OPERATING AND MAINTENANCE BUDGET

Breakdown of Monthly Reimbursement Request

Organization Name: O&M Grant Number:

Project Name: Date:

Instructions: Itemize the total project's annual operating expense budget for ALL the units in column 'C'; then itemize expenses for O&M units
only- in column 'D'. For each month, itemize your actual expenditures being charged to the O&M grant. This budget worksheet is to serve as a
record of expenses charged to O&M. When submitting a request for reimbursement, a copy of your budget worksheet must accompany your
request. Please ensure all previous month's columns are filled in accordingly. Remember to submit supporting back-up documentation with
your reimbursement request to substantiate all expenditures. **Back-up documentation can include a Statement of Revenues & Expenses, a
Trial Balance Report, the General Ledger Detail Report, General Ledger Activity Report, or copies of invoices with a copy of the payment check.
A Budget worksheet is required for each project -including a roll-up spreadsheet showing the entire month's expenses for the O&M contract.
The back-up documentation requirement applies at the project level and not the roll-up level for the project's budget.

July August Sept Oct Nov Dec January February March April May June
Projected Annual Budget
Charged Charged Charged Charged Charged Charged Charged Charged Charged Charged Charged Charged
Project Budget O&M Units Budget to O&M to O&M to O&M to O&M to O&M to O&M to O&M to O&M to O&M to O&M to O&M to O&M
Utilities
Electric
Water and Sewer
Garbage Removal
Oil/Gas/Other
Phone
Other (describe)
SUBTOTAL $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -
Maintenance
Janitorial Supplies
Landscaping
Maintenance Materials & Service
Pest Control
Fire Safety
Elevator
Other (describe)
SUBTOTAL $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -
Project Administration
Security
Legal Services
Marketing/Advertising
Capital Needs Assessment (CNA)
On-Site Salaries & Benefits
Off-Site Property Mngmt Costs
Other (describe)
SUBTOTAL $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -
Nonprofit Administration of Grant
Indirect Admin. Costs (describe below)
Audit/CPA
Debt Service
Property Insurance
SUBTOTAL $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -
Reserves
Operating Reserve
Replacement Reserve
SUBTOTAL $0.00 $ - $0.00 $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -
TOTAL Operating EXPENSES $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -

Nonprofit Administration of Grant

Itemize Indirect Admin.Costs BELOW here:
Indirect-
Indirect-
SUBTOTAL $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -