Permission is granted ONLY to nonprofit community-based organizations to reproduce and/or adapt this document, and only for their own use.
If your organization received any loans, list the percentage of the loan money that came from the following institutions, and indicate the reason for the loan.
Loan Source |
Percent- age of Loan Income |
Reason for Loan (check all that apply) |
||||
Facilities Purchase |
New Program |
Housing Devel-opment |
Emergency |
Other |
||
| Bank/commercial lending institution | % | |||||
| Friend, board or staff member | % | |||||
| Foundation or foundation-sponsored loan | % | |||||
| Gov't. agency (name): | % | |||||
| National/intermediary organization | % | |||||
| Endowment or special internal fund | % | |||||
| Other (name): | % | |||||
| Total loan income | % | |||||
Write the percentage of your budget that was spent in the following areas during the past fiscal year.
| I. Supportive Services (Operating Budget) | __________% | |
| A. Fundraising | __________% | |
| B. Management/Administration | __________% | |
| C. Plant/Equipment | __________% | |
| D. Cash Reserve | __________% | |
| E. Maintenance/Replacement Reserve | __________% | |
| II. Program Services (Program Budget) | __________% | |
| TOTAL | 100% | |