The Gordon R. Irlam Charitable Foundation
1723 Karameos Dr
Sunnyvale, CA 94087

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2010-03-31
Purpose: Quarterly expense report
Reference: 2010-GRICF-01

Date Category* Description Amount
2010-01-05    Health    Insurance   $376.00
2010-01-11    Office    GRICF.ORG domain and hosting   $56.80
2010-01-23    Accounting    Tax return   $2000.00
2010-01-23    Taxes    Tax return   $712.00
2010-01-23    Filing fees    Tax return   $55.00
2010-01-23    Health    Prescription   $70.00
2010-01-23    Health    Prescription   $70.00
2010-02-01    Health    Doctor   $25.00
2010-02-02    Health    Laboratory   $10.00
2010-02-03    Health    Psychiatrist   $25.00
2010-02-03    Health    Prescription   $105.00
2010-02-05    Health    Insurance   $376.00
2010-02-10    Pubs    Gw/oB membership   $250.00
2010-02-10    Health    Laboratory   $10.00
2010-02-10    Health    Doctor   $25.00
2010-03-05    Health    Insurance   $376.00
2010-03-09    Health    Dentist   $108.30
2010-03-18    Health    Doctor   $25.00
2010-03-30    Health    Therapy   $150.00
2010-03-31    Health    Group (10 x $12.00)   $120.00
2010-03-31    Health    Therapy (12 x $110.00)   $1320.00
Total expenses   $4615.10
Less advances   $0.00
Reinbursement due   $4615.10

* - Valid categories: Grants, Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.55/mile, lodging, M&IE

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Approved by: Purobi Phillips

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