STATE SINGLE AUDIT EXEMPTION NOTIFICATION
[ORGANIZATION’S LETTERHEAD]
STATE SINGLE AUDIT
FILING EXEMPTION NOTIFICATION
Date______________
Lori Stevenson, Executive Secretary
Municipal Finance Services
Office of Policy and Management
450 Capitol Avenue MS#54MFS
Hartford, CT 06106-1379
Dear Ms. Stevenson,
This letter is to inform the Office of Policy and Management that for our fiscal year ended ______/_____/______, the total expenditures of State financial assistance were less than $300,000. Total expenditures of State financial assistance awards for all programs were $__________________.
Based on the guidelines established in C.G.S. 4-231(b), we are exempt from filing a State Single Audit for this fiscal period. If you have any questions please contact
Contact Person and Title ______________________________________________________
Name of Nonprofit/Government ________________________________________________
*Federal Employer Identification Number (FEIN): ____________________________________
Address __________________________________________________________________
________________________________________________ Zip _____________
Telephone (____)___________ Facsimile (____)____________ Email __________________
Very truly yours,
_______________________________ _____________________________
*Chief Executive Officer *Chief Financial Officer
* This form will not be accepted without a complete and accurate federal employer identification
number and the appropriate signatures.
This form may be returned to OPM by facsimile (860) 418-6493. 4-8-15
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- colorado audit exemption form 2018
- new york state ce 200 exemption form
- single audit exemption letter
- audit exemption iras
- colorado audit exemption form
- california state tax exemption calculator
- wa state garnishment exemption laws
- state overtime exemption rules
- state tax exemption nc
- massachusetts state tax exemption form
- new york state workers compensation exemption form
- audit exemption singapore