Finance and Administration • Office of Accounting Services • Sponsored Program Accounting
240 T
homas Boyd Hall • Baton Rouge, LA 70803 • P 225-578-5337 • F 225-578-7217
REV 6/26/18
REQUEST TO ESTABLISH COST SHARING GRANT | LSU FOUNDATION AS853
The award statement of work MUST be attached to this form to obtain Foundation approval.
The LSU Foundation will establish a separate project ID for the cost sharing below to be spent ONLY on this award. No basic gift will be
created for this project ID. All spending will occur on the grant established expressly for this cost sharing.
The time period and amount should be entered for ALL years of the award. This form will serve as approval of the commitment for the
life of the award even though the cost sharing may be documented in multiple fiscal years.
The amount should not contain the portion of the cost sharing commitment considered Paper Entries (i.e., F&A, unrecovered F&A, etc.).
If salary or graduate assistant pay is charged to the cost sharing grant, the associated fringe benefits and tuition remission will also be
charged at the current rates.
Award Information
Award Number
Check this box to indicate that this cost sharing grant is requested as a tentative grant. By checking this box, the department is indicating
that they are responsible for all charges if the agreement is not fully executed or if charges are incurred prior to the established begin date.
They are further confirming that only charges for the company associated with the award will be charged to this grant.
Source of Funds
The approval of a department head or cost center manager for EACH department committing cost sharing to this award should be reflected below.
Source of Funds* Amount Dept. Signature Approval Printed Name Date
*(i.e., Foundation Project ID)
Cost Sharing Project ID
(for LSU Foundation use only)
Approvals
As the Principal Investigator, I will assure that the cost sharing required by the referenced award has been committed and properly
documented in the proper award lines/grants. Furthermore, I will inform SPA immediately of any changes affecting cost sharing on this
agreement. I understand that the above information will enable SPA to monitor my cost sharing but it is my responsibility to assure that
the required cost sharing has been committed and properly documented.
Principal Investigator Approval
The LSU Foundation certifies that the amount(s) listed above will be held in the cost sharing project ID(s) indicated above for the duration
of the award period which is subject to change. The LSU Foundation will ONLY distribute these funds based on invoices received from
Sponsored Program Accounting. Should additional funds be required as part of this cost sharing, the LSU Foundation will require a new
AS583 form to add the additional funds to this project ID.
Sponsored Program Accounting (for internal use only)
Cost Sharing | Foundation
LSU_____ Grants Fringe ______%
LSU_____ Grants TR ______%
Routing
Department → LSU Foundation → SPA
Louisiana State University
Office of Accounting Services
Sponsored Program gam Accountin
240 Thomas Boyd Hall
