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OH) Form 225 Page of Pages <br />Revised 0 911 512 01 1 <br />Salisbu -Rowan Community Action Agency, Inc. <br />SECTION IVa. - BUDGET SUPPORT DATA <br />COST CATEGORY <br />Self - Sufficiency <br />(Insert Program <br />Name) <br />(Insert Program <br />Name ) <br />(Insert Program <br />Name <br />TOTAL <br />FRINGE BENEFITS <br />Item <br />Basis <br />FICA <br />7.65% x $193,360 <br />$14,792 <br />$14,792 <br />Retirement 401 k <br />$855.501 ear x 6 staff <br />$4,959 <br />$4,959 <br />Life Ins <br />$88.60/year x 6 staff <br />$531 <br />$531 <br />Short Term Disability Ins <br />$911ysar x 6 staff <br />$546 <br />$546 <br />SUTA <br />$179.33/year x 6 staff <br />$1,076 <br />$1,076 <br />Worker's Comp Ins <br />2.95% x $193,360 <br />$5,704 <br />$5,704 <br />Health Insurance <br />$4,286.66/year x 6 staff <br />$25,720 <br />$25,720 <br />$36,742.86 annual premium x 70% SRCAA paid, <br />$0 <br />staff pays 30% <br />- t <br />$0 <br />$0 <br />TOTAL FRINGE BENEFITS <br />$53,328 <br />$0 <br />$0 <br />$0 <br />$53,328 <br />1 COMMUNICATIONS <br />Phonesllnlernel <br />$a <br />5 phone lines including internet service <br />$0 <br />$1170/month x 12 months <br />$2,040 <br />$2,040 <br />$0 <br />$0 <br />Postage <br />$0 <br />$45 /month x 12monlhs <br />$540 <br />$540 <br />$0 <br />$0 <br />$0 <br />$0 <br />TOTAL COMMUNICATIONS <br />$2,580 <br />$0 <br />$0 <br />$0 <br />$2,580 <br />D <br />v <br />s <br />m <br />F -7 Page 206 <br />