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U.S. DEPARTMENT OF JUSTICE <br />OFFICE OF JUSTICE PROGRAMS <br />Approved: OMB No. 1121-0329 <br />Expires 12/31/2023 <br />AUDIT INFORMATION <br />9. b) Does the applicant nonprofit organization maintain offshore accounts for <br />the purpose of avoiding paying the tax described in 26 U.S.C. 511(a)? <br />1 Yes 1 No <br />9. c) With respect to the most recent year in which the applicant nonprofit <br />organization was required to file a tax return, does the applicant nonprofit <br />organization believe (or assert) that it satisfies the requirements of 26 C.F.R. <br />53.4958-6 (which relate to the reasonableness of compensation of certain <br />individuals)? <br />If "Yes", refer to "Additional Attachments" under "What An Application Should <br />Include" in the OJP solicitation (or application guidance) under which the <br />applicant is submitting its application. If the solicitation/guidance describes the <br />"Disclosure of Process related to Executive Compensation," the applicant <br />nonprofit organization must provide -- as an attachment to its application -- a <br />disclosure that satisfies the minimum requirements as described by OJP. <br />1 Yes 1 No <br />For <br />accepted <br />audit <br />10. <br />purposes of this questionnaire, an "audit" is conducted by an independent, external auditor using generally <br />auditing standards (GAAS) or Generally Governmental Auditing Standards (GAGAS), and results in an <br />report with an opinion. <br />Has the applicant entity undergone any of the following types of audit(s)(Please check all that apply): <br />"Single Audit" under OMB A-133 or Subpart F of 2 C.F.R. Part 200 <br />Financial Statement Audit <br />Defense Contract Agency Audit (DCAA) <br />Other Audit & Agency (list type of audit): <br />b <br />1 <br />❑ <br />❑ <br />j <br />None (if none, skip to question 13) <br />11. <br />Name <br />Most Recent Audit Report Issued: ❑ Within the last 1 Within the last 1 Over 2 years ago 1 N/A <br />12 months 2 years <br />of Audit Agency/Firm: Washington State Auditor's Office <br />AUDITOR'S OPINION <br />12. On the most recent audit, what was the auditor's opinion? <br />El <br />Unqualified Opinion 1 Qualified Opinion 1 Disclaimer, Going Concern 1 N/A: No audits as <br />or Adverse Opinions described above <br />Enter the number of findings (if none, enter "0": 1 <br />Enter the dollar amount of questioned costs (if none, enter "$0"): 0 <br />Were material weaknesses noted in the report or opinion? <br />J Yes 1 No <br />13. Which of the following best describes the applicant entity's accounting system: <br />1 <br />Manual _ Automated Combination of manual and automated <br />14. Does the applicant entity's accounting system have the capability to <br />identify the receipt and expenditure of award funds separately for each <br />Federal award? <br />Yes 1 No 1 Not Sure <br />15. Does the applicant entity's accounting system have the capability to <br />record expenditures for each Federal award by the budget cost categories <br />shown in the approved budget? <br />J Yes 1 No 1 Not Sure <br />16. Does the applicant entity's accounting system have the capability to <br />record cost sharing ("match") separately for each Federal award, and <br />maintain documentation to support recorded match or cost share? <br />Yes 1 No 1 Not Sure <br />Page 2 of 4 <br />