Aruanne

Grant Agreement number: 763952 — ESTROM — Call for proposals for action grants 2016: European citizenship rights, anti-discrimination, preventing and combating intolerance FINANCIAL STATEMENT FOR BENEFICIARY Eesti Vabariigi Kultuuriministeerium FOR REPORTING PERIOD 1 Eligible1 costs (per budget category) Receipts EU contribution Financial A. Direct C. Direct [D. Direct Income contributions E. Other F. Indirect Reimbursement Maximum EU Requested EU personnel B. Direct travel and subsistence costs costs of costs of fin. Total costs generated given by third Total receipts direct costs costs2 rate %3 contribution4 contribution costs subcontracting support] by the action parties to the beneficiaries A.1 Employees (or equivalent) E.1 Equipment A.2 Natural [D.1 Financial B.1 Travel B.2 Subsistence support] E.2 Other persons under goods and direct contract [D.2 Prizes] services and seconded persons Cost Form5 Actual Actual Actual Unit6 Actual Actual Actual Flat-rate7 f = flat-rate x g = a + b1 a b1 [b2] No Total [b2] c [d] e (a + b1 + b2 + b2 + c + h i j=h+i k l m + c + [d] + e) [d] + e + f KuM 15,387.33 2,576.32 165.00 0.00 31,256.55 3,456.96 52,842.16 0.00 0.00 0.00 95 50,200.05 50,200.05 The beneficiary/linked third party hereby confirms that: The information provided is complete, reliable and true. The costs declared are eligible (see Article 6). The costs can be substantiated by adequate records and supporting documentation that will be produced upon request or in the context of checks, reviews, audits and investigations (see Articles 12, 13 and 17). For the last reporting period: that all the receipts have been declared (see Article 5.3.3). (i) Please declare all eligible costs, even if they exceed the amounts indicated in the estimated budget (see Annex 2). Only amounts that were declared in your individual financial statements can be taken into account lateron, in order to replace other costs that are found to be ineligible. (1) See Article 6 for the eligibility conditions (2) The indirect costs claimed must be free of any amounts covered by an operating grant (received under any EU or Euratom funding programme). A beneficiary that receives an operating grant during the duration of the action cannot claim any indirect costs for the year(s) covered by the operating grant (see Article 6.2.F). (3) See Article 5.2 for the reimbursement rate. (4) This is the theoretical amount of EU contribution that the system calculates automatically (by multiplying the reimbursement rate by the total costs declared). The amount you request (in the column 'requested EU contribution') may be less. (5) See Article 5.2 for the cost forms. (6) See Annex 2a 'Additional information on the estimated budget' for the details (units, cost per unit). (7) See Article 6.2.F for the flat-rate. [--TGSMark#signature-994060075_40_395--] 1  Digitally sealed by the European Commission Date: 2018.12.03 08:08:57 CET This document is digitally sealed. The digital sealing mechanism uniquely binds the document to the modules of the Participant Portal of the European Commission, to the transaction for which it was generated and ensures its integrity and authenticity. Any attempt to modify the content will lead to a breach of the electronic seal, which can be verified at any time by clicking on the digital seal validation symbol. Commission européenne/Europese Commissie, 1049 Bruxelles/Brussel, BELGIQUE/BELGIË - Tel. +32 22991111