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 Waierford at three locations, Jordon Village, Waterford Town Hall,
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
I, 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 f will provide any documentation requested by the Town of Waterford to authorize
funding this request or review the appropriateness of the request.
KoanmeX Crecnetect p2fi 1 [a 20
Signature ; " Date
AA des DAY aod Awy Cecchi a |
Chimyter <I

| "Annual Financial Report —
i * punuinc OUR PROMISES ; /
: TO THE MEN AND WOMEN WHO SERVED : . an
Chapter Aaowaa’ Ceechin: Cibyter Zt pepartmentat__C
y Name & Number : Name of State
_ Located a Newb be nedaw CH. Accounting Period from july, “2 1% tojuneag, 2O2ZO-
Cash {Li ota Kemet
This Year's Grows Income/Recelpts (net vaiues are net pesmitted):
L Dues! Per Capita fromm National Headquarters - :
Forget: Me-Nat Drive Receipts .
4, Tih Sion os es ee,
§: par -ghnge Gross Receipts ~ caer a no
| Furi g Pragram (as only}
: 8. Increase in Market Value of Investments on Line. 226 during Accounting Periag a
9, Other Income (Attach ‘required scseduts) . 17S, £0 1
10, Total income (Sum oF ines 1th) (00 not inca Beginning Balance amount $ 2b64HE
This Year's Expenses /Disbursemients (nat values ara not ): 7 fo :
Th, Salaries, Payroll Taxes & Employee Benefits for Administrative Personnel Only - , rel
* (Attach required schedute) s _ e
: 12: Conventiors/Gonferences/Seminars (attach rendived schedele isting specific events and } — *
i 18. Postage & Office Supplies (Administrative and non-serwce related postage o- office Suppties) 2ZOBAFT ty
"44, Service/Charitable (Coniplete ond attuch required Service Charitable Expensas 5 1 — F
15, Forget-Me-Not Expensed (Cast of drive ony) 1¥3, ,
20. Decrease in: Market Value of Investments on Line 26 during Accounting Period
; 21, Other Expenses (Attach required schedufe)
22. Total Expenses (Sum ofuinestichuz) ¢_ (S727
| ‘Statement of Liguid Assets: '
Liquid assets are those assets which are readily convertible to cash, and do not include real or physical property such as real estate
or furniture and fixtures. If applicable, complete and attach Other Assets Schedule form (901332 - Rev. 10/13) to this report.
23. Cherking Accounts (Attoeh copy of bank statement) 5 /3 96.61 + Cash on Hand $ =§ L786 GS ;
‘ 24. Savings-Accounts (attech copy of bank stotement) Sn os 4
: 25. Certificates of Deposit (artixt copy of t or letter from k verifying value) 3479, 20 5
- 26. Market Value of Investments as of End of Accounting Period (Atzach copy of investment
aaa gi
Name of Bank(s) and Branch | i) Atbecty Gavk. serford,. ct
7" Wanes of Authortiad Signersqit Bank Avébuntls). Keats” Greve! wr
: SIGNED by audit committee (Three members), ‘SIGNED 5 SUBMITTED by Authorlzed ‘Department/Chapter 5
po Qwust noting fe Sr. Vice Comi Treas ‘, Officer: (Preferably the C Adjutant or } a
i Fi ;
BRE gy Tear Li te i tite 3 cai a i ‘¢ be
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- Tris form is required to be filed annually by the National Tonstitutisaand Bylaws Article 8, Section 8.4. Article9; Section ry 3 ahd Asie 19, -
° Section 10.2. \F gross receipts of chapter, exctiding dues per capita, art Hess than $10,000, submit teport. to state department. Gn
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| Ritale tor Yel Racor:

NOONAN CECCINI CHAPTER 21 ANNUAL REPORT 2019-2020
ITEMIZED INCOME JUSTIFICATION
| DATE -[. ss. 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
| bare [Ghexe 1 DESCRIPTION Lamour |. rota |
Postage and Office Exp (fine 13)
12/13/2019 778 Kenneth Greenwood Reimburseable - 990N filing cost $ 19.00
5/25/2020 737 US Postal Service PO Box Renewal $s 106.00
3/3/2020 785 Printer paper and printer cartridges $ 78.99
Total Postage and Office Expenses $ 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) is 500.00 | |
Other Charitable Expenses
3/5/2019 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 716 Hato industries (Forget me not flowers/posters/callection jar § 108.17
Total Forget- Me - Not Expenses § 183.17] $ 183.17
OTHER EXPENSES - Meals/Member Dinners (line item 19)
8/1/2019 771 Crown Pizza- monthly. Meeting $ 27,41
9/5/2019 773 Crown Pizza- monthly. meeting 5 27.14
10/3/2019 774 Crown Pizza- monthly. Meeting $ 27.41
11/7/2019 775 Crown Pizza- monthly. Meetin $ 27.36
12/5/2019 777 Crown Pizza- monthly. 1 $ 27.36
1/2/2020 779 Crown Pizza- monthly. meeting $ 27.36
2/7/2020 782 Crown Pizza- monthly. meeting $ 27.36
3/5/2020 784 Crown Pizza- monthly. Meeting $ 27.36
TOTAL MEALS/MEMBERS DINNERS $ 218.13 | $ 218.13
TOTAL All EXPENSES § 4,592.29