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® U.S.DEPARTMENT OF JUSTICE Approved:OMB No. 1121-0329 <br /> OFFICE OF JUSTICE PROGRAMS Expires 12/31/2023 <br /> AUDIT INFORMATION <br /> 9. b) Does the applicant nonprofit organization maintain offshore accounts for ®Yes in No <br /> the purpose of avoiding paying the tax described in 26 U.S.C. 511(a)? <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 ❑Yes in No <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 /> For purposes of this questionnaire, an"audit"is conducted by an independent, external auditor using generally <br /> accepted auditing standards(GAAS)or Generally Governmental Auditing Standards(GAGAS), and results in an <br /> audit report with an opinion. <br /> 10. Has the applicant entity undergone any of the following types of audit(s)(Please check all that apply): <br /> ❑D "Single Audit" under OMB A-133 or Subpart F of 2 C.F.R. Part 200 <br /> 17 Financial Statement Audit <br /> ❑ Defense Contract Agency Audit(DCAA) <br /> ❑ Other Audit&Agency(list type of audit) <br /> `"y3� 1 �t} s r3�y y4 g}+'Ai.* i'd* � M' 1 �i S lift* [ ii t i Y i'�� <br /> •,.42..y"±fi+d f L yip 4.vwt. ,p12p utt.... „'y} w ?..Y€'4 �$. ".r�'+iri i't'r '#Fi."'s 3 'K{J'C„yJd^!?, <br /> ❑ None(if none, skip to question 13) <br /> 11. Most Recent Audit Report Issued: El Within the last ❑Within the last ❑Over 2 years ago ❑N/A <br /> 12 months 2 years <br /> Name of Audit Agency/Firm: s t lrata • ,' '� "` <br /> ale a - A c ltor I e � :� _.�._..� <br /> AUDITOR'S OPINION <br /> 12. On the most recent audit,what was the auditor's opinion? <br /> 10 Unqualified Opinion ❑Qualified Opinion ❑ Disclaimer, Going Concern ❑ N/A: No audits as <br /> or Adverse O inions described above <br /> Enter the number of findings(if none, enter"0": <br /> Enter the dollar amount of questioned costs(if none,enter"$0"):"- <br /> Were material weaknesses noted in the report or opinion? ®Yes ❑No <br /> 13.Which of the following best describes the applicant entity's accounting system: <br /> In Manual ®Automated Combination of manual and automated <br /> 14. Does the applicant entity's accounting system have the capability to 0 Yes ❑No In Not Sure <br /> identify the receipt and expenditure of award funds separately for each <br /> Federal award? <br /> 15. Does the applicant entity's accounting system have the capability to ®Yes 0 No ❑Not Sure <br /> record expenditures for each Federal award by the budget cost categories <br /> shown in the approved budget? <br /> 16. Does the applicant entity's accounting system have the capability to ®Yes ❑No ❑ Not Sure <br /> record cost sharing ("match")separately for each Federal award, and <br /> maintain documentation to support recorded match or cost share? <br /> Page 2 of 4 <br />