Fill - Free fillable Form 1: QuarterlyBudgetandExpenditureReportingforHEERFI,II,andIII(a)(1)InstitutionalPortion,(a)(2),and(a)(3),ifapplicable (NHTI

OMBControlNumber1840‐0849Expires3/31/2024

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1

QuarterlyBudgetandExpenditureReportingforHEERFI,II,andIII(a)(1)InstitutionalPortion,(a)(2),and(a)(3),ifapplicable

InstitutionName:___________________________________________________DateofReport:______________CoveringQuarterEnding:______________

PR/AwardNumber(s):P425F_________P425J_________P425K:_________P425L_________P425M:_________P425N:________

TotalAmountofFundsAwarded:Section(a)(1)InstitutionalPortion:____________Section(a)(2):____________Section(a)(3):___________FinalReport?☐

Category Amount

in(a)(1)

institutionaldollars

Amountin

(a)(2)dollars,

ifapplicable

Amountin

(a)(3)dollars,

ifapplicable

ExplanatoryNotes

Providingadditionalemergencyfinancialaidgrantstostudents.

Providingreimbursementsfortuition,housing,roomandboard,or

otherfeerefunds.

Providingtuitiondiscounts.

Coveringthecostofprovidingadditionaltechnology hardware to

students,suchaslaptopsortablets,orcoveringtheaddedcostof

technologyfees.

Providingorsubsidizingthecostsofhigh‐speedinternettostudents

orfacultytotransitiontoanonlineenvironment.

Subsidizingof

‐campushousingcostsduetodormitory closuresor

decisionstolimithousingtoonestudentperroom;subsidizing

housingcoststoreducehousingdensity;payingforhotelsorother

off‐campushousingforstudentswhoneedtobeisolated;paying

travelexpensesforstudentswhoneedtoleavecampusearlydueto

coronavirusinfectionsorcampusinterruptions.

Subsidizingfoodservicetoreducedensityineatingfacilities,to

providepre‐packagedmeals,ortoaddhourstofoodservice

operationstoaccommodatesocialdistancing.

Costsrelatedtooperatingadditionalclasssectionstoenablesocial

distancing,suchasthoseforhiringmoreinstructorsandincreasing

campushoursofoperations.



Tosupportexpensesrelatedtothedisruptionofcampusoperationsduetocoronavirusconsistentwithapplicablelaw.Thisincludeseligibleexpensesunderastudent’scostof

attendanceunderCARESActSection18004(c),oranycomponentofastudent’scostofattendanceorforemergencycoststhatariseduetocoronavirus,suchastuition,food,

housing,healthcare(includingmentalhealthcare),orchildcare,perSection314(c)oftheCoronavirusResponseandReliefSupplementalAppropriationsAct,2021(CRRSAA),

andSection2003oftheAmericanRescuePlanActof2021(ARP).

NHTI-Concord's Community College

07/01/2021

06/30/2021

201341

$ 6,842,503

$ 0

$ 96,816

$ 0

$ 6,712

$ 0

$ 10,000

$ 0

$ 76,449

$ 0

OMBControlNumber1840‐0849Expires3/31/2024

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2

Category Amount

in(a)(1)

institutionaldollars

Amountin

(a)(2)dollars,

ifapplicable

Amountin

(a)(3)dollars,

ifapplicable

ExplanatoryNotes

Campussafetyandoperations.



Purchasing,leasing,orrentingadditionalinstructionalequipment

andsupplies(suchaslaboratoryequipmentorcomputers)toreduce

thenumberofstudentssharingequipmentorsuppliesduringaclass

periodandtoprovidetimefordisinfectionbetweenuses.

Replacinglostrevenuefromacademicsources.



Replacinglostrevenuefromauxiliaryservicessources (i.e., cancelled

ancillaryevents;disruptionoffoodservice,dorms,childcare,or

otherfacilities;cancellationofuseofcampusvenuesbyother

organizations,lostparkingrevenue,etc.).



Purchasingfacultyandstafftraininginonlineinstruction;orpaying

additionalfundstostaffwhoareprovidingtraininginadditionto

theirregularjobresponsibilities.

Purchasing,leasing,orrentingadditionalequipmentorsoftwareto

enabledistancelearning,orupgradingcampuswi‐fiaccessor

extendingopennetworkstoparkinglotsorpublicspaces,etc.

OtherUsesof(a)(1)InstitutionalPortion

unds.

OtherUsesof(a)(2)or(a)(3)funds,ifapplicable.

QuarterlyExpendituresforEachProgram

TotalofQuarterlyExpenditures



Includingcostsorexpensesrelatedtothedisinfectingandcleaningofdormsandothercampusfacilities,purchasesofpersonalprotectiveequipment(PPE),purchasesof

cleaningsupplies,addingpersonneltoincreasethefrequencyofcleaning,thereconfigurationoffacilitiestopromotesocialdistancing,etc.

PleaseseetheDepartment’sHEERFLostRevenueFAQs(March19,2021)formoreinformationregardingwhatmaybeappropriatelyincludedinanestimateoflostrevenue.

Pleasepostadditionaldocumentationasappropriateandbrieflyexplaininthe“ExplanatoryNotes”section.Pleasenotethatfundsfor(a)(1)InstitutionalPortionmaybeused

todefrayexpensesassociatedwithcoronavirus(includinglostrevenue,reimbursementforexpensesalreadyincurred,technologycostsassociatedwithatransitiontodistance

education,facultyandstafftrainings,andpayroll).

Pleasepostadditionaldocumentationasappropriateandbrieflyexplaininthe“ExplanatoryNotes”section.Pleasenotethatfundsfor(a)(2)and(a)(3)maybeusedtodefray

expensesassociatedwithcoronavirus(includinglostrevenue,reimbursementforexpensesalreadyincurred,technologycostsassociatedwithatransitiontodistanceeducation,

facultyandstafftrainings,andpayroll).

$ 141,668

$ 0

$ 33,500

$ 0

$ 1,267

$ 0

$ 366,412

$ 0

$ 366,412

OMBControlNumber1840‐0849Expires3/31/2024



3

FormInstructions

CompletingtheForm:Oneachform,fillouttheinstitutionofhighereducation(IHEorinstitution)name,thedateofthereport,theappropriatequarterthereport

covers(September30,December31,March31,June30),the11‐digitPR/AwardNumber(numberisfoundinBox2ofyourGrantAwardNotification(GAN))for

eachHEERFgrantfundingstreamasapplicable,thetotalamountoffundsawardedbytheDepartment(includingreservefundsifawarded),andchecktheboxif

thereportisa“finalreport.”InstitutionsthatexpendedHEERFgrantfundsduringthecalendarquarterfromJanuary1–March30,2021arerequiredtopostthe

quarterlyreportthatinvolvedtheexpenditureofHEERFIICRRSAAandHEERFICARESActfunds.TheDepartmentdidnotpreviouslyaffirmativelyindicatethis

reportingrequirementwasinplaceforHEERFIICRRSAAfunds.Assuch,institutionsmayhaveuntiltheendofthesecondcalendarquarter,June30,2021,topost

theseretroactivereportsiftheyhavenotalreadydoneso.FortheJuly10,2021quarterlyreportingdeadline,institutionsareencouraged,butnotrequiredto,

submitthequarterlyreports(thisinstitutionalreportingformandthestudentquarterlyreport)totheDepartmentbyemailingthosereportsasPDFattachments

toHEERFreporting@ed.gov.

Inthechart,aninstitutionmustspecifytheamountofexpendedHEERFI,II,andIIIIfundsforeachfundingcategory:(a)(1)InstitutionalPortion;(a)(2),and(a)(3),

ifapplicable.(a)(2)fundsincludeAssistanceListingNumbers(ALNs)84.425J(HistoricallyBlackCollegesandUniversities(HBCUs)),84.425K(TriballyControlled

CollegesandUniversities(TCCUs)),84.425L(MinorityServingInstitutions(MSIs)),84.425M(StrengtheningInstitutionsProgram(SIP));(a)(3)fundsareforALN

84.425N(FundfortheImprovementofPostsecondaryEducation(FIPSE)FormulaGrant)and84.425S(SAIHE).Eachcategoryisdeliberatelybroadandmaynot

capturespecificgrantprogramrequirements.Explanatoryfootnoteshelpclarifycertainreportingcategories.Whilesomeitemsinthechartareblockedout,please

notethattheblockingofsuchitemsisconsistentwithDepartmentguidanceandFAQsandisnotdefinitive.Providebriefexplanatorynotesforhowfundswere

expended,includingthetitleandbriefdescriptionofeachprojectoractivityinwhichfundswereexpended.Donotincludepersonallyidentifiableinformation

(PII).Calculatetheamountofthe(a)(1)InstitutionalPortion,(a)(2)and(a)(3)fundsinthe“QuarterlyExpendituresforeachProgram”row,andthegrandtotalof

allthreeinthe“TotalofQuarterlyExpenditures”row.Roundexpenditurestothenearestdollar.

PostingtheForm:Thisformmustbeconspicuouslypostedontheinstitution’sprimarywebsiteonthesamepagethereportsoftheIHE’sactivitiesastothe

emergencyfinancialaidgrantstostudentsmadewithfundsfromtheIHE’sallocationunder(a)(1)oftheCARESAct,CRRSAA,andARP(StudentAidPortion)are

posted.ItmaybepostedinanHTMLwebpageformatorasalinktoaPDF.Anewseparateformmustbepostedcoveringeachquarterlyreporting period

(September30,December31,March31,June30),concludingaftereither(1)postingthequarterlyreportendingSeptember30,2023or(2)whenaninstitution

hasexpendedandliquidatedall(a)(1)InstitutionalPortion,(a)(2),and(a)(3)fundsandchecksthe“finalreport”box.IHEsmustpostthisquarterlyreportformno

laterthan10daysaftertheendofeachcalendarquarter(October10,January10,April10,July10).Eachquarterlyreportmustbeseparatelymaintainedonan

IHE’s website or in a PDF document linked directly from the IHE’s HEERF reporting webpage. Reports must be maintained for at least three years after the

submissionofthefinalreportper2CFR§ 200.333.Anychangesorupdatesafterinitialpostingmustbeconspicuouslynotedafterinitialpostingandthedateof

thechangemustbenotedinthe“DateofReport”line.

PaperworkBurdenStatement

AccordingtothePaperworkReductionActof1995(PRA),nopersonsarerequiredtorespondtoacollectionofinformationunlesssuchcollectiondisplaysavalid

OMBcontrolnumber.ThevalidOMBcontrolnumberforthisinformationcollectionis1840‐0849.Publicreportingburdenforthiscollectionofinformationis

estimatedtoaverage2hoursperresponse,includingtimeforreviewinginstructions,searchingexistingdatasources,gathering,andmaintainingthedata

OMBControlNumber1840‐0849Expires3/31/2024



4

needed,andcompletingandreviewingthecollectionofinformation.UnderthePRA,participantsarerequiredtorespondtothiscollectiontoobtainorretain

benefit.Ifyouhaveanycommentsconcerningtheaccuracyofthetimeestimateorsuggestionsforimprovingthisindividualcollection,orifyouhavecomments

orconcernsregardingthestatusofyourindividualform,application,orsurvey,pleasecontactHEERFreporting@ed.gov,U.S.DepartmentofEducation,400

MarylandAvenue,SW,Washington,DC20202.

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Form 1: QuarterlyBudgetandExpenditureReportingforHEERFI,II,andIII(a)(1)InstitutionalPortion,(a)(2),and(a)(3),ifapplicable (NHTI Concord's Community College)

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Fillable Form 1: QuarterlyBudgetandExpenditureReportingforHEERFI,II,andIII(a)(1)InstitutionalPortion,(a)(2),and(a)(3),ifapplicable (NHTI – Concord's Community College)

Fill Online, Printable, Fillable, Blank Form 1: QuarterlyBudgetandExpenditureReportingforHEERFI,II,andIII(a)(1)InstitutionalPortion,(a)(2),and(a)(3),ifapplicable (NHTI – Concord's Community College) Form

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