2016 program application: long form program application: long form ... a current copy of your...

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1 P.O. Box 750 Brookings, SD 57006 605.692.4979 [email protected] www.brookingsunitedway.org 2016 Program Application: Long Form Thank you for your interest in applying for funds from Brookings Area United Way (BAUW). Board Members find this to be one of the most satisfying parts of their involvement with United Way – investing in the success of our partners and learning more about the wonderful programs you provide to meet the critical human needs in our community. This application is intended for Programs seeking United Way funding of $5,000 or more in 2016. (Programs seeking funding $5,000 or under will be asked to complete the Program Application ~ Short Form.) You will notice that we are asking Programs to clearly identify the outcomes of the program for which you are seeking funding. BAUW is focusing on measuring results in programs and sharing our priorities with the community more effectively. We have a set of 3 priority funding areas and will be making investments in programs which address these priorities. We will have you identify which priority area you feel your program fits. Education: Promoting the development of work and life skills Increasing positive social, emotional and academic youth development Preparing youth for success in school and community Financial Stability: Increasing self-sufficiency Providing basic needs such as food, safety, shelter Providing support during times of crisis Health: Supporting vulnerable populations Promoting independence for individuals Providing access to basic and preventative health care services All applications received by United Way are scored using a worksheet developed by the Board of Directors. This worksheet scores applications in each of the following areas: Assessment Area Community Impact Fits BAUW Priorities Fiscal Management Community Need Ability & Evaluation Track Record A further definition of these assessment areas is located in Appendix A in this application. The six assessment areas are weighted differently to reflect their relative importance. Community Impact, Community Need, and Fits BAUW Priorities are weighted higher than Ability and Evaluation, Fiscal Management and Track Record. I look forward to working with each of you during this process. If at any time, you find you have questions, please do not hesitate to contact me. Thank you again for your interest in partnering with United Way in meeting the needs of thousands of individuals in Brookings County. Your work in this area is deeply appreciated. Heidi Gullickson Heidi Gullickson, BAUW Executive Director

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P.O. Box 750 Brookings, SD 57006 605.692.4979 [email protected] www.brookingsunitedway.org

2016 Program Application: Long Form

Thank you for your interest in applying for funds from Brookings Area United Way (BAUW). Board Members find this to be one of the most satisfying parts of their involvement with United Way – investing in the success of our partners and learning more about the wonderful programs you provide to meet the critical human needs in our community.

This application is intended for Programs seeking United Way funding of $5,000 or more in 2016. (Programs seeking funding $5,000 or under will be asked to complete the Program Application ~ Short Form.)

You will notice that we are asking Programs to clearly identify the outcomes of the program for which you are seeking funding. BAUW is focusing on measuring results in programs and sharing our priorities with the community more effectively. We have a set of 3 priority funding areas and will be making investments in programs which address these priorities. We will have you identify which priority area you feel your program fits.

Education:

Promoting the development of work and life skills Increasing positive social, emotional and academic youth development Preparing youth for success in school and community

Financial Stability:

Increasing self-sufficiency Providing basic needs such as food, safety, shelter Providing support during times of crisis

Health:

Supporting vulnerable populations Promoting independence for individuals Providing access to basic and preventative health care services

All applications received by United Way are scored using a worksheet developed by the Board of Directors. This worksheet scores applications in each of the following areas:

Assessment Area

Community Impact Fits BAUW Priorities Fiscal Management

Community Need Ability & Evaluation Track Record

A further definition of these assessment areas is located in Appendix A in this application. The six assessment areas are weighted differently to reflect their relative importance. Community Impact, Community Need, and Fits BAUW Priorities are weighted higher than Ability and Evaluation, Fiscal Management and Track Record.

I look forward to working with each of you during this process. If at any time, you find you have questions, please do not hesitate to contact me. Thank you again for your interest in partnering with United Way in meeting the needs of thousands of individuals in Brookings County. Your work in this area is deeply appreciated.

Heidi Gullickson

Heidi Gullickson, BAUW Executive Director

2

2016 Application Checklist

To ensure your application is successfully submitted, please make sure the following elements have been completed and are enclosed in your application. One, single sided copy of the Application and corresponding documents must be emailed in a pdf format to: [email protected]

Section 1 of the Application including the required signatures along with the attached Memorandum of Understanding Agreement with required signatures must be mailed to Brookings Area United Way: Box 750, Brookings, SD 57006

Application Deadline – 5:00 p.m. Friday, November 13, 2015.

Please email ONE copy in a pdf format of each of the following:

A complete Program Application, including original cover page (pg 3) with required signatures.

A copy of your IRS determination letter stating you are a tax-exempt / 501(c) (3) organization (submit only if applying for the first time or if exempt status has been updated in the past 12 months)

A list of members currently serving on your Board of Directors including address, phone number, title, term.

A copy of the Counterterrorism Compliance Certification Form (included on pg 11 in this packet)

A copy of your program’s board-approved non-discrimination policy.

A current copy of your Agency’s constitution and by-laws (submit only if updated in the past 12 months for existing BAUW Partner Agencies)

A current copy of your Agency's Code of Ethics Statement

A copy of your most recent Balance Sheet

A copy of the budget for each of the programs that you are requesting funding

A copy of your most recent Audit or Financial Review

A copy of your Agency’s most recent Profit and Loss Statement or Cash Flow Statement in a format currently viewed and used by your Board of Directors

A copy of your Agency’s Annual Budget in the format currently viewed and used by your Board of Directors

A signed copy of the Memorandum of Understanding agreement for 2016 Funded Agencies (included on pages 13 & 14 in this packet)

3 photos of your program in action. Please be sure to have signed releases.

All funding decisions will be suspended for Applications that are not submitted prior toapplication deadline: Friday, November 13, 2015.

3

BROOKINGS AREA UNITED WAY PROGRAM APPLICATION FOR 2016 (Long Form)

Section 1: GENERAL INFORMATION

Part A:

ORGANIZATION:

What is your agency’s mission and purpose?

FED TAX ID# _______________________________

IF THE ORGANIZATION IS NOT 501(c)(3) IRS NON-PROFIT OR TAX-EXEMPT, PLEASE EXPLAIN WHY:

EXECUTIVE DIRECTOR: __________________________________________________________________

MAILING ADDRESS:

PHYSICAL ADDRESS:

EMAIL ADDRESS: __________________________________________ PHONE: ____________________

PROGRAM STAFF CONTACT:

NAME:

MAILING ADDRESS:

PHONE: _________________ E-MAIL: _______________________

FINANCIAL CONTACT:

NAME:

MAILING ADDRESS:

PHONE: ______________________________E-MAIL: _________________________________________________

Part B: Certification of Agency Board Approval

I affirm that I have reviewed this report and to the best of my knowledge the information furnished is true, correct and complete.

Print Name of Board President: Signature of Board President Date

Print Name of Executive Director Signature of Executive Director Date

(If you have any questions, please contact the Unite Way staff person listed below)

For office use only: BAUW Staff Contact: Heidi Gullickson

Telephone: 605.692.4979 Date Received: ___________

Email: [email protected]

4

Part C: Program Budget Breakdown

If your agency is seeking funding for multiple programs, please specify which program(s) you are seeking funding for:

Program Name Amount of Funding Requested

Purpose for Requested Funds List United Way Priority Area: Education

Income Health

1.

$

2.

$

3.

$

4.

$

5.

$

Total Request:

$

To help Brookings Area United Way during its annual fundraising campaign, please give us an example of how a specific donation amount can make a difference in your program.

1. $5 - $50 will provide/cover the cost of:

2. $75 - $150 will provide/cover the cost of:

3. $175 - $300 will provide/cover the cost of:

4. $500 - $1,000 will provide/cover the cost of:

5

Section 2: COMMUNITY NEED / IMPACT / ABILITY & EVALUATION

Please complete a separate form for each of program listed in Section 1-Part C.

Part A: Community Need

Program name:

Description of program:

Historical Comparison:

2013 2014 2015 2016 (estimate)

Number of unduplicated individuals served in Brookings County

Why is this program necessary in this area? Please provide existing agency data, waiting lists, US Census data, or any other dependable research and include citations. Ex) In a recent survey of Brookings High School Sophomores conducted by our Agency, it was found that this population lacks basic skills in management of their personal finances.

What are 3 Goals/Outcomes you hope to accomplish this year? Ex) to develop and deliver a 4-week course in financial literacy for HS students.

6

Part B: Impact

Please state a Program Goal that was achieved last year. The goal should be one you are able to use to illustrate a success story in question # 2 below. Ex) After a 4-week course in financial literacy, 50 high school seniors had increased their knowledge of basic money management skills, had increased their understanding of credit and debit and were able to develop a monthly budget.

Provide an actual success story based on the above goal. The story should illustrate your program’s effect on a single client. Limit response to one page.

7

Describe examples (if any) of how your program collaborates with other organizations in the community, particularly other United Way funded programs.

Part C: Ability and Evaluation

Briefly describe the resources (staffing, volunteer hours, financial, other) needed to carry out the proposed program. Assuming BAUW funds are available as requested, will your organization have the necessary resources to ensure program success?

How will you measure or otherwise assess the proposed program’s effectiveness? How will you use the results of your program assessment to improve its effectiveness in the future? If possible, provide an example of how you have used past program assessment results to improve program effectiveness.

8

Section 3: FINANCIAL MANAGEMENT

Please complete a separate form for each of the programs listed in Section 1-Part C.

Part A: General Management

Program name: _____________________________________________________________________

Key Staff:

Name Title/Position

Total Program FTE (Full-Time Equivalent) Employees: _________________ Part Time: _____________

How many volunteers did your agency utilize this year? ___________________

How many total volunteer hours were given to your agency? _______________

Are program volunteers required to have a background check? (if not, please explain) __________________

How do you utilize volunteer services?

Finance:

Which IRS form does your agency file annually: Form 990 ____ 990 EZ____ 990 N____

Please indicate the Fiscal/Calendar year end for your most recent filing of the IRS Form 990/990EZ/990N:____

Is your agency current in your filing of the IRS Form 990 / 990 EZ / 990 N Yes____ No ____

Does the program utilize a professional service for accounting or tax reporting? Yes _____ No _____

Reserves:

Does your Agency have a Financial Reserve Policy Yes ____ No ____

If yes, list specific reasons you are retaining financial reserves/savings:

How many months of operating capital do you currently have, including reserves:________________________

9

Board of Directors:

How many people serve on your Board of Directors? ____________________

How many times did your board meet in the past 12 months? _____________

What is the average attendance at your board meetings? _________________

Are any paid staff members on your board? ___________________________

How often are financial activity reports viewed by your Board of Directors? ________________

Does your organization have a board-approved non-discrimination policy? Yes _____ No ______

Please attach a copy.

OTHER:

Describe ways other than funding in which Brookings Area United Way can support your Program(s):

Section 4: FUNDING SOURCES

1. Is your agency eligible for matching funds? YES ____ NO _____

2. Does your agency apply for grants? YES ____ NO _____

3. Does your Agency participate in other fundraising activities? YES ____ NO _____

4. Is United Way money used as a base to generate matching funds? YES ____ NO _____

5. If you do not apply for grants, matching funds or participate in fundraising activities, please explain why:

Historical Comparison of Funding Requests (for sources other than United Way)

2013 2014 2015

Total Number of Funding Requests

Total Number of Funding Requests Granted

10

Please list the additional source(s) of funding you will be requesting in 2016 for any program listed in Section 1 - Part D. Examples of funding source(s) / activities may include but are not limited to funds provided by corporations or foundations, fundraising activities, in-kind donations, federal funding and any other applicable source(s).

(Please insert additional copies of this page as needed.)

Name of Funding Source

Type of Funding Source:

grant, matching funds, fundraisers, etc)

Revenue Objective Revenue Received

11

Section 5: SUMMARY

If you received funds from United Way during the last funding cycle, describe in detail how the funds received were used. Are there any remaining funds that were not used? If funds were not fully used, please describe in detail the reasons why.

Did any changes occur in the intended program during the current funding year? Do you anticipate any changes to the program in the upcoming year?

2016 Program Funding Request: Briefly describe your request for 2016, including how dollars will be spent.

12

Counterterrorism Compliance

In compliance with the spirit and intent of the USA PATRIOT Act and other counterterrorism laws, Brookings Area United Way requests that each funded program (“Organization”) certify that it is in compliance with United Way of America’s Compliance Program.

“I hereby certify on behalf of ___________________________________ [name of organization/grantee] that all United Way funds and donations will be used in compliance with all applicable anti-terrorist financing and asset control laws, statutes and executive orders.”

Print Name ____________________________ Title ___________________________ Signature: ______________________________ Date: ___________________________

13

Appendix A

Definitions of Assessment Areas

Community Need

The program addresses a recognized health and human services need in our community

The need is consistent with BAUW mission and funding priorities for current year

The problem/situation addressed by the agency is serious

The agency provides strong data to validate the need for this program

Impact

The program clearly demonstrates a meaningful linkage between community needs, program activities and outcomes

The program provides a meaningful volume of services and/or people served

United Way funding will make a difference and bring about positive change in people's lives

Ability & Evaluation

The Agency has a history of reliability

There is adequate staffing and resources to conduct this program

The program plan seems sound

Clear goals and objectives are written

Measureable outcomes are evident

The agency/program demonstrates the ability to deliver and measure proposed outcomes

Financial Management

Financial information is presented clearly & accurately

The agency has a balanced budget

The agency has adequate reserves

There is diversified funding / other funding is available to support program(s)

Funds that are requested from BAUW support client services

Overhead expenses are a reasonable % of total budget

Track Record

There is year-round commitment to work with the United Way

The agency appeared to accomplish their goals and objectives from last year

The Agency makes a difference with previous years' UW funding

14

Memorandum of Understanding Agreement between

(hereinafter referred to as United Way) And

_______________________ (hereinafter referred to as the Agency)

for funding year 2016

The signing of this agreement will allow the release of allocated dollars, if awarded, for the coming year.

Brookings Area United Way and the Agency enter into this agreement in order to:

PROMOTE social, civic, health, welfare, and recreational services in the areas of Income, Education and

Health to the citizens of Brookings County.

PROMOTE the overall social welfare of people by encouraging cooperation and community planning among

its citizens and its civic, health, recreational and welfare agencies and departments of government.

PROMOTE high standards of accountability, efficiency with all member agencies.

It is the mutual objective of Brookings Area United Way and United Way partner agencies that the optimal amount of

money be made available for the provision of health and human services in our area. The United Way annual

fundraising campaign is represented to the community as an opportunity to make one pledge of support to help meet the

human service needs of Brookings County.

United Way’s role in helping raise these funds is based upon the concept of a single annual campaign that elicits a

response from the entire community, raising more money than would be likely with multiple, competitive fund raising

campaigns. United Way’s role is also based upon the desire of employers to conduct one annual campaign in the

workplace.

It is agreed that United Way: 1. Will assume the responsibility for an annual community-wide fundraising campaign in support of the selected and

approved Agency and/or program(s).

2. Will pay the allocation for the year on a quarterly basis.

3. Will set the total annual campaign goal based on Agency program needs, community needs and the prevailing

economic conditions.

4. Recognizes the right of the Agency to determine its programs and services, its policies of operation and to

administer its own internal affairs.

5. Will, in cooperation with the Agency, direct its own public relations and marketing efforts so as to assist the Agency

with the educational campaign of its funded programs. United Way will publicize its affairs and those of the

Agency’s supported programs as widely as possible.

15

It is agreed that the Agency:

1. Will cooperate fully in the annual fundraising effort and will encourage and enlist the participation of its

constituency and members in such activities. The Agency will conduct an annual United Way campaign among its

employees and its Board of Directors.

2. Will not conduct their agency fund-raising campaign during the United Way campaign in the entire month of

September and October.

3. Agrees to participate in United Way’s review process and provide necessary documentation.

4. Agrees to maintain responsible management, including a Board of Directors and an Executive Director, or a like

position.

5. Agrees to cooperate with other human service agencies, both public and private, in preventing duplication of efforts

and in promoting efficiency and economy of administration in human service programs.

6. Agrees to participate in meetings with Agency Directors to prevent duplication of efforts and to promote efficiency.

7. Agrees to report to United Way any major program/budget changes that may affect how United Way allocated

dollars are spent.

8. Agrees to mention its participation as a United Way agency in news releases, media programs, brochures, etc where

United Way dollars are a part of the program or service, and in verbal presentations where appropriate.

9. Agrees to provide campaign information in a timely manner when requested.

10. Will return to United Way any funds allocated to the Agency that may no longer be used for their intended

purposes, where by any act or default on the part of the Agency, or by an operation or process of law, or by any

means whatsoever.

11. Will refrain from taking actions or conducting activities likely to damage the reputation of United Way. All

concerns must be directed immediately to a United Way representative.

12. Agrees to accept funds by automatic transfer.

13. Agrees to contact the United Way Board Member “Liaison” who is assigned to the agency several times throughout

the year. Contacts could be made via:

a. A site visit by the liaison to learn more about the agency’s work in the community

b. Attendance by the liaison at an agency board meeting or staff meeting (if possible)

c. A visit to review or clarify the agency’s Mid-Year Report (June/July)

d. A visit to review or clarify the agency’s Application for funding (October/November)

e. Attendance by the liaison at a special event or fundraiser

f. A phone call or email to check-in or provide information

Signed this___________ day of _____________________, ______

Agency:

_________________________________________________________

Chief Volunteer Officer

_________________________________________________________

Chief Professional Officer

Brookings Area United Way:

_________________________________________________________

Brookings Area United Way, Board Chairman

Budget Breakdown

Program Budget

FY2015-2016 5311 Budget

Administrative Salaries 268,095.00

Administrative Fringe 58,000.00

Travel 5,000.00

Office Supplies/Telephone/Rent 42,720.00

Bus Facility/Prof. Pkg. 45,500.00

Vehicle Insurance 37,400.00

Audit 10,000.00

Marketing 13,500.00

Contract Service 15,000.00

Miscellaneous 12,000.00

Total Administrative 507,215.00

Driver's Salaries 400,000.00

Driver's Fringe 75,000.00

Dispatcher's Salaries 80,000.00

Dispatcher's Fringe 13,000.00

Maintenance 37,000.00

Fuel & Oil 145,000.00

Garage Mntnc/Utilities 10,000.00

Other 9,000.00

Total Operating 769,000.00

Totals 1,276,215.00

TOTAL BUDGET PROJECTION 1,276,215.00

Fiscal Year 2015-2016

BROOKINGS AREA TRANSIT AUTHORITY

Projected Project Budget

Budget Breakdown

Project Funding

Section 5311 562,658.89

Title III-B 17,621.00

State Funds 54,903.00

Ridership Incentive

Total State & Federal Funding 635,182.89

Required Local Funds 641,032.11

Cities 97,200.00

County 40,000.00

UW 50,000.00

Contracts 95,000.00

Fares 200,000.00

Advertising 34,000.00

Medicaid 96,000.00

Donations 20,000.00

Total Local Funds 632,200.00

Budget shortfall 8,832.11

Sep 30, 15

ASSETSCurrent Assets

Checking/Savings1000 · BANK ACCOUNTS

1010 · Checking - First Bank & Trust 96,001.501020 · Donations Checking Acct - FB&T 100,821.571030 · Freeman Checking - MSB 712.431035 · Petty Cash 56.00

Total 1000 · BANK ACCOUNTS 197,591.50

Total Checking/Savings 197,591.50

Accounts Receivable1100 · ACCOUNTS RECEIVABLE 46,549.40

Total Accounts Receivable 46,549.40

Other Current Assets1200 · OTHER CURRENT ASSETS

1210 · Grant Receivable 47,795.531220 · Prepaid Expenses 65.71

Total 1200 · OTHER CURRENT ASSETS 47,861.24

1300 · UNDEPOSITED FUNDS 540.00

Total Other Current Assets 48,401.24

Total Current Assets 292,542.14

Fixed Assets1600 · FIXED ASSETS

1610 · BUS BARN (RESTRICTED) 373,719.001620 · BUS BARN

1630 · Leasehold Improvements 31,724.421635 · Accumulated Depreciation-Bldg. -60,085.541620 · BUS BARN - Other 53,526.56

Total 1620 · BUS BARN 25,165.44

1640 · FURNITURE, FIXTURES, OFFICE1645 · Accumulated Deprec.-F,F,E -47,398.371640 · FURNITURE, FIXTURES, OFFICE - Other 120,162.20

Total 1640 · FURNITURE, FIXTURES, OFFICE 72,763.83

1650 · VEHICLES1655 · Accum. Depreciation-Vehicles -816,147.241650 · VEHICLES - Other 1,176,568.85

Total 1650 · VEHICLES 360,421.61

1660 · LAND 25,000.00

Total 1600 · FIXED ASSETS 857,069.88

Total Fixed Assets 857,069.88

TOTAL ASSETS 1,149,612.02

LIABILITIES & EQUITYLiabilities

Current LiabilitiesAccounts Payable

2010 · ACCOUNTS PAYABLE 44.90

Total Accounts Payable 44.90

9:28 AM Brookings Area Transit Authority, Inc.11/04/15 Balance SheetAccrual Basis As of September 30, 2015

Page 1

Sep 30, 15

Other Current Liabilities2100 · OTHER CURRENT LIABILITY

2120 · Accrued Salaries 37,312.362130 · Accrued Vacation 11,545.522200 · PAYROLL LIABILITIES

2201 · PAYROLL TAX LIABILITIES2202 · Federal W/H 2,488.002203 · Medicare 909.382204 · Social Security 3,888.72

Total 2201 · PAYROLL TAX LIABILITIES 7,286.10

2205 · EMPLOYEE BENEFIT LIABILITIES2210 · Aflac -4,184.202215 · Colonial Life -1,555.802220 · Companion Life-ER -90.982225 · Companion Life Insurance - EE -60.302230 · Dakota Care - EE -3,397.362240 · Delta Dental - EE -1,320.962245 · Delta Dental - ER -529.802250 · Flex Spending Account 1,720.622255 · Simple IRA - ER -6,543.772260 · Simple IRA - EE -10,604.092268 · Employee Purchase 150.002205 · EMPLOYEE BENEFIT LIABILITIES - Other 28,945.39

Total 2205 · EMPLOYEE BENEFIT LIABILITIES 2,528.75

2270 · SD UC 646.842273 · EMPLOYEE DONATIONS -109.002275 · UNITED WAY/CHARITY 797.00

Total 2200 · PAYROLL LIABILITIES 11,149.69

Total 2100 · OTHER CURRENT LIABILITY 60,007.57

Total Other Current Liabilities 60,007.57

Total Current Liabilities 60,052.47

Total Liabilities 60,052.47

Equity3000 · OPENING BALANCE EQUITY -5,177.143500 · CONTRIBUTIVE CAPITAL 398,719.003900 · RETAINED EARNINGS 484,414.70Net Income 211,602.99

Total Equity 1,089,559.55

TOTAL LIABILITIES & EQUITY 1,149,612.02

9:28 AM Brookings Area Transit Authority, Inc.11/04/15 Balance SheetAccrual Basis As of September 30, 2015

Page 2

BROOKINGS AREA TRANSIT AUTHORITY, INC.

CODE OF ETHICS

Brookings Area Transit Authority, Inc. (BATA) employees must, at all times, comply with all

applicable laws and regulations. The Agency will not condone the activities of employees who

achieve results through violation of the law or unethical business dealings. This includes any

payments for illegal acts, indirect contributions, rebates, bribery, or misrepresentation. The

Agency does not permit any activity that fails to stand the closest possible public scrutiny. All

business conduct should be well above the minimum standards required by law as well as

Federal Regulations. Accordingly, employees must ensure that their actions cannot be

interpreted as being, in any way, in contravention of the laws and regulations governing

Brookings Area Transit Authority’s operation.

Employees uncertain about the application or interpretation of any legal requirements should

refer the matter to their superior, who, if necessary, should seek the advice of the agency

executive director and/or Board of Directors.

Brookings Area Transit Authority, Inc. conforms to the Civil Rights Act of 1964.

1. The agency shall not practice discrimination in any of its employment policies

because of race, color, religion, national origin, sex, sexual preference, veteran

status, handicap or age.

2. Membership in any organization whose objectives include the overthrow of the

Government of the United States by force or violence is inconsistent with

employment with the agency.

BROOKINGS AREA TRANSIT AUTHORITY, INC.

BOARD OF DIRECTORS

2015

Mike Struck Pres 311 3rd

Ave Brookings SD 57006 2016 – City of Brookings

Brian Ardry V Pres 301 Division Ave Brookings SD 57006 2015 – Advance

Nancy Crooks Treas SDSU Box 2201 Brookings SD 57006 2015 – SDSU Disabilities Coordinator

LaShelle Bruinsma Director 331 32nd

Ave Brookings SD 57006 2017

Pam Wells Director 2135 28th Ave Brookings SD 57006

2017

Mark Kratochvil Director 702 5th St Brookings SD 57006

2017

Larry Jensen Ex-Officio Dir 47685 209th St Aurora SD 57006

Mike Mullaney Ex-Officio Dir 418 Western Ave Brookings SD 57006

Brenda Schweitzer Ex-Officio Dir 418 Western Ave Brookings SD 57006

Oct '14 - Sep 15

Ordinary Income/ExpenseIncome

4000 · INCOME4001 · BUS FARES INCOME

4003 · Brookings Fares 241,769.94

4005 · Token Sales 29,145.004007 · Freeman Fares 11,537.18

Total 4001 · BUS FARES INCOME 282,452.12

4010 · BUS ADVERTISING 33,163.944015 · CONTRACTS

4017 · Brookings Contracts 30,100.00

Total 4015 · CONTRACTS 30,100.00

4100 · DONATIONS4110 · Other Donations 16,643.674125 · Employee Donations 2,040.004130 · Fundraising Donations 8,230.00

Total 4100 · DONATIONS 26,913.67

4200 · LOCAL & STATE4210 · City Operating Funds 104,950.004220 · County Operating Funds 43,000.004230 · Freeman Local Match 11,000.004240 · SD DOT Vehicle Match 20,000.004250 · State Grant 46,337.004270 · Brookings - Local Grant -3,059.00

Total 4200 · LOCAL & STATE 222,228.00

4300 · GRANT INCOME4085 · CAPITAL GRANTS

4072 · Income-5309 Grant 26,400.714075 · Income/5310 Grant 38,199.864077 · SD DOT Vehicle Grant 64,820.00

Total 4085 · CAPITAL GRANTS 129,420.57

4310 · OPERATING GRANTS4320 · Income-IIIB 17,621.004340 · Income-5311 567,690.554350 · RTAP Income 7,643.82

Total 4310 · OPERATING GRANTS 592,955.37

Total 4300 · GRANT INCOME 722,375.94

4400 · PROGRAM INCOME4410 · Safe Ride 24,999.934420 · Brookings Medicaid 80,778.524425 · United Way 54,775.004430 · Freeman Medicaid 9,008.41

Total 4400 · PROGRAM INCOME 169,561.86

1:56 PM Brookings Area Transit Authority, Inc.11/04/15 Profit & LossAccrual Basis October 2014 through September 2015

Page 1

Oct '14 - Sep 15

4500 · OTHER INCOME4510 · Interest 92.324520 · Employee Purchases 2,415.004500 · OTHER INCOME - Other 0.00

Total 4500 · OTHER INCOME 2,507.32

Total 4000 · INCOME 1,489,302.85

Total Income 1,489,302.85

Gross Profit 1,489,302.85

Expense7000 · EXPENSES

7020 · PROFESSIONAL FEES7022 · Accounting Fees 11,480.00

Total 7020 · PROFESSIONAL FEES 11,480.00

7030 · BAD DEBT -4,202.647050 · CREDIT CARD PROCESSING FEES 654.127070 · DUES AND SUBSCRIPTIONS 1,177.53

7080 · EMPLOYEE TRAINING 2,115.367100 · EMPLOYEE HEALTH & SAFETY

7110 · CDL Reimburse 48.007120 · Flu Shots 101.127130 · Clothing 425.507140 · Background Check 554.757150 · Drug & Alcohol Testing 2,181.907156 · Other Health & Safety 464.757160 · Uniforms 1,072.00

Total 7100 · EMPLOYEE HEALTH & SAFETY 4,848.02

7200 · INSURANCE EXPENSE7230 · General Liability 3,231.507240 · Position Bond 1,895.007260 · Vehicle 31,377.257270 · Workman's Comp. Insurance 53,445.24

Total 7200 · INSURANCE EXPENSE 89,948.99

7300 · VEHICLE EXPENSE7310 · Fuel Expense 97,064.09

Total 7300 · VEHICLE EXPENSE 97,064.09

7400 · REPAIRS & MAINTENANCE7321 · Vehicle Maintenance Labor 0.007401 · Maintenance-Bldg. 6,408.997405 · Vehicle Maintenance 21,688.80

7406 · Other Vehicle Expense 6,156.53

Total 7400 · REPAIRS & MAINTENANCE 34,254.32

7410 · OFFICE EQUIPMENT 5,127.707420 · OFFICE SUPPLIES 2,077.797430 · OTHER CONTRACT EXPENSE

7435 · Equipment Lease 3,318.38

Total 7430 · OTHER CONTRACT EXPENSE 3,318.38

1:56 PM Brookings Area Transit Authority, Inc.11/04/15 Profit & LossAccrual Basis October 2014 through September 2015

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Oct '14 - Sep 15

7500 · PROGRAM AND GRANT EXPENSES7501 · Grant 5309 6,317.537503 · Grant 5310 33,225.677504 · Labor 5310 15,670.577505 · Grant 5339 8,088.567507 · Grant RTAP 8,057.827509 · Program Expenses 114.00

Total 7500 · PROGRAM AND GRANT EXPENSES 71,474.15

7510 · FUNDRAISING EXPENSES 6,297.538000 · PAYROLL EXPENSES

8010 · PAYROLL TAXES8011 · Medicare Company 11,156.318012 · Social Security Company 47,702.668010 · PAYROLL TAXES - Other -10.00

Total 8010 · PAYROLL TAXES 58,848.97

8020 · WORKERS COMPENSATION 3,150.188030 · STATE UNEMPLOYMENT TAX 3,673.188040 · UNITED WAY- EE 700.008100 · EMPLOYEE BENEFITS EXPENSES

8110 · Aflac 378.808120 · Colonial Life 116.128130 · Dental 6,343.978140 · Fringe 5,358.988150 · Health Insurance 37,073.12

8160 · Life Insurance 906.528170 · Retirement Match 9,151.148180 · VSP 318.36

Total 8100 · EMPLOYEE BENEFITS EXPENSES 59,647.01

8000 · PAYROLL EXPENSES - Other 592.59

Total 8000 · PAYROLL EXPENSES 126,611.93

8200 · WAGES & SALARY EXPENSES8210 · Director's Salaries 59,640.018220 · Assistant Director's Salary 49,538.408230 · Mobility Manager Salary 42,865.338240 · Resource Development Director 32,200.008250 · Salaries & Wages-Admin. 84,220.11

8260 · Salaries & Wages-Dispatch 81,072.01

8270 · Salaries & Wages-Driver 436,063.34

Total 8200 · WAGES & SALARY EXPENSES 785,599.20

8300 · TRAVEL EXPENSES8310 · Travel-Mileage 3,718.728320 · Conference, Convention, Meeting 1,859.008330 · Hotel & Lodging 897.588340 · Travel Meals 430.898350 · Per-diem 1,442.93

Total 8300 · TRAVEL EXPENSES 8,349.12

8550 · ADVERTISING EXPENSE8560 · Brookings Advertising 5,570.108570 · Freeman Advertising 15.41

Total 8550 · ADVERTISING EXPENSE 5,585.51

8610 · POSTAGE 556.68

1:56 PM Brookings Area Transit Authority, Inc.11/04/15 Profit & LossAccrual Basis October 2014 through September 2015

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Oct '14 - Sep 15

8700 · TELEPHONE EXPENSE8710 · Telephone-BATA 12,567.188720 · Telephone-Freeman 541.47

Total 8700 · TELEPHONE EXPENSE 13,108.65

8800 · UTILITIES8810 · -Gas 1,818.458820 · Electric 3,764.608830 · Garbage 387.958840 · Water/Sewer 544.54

Total 8800 · UTILITIES 6,515.54

Total 7000 · EXPENSES 1,271,961.97

8900 · MISC EXPENSES8910 · Reconciliation Discrepancies 99.998920 · Token 1,121.808930 · Employee Appreciation 3,348.948940 · Meals and Entertainment 245.278950 · Customer Appreciation 223.028960 · Rent Expense 198.008970 · Supplies - Consumable 363.138980 · Misc - Other 137.74

Total 8900 · MISC EXPENSES 5,737.89

Total Expense 1,277,699.86

Net Ordinary Income 211,602.99

Net Income 211,602.99

1:56 PM Brookings Area Transit Authority, Inc.11/04/15 Profit & LossAccrual Basis October 2014 through September 2015

Page 4