CM-09-10-190Mail to: PO Box 12516
Austin, TX 78711-2516
TEXAS STATE LIBRARY AND ARCHIVES COMMISSION
FINANCIAL STATUS REPORT
Fax: (512) 475-0185
1. Grantee Name: City of Round Rock, RR Public Library System
Address: 216 E. Main Street
City, St, Zip: Round Rock, TX 78664
Employer ID Number: 74-6017485
Approved Budget
2. Grant Number:
442-09429
3. Grant Term:
9/1/2008 to 8/31/2009
5. Period Covered by this Report:
From: (month, day, yr.) To: (month, day, yr.)
6/1/2009 8/31/2009
4. Reporting Period: (Please check the appropriate box)
a. Personnel
Final
❑ 1 st ❑ 2nd ❑ 3rd ' 4th "
6. Budget Categories
Approved Budget
Expenditures
Previously Reported
Expenditures
This Period
Cumulative Total
Expenditures
Grant Funds
Balance
a. Personnel
Date Report Submitted
9/22/2009
$0.00
$0.00
b. Fringe Benefits
$0.00
$0.00
c. Travel
$0.00
$0.00
d. Equipment / Property
$0.00
$0.00
e. Supplies /Materials
$13,031.00
$13,143.30
$13,143.30
-$112.30
f. Contractual
$9,221.00
$6,221.00
$1,959.20
$8,180.20
$1,040.80
g. Other
$0.00
$0.00
h. Total Direct Costs
$22,252.00
$6,221.00
$15,102.50
$21,323.50
$928.50
i. Indirect Costs
$0.00
$0.00
j. Total
$22,252.00
$6,221.00
$15,102.50
$21,323.50
$928.50
7. Reconciliation
Previously Reported This Period
Cumulative
a. Total Program Expenditures (Grant funds and Local funds)
b. Grantee Share of Expenditures (Local funds)
c. TSLAC Share of Expenditures (line a minus line b)
$6,221.00 $15,102.50
$0.00
$0.00
$21,323.50
$0.00
d. Total Outstanding Encumbrances (Grant funds and Local funds)
$6,221.00
$15,102.50
$21,323.50
e. Grantee Share of Outstanding Encumbrances (Local funds)
f. TSLAC Share of Outstanding Encumbrances (line d minus line e)
g. Total TSLAC Funds Received
h. Total TSLAC Expenditures (line c)
i. Balance Due or Cash on Hand (line g minus line h)
$0.00
$0.00
$0.00
$22,252.00
$21,323.50
$928.50
8. Remarks: Note any differences from the approved budget (+/- 10%). Attach additional sheets if needed.
9. Program Income -1 No ❑ Yes If yes, Funding Source and Amount
Typed or Printed Name and Title
Jim Nuse, City Manager
Telephone
512-218-7010
Sig ure of Authorized Certifying Official
Date Report Submitted
9/22/2009
t_r\c 1-09- CM Ll
TSLAC Financial Status Report Form (3/2005)
DATE: 9/22/09
SUBJECT: City Manager Approval — 9/25/09
ITEM: Consider executing the Texas State Library and Archives
Commission Financial Status Report regarding the Lone
Star Library Grant, 4th/final quarter.
Department: Library
Staff Person: Dale Ricklefs, Library Director
Funding:
Cost: $21,323.50
Source of funds: Texas State Library and Archives Commission
Background Information:
The state requires quarterly reporting for grants over $20,000. This completes the grant for FY
2008-2009.
UPDATED APRIL 2008
5/12/2009
Request for City Council/City Manager Action
0 City Council Elj City Manager
Submit completed form for all City Manager and City Council approvals.
Department Name: Library
Contact Person: Dora Owens / Dale Ricklefs
Project Mgr/Resource: Dale Ricklefs
For kilirlil4irstrati QONLY
Received: SEr 2 9 '11,09
Tag #: UV: -1 j -- tc ( j
Original Documents Received: ()
Project Name: Lone Star Library Grant
ContraCtOriVendor: Texas State Library and Archives Commission
Funding Source:
Project Coordinator: Dale Ricklefs Additional funding Source: General Fund
Assigned Attorney: JK
City Council or City Manager Approval Date:
Agenda Wording
Amount:
Account Number: 5470-100-20000- Lone Star Library Grant
10/2/2009
Consider executing the 4th/final Texas State Library and Archives Commission Financial Status Report regarding the Loan Star Library Grant
Finance Information
Is Funding Required? Yesli i] No
Q Initial Construction Contract
Construction Contract Amendment
Change Order #
EiChange in Quantity 11jUnforeseen Circumstances
Initial Professional Services Agreement
EJ Supplemental Professional Service Agreement #
J Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased
Other (Please clearly identify action on lines below)
Amount
Required for Submission of ALL City Council and City Manager Items
Project Mgr. Signature: Dale Ricklefs
Dept. Director Signature: ;(O
*City Attorney Signature:
City Manager Signature:
Date:
9/22/2009
Jf 36)°
Date: IL) / ' CI
Date: /0.1a 'c.'i
*City Attorney signature is required for all items.
REVISED 9/30/2009
LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION
Required for Submission of ALL City Council and City Manager Items
Department Name: LIBRARY
Project Mgr/Resource: DORA OWENS
ECouncil Action:
ORDINANCE
Agenda Wording
Project Name: I ONE STAR LIBRARY GRANT
Contractor/Vendor:
TEXAS STATE LIBRARY AND ARCHIVES
COMMISSION
RESOLUTION
City Manager Approval
CMA Wording
Consider executing the 4th/final Texas State Library and Archives Commission Financial Status Report regarding the Loan Star
Library Grant,
wow
Attorney Approval
Attorney
Notes/Comments
Date
7
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Updated 6/3/08