Fill - Free fillable Form 1: QuarterlyBudgetandExpenditureReportingunderCARESActSections18004(a)(1)InstitutionalPortion,18004(a)(2),and 18004(a)(3),ifapplicable (Jackson State Community College) PDF form

OMBControlNumber1840‐0849Expires4/30/2021

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Version1.3

QuarterlyBudgetandExpenditureReportingunderCARESActSections18004(a)(1)InstitutionalPortion,18004(a)(2),and

18004(a)(3),ifapplicable

InstitutionName:___________________________________________________DateofReport:______________CoveringQuarterEnding:______________

TotalAmountofFundsAwarded:Section(a)(1)InstitutionalPortion:____________Section(a)(2):____________Section(a)(3):___________FinalReport?☐

Category Amount

in(a)(1)

institutionaldollars

Amountin

(a)(2)dollars,

ifapplicable

Amountin

(a)(3)dollars,

ifapplicable

ExplanatoryNotes

Providingadditionalemergencyfinancialaidgrantstostudents.

Providingreimbursementsfortuition,housing,roomandboard,or

otherfeerefunds.

Providingtuitiondiscounts.

Coveringthecostofprovidingadditionaltechnology hardware to

students,suchaslaptopsortablets,orcoveringtheaddedcostof

technologyfees.

Providingorsubsidizingthecostsofhigh‐speedinternettostudents

orfacultytotransitiontoanonlineenvironment.

Subsidizingof

‐campushousingcostsduetodormitory closuresor

decisionstolimithousingtoonestudentperroom;subsidizing

housingcoststoreducehousingdensity;payingforhotelsorother

off‐campushousingforstudentswhoneedtobeisolated;paying

travelexpensesforstudentswhoneedtoleavecampusearlydueto

coronavirusinfectionsorcampusinterruptions.

Subsidizingfoodservicetoreducedensityineatingfacilities,to

providepre‐packagedmeals,ortoaddhourstofoodservice

operationstoaccommodatesocialdistancing.

Costsrelatedtooperatingadditionalclasssectionstoenablesocial

distancing,suchasthoseforhiringmoreinstructorsandincreasing

campushoursofoperations.

Campussafetyandoperations.





Tosupportanyelementofthecostofattendance(asdefinedunderSection472oftheHigherEducationActof1965,asamended(HEA))perSection18004(c)oftheCARESAct

andtheInterimFinalRulepublishedintheFederalRegisteronJune17,2020(85FR36494).CommunityCollegesinCalifornia,allpublicinstitutionsinWashingtonState,andall

institutionsinMassachusettshavedifferentrequirementsduetorecentU.S.DistrictCourtactions.Pleasediscusswithlegalcounsel.HEERFlitigationupdatescanbefoundhere.

Includingcostsorexpensesrelatedtothedisinfectingandcleaningofdormsandothercampusfacilities,purchasesofpersonalprotectiveequipment(PPE),purchasesof

cleaningsupplies,addingpersonneltoincreasethefrequencyofcleaning,thereconfigurationoffacilitiestopromotesocialdistancing,etc.

Jackson State Community College

09/20/2020

09/30/2020

$ 1,419,234

$ 138,311

$ 0

$ 282,958

$ 0

Primarily comprised of laptops for students,

$239,564 and audio visual carts for high

schools $43,394

$ 0

$ 72,602

$ 0

Includes expenses related to disinfecting and cleaning campus facilities, purchases of personal

protective equipment (PPE), purchases of cleaning supplies, and the reconfiguration of facilities

to promote social distancing.

OMBControlNumber1840‐0849Expires4/30/2021

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2

Version1.3

Category Amount

in(a)(1)

institutionaldollars

Amountin

(a)(2)dollars,

ifapplicable

Amountin

(a)(3)dollars,

ifapplicable

ExplanatoryNotes

Purchasing,leasing,orrentingadditionalinstructionalequipment

andsupplies(suchaslaboratoryequipmentorcomputers)toreduce

thenumberofstudentssharingequipmentorsuppliesduringa

singleclassperiodandtoprovidetimefordisinfectionbetween

uses.

Replacinglostrevenueduetoreducedenrollment.

Replacinglostrevenuefromnon‐tuitionsources(i.e., cancelled

ancillaryevents;disruptionoffoodservice,dorms,childcareorother

facilities;cancellationofuseofcampusvenuesbyother

organizations,lostparkingrevenue,etc.).



Purchasingfacultyandstafftraininginonlineinstruction; or paying

additionalfundstostaffwhoareprovidingtraininginadditionto

theirregularjobresponsibilities.

Purchasing,leasing,orrentingadditionalequipmentorsoftwareto

enabledistancelearning,orupgradingcampuswi‐fiaccessor

extendingopennetworkstoparkinglotsorpublicspaces,etc.

OtherUsesof(a)(1)InstitutionalPortion

unds.

OtherUsesof(a)(2)or(a)(3)

unds,ifapplicable.

QuarterlyExpendituresforeachProgram

TotalofQuarterlyExpenditures



Includingcontinuanceofpay(salaryandbenefits)toworkerswhowouldotherwisesupporttheworkoractivitiesofancillaryenterprises(e.g.,bookstoreworkers,foodservice

workers,venuestaff,etc.).

Pleasepostadditionaldocumentationasappropriateandbrieflyexplaininthe“ExplanatoryNotes”section.PleasenotethatcostsforSection18004(a)(1)InstitutionalPortion

fundsmayonlybeused“tocoveranycostsassociatedwithsignificantchangestothedeliveryofinstructionduetothecoronavirus,solongassuchcostsdonotinclude

paymenttocontractorsfortheprovisionofpre‐enrollmentrecruitmentactivities;endowments;orcapitaloutlaysassociatedwithfacilitiesrelatedtoathletics,sectarian

instruction,orreligiousworship.”

Pleasepostadditionaldocumentationasappropriateandbrieflyexplaininthe“ExplanatoryNotes”section.PleasenotethatcostsforSections18004(a)(2)and(a)(3)funds

mayonlybeused“todefrayexpenses,includinglostrevenue,reimbursementforexpensesalreadyincurred,technologycostsassociatedwithatransitiontodistanceeducation,

facultyandstafftrainings,payrollincurredbyinstitutionsofhighereducationandforgrantstostudentsforanycomponentofthestudent’scostofattendance(asdefined

undersection472oftheHEA),includingfood,housing,coursematerials,technology,healthcare,andchildcare.”

$ 0

$ 138,311

$ 0

Budgeted fall tuition was reduced by $862,667. Total revenue, as of

October 28, was reduced in the October Revised Budget Cycle by

$2,564,112. All of the grant was applied to lost revenue.

$ 0

$ 56,688

$ 0

As of June 30, $21,067 was paid to faculty and

$14,739 to students. Approximately $20,882 has

been paid July 2020 through September 2020.

$ 143,721

$ 0

Approximately $53.300 was provided toward distance

learning, $4,00 to upgrade campus bandwidth, $66,200 to

extend open networks to public spaces, and $20,221 to

extend communication for student service support.

$ 5,010

$4,833 represents canceled travel expenses, and

$176.31 is for signage to reinforce CDC requirements.

$ 0

$ 560,978

$ 138,311

$ 0

$ 699,289

OMBControlNumber1840‐0849Expires4/30/2021

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3

Version1.31

FormInstructions

CompletingtheForm:Oneachform,fillouttheinstitutionofhighereducation(IHEorinstitution)name,thedateofthereport,theappropriatequarterthe

reportcovers(September30,December31,March31,June30),thetotalamountoffundsawardedbytheDepartment(includingreservefundsifawarded),and

checktheboxifthereportisa“finalreport.”Inthechart,aninstitutionmustspecifytheamountofexpendedCARESActfundsforeachfundingcategory:

Sections18004(a)(1)InstitutionalPortion,18004(a)(2),and18004(a)(3),ifapplicable.Section18004(a)(2)fundsincludesCFDAs84.425J(HistoricallyBlack

CollegesandUniversities(HBCUs)),84.425K(TriballyControlledCollegesandUniversities(TCCUs)),84.425L(MinorityServingInstitutions(MSIs)),84.425M

(StrengtheningInstitutionsProgram(SIP));Section18004(a)(3)fundsareforCFDA84.425N(FundfortheImprovementofPostsecondaryEducation(FIPSE)

FormulaGrant).Eachcategoryisdeliberatelybroadandmaynotcapturespecificgrantprogramrequirements.Explanatoryfootnoteshelpclarifycertain

reportingcategories.Whilesomeitemsinthechartareblockedout,pleasenotethattheblockingofsuchitemsisconsistentwithDepartmentguidanceand

FAQsandisnotdefinitive.Providebriefexplanatorynotesforhowfundswereexpended,includingthetitleandbriefdescriptionofeachprojectoractivityin

whichfundswereexpended.Donotincludepersonallyidentifiableinformation(PII).CalculatetheamountoftheSection18004(a)(1)InstitutionalPortion

(referredtoas“(a)(1)institutional”inthechart),Section18004(a)(2)(referredtoas“(a)(2)”inthechart),andSection18004(a)(3)(referredtoas“(a)(3)”inthe

chart)fundsinthe“QuarterlyExpendituresforeachProgram”row,andthegrandtotalofallthreeinthe“TotalofQuarterlyExpenditures”row.Round

expenditurestothenearestdollar.

PostingtheForm:Thisformmustbeconspicuouslypostedontheinstitution’sprimarywebsiteonthesamepagethereportsoftheIHE’sactivitiesastothe

emergencyfinancialaidgrantstostudentsmadewithfundsfromtheIHE’sallocationunderSection18004(a)(1)oftheCARESAct(StudentAidPortion)are

posted.ItmaybepostedinanHTMLwebpageformatorasalinktoaPDF.Anewseparateformmustbepostedcoveringeachquarterlyreportingperiod

(September30,December31,March31,June30),concludingaftereither(1)postingthequarterlyreportendingSeptember30,2022or(2)whenaninstitution

hasexpendedandliquidatedall(a)(1)InstitutionalPortion,(a)(2),and(a)(3)fundsandchecksthe“finalreport”box.IHEsmustpostthisquarterlyreportformno

laterthan10daysaftertheendofeachcalendarquarter(October10,January10,April10,July10)apartfromthefirstreport,whichisdueOctober30,2020.

Forthefirstreportusingthisform,institutionsmustprovidetheircumulativeexpendituresfromthedateoftheirfirstHEERFawardthroughSeptember30,

2020.EachquarterlyreportmustbeseparatelymaintainedonanIHE’swebsiteorinaPDFdocumentlinkeddirectlyfromtheIHE’sCARESActreporting

webpage.Reportsmustbemaintainedforatleastthreeyearsafterthesubmissionofthefinalreportper2CFR§ 200.333.Anychangesorupdatesafterinitial

postingmustbeconspicuouslynotedafterinitialpostingandthedateofthechangemustbenotedinthe“DateofReport”line.

PaperworkBurdenStatement

AccordingtothePaperworkReductionActof1995(PRA),nopersonsarerequiredtorespondtoacollectionofinformationunlesssuchcollectiondisplaysavalid

OMBcontrolnumber.ThevalidOMBcontrolnumberforthisinformationcollectionis1840‐0849.Publicreportingburdenforthiscollectionofinformationis

estimatedtoaverage2hoursperresponse,includingtimeforreviewinginstructions,searchingexistingdatasources,gatheringandmaintainingthedata

needed,andcompletingandreviewingthecollectionofinformation.UnderthePRA,participantsarerequiredtorespondtothiscollectiontoobtainorretain

benefit.Ifyouhaveanycommentsconcerningtheaccuracyofthetimeestimateorsuggestionsforimprovingthisindividualcollection,orifyouhavecomments

orconcernsregardingthestatusofyourindividualform,application,orsurvey,pleasecontact:JackCox,U.S.DepartmentofEducation,400MarylandAvenue,

SW,Washington,DC20202.

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Form 1: QuarterlyBudgetandExpenditureReportingunderCARESActSections18004(a)(1)InstitutionalPortion,18004(a)(2),and 18004(a)(3),ifapplicable (Jackson State Community College)

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Fillable Form 1: QuarterlyBudgetandExpenditureReportingunderCARESActSections18004(a)(1)InstitutionalPortion,18004(a)(2),and 18004(a)(3),ifapplicable (Jackson State Community College)

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