Page 66 - 2021 MHA Start-up Guide
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           Use these templates as starting points for your own documentation, and customize to fit your needs
           where necessary . For more tools and resources, visit the Mobile Healthcare Association at mobilehca .org .
           BUDGET

                                                   Insert Activity Name

                                                     Insert Activity Date(s)
                 Income Category             Projected        Actual        Variance     Description/Comments
                                                      Registration Fees

            50 Participants @ $10 .00                $500 .00    $475 .00      $ (25 .00) Sliding fee visit charge
            1000 # Participants @ $50 .00        $50,000 .00    $48,500 .00    $ (1,500 .00) Paid by benefactor
            # Participants @ $                                                $   -
            Subtotal - Registration Fees          $50,500.00    $48,975.00    $ (1,525.00)
                                             Grant Support (unrestricted grants)

            Contributions                     $50,000 .00    $50,000 .00      $   -     Individual contributions
            Ongoing grant funding Grant #1   $100,000 .00    $89,000 .00    $ (11,000 .00) From United Way
            Ongoing Funding Grant #2           $150,000 .00   $150,000 .00    $   -     Healthy People Foundation
                                                                              $   -

                                                                              $   -
                                                                              $   -
                                                                              $   -
                                                                              $   -
                               Subtotal -
                    Commercial Support $300,000.00         $289,000.00    $ (11,000.00)
                                                    In-kind Contributions

                    Office space              $12,000 .00    $12,000 .00      $   -      market cost of $1000/ month
                                                                              $   -
                               Subtotal -     $12,000.00      $12,000.00
                   In-kind Contributions                                      $   -
                                                          Exhibits
             Note: please provide explantion if exhibitors will be charged different amounts; i.e., 3 ft table fee $250/day; 6 ft table fee $500/day.
                                                                              $   -
                                                                              $   -

                                                                              $   -
                                                                              $   -
                                                                              $   -
                       Subtotal - Exhibits     $   -           $   -          $   -
                                                        Other, specify

                                                                              $   -
                                                                              $   -
                       Subtotal - Other        $   -           $   -          $   -
                           Total Income       $362,500.00    $349,975.00    $12,525.00

           64                                          MOBILE HEALTH CARE PROGRAM STAR T-UP GUIDE
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