Broad Brook Gap Finished SF-425 (3)Page of
11
pages
4b. EIN
From: To: 9/10/12
e. Federal share of expenditures $75,000
f. Federal share of unliquidated obligations
b. Cash Disbursements
Federal Expenditures and Unobligated Balance:
79217444
6. Report Type5. Recipient Account Number or Identifying
Number (To report multiple grants, use FFR
Attachment)
9. Reporting Period End Date (Month, Day, Year)
Federal Cash (To report multiple grants, also use FFR Attachment):
a. Cash Receipts
(Use lines a-c for single or multiple grant reporting)
9/10/10
3. Recipient Organization (Name and complete address including Zip code)
4a. DUNS Number
10. Transactions Cumulative
City of Northampton, through its Office of Planning and Sustainability 210 Main Street, Room 11, Northampton MA 01060
7. Basis of Accounting
F14AP00053
46001406
(Use lines d-o for single grant reporting)
FEDERAL FINANCIAL REPORT
(Follow form instructions)
1. Federal Agency and Organizational Element to Which
Report is Submitted
2. Federal Grant or Other Identifying Number Assigned by Federal Agency (To
report multiple grants, use FFR Attachment)
US Fish and Wildlife Service MA-N381A
d. Total Federal funds authorized $75,000
8. Project/Grant Period (Month, Day, Year)
c. Cash on Hand (line a minus b)
g. Total Federal share (sum of lines e and f)
h. Unobligated balance of Federal funds (line d minus g)$0
Recipient Share:
i. Total recipient share required $421,628
j. Recipient share of expenditures $421,628
Quarterly
Semi-Annual
Annual
Final
Cash
Accrual
a. Type b. Rate c. Period
From
Period To d. Base
g. Totals: 0
d. Email Address
Paperwork Burden Statement
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid
OMB control number for this information collection is 0348-0061. Public reporting burden for this collection of information is estimated to average 1.5 hours per response, including
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send
comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and
Budget, Paperwork Reduction Project (0348-0061), Washington, DC 20503.
December 18, 2013
$0
k. Remaining recipient share to be provided (line i minus j) $0
Program Income:
l. Total Federal program income earned
m. Program income expended in accordance with the deduction alternative
f. Federal Share
n. Program income expended in accordance with the addition alternative
o. Unexpended program income (line l minus line m or line n) $0
11.
Indirect
Expense
e. Amount Charged
12. Remarks: Attach any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation:
13. Certification: By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the
expenditures, disbursements and cash receipts are for the purposes and intent set forth in the award documents. I am aware that any false,
fictitious, or fraudulent information may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 18, Section 1001)
c. Telephone (Area code, number, and extension)a. Typed or Printed Name and Title of Authorized Certifying Official
00
b. Signature of Authorized Certifying Official
wfeiden@northamptonma.gov
14. Agency use only:
e. Date Report Submitted (Month, Day, Year)
Standard Form 425 - Revised 6/28/2010
OMB Approval Number: 0348-0061
Expiration Date: 10/31/2011
Wayne Feiden, FAICP, Director of Planning and Sustainability 413-587-1265
Budget, Paperwork Reduction Project (0348 0061), Washington, DC 20503.