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["   FY 2005 Allotment",{"$nulls":8},"State"]
[{"$nulls":5},"FINANCIAL STATUS REPORT"]
[{"$nulls":5},"IMLS State Programs"]
[]
[" 1.   Federal Agency and Organizational",null," 2.  Federal Grant or Other Identifying Number Assigned By Federal Agency",{"$nulls":6}," OMB Approval No.",null," Page               of"]
["      Element to which Report is submitted.",null,"                                                       EXAMPLE:    00-00-0000-00",{"$nulls":6},"3137-0056",null,"      1                1"]
["IMLS - State Program",null,null,"LS – ",{"$nulls":5}," Exp. Date:  04-30-2008",null,"Pages"]
["3.  Recipient Organization (Name and complete address, including ZIP codes"]
[]
["4.  Employer Identification Number",null,"5.  Recipient Account Number or Identifying Number",{"$nulls":4},"6.  Final Report",null,"7.        Basis"]
[{"$nulls":7},"__ Yes","__ No","          __ Cash      __ Accrual"]
["8.  Funding Grant Period  (See instructions)",{"$nulls":4},"9.  Period Covered by This Report"]
["From: (Month, Day, Year)",null,"To (Month, Day, Year)",null,null,"From: (Month, Day, Year)",null,null,null,"To: (Month, Day, Year)"]
["2004-10-01",null,"2006-09-30",null,null,"2004-10-01",null,null,null,"2006-09-30"]
[" 10.    STATE MOE"]
["    a.  Total SLAA funds expended to meet the purposes of LSTA, including the Five-Year Plan   (MOE)"]
[" 10.    STATE, LOCAL and PRIVATE MATCH"]
["    b.  (1)   SLAA funds expended specifically on the Five-Year Plan"]
["         (2)   All local or private funds expended on the Five-Year Plan"]
["         (3)   Total of b(1) and b(2)   (Match)",{"$nulls":9},0]
[" 10.    OTHER SPECIAL FUNDS"]
["    c.  All other recipient outlays not shown on lines a and b (1-3)"]
[" 10.    TOTAL"]
["    d.  Total recipient share of net outlays  (sum of lines a, b(2) and c)",{"$nulls":9},0]
[" 10.    FEDERAL SHARE"]
["    e.  Total Federal funds authorized for this funding period  (Allotment)"]
["    f.   Total unliquidated obligations  (expected to clear by Dec. 30 or later IMLS-approved date)"]
["                                                                         Enter IMLS-approved date in 11 b below"]
["    g.  Unobligated balance of Federal funds  (these funds will be deobligated)"]
["    h.   Federal share of net outlays  (e minus f and g)",{"$nulls":9},0]
[]
["    i.   TOTAL OUTLAYS   (sum of lines d and h)",{"$nulls":9},0]
[" 11.    ADMINISTRATION OF THE ACT"]
[]
["    a.  LSTA Administration costs \n         claimed by the SLAA",null,null,null,"x 4% =",0,null,"–",null,null,"=",0]
[null,null,"Allotment",null,null,"Allowable",null,null,"Actual",null,null,"Difference"]
[]
["    b.  IMLS-approved date obligations in 10 f above are expected to clear"]
[{"$nulls":8},"Date"]
["12.  Certification:     I certify to the best of my knowledge and belief that this report is correct and complete and that"]
[null,"          all outlays and unliquidated obligations are for the purposes are set forth in the award documents."]
["Typed or Printed Name and Title",{"$nulls":7},"Telephone (area code, number, extension)"]
[]
["Signature of Authorized Certifying Official",{"$nulls":7},"Date Report Submitted"]
[]
[{"$nulls":11},"IMLS   8-21-06"]
[]
["Burden Estimate and Request for Public Comments\nPublic reporting burden for this collection of information is estimated to average one hour per response, including the time for reviewing\ninstructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.\nSend comment regarding this burden estimate or any other aspect of this collection of information, including suggestion for reducing this burden,\nto the Institute of Museum and Library Services,  Chief Information Officer, 1800 M Street, NW / 9th Floor, Washington, DC 20036-5802,\nand to the Office of Management and Budget, Paperwork Reduction Project (3137-0029), Washington, DC 20503."]