Form Ed049F PDF Details

Form ED049F is a document used by businesses to report the sale or transfer of an ownership interest in a foreign corporation. The form is used to provide detailed information about the foreign corporation, including its name and address, as well as the name and address of the purchaser or transferee. The form must be filed within fifteen days of the sale or transfer. Penalties may apply for non-compliance.

QuestionAnswer
Form NameForm Ed049F
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesa4, a1, 10-287c-1, certifies

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ED049F Rev. 05/09

Statutory Ref.: C.G.S. Section 10-282 et seq. and Section 10-287c-1 et seq. of the Regulations of Connecticut State Agencies

STATE OF CONNECTICUT

PAGE 1 OF 2

Department of Education

 

Bureau of School Facilities

 

165 Capitol Avenue

 

Hartford CT 06106-1630

 

FINAL GRANT APPLICATION FOR A SCHOOL BUILDING PROJECT

DISTRICT NAME:

FACILITY NAME AND ADDRESS:

STATE PROJECT NUMBER:

Date project accepted as complete by applicant

____________ (Final application must be filed within

 

 

 

 

one year of this date.)

 

FINAL PROJECT FINANCING

 

FINAL PROJECT COSTS:

 

General Fund/Bonding:

 

ELIGIBLE COSTS

 

General fund - Progress payments

 

 

Architectural Design

 

 

General fund - Other

 

 

Site Acquisition

 

 

Current Bonds/Notes* (*Complete

 

Facility Purchase

 

 

Bonds Issued schedule on page 2)

 

Other professional fees

 

Future Bonds/Notes

 

 

Construction (Fully eligible)

 

 

Sub-Total General Fund/Bonding

 

 

Bonus area - School Readiness

 

 

Other Funding:

 

Bonus area - Full day K/Class size reduction

 

 

Rebates

 

 

Equipment/Furnishings

 

 

Insurance Proceeds

 

 

Eligible Costs Sub-Total

 

 

Federal/Other State Grants

 

 

 

 

 

 

 

LIMITED ELIGIBLE COSTS

 

Other Financing

 

 

Outdoor Athletic Facilities and Tennis Courts

 

 

Describe: _____________________

 

Natatorium

 

 

Sub-Total Other Funding

 

 

Eligible auditorium seating area (from Item a6)

 

 

TOTAL FINAL PROJECT FINANCING

 

**

Eligible gymnasium seating area costs

 

 

 

 

 

Limited Eligible Costs Sub-Total

 

 

ELIGIBLE AUDITORIUM SEATING

 

INELIGIBLE COSTS

 

AREA COSTS COMPUTATION:

 

Ineligible site acquisition costs

 

 

a1 Total square footage of auditorium

 

 

Ineligible facility purchase costs

 

 

a2 Square footage of seating area

 

 

Ineligible construction costs

 

 

a3 Total construction cost of auditorium

 

Ineligible bonus area-School Readiness

 

 

(excluding seats and installation)

 

 

Ineligible bonus area-Full day K/Class size

 

 

a4 Construction cost of seating area

 

Unauthorized cost increase

 

 

((Item a2 / Item a1) x Item a3)

 

 

Other ineligible costs

 

 

a5 Costs of seats and installation

 

Describe: ___________________________

 

(not included in Item a4)

 

 

Ineligible Costs Sub-Total

 

 

a6 ELIGIBLE AUDITORIUM SEATING

 

 

 

 

AREA COSTS (Item a4 + Item a5)

 

 

TOTAL FINAL PROJECT COSTS

 

**

Auditorium seating capacity

** NOTE: "TOTAL FINAL PROJECT FINANCING" MUST AGREE WITH "TOTAL FINAL PROJECT COSTS".

ED049F Rev. 05/09

 

PAGE 2 OF 2

 

 

 

 

 

State Project No. ______________________

 

 

FINAL GRANT APPLICATION FOR A SCHOOL BUILDING PROJECT

DETAIL FOR BONDS ISSUED:

 

 

Bonds or Notes: (by issue date)

 

 

 

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TOTAL BONDS ISSUED

 

*

*NOTE: "TOTAL BONDS ISSUED" MUST AGREE WITH "CURRENT BONDS/NOTES" ON PAGE 1.

CERTIFICATIONS:

The Board of Education approves as complete and accepts the school building project herein identified for public school purposes and certifies that:

a.The project has been accepted by the architect and construction management firms;

b.All change orders for this project have been approved by the State Department of Education;

c.The grant received for this project does not represent a duplication of funding and that funds received do not exceed 100% of the total cost of the project;

d.All bills for the project have been paid or funds to pay such bills are deposited in a separate escrow account;

e.The total sum noted in this application was expended for the school building project herein described;

f.Application is hereby made under provisions of Chapter 173 of the Connecticut General Statutes as amended for payment of the school building project grant due based on the completion of the project described herein, and

g.All the statements contained in this application are true and correct to the best of my knowledge and belief.

NAME OF SUPERINTENDENT

SIGNATURE

DATE

All legislative and regulatory requirements, including C.G.S. Sections 10-287(b) and 49-41, have been met in the awarding of contracts for this school building project.

NAME OF APPLICANT'S ATTORNEY

SIGNATURE

DATE