NEW FUND AGREEMENT FORM
Budget & Planning
FISCAL YEAR EFFECTIVE
DATE
EXPIRATION
DATE
FUND TITLE
DEPARTMENT TO BE USED WITH NEW FUND
Note: All Funds are subject to bi-annual renewals. The minimum revenue threshold for
a
new fund
is
$500.00 per year
(exceptions
allowed on
a
case by case basis). Also, attach any additional documents related to fund set-up
.
1. PURPOSE (DESCRIBE PURPOSE OF FUND)
2. SOURCE OF FUNDS (SPECIFY SOURCE OF FUNDS)
3. TYPES OF EXPENDITURES (DESCRIBE THE TYPE(S) OF EXPENDITURES PERMITTED FROM THIS FUND)
4. AGREEMENTS, RESTRICTIONS, REPORTING REQUIREMENTS (ATTACH SUPPORTING DOCUMENTATION, IF APPROPRIATE)
5.
EXPECTED
DURATION/TIME
CONSTRAINTS
(PLEASE
INDICATE
END
DATE
OR
"INDEFINITE")
6. DISPOSITION
OF
FUNDS
AT
TERMINATION
OF
PROJECT/INSTRUCTIONS
FOR
CLOSING
THIS
ACCOUNT
7. PLANNED USE OF FUND
BALANCE
AUTHORIZED APPROVAL SIGNATURES
PRINTED
NAME
SIGNATURE
DATE
Project
Coordinator
Division Budget
Officer
Division Vice President
By
checking
this
box,
the
above noted signatories certify they have read and agree
to all
financial requirements
for
this fund agreement.
They
confirm that any
expenditure
activity authorized by the authorized signer(s) noted above will conform to California State University Channel
Islands
and
CSU Trustee
policy, specifically Trust Fund
Projects, and follow sound budgetary and fiscal
practices.
PROJECTED BUDGET - CURRENT FISCAL YEAR
PROJECTED REVENUES
(if applicable, current fee level
$ _____________ )
Project
Beginning
Balance
Revenue
from
Students
Revenue from Outside
entities
Other (Please
Specify)
Amounts
($)
TOTAL PROJECTED REVENUES
PROJECTED EXPENSES
Personal
Services
Operating Expense and
Equipment
Travel
Financial Services
Fee
Other (Please
Specify)
TOTAL PROJECTED EXPENESES
PROJECTED NET FUND BALANCE AT FISCAL YEAR
END
BUDGET & PLANNING USE
ONLY
PRINTED NAME
DATE
Budget & Planning Approval
Effective
Date
Admin Fee
%
Fund Assigned FNAT Key
Form Revised February 2017