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<br /> STANDARD FORM 425
<br /> FEDERAL FINANCIAL REPORT
<br /> FolloW form urstrudtlons),
<br /> 1.Federal Agencyand Organizzedional Elernerit 2.Federal prarii orDtber Identifying Number Assigned by Federal Agency Page of, '
<br /> to Which Reportia•SiIbniitied T°reportmultipie grants,use•FFR Attachment} I
<br /> RIP via WAS -6 og _ �40 T o
<br /> Deft of Gomw��rc e. payee
<br /> 3; Redplent,'Drganizaton:(Name end complete addresslncluding Zip code).
<br /> 6{41 of 'mere -t, 216, W. neorr A-ve., t4.i4-e P.sA ve' wl., 1$2of
<br /> ga..PUNS Number 4b.EIN, 5.ReelpientAa ount Number or ldentif3;ing Number. 5..Report Type 7. Basis of Recounting:
<br /> q t (ro•report multipie grants,gse:FFR Attachment) .t.r-s•Ouarteriy
<br /> .063906:i t 10 11-&bo 1114/ NIA. C:Sani-Annual
<br /> tAnrntal
<br /> ;Final .Cash > Accrual
<br /> •is:ProJeid/Grant Period 9. Reporting Period Etid Date
<br /> Frorii:"(MonthyDay,Year): To: (Mbnthr.0.ay,Ye ), (hionth,Day,YeaiJ
<br /> 21.1t1U6c1 12/1zf 2.Oi'2 1241g/O 2.
<br /> 1.0: Transactions •Cirmuiativa
<br /> VUselines,s-e for singlraprmyferpiegraritrepor.ih j
<br /> FederatCastr (To report multiple-grants,also use FFRAttachment):
<br /> a,dash Receipts, 54t5,50 2..
<br /> b. Cash Disbursements 514fe.2-$5
<br /> c. Sash on Hand(Mea mints by -10-"
<br /> (Uselines ii-aforsingIegrantfeporfing)
<br /> Federal Expenditures and'Unotirrgated Balance:.
<br /> d.Iotat Federal'fundsautherized SSP, Sic)-oG
<br /> e. Federaishare•of expenditures 545, 5o Z..$5
<br /> 1. Federal shareoi'urdiquidatedobligations- Z 3967. ir$
<br /> g.
<br /> Total'Federal share(sum of lines a and I) gi(a i S11. G t9
<br /> h.Unobrgated balanie of Federal fun-di-01a d minus'g)'
<br /> Recipient Share:
<br /> I. Total recipient share required
<br /> J. Recipient shareof expenditures
<br /> k. Renraining.recipient.shareto be provided One I Minus j)
<br /> Program Income:
<br /> I. Tbtai Federal program Income reamed
<br /> m. Program Income expended in'aa ordance wtth•the deduction eitenrative -P
<br /> n:Program incomeexpended=in accordance with:theaddition alternative •eciro
<br /> 'o_'Uaexpended program income(line tsninus.iine in orline n)
<br /> a.Type b.Rate c.Period From Period To d.Base e.Amotlit Charged f.Federai•Share
<br /> 11:indirect
<br /> Expanse•
<br /> g.Totals:
<br /> 42.
<br /> qemarics;..Attach anypxplanatiopCdeemec(necqsaarybrin forrnatipo..reqtftred by Ferdetal sponsoring ager)cy.incornpitaqcwitilgovemlog1eglslation:•
<br /> 13:.Ceitification: 8ystgning.thisrepprt,.icertifythat it.is' ue;complete,Filo accurate tothebestofmyknowledge tamaware that.•
<br /> 'any false,fidtltious,,or fraudulent information maysubj.ect me to criminal,civil,or administrative penaittiee.•(U.S.Code;Titlei8,Section 1001)
<br /> a..Typed orPrinted Nameand Title ofAitthorbed Certifying()pad!' c-7elephone.(Area:code;number and extenslon)
<br /> Java. M,e -D,A },
<br /> Gpre,r,U�.Md'1'Ni be"te.t5 f etL{ SpeatGl, tit- d Email address'
<br /> b. Signature.ofArithonzed itifyiOn1.611ficial ,DadefteportSubmitted(Month,llay,'Year)
<br /> (lkL,II! • gra ;'xtg' ga=;`,*°�
<br /> 14•
<br /> Sta
<br /> ndarp foam 425,
<br /> MB approval INim®er.D3S8-0061
<br /> E$piradon Dare:1OPt12o11
<br /> Papetwork Burden Statement
<br /> Accordingtothe Paperwork ReducfonA t.asamended,nopersonsarerequiredtorespondjpaeollectlonofInformationunlessitdispiaysavalid;OMBControlNumber.ThevalidORiB:control
<br /> numberfarthi Ihfommlonmlledlab4ia348-0O6i. Pub6crep&tlingMarlin frirthls.collabtionbfireonrrationle•islimaiedtoaaerage 1,5hoirrsper response,.hiciuiiingBlue forteviewitginstructlons,
<br /> searching meeting data soureeagathering and malntaintng"ihe.dataneeted,arid completing and reviaaring thecoBection•ofinformation;Send comments.regardiing the burden estimate or ahyvthet
<br /> aspect of this=Alsatian of information.including suggestionsfor reductng'this Borden,to the Office tifivianaoernentand Budget,P'apeiwork Reduction Prosect.(.03484080),W.ashington,DC 20503:
<br /> NSP1 Closeout Performance Report 30 Page 12 of 12
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