Table FFR 3: Recipient Share Detail - Initial

FEDERAL FINANCIAL REPORT
Recipient Share Detail
FY 2019

1. Federal Agency and Organizational Element to Which Report is Submitted

U.S. Department of Education
Division of Adult Education and Literacy

2. Federal Grant or Other Identifying Number Assigned by Federal Agency

V002A190023

OMB Control Number:
1830-0027

3. Recipient Organization
(Name and complete address including Zip code)
State of Michigan
Department of Labor and Economic Opportunity
105 W. Allegan Street
Lansing, Michigan 48933

4. Report Type

Initial

5. Project/Grant Period (mm/dd/yyyy) From: 07/01/2019 | To: 09/30/2020

6. Reporting Period (mm/dd/yyyy) From: 07/01/2019 | To: 09/30/2020

7. Cash
a. State Cash (list the name and amount of each source or funding stream)

Name	Amount
School Aid Section 107 Districts	31126639.78
Michigan Dept. of Corrections Adult Ed	12645563.97
Comm College Developmental Education and Basic Skills	12279555.00
GF/GP Exepnditures (Non HSE Testing)	185490.00
Integrated English Literacy and Civics Education	371700.00
b. Local Cash	0.00
c. Total Cash (add all rows in 7a and 7b)	56608948.75
d. Total Cash and In-Kind (add row 7c and total in box 8) (This amount must equal the amount reported in row 10j 'Total Recipient Share of Expenditures', column 10f 'Total' of the FFR.)	0.00

8. In-Kind Contributions (fairly evaluated)

9. Please explain any increases, decreases, or new cash and in-kind sources reported in Boxes 7 or 8 since the previous year.

10. Certification: By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and intent set forth in the award documents. I am aware that any false, fictitious, or fraudulent information may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 18, Section 1001)
a. Date Report Submitted (Month, Day, Year) 03/16/2021	d. Name and Title of Authorized Certifying Official
b. Telephone (Area code, number, and extension)	e. Signature of Authorized Certifying Official
c. Email Address

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Instructions

RSD Box Number	Reporting Item	Instructions
10a	Date Report Submitted (Month, Day, Year)	Enter the date the RSD is submitted to the U.S. Department of Education using the month, day, year format.
10b	Telephone (Area Code, Number and Extension)	Enter the telephone number (including area code and extension) of the individual listed in Line 10d.
10c	E-mail Address	Enter the e-mail address of the individual listed in Line 10d.
10d	Typed or Printed Name and Title of Authorized Certifying Official	Enter the name and title of the authorized certifying official.
10e	Signature of Authorized Certifying Official	The authorized certifying official must sign here.