2024 Public Program Grant Budget Form
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Organization Name
Your Email
REVENUE
Please note: If you enter an amount you MUST also fill in the Description and select correct Status of contribution
Event admission or registration revenue (fee x anticipated number of attendees)
Description
Cash
$
.00
In-Kind
$
.00
TOTAL
$
.00
Anticipated 3rd party contributions (also known as matching funds)
Individual/organization support
Status
Pending
Confirmed
N/A
Description
Cash
$
.00
In-Kind
$
.00
TOTAL
$
.00
Corporate support
Status
Pending
Confirmed
N/A
Description
Cash
$
.00
In-Kind
$
.00
TOTAL
$
.00
Foundation support
Status
Pending
Confirmed
N/A
Description
Cash
$
.00
In-Kind
$
.00
TOTAL
$
.00
Government support
Status
Pending
Confirmed
N/A
Description
Cash
$
.00
In-Kind
$
.00
TOTAL
$
.00
Applicant organization's contribution
Description
Cash
$
.00
In-Kind
$
.00
TOTAL
$
.00
REVENUE SUBTOTALS
Cash
$
.00
In-Kind
$
.00
Admission/Registration
$
.00
TOTALS
Total Matching Funds
$
.00
Totals from Fields Above.
Must be equal to or greater than OH grant request below.
OH Grant Request
$
.00
Total Revenue
$
.00
Matching Funds + Grant Request
EXPENSES
Please note: If you enter an amount you MUST also fill in the description.
If you need to add additional lines for expenses in this section, please click on the "add another response" button located beneath the "Other costs" section.
Honoraria
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Travel
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Supplies & Materials
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Printing & Duplication
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Postage & Telephone
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Equipment & Services
Please note: Cannot exceed 10% of grant award amount.
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Facilities Rental
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Publicity
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Accessibility or ADA program costs
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Indirect Costs
Up to 10% of grant request allowed
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
Other Costs
Description
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL
$
.00
EXPENSES SUBTOTALS
Cash
$
.00
In-Kind
$
.00
OH Grant Request
$
.00
TOTAL EXPENSES
Please note: this grant's funding source prohibits grant recipients from making a profit from it, so your Total Expenses amount must equal or exceed your Total Revenue amount.
TOTAL EXPENSES
$
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