CCLME.ORG - DIVISION 1. HOUSING AND COMMUNITY DEVELOPMENT
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(continued)
52. Replacement Reserve

-------------------------------------------------------------------------------
53. Operating Reserve
-------------------------------------------------------------------------------
54. Other (Specify)
-------------------------------------------------------------------------------
55. TOTAL Reserves
-------------------------------------------------------------------------------
FINANCIAL EXPENSES (NON-FHDP)
-------------------------------------------------------------------------------
56. Debt Service (1st)
-------------------------------------------------------------------------------
57. Debt Service (2nd)
-------------------------------------------------------------------------------
58. Other (Specify)
-------------------------------------------------------------------------------
59. Other (Specify)
-------------------------------------------------------------------------------
60. Other (Specify)
-------------------------------------------------------------------------------
61. TOTAL Financial Expenses:
-------------------------------------------------------------------------------

DISTRIBUTIONS
-------------------------------------------------------------------------------
62. Distributions:
-------------------------------------------------------------------------------
63. TOTAL EXPENSES:
-------------------------------------------------------------------------------


VI. CALCULATION OF NONASSISTED UNIT EXPENSES (for projects w/nonassisted units)

FISCAL YEAR


Contract Number: Development
Name
Units-Assisted/Total: Prepared by:
-------------------------------------------------------------------------------
ACCOUNT NAME
-------------------------------------------------------------------------------
NONASSISTED EXPENSES
-------------------------------------------------------------------------------

APPROVED
TOTAL PRORATION NONASSISTED NONASSISTED
ACTUAL UNIT UNIT
EXPENSES FACTOR (E) ACTUAL (F) BUDGET (G)
(D)
-------------------------------------------------------------------------------
MANAGEMENT FEE:
-------------------------------------------------------------------------------
1. Sponsor Overhead
-------------------------------------------------------------------------------
2. Contract Management
Fee
-------------------------------------------------------------------------------
3. TOTAL Management
Fee:
-------------------------------------------------------------------------------
ADMINISTRATION:
-------------------------------------------------------------------------------
4. Leases
-------------------------------------------------------------------------------
5.

Marketing/Advertising
-------------------------------------------------------------------------------
6. Audit
-------------------------------------------------------------------------------
7. Legal
-------------------------------------------------------------------------------
8. Transportation
(Vehicle Maintenance)
-------------------------------------------------------------------------------
9. Telephone
-------------------------------------------------------------------------------
10. Business Licenses
-------------------------------------------------------------------------------
11. Miscellaneous
Administrative
Expenses
-------------------------------------------------------------------------------
12. TOTAL
Administrative
Expenses
-------------------------------------------------------------------------------

SALARIES & BENEFITS
(Include value of rent
discounts)
-------------------------------------------------------------------------------
13. On-site or Off-site
Manager
-------------------------------------------------------------------------------
14. Assistant Manager
-------------------------------------------------------------------------------
15. Desk Clerk
-------------------------------------------------------------------------------
16. Child Care Center
Personnel
-------------------------------------------------------------------------------
17. Job Training/Emp.
Trng. Personnel
-------------------------------------------------------------------------------
18. Grounds/Maintenance
Personnel
-------------------------------------------------------------------------------
19. Janitorial

Personnel
-------------------------------------------------------------------------------
20. Other Supportive
Services Personnel
-------------------------------------------------------------------------------
21. Other (Specify)
-------------------------------------------------------------------------------
22. TOTAL
Salaries/Benefits:
-------------------------------------------------------------------------------
MAINTENANCE:
-------------------------------------------------------------------------------
23.Supplies
-------------------------------------------------------------------------------
24. Elevator
Maintenance
-------------------------------------------------------------------------------
25. Pest Control
-------------------------------------------------------------------------------
26. Grounds Contract
-------------------------------------------------------------------------------

27. Interior
Painting/Decorating
-------------------------------------------------------------------------------
28. Furniture, Fixtures
& Equipment
(Indoor/Outdoor)
-------------------------------------------------------------------------------
29. Other (Specify)
-------------------------------------------------------------------------------
30. TOTAL Maintenance:
-------------------------------------------------------------------------------
UTILITIES:
-------------------------------------------------------------------------------
31. Trash Removal
-------------------------------------------------------------------------------
32. Electricity
-------------------------------------------------------------------------------
33. Gas
-------------------------------------------------------------------------------
34. Water & Sewer
-------------------------------------------------------------------------------

35. TOTAL Utilities:
-------------------------------------------------------------------------------
INSURANCE
-------------------------------------------------------------------------------
36. Property/Liability
Insurance
-------------------------------------------------------------------------------
37. Bonding
-------------------------------------------------------------------------------
38. Other (Specify)
-------------------------------------------------------------------------------
39. TOTAL Insurance:
-------------------------------------------------------------------------------
TAXES
-------------------------------------------------------------------------------
40. Real Estate
Taxes/PILOTS
-------------------------------------------------------------------------------
41. TOTAL Taxes:
-------------------------------------------------------------------------------
OTHER:

-------------------------------------------------------------------------------
42. Tenant
Management/Training &
Education
-------------------------------------------------------------------------------
43. Food
-------------------------------------------------------------------------------
44. Medical Expenses
(Including First Aid
Supplies)
-------------------------------------------------------------------------------
45. Transportation of
Residents/Children
-------------------------------------------------------------------------------
46. Job Training &
Employment Program
-------------------------------------------------------------------------------
47. Books and Supplies
-------------------------------------------------------------------------------
48. Other (Specify)
-------------------------------------------------------------------------------

49. Other (Specify)
-------------------------------------------------------------------------------
50. TOTAL Other:
-------------------------------------------------------------------------------
51. SUBTOTAL Operating
Expenses:
-------------------------------------------------------------------------------
DEPOSITS TO RESERVE
ACCOUNT
-------------------------------------------------------------------------------
52. Replacement Reserve
-------------------------------------------------------------------------------
53. Operating Reserve
-------------------------------------------------------------------------------
54. Other (Specify)
-------------------------------------------------------------------------------
55. TOTAL Reserves
-------------------------------------------------------------------------------
FINANCIAL EXPENSES
(NON-FHDP)
-------------------------------------------------------------------------------

56. Debt Service (1st)
-------------------------------------------------------------------------------
57. Debt Service (2nd)
-------------------------------------------------------------------------------
58. Other (Specify)
-------------------------------------------------------------------------------
59. Other (Specify)
-------------------------------------------------------------------------------
60. Other (Specify)
-------------------------------------------------------------------------------
61. TOTAL Financial
Expenses:
-------------------------------------------------------------------------------
DISTRIBUTIONS
-------------------------------------------------------------------------------
62. Distributions:
-------------------------------------------------------------------------------
63. TOTAL EXPENSES:
-------------------------------------------------------------------------------


VII. CALCULATION OF COMMERCIAL SPACE EXPENSES (for projects w/commercial space)

FISCAL YEAR


Contract Number: Development
Name
Units-Assisted/Total: Prepared by:
-------------------------------------------------------------------------------
ACCOUNT NAME
-------------------------------------------------------------------------------
COMMERCIAL SPACE EXPENSES
-------------------------------------------------------------------------------
APPROVED
TOTAL PRORATION NONASSISTED NONASSISTED
ACTUAL UNIT UNIT
EXPENSES FACTOR (E) ACTUAL (F) BUDGET (G)
(D)
-------------------------------------------------------------------------------
MANAGEMENT FEE:
-------------------------------------------------------------------------------

1. Sponsor Overhead
-------------------------------------------------------------------------------
2. Contract Management
Fee
-------------------------------------------------------------------------------
3. TOTAL Management
Fee:
-------------------------------------------------------------------------------
ADMINISTRATION:
-------------------------------------------------------------------------------
4. Leases
-------------------------------------------------------------------------------
5.
Marketing/Advertising
-------------------------------------------------------------------------------
6. Audit
-------------------------------------------------------------------------------
7. Legal
-------------------------------------------------------------------------------
8. Transportation
(Vehicle Maintenance)

-------------------------------------------------------------------------------
9. Telephone
-------------------------------------------------------------------------------
10. Business Licenses
-------------------------------------------------------------------------------
11. Miscellaneous
Administrative
Expenses
-------------------------------------------------------------------------------
12. TOTAL
Administrative
Expenses
-------------------------------------------------------------------------------
SALARIES & BENEFITS
(Include value of rent
discounts)
-------------------------------------------------------------------------------
13. On-site or Off-site
Manager
-------------------------------------------------------------------------------
14. Assistant Manager

-------------------------------------------------------------------------------
15. Desk Clerk
-------------------------------------------------------------------------------
16. Child Care Center
Personnel
-------------------------------------------------------------------------------
17. Job Training/Emp.
Trng. Personnel
-------------------------------------------------------------------------------
18. Grounds/Maintenance
Personnel
-------------------------------------------------------------------------------
19. Janitorial
Personnel
-------------------------------------------------------------------------------
20. Other Supportive
Services Personnel
-------------------------------------------------------------------------------
21. Other (Specify)
-------------------------------------------------------------------------------
22. TOTAL

Salaries/Benefits:
-------------------------------------------------------------------------------
MAINTENANCE:
-------------------------------------------------------------------------------
23.Supplies
-------------------------------------------------------------------------------
24. Elevator
Maintenance
-------------------------------------------------------------------------------
25. Pest Control
-------------------------------------------------------------------------------
26. Grounds Contract
-------------------------------------------------------------------------------
27. Interior
Painting/Decorating
-------------------------------------------------------------------------------
28. Furniture, Fixtures
& Equipment
(Indoor/Outdoor)
-------------------------------------------------------------------------------
29. Other (Specify)

-------------------------------------------------------------------------------
30. TOTAL Maintenance:
-------------------------------------------------------------------------------
UTILITIES:
-------------------------------------------------------------------------------
31. Trash Removal
-------------------------------------------------------------------------------
32. Electricity
-------------------------------------------------------------------------------
33. Gas
-------------------------------------------------------------------------------
34. Water & Sewer
-------------------------------------------------------------------------------
35. TOTAL Utilities:
-------------------------------------------------------------------------------
INSURANCE
-------------------------------------------------------------------------------
36. Property/Liability
Insurance
-------------------------------------------------------------------------------
37. Bonding

-------------------------------------------------------------------------------
38. Other (Specify)
-------------------------------------------------------------------------------
39. TOTAL Insurance:
-------------------------------------------------------------------------------
TAXES:
-------------------------------------------------------------------------------
40. Real Estate
Taxes/PILOTS
-------------------------------------------------------------------------------
41. TOTAL Taxes:
-------------------------------------------------------------------------------
OTHER:
-------------------------------------------------------------------------------
42. Tenant
Management/Training &
Education
-------------------------------------------------------------------------------
43. Food
-------------------------------------------------------------------------------
44. Medical Expenses

(Including First Aid
Supplies)
-------------------------------------------------------------------------------
45. Transportation of
Residents/Children
-------------------------------------------------------------------------------
46. Job Training &
Employment Program
-------------------------------------------------------------------------------
47. Books and Supplies
-------------------------------------------------------------------------------
48. Other (Specify)
-------------------------------------------------------------------------------
49. Other (Specify)
-------------------------------------------------------------------------------
50. TOTAL Other:
-------------------------------------------------------------------------------
51. SUBTOTAL Operating
Expenses:
-------------------------------------------------------------------------------
DEPOSITS TO RESERVE

ACCOUNT
-------------------------------------------------------------------------------
52. Replacement Reserve
-------------------------------------------------------------------------------
53. Operating Reserve
-------------------------------------------------------------------------------
54. Other (Specify)
-------------------------------------------------------------------------------
55. TOTAL Reserves
-------------------------------------------------------------------------------
FINANCIAL EXPENSES
(NON-FHDP)
-------------------------------------------------------------------------------
56. Debt Service (1st)
-------------------------------------------------------------------------------
57. Debt Service (2nd)
-------------------------------------------------------------------------------
58. Other (Specify)
-------------------------------------------------------------------------------
59. Other (Specify)
-------------------------------------------------------------------------------

60. Other (Specify)
-------------------------------------------------------------------------------
61. TOTAL Financial
Expenses:
-------------------------------------------------------------------------------
DISTRIBUTIONS
-------------------------------------------------------------------------------
62. Distributions:
-------------------------------------------------------------------------------
63. TOTAL EXPENSES:
-------------------------------------------------------------------------------


VIII. CALCULATION OF CHILD CARE CENTER EXPENSES (for sponsor-operated centers)

FISCAL YEAR


Contract Number: Development
Name
Units-Assisted/Total: Prepared by:

-------------------------------------------------------------------------------
ACCOUNT NAME Complete ONLY If Project Sponsor is the Child
Care Center Operator)
-------------------------------------------------------------------------------
CHILD CARE CENTER EXPENSES
-------------------------------------------------------------------------------
TOTAL APPROVED CHILD CHILD
ACTUAL PRORATION CARE CARE
EXPENSES FACTOR (E) CENTER CENTER
(D) ACTUAL BUDGET
(F) (G)
-------------------------------------------------------------------------------
MANAGEMENT FEE:
-------------------------------------------------------------------------------
1. Sponsor Overhead
-------------------------------------------------------------------------------
2. Contract Management Fee
-------------------------------------------------------------------------------
3. TOTAL Management Fee:
-------------------------------------------------------------------------------
ADMINISTRATION:

-------------------------------------------------------------------------------
4. Leases
-------------------------------------------------------------------------------
5. Marketing/Advertising
-------------------------------------------------------------------------------
6. Audit
-------------------------------------------------------------------------------
7. Legal
-------------------------------------------------------------------------------
8. Transportation (Vehicle
Maintenance)
-------------------------------------------------------------------------------
9. Telephone
-------------------------------------------------------------------------------
10. Business Licenses
-------------------------------------------------------------------------------
11. Miscellaneous Administrative
Expenses
-------------------------------------------------------------------------------
12. TOTAL Administrative
Expenses

-------------------------------------------------------------------------------
SALARIES & BENEFITS
(Include value of rent
discounts)
-------------------------------------------------------------------------------
13. On-site or Off-site Manager
-------------------------------------------------------------------------------
14. Assistant Manager
-------------------------------------------------------------------------------
15. Desk Clerk
-------------------------------------------------------------------------------
16. Child Care Center Personnel
-------------------------------------------------------------------------------
17. Job Training/Emp. Trng.
Personnel
-------------------------------------------------------------------------------
18. Grounds/Maintenance
Personnel
-------------------------------------------------------------------------------
19. Janitorial Personnel
-------------------------------------------------------------------------------

20. Other Supportive Services
Personnel
-------------------------------------------------------------------------------
21. Other (Specify)
-------------------------------------------------------------------------------
22. TOTAL Salaries/Benefits:
-------------------------------------------------------------------------------
MAINTENANCE:
-------------------------------------------------------------------------------
23.Supplies
-------------------------------------------------------------------------------
24. Elevator Maintenance
-------------------------------------------------------------------------------
25. Pest Control
-------------------------------------------------------------------------------
26. Grounds Contract
-------------------------------------------------------------------------------
27. Interior Painting/Decorating
-------------------------------------------------------------------------------
28. Furniture, Fixtures &
Equipment

(Indoor/Outdoor)
-------------------------------------------------------------------------------
29. Other (Specify)
-------------------------------------------------------------------------------
30. TOTAL Maintenance:
-------------------------------------------------------------------------------
UTILITIES:
-------------------------------------------------------------------------------
31. Trash Removal
-------------------------------------------------------------------------------
32. Electricity
-------------------------------------------------------------------------------
33. Gas
-------------------------------------------------------------------------------
34. Water & Sewer
-------------------------------------------------------------------------------
35. TOTAL Utilities:
-------------------------------------------------------------------------------
INSURANCE
-------------------------------------------------------------------------------
36. Property/Liability Insurance

-------------------------------------------------------------------------------
37. Bonding
-------------------------------------------------------------------------------
38. Other (Specify)
-------------------------------------------------------------------------------
39. TOTAL Insurance:
-------------------------------------------------------------------------------
TAXES:
-------------------------------------------------------------------------------
40. Real Estate Taxes/PILOTS
-------------------------------------------------------------------------------
41. TOTAL Taxes:
-------------------------------------------------------------------------------
OTHER:
-------------------------------------------------------------------------------
42. Tenant Management/Training &
Education
-------------------------------------------------------------------------------
43. Food
-------------------------------------------------------------------------------
44. Medical Expenses (Including

First Aid Supplies)
-------------------------------------------------------------------------------
45. Transportation of
Residents/Children
-------------------------------------------------------------------------------
46. Job Training & Employment
Program
-------------------------------------------------------------------------------
47. Books and Supplies
-------------------------------------------------------------------------------
48. Other (Specify)
-------------------------------------------------------------------------------
49. Other (Specify)
-------------------------------------------------------------------------------
50. TOTAL Other:
-------------------------------------------------------------------------------
51. SUBTOTAL Operating Expenses:
-------------------------------------------------------------------------------
DEPOSITS TO RESERVE ACCOUNT
-------------------------------------------------------------------------------
52. Replacement Reserve

-------------------------------------------------------------------------------
53. Operating Reserve
-------------------------------------------------------------------------------
54. Other (Specify)
-------------------------------------------------------------------------------
55. TOTAL Reserves
-------------------------------------------------------------------------------
FINANCIAL EXPENSES (NON-FHDP)
-------------------------------------------------------------------------------
56. Debt Service (1st)
-------------------------------------------------------------------------------
57. Debt Service (2nd)
-------------------------------------------------------------------------------
58. Other (Specify)
-------------------------------------------------------------------------------
59. Other (Specify)
-------------------------------------------------------------------------------
60. Other (Specify)
-------------------------------------------------------------------------------
61. TOTAL Financial Expenses:
-------------------------------------------------------------------------------

DISTRIBUTIONS
-------------------------------------------------------------------------------
62. Distributions:
-------------------------------------------------------------------------------
63. TOTAL EXPENSES:
-------------------------------------------------------------------------------


IX.CHILD CARE CENTER

INCOME AND EXPENSES

for contracted operators)

FISCAL YEAR


Contract Number: Development
Name
Name of Facility: No. FHDP
Slots/Total

Slots:
-------------------------------------------------------------------------------
I. INCOME BUDGET ACTUAL
-------------------------------------------------------------------------------
1. Parent Fees
-------------------------------------------------------------------------------
2. Child Care Food/National Lunch Program
-------------------------------------------------------------------------------
3. Reimbursement for GAIN children
-------------------------------------------------------------------------------
4. Reimbursement for WIN children
-------------------------------------------------------------------------------
5. Reimbursement from State Dept. of Education
-------------------------------------------------------------------------------
6. Reimbursement from JPTA
-------------------------------------------------------------------------------
7. Lease Payments
-------------------------------------------------------------------------------
8. Other (Specify)
-------------------------------------------------------------------------------
a.

-------------------------------------------------------------------------------
b.
-------------------------------------------------------------------------------
c.
-------------------------------------------------------------------------------
d.
-------------------------------------------------------------------------------
9. TOTAL INCOME
-------------------------------------------------------------------------------
II. EXPENSES
10. Care and Services
-------------------------------------------------------------------------------
a. Food
-------------------------------------------------------------------------------
b. Housekeeping-Cleaning supplies
Laundry and dry cleaning
-------------------------------------------------------------------------------
c. Equipment for programs and recreational
activities
-------------------------------------------------------------------------------
d. Books, newspapers, magazines, etc.

-------------------------------------------------------------------------------
e. Medical expenses (including first-aid supplies)
-------------------------------------------------------------------------------
f. Transportation for clients
-------------------------------------------------------------------------------
11. General Administration
-------------------------------------------------------------------------------
a. Salaries (professional, clerical, housekeeping,
etc.)
-------------------------------------------------------------------------------
b. Fringe benefits (Unemployment Insurance, Worker's
Comp. OASDI, retirement fund)
-------------------------------------------------------------------------------
c. Transportation (Gen.) Aut maintenance, insurance
-------------------------------------------------------------------------------
d. Telephone
-------------------------------------------------------------------------------
f. Advertising, publicity, printing, etc.
-------------------------------------------------------------------------------
g.Business licenses, professional memberships,
conference cost, etc.

-------------------------------------------------------------------------------
h. Bonding and public liability insurance
-------------------------------------------------------------------------------
i. Fire insurance
-------------------------------------------------------------------------------
12. Physical Plant
-------------------------------------------------------------------------------
a. Rent, lease, or mortgage payments
-------------------------------------------------------------------------------
b. Taxes (on personal and real property)
-------------------------------------------------------------------------------
c. Utilities: Gas
Electricity
Water
-------------------------------------------------------------------------------
d. Rubbish and garbage collection
-------------------------------------------------------------------------------
e. Maintenance and repairs: For Equipment
For buildings and grounds
-------------------------------------------------------------------------------
f. Furniture and equipment

-------------------------------------------------------------------------------
13. TOTAL EXPENSES
-------------------------------------------------------------------------------
III. GROSS PROFIT (OR LOSS)
(Line 4 minus Line 8)
-------------------------------------------------------------------------------
Completed by Title: Date:
-------------------------------------------------------------------------------


X. USES OF NET OPERATING INCOME (all projects)

FISCAL YEAR


Contract Development Name:
Number:
Units-Assisted- Prepared by:
/Total:
-------------------------------------------------------------------------------
Assisted Nonassisted Residential Child Care Commercial

Units Units Total Center Space
-------------------------------------------------------------------------------
1. Actual
Income
-------------------------------------------------------------------------------
2. Approved ( ) ( ) ( ) ( ) ( )
Budgeted
Operating
Expenses
-------------------------------------------------------------------------------
3. Actual ( ) ( ) ( ) ( ) ( )
Operating
Expenses
-------------------------------------------------------------------------------
4. Lessser of ( ) ( ) ( ) ( ) ( )
Line 2 or 3
-------------------------------------------------------------------------------
5. Net
Operating
Income
(Line 1 minus

Line 4)
-------------------------------------------------------------------------------
6. Deposit to ( ) ( ) ( ) ( ) ( )
Reserve
Accounts
-------------------------------------------------------------------------------
7. Transfer of ( ) ( ) ( ) ( ) ( )
Income
from Account
[FNa1]
-------------------------------------------------------------------------------
8. Receipt of
Income from
Transfer (re-
apportioned
Income)
-------------------------------------------------------------------------------
9. Sponsor
Distributions
-------------------------------------------------------------------------------
10. FHDP

Interest
Payments
-------------------------------------------------------------------------------
11. FHDP
Principal
Payments
-------------------------------------------------------------------------------
12. Amount to
Deposit in
HCD Emergency
Reserve Fund
-------------------------------------------------------------------------------
[FNa1] List income from nonassisted units or commercial space used to subsidize
assisted units or child care center; or income from assisted units used to
subsidize child care center. The totals of lines 7 and 8 should be zero.


XI. REPORT OF FHDP LOAN PAYMENT BALANCES (all projects)

FISCAL YEAR


Contract Number: Development Name:
Units-Assisted/Total: Prepared by:
------------------------------------------------------------
AMOUNT
------------------------------------------------------------
1. Origiinal Principal Amount
------------------------------------------------------------
2. Total Principal Paid in Previous Years
------------------------------------------------------------
3. Principal Paid in This Fiscal Year
------------------------------------------------------------
4. Outstanding Principal Balance
------------------------------------------------------------
5. Total Interest Due in Previous Years
------------------------------------------------------------
6. Interest Due in This Fiscal Year
------------------------------------------------------------
7. Total Interest Due
------------------------------------------------------------
8. Total Interest Paid in Previous Years

------------------------------------------------------------
9. Interest Paid in This Fiscal Year
------------------------------------------------------------
10. Total Interest Paid
------------------------------------------------------------
11. Outstanding Interest Balance
------------------------------------------------------------


XII. REPORT OF VACANCY LOSS, UNCOLLECTIBLE RENTS & SERVICE payments (all
projects)

FISCAL YEAR


Contract Number: Development Name:
Units-Assisted/Total: Prepared by:
--------------------------------------------------------------------------
Proposed (A) Approved (B)
--------------------------------------------------------------------------
ASSISTED UNITS:

--------------------------------------------------------------------------
1. Rent Loss due to Vacancy
--------------------------------------------------------------------------
2. Uncollectible Rents & Service Payments
--------------------------------------------------------------------------
3. Total Rent Loss-Assisted Units
--------------------------------------------------------------------------
NONASSISTED UNITS:
--------------------------------------------------------------------------
4. Rent Loss Due to Vacancy
--------------------------------------------------------------------------
5. Uncollectible Rents & Service Payments
--------------------------------------------------------------------------
6. Total Rent Loss-Nonassisted Units
--------------------------------------------------------------------------
COMMERCIAL SPACE:
--------------------------------------------------------------------------
7. Rent Loss Due to Vacancy
--------------------------------------------------------------------------
8. Uncollectible Rents
--------------------------------------------------------------------------

9. Total Rent Loss-Commercial Space
--------------------------------------------------------------------------
10. TOTAL PROJECT RENT LOSS
--------------------------------------------------------------------------


XIII. REPORT OF REPLACEMENT RESERVE ACCOUNT (all projects)

FISCAL YEAR


Contract Number: Development Name:
Units-Assisted/Total: Prepared by:
----------------------------------------------------------
Proposed (A) Approved (B)
----------------------------------------------------------
1. Beginning Balance
----------------------------------------------------------
2. Deposits
----------------------------------------------------------
3. Withdrawals

----------------------------------------------------------
4. Ending Balance
----------------------------------------------------------
5. Summary of Withdrawals
----------------------------------------------------------
----------------------------------------------------------
----------------------------------------------------------
----------------------------------------------------------
----------------------------------------------------------
----------------------------------------------------------
6. TOTAL WITHDRAWALS
----------------------------------------------------------
Footnotes:


XIV. REPORT OF OPERATING RESERVE ACCOUNT (all projects)

FISCAL YEAR


Contract Number: Development Name:

Units-Assisted/Total: Prepared by:
----------------------------------------------------------
Proposed (A) Approved (B)
----------------------------------------------------------
1. Beginning Balance
----------------------------------------------------------
2. Deposits
----------------------------------------------------------
3. Withdrawals
----------------------------------------------------------
4. Ending Balance
----------------------------------------------------------
5. Summary of Withdrawals
----------------------------------------------------------
----------------------------------------------------------
----------------------------------------------------------
----------------------------------------------------------
6. TOTAL WITHDRAWALS
----------------------------------------------------------
Footnotes:



XV. MANAGEMENT REPORT (all projects)

FISCAL YEAR

1. Describe any notice or citation for violation of local housing codes.
2. Describe any major purchases or maintenance work undertaken in the reporting year.
3. Describe any major repair or maintenance work still needed.
4. Determine vacancy rate by completing (a) through (c) below.
(a) Total number of units: x 12 months = unit months
(b) Number of vacant units during the year:
(c) Number of months vacant
(d)Number of vacant unit months:

(b) x(c) = (d)
(e) Vacancy rate:
(d) /(a) = %
5. How many households were evicted during the year? List each eviction by unit number and explain reason for each.
6. Describe any problems which arose in filing vacancies and steps taken to address them.
7. How many names are currently on the waiting list?
Lower-income applicants
Very low-income applicants
Families with children

Elderly applicants
Total
8. Describe any additional management problems that occurred during the past fiscal year and steps taken to solve management problems.
9. Have there been any changes in property management staff responsible for the project? If so, identify new staff and attach their resumes.
XVI. CHILD CARE REPORT

FISCAL YEAR

Section 1. To be completed by all projects with on-site child care centers.
1. a. Full name of child care center operator:
b. Attach a copy of the contract, if the child care center is not operated by the sponsor.

c. Will the contract be renewed? If not, why not? Explain who will operate the child care center.
2. a. When was your license last renewed?
b. Were any deficiencies noted by the Department of Social Services (DSS)? If so, attach notice of deficiency issued by DSS. Explain how the deficiency was resolved.
3.Describe any problems experienced in establishing, implementing and/or operating the child care center. How were these problems resolved?
4. Describe the changes that will be made in the next year to improve the quality of the child care center.
5. Describe how your center used volunteers. Include in your description the pool of volunteers, number of volunteers, number of donated hours, and type of training provided.
6. Complete the program information chart on the following page.

SECTION 2. To be completed by congregate projects without on-site child care.
1. Describe the assistance provided to residents in locating child care. Identify all child care centers and family day care homes used by residents.
2. Number of FHDP households assisted
Number of FHDP children assisted
3. Describe the ways that the child care was made affordable to families. List the amounts and type of subsidy provided to families.
4. Describe the changes that will be made in the next year to improve your child care assistance to residents.


[Note: The following TABLE/FORM is too wide to be displayed on one screen.
You must print it for a meaningful review of its contents. The table has been
divided into multiple pieces with each piece containing information to help you
assemble a printout of the table. The information for each piece includes: (1)

a three line message preceding the tabular data showing by line # and
character # the position of the upper left-hand corner of the piece and the
position of the piece within the entire table; and (2) a numeric scale
following the tabular data displaying the character positions.]
*******************************************************************************
******** This is piece 1. -- It begins at character 1 of table line 1. ********
*******************************************************************************

Contract
Number:
Name of Child Care Facility:
License
No.:
----------------------------------------------------
Total Days of Days of
Licensed Operation Enrollment:
Slots Children of
FHDP
Households



----------------------------------------------------
Infants
----------------------------------------------------
Preschool
----------------------------------------------------
School Age
----------------------------------------------------
1...+...10....+...20....+...30....+...40....+...50..

*******************************************************************************
******* This is piece 2. -- It begins at character 53 of table line 1. ********
*******************************************************************************

Development Name:
Name of Child Care Center Operator:
Prepared by: Name


Title
--------------------------------------------------------
Days of Days of Average Monthly
Enrollment: Enrollment: Montly Average:
Children of Children of Percent No. of
Other Non-Residents Fee Per FHDP
Residents FHDP Children
(Non-FHDP Household on
Households) Waiting
List
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
53....60....+...70....+...80....+...90....+....0....+...


Monthly average: Number of FHDP households with children residing in development:
Monthly average:Number of FHDP households in need of child care [FNa1]:
TOTAL of FHDP children enrolled:
TOTAL of FHDP households with enrolled children:
[FNa1] due to job training or employment
XVII. SUPPORTIVE SERVICE REPORT

FISCAL YEAR

1. Complete the program information chart on the following page.
2. Describe a few case histories that illustrate ways that residents have benefited from these supportive services.
3. Describe the problems experienced in establishing, implementing and/or operating supportive services. How were these problems resolved?

4. Describe the issued/problems that residents had that were not anticipated. How were these problems addressed?
5. Describe the changes that will be made in the next year to improve the quality of the supportive services offered to residents.
XVII. SUPPORTIVE SERVICES REPORT (Cont'd.)

PROGRAM INFORMATION CHART

FISCAL YEAR



[Note: The following TABLE/FORM is too wide to be displayed on one screen.
You must print it for a meaningful review of its contents. The table has been
divided into multiple pieces with each piece containing information to help you
assemble a printout of the table. The information for each piece includes: (1)
a three line message preceding the tabular data showing by line # and
character # the position of the upper left-hand corner of the piece and the

position of the piece within the entire table; and (2) a numeric scale
following the tabular data displaying the character positions.]
*******************************************************************************
******** This is piece 1. -- It begins at character 1 of table line 1. ********
*******************************************************************************

Contract
Number:
Development
Name
Prepared by: Name Title
-------------------------------------------------------------------------
Type of Name/ Address/ Cost of Value of No. of FHDP
Supportive Phone of Serice (to Service Households
Service Organization Sponsor Participating
Providing and/or
Service Household)
-------------------------------------------------------------------------
-------------------------------------------------------------------------

-------------------------------------------------------------------------
-------------------------------------------------------------------------
1...+...10....+...20....+...30....+...40....+...50....+...60....+...70...

*******************************************************************************
******* This is piece 2. -- It begins at character 74 of table line 1. ********
*******************************************************************************



------------------------------
No. of FHDP Average No. of
Households Non-FHDP
Unable to Households
Participate Participating
(Waiting on a Monthly
List) Basis
------------------------------

------------------------------
------------------------------
------------------------------
74...80....+...90....+....0...


XVIII. JOB TRAINING AND EMPLOYMENT REPORT

FISCAL YEAR

1. Complete the Job Training and Equipment Program Information Class on the following page.
2. Describe the steps you have taken to implement your job training and placement program.
3. Describe how services are coordinated, including program marketing to tenants, family case management, and follow-up. Attach a resume of sponsor staff who are responsible for program coordination and indicate their job duties and average weekly hours.

4. Describe the employment status of both current and new FHDP residents.

FHDP Residents All FHDP Residents
Upon Entry
This Fiscal Year
No. Unemployed
In TrainingEducation
or Voc. Ed Programs
Employed
Full-Time
Part-Time


5. Describe the types of jobs for wh ich residents have been trained both within the rental developmentand community at large. What is the average wage of these jobs? List the positions held within the development of FHDP households. (continued)