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Agency Name
<br />OEO Form 225N -The Budget Narrative
<br />Section III - Budget Summa
<br />Indirect Cost Rate Information: 10% of Salaries & Fringes. Total $27,216
<br />Section IV- Salary and Wages
<br />Staff Names and Positions: Jean Harvey — Director, Joan Diggs — Contract Manager, Lucilita
<br />Ancheta — Intake /Admin., Denita Caldwell — Case Manager, Dione Adkins — Case Manager,
<br />Denisha Torrence — Case Manager, Chaquita Breland — Case Manager, Vacant Position — Case
<br />Manager. Total $206,537
<br />Section IVa- Budget Support Data
<br />Fringe Benefits: FICA, SUTA, Short -Term Disability, Employee Assistance Program, Life
<br />Insurance, Health Insurance, Retirement Plan —401 k, Workers Compensation. Total $65,626
<br />Communications: Telephone, fax, internet, and postage. Total $4,584
<br />Section IVIJ- Budget Support Data
<br />Equipment: $0.
<br />Section IVc- Budget Support Data
<br />Space Costs: Rent, Utilities (Gas, Electric, Water /Sewer), Repairs & Maintenance. Total $8,038
<br />Travel: Staff Travel — Mileage Reimbursement. Total $2,700
<br />Supplies /Materials: Office Supplies - pens, pencils, paper, staples, paper clips, tape, binder clips,
<br />etc. and copies /duplications. Total $3,051
<br />Section IVd- Budget Support Data - Contractual
<br />Sub - contractor
<br />[DBA if applicable]
<br />Community Action Primary Contact
<br />Opportunities
<br />Address /Phone
<br />25 Gaston Street, Asheville, NC 28801 828 - 252 -2495
<br />Service Description
<br />A134CA Susbscription
<br />Payment Arrangement
<br />Annual payment
<br />Contract Duration
<br />annual
<br />Sub - contractor
<br />[DBA if applicable]
<br />Modern Impressions
<br />Primary Contact
<br />Scott Hannah
<br />Address /Phone
<br />5029 -B West WT Harris Blvd, Charlotte, NC 28269 336- 362 -5127
<br />Service Description
<br />Copier Lease
<br />Payment Arrangement
<br />Monthly payment
<br />Contract Duration
<br />39 Months
<br />Section IVe- Budget Support Data
<br />Client Services: Standard Housing Assistance - 4 clients @ $200, Emergency Assistance - 20
<br />clients @ $250, Education - 15 clients @ $1,000, Daycare Assistance - 5 clients @ $200,
<br />Transportation - 16 clients @ $100, Employment -15 clients @ $400, Health Care - 8 clients @
<br />$200, Food -12 clients @ $200, Clothing - 10 clients @ $100, Furniture - 10 clients @ $200,
<br />Workshops /Seminars -110 clients @ $65. Total $43,550
<br />Other: Staff Training - Conferences (Registration, hotel, and meals) ($1,250 per year x 8 staff),
<br />NC CAA Membership - annual dues, Liability Insurance, Public Affairs — Advertising, Public
<br />Affairs - Promotional Items, Miscellaneous - drug testing and retirement plan fees. Total $17,495
<br />Fiscal Year 2013 -14 Community Services Block Grant Application
<br />Page 29 of 42
<br />Attachment number 3
<br />F -6 Page 93
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