ABCDE
1
EXPENSES
2
Expenses include materials and services that you will be spending money on to complete your project. Please note whether part or all of each expense is included in your request for funding from FCA.
** Note: the numbers below were chosen for the purpose of easy math. They are not to be used as a guideline for appropriate payment. **
3
TypeDescriptionFCA Request?Full AmountAmount Requested
4
MaterialsLumberNo$600.00
5
MaterialsSteelNo$450.00
6
MaterialsDry WallNo$550.00
7
MaterialsGlassNo$450.00
8
9
LaborInstallation Assistant: $30/hour x 16 hoursYes$480.00$480.00
10
11
ShippingFrom Chicago to NYCYes$700.00$700.00
12
13
TravelRound Trip airfaire Chicago <-> NYCYes$550.00$550.00
14
TravelFood: $50/dayNo$150.00
15
TravelLocal transporation: subway and cabsNo$60.00
16
17
Artist FeesArtist FeePartial$1,200.00$500.00
18
19
20
21
22
$5,190.00$2,230.00
23
24
INCOME - Earned and Contributed
25
Earned and contributed income includes sources of revenue for your project, such as ticket sales or commission fees. Income does not mean that you are operating for profit. All projects have both income and expenses. Note whether the source of income is confirmed or pending.
26
SourceDescriptionConfirmed/
Pending?		Amount
27
CommissionFee from venueConfirmed$1,000.00
28
Personal FundsConfirmed$1,510.00
29
30
31
32
33
34
35
$2,510.00
36
37
INCOME - In-Kind Donations (Does not factor in grant request)
38
In-kind donations include materials or services that are given to you at no or reduced cost, when you might otherwise have to pay for them. Do not include line items donated in-kind in the Expenses section above.
39
TypeDescriptionConfirmed/
Pending		Est. Value
40
TravelAccomodations 3 nights @ $150/nightConfirmed$450.00
41
42
43
44
45
46
$450.00
47
48
FCA Request:Eligible. Request in $500-$3,000 range.$2,230.00