REQUEST FOR ESTABLISHMENT OF A BANNER FUND ACG 1.20 (Rev 5/14/14) cc Electronic Submission Only UNCW FSD-45 SECTION I: TO BE COMPLETED BY THE DEPARTMENT REQUESTING THE NEW FUND A. FUND CHARACTERISTICS: TYPE: ENDOWMENT: BUDGETED: Endowment Type: *If Budgeted Fund Request, click here to Complete Budget on Page 2 Select Institutional Trust Fund (ITF) Code: Click here to link to UNCW Trust Fund Guidelines Department: 5-digit ORG: Fund Title: 35 characters maximum Effective Date (mm/dd/yyyy): Program Code Describe How Fund Will Be Used: Source of funds (Select): Salaries Expenditures (Select All that Apply): Fixed Costs Equipment Transfers Donor Restrictions: B. REVENUE REQUIREMENTS: Supplies Services Other-explain University Restrictions: MUST COMPLETE 1) Is a NEW revenue source associated with this fund? 2) Has the Revenue Questionnaire been completed? Click here to complete Revenue Questionnaire on Page 3 C. APPROVALS: (Budget Authority - REQUIRED) Budget Authority Email @uncw.edu (Required) Budget Auth E-Sign @uncw.edu Email 2: Click Here to Submit @uncw.edu Email 3: SECTION II: To be completed by General Accounting Fund # Fund Title Fund Type Pred Code AEFTYP - Associated Entity Fund Type RESPERS - Responsible Person ASENTITY - Associated Entities RPTCODE - Budget Code INTERALL - Interest Allocation UDMRPTC Inst'l Trust Fund Code ISC - Internal Service Center NCAS - NCAS Purpose Code Page 1 Org Prog ACG 1.20 (Rev 5/14/14) cc UNCW FSD-45 BUDGET FORM Electronic Submission Only ONLY REQUIRED IF REQUESTING A BUDGETED FUND Receipts Budget Pool(s) Budget Pool Title Budget Amount $ Total Receipts $ Expenditures Budget Pool(s) Budget Pool Title Budget Amount $ Total Expenditures Comments Please use comment section if more space needed Click to return to Page 1 to complete and submit form. Page 2 $ University of North Carolina Wilmington Revenue Questionnaire (To be completed Electronically for all new revenue streams) Purpose of Form: To determine if proposed revenue stream meets federal and state requirements. Department Name: Date: Division/Department Head Information: Name: Phone Ext: Title: Email: @uncw.edu Fund Title For the proposed revenue activity, please answer the following questions: 1. Type(s) of revenue activity. Please select all that apply: Services Goods for Sale Rental-Building Rental-Equipment Instruction Advertising/Sponsorship Entertainment Other: (Explain) 2. Briefly describe the revenue activity. 3. Who will benefit from this revenue activity? Please select all that apply: Students Faculty Staff Dept/Division 4. Estimated timeline for this revenue activity to begin. Select timeline. 5. Will this activity be in competition with private local businesses? Select: 6. Intent of revenue generation. Select: Public 7. Staffing resources (positions) related to revenue activity. Please select all that apply: Current Faculty/Staff New Faculty/Staff Students (Paid/unpaid) 8. Frequency of revenue activity. Select: 9. Will this activity be related to research? Select: Temp/Contract Workers Click to return to Page 1 to complete and submit form. If you need assistance completing this questionnaire, contact Lisa Eakins, Tax and Financial Reporting Accountant: 962-2757 or eakinsl@uncw.edu Page 3