Board of Finance Budget Hearing Agenda (linked)

FY22
BUDGET REQUEST
DISABLED AMERICAN
VETERANS

(~
TOWN OF WATERFORD
15 Rope Ferry Road
Waterford, CT 06385
860-442-0553
SOCIAL SERVICES GRANT FUNDING REQUEST
ORGANIZATION NAME: Disabled American Veterans Chapter 21
REQUEST DATE (FISCAL YEAR): 2021
REQUESTED AMOUNT: § 250.00
BENEFIT STATEMENT (Describe how these funds will be used)
Your donation is used to put American Flags, Grave Markers, and Purchasing Wreaths that are
placed in the Town of Waterford at three locations, Jordon Village, Waterford Town Hali,
and at the Cemetery located on the Boston Post Rd. It is also used to help Disabled American
Veterans and their Families that are in Need.
Per Town of Waterford Budget Guidelines: please attach a certified audit report of all funds
appropriated during the last completed fiscal year to your funding request.
DECLARATION
|, the requester, understand that | am requesting public funds from the Town of Waterford.
| declare that this request does not pose any potential conflict with the Town of Waterford
and | will provide any documentation requested by the Town of Waterford to authorize
funding this request or review the appropriateness of the request.
Keon Grosse j2f+9 Lae 20
Syenature Daté
FAs A DAY Ceo VAy Cecchi ay
CAA yvter ZI

DAY "Annual Financial Report
; uring OUR PROMISES . ‘
; FUL MEN AND WOMEN WHOSERVED - so
i
Chapter Moowand Cecchinst Ciogter 2h Department of __C
7. ‘Name 6 Number . Hame of State
_ - Located a Nie i ie ndon: se. Accounting Period from july, 2C'T to juneaa, 2O2ZO-
This Year's Gipgs. Income/Recelpts {net values aru eat permitted):
oh Dues Per Capita from National Headquarters
“Faget ‘Nat Brive. ve Recelots
z National F isi g Program (0 fy)
8. Increase in Market Value of investments an Line. 26 dating Accounting Period . - :
9. Other income (Attach required schedate) . . its, 6¢ 1
$ 2bE9GE
__ This Vear’s Expensas/Disbursements (nwt values aranotpenmitted): ' ” *
"1, Salaries, Payroll Taxes & Emplayee Benefits for Admit rative Personnel Only -
(Attach required sctredufe)
2: Convetlis/ConfereceSeiers (tach mad scat tng pc nso
3. Postage & Office Supplies (Administrative and ach-service related postage & offica supplies)
14. Service/Charitable (Coripiete and attuch required Service/Charitable E:
B. Forget-te- Not Expenses (Cost of drive only)
20. Decrease in-Market Value of Investments on Line 26 during Axcounting Period
21. Other € (Attorh req
us 22. Total Expenses {Sum of Lines 71 tha Z1) : ; § LS T1237
i Statement of Liquid Assets: .
Liquid assets are those assets which are readily convertible to cash, and do not include real or pirysicat property such as real estate
of furniture and fixtures. If apolicable, complete and attach Other va Schedule form (901332 - Rev. 10/13) to this report. /
: 23. Checking Accounts {Attach copy of bank statement) 5 /3 86.41 + Cash on Hand $ =S 1286 6G :
. 24, Savings-Accounts (Attach copy of honk petament) - ee 4
, 25, Certificates of Deposit (Aerict copy of bank statement or letter from fi soot esti volue} B47. 20 4
-_ 26. Market Value of Investments as of End of Accounting Period (Attach copy of investment : -
4895.9) at
Ns “Bo Tort Last ti ie ay cara ti Yt g fet
, fame of Bank(s) and Branch Lac @_Arberty Gark, ster ford ct
+ TNR Uf Authortiad Signtrsqa Bank Accountls) Kennett” Gree wane
: SIGNED by audit committee (Three: members), -_ “SIGNED & SUBMITTED by Authorized Department Chapter 5
i 7° Oust not include, C der Sr. Vice Com s \ Officer: (Preferably the C Adjutont or .
ete
1 Trencuran aoe
Ms pau’ Ye = 1
zs Alodhe“T. =e ie vt + os Pf 14 [2022
- This form is required to be filed annually by the National Tonstitutionand Bylaws Articte 8 Section 8.4. Articie9; Secon 3 3 ahd Asie: a. Ye
* Section 10.2. If gross receipts of chapter excluding dues per capita, ara fessthan 510.000, submit report: to state departmentoniy.
|_ tale tec Yo Racor

NOONAN CECCINI CHAPTER 21 ANNUAL REPORT 2019-2020
4 : ITEMIZED INCOME JUSTIFICATION
. { DATE |. DESCRIPTON AMOUNT. TOTAL
7/5/2019 _ |DUES (Per capita from National HQ} $ 1,115.00
7/5/2019 DUES (Per capita from National HQ} $ 416.50
Total Dues (line item 1) $ 1,531.50 1,531.50
Forget-Me-Not Drive (line item 2 ) § 911.50 911.50
Interest from CD (line item 6) $ 26.46 26.46
DONATIONS (OTHER INCOME (line item 9)
Noble and Joyce Palliser $ 50.00
isaeel and Raymond Greenhaigh $ 25.00
Carol and Kenneth McKenna $ 50.00
Jenneifer Hanson $ 70.00
Total Donations $ 195.00 195.00
TOTAL INCOME 2,664.46

NOONAN CECCINI CHAPTER 22 ANNUAL REPORT 2019-2020
ITEMIZED EXPENSE JUSTIFICATION
DATE [|_Check# | - __.__ DESCRIPTION | amount |. Tota
~ Postage and Office Exp (line 13)
4 12/13/2019 778 Kenneth Greenwood Reimburseable - 990N filing cost $ 19.00
—_ 5/29/2020 787 US Postal Service PO Box Renewal $ 106.00
3/3/2020 785 Printer paper and printer cartridges $ 78.99
Total Postage and Office Exp $ 203.99 | $ 203.99
SERVICE/ CHARITY EXPENSES (line 14)
SERVICE OFFICER EXPENSES
8/20/2019 772 Mileage Reimbursement (meeting at State DAV Headquarters) $ 45.00
1/14/2020 781 Mileage Reimbursement (service officer training) $ 45.00
[ 4/21/2020| 786 __ [DAV NATIONAL SERVICE OFFICE DONATION ( DAV COVID 19 RELIEF FUND) L$ 500.00 | — 4
Other Charitable
7/5/2019 770 Montville Florist Memorial Day wreaths $ 186.00
| 6/3/2020 | 788 __ [Montville Florist Memorial Day wreaths $ 210.00
TOTAL SERVICE/CHARITY EXPENSES {Line 14) § 986.00 | $ 986.00
Forget Me Not Fund Drive Expenses (line 15}
1/17/2020 780 Donation to State of CT DAV (10% of Forget-Me- Not Fund Drive) $ 75.00
11/14/2019 776 Hala Industries (Forget me not flowers/posters/collection jar § 108.17
Total Forget- Me - Not Expenses § 183.17 | $ 183.27
OTHER EXPENSES - Meals/Member Dinners (line item 19}
8/1/2019 771 Crown Pizza- monthly. Meeting $ 27.11
9/5/2019 773 Crown Pizza- monthly. meeting § 27.13
10/3/2019 774 Crown Pizza- monthly. Meeting $s 27.11
11/7/2019 TS Crown Pizza- monthly. Meeting $ 27.36
12/5/2019 TW Crown Pizza- monthly. meeting $ 27.36
1/2/2020 779 Crown Pizza- monthly. meeting $ 27,36
2/7/2020 782 Crown Pizza- monthly. meeting i$ 27.36
3/5/2020 784 Crown Pizza- monthly, Meeting $ 27.36
TOTAL MEALS/MEMBERS DINNERS $ 218.43 | $ 218.13
TOTAL All EXPENSES § 1,591.29