPLE)
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		
		Name of the company requesting the funding

		Applicant
		XYZ, LLC
		

		

		

		

		

	
	
		
		Name applicant has given to the DECD request.

		Project Name 
		Expansion Project
		

		

		

		

		

	
	
		Contract Number
		

		2012-170-015-200-001-1A
		

		

		

		

		

		

		

		

	
	
		
		You must identify a budget period.  The budget period start date is the date that you submit your application.  The end date is a date you identify on this budget as the date you will be able to complete this request.

		Cumulative Totals for the period:
		Start date:
		4/1/2012
		End Date:
		3/31/2013
		

		

		

		

		

	
	
		                      DECD Funding:            
		 Grant: 
		 $70,000.00 
		 Loan: 
		 $60,000.00 
		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		APPROVED BUDGET
		

		ACTUAL
		
	
		

		

		Non-DECD
		DECD
		DECD 
		Total
		

		Non-DECD
		DECD
		DECD 
		Total
	
	
		

		

		Funds
		Grant
		Loan
		Budget
		

		Funds
		Grant
		Loan
		Actual
	
	
		

		CAPITAL COSTS
		

		

		

		

		

		

		

		

		

	
	
		1405.1
		
		Insert cost to purchase real estate associated with the project.

		Land Cost/Site Acquisition
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1405.2
		
		Include only those fees for appraisals that have been made on land designated as suitable by DECD.

		Appraisal Fees
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1405.3
		
		Charges to this account shall include any improvements to an existing site such as buildings, landscaping, walks, etc.

		Site Improvements
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1405.4
		
		Includes all costs of water and utility hookups, such as waterline installation.

		Water/Utility Hookups
		

		

		

		 $-   
		 $5.00 
		

		

		

		 $-   
	
	
		1430.1
		
		Enter general construction/rehabilitation contract amounts.

		General Construction
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1430.2
		
		Enter the costs associated with making physical improvements to property that is leased.

		Leasehold Improvements
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1430.3
		
		Insert the costs of building permits whenever theses charges are not included in the General Contractor's bid.

		Permits
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1430.4
		
		Insert Cost of Demolition and removal of Demolition materials not included in General Contractor's Bid.

		Demolition
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1430.5
		
		Insert costs associated with the removal of contaminated materials from the property.

		Environmental Remediation
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1440.1
		
		Insert costs associated with purchasing capital assets for your operations.  Do not include costs for office or computer equipment.

		Machinery and Equipment
		

		 $50,000.00 
		

		 $50,000.00 
		

		

		 $55,000.00 
		

		 $55,000.00 
	
	
		1440.2
		
		Insert the costs associated with obtaining an independent professional valuation of company assests.


		Appraisal (M&E)
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1450.1
		
		Include all items of office equipment, dwelling equipment,such as ranges or refridgerators.

		Office Equipment
		

		 $10,000.00 
		

		 $10,000.00 
		

		

		 $8,000.00 
		

		 $8,000.00 
	
	
		1450.2
		
		Insert the cost of computer software, such as speadsheet programs, word processing programs, accounting programs, etc.

		Computer Software
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1450.3
		
		Insert cost of Computer equipment such as hard drives, terminals, monitors, laptops, printers, scanners, etc.

		Computer Equipment
		 $5,000.00 
		 $10,000.00 
		

		 $15,000.00 
		

		 $5,000.00 
		 $7,000.00 
		

		 $12,000.00 
	
	
		

		

		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		

		TOTAL CAPITAL COSTS.
		 $5,000.00 
		 $70,000.00 
		 $-   
		 $75,000.00 
		

		 $5,000.00 
		 $70,000.00 
		 $-   
		 $75,000.00 
	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		WORKING CAPTAL COSTS
		

		

		

		

		

		

		

		

		

	
	
		1410.1
		
		Insert cost of training new employees.

		Training
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1410.3
		
		costs associated with relocation payments to individuals or incurred for moving the business to a new location.

		Relocation
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.2
		
		Insert costs for bookkeeping services.

		Accounting
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.3
		
		Insert fees and expenses paid to an independent public accounting firm in connection with a state or federal project audit.

		Audit
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.4a
		
		Fees associated with acquiring a project site or fees associated with executing a DECD closing.

		Legal Fees
		 $30,000.00 
		

		

		 $30,000.00 
		

		 $28,000.00 
		

		

		 $28,000.00 
	
	
		1415.4b
		
		Legal fees DECD incurs in contract closing. 

		Legal-DECD 
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.4c
		
		Insert costs in connection with the examination of property title.

		Title Examination
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.4d
		
		Insert costs associated with recording of deeds or other instruments associated with the project.

		Recording Fees
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.5
		
		Insert the costs associated with business travel in connection with the project.

		Travel
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.6
		
		Insert  rental paid for office space.
		Office Rent
		 $35,000.00 
		

		

		 $35,000.00 
		

		 $37,000.00 
		

		

		 $37,000.00 
	
	
		1415.7
		
		Insert Company's share of contribution towards a pension plan.

		Pension and Other Funds
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.8
		
		Insert company's share of health/life insurance,  and other costs related to salary and wages.
		Fringe Benefits
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.9
		
		Insert the project's share of payroll taxes, including FICA, Medicare Taxes and State and Federal Unemployment Taxes.

		Payroll Taxes
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.10
		
		Insert the cost of all stationary, office supplies, postage,binders, vouchers and checks.

		Office Expense
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.11
		
		Insert costs for telephone, telegraph and messenger/answering services.

		Communications
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1415.13
		
		Insert the cost of insurance premiums that are not related to land or buildings.

		Insurance
		

		

		 $10,000.00 
		 $10,000.00 
		

		

		

		 $8,000.00 
		 $8,000.00 
	
	
		1415.15
		
		Insert costs associated with professional consulting services to survey, evaluate and prepare reports on anticipated market impacts.  Also include costs associated with advertising products or business.

		Marketing 
		

		

		 $50,000.00 
		 $50,000.00 
		

		

		

		 $52,000.00 
		 $52,000.00 
	
	
		1415.16
		
		Insert contractural services costs relating directly with the functions mof the project/program.

		Contractual Services
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1420.1
		
		Insert interest to be paid or accrued on loan advances from other lending institutions.

		Interest Expense
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1420.2
		
		Insert cost of project property and general liability insurance.
		Property Insurance
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1420.3
		
		Insert cost of project property taxes paid or accrued.

		Taxes
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1420.4
		
		If applicable, insert cost of insurance.
		Environmental Insurance
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1425.1a
		
		Insert fees paid to the project Architect.
		Design Consultant/Architect
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1425.1b
		
		Insert fees paid to project Engineer.

		Design Consultant/Engineer
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1425.2
		
		Insert costs incurred for boring or tests in connection with selection of the project site.

		Environmental Testing
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1425.30
		
		Insert the costs of all surveys and maps company is required to pay for in accordance with the architects agreement.

		Surveys & Maps
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1435.2
		
		Insert the cost of purchasing company merchandise and raw materials to made into finished goods for sale.

		Inventory
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		1445.1
		
		Insert costs associated with discovering new knowledge about products, processes and services.

		Research & Development
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		

		TOTAL WORKING CAPITAL 
		 $65,000.00 
		 $-   
		 $60,000.00 
		 $125,000.00 
		

		 $65,000.00 
		 $-   
		 $60,000.00 
		 $125,000.00 
	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		1415
		OTHER AUTH. EXPENSES
		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		

		
		example: insert up to 50% salary exp or other Commissioner approved expenses. 

		

		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		

		
		example: insert up to 50% salary exp or other Commissioner approved expenses. 

		

		

		

		

		 $-   
		

		

		

		

		 $-   
	
	
		

		 Total Other Auth. Expenses
		 $-   
		 $-   
		 $-   
		 $-   
		

		 $-   
		 $-   
		 $-   
		 $-   
	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		TOTAL PROJECT COST
		 $70,000.00 
		 $70,000.00 
		 $60,000.00 
		 $200,000.00 
		

		 $70,000.00 
		 $70,000.00 
		 $60,000.00 
		 $200,000.00 
	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		I certify that the information provided on this form is accurate and complete.  False statements made in the preparation and submission of this document
		

		

		

		

		

		

		

		

		

		

	
	
		and related materials are punishable as a Class A Misdemeanor under Connecticut General Statutes 53a-157b.
		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		Applicant:
		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		Printed Name and Title of Authorized Officer
		

		

		

		Date
		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

	
	
		Signature of Authorized Officer

The words contained in this file might help you see if this file matches what you are looking for:

...Sheet st of prog cost state connecticut department economic and community development statement program emergency bridge loan small business express exp name the company being audited auditee applicant has given to decd request project number you must identify a budget period start date is that submit your application end on this as will be able complete cumulative totals for funding grant actual expenses nondecd total funds operating insert training new employees costs associated with relocation payments individuals or incurred moving location bookkeeping services accounting fees paid an independent public firm in connection federal audit acquiring site executing closing legal b incurs contract legaldecd c examination property title d recording deeds other instruments travel rental office space rent s share contribution towards pension plan healthlife insurance related salary wages fringe benefits payroll taxes including fica medicare unemployment all stationary supplies postage binde...

State of Connecticut
Department of Economic and Community Development
Detailed Schedule of Expenditures
Emergency Bridge Loan Program Small Business Program (EXP)

	Auditee:
	Contract Number/Loan Number
	DECD Funding	Grant $		Loan $
	Project Name	Emergency Bridge Loan Program
	For the Period	From:			To:


Date			Non-DECD	DECD	DECD	Expense Category	Budget
Paid	Payee	Check #	Funds	Grant	Loan		Account No.









































	Totals		$0.00	$0.00	$0.00


Summary of Expenditures by Budget Line Item:
		Acct.
Budget Line Item Account		No.	Amount










Total			$0.00

Note: This Schedule may be submitted utilizing other formats, provided that the information submitted is substantially the same as that requested.
Additional sheets may be necessary.

I certify that the information provided on this form is accurate and complete. False statements made in the preparation and submission of this document
and related materials are punishable as a Class A Misdemeanor under Connecticut General Statutes 53a-157b.

Applicant:

Printed Name and Title of Authorized Officer				Date

Signature of Authorized Officer

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State of Connecticut
Department of Economic and Community Development
Statement of Program Cost
	Emergency Bridge Loan Program (Small Business Express (EXP)

Name of the company being audited. Auditee:
Name applicant has given to the DECD request. Project Name:		Emergency Bridge Loan Program
Loan Number:
You must identify a budget period. The budget period start date is the date that you submit your application. The end date is a date you identify on this budget as the date you will be able to complete this request. Cumulative Totals for the period:		Start date:		End Date:
DECD Funding:		Grant:		Loan:

		Actual Expenses
		Non-DECD	DECD	DECD	Total
		Funds	Grant	Loan	Actual

	OPERATING EXPENSES
1410.1	Insert cost of training new employees. Training				$-
1410.3	costs associated with relocation payments to individuals or incurred for moving the business to a new location. Relocation				$-
1415.2	Insert costs for bookkeeping services. Accounting				$-
1415.3	Insert fees and expenses paid to an independent public accounting firm in connection with a state or federal project audit. Audit				$-
1415.4a	Fees associated with acquiring a project site or fees associated with executing a DECD closing. Legal Fees				$-
1415.4b	Legal fees DECD incurs in contract closing. Legal-DECD				$-
1415.4c	Insert costs in connection with the examination of property title. Title Examination				$-
1415.4d	Insert costs associated with recording of deeds or other instruments associated with the project. Recording Fees				$-
1415.5	Insert the costs associated with business travel in connection with the project. Travel				$-
1415.6	Insert rental paid for office space. Office Rent				$-
1415.7	Insert Company's share of contribution towards a pension plan. Pension and Other Funds				$-
1415.8	Insert company's share of health/life insurance, and other costs related to salary and wages. Fringe Benefits				$-
1415.9	Insert the project's share of payroll taxes, including FICA, Medicare Taxes and State and Federal Unemployment Taxes. Payroll Taxes				$-
1415.10	Insert the cost of all stationary, office supplies, postage,binders, vouchers and checks. Office Expense				$-
1415.11	Insert costs for telephone, telegraph and messenger/answering services. Communications				$-
1415.13	Insert the cost of insurance premiums that are not related to land or buildings. Insurance				$-
1415.15	Insert costs associated with professional consulting services to survey, evaluate and prepare reports on anticipated market impacts. Also include costs associated with advertising products or business. Marketing				$-
1415.16	Insert contractural services costs relating directly with the functions mof the project/program. Contractual Services				$-
1420.1	Insert interest to be paid or accrued on loan advances from other lending institutions. Interest Expense				$-
1420.2	Insert cost of project property and general liability insurance. Property Insurance				$-
1420.3	Insert cost of project property taxes paid or accrued. Taxes				$-
1420.4	If applicable, insert cost of insurance. Environmental Insurance				$-
1425.1a	Insert fees paid to the project Architect. Design Consultant/Architect				$-
1425.1b	Insert fees paid to project Engineer. Design Consultant/Engineer				$-
1425.2	Insert costs incurred for boring or tests in connection with selection of the project site. Environmental Testing				$-
1425.30	Insert the costs of all surveys and maps company is required to pay for in accordance with the architects agreement. Surveys & Maps				$-
1435.2	Insert the cost of purchasing company merchandise and raw materials to made into finished goods for sale. Inventory				$-
1445.1	Insert costs associated with discovering new knowledge about products, processes and services. Research & Development				$-
	*Sub-Total Operating Expenses*	$-	$-	$-	$-
	OTHER AUTH. EXPENSES
1415
1415.1	example: insert up to 50% salary exp or other Commissioner approved expenses. Salaries				$-
					$-
					$-
					$-
					$-
					$-
					$-
					$-
					$-
					$-
	example: insert up to 50% salary exp or other Commissioner approved expenses.				$-
	Total Other Auth. Expenses	$-	$-	$-	$-

	TOTAL PROJECT COST	$-	$-	$-	[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: This total should match total expenses on the Profit and Loss Statement of the auditee $-

I certify that the information provided on this form is accurate and complete. False statements made in the preparation and submission of this document
and related materials are punishable as a Class A Misdemeanor under Connecticut General Statutes 53a-157b.

Applicant:

Printed Name and Title of Authorized Officer				Date

Signature of Authorized Officer

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