The Grand Traverse Band of Ottawa and Chippewa Indians

2605 N. Wesc Bay Shore Drive· Peshawbestown, Ml 49682-9275 • (231) 534-nSO

December 13, 201 7

Jeffrey Barwick, Workforce Development Specialist/AOTR U.S. DOI-BIA-OIS-Division of Workforce Development 1849 C Street NW MS 4513 -MIB Washington DC 20240

Re: Financial Status Report for the period ending 9/30/2017 P.L. 102-477 OSGT474

Dear Mr. Barwick;

Enclosed please find our Financial Status Reports for the period ending September 30, 2017 from the Grand Traverse Band of Ottawa and Chippewa Indians.

I have reviewed this report and it is now ready for submission to your office.

Should your office have any questions or require any additional information, please feel free to contact me at (231) 534-7136 or email Tribal.Manager@gtbindians.com.

~ ly, ~~ ~p~ Tribal Manager

pc: Internal File 2240 email: jeffrey.barwick@bia.gov

GRAND TRAVERSE CHARLEVOIX LEELANAU BENZIE MANISTEE ANTRIM

0MB Control No. 1076-0135 Expiration Date 02/28/2018

U.S. Department of the Interior Public Law 102-477

Annual Financial Expenditure Report (Version 2)

I. Tribe/fribal Organization:

Grand Traverse Band of Ottawa & Chippewa Indians

2. Other Identifying Number Assigned by DOI:

OSGT474

3. Mailing Address: (Provide complete mailing address)

2605 N. West Bay Shore Dr., Peshawbestown, MI 49682

4. Submission: (Mark One)

0 Original 0 Revised

5. Final Report for Plan Period:

0 Yes QNo

8. Transactions: Column I:

Previously Reported

Column II: This Annual Report

Period

Column Ill: Cumulative/Total

a Total Funds Available $ 434,835.14 $ - $ 434,835.14

b. Cash Assistance Expenditures $ - $ - $ -

c. Child Care Services Expenditures $ - $ - $ -

d. Education, Employment, Training and Supportive Services Expenditures

$ - $ - $ -

i. TANF Purposes 3 and 4 (non-add) $ - $ - $ -

ii. Other TANF Assistance (non-add) $ - $ - $ -

e. Program Operations Expenditures $ 207,407.03 $ 28,235.17 $ 235,642.20

i. Child Care Quality Improvement (non-add) $ - $ - $ -

f. Administration/Indirect Cost Expenditures $ 41 ,015.91 $ - $ 41,015.91

g. Total Federal Expenditures (Sum of lines b through f) $ 248,422.94 $ 28,235.17 $ 276,658.11

h. Total Unexpended Funds $ 186,412.20 $ (28,235.17) $ 158,177.03

9. Certification: This is to certify that the information reported on all parts of this form is accurate and true to the best of my knowledge and belief and that the tribe has complied with all directly applicable statutory requirements and with those directly applicable regulatory requirements which have not been waived.

r---..

a. Si~ ~_a.(!~ ~

b. Type Name and Title

1

~

Mary Pelcher, MSA Tribal anager

c. Date Report Submitted

12/13/20 17

d. Questions regarding this report - Contact: (Type Name, Title, Phone#, and Email Address)

6. Annual Report Period:

From: 10/01/2013 To: 09/30/2016 (Month/Day/Year) (Month/Day/Year)

7. Plan Period Covered by this Report:

From: 10/01/2016 To: 09/30/2017 (Month/Day/Year) (Month/Day/Year)

0MB Control No. 1076-0135 Expiration Date 02/28/2018

U.S. Department of the Interior Public Law 102-477

Annual Financial Expenditure Report (Version 2)

1. Tribeffribal Organization:

Grand Traverse Band of Ottawa & Chippewa Indians

2. Other Identifying Number Assigned by DOI:

0SGT474

3. Mailing Address: (Provide complete mailing address)

2605 N. West Bay Shore Dr., Peshawbestown, MI 49682

4. Submission: (Mark One)

0 Original 0 Revised

5. Final Report for Plan Period:

0 Yes QNo

8. Transactions: Column I:

Previously Reported

Column II: This Annual Report

Period

Column III: Cumulative/Total

a. Total Funds Available $ - $ 103,029.05 $ 103,029.05

b. Cash Assistance Expenditures $ - $ - $ -

c. Child Care Services Expenditures $ - $ - $ -

d. Education, Employment, Training and Supportive Services Expenditures

$ - $ - $ -

i. TANF Purposes 3 and 4 (non-add) $ - $ - $ -

ii. Other TANF Assistance (non-add) $ - $ - $ -

e. Program Operations Expenditures $ - $ 51 ,744.76 $ 51,744.76

i. Child Care Quality Improvement (non-add) $ - $ - $ -

f Administration/Indirect Cost Expenditures $ - $ 13,009.29 $ 13,009.29

g. Total Federal Expenditures (Sum of lines b through f) $ - $ 64,754.05 $ 64,754.05

h. Total Unexpended Funds $ - $ 38,275.00 $ 38,275.00

9. Certification: This is to certify that the information reported on all parts of this form is accurate and true to the best ofmy knowledge and belief and that the tribe has complied with all directly applicable statutory requirements and with those directly applicable regulatory requirements which have not been waived.

a. ~ b~ )L~< . ,V(")

"-b. Type Name and Title .~ \ Mary Pelcher, MSA Tn al Manager

c. Date Report Submitted

12/13/2017

d. Questions regarding this report - Contact: (Type Name, Title, Phone#, and Email Address)

6. Annual Report Period:

From: 10/01/2016 To: 09/30/2019 (Month/Day/Year) (Month/Day/Year)

7. Plan Period Covered by this Report:

From: 10/01/2016 To: 09 /30/2017 (Month/Day/Year) (Month/Day/Year)