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HCCBG Budget <br />NAME AND ADDRESS <br />Home and Community Care Block Grant for Older Adults <br />COMMUNITY SERVICE PROVIDER <br />DOA -732 (Rev. 1/13) <br />Active Living and Parks <br />County Funding Plan <br />County Cabarrus <br />P O Box 707 <br />July 1, 2014 through June 30, 2015 <br />Concord, NC 28026 -0707 <br />Provider Services Summary <br />A <br />B <br />C <br />D <br />E <br />F <br />G <br />H <br />I <br />Ser. Delivery <br />Projected <br />Projected <br />Projected <br />Projected <br />(Check One) <br />Block <br />Grant Funding <br />Required <br />Net' <br />USDA <br />Total <br />HCCBG <br />Reimburse. <br />HCCBG <br />Total <br />Services <br />Local Match <br />Sery Cost <br />Subsidy <br />Funding <br />Units <br />Rate <br />Clients <br />Units <br />Direct <br />JPurch. <br />Access <br />In -Home <br />Other <br />Total <br />Senior Center Operation 1 <br />X <br />83060 <br />\ \ \ \ \ \ \ \ \ \ \ \\\ <br />9229 <br />92289 <br />0 <br />0 <br />92289 <br />#DIV /0! <br />#DIV /0! <br />4500 <br />#DIV /0! <br />\ \ \ \ \ \ \ \ \ \ \ \ \\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \\\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \\\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \\\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />\ \ \ \ \ \ \ \ \ \ \ \\\ <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Total <br />\ \ \ \ \ \\ <br />\ \ \ \ \ \\ <br />0 <br />1 <br />0 <br />1 83,060 <br />83,060 <br />9229 <br />92289 <br />0 <br />92289 <br />\ \ \ \ \ \ \ \ \ \ \ \ \\ <br />\ \ \ \ \ \ \ \ \ \ \ \ \\ <br />4500 <br />#DIV /0! <br />'Adult Day Care & Adult Day Health Care Net Service Cost <br />ADC ADHC <br />Daily Care <br />Certification of required minimum local match <br />Transportation <br />availability. Required local match will be expended <br />Authorized Signature, Title <br />Date <br />Administrative <br />simultaneously with Block Grant Funding. <br />Community Service Provider <br />Net Ser. Cost Total <br />Signature, County Finance Officer Date <br />Signature, Chairman, Board of CommissionerE Date <br />F -5 Page 345 <br />