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<br />All onprofit corporations applying for CJD grant funds that have not previously received a CJD grant must complete this <br />qu stionnaire. Failure to comply may result in the denial of an award by CJD. <br /> <br />3.1 Organizational Information <br /> <br />1. nter the year in which the corporation was founded: <br /> <br />2. nter the date that the IRS letter granted 501 (c)(3) tax exemption status: <br />(Provide a copy of the IRS letter via fascimile.) <br />3. nter the Employer Identification Number assigned by the IRS: <br /> <br />4. nter the charter number and the date assigned by the Texas Secretary of State: <br /> <br />Ch rter Number: Date Assigned: I. <br /> <br />Supporting Documents Form <br /> <br />P T 3: NON-PROFIT FINANCIAL CAPABILITY UESTlONNAIRE <br />(T. .C. !i3.2023) <br /> <br /> <br />I <br />I <br />I <br /> <br />'."'i"',../",!....;., <br />-"'-.{: <br /> <br />I <br />~l <br />I <br />"' <br /> <br />5. I the space provided below state the purpose of the organization as stated in the Articles of Incorporation or the Bylaws: <br /> <br /> <br /> <br />6. I any member of the board is related to one another or an employee of the nonprofit corporation, in the space provided <br />bel w explain the relationship: <br /> <br /> <br />3.2 Financial Management Information <br />A. ccountin S stem <br /> <br />Th grantee organization needs to incorporate an accounting system that will track costs between direct and indirect costs <br />(ge eral ledger) as well as direct costs by project (project ledger). The grantee will also need to establish a time and <br />elf rt reporting system to track personnel costs by project. This should be reported on an hourly basis, or in increments <br />of n hour. <br /> <br />1. I there a chart of accounts? (This is a list of a <br />gra tee organization's accounts identified by a <br />sp ific number.) <br /> <br />2. oes the accounting system include a project <br />led er providing for the recording of <br />ex nditures for each program by required <br />bu et cost categories? <br /> <br />3. I there a timekeeping system that allows for <br />gra t personnel to delineate activity and also <br />req Ires the signatures of the employee and his <br />or er supervisor? <br /> <br />fI SELECT One: i1 <br />I Yes 11 <br /> <br />~ SELECT One: i] <br />I Yes I <br /> <br />fI SELECT One: i] <br /> <br />IYes , " I <br /> <br />Page 4 5 <br /> <br />If the answer is 'No', to any <br />question, explain what action will <br />be taken to ensure accountability. <br /> <br />Enter text here,,;do not exceed the <br />maximum allowed area within any of <br />text boxes: <br /> <br /> <br />Supporling Documents Fenn <br />