Laserfiche WebLink
STATE OF WASHINGTON JUSTICE ASSISTANCE GRANT <br />DEPARTMENT OF COMMERCE FORM 12 <br />FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT <br />(FFATA) <br />Section 1 <br />Agency/Jurisdiction Legal Name: <br />Section 2 <br />Responses should be for the entire Jurisdiction/Organization, not just the department /division to utilize <br />grant funds. <br />a) Total Federal Revenues for the prior fiscal year <br />(ARRA, Non-ARRA, Directly & Indirectly received) <br />b) Is 'a' above equal to or greater than $25,000,000? <br />Yes No <br />(Circle One) <br />c) If 'b' above is 'No', skip to Section 3 a), enter check 'Not Required' <br />and execute the certificate, otherwise continue, compensation reporting may <br />be required. <br />d) Total Revenue ( including Federal Revenue) for the prior fiscal year <br />e) Calculation: a ± d (Total Federal Revenue divided by Total Revenue) <br />f) Is `e' above equal to or greater than .8? <br />Yes No <br />(Circle One) <br />g) If `f above is 'No', skip to Section 3, enter check 'Not Required' <br />and execute the certificate, otherwise continue, compensation reporting may <br />be required. <br />h) Have you filed senior executive's compensation with either of the following? <br />1. Securities & Exchange Commission <br />(under sec 13(a) or 15(d) of the Securities Exchange Act of 1954) <br />2. Internal Revenue Service <br />(Sec 6104 of the Internal Revenue Code of 1986) Yes No <br />(Circle One) <br />i) If `h' above is `Yes', skip to Section 3a), enter check 'Not Required' <br />and execute the certificate, otherwise continue, compensation reporting <br />is required. <br />31 <br />