Instructions for Completing the Nonprofit Food Service Financial Report (PI-1463)

for Independent Centers

Presented by: Cari Ann Muggenburg,Community Nutrition Program Auditor

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Annual Nonprofit Food Service Financial Report (NPFS)

Required for all For-profit, Non-profit, and Public sites operating only ONE center on the food program.

Reports how much it cost your agency to operate the Child and Adult Care Food Program over the past program year and how your agency funded the program.

Form and Instructions can be found on DPI website – Guidance Memo #11– Link found on this presentation

Due to DPI on November 1st

– E-mail, fax or regular mail

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Completing the Nonprofit Food Service Financial Report (NPFS)

Tools you will need to complete the nonprofit food service financial report:– General ledger, check register, accounting records, receipts

that outline the food program costs. – Copies of the DPI “Participation Reimbursement Information”

page that is printed each month as confirmation page for online claim submissions. You will need this for each month of the corresponding reporting year (October – September).

– Copy of CACFP budget (found in DPI approved online application).

– NPFS reporting form (PI-1463).

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Sample - DPI Reimbursement Information

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Sample - DPI Budget Form

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NPFS (PI-1463) Form

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Completing the Nonprofit Food Service Financial Report (NPFS)

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Completing the Nonprofit Food Service Financial Report (NPFS)

Report only actual food program costs. – Supported with documentation

Receipts, invoices, timesheets, payroll records, etc.– Only CACFP % (for shared costs)– Only report for time period of participation. For example, if

started in June, report only June through September expenses.

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Completing the Nonprofit Food Service Financial Report (NPFS)

Reminders for Reporting Income:– CACFP revenue should be reported using the accrual method

(as earned, not received).– Additional program income must be reported (e.g. interest

income, rebates)– Additional non-program income must be reported – Total Costs less Program income = non-program income

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0

Sample of Completed NPFS Report

12 1301-2345

Lil’ Day Care

123 Main Street Friendship, WI 53934

30,000

0

4,200

11,544

45,744

6,000

3,250

14,944

21,550

45.744

0

34,200

Diff

ere

nc

e

10/5/13

Tuition

SAMPLE

Gas for grocery shopping, vended meals, new fridge

Buddy Ann HolmgrenBuddy Ann Holmgren, Authorized Rep.

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Completing the Nonprofit Food Service Financial Report (NPFS)

REMINDERS: Report only actual food program costs

– Supported with documentation. CACFP income reported using the accrual method

– Include additional program income. – Include additional non-program income.

Agreement Number, Reporting Period, Agency Name and Address

Signed and dated by Authorized Representative (AR)– E-mail the same as signature and must come from AR.

Retain a copy with your support documentation in your files.

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Financial Management Resources

Guidance Memo 11– State agency Financial Management policy for participants in the

Child and Adult Care Food Program– Websites: http://dpi.wi.gov/community-nutrition/cacfp/child-care/memos

(for child care) http://dpi.wi.gov/community-nutrition/cacfp/adult-care/memos (for adult care)

FNS Instruction 796-2 (rev. 4)– Abbreviated version – User Friendly– Available Electronically

7 CFR 226 and 2 CFR 200 Cari Ann Muggenburg

– Phone: 608-264-9551– E-mail: cari.muggenburg@dpi.wi.gov

Instructions for Completing the Nonprofit Food Service Financial Report (PI-1463)

for Independent Centers

Presented by: Cari Ann Muggenburg,Community Nutrition Program Auditor