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Organization Name
Enter Organization Name Here
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Enter Program Name Here
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Federal ID #
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Start Date
End Date
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Budget Period
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 Enter Program/Project Name Here
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Total% ofTotal% of
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Requested ofProgramTotalOrganization Total
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Mildred's Dream FoundationBudgetBudget
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Income Sources
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Government Grants - - 0.0% - 0.0%
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Foundation and Corporate Grants - 0.0% - 0.0%
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United Way - - 0.0% - 0.0%
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Individual Donor Contributions 100,000 - 0.0% - 0.0%
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Earned Income - - 0.0% - 0.0%
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Interest Income - - 0.0% - 0.0%
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In-Kind Support - 0.0% - 0.0%
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Other Income - - 0.0% - 0.0%
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Total Income 100,000 - 0.0% - 0.0%
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Expenses (fill in your own line items here)
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 - - 0.0% - 0.0%
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Program Supplies 20,000 - 0.0% - 0.0%
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Program Director (salary) 100,000 - 0.0% - 0.0%
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Total Expenses 120,000 - 0.0% - 0.0%
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Excess of Revenue Over Expenses
 (20,000) - 0.0% - 0.0%
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Enter Footnotes Here
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A. Footnotes
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B. Funds Raised to Date (insert here or attach document)
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