1ANC QUARTERLY REPORT OF FINANCIAL ACTIVITY

Quarterly Report Period Covered Quarter 4 2010- July thru September ANC 4C Summary of Receipts and Disbursements: Checking Account
Balance Forward (from Ending Balance of Previous Quarterly Report) Receipts: District Allotment(s) Interest Income Other Deposits Transfer(s) from Savings Account Total Receipts Total Funds Available Disbursements: 1. 2. 3. 4. 5. 6. 7. 8. 9. Net Salary and Wages $ ___________ Workers Compensation $ ___________ Insurance: a. Health $ ___________ b. Casualty/Property $ ___________ Total Federal Wage Taxes $ ___________ State (DC, MD, VA) Wage Taxes Paid $ ___________ Unemployment Insurance Contributions $ ___________ Tax Penalties Paid $ ___________ Local Transportation $ ___________ Office Rent $ ___________ Telephone Services $ 654.10 Postage and Delivery $ ___________ Utilities $ ___________ Printing and Copying $ 100.70 Flyer Distribution $ 384.00 Purchase of Service $ 8,815.04 Office Supplies $ 126.43 Office Equipment a. Rental $ ___________ b. Purchase $ ___________ Grants $ 14, 593.01 Training $ ___________ Petty Cash Reimbursement $ ___________ Transfer(s) to Savings Account $ ___________ Bank Charges $ ___________ Other (Attach a detailed fully-supported explanation) $ 57.11 Total Disbursements Ending Balance: (Should Agree with Checkbook Balance at End of Quarter)
Approval Date By Commission: ________________ _______________________ Treasurer ________________________ Chairperson _______________________ Secretary

$ 21,843.19

$0 $0 $ 8.36 $ 20,000 $ 20,008.36 $ 20,008.36 + 21, 843.19 $ 41,851.55

10.
11. 12.

13. 14. 15. 16.

17.

18.
19. 20. 21. 22.

23.

$ 24,730.80 $ 17, 120.75

Secretary Certification ____________________________

Date ________________

I hereby certify that the above noted quarterly financial report has been approved by a majority of Commissioners during a public meeting in hich there existed a quorum.

1Please list each check issued this quarter, including voided checks, and attach copies of your bank statements, back and front of
canceled checks, receipts/invoices, contracts, agreements, grant request letters, minutes, and any other documentation that supports the disbursements listed herein. Failure to submit copies of appropriate supporting documentation will result in disallowance of the related disbursement. Check # 2471 2472 2473 2474 2475 2476 2477 2478 2479 2480 2481 2482 2483 2484 2485 2486 2487 2488 2489 2490 2491 2492 2493 2494 Date 7-13 7-13 7-13 7-13 7-13 7-13 7-13 7-13 7-13 7-13 7-13 8-10 8-10 8-10 8-10 8-10 8-10 8-10 8-10 8-10 8-10 8-10 8-10 9-16 Payee Marshall Hollman Deborah Parker El Torogoz Verizon Deborah Parker The Current Newspaper GNOSOPHIA VOID Anchored Production Jeff Greene c/o UNTS Cease Fire DPR Michael Yates Reimburs. Anchored Production El Torogoz Verizon Georgia Ave. Collaborative GNOSOPHIA Northwest Current Basecamp 4100 GA Tenants Assoc. Phyllis McKeiver Deborah Parker Marshall Hollman Amount 96.00 820.00 100.00 252.66 89.34 208.12 600.00 VOID 600.00 2996.46 3000.00 140.00 970.00 600.00 100.00 257.66 1193.00 570.00 208.12 970.00 1940.00 2999.00 692.00 192.00 Expense Category # 14 15 15 10 16 15 15 VOID 15 18 18 15 15 15 15 10 18 15 15 15 18 18 15 14 Purpose of Expenditure Flyer Distribution Staff Assistant Meeting Refreshments Verizon Bill Office Supplies July Newsletter July Newsletter VOID Meeting Audio Median Grant Boxing Grant Application Fee July Newsletter Meeting Audio Meeting Refreshments Verizon Bill Block Party Grant August Newsletter August Newsletter August Newsletter Back to School Grant Back to School Grant Staff Assistant Flyer Distribution Date Approved (1) Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted

(1) If ongoing operating expense, indicate Budget and date budget was approved. If not included in approved budget, indicate date Commission approved the expenditure.

Office of the District of Columbia Auditor: Revised January 2003

(DCA Form ANCQR3)

1Please list each check issued this quarter, including voided checks, and attach copies of your bank statements, back and front of

canceled checks, receipts/invoices, contracts, agreements, grant request letters, minutes, and any other documentation that supports the disbursements listed herein. Failure to submit copies of appropriate supporting documentation will result in disallowance of the related disbursement. Check # 2495 2496 2497 2498 2499 2500 2501 2502 2503 2504 2505 Date 9-16 9-16 9-16 9-16 9-16 9-16 9-16 9-16 9-16 9-16 9-16 Payee Shanel Anthony Reimurs. Marshall Hollman El Torogoz Deborah Parker Deborah Parker 19th Street Baptist Church Verizon GNOSOPHIA Timothy Jones Fresh Off The Roast Anchored Production Amount 100.70 96.00 100.00 910.00 37.09 2464.55 144.19 585.00 57.11 41.80 600.00 Expense Category # 13 14 15 15 16 18 10 15 23 15 15 Purpose of Expenditure Copies Flyer Distribution Meeting Refreshment Staff Assistant Office supplies Health fair grant Verizon Bill September Newsletter Permit Fee Meeting Refreshment Meeting Audio Date Approved (1) Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted Budgeted

(1) If ongoing operating expense, indicate Budget and date budget was approved. If not included in approved budget, indicate date Commission approved the expenditure.

Office of the District of Columbia Auditor: Revised January 2003

(DCA Form ANCQR3)

1 SAVINGS ACCOUNT
Balance Forward: Receipts: Transfer(s) From Checking Account Other (Interest Earnings, etc.) Total Receipts Total Funds Available: Disbursements: Transfer(s) to Checking Other Total Disbursements Ending Balance: CHECKING AND SAVINGS ACCOUNT DEPOSITS
Please list each deposit made this quarter into the ANCs checking and savings account

$ 67,541.71

$0 $ 24.71 $ 24.71

$ 67,566.42

$20,000 $0

$ 20,000 $ 47,566.42

Deposits to Checking Account

(Include transfers from savings account)

Date 8/31/10 9/21/10

Amount $8.36 $20,000 Grant difference

Source

Savings account transfer

Deposits to Savings Account (Include transfers from checking account)

Date

Amount

Source