TIDES
Po Box 29903 @ San Francisco, CA # 94129-0903
Tel: 415.561.6400 @ Fax: 415.561.6401
deathpenalty@tides.org
Budget Template for Death Penalty Mobilization Fund (DPMF)
Virginians for Alternatives to the Death Penalty
Proposed Grant Period: November 1, 2015 - October 31, 2016
Instructions:
* Please complete the following budget template and submit it with your
proposal.
* Please feel free to add additional lines as appropriate to accurately reflect
your financial information.
¢ The amount committed or requested for project revenue should be the
amount for non-lobbying activity only.
Revenue
(Note whether each source of income has been committed, or has been/will be requested.)
Committed Requested Total
Foundation Sources (list all)*
Tides DPMF $ $ 40,000 $40,000
$ $ $
$ $ $
$ $ $
Board Contributions $ $ 3,000 $ 3,000
Individual Contributions $ $ 37,000 $37,000
Major Donors $ $15,000 $15,000
Faith Communities $ 1,000 $ 9,000 $10,000
In-Kind $ $ $
Other (please specify) $ $ $
Total Revenue | $ 1,000 $104,000 $105,000
Expenses
Personnel:
Salaries (Staff-the positions listed below are for illustration purposes only. Please list only staff
working on the project, whether they are full time or part time, and the % of their time spent on the
project)
Lobbying Non-lobbying
Executive Director (100% FTE) $ 5,000 $47,000
VADP Lobbyist (contract) $ 7,000 $ 0
Mental Health Lobbyist (contract) $17,000 $ 0
Personnel Subtotal | $ $47,000
FICA (6.2%) $ 310 $ 2,914
MEDC (1.45%) $ 73 $ 682
Total Personnel | $ 29,383 $50,596
Lobbying Non-lobbying
Direct Expenses (enter “0” if not applicable)
Travel (airfare, ground travel & hotel) $ 1,000 $ 7,000
Professional Fees (researchers, consultants) $ 0 $
Postage and Shipping $ 0 $ 2,000
Printing and Copying $ 0 $ 6,000
Materials and Books $ 0 $ 1,000
Media (If you have any paid media, please list $ 0 $ 0
expenses)
Polling $ $ 0
Rally (permits, equipment) $ 0 $ 0
Other (please describe)
— Database & website hosting $ 600 $ 1,900
Direct Expenses Subtotal | $ $
Total Direct Expenses $ 1,600 $17,900
(Personnel + Direct Expenses)
Indirect Expenses
(Not to exceed 10% of total direct expenses.
Please include the % used to calculate)
Rent $ 0 $ 0
Utilities $ 0 $ 0
Telephone and Fax $ 0 $ 500
Development/Fundraising Expenses $ 0 $ 3.500
Professional F
ro! fessional ‘ees ; $ 0 $ 1,500
IT consultant services
— Accountant § o § :o00
P $ 0 $ 900
— Payroll processing
Other Indirect Expenses (please describe) $ 0 $ 0
Indirect Expenses Subtotal $ 0 $ 7,000
Total Requested Budget (Total Direct +
Indirect Expenses) $30,983 $74,496
Summary of Request
Total Amount Requested from Tides Foundation (non-lobbying
activities only; if not applicable, enter “0”) $ 40,000
Total Project Budget
Total Project Budget
(This figure includes your total request from Tides Foundation and all other sources for all lobbying
and non-lobbying activities)
$105,479
Additional financial information:
The following answers should be submitted in narrative form. Please answer ALL of
the following questions directly on this sheet:
= Of your organizational budget, how much is for death penalty-related work?
100% of the VADP budget is for death penalty abolition work.
= How much did you receive from FADP-affiliated foundations for death penalty-related
work in 2014? In 2015? Please use the Grants Committed Chart to list the foundations
and the respective amounts. (Note: If you were awarded multi-year grants from FADP-
affiliated foundations prior to 2013 that included payouts or carried into 2014, please
note this and include the 2014 amounts of those grants in your figures for each year.)
VADP received $30,000 in 2015 from FADP-affiliated foundations for death
penalty related work. We received no funding in 2013 or 2014.
How much are you seeking from Themis Fund-affiliated foundations for death penalty
related work for the remainder of 2015? 2016 work? If this amount represents an
increase from the prior year, is that because (a) you hope to expand your death penalty-
related work? (b) the increase is a replacement for other grants/donations that you no
longer expect to receive? Or (c) some other reason. Please explain.
VADP is seeking $40,000 in funding from Themis Fund-affiliated foundations
for its death penalty abolition work for the remainder of 2015 and through
October 2016. This is the same amount that VADP requested last year.
How much of your total budget do you receive from non-FADP/Themis Fund related
sources? (Please list funding sources of $10,000 or more).
VADP receives approximately 69% of its funding for the current 2015 budget
year from non-FADP/Themis related sources. None of those sources
contribute $10,000 or more to VADP. In the 2013 and 2014 budget years
100% of its funding came from non-FADP/Themis related sources.
When do you anticipate needing this funding? Please provide relevant information in
terms of both notification and cash flow. (NOTE: while notification for all LOIs is
planned for late September, if you plan on needing funding prior to November, please
indicate this in a cover note with your LOI. While we can provide no assurances at this
time that funding will be available for any specific organization nor on any timeline, if
we are alerted to pressing needs we might be able to respond in a more timely manner.
VADP antici ding the req d funds by N ber 1, 2015.
