EXHIBIT J Financial Reports of Actual Expenses and Income.xlsx

XLSX spreadsheet 40 KB Posted

Attached to
RFP 27-08 VISITOR ASSISTANCE PROGRAM (VAP) MAUI COUNTY
Solicitation number
P27000480
Issued by
Maui County, Hawaii

About this file

This is a Quarterly Financial Report template (Exhibit J) for the Hawaii Tourism Authority (HTA) that establishes the reporting framework for contractors engaged in state-funded visitor assistance programs. The document provides standardized templates for quarterly financial reporting covering the fiscal period from July 1, 2026 through December 31, 2027, with separate templates for Q1 FY2027 (July 1 – September 30, 2026), Q2 FY2027 (October 1 – December 31, 2026), Q3 FY2027 (January 1 – March 31, 2027), Q4 FY2027 (April 1 – June 30, 2027), Q1 FY2028 (July 1 – September 30, 2027), and Q2 FY2028 (October 1 – December 31, 2027), culminating in a final comprehensive financial report covering the entire contract period. Each template requires contractors to track and report actual expenses and income across two primary budget categories: Administrative and Operations, with separate columns for HTA Award funding, Other funding sources, and In-Kind contributions.

The reporting structure requires contractors to certify that all financial statements accurately represent expenses and income related to their contract with the HTA and that state funds have been expended in accordance with contract provisions and the approved budget. All templates contain identical line items with zero dollar placeholders, indicating these are blank templates awaiting population with actual financial data during contract execution. The templates include signature blocks for organizational/contractor authorization, project title identification, and certification of compliance with contract terms, though no specific funding amounts, pricing terms, or contract award details are populated in this template document.

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Text version

Q1 FY2027 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:July 1, 2026 - September 30, 2026
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q2 FY2027 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:October 1, 2026 - December 31, 2026
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q3 FY2027 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:January 1, 2027 - March 31, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q4 FY2027 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:April 1, 2027 - June 30, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q1 FY2028 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:July 1, 2027 - September 30, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q2 FY2028 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:October 1, 2027 - December 31, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Final Report Template

EXHIBIT J: FINAL FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:July 1, 2026 - December 31, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this final report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

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