• Financial Reporting - Not-for-Profit Insurance Funding Program

  • 1.0 Statement of Income and Expenses

    Please complete the information below and submit using the "Submit" button at the bottom of this form

  • Fiscal Year Ending

    The day your organization starts its business year and the date it ends its business year
  • Start Date* (required)*
     - -
    2 digit month, 2 digit day, 4 digit year
  • End Date* (required)*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Income Source

    Click on the drop down to pick your income sources and enter the amount in the Income $ column
  • Income Source*

  • General Expenses

    Click the dropdown to pick your expenses and enter the amount in the Expenses $ Column
  • Expense Description*

  • 2.0 Balance Sheet

  • Assets Description (something that holds value)

    Click on the drop down to pick your assets and enter the value amount in the Assets $ Column
  • Lists of Assets*

  • Liabilites Description (what your organization owes)

    Click on the drop down to pick your liabilities and enter the value amount in the Liabilities $ column. To add more select the Add Description button.
  • Lists of Liabilities*

  • 3.0 Budget (your business year)

  • Income Budget (what your organization owes)

    Click on the drop down to pick your expected income sources and enter the value amount in the Income $ column
  • Income Budget*

  • General Expense Budget

    Click on the drop down to pick your expenses and enter the value amount in the Expenses $ column
  • Expense Description*
  • Should be Empty: