Instructions for Form PAB "Questionnaire - General Obligation Bond Fund Appropriations" - Hawaii

This document contains official instructions for Form PAB, Questionnaire - General Obligation Bond Fund Appropriations - a form released and collected by the Hawaii Department of Budget & Finance.

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b.
Enter the total amount made or expected to be made to
Instructions for Form PAB
pay other State of Hawaii costs (e.g., a judgment claim,
a contract settlement payment).
c.
Enter the total amount of grants made or expected to
Who must file this Form PAB. Anyone requesting any appropriation
be made to counties in the State of Hawaii.
of general obligation bond funds must file this Form PAB.
d.
Enter the total amount of grants made or expected to
be made to section 501(CX3) corporations.
Where to file. This Form PAB must be filed with the Budget, Program
e.
Enter the total amount of grants made or expected to
Planning and Management Division of the Department of Budget and
be made to private persons and organizations and the
Finance.
federal government.
f.
Enter the total amount of loans made or expected to be
Purpose. The purpose of this Form PAB is to elicit information that will
made to counties in the State of Hawaii.
enable the State of Hawaii to allocate general obligation bond fund
g.
Enter the total amount of loans made or expected to be
appropriations in a manner that will comply with applicable
made to section 501(CX3) corporations.
requirements of Federal income tax law and regulations.
h.
Enter the total amount of loans made or expected to be
made to private persons and organizations and the
Line 1. Enter the name of the Department making the request for
federal government.
general obligation bond fund appropriations.
i.
Enter the total of the amounts in a, b, c, d, e, f, g and h
of Line 11.
Line 2. Enter the name of the project for which general obligation
Attach a schedule containing all details, including amounts
bond fund appropriations are being requested.
and name and address of recipients of bond fund
appropriations.
Line 3. Enter the CIP number for the project.
Line 12. Enter, to the extent applicable (e.g., an office
Line 4. Enter the act no. and year of Session Law act under which
building), the total square footage and percentage of total
appropriations have been made or are to be made for the project.
square footage of the project used by various persons or
organizations. All use, including indirect and incidental use,
Line 5. Enter the program area function (e.g., economic
is to be included.
development).
a.
The total common area (e.g., hallways, parking
structure) used by all persons and organizations.
Line 6. Enter the item number of the project.
b.
The total area (excluding the common area) used
exclusively by the State of Hawaii and counties in
Line 7. Enter the description of the project and its estimated useful life
Hawaii.
(e.g., Waianae Rental Housing, 30 years).
c.
The total area (excluding the common area) used
exclusively by section 501(CX3) corporations.
Line 8. Check the ‘yes’ box if any portion of the project is to be funded
d.
The total area (excluding the common area) used
with general obligation bond fund appropriations. Otherwise, check the
exclusively by private persons and organizations
‘no’ box, if the ‘no’ box is checked, no other information on Form PAB,
(including concessionaires and vendors) and the
other than the signature line, is required. Please sign, date and return
Federal government in their trade or business.
this Form PAB.
e.
Enter the total of the amounts in a, b, c and d of
Line 12.
Line 9. Check the ‘yes’ box if any appropriation has been made for
Attach a schedule containing all details, including a
any portion of the project prior to this request, and attach the prior
breakdown by area used, and name and address of each
Form PAB or schedule containing all relevant details including the
user.
date, amount, and Session Law act and year.
Line 13. Check the ‘yes’ box if any lease or contract with a
Line 10. With respect to the appropriations (regardless of the source
concessionaire or vendor is expected to be entered into in
of such appropriations) made by this request for funding of any portion
respect of any portion of the project (e.g., vending machines,
of the project:
newsstand, store, pharmacy, pay telephones, onsite laundry
a.
Enter the amount made or expected to be made by the Federal
services, cafeteria or other food services). Attach a separate
government including reimbursements, for construction and
schedule containing all relevant details, including the date,
related construction and acquisition costs in respect of the project.
the name and address of each concessionaire or vendor, the
b.
Enter the amount funded or expected to be funded from general
terms and provisions of the lease or contract, and a copy of
obligation bond fund appropriations.
the contract.
c.
Enter the amount funded or expected to be funded from general
fund appropriations.
Line 14. Check the ‘yes’ box if any lease, incentive payment
d.
Enter the amount funded or expected to be funded by other State
contract or management contract is to be entered into in
of Hawaii funds or county funds.
respect of any portion of the project. Attach a separate
e.
Enter the amount funded or expected to be funded by payments
schedule containing all relevant details, including the date,
from corporations which are classified as section 501(CX3)
the name and address of each party to such lease or
corporations under the Internal Revenue Code.
contract, the terms and provisions of the lease or contract,
f.
Enter the amount funded or expected to be funded by private
and a copy of the lease or contract.
persons and organizations.
g.
Enter the total of the amounts in a, b, c, d, e, and f of Line 10.
Line 15. Check the ‘yes’ box if any payment is expected to
Attach a schedule containing all details, including amounts and
be made (directly or indirectly) by any private person or
name and address of each person contributing to the funding of
entity or the Federal government pursuant to contract or
the project. Funding as used in this Line 10 means funding for
other arrangement in respect of any portion of the project.
capital and related acquisition items, including land, but does not
Attach a separate schedule containing all relevant details,
include funding of operational and maintenance expenses or debt
including the date, the name and address of each party to
service payments after the in-service date of the project.
such contractor arrangement, the terms and provisions of
the contract or arrangement, and a copy of the contractor a
Line 11. With respect to the general obligation bond fund
description of the arrangement.
appropriations made by this request for funding of any portion of the
project:
Line 16. Identify on a separate sheet the contact
a.
Enter the total amount made or expected to be made for
information for department staff member(s) assigned to
construction and related construction and acquisition costs of the
cooperate with the Department of Budget and Finance in its
project.
project monitoring responsibilities.
(rev. 9/2013)
b.
Enter the total amount made or expected to be made to
Instructions for Form PAB
pay other State of Hawaii costs (e.g., a judgment claim,
a contract settlement payment).
c.
Enter the total amount of grants made or expected to
Who must file this Form PAB. Anyone requesting any appropriation
be made to counties in the State of Hawaii.
of general obligation bond funds must file this Form PAB.
d.
Enter the total amount of grants made or expected to
be made to section 501(CX3) corporations.
Where to file. This Form PAB must be filed with the Budget, Program
e.
Enter the total amount of grants made or expected to
Planning and Management Division of the Department of Budget and
be made to private persons and organizations and the
Finance.
federal government.
f.
Enter the total amount of loans made or expected to be
Purpose. The purpose of this Form PAB is to elicit information that will
made to counties in the State of Hawaii.
enable the State of Hawaii to allocate general obligation bond fund
g.
Enter the total amount of loans made or expected to be
appropriations in a manner that will comply with applicable
made to section 501(CX3) corporations.
requirements of Federal income tax law and regulations.
h.
Enter the total amount of loans made or expected to be
made to private persons and organizations and the
Line 1. Enter the name of the Department making the request for
federal government.
general obligation bond fund appropriations.
i.
Enter the total of the amounts in a, b, c, d, e, f, g and h
of Line 11.
Line 2. Enter the name of the project for which general obligation
Attach a schedule containing all details, including amounts
bond fund appropriations are being requested.
and name and address of recipients of bond fund
appropriations.
Line 3. Enter the CIP number for the project.
Line 12. Enter, to the extent applicable (e.g., an office
Line 4. Enter the act no. and year of Session Law act under which
building), the total square footage and percentage of total
appropriations have been made or are to be made for the project.
square footage of the project used by various persons or
organizations. All use, including indirect and incidental use,
Line 5. Enter the program area function (e.g., economic
is to be included.
development).
a.
The total common area (e.g., hallways, parking
structure) used by all persons and organizations.
Line 6. Enter the item number of the project.
b.
The total area (excluding the common area) used
exclusively by the State of Hawaii and counties in
Line 7. Enter the description of the project and its estimated useful life
Hawaii.
(e.g., Waianae Rental Housing, 30 years).
c.
The total area (excluding the common area) used
exclusively by section 501(CX3) corporations.
Line 8. Check the ‘yes’ box if any portion of the project is to be funded
d.
The total area (excluding the common area) used
with general obligation bond fund appropriations. Otherwise, check the
exclusively by private persons and organizations
‘no’ box, if the ‘no’ box is checked, no other information on Form PAB,
(including concessionaires and vendors) and the
other than the signature line, is required. Please sign, date and return
Federal government in their trade or business.
this Form PAB.
e.
Enter the total of the amounts in a, b, c and d of
Line 12.
Line 9. Check the ‘yes’ box if any appropriation has been made for
Attach a schedule containing all details, including a
any portion of the project prior to this request, and attach the prior
breakdown by area used, and name and address of each
Form PAB or schedule containing all relevant details including the
user.
date, amount, and Session Law act and year.
Line 13. Check the ‘yes’ box if any lease or contract with a
Line 10. With respect to the appropriations (regardless of the source
concessionaire or vendor is expected to be entered into in
of such appropriations) made by this request for funding of any portion
respect of any portion of the project (e.g., vending machines,
of the project:
newsstand, store, pharmacy, pay telephones, onsite laundry
a.
Enter the amount made or expected to be made by the Federal
services, cafeteria or other food services). Attach a separate
government including reimbursements, for construction and
schedule containing all relevant details, including the date,
related construction and acquisition costs in respect of the project.
the name and address of each concessionaire or vendor, the
b.
Enter the amount funded or expected to be funded from general
terms and provisions of the lease or contract, and a copy of
obligation bond fund appropriations.
the contract.
c.
Enter the amount funded or expected to be funded from general
fund appropriations.
Line 14. Check the ‘yes’ box if any lease, incentive payment
d.
Enter the amount funded or expected to be funded by other State
contract or management contract is to be entered into in
of Hawaii funds or county funds.
respect of any portion of the project. Attach a separate
e.
Enter the amount funded or expected to be funded by payments
schedule containing all relevant details, including the date,
from corporations which are classified as section 501(CX3)
the name and address of each party to such lease or
corporations under the Internal Revenue Code.
contract, the terms and provisions of the lease or contract,
f.
Enter the amount funded or expected to be funded by private
and a copy of the lease or contract.
persons and organizations.
g.
Enter the total of the amounts in a, b, c, d, e, and f of Line 10.
Line 15. Check the ‘yes’ box if any payment is expected to
Attach a schedule containing all details, including amounts and
be made (directly or indirectly) by any private person or
name and address of each person contributing to the funding of
entity or the Federal government pursuant to contract or
the project. Funding as used in this Line 10 means funding for
other arrangement in respect of any portion of the project.
capital and related acquisition items, including land, but does not
Attach a separate schedule containing all relevant details,
include funding of operational and maintenance expenses or debt
including the date, the name and address of each party to
service payments after the in-service date of the project.
such contractor arrangement, the terms and provisions of
the contract or arrangement, and a copy of the contractor a
Line 11. With respect to the general obligation bond fund
description of the arrangement.
appropriations made by this request for funding of any portion of the
project:
Line 16. Identify on a separate sheet the contact
a.
Enter the total amount made or expected to be made for
information for department staff member(s) assigned to
construction and related construction and acquisition costs of the
cooperate with the Department of Budget and Finance in its
project.
project monitoring responsibilities.
(rev. 9/2013)