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<br /> FINANCIAL STATUS REPORT
<br /> (Long Form) .
<br /> (Follow instructions on the back)
<br /> 1., Federal Agency and Organizational Element 2. Federal Grantor Other Identifying Number Assigned OMB Approval Page of
<br /> to Which Report is Submitted By Federal Agency No.
<br /> USFWS, Division of Bird Habitat Service; NAWCA Grant 98210-2-G396 0348-0039.
<br /> pages
<br /> 3. Recipient Organization (Name and complete address, including ZIP Cade)
<br /> City of Eugene, 1820 Roosevelt Blvd., Eugene, OR, 97402
<br /> 4. Employer Identification Number 5. Recipient Amount Number or Identifying Number 8. Final Report 7. Basis
<br /> 93-6002160 1536-0031-8601 p Yes ®No O Casn ®.Accrual
<br /> 8. Funding/Grant Period (See instructions) 9. Period Covered by this Report
<br /> From: (Month, Day, Year) To: (Month, Day, Year) From: (Month, Day, Year) To: (Month, Day, Year)
<br /> 7/12/2002 11/3/2004 11/20/2003 11/3/2004
<br /> 10. Transactbns: I 1 III
<br /> Previous Re orted This Period Cumulative
<br /> a. Totaloudays 2,292,500.00 1,263,000.00 3,555,500.00
<br /> b. Refunds, rebates, etc. 0.00 0.00 ~ 0.00
<br /> c. Program income used in amordance with the deduction attemative
<br /> 0.00 .0.00 0.00
<br /> d. Net outlays (Line a, less the sum of lines b and c) 2,292,500.00 1,263,000.00 3,555,500.00
<br /> Recipient's share of net outlays, consisting of: 0.00
<br /> e. Third party QMcind) mntrilwtions
<br /> f. Other Federal awards authorized to be used to match this award 680,000.00 1,096,000.00 1,776,000.00
<br /> g. Program income used in accordance with the matching or cost
<br /> sharing alternative 0.00
<br /> h. Allotherreapientoutlaysnotshownonlinese,forg 1,043,225.00 167,000.00 1,210,225.00
<br /> i. Total recipient share of net outlays (sum oflines e, f, g and h) 1,723,225.00 1,263,000.00 2,986,225.00
<br /> j. Federal share of net outlays (line d less line i) 569,275.00 0.00 569,275.00
<br /> k. Total unliquidated obligations ~ a
<br /> ~ 0.00
<br /> I. Recipient's share of unliquidated obligations ~ Y ~
<br /> _ ;
<br /> <<,
<br /> m. Federal share of unliquidated obligations P'
<br /> 430,725.00
<br /> r.
<br /> n. Total Federal share (sum oflines% and m) ~ , 1,000,000.00
<br /> _ 4 ii
<br /> o. TotalFederalfundsauthorizedforthisfundingperiod ~ E 1,000,000.00
<br /> p. Unobligated balance of Federal funds (Line o minus line n) ~ ? 0.00
<br /> a
<br /> Program income, consisting of: ' ~
<br /> ~ E
<br /> q. Disbursed program income shown on lines candor g above it_',r~ -r 0.00
<br /> r. Disbursed program Income using the addition alternative- ~~r '
<br /> r~ 0.00
<br /> s. Undisbursed program income : s:
<br /> + nom' : ; - r 430,725.00
<br /> t. Total program income realized (Sum oflines q, rand s)
<br /> 430,725.00
<br /> a. Type of Rate (Place '7C" in appropriate box)
<br /> 11. Indirect ~ Provisional Q Predetermined Q Final Q Fixed
<br /> Expense b. Rate c. Base d. Total Amount e. Federal Share
<br /> 12. Remarks: Attach any explanations deemed necessary of information required by Federal sponsoring agency in compliance with
<br /> governing legislation.
<br /> 13. Cert~cation: I certify to the best of my knowledge and belief that this report Is correct and complete and that all outlays and
<br /> unii uidated obli ations are for the u osea set forth in the award documents.
<br /> Typedjor~Printed Name and TiBe t Telephone (Area code, num/ber and extensizonl)c~
<br /> L 1"I G l~- b t~ " ~4i~' n /"r^ lya•.- ~Gt
<br /> Sa.~ ~J tf` C~ ~.2.- '-7 3
<br /> Signature Authorized Certifyin Offs ' I Date Report Submitted
<br /> ,R,J, ~ November 3, 2004
<br /> Previous EdiBon Usable 289-104 Standard Form 289 (Rev. 7-97)
<br /> NSN 7540-01-012-4285 Prescribed by OMB Circulars A-102 and A-110
<br /> 200-498 P.0.139 (Face)
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