ORANGEWOOD CHILDREN’S FOUNDATION 3

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Exhibit F BUDGET FORM All costs related to the program activities described in the proposal must be included on the Budget Form. A budget narrative must be attached on a separate sheet of paper for all line items marked with an * asterisk. Administrative Program Total WIA Match/In Tota No more than lo% Kind allowed. , Salaries* 1. FYLP Peer Mentors (3 at .375 FTE at $14.00/hr.) 2. FYLP Supervisor (.25 FTE) $11,850 3. Staff Accountant (.05 FTE) $2,500 Use separate sheet if necessary. Benefits* 1. FYLP Supervisor (23%) $2,850 2. Staff Accountant (23%) Use separate sheet if necessary. Total-Peersponel Rent or user fee* Utilities $5,000 Phones $5,500 $34,000 $11,850 $11,850 $2,500 $2,500 $2,850 $575 $575 $14,925 I' $9,000 $5,000 $2,000 $5,500 $1,500 Internet fees Parking fees Securit, Maintenance $5,000 $5,000 $3,000 $7,000 Insurance Equipment rental fees* Vehicle lease* $6,000 $6,000=S2,000 �'. $7,500 Office expenses (consurnables) Accounting Services Legal services Auditing services Indirect costs* $1,000 $2,000 $3000 Staff traininE$1,000 $200 $200 $200 Staff travel/mileage Participant Wages* $15,000 $15,000 $"5600 Support services* Participant Incentives* $6000 $6,000 $3000 Other (list)* Total O eratin. Expenses 2: $43,700 $19,500 $48,800 *See Budget Form Instructions Note: Audit Requirements States, local governments and non-profit institutions who receive $500,000 or more in federal funds in a fiscal year shall meet the audit requirements of the OMB Circular A-133, "Audits of States, and Local Governments and Non -Profit Institutions."