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OFFICIAL NOTICE AND AGENDA-of a meeting of the County Board, Committee, Agency, Corporation or Sub-Unit thereof MARATHON COUNTY, WISCONSIN
MARATHON COUNTY HUMAN RESOURCES, FINANCE & PROPERTY COMMITTEE MEETING AGENDA
Date & Time of Meeting: Monday, March 5, 2018; 3:00 p.m. Meeting Location: Marathon County Courthouse Assembly Room, 500 Forest Street, Wausau, WI 54403 Members: Bill Miller, Chair; Craig McEwen, Vice-Chair; Tim Buttke, John Durham, Kurt Gibbs, John Robinson, E.J. Stark
Marathon County Mission Statement: Marathon County Government serves people by leading, coordinating, and providing county, regional, and statewide initiatives. It directly, or in cooperation with other public and private partners, provides services and creates opportunities that make Marathon County and the surrounding area a preferred place to live, work, visit, and do business. (Last updated: 12/20/05) Human Resources, Finance & Property Committee Mission/Purpose: Provide leadership for the implementation of the County Strategic Plan, monitoring outcomes, reviewing and recommending to the County Board policies related to the human resources initiatives, finance and property of the County.
1. Call to Order-Meeting called to order by Chairman Miller at 3:00 p.m., the agenda being duly signed and posted. A. Please silence your cellphones.
2. Public Comment Period -- Not to Exceed 15 Minutes
3. Educational Presentations/Outcome Monitoring Reports
A. Discussion regarding positions changing FLSA status from Non-Exempt to Exempt 88 (Frank Matel, Employee Resources Director) B. 2017 Investment Portfolio Performance Report and Economic Overview-Public Financial Management (PFM)
4. Policy Issues Discussion and Committee Determination and Approval A. A. Discussion and Possible Action-Tax Deed Land Sales, Possible Taking of Property and Changes to Tax Deed
Parcels owned by the County: 1) Tax Deed Sale
B. Discussion and Possible Action-Approval of the Minutes from February 26, 2018 C. Discussion and Possible Action-Approval of February Claims and Questioned Costs
5. Policy Issues Discussion and Committee Determination to the County Board for its Consideration A. 2018 Interdepartmental Transfers B. 2017 Interdepartmental Transfers
6. Announcements: A. Next Meeting Date-Monday, March 19, 2018 3 pm
7. Adjourn Any person planning to attend this meeting who needs some type of special accommodation in order to participate should call the County Clerk’s Office at 715 261-1500 or e-mail [email protected] one business day before the meeting. SIGNED /s/Bill Miller Presiding Officer or Designee Faxed to: Wausau Daily Herald Faxed to: Marshfield News NOTICE POSTED AT THE COURTHOUSE Faxed to: City Pages By/Date/Time: K Palmer Faxed by/time: K Palmer 3/1/18 4:30pm 3/1/18 4:30pm
MARATHON COUNTY HUMAN RESOURCES, FINANCE & PROPERTY COMMITTEE MEETING MINUTES Date & Time of Meeting: Monday, February 26, 2018; 3:00 p.m. Meeting Location: Marathon County Courthouse Employee Resources Conference Room, C149, 500 Forest Street, Wausau, WI 54403
Members: Bill Miller, Chair; Craig McEwen, Vice-Chair; Tim Buttke, John Durham, Kurt Gibbs-excused, John Robinson, E.J. Stark
Others: Brad Karger, Kristi Palmer, Lance Leonhard, Jim Warsaw, Vicki Resech
1. Call to Order-Meeting called to order by Chairman Miller at 3:00 p.m., the agenda being duly signed and posted. A. Please silence your cellphones.
2. Public Comment Period -- Not to Exceed 15 Minutes-None
3. Educational Presentations/Outcome Monitoring Reports
A. None
4. Policy Issues Discussion and Committee Determination and Approval A. Discussion and Possible Action-Tax Deed Land Sales, Possible Taking of Property and Changes to Tax Deed
Parcels owned by the County: 1) Tax Deed Sale-None
B. Approval of Minutes from February 5, 2018
Motion by Durham to approve the minutes and seconded by Stark; vote unanimous
5. Policy Issues Discussion and Committee Determination to the County Board for its Consideration A. Discussion and Possible Action- Approval of the Creation of a Revolving Loan Fund for the Purpose of Providing
Assistance to Property Owners with Failing Private Onsite Wastewater Treatment System (POWTS); Amendment of the 2018 Budget to Provide Funding; Repeal of Sec. 2.01 (23) of the General Code of Ordinances: Administrative Guidance for the Environmental Impact Fund (EIF)
Karger- We have talked about this program several times so if you have questions, let me know. Robinson-My concern is there has to be some consideration on the quality or certification for the vendors. We have to make sure we have some kind of mechanism to there are qualifications in place to make sure there are safeguards in place. Buttke-Don’t we do that already? We see that they are licensed. The current Wisconsin fund program, you will need to select a certified plumber and once the work is completed it is reviewed by CPZ. Motion by Robinson and second by Buttke to approve the resolution. Motion by Robinson and seconded by Buttke to amend the resolution, “under NOW, THEREFORE BE IT ORDAINED AND RESOLVED, paragraph 1 on page 2, “proving assistance to property owners with failing POWTS” for the replacement or connection a private septic, municipal sewer or other approved sanitary system; vote unanimous Vote on the motion as amended; vote unanimous
6. Announcements: Robinson-Can we have an update on PBB? Karger may not have it ready by March 5 but we will have it very soon. A. Next Meeting Date-Monday, March 5, 2018 3 pm
7. Adjourn Robinson and seconded by Buttke to adjourn at 3:20 pm; vote unanimous
Non-Exempt Employees Base Pay Is Above $455/Week OR $910/Biweekly OR $11.38/Hour
Ave Daily Hrs Employee Name # Dept # Occ Description Occ Code DBM FLSA Biweekly Hourly Rate Change To Exempt Stauts1 8.00 BULA, PATRICK 64617 585 CPZ TECHNICIAN 5100 02 223 N 1,634.40 20.43 Non Exempt To Exempt-882 8.00 WADE, PETER 64182 585 PLANNING TECHNICIAN 5131 04 223 N 1,810.40 22.63 Non Exempt To Exempt-883 6.40 SPIEGEL BERG, KRISTEN 61401 560D SOCIAL SERVICES COORDINATOR 5402M04 223 N 1,590.40 24.85 Non Exempt To Exempt-884 8.00 GRAFTON, SUSAN 60073 520 JUDICIAL ASSISTANT 5025M02 224 N 1,903.20 23.79 Non Exempt To Exempt-885 8.00 HOHN, CYNTHIA 63549 520 JUDICIAL ASSISTANT 5025M02 224 N 1,784.00 22.30 Non Exempt To Exempt-886 8.00 KREGER, CINDY 60524 520 JUDICIAL ASSISTANT 5025M02 224 N 1,903.20 23.79 Non Exempt To Exempt-887 8.00 MAXSON, DENISE 61533 520 JUDICIAL ASSISTANT 5025M02 224 N 1,715.20 21.44 Non Exempt To Exempt-888 8.00 MCCARTHY, SHEILA 61053 520 JUDICIAL ASSISTANT 5025M02 224 N 1,903.20 23.79 Non Exempt To Exempt-889 8.00 VANOOYEN, PAMELA 61973 520 JUDICIAL ASSISTANT 5025M02 224 N 1,903.20 23.79 Non Exempt To Exempt-8810 4.80 JUNEAU, JENNIFER 62248 740 PUBLIC HEALTH PROFESSIONAL 5353H02 342 N 1,499.04 31.23 Non Exempt To Exempt-8811 5.60 KOWALSKI, VICKI 60208 740 PUBLIC HEALTH PROFESSIONAL 5353H02 342 N 1,601.04 28.59 Non Exempt To Exempt-8812 6.40 SCHULTZ, CIARA 62688 860 PUBLIC HEALTH PROFESSIONAL 5353A02 342 N 1,806.08 28.22 Non Exempt To Exempt-8813 6.00 BELMAS, JENAE 63054 860 SOCIAL SERVICE PROFESSIONAL 5404A02 342 N 1,693.20 28.22 Non Exempt To Exempt-8814 5.60 FANDREY, MEAGAN 63460 860 SOCIAL SERVICE PROFESSIONAL 5404A02 342 N 1,534.40 27.40 Non Exempt To Exempt-8815 5.60 FRANK, KATIE 64701 860 SOCIAL SERVICE PROFESSIONAL 5404A02 342 N 1,504.72 26.87 Non Exempt To Exempt-8816 4.80 JOHNSON, ERIN 63397 860 SOCIAL SERVICE PROFESSIONAL 5404A02 342 N 1,315.20 27.40 Non Exempt To Exempt-8817 5.60 LENTZ, REBECCA 64700 860 SOCIAL SERVICE PROFESSIONAL 5404A02 342 N 1,504.72 26.87 Non Exempt To Exempt-8818 5.60 THAO, PA 64375 860 SOCIAL SERVICE PROFESSIONAL 5404A02 342 N 1,475.60 26.35 Non Exempt To Exempt-8819 5.00 SCHULT, JEAN 62833 810 SENIOR ACCOUNTING PROFESSIONAL 5004M02 344 N 1,528.50 30.57 Non Exempt To Exempt-88
December 11, 2017 Marathon County Human Resources and Finance and Property Committee Review of Marathon County Investment Policy and Investments I have provided for the December 11, 2017 HRFC meeting, a copy of the Investment Policy which has been in place since 1998. At the October 23, 2017 meeting the HRFC has:
Direct the Treasurer and Finance Director to evaluate the County’s Investment practices to ensure a higher level of return consistent with appropriate statutory provisions.
Direct HRFC to review the Fund Balance policy by July 1, 2018 In order to complete all of these tasks and have a good understanding of the investments, policies and state statutes that are associated with the investments, I propose the following time line: December 2017 Review current financial policies and develop an understanding of the policies in place 2018 February-March Review the 2017 investment portfolio performance for Marathon County and and look at investment strategies for 2018-2019 March-April Meet with Marathon County’s Investment Advisor’s in regards to investment
performance and benchmarking April Finalize audit work papers for the 2017 financial audit for Marathon County and
review with the auditors May-June Work with the County’s auditors and investment advisors in evaluating
investment policy and benchmark changes for the investment portfolio July Memorialize the actions taken by the County Treasurer HRFC on investments August Use the investment strategy as a guide in the development of the 2019 budget
© PFM 1
Marathon County
115 S 84th StreetSuite 315Milwaukee, WI 53213
414.771.2700414.771.1041 fax
www.pfm.com
Kathleen Walters, Jeff Schroeder, and Kyle JonesPresented By:
January 22, 2018
2017 Annual Portfolio Review
© PFM 2
PFM’s asset management business has more than 35 years’ experience in managing high-quality portfolios.
Local presence with an office in Milwaukee and over 26 years of experience managing Wisconsin public funds
Relative value manager with a focus on downside protection.
Specialist in high-quality, short- and intermediate-duration fixed-income portfolios.
Successfully navigated the markets during the credit crisis.
Provide investment advice to dozens of Wisconsin entities including Milwaukee County, Brown County, Walworth County, Rock County, and Dunn County
PFM Asset Management LLC
Total Assets Under Management and Advisement
$54.9$62.5
$68.1$74.2
$91.7
$103.4 $101.6$112.3 $116.4
$0
$20
$40
$60
$80
$100
$120
$140
2009 2010 2011 2012 2013 2014 2015 2016 Q32017
Billio
ns
Discretionary Non-Discretionary Assets Under Advisement
© PFM 3
Marathon County Short Term
© PFM 4
Short Term Portfolio Snapshot
Portfolio Statistics
Par Amount Invested $21,970,000
Average Duration 0.39 years
Average Yield at Cost 1.54%
Average Yield at Market 1.78%
Portfolio holdings as of 12/31/17.
U.S. Treasury
22%Commercial Paper32%
Certificates of Deposit
45% ABS1%
Sector Allocation
AAA1%
AA22%
A-1/A-1+77%
Credit Quality
0%
20%
40%
60%
80%
100%
0-1 Yr 1-2 Yr
Duration Distribution
© PFM 5
Short Term Portfolio Historical Sector Allocation
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan-
08
Aug
-08
Mar
-09
Oct
-09
May
-10
Dec
-10
Jul-1
1
Feb-
12
Sep
-12
Apr
-13
Nov
-13
Jun-
14
Jan-
15
Aug
-15
Mar
-16
Oct
-16
May
-17
Dec
-17
ABS
Certificates of Deposit
Commercial Paper
Corporate TLGP
Corporate Notes
Supranational
Federal Agency
U.S. Treasury
© PFM 6
Short Term Portfolio Historical PerformancePeriods Ending December 31, 2017
Beginning December 31, 2006, the custom benchmark is the ICE BofAML 6 Month U.S. T-BillPrior to 2006, the portfolio was managed without a benchmark
1.20%
0.78%
0.56% 0.51%
0.89%
1.29%
3.04%
0.95%
0.62%0.43% 0.37%
0.71%
1.14%
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
3.5%
1 Year 3 Year 5 Year 7 Year 10 Year Since Inception(Dec '06)
Since Inception(Mar '95)
MARATHON (54590091) Marathon Custom Benchmark
© PFM 7
Marathon County Long Term
© PFM 8
Long Term Portfolio Snapshot
Portfolio Statistics
Par Amount Invested $80,555,034
Average Duration 1.78 years
Average Yield at Cost 1.51%
Average Yield at Market 1.93%
Portfolio holdings as of 12/31/17.
U.S. Treasury
30%
Federal Agency
23%
Certificates of Deposit
17%
Agency MBS1%Corporate
13%ABS9%
Supranational7%
Sector Allocation
AAA18%
AA64%
A9%
A-1/A-1+9%
Credit Quality
0%
10%
20%
30%
40%
50%
0-1 Yr 1-2 Yr 2-3 Yr
Duration Distribution
© PFM 9
Long Term Portfolio Historical Sector Allocation
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan-
08
Aug
-08
Mar
-09
Oct
-09
May
-10
Dec
-10
Jul-1
1
Feb-
12
Sep
-12
Apr
-13
Nov
-13
Jun-
14
Jan-
15
Aug
-15
Mar
-16
Oct
-16
May
-17
Dec
-17
Agency MBS
ABS
Certificates of Deposit
Commercial Paper
Corporate TLGP
Corporate Notes
Supranational
Federal Agency
U.S. Treasury
© PFM 10
Long Term Portfolio Historical PerformancePeriods Ending December 31, 2017
0.82%0.92%
0.78%0.94%
1.83%
3.78%
0.42%0.62% 0.56%
0.69%
1.44%
3.54%
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
3.5%
4.0%
1 Year 3 Year 5 Year 7 Year 10 Year Since Inception(Mar '93)
Marathon (54590080) ICE BofAML 1-3 Yr US Treasury
© PFM 11
Market Value Earnings by Year
$0.0
$0.5
$1.0
$1.5
$2.0
$2.5
$3.0
$3.5
$4.0
$4.5
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Milli
ons
Long Term Portfolio Short Term Portfolio
Total Earnings 1993 – 2017Long Term Portfolio: $25,169,220Short Term Portfolio: $11,964,709Total: $37,133,929
© PFM 12
Long Term Portfolio Historical Duration
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan-
08
Aug
-08
Mar
-09
Oct
-09
May
-10
Dec
-10
Jul-1
1
Feb-
12
Sep
-12
Apr
-13
Nov
-13
Jun-
14
Jan-
15
Aug
-15
Mar
-16
Oct
-16
May
-17
Dec
-17
3-4 Yr
2-3 Yr
1-2 Yr
0-1 Yr
© PFM 13
Marathon Investment Strategy in Review
© PFM 14
Recommendations We’ve Made Historically 2009
Updated investment policy language for U.S. Treasury and agency investments
Updated FDIC insurance references to $250,000
Updated maturity considerations for adjustable rate securities
2011
• Discussed longer 1-5 year benchmark for long-term portfolio
2013
• Reviewed benchmark risk and returns
Reviewed LGIP portfolio balances
Reallocated money from short-term portfolio to long-term portfolio
2015
Extended commercial paper max maturity to 270 days
Added muni language to investment policy
2016
• Discussed longer 1-5 year benchmark for long-term portfolio
2017
Updated commercial paper and negotiable CD rating from long-term rating to more appropriate short-term rating
Updated policy to match state statute permitting investments with a AA rating and seven year or less maturity
• Discussed longer 1-5 year benchmark for long-term portfolio
• Considered international bonds
© PFM 15
Investment Policy Summary
Updated February 28, 2006, May 18, 2009, August 5, 2013, May 5, 2014, and March 10, 2017.
Sector Permitted by State Statute Permitted by Policy
U.S. Treasury
Federal Agency/GSE
Supranationals
Corporate Notes* 30% max*Municipals** **
Agency Mortgage-Backed Securities (MBS)
Asset-Backed Securities (ABS)
Negotiable Bank Certificates of Deposit (NCDs) 30% maxCollateralized Bank Deposits
FDIC-Insured Bank Deposits
Commercial Paper (CP)* 30% max*Bankers’ Acceptances (BAs)
Repurchase Agreements (Repo or RP)
Money Market Funds (MMFs)
*organized and operated in the United States**AA rated or better
© PFM 16
Risk/Return Characteristics
Source: Bank of America Merrill Lynch Indices, as of 12/31/17. Based on quarterly returns.
$100
$105
$110
$115
$120
$125
Dec '07 Dec '08 Dec '09 Dec '10 Dec '11 Dec '12 Dec '13 Dec '14 Dec '15 Dec '16 Dec '17
Mill
ions
Growth of $100 Million over 10 YearsEnded December 31, 2017
Risk/Return of Various Investment Strategies10 Years Ended December 31, 2017
Bank of America Merrill Lynch Treasury Index
Duration(years)
Annualized Total Return
Cumulative Value of $100 Million
Quarters With Negative Return
6 Month Treasury 0.48 0.71% $107,293,780 0 out of 40
1-3 Year Treasury 1.86 1.44% $115,365,091 9 out of 40
1-5 Year Treasury 2.66 2.03% $122,266,312 13 out of 40
1-5 Year Treasury
1-3 Year Treasury
6 Month Treasury
© PFM 17
Portfolio Growth 1993 – 2017
$0
$10
$20
$30
$40
$50
$60
$70
$80
$90
Jun 93 Jun 97 Jun 01 Jun 05 Jun 09 Jun 13 Jun 17
Milli
ons
$0
$10
$20
$30
$40
$50
$60
Jun 95 Jun 99 Jun 03 Jun 07 Jun 11 Jun 15
Milli
ons
Long Term Portfolio Short Term Portfolio
© PFM 18
PFM and Marathon County
PFM has a track record of outperformance for the County
Proven, repeatable process designed to protect principal
• Marathon County’s portfolio has had no defaults in any of its PFM portfolios
Risk management and compliance at every step
Active management that seeks to safely enhance investment returns and manage downside risk
• PFM has proactively provided suggested changes to the investment policy over time
• We’ve actively rebalanced the portfolio in response to changing market conditions
© PFM 19
Market Update
© PFM 20
Short-Term Yields Higher in Q4, but Yield Curve Flattened
Treasury yields are substantially higher in the short and intermediate term compared to a year ago
• Short-term yields rose as the Fed raised rates three times in 2017
• The yield curve flattened as long term rates moved very little due to muted inflation expectations
Source: Bloomberg, as of 1/2/18.
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
3m
1y
2y
3y
5y
7y
10y
U.S. Treasury Yield CurveDec 31, 2017 Sep 29, 2017 Dec 31, 2016
Yield Curve History
Maturity 12/31/2017 9/29/2017 12/31/2016
3-Mo. 1.38 1.05 0.50
6-Mo. 1.53 1.19 0.61
1-Yr. 1.74 1.29 0.81
2-Yr. 1.89 1.49 1.19
3-Yr. 1.97 1.62 1.45
5-Yr. 2.21 1.94 1.93
7-Yr. 2.33 2.17 2.25
10-Yr. 2.41 2.33 2.45
30-Yr. 2.74 2.86 3.07
© PFM 21
Changing Interest Rates
Source: Bloomberg, as of 1/2/18.
0.00%
0.25%
0.50%
0.75%
1.00%
1.25%
1.50%
1.75%
2.00%
12/31/16 3/31/17 6/30/17 9/30/17 12/31/17
2-Year Treasury
5 year average
Highest Since 2008
0.00%
0.25%
0.50%
0.75%
1.00%
1.25%
1.50%
1.75%
2.00%
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Federal Reserve Policy Rates
© PFM 22
Corporates Continue to Outperform
Source: ICE BofAML Indices. MBS and ABS indices are 0-3 and 0-5 year, based on weighted average life.
0%
1%
2%
3%
4%
U.S
. Tre
asur
y
Age
ncy
Cor
p (A
-AA
A)
MB
S
ABS
(AA
A)
U.S
. Tre
asur
y
Age
ncy
Cor
p (A
-AA
A)
MB
S
ABS
(AA
A)
U.S
. Tre
asur
y
Age
ncy
Cor
p (A
-AA
A)
MB
S
5-Year Average Annual Returns(Period ended 12/31/17)
0%
1%
2%
3%
4%
5%
6%
U.S
. Tre
asur
y
Age
ncy
Cor
p (A
-AA
A)
MB
S
ABS
(AA
A)
U.S
. Tre
asur
y
Age
ncy
Cor
p (A
-AA
A)
MB
S
ABS
(AA
A)
U.S
. Tre
asur
y
Age
ncy
Cor
p (A
-AA
A)
MB
S
Trailing 12-Month Return(12/31/16– 12/31/17)
1-3 Year 1-5 Year Master 1-3 Year 1-5 Year Master
© PFM 23
Disclosures
This material is based on information obtained from sources generally believed to be reliable and available to the public, however PFM Asset Management LLC cannot guarantee its accuracy, completeness or suitability. This material is for general information purposes only and is not intended to provide specific advice or a specific recommendation. All statements as to what will or may happen under certain circumstances are based on assumptions, some but not all of which are noted in the presentation. Assumptions may or may not be proven correct as actual events occur, and results may depend on events outside of your or our control. Changes in assumptions may have a material effect on results. Past performance does not necessarily reflect and is not a guaranty of future results. The information contained in this presentation is not an offer to purchase or sell any securities.
© PFM 24
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out‐of‐balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Finance BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 602 8189112 CIP‐Transfer from 101/112 495,000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 112 00499602 Land records‐Land Records 2
Transfer to 600/602 495,000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Kristi Palmer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Land Records‐Land Records 2 revenues are used for Land Records modernization
2) Provide a brief (2‐3 sentence) description of what this program does.
The land records system records the governmental records of all land, tax parcels and tax records. The County is updating this system. The current system was written in house in 1990 and we are now ready to update the system.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance. ☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non‐Grant Program
☒ Other. Please explain: Provide revenue to cover the costs of the CIP project
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.) ☐ Non‐cash/In‐Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☐ No. ☐ Yes, the Amount is Less than $30,000.
☒ Yes, the Amount is $30,000 or more AND: (Check one)
☒ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? No Is a Budget Transfer Resolution Required? Yes
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out‐of‐balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Finance BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 880 064 99602 Transfer from Fund balance 100,000
Revenue Increase 602 93988446 CIP Transfer in from 875/880 100,000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 602 93998353 CIP‐NEAR SITE CLINIC REMODEL
100,000
Expenditure Increase 880 064 99602 Flex Benefit‐Transfer to 600/602 100,000
Select action Click to enter GL Account Click here to enter account description Enter amount
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I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Kristi Palmer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
The County is creating a in house clinic for County Employees to go to for limited health/medical issues
2) Provide a brief (2‐3 sentence) description of what this program does.
The County and NCHC is remodeling a portion of the NCHC facility to provide an on‐site clinic for Marathon County and NCHC employees and families
3) This program is: (Check one)
☐ An Existing Program.
☒ A New Program.
4) What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance. ☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non‐Grant Program
☒ Other. Please explain: Provide funding to cover the costs of the CIP project
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.) ☐ Non‐cash/In‐Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☐ No. ☐ Yes, the Amount is Less than $30,000.
☒ Yes, the Amount is $30,000 or more AND: (Check one)
☒ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? No Is a Budget Transfer Resolution Required? Yes
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 101-322-8-9900 Transfers from Fund Balance $6,004
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TRANSER TO:
Action Account Number Account Description Amount
Revenue Decrease 101-322-8-5519 Radon Test Kit $4,000
Expenditure Increase 101-322-9-3480 Educational Supplies $2,004
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I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Radon Test Kits
2) Provide a brief (2-3 sentence) description of what this program does.
This program is set up for the Health Department to buy radon test kits and sell them to other public health departments as well as the general public in Marathon County.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 101-323-8-9900 Transfers from Fund Balance $59,043
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TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 101-323-9-3490 Other Operating Supplies $59,043
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Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Prenatal Care Coordination
2) Provide a brief (2-3 sentence) description of what this program does.
Prenatal Care Coordination provides health teaching and care coordination services to pregnant women who are at risk for a poor birth outcome, thereby increasing the likelihood of having a healthy baby. Prenatal Care Coordination is a Medicaid fee for service program for women enrolled in Medicaid. The program is one of for program components of Marathon County Start Right.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 101-333-8-9900 Transfers from Fund Balance $13,556
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TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 101-333-9-3490 Other Operating Supplies $13,556
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Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Targeted Case Management
2) Provide a brief (2-3 sentence) description of what this program does.
This is a Medicaid Fee for Service program, where we assist parents of young children who are Medicaid recipients gain access to and coordinate a full array of services, including medical, social, educational, and vocational services.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 101-360-8-9900 Transfers from Fund Balance $223
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Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 101-360-9-3490 Other Operating Supplies $223
Select action Click to enter GL Account Click here to enter account description Enter amount
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Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Tuberculosis – Wisconsin Medicaid
2) Provide a brief (2-3 sentence) description of what this program does.
This is a Medicaid Fee for Service program, where we provide health teaching, medication, and assist in coordinating medical appointments for individuals with tuberculosis who are Medicaid eligible.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 101-857-8-8410 Donations from Private Org $3,500
Revenue Increase 101-857-8-9900 Transfers from Fund Balance $975
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TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 101-857-9-3140 Small Items Equipment $4,475
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Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Cribs for Kids
2) Provide a brief (2-3 sentence) description of what this program does.
This grant enables the Health Department to purchase and distribute Pack N’Play portable cribs to low-income families who are unable to afford a crib. Ensuring every newborn has a safe sleep environment was identified as a community need in 2007 as a result of a number of infant deaths in Marathon County due to unsafe sleep environments. The service provides one-on-one health teaching to parents on safe sleep environments.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 275-326-8-2446 Oth Health Care Serv-St Grant $347
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TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 275-326-9-1110 Salaries-Permanent-Regular FT $347
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Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Radon
2) Provide a brief (2-3 sentence) description of what this program does.
Our staff operates the regional Northcentral Radon Information Center (RIC), a 12 - county consortium to educate individuals and promote testing for radon in Florence, Forest, Langlade, Marathon, Marinette, Menominee, Oconto, Oneida, Shawano, Vilas, Waupaca and Wood counties. The RIC provides radon information and test kits to individuals, private businesses, and government agencies; presentations to schools and employer-sponsored health fairs; and in addition, provides regional support to health departments in the RIC area which includes hosting training opportunities allowing RIC counties or local businesses involved in radon testing and mitigation to meet continuing education requirements.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Adjust budget to reflect actual contract amount for 2018
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 281-332-8-9900 Transfers from Fund Balance $506
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Select action Click to enter GL Account Click here to enter account description Enter amount
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Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 281-332-9-3490 Other Operating Supplies $506
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Mercury Reduction
2) Provide a brief (2-3 sentence) description of what this program does.
The program’s goal is to reduce mercury in surface water, by promoting proper disposal of mercury containing products. Funds for the program come from the City of Wausau and Town of Rib Mountain Sewage Districts.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain:
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease 283-336-9-3490 Other Operating Supplies $793
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Revenue Decrease 283-336-8-9900 Transfers from Fund Balance $793
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Local Public Health Preparedness
2) Provide a brief (2-3 sentence) description of what this program does.
The program exists to develop and maintain plans so the Marathon County Health Department, along with our partners, is prepared to respond to public health emergencies.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 291-337-8-9900 Transfers from Fund Balance $1,530
Revenue Increase 291-337-8-2446 Oth Health Care Serv-St Grant $3,970
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 291-337-9-1110 Salaries-Permanent-Regular FT $4,000
Expenditure Increase 291-337-9-2190 Other Professional Services $1,500
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Tuberculosis Dispensary 2017-2018
2) Provide a brief (2-3 sentence) description of what this program does.
The contract period is 7/1/17-6/30/18. This is money allocated through the state to reimburse the Marathon County Health Department for specific costs associated with caring for cases of TB who do not have other health insurance.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Budget amendment to reflect actual 2018 contract
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 301-343-8-2446 Oth Health Care Serv-St Grant $662
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 301-343-9-1110 Salaries-Permanent-Regular FT $662
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Radon Outreach
2) Provide a brief (2-3 sentence) description of what this program does.
Our staff operates the regional Northcentral Radon Information Center (RIC), a 12 - county consortium to educate individuals and promote testing for radon in Florence, Forest, Langlade, Marathon, Marinette, Menominee, Oconto, Oneida, Shawano, Vilas, Waupaca and Wood counties. The RIC provides radon information and test kits to individuals, private businesses, and government agencies; presentations to schools and employer-sponsored health fairs; and in addition, provides regional support to health departments in the RIC area which includes hosting training opportunities allowing RIC counties or local businesses involved in radon testing and mitigation to meet continuing education requirements.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Adjust budget to reflect actual contract amount for 2018
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 338-369-8-9900 Transfers from Fund Balance $19,378
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 338-369-9-3490 Other Operating Supplies $19,378
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Department of Natural Resources-Transient Non-Community
2) Provide a brief (2-3 sentence) description of what this program does.
The Health Department has a contract with the DNR for assuring compliance with regulations for Transient Non-Community (TNC) water systems. A TNC is a defined as a facility that serves at least 25 individuals daily for at least 60 days each year, who are not the same individuals each day. The program collects drinking water samples, conducts follow up sampling based on sample results, and inspects the sanitary condition of the well for compliance with DNR regulations for restaurants, taverns, campgrounds, parks, recreational and educational camps, and churches.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out‐of‐balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease 337‐368‐9‐2130 Accounting/Audit Fees $500
Expenditure Decrease 337‐368‐9‐2250 Telephone $172
Expenditure Decrease 337‐368‐9‐2990 Sundry Contractual Services $11,854
Expenditure Decrease 337‐368‐9‐3390 Meeting Expenses $500
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 337‐368‐9‐1110 Salaries‐Permanent‐Regular $2,477
Expenditure Increase 337‐368‐9‐2995 Computer Maint. Contract $94
Expenditure Increase 337‐368‐9‐3190 Office Supplies $300
Expenditure Increase 337‐368‐9‐3250 Registration Fees/Tuition $500
Expenditure Increase 337‐368‐9‐3321 Personal Auto Mileage $500
Expenditure Increase 337‐368‐9‐3330 Vehicle Lease/Rental $230
Expenditure Increase 337‐368‐9‐3350 Meals $100
Expenditure Increase 337‐368‐9‐3360 Lodging $240
Expenditure Increase 337‐368‐9‐3490 Other Operating Supplies $7,835
Expenditure Increase 337‐368‐9‐2190 Other Services $750
Requested By: Joan Theurer, Health Officer Date Completed: 2/21/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY
Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Children and Youth with Special Health Care Needs
2) Provide a brief (2‐3 sentence) description of what this program does.
The Children and Youth with Special Health Care Needs is a resource for parents, health care providers, local health departments, and non‐profit organizations in a 15‐county service area providing information and referral services, conducting trainings and strengthening partnerships. The Health Department serves as the fiscal lead for this Maternal & Child Health grant.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance. ☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non‐Grant Program
☒ Other. Please explain: Adjustment to reflect budget approved by State
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☒ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.) ☒ Non‐cash/In‐Kind Services: (Describe) Public Health Nurse time from local health departments within
the region served
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No. ☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? No Is a Budget Transfer Resolution Required? Yes
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 347-375-8-9900 Transfers from Fund Balance $14,992
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 347-375-9-2990 Sundry Contractual Services $14,992
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Healthy Communities Institute
2) Provide a brief (2-3 sentence) description of what this program does.
Healthy Communities Institute is a national data platform that provides a common access point for data that describes the health of Marathon County. Currently, data is housed in a number of different forms and platforms (e.g., state websites, paper reports). The data platform will support our community health assessment and improvement plans, including the LIFE Report and the 2017-2020 Marathon County Community Health Improvement Plan. The annual license is being paid through a funding partnership among health care organizations. Marathon County Health Department is serving as the Fiscal Agent.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 349-376-8-2446 Oth Health Care Serv-St Grant $438
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 349-376-9-1110 Salaries-Permanent-Regular FT $438
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Lead
2) Provide a brief (2-3 sentence) description of what this program does.
The childhood lead prevention program provides case management and health teaching to parents who have a child identified with an elevated blood lead level. In addition, an environmental lead hazard investigation is done to identify lead hazards and provide recommendations for addressing any hazards.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Adjust budget to reflect actual contract amount for 2018
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease 363-379-9-1111 Salaries-Permanent-Regular PT $3,617
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Revenue Decrease 363-379-8-2446 Oth Health Care Services $3,617
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Maternal Child Health
2) Provide a brief (2-3 sentence) description of what this program does.
Maternal and Child Health block grant funds are utilized to the support the work of Marathon County Early Years Coalition. The mission of the coalition is to ensure child and family well-being through a coordinated county-wide effort which maximizes resources, focusing on evidence-based practices and advocating for early childhood success. The coalition is made up of 30 organizations.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Adjust budget to reflect actual contract amount for 2018
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☒ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☒ Non-cash/In-Kind Services: (Describe) Public Health Nurse, Director of Family Health and
Communicable Disease, and Administrative Support time is used as match.
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 383-395-8-2446 Oth Health Care Serv-St Grnt $7,486
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 383-395-9-1110 Salaries-Permanent-Regular FT $7,486
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Prevention 2017-2018
2) Provide a brief (2-3 sentence) description of what this program does.
Prevention funds from the Centers for Disease Control (CDC) are utilized in support of the Marathon County’s goal to increase the percentage of individuals who are at a healthy weight by increasing access to fruits and vegetables and increasing physical activity.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Adjustment to reflect actual 2017-2018 contract amount
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease 397-409-9-1110 Salaries $88,804
Expenditure Decrease 397-409-9-1510 Social Security $6,795
Expenditure Decrease 397-409-9-1520 Retirement $5,951
Expenditure Decrease 397-409-9-1540 Hospital/Health Insurance $26,212
Expenditure Decrease 397-409-9-1541 Dental Insurance $376
Expenditure Decrease 397-409-9-1543 Income Continuation Insurance $340
Expenditure Decrease 397-409-9-1545 PEHP $858
Expenditure Decrease 397-409-9-1550 Life Insurance $12
TRANSER TO:
Action Account Number Account Description Amount
Revenue Decrease 397-409-8-2446 Oth Health Care Serv-St Grnt $140,153
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Community Engagement Collective Impact 2014-2017
2) Provide a brief (2-3 sentence) description of what this program does.
Money awarded to implement a pilot study on the effectiveness of utilizing “collective impact” model to address obesity in communities. The demonstration project would involve selecting a mix of strategies from the evidence-base that span various settings (e.g., schools, early childhood sites, worksites, community, and healthcare) for communities to implement and evaluate.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Remove subfund from 2018 budget as award ended in 2017
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease 397-409-9-1560 Workers Comp $3,233
Expenditure Decrease 397-409-9-1580 Unemployment Compensation $177
Expenditure Decrease 397-409-9-2250 Telephone $92
Expenditure Decrease 397-409-9-2995 Computer Maintenance Contract $493
Expenditure Decrease 397-409-9-3130 Printing $250
Expenditure Decrease 397-409-9-3140 Small Items Equipment $500
Expenditure Decrease 397-409-9-3240 Membership Dues $75
Expenditure Decrease 397-409-9-3241 Licenses & Certifications $55
TRANSER TO:
Action Account Number Account Description Amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Community Engagement Collective Impact 2014-2017
2) Provide a brief (2-3 sentence) description of what this program does.
Money awarded to implement a pilot study on the effectiveness of utilizing “collective impact” model to address obesity in communities. The demonstration project would involve selecting a mix of strategies from the evidence-base that span various settings (e.g., schools, early childhood sites, worksites, community, and healthcare) for communities to implement and evaluate.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Remove subfund from 2018 budget as award ended in 2017
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease 397-409-9-3250 Registration Fees/Tuition $1,400
Expenditure Decrease 397-409-9-3321 Personal Auto Mileage $3,000
Expenditure Decrease 397-409-9-3350 Meals $166
Expenditure Decrease 397-409-9-3360 Lodging $364
Expenditure Decrease 397-409-9-3390 Meeting Expenses $500
Expenditure Decrease 397-409-9-3480 Educational Supplies $500
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description
TRANSER TO:
Action Account Number Account Description Amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Community Engagement Collective Impact 2014-2017
2) Provide a brief (2-3 sentence) description of what this program does.
Money awarded to implement a pilot study on the effectiveness of utilizing “collective impact” model to address obesity in communities. The demonstration project would involve selecting a mix of strategies from the evidence-base that span various settings (e.g., schools, early childhood sites, worksites, community, and healthcare) for communities to implement and evaluate.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Remove subfund from 2018 budget as award ended in 2017
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 402-416-8-8410 Donations from Private Org $250,408
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 402-416-9-1110 Salaries $211,206
Expenditure Increase 402-416-9-2250 Telephone $688
Expenditure Increase 402-416-9-2990 Sundry Contractual Service $17,500
Expenditure Increase 402-416-9-2995 Computer Maint. Contract $2,000
Expenditure Increase 402-416-9-3130 Printing/Duplication $1,432
Expenditure Increase 402-416-9-3140 Small Items Equipment $3,000
Expenditure Increase 402-416-9-3190 Office Supplies $300
Expenditure Increase 402-416-9-3193 Software Supplies $1,280
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Obesity Prevention Initiative 2017-2019
2) Provide a brief (2-3 sentence) description of what this program does.
Marathon County Health Department is one of two sites in Wisconsin working collaboratively with University of WI- Madison on a project measuring the Collective Impact and Community Engagement approach to obesity prevention in the community. The program supports the work of: the Health Eating Active Living (HEAL) coalition; efforts supporting area farmers markets; creating walkable communities; and the community engaged participatory art program (known as RISEUP).
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 402-416-9-3195 Computer Supplies $1,650
Expenditure Increase 402-416-9-3240 Membership Dues $300
Expenditure Increase 402-416-9-3241 Licenses & Certifications $220
Expenditure Increase 402-416-9-3250 Registrations Fees/Tuition $2,400
Expenditure Increase 402-416-9-3321 Personal Auto Mileage $5,424
Expenditure Increase 402-416-9-3350 Meals $528
Expenditure Increase 402-416-9-3360 Lodging $1,980
Expenditure Increase 402-416-9-3390 Meeting Expenses $500
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Obesity Prevention Initiative 2017-2019
2) Provide a brief (2-3 sentence) description of what this program does.
Marathon County Health Department is one of two sites in Wisconsin working collaboratively with University of WI- Madison on a project measuring the Collective Impact and Community Engagement approach to obesity prevention in the community. The program supports the work of: the Health Eating Active Living (HEAL) coalition; efforts supporting area farmers markets; creating walkable communities; and the community engaged participatory art program (known as RISEUP).
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease 408-419-9-3490 Other Operating Supplies $8,341
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 408-419-9-1110 Salaries-Permanent-Regular FT $8,341
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
HIV Partner Services
2) Provide a brief (2-3 sentence) description of what this program does.
This money is used to assist HIV-infected persons to assess their risks, utilize needed services and inform partners about their potential risk for HIV. This money is used to serve Marathon, Portage and Wood counties.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Adjust budget to match state contract for 2018
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 411-422-8-2446 Oth Health Care Serv-St Grant $6,991
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 411-422-9-1110 Salaries-Permanent-Regular FT $6,991
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/6/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Immunization
2) Provide a brief (2-3 sentence) description of what this program does.
Immunization program goal is that 90% of children are up-to-date on their immunization by age two. Marathon County Health Department supports this goal by providing immunizations to residents who are eligible at a minimal cost and implementing a county-wide recall/reminders system, notifying parents by letter and telephone when their child is due for immunizations.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Adjust budget to reflect actual contract amount for 2018
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Health BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 486-443-8-9900 Transfers from Fund Balance $9,062
Expenditure Decrease 486-443-9-3250 Registration Fees/Tuition $35
Expenditure Decrease 486-443-9-3480 Educational Supplies $152
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Revenue Decrease 486-443-8-2500 Grants F/Oth Local Governments $3,192
Expenditure Increase 486-443-9-2420 Other Machinery/Equip Rep $150
Expenditure Increase 486-443-9-2990 Sundry Contractual Services $50
Expenditure Increase 486-443-9-3190 Office Supplies $405
Expenditure Increase 486-443-9-3321 Personal Auto Mileage $465
Expenditure Increase 486-443-9-3360 Lodging $160
Expenditure Increase 486-443-9-1210 Wages-Permanent-Regular $4,827
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Joan Theurer, Health Officer Date Completed: 2/7/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Hearing & Vision 2017-2018
2) Provide a brief (2-3 sentence) description of what this program does.
These funds allow the Health Department to continue to perform hearing and vision screening checks on school age children in Marathon County for the 2017-2018 school year. This program is subcontracted from local school districts through the Marathon County Special Education Service to MCHD. MCHD is the service provider.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☒ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out‐of‐balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Sheriff BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 101‐15888410 Donations from Private Organizations 10,000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 101‐15893480 Supplies 10,000
Select action Click to enter GL Account Enter amount
Select action Click to enter GL Account
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Kristin Williams – Administrative Services Manager Date Completed: 2/28/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Shop with A Cop 2) Provide a brief (2‐3 sentence) description of what this program does.
To provide a positive interaction between law enforcement and the community helping economically disadvantaged children shop for gifts for their families during the holiday season.
3) This program is: (Check one)
☐ An Existing Program.
☒ A New Program.
4) What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance. ☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☒ Set up Initial Budget for New Non‐Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.) ☐ Non‐cash/In‐Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No. ☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? No Is a Budget Transfer Resolution Required? Yes
MARATHON COUNTY
Request Authorization for Change in Budget / Transfer of Funds Instructions for using this form: [This form must be completed and submitted electronically.]
Email your completed form to Jill Zeinert in Finance, with a “cc” to your Department Head. Forms which are incomplete, incorrect, out of balance or have not been “cc’d” to your Department Head will be returned to the originating party.
DEPARTMENT: SHERIFF BUDGET YEAR: 2018
I, the undersigned, respectfully request that the Finance, Property & Facilities Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information:
From:
Action Account Number Account Description Amount
☐Exp Decr ☒Rev Incr 124‐98688410 Donations from Private Organizations 10,000
☐Exp Decr ☐Rev Incr
☐Exp Decr ☐Rev Incr
☐Exp Decr ☐Rev Incr
☐Exp Decr ☐Rev Incr
☐Exp Decr ☐Rev Incr
☐Exp Decr ☐Rev Incr
☐Exp Decr ☐Rev Incr
To:
Action Account Number Account Description Amount
☒Exp Incr ☐Rev Decr 124‐98692110 Medical / Dental Fees 2,000
☒Exp Incr ☐Rev Decr 124‐98692189 Professional Services ‐ Training 8,000
☐Exp Incr ☐Rev Decr
☐Exp Incr ☐Rev Decr
☐Exp Incr ☐Rev Decr
☐Exp Incr ☐Rev Decr
☐Exp Incr ☐Rev Decr
☐Exp Incr ☐Rev Decr
Requested By (Dept Head or Designee): Sheriff Scott Parks Date: 2/27/2018
Funds Available, Verified By: Date:
Authorized/Approved By Finance, Property & Facilities Committee Minutes: Date
Transfer Entered By: Date:
MARATHON COUNTY
Request Authorization for Change in Budget/Transfer of Funds—Supplemental Information NOTE: Attach this supplemental information to the original Change in Budget/Transfer of Funds form. All questions must be completed by the requesting department, or the Transfer form will be returned.
1. What is the Name of this Program/Grant? (Do NOT use abbreviations or acronyms)
K‐9 Donations / Expenses 2. Provide a brief (2‐3 sentences) description of what this program does.
Record expenses and donations for the Sheriff’s Office K‐9s
3. This Program is (check one only):
☒ An Existing Program.
☐ A New Program. 4. What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☒ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non‐Grant Program.
☐ Other. Please explain:
Click here to enter text. 5. If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of (check one):
☐ Cash (such as tax levy, user fees, donations, etc)
☐ Non‐cash/In‐Kind Services (Describe the non‐cash match below):
Click here to enter text. 6. Does this Transfer Request increase any General Ledger Account Code in the 8000’s (Capital Outlay)?
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND (check one box):
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
FOR FINANCE DEPARTMENT USE ONLY: 10% of program, appropriation unit or fund? ☐Yes ☒ No Budget Transfer Resolution Required? ☒Yes ☐ No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out‐of‐balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Sheriff BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 173‐86982423 Salary Reimbursement – State Grant 10,000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 173‐86991120 Salaries –
Permanent ‐ Overtime 2,500
Expenditure Increase 173‐86991220 Wages – Permanent – Overtime 4,000
Expenditure Increase 173‐86997998 Drug Grant – Personal Reimbursement 3,500
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Kristin Williams – Administrative Services Manager Date Completed: 3/1/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
Community Oriented Policing Services (COPS) Anti‐Heroin Task Force Program Grant 2) Provide a brief (2‐3 sentence) description of what this program does.
Wisconsin Department of Justice, Division of Criminal Investigation (DCI) will provide reimbursement to each participating County/Task Force/Agency for overtime expenses associated with the development and investigation of narcotics cases that target the illicit trafficking of opiates and heroin.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance. ☒ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non‐Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.) ☐ Non‐cash/In‐Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No. ☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? No Is a Budget Transfer Resolution Required? Yes
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out‐of‐balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Sheriff BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 223 25682351 Meal – Federal Grant Breakfast 4,000
Revenue Increase 224 25782351 Meals ‐ Federal Grant Lunch 6,000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 223 25692180 Food Services ‐ Breakfast 4,000
Expenditure Increase 224 25792180 Food Services – Lunch 6,000
Select action Click to enter GL Account
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Kristin Williams – Administrative Services Manager Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
School Breakfast Program and National School Lunch Program 2) Provide a brief (2‐3 sentence) description of what this program does.
Federal grant funds for states to provide nutritious breakfasts and lunches for school children. The Marathon County Juvenile Detention and Shelter Home receive partial reimbursements from the State of Wisconsin for food services provided at the Juvenile Facility.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance. ☒ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non‐Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.) ☐ Non‐cash/In‐Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No. ☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? No Is a Budget Transfer Resolution Required? Yes
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out‐of‐balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Sheriff BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 463 25882351 Meal – Federal Grant Breakfast 5,000
Revenue Increase 464 25982351 Meals ‐ Federal Grant Lunch 7,000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 463 25892180 Food Services ‐ Breakfast 5,000
Expenditure Increase 464 25992180 Food Services – Lunch 7,000
Select action Click to enter GL Account
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Kristin Williams – Administrative Services Manager Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
School Breakfast Program and National School Lunch Program 2) Provide a brief (2‐3 sentence) description of what this program does.
Federal grant funds for states to provide nutritious breakfasts and lunches for school children. The Marathon County Juvenile Detention and Shelter Home receive partial reimbursements from the State of Wisconsin for food services provided at the Juvenile Facility.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance. ☒ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non‐Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.) ☐ Non‐cash/In‐Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No. ☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? No Is a Budget Transfer Resolution Required? Yes
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out‐of‐balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: Sheriff BUDGET YEAR: 2018
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase 602 93888410 CIP – Buildings/Equip – Sheriff ‐ Donations 54,000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase 602 93898171 CIP – Building/Equip – Other Capital ‐ Sheriff 54,000
Select action Click to enter GL Account Enter amount
Select action Click to enter GL Account
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Kristin Williams – Administrative Services Manager Date Completed: 1/22/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
CIP – Buildings/Equipment – Sheriff Department 2) Provide a brief (2‐3 sentence) description of what this program does.
The Sheriff’s Department has been awarded two donations from area organizations to purchase the Crisis Area Response Team (C.A.R.T.) vehicles and equipment needed for the vehicles.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry‐over of Fund Balance. ☐ Increase/Decrease in Grant Funding for Existing Program.
☒ Increase/Decrease in Non‐Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non‐Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.) ☐ Non‐cash/In‐Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No. ☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? No Is a Budget Transfer Resolution Required? Yes
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease DAB DAD 9 1111 SAL/PERM/REG/PT 10000
Select action Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DAB DAE 9 1110 SAL/PERM/REG/FT 10000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW ADRC Grant
2) Provide a brief (2-3 sentence) description of what this program does.
To provide ADRC Specialist and Benefit Specialist services in Marathon, Wood, Lincoln and Langlade counties. Funds were used for DBS services rather than ADRC services. Both are allowable from the grant.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Balance ADRC/DBS programs
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase DAT DAT 8 2388 MIPPA GRANT 1
Expenditure Decrease DAT DAT 9 1250 WAGES/TEMP/REG 1448
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DAT DAT 9 3130 PRINTING 1449
Select action Click to enter GL Account Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW MIPPA GRANT
2) Provide a brief (2-3 sentence) description of what this program does.
The MIPPA grant funding is used to conduct outreach and assistance related to Medicare Savings Programs (MSPs), Medicare Part D extra help and Medicare preventive benefits.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Balance APR units
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease DDI DDI 9 1211 WAGES/PERM/REG/PT 1029
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DDI DDI 9 7190 OTHER DIRECT RELIEF 1029
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW Alzheimer’s Grant
2) Provide a brief (2-3 sentence) description of what this program does.
The Alzheimer’s Grant reimburses individuals or their caregivers for expenses related to the care of individuals diagnosed with Alzheimer’s
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Balance APR units
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase DDI DDI 8 2532 ALZHEIMERS GRANT 8293
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DDI DDI 9 7190 OTHER DIRECT RELIEF 8293
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW Alzheimer’s Grant
2) Provide a brief (2-3 sentence) description of what this program does.
The Alzheimer’s Grant reimburses individuals or their caregivers for expenses related to the care of individuals diagnosed with Alzheimer’s
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☒ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Expenditure Decrease DCF DCI 9 2180 FOOD SERVICES 30000
Expenditure Decrease DCF DCM 9 2180 FOOD SERVICES 11000
Expenditure Decrease DCF DCO 9 2180 FOOD SERVICES 1906
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Revenue Decrease DCF DCP 8 7247 ADRC CW SUPPORT MARATHON CO 19780
Revenue Decrease DCF DCF 8 7248 ADRC CW SUPPORT WOOD CO 9911
Revenue Decrease DCF DCF 8 7253 ADRC CW SUPPORT LINCOLN CO 7466
Revenue Decrease DCF DCF 8 7254 ADRC CW SUPPORT LANGLADE CO 5749
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW C 1 GRANT
2) Provide a brief (2-3 sentence) description of what this program does.
The grant and county support are used to provide meals to our older population. County support in our nutrition program was used for meals on wheels in 2017.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☒ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☒ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☒ Non-cash/In-Kind Services: (Describe) Value of volunteer hours at nutrition sites
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase DDA DDA 8 7247 ADRC CW SUPPORT MARATHON CO 19780
Revenue Increase DDA DDA 8 7248 ADRC CW SUPPORT WOOD CO 9911
Revenue Increase DDA DDA 8 7253 ADRC CW SUPPORT LINCOLN CO 7466
Revenue Increase DDA DDA 8 7254 ADRC CW SUPPORT LANGLADE CO 5749
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DDA DDG 9 1250 WAGES/TEMP/REG 5000
Expenditure Increase DDA DDD 9 2180 FOOD SERVICES 37906
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW C 2 GRANT
2) Provide a brief (2-3 sentence) description of what this program does.
The grant and county support are used to provide meals to our older population. County support in our nutrition program was used for meals on wheels in 2017.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☒ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☒ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☒ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase DDA DDA 8 2526 FAMILY CARE 27000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DDA DPD 9 2180 FOOD SERVICES 11000
Expenditure Increase DDA DDG 9 2410 MOTOR VEHICLE REPAIRS 9000
Expenditure Increase DDA DDD 9 2220 ELECTRIC 7000
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW C 2 GRANT
2) Provide a brief (2-3 sentence) description of what this program does.
Family Care funding within the Meals on Wheels program is used to provide meals to Family Care customers.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☒ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☒ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☒ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase DDL DDL 8 8410 III D DONATIONS 800
Expenditure Decrease DDL DDL 9 3250 REGISTRATION FEES 1000
Expenditure Decrease DDL DDL 9 3321 PERS AUTO MILEAGE 308
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DDL DDL 9 1211 WAGES/PERM/REG/PT 2108
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW IIID PREVENTION GRANT
2) Provide a brief (2-3 sentence) description of what this program does.
The III D Prevention grant is used to provide evidence based health promotion classes and services to our older population.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☒ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Balance APR units
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☒ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☒ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) State Alzheimers grant is allowable match for this grant
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase DAT DAT 8 2388 MIPPA GRANT 1
Expenditure Decrease DAT DAT 9 1250 WAGES/TEMP/REG 1448
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DAT DAT 9 3130 PRINTING 1449
Select action Click to enter GL Account Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW MIPPA GRANT
2) Provide a brief (2-3 sentence) description of what this program does.
The MIPPA grant funding is used to conduct outreach and assistance related to Medicare Savings Programs (MSPs), Medicare Part D extra help and Medicare preventive benefits.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☐ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☒ Other. Please explain: Balance APR units
5) If this Program is a Grant, is there a “Local Match” Requirement?
☐ This Program is not a Grant.
☒ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No
MARATHON COUNTY Budget Transfer Authorization Request Form
This form must be completed electronically and emailed to Alicia Richmond and to your Department Head. This email will confirm that your Department Head acknowledges approval of this transfer. Forms that are incomplete, incorrect, out-of-balance, or that have not been sent to your Department Head will be returned. The Finance Department will forward completed forms to the Marathon County Human Resources, Finance & Property Committee. DEPARTMENT: ADRC-CW BUDGET YEAR: 2017
TRANSER FROM:
Action Account Number Account Description Amount
Revenue Increase DEA DEA 8 8431 DONATIONS – ST JOSEPH’S 99
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
TRANSER TO:
Action Account Number Account Description Amount
Expenditure Increase DEA DEA 9 7190 OTHER DIRECT RELIEF 99
Select action Click to enter GL Account Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
Select action Click to enter GL Account Click here to enter account description Enter amount
I, the undersigned, respectfully request that the Human Resources, Finance & Property Committee approve the following change in budget / transfer of funds as discussed in the attached supplemental information.
Requested By: Steve Prell Date Completed: 1/23/2018
COMPLETED BY FINANCE DEPARTMENT:
Approved by Human Resources, Finance & Property Committee: Date Date Transferred: Date
MARATHON COUNTY Budget Transfer Authorization Request – Supplemental Information
Attach this supplemental information to the original Budget Transfer Authorization Request Form. All questions must be completed by the requesting department, or the Budget Transfer Authorization Request Form will be returned.
1) What is the name of this Program/Grant? (DO NOT use abbreviations or acronyms)
ADRC CW ST JOSEPH’S
2) Provide a brief (2-3 sentence) description of what this program does.
St Joseph’s is private foundation, funds are used to provide direct relief to caregivers of those with Alzheimers.
3) This program is: (Check one)
☒ An Existing Program.
☐ A New Program.
4) What is the reason for this budget transfer?
☐ Carry-over of Fund Balance.
☐ Increase/Decrease in Grant Funding for Existing Program.
☒ Increase/Decrease in Non-Grant Funding (such as tax levy, donations, or fees) for Existing Program.
☐ Set up Initial Budget for New Grant Program.
☐ Set up Initial Budget for New Non-Grant Program
☐ Other. Please explain: Click here to enter description
5) If this Program is a Grant, is there a “Local Match” Requirement?
☒ This Program is not a Grant.
☐ This Program is a Grant, but there is no Local Match requirement.
☐ This Program is a Grant, and there is a Local Match requirement of: (Check one)
☐ Cash (such as tax levy, user fees, donations, etc.)
☐ Non-cash/In-Kind Services: (Describe) Click here to enter description
6) Does this Transfer Request increase any General Ledger 8000 Account Codes? (Capital Outlay Accounts)
☒ No.
☐ Yes, the Amount is Less than $30,000.
☐ Yes, the Amount is $30,000 or more AND: (Check one)
☐ The capital request HAS been approved by the CIP Committee.
☐ The capital request HAS NOT been approved by the CIP Committee.
COMPLETED BY FINANCE DEPARTMENT:
Is 10% of this program appropriation unit or fund? Yes or No Is a Budget Transfer Resolution Required? Yes or No