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Carolina Division of Aging
<br />Cost Computation Worksheet c:732A.xls
<br />Y. Human Services
<br />Cabarrus
<br />Period: July 1, 2014 through June 30, 2015
<br />n _yes, _no, revision date
<br />reimbursement Is SJS /maal
<br />DOA -732A
<br />Fr 2015
<br />Page 1
<br />Non unit services In
<br />Theo CWi
<br />Required Minimum Match -Cash { / { { { { /1 { {// /1/Iffll/f Ifl {IUllll IrIIP /llfl // IN /fl / /ll/ /I IIIIIUIIII LP /lllf /I/ IP/ /1l / /111/111
<br />1) County General Fund
<br />48,134
<br />{ / / / { { { {//
<br />In -Home
<br />5,298
<br />10,774
<br />3,980
<br />3,877
<br />Adult
<br />21
<br />1 0
<br />l/lll / /Il/
<br />II-
<br />In -Home Ill.
<br />23,500
<br />Adult
<br />Day
<br />31
<br />Grand
<br />1rlllllUl
<br />Personal
<br />Personal
<br />Congregate
<br />'Info &
<br />Day Care
<br />Health
<br />I. Projected Revenues
<br />Total
<br />} } }} /I / / }/
<br />Care 042
<br />Care 045
<br />180
<br />Assist D40
<br />030
<br />155
<br />A. Fed /State Funding From the Division of
<br />433,206
<br />/ { / { / /{ {/{
<br />111,297
<br />47,680
<br />96,965
<br />35,821
<br />34,894
<br />106,549
<br />Required Minimum Match -Cash { / { { { { /1 { {// /1/Iffll/f Ifl {IUllll IrIIP /llfl // IN /fl / /ll/ /I IIIIIUIIII LP /lllf /I/ IP/ /1l / /111/111
<br />1) County General Fund
<br />48,134
<br />{ / / / { { { {//
<br />12,366
<br />5,298
<br />10,774
<br />3,980
<br />3,877
<br />11,839
<br />21
<br />1 0
<br />l/lll / /Il/
<br />@
<br />23,500
<br />31
<br />1 0
<br />1rlllllUl
<br />3)
<br />@llllllllll
<br />Total Required Minimum Match - Cash
<br />1 48,1341//////////
<br />} } }} /I / / }/
<br />1 12,3661
<br />5,2981
<br />10,774
<br />3,980
<br />3,877
<br />11,839
<br />Required Minimum Match - In -Kind C111111111111Ar11f111/// I frr/ /fri / /1 llrre/rii /I r ill /}irr /rflrr ill{ rr} rllralrlrffrrll�rrlrfrrrrl / { /rl
<br />1)
<br />0
<br />f// ///Ifff
<br />/l/rllll/1
<br />164,396
<br />2)
<br />0
<br />frllllllfl
<br />@
<br />23,500
<br />3)
<br />0
<br />//rrrllrr/
<br />3)
<br />@llllllllll
<br />Total Required Minimum Match - In-Kir
<br />0
<br />} } }} /I / / }/
<br />0
<br />0
<br />0
<br />0
<br />0
<br />0
<br />B. Total Required Minimum Match (cash +
<br />48,134
<br />/ }f /f / { }//
<br />12,366
<br />5,298
<br />10,774
<br />3,980
<br />3,877
<br />11,839
<br />C. Subtotal, Fed /State /Required Match Rei
<br />481,340
<br />/ / / / { / / {//
<br />123,663
<br />52;978
<br />107,739
<br />39,801
<br />38,771
<br />118,388
<br />D. USDA Cash Subsidy /Commodity Valuati
<br />12,419
<br />/ / / / / / / ///
<br />1
<br />12,419
<br />1
<br />E. C)AA Title V Worker Wages, Fringe Rene
<br />0
<br />{ / /f / } / {//
<br />Local Cash, Non -Match /1} ///Ifff // Ifff /l/l/f / /If /f/f //I /llffff///ll Ilff/lffll/I/ /Ifr /Ifl /I/ // /f / / //I/ fl / / /I/Ilff / /ff
<br />1) County General Fund
<br />164,396
<br />f// ///Ifff
<br />/l/rllll/1
<br />164,396
<br />2) Service Contracts (Rowan & Meck)
<br />23,500
<br />fll / /Irffl
<br />@
<br />23,500
<br />3)
<br />D
<br />//rrrllrr/
<br />3)
<br />@llllllllll
<br />41
<br />0
<br />/// /lllllP
<br />G. Subtotal, Other Revenues, Non - Match
<br />0 1////I/////
<br />F. Subtotal, Local Cash, Non -Match
<br />187,896
<br />/fulfill/
<br />0'
<br />0
<br />187,896
<br />0
<br />0
<br />0
<br />Other Revenues, Non -Match Illf/llfafr/A11/W //li Gfr/ i1r} ur} IIP11l} 11// r1A///f rrrrrrivarrrrfilrrrfalrrrrr }irrarrrrrr /rrrrrlrr
<br />1) Donations
<br />@
<br />/l/rllll/1
<br />2) State In -Home
<br />@
<br />/If /llf /ll
<br />3)
<br />@llllllllll
<br />G. Subtotal, Other Revenues, Non - Match
<br />0 1////I/////
<br />I
<br />0
<br />D'
<br />0 1 ,
<br />01
<br />0
<br />0
<br />Attachment number 1
<br />F -5 Page 82
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