Spreadsheet: 056cca00-2796-49ba-94bf-d82ce73ea5e3
Sheet: Sheet1

Unnamed: 0 | Preliminary and Final Budget | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7
Activity Name and Date: Type Activity Name and Date Here
Instructions for Course Director / Coordinator:
In advance of course:
- Establish estimates for all income and expenses and enter amounts into the estimate columns (both tabs if there is commercial support)
- Review the list of grants and exhibit fees on the Commercial Support tab to ensure that it is complete and accurate
- Confirm with the CME office that all signed Letters of Agreement and Display Agreements have been received
- Acknowledge that funds have been received or payment schedule has been confirmed
Upon completion of the course:
- Fill in the "Displayed?" column on the Commercial Support tab to indicate which companies displayed at the course (include any vendors that displayed even if they were not on the original list)
- Complete this form and the final budget column referencing actual income and expenses and return it to the CME Coordinator no later than four (4) weeks after the completion of the course
 |  |  |  |  |  | Estimate | Final
ANTICIPATED INCOME:
Program Registration Fees
(Calculate fees by entering in the number of registrants and fee per registrant in each group)
 |  | Estimated # of Registrants | Final # of Registrants | Fee per Registrant
 | Physicians | 0 | 0 | 0 |  | 0 | 0
 | Non-Physicians | 0 | 0 | 0 |  | 0 | 0
Educational Support to include grants and display income
(Enter detailed Support information onto the Commercial Support tab)
 | Total Educational Grants……………………………………………………………. |  |  |  |  | 0 | 0
 | Total Display Fees……………………………………………………………………. |  |  |  |  | 0 | 0
Total INCOME: |  |  |  |  |  | 0 | 0
ANTICIPATED EXPENSES |  |  |  |  |  | Estimate | Final
Course Materials
 | Duplicating…………………………………………………………………………….. |  |  |  |  | 0 | 0
 | Syllabus / Course Handouts………………………………………………………… |  |  |  |  | 0 | 0
 | Binders, folders……………………………………………………………………….. |  |  |  |  | 0 | 0
Promotion
 | Promotional Material…………………………………………………………………. |  |  |  |  | 0 | 0
 | Design…………………………………………………………………………………. |  |  |  |  | 0 | 0
 | Print costs…………………………………………………………………………….. |  |  |  |  | 0 | 0
 | Mail list purchase…………………………………………………………………….. |  |  |  |  | 0 | 0
 | Postage……………………………………………………………………………….. |  |  |  |  | 0 | 0
Facilities
 | Meeting Room Rental………………………………………………………………… |  |  |  |  | 0 | 0
 | AV Equipment………………………………………………………………………… |  |  |  |  | 0 | 0
 | Custodial, Furniture Exhibition.……………………………………………………… |  |  |  |  | 0 | 0
Food
 | Breakfast.……………………………………………………………………………… |  |  |  |  | 0 | 0
 | [NAME]………………………………………………………………………………….. |  |  |  |  | 0 | 0
 | Breaks…………………………………………………………………………………. |  |  |  |  | 0 | 0
 | Dinner, Banquet………………………………………………………………………. |  |  |  |  | 0 | 0
 | Other Social Functions………………………………………………………………. |  |  |  |  | 0 | 0
[NAME] (Please list each separately)
 | 1.  Dr. [NAME]………………………………………………………………………. |  |  |  |  | 0 | 0
 | 2.  Dr. [NAME]………………………………………………………………….. |  |  |  |  | 0 | 0
 | 3.  Dr. [NAME]………………………………………………………………………. |  |  |  |  | 0 | 0
 | 4.  Dr. [NAME].. |  |  |  |  | 0 | 0
Expenses and Travel for Faculty (Please list each separately)
 | 1.  Dr. [NAME] only.……………………………………………………….. |  |  |  |  | 0 | 0
 | 2.  Dr. [NAME] |  |  |  |  | 0 | 0
 | 3.  Dr. [NAME] only…………………………………………………………… |  |  |  |  | 0 | 0
 | 4.  Dr. [NAME]……………………………………………………… |  |  |  |  | 0 | 0
Services
 | CME Accreditation Fee ……………………………………………………………… |  |  |  |  | 0 | 0
 | Other Credit Fees…………………………………………………………………….. |  |  |  |  | 0 | 0
 | Audio/Visual Services………………………………………………………………… |  |  |  |  | 0 | 0
 | Registration Services…………………………………………………………………. |  |  |  |  | 0 | 0
 | Evaluation Processing……………………………………………………………….. |  |  |  |  | 0 | 0
 | Marketing Services…………………………………………………………………… |  |  |  |  | 0 | 0
 | Commercial Support Processing……………………………………………………. |  |  |  |  | 0 | 0
Total EXPENSES |  |  |  |  |  | 0 | 0
Net Profit/Loss |  |  |  |  |  | 0 | 0