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)
ORGANIZATION NAME
Proposed Grant Period: MONTH XX, 20XX—MONTH XX, 20XX
Instructions:
e Please complete the following budget template and submit it
with your proposal.
e 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.
e If you're applying for both non-lobbying funding through Tides
Foundation and lobbying funds through The Advocacy Fund, you
need to submit separate budgets for each grant application.
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
RESIST $ $ 4,000 $ 4,000
$ $ $
$ $ $
Board Contributions $ $ 3,000 $ 3,000
Individual Contributions $ $ $
Total Revenue | $ $ $
Exp
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 (%FTE) $12,500 $37,500
Personnel Subtotal | $12,500 $37,500
Employee Benefits (Include % used to
calculate)
$3,750 (30%)
$11,250 (30%)
Total Personnel | $16,250 $48,750
Lobbying Non-lobbying
Direct Expenses (enter “0” if not
applicable)
Travel (airfare, ground travel & hotel) $ 1,000 $ 3,000
Postage and Shipping 4,000
Printing and Copying 10,000
Materials and Books 1,500
Database and Website 5,000
Direct Expenses Subtotal | $ 1,000 $ 23,500
Total Direct Expenses
(Personnel + Direct Expenses) $ 17,250 $ 72,250
Indirect Expenses (Not to exceed
10% of total direct expenses. Please 0% 7%
include the % used to calculate)
Telephone and Fax $ $ 1,500
Development/Fundraising Expenses $ $ 3,000
Professional Fees (not included above
i i $ $ 1,000
as direct expenses - i.e. accountant)
Indirect Expenses Subtotal $0 $ 5,500
Total Requested Budget (Total
Direct + Indirect Expenses) $ 17,250 $ 77,750
Summary of Request
Total Amount Requested from The Advocacy $0
Fund (lobbying activities)
Total Amount Requested from Tides Foundation $_ 30,000
(non-lobbying activities only; if not applicable, enter “0”)
Total Project Budget
Total Project Budget
(This figure includes your total request from The Advocacy Fund, Tides Foundation
and all other sources for all lobbying and non-lobbying activities)
$_95,000
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?
= How much did you receive from FADP-affiliated foundations for death
penalty-related work in 2013? In 2014? 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 2013 or 2014, please note this
and include the 2013and 2014 amounts of those grants in your figures for
each year.)
= How much are you seeking from Themis Fund (formerly FADP) -affiliated
foundations for death penalty related work for the remainder of 2014?
For 2015 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.
= 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).
= 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.
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