25% Set-Aside Worksheet
Grantee Name: ___________________________________
NSP Grant Number: _______________________________
Date of Closeout Execution: _________________________
A
100%
B
25%
1
Original Grant
2
Program Income (PI)
3
Total
4
Total Amount Grantee
Expended and has met
National Objective
towards 25% set-aside
5
Amount left to expend
to meet the 25% set-
aside for Program
Income