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CC - Item 5A - Annual Action Plan for FYE 2009-10ROSEMEAD CITY COUNCIL STAFF REPORT TO: THE HONORABLE MAYOR AND CITY COUNCIL, FROM: JEFF STEWART, INTERIM CITY MANAGER i DATE: APRIL 28, 2009 SUBJECT: ANNUAL ACTION PLAN FOR FISCAL YEAR 2009-10 SUMMARY On February 10, 2009, the City Council conducted a public hearing on the City's Annual Action Plan for the period of July 1, 2009-June 30, 2010. An Annual Action Plan is required by the U.S. Department of Housing and Urban Development (HUD) in order for the City to receive federal funds under the Community Development Block Grant (CDBG) and HOME Investment Partnership (HOME) programs. The Annual Action Plan includes the proposed activities, resources and expenditures for the CDBG and HOME programs. Four organizations (Family Counseling Services, People for People, Rosemead School District, and Southern California Housing Rights Center) made presentations at the public hearing. Two other organizations, Rosemead High School and Morrison Health Care (Senior Nutrition Provider), submitted a funding request and were scheduled to have a representative present; however, they were unable to attend. Copies of these organizations written proposals are enclosed. A summary of staff-endorsed projects has now been prepared based on the funding requests and ongoing CDBG and HOME funded activities. Staff Recommendation Staff recommends that the City Council review and finalize its CDBG and HOME funding recommendations under the City's Annual Action Plan for the Fiscal Year 2009- 10. ANALYSIS While the City has not yet been notified of the grant amount that will be available to meet identified needs within Rosemead for the new year, HUD has requested that communities base their projections on current allocation amounts. Therefore, it is estimated that the City will receive approximately $1,138,481 in CDBG funds and $496,123 in HOME funds for the 2009-10 fiscal year. When combined with carryover funds of $776,128 and anticipated program income of $17,000 in CDBG and carryover funds of $1,229,721 in HOME, the City will have a total of approximately $1,931,609 of CDBG funds available and $1,725,844 in HOME funds available for the 2009-10 year. APPROVED FOR CITY COUNCIL AGENDA: ITEM NO..!5N City Council Report April 28, 2009 Page 2 of 4 After much deliberation and thought, staff is proposing that the following activities be funded under the CDBG and HOME programs and included in the City's Annual Action Plan for the Fiscal Year 2009-10. 2009-2010 CDBG Alloca tion City Administration General Administration $202,696 General Administration - Program Income $ 3,400 Fair Housing $ 25,000 Subtotal $231,096 Rehabilitation Administration $263,578 Emergency Grants $ 10,000 Grants $150,000 Rebates $ 30,000 Lead/Asbestos Testing $ 13,750 Lead/Asbestos Remediation $125,000 Subtotal $592,328 Public Safe Code Enforcement $458,429 Subtotal $458,429 Social Services Family Counseling Services $ 40,000 People for People $ 27,600 Rosemead School District $ 11,698 Rosemead High School $ 13,650 Senior Nutrition Services $ 76,808 Subtotal $169,756 Public Works Targeted Public Works Project $480,000 Subtotal $480,000 Total CDBG Allocation $1,931,609 In reviewing these recommendations it would be appropriate for the City Council to remember that only three broad funding categories are considered eligible under CDBG-regulations. A project must either provide benefits to low or moderate-income persons, eliminate slum or blighted conditions, or is an urgent need. In addition, of the CDBG funds received, no more than 15% ($170,772) of the annual grant amount can be used for public services, no more than 20% ($231,096) of the grant amount plus program income can be used for Planning and Administrative services, and, at least, 70% of all funds must be used for low-to-moderate income activities. City Council Report April 28, 2009 Page 3 of 4 While no new public service funding requests were submitted, the combined funding requests for ongoing activities equaled $170,058 which is $714 under the allowable limit of $170,772. One organization (Rosemead School District) requested an increase, while the remaining organizations requested the same level of funding as approved in the current year. While these are all worthwhile organizations, due to restricted CDBG funding, staff believes that it would be appropriate to continue to support them at there current level of funding. 2009-2010 HOME Allocation City Administration General Administration $ 49,612 General Administration - Carryover Funds $ 67,706 - Subtotal $ 117,318 Rehabilitation Owner-Occupied Loans $ 906,379 Mortgage Assistance Payment $ 350,000 Subtotal $1,256,379 Community Housing Development Organization CHDO Rio Hondo Community Development Corp. (Operating) $ 24,806 Rio Hondo Community Development Corp. Affordable Housing Program) $ 74,418 Rio Hondo Community Development Corp. Affordable Housing Program) - Carryover Funds $252,923 Subtotal $352,147 Total HOME Allocation $1,725,844 Of the HOME funds received, no more than 10% ($49,612) can be used for administrative and program delivery activities. At least 15% ($74,418) must be set aside for Community Housing Development Organizations (CHDO), as constituted under the regulations. In addition, up to 5% ($24,806) can be used by a CHDO for operating expenses. The balance of funds can only be used for housing activities. It should be noted that all the proposed projects meet the CDBG and HOME eligibility requirements. PUBLIC NOTICE PROCESS This item has been noticed through the regular agenda notification process. Prepared by: 4~c . . 6ftA-~_ Michelle G. Ramirez Economic Development Administrator City Council Report April 28, 2009 Page 4 of 4 City Manager Attachment A - CDBG & HOME Funding FY 2008-09 Approved Budget vs. FY 2009-10 Proposed Budget Attachment B - Social Service Funding FY 2008-09 Approved Budget vs. FY 2009-10 Proposed Budget Attachment C - Social Service Requests 0 0 0 0 m ~ O O 0 00 0 0 0 O (6 o co of C (D - (D (D Cl) oo (D o O r 0 0 0 C (V c'! 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Enter "X" by the appropriate designation: X Non-profit organization For-profit organization Enter "X" by all that apply: A faith-based organization An institution of higher education X Not Applicable TOTAL UNDUPLICATED CLIENTS RECEIVED: (Please Complete Attached Backup - Performance Report) See EX MIT A,B,C (Est.) ROSEMEAD 2008-2009 FINANCIAL SUPPORT: AGENCY TOTAL BUDGET FOR FISCAL YEAR 2008-2009 2009-2010 FINANCIAL REQUEST: FY 06-07 17 FY 07-08 34 FY 08-09 35 See Attached (EXHIBIT D) See Attached (EXHIBIT E) $40,000 State the Agency's mission, goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Missions Statement: Santa Anita Family Service was founded in 1951 to foster well-being of the San Gabriel Valley creating healthier families and communities through professional leadership and the provision of high-quality educational, mental health and social service programs. Goals: • Support Family Stability • Sober Living • Drug - Free Lifestyle • Violence - Free Lifestyle • Child Abuse Prevention/Intervention • Older Adults Stability/Independence • Emotional Well-Being of Adults and Children Objectives: • Provide: o Individual, group, family, and conjoint treatment o Parent - Education o Drug/Alcohol Treatment o Domestic Violence Treatment o Case Management o Linkages o Information and Referrals for Housing, Food, In Home Supportive Services, Child Care, etc. Programs designed to meet goals and objects: • Rosemead Program • Senior Services • Pathways • P.A.C.T. (Parents and Children in Transition) • PC 1000 • Domestic Violence Batterers Program • White Cap Foundation • Family Support • DV CalWORKS • CalWORKS Substance Abuse Program • General Relief Substance Abuse Program • Project: ARMS (Assisting in the Recovery and Motivation of Survivors) • Proposition 36 • Image Plus: Alcohol and Drug Prevention and Education • Impact Plus: Project: Violence/Gang Prevention Program • Family Preservation • YAB (Youth Accountability Board) • Food Stamp Program • Monterey Park - Ethnic Harmony Program • San Gabriel Unified School District - Family Resource Center • Arcadia Unified School District Program • Covina Unified School District Program • Asian Helpline 2 2. Briefly explain any new programs or services to Rosemead residents during FY 2008-2009. Are any planned for FY 2009-2010? No new programs/services 3. How are clients referred to your agency? Community Agencies, Schools, Police Department; Department of Children and Family Services, Prototypes, Residents of Rosemead 4. List and explain any major changes in funding patterns or expenditures Loss of United Way Funding in the San Gabriel Valley 5. List major sources of funding and the amount (i.e. cities, county, state, federal, fundraising, etc.) See attached (EDIT F) 6. What facilities in Rosemead are used to conduct services? None at this time. Services are provided out of our San Gabriel office. We have made past attempts to work with the local schools to provide a variety of services, such as parent education; however, space is often an issue and the families are also able to commute to the SG office where the services are already being provided. 7. The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households X Abused Children X Handicapped Persons X Illiterate Persons X Battered Spouses X Homeless Persons X Migrant Farm Workers X Elderly Persons 8. How many Rosemead citizens do you project will benefit from your program/project: 50 Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) Our program is geared towards an array of issues many face; thus, to speak on one case study becomes a challenge. Therefore, I have chosen one that deals with a mood disorder that many deal with - depression. A woman in her mid 50s suddenly found herself abandoned by her husband of 30+ years. She found herself blaming herself for his infidelities; she began to 3 believe he was right when he said she worthless and that she was a horrible mother. By now her children were grown but she was left with self-doubt. In turn, she began having difficulty sleeping, eating, and performing her usual activities. In the end, she felt worthless and alone. Because of the low cost counseling program, she was able to utilize therapy as a means to cope with all she was facing in her life. Through her time in treatment, she was able to explore the emotional abuse that she had endured for years, increase her confidence, sense of self worth and feelings of independence. She began feeling able to and did begin to resume her regular activities. She also began to learn to deal with things she had never had to deal with before, such as financial management, paying bills, etc. In addition, she began to build a network of support, which she did not have in years prior. It was her hard work in therapy that she was able to leave treatment with a sense of competence, self worth and pride in herself. She had now developed viable coping mechanisms, increased her social network, and had an understanding of the depression that took hold of her. 10. Has your organization conducted the proposed activity before? Yes X No 11. Describe your organization's experience with CDBG Santa Anita Family Service has had an extensive experience with CDBG. For over 10 years we have worked with one or more of the following CDBG: Azusa, Baldwin Park, Monterey Park, Rosemead, Gloria Molina's office. In addition, SAFS was awarded four CSBG grants - two each for Supervisory Districts 1 and 5 for domestic violence, case management, and senior services. 12. Total number served in prior years funded by the city of Rosemead 10 years (since 1999). Summary Last 3 years: • 2006-2007 o Total Persons Unduplicated = 17 o Total Persons Duplicated =101 o Total Counseling Hours Provided = 316 0 2007-2008 o Total Persons Unduplicated = 34 o Total Persons Duplicated =110 o Total Counseling Hours Provided = 279 2008-2009 (July - December) o Total Persons Unduplicated = 20 o Total Persons Duplicated =52 o Total Counseling Hours Provided =155 4 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2006-2007 SUMMARY OF DIRECT BENEFIT ACTIVITIES Ple ase count number o f unduplicate d persons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 81% or Higher of Median Income 1 Low Income 800/o of Median income 1 1 Very Low 50% of Median Income 4 4 3 Extremely Low Income 30% of Median Income 11 11 3 Unknown/Other Total 17 6 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2007-2008 SUMMARY OF DIRECT BENEFIT ACTIVITIES Ple ase count number o f undu licate d ersons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 1 1 81% or Higher of Median Income 1 2 3 Low Income 80% of Median income 4 4 1 Very Low 50% of Median Income g 1 9 5 Extremely Low Income 30% of Median Income 2 13 2 17 9 Unknown/Other Total 34 15 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2008-2009 SUMMARY OF DIRECT BENEFIT ACTIVITIES Dhnn`. nnnn4 no lmhcr of i inril inlirated persons I White 1 140Jf.r Black not WY11 Hispanic Asian or Americ Hispanic/ SUB-TOTAL Female not of of Pacific an Asian Head of Hispanic Hispanic Islander Indian Household Origin Origin or Alaskan Native Above Low Income 81 % or Higher of Median Income 1 1 2 Low Income 80% of Median income 0 Very Low 50% of Median Income 1 3 1 5 1 Extremely Low Income 30% of Median Income 3 9 1 13 8 Unknown/Other Total 20 9 13. Proposed Program Budget - FY 2009-2010 (Public Service Requests Only) CDBG SHARE OTHER SOURCES Personnel $35887 $329212 Equipment $0 $0 Supplies $600 $8400 Consultant Services $0 $0 Space Rent & Utilities $4500 $82500 Audits $0 $10000 Other (Telephone) $1200 $10800 Miles e $0 $2000 General & Direct Liability $213 $21787 Program Income $ [2400] $0 Total Costs $40000 $464699 6 ' TOTAL OPERATING BUDGET EXPENSES Use Whole Dollars Only A Most recent fiscal year 2007/2008 B Current Operating Year 2008/2009 C Proposed Budget July 1, 2009 to June 30 2010 D Percent Change Expense Salaries 283500 283500 283500 0 Employee Benefits 39690 39690 39690 0 Employees Payroll Taxes 21688 21688 21688 0 Profes. & Consultant Fees 0 0 0 0 Supplies TMF, & offia> 7000 7000 7000 0 Telephone & Fax 12000 12000 12000 0 Postage & Shipping 0 0 0 0 Occupancy & Utilities (m 89000 89000 89000 0 Rental & Maint. of Equip. 0 0 0 0 Printing & Publishing 0 0 0 0 Travel and Transportation 2000 2000 2000 0 Conferences 0 0 0 0 Specific Assist. To Individuals 0 0 0 0- Membership Dues 0 0 0 0 Awards & Grants 0 0 0 0 Insurance (omaW & Di=t Liability) 22000 22000 22000 0 Equipment Purchased 0 0 0 0 Misc. Expenses c,-aitl 10000 10000 10000 0 Transfer to Other Funds 0 0 0 0 Dues to National Organizations 0 0 0 0 Other * * 0 0 0 0 486878 486878 486878 0 Surplus (or Deficit) of Total Support & Revenue Over Expenses * Percent Change Between Items in Columns B and C. Please explain Changes Greater than 15% between columns B and C (C-B)B. No changes greater than 15% Explain What is Included in the "Other" Category. None TOTAL OPERATING BUDGET REVENUE Use Whole Dollars Only A Most Recent Fiscal Year 2007-2008 B Current Operating Year 2008-2009 C Proposed Budget July 1, 2009 to June 30, 2010 D Percent Change Public Support Contributions 1000 1000 1000 0 Foundation & Private Grants 20000 20000 20000 0 Fundraising/ special Events 1500 1500 1500 0 Legacies and Bequests 0 0 0 0 Other Federated Org. 0 0 0 0 United Way 0 0 0 0 Misc. Organizations 0 0 0 0 Other 0 0 0 0 Subtotal 22500 22500 22500 0 Government Federal 66000 66000 66000 0 State 330000 330000 330000 0 Local 65000 65000 65000 0 Subtotal 461000 461000 461000 0 Other Revenue Membership Dues 0 0 0 0 Program Services Fees 3378 3378 3378 0 Investment Income 0 0 0 0 Transfer From Other Fund 0 0 0 0 All Other Revenue 0 0 0 0 Subtotal 3378 3378 3378 0 TOTAL REVENUE 486878 486878 486878 0 *Column A is the Audited or Most Recently completed 1-Month Period Percent Change From B and C (C-B)B. Please Explain Changes Greater than 151/6 Percent Fundraising is a focus of our agency for this neat fiscal year I HAVE BEEN AUTHORIZED TO SUBNHT REQUEST FOR FUNDING Title ~zb~ 3s4 ~'3 S~ hone umber Organization ! Date Lxhlbit 0 1 of 2 pages Income 4000 -Donations 41DO -Program Fundraising 4200 -Board Contributions 4600 - Revenue - Assoc Org. Monrovia 5001 • Senior Center Contract 50012 • Family Support Contract 50015 - DV Calworks Contract 50018 • DV Calworks Grow Contract 50019. DV Calworks GR 5002 • Pathways Contract 5003 • Pact Contract 5006 -City of Azusa Contract 5007 -City of Covina 5008. Temple City Unified School 5013 • City of Baldwin Park-SC 5014 • Covina Unified School Dist 5015 -Arcadia Unified School 5016 -Pathways GR-Contract 5017 Pathways Calworks-Contract 5019 Proposition 36 Contract 5020 -Family Preservation Contract 5021 ARMS 5022 • City of Rosemead Contract 5023 • General Relief/FCS Contract 5024 • Calworks/FCS Contract 5025 • Image Plus Contract 5026 • Impact Plus- CDBG Contract 5027 -City of Monterey Park Contract 5029 • Whitecap Found 5031 • San Gabriel Unified 5045. DPSS 6000 -Murex Petroleum Corp. 6100 -Amerada Hess Corp. 6150 • Danbury 6175 • Ranch Oil Co. 6185 - FidelityOllCompany 6195 -Assistance League 6200 • Counseling Fees 6201 -Pathways Fees 6202 • PC 1000 Fees 6203 • PACT Fees 6204 - Domestic Violence Fees 6205 -Prop 36.1 Fees 6206 • Parenting Fees 6207 -Senior Center income 6208 • Sex Offenders Fees 6209 - Rosemead fees 6210 -ARMS fees 6211 -Anger Management Fees 6212 • Adolescent Group Fees 6213 -Chronic Illness Fees 6214 • Empowerment Group Fees 6220 • YAB Fees 6230 • Rental income 6500 -Miscellanous Income 6520 -interest 6810 -United Way Allocation 6811 - United Way Donor Contributions Total Income Santa Anita Family Services Budget 08-09 ;c.' -June 08 71'08-June 09 6,330.00 6,080.00 720.87 800.00 4,150.00 5,000.00 2,000.00 2,000.00 789,178.00 777,823.00 158,970.43 150,000.00 235,411.00 229,038.00 1,990.00 20,754.00 - 6,918.00 21482.00 19,682.00 113,893.00 116,666.00 10,000.00 10,000.00 6,630.00 12,000.00 - 15,000.00 5,420.00 5,000.00 22,830.00 22,500.00 5,000.00 5,000.00 8,988.00 8,007.00 7,938.38 71144.00 331,608.00 358,103.00 497,549.93 500,830.00 39,276.00 39,560.00 40,000.00 7,710.00 5,069.00 15,083.12 15,098.00 74,047.00 61,706.00 15,931.00 15,000.00 4,166.65 5,000.00 20,000.00 20,000.00 6360.00 28,000.00 80.00 166,805.00 2925.61 3,000.00 7397.63 8,000.00 934.75 895.00 647.53 778.00 434.92 520.00 1960.00 17,500.00 56581.40 58,800.00 700.00 636.00 10765.66 10,989.60 24797.25 24,000.00 48801.00 50,000.00 18513.87 19,105.00 3672.50 3,780.00 8307.00 8,950.00 9426.00 10,831.00 2966.00 3,067.00 26.00 0.00 1907.00 1,630.00 339.50 335.00 290.00 276.00 2217.00 2,066,00 398.00 453.00 2251.20 2,251.20 19921.71 0.00 637.00 636.00 46611.96 0.00 886.88 1,013.00 2,725,899.88 2,864,534.80 Pagel of 2 Exhlblt D 1 of 2 pages Expense 7000 -Salaries 7050 -Salaries - Clerical 7090 • Salaries - Para Professional 7095. Expense for DPSS 7100 -Health Insurance 7210 • Payroll taxes 7230 WIC Insurance 7240 -Unemployment Insurance 7400 StIpens1SC 8040 -Accounting Services 8041 ADP Fees 9110 •Offlce supplies 8175 • Educational Training 8200 -Telephone 8300 -Postage 8400 • Mortgage Interest Expense/Mon 8410 -Rent 8411 . Mortage Interest Expense/Covina 8420 • Mortgage Interest Expense 8425 • Line of Credit Interest Expense 8430 • Utilities 8440 • Maintenance - Building 8445 • Maintenance Service & Repairs 8490 -Alarm Expense 8501 - Rental & Maint of Equipment 8525 - Equipment Tax 8600 -Printing 8720 • Mileage 8810 -Educational Conferences 9000 -Membership Dues 9100 -Filing Fees 9200 ' Liability Insurance 9500 • Miscellaneous 9520 • Bank chargeslFees 9540 • Business License Renewal 9570 • Purchase of Service 9590 -Drug Testing 9592 Fam Pres•Subcontractor 9593 -DV Cal-works Subcontractors 9594 • Family Support Subcontractor 9600 • U.S Finger Print Expense Total Expense Net Income/loss Santa Anita Family Services Budget 08-09 Jul '07 - June 08 Jul 'Da -June 09 1326627.54 1, 299, 311.06 161926.84 159,261.77 455597.68 443,388.00 0.00 102,000.00 117489.68 100,931.00 156536.75 135,571.97 67963.68 45,000.00 37771.57 24,000.00 4953.62 5,090.51 22130.00 23,000.00 12303.93 13,000.00 53094.85 45,D00.00 ._320.00 360.00 36692.53 36,562.00 9974.74 9,000.00 8692.96 10,423.00 82595.00 83,403.60 4635.60 5,562.72 13135.69 9,988.99 1148.62 810.37 33626.43 34,458.80 7089.69 6,978.85 8429,25 2,300.00 1260.00 1,533.50 20658.36 21,870.76 101.63 121-96 3774.48 800.00 26706.28 15,610.74 3283.00 2,139.65 1427.00 1,574.41 803.99 414.23 33909.00 35,000.00 2744.00 2,672.20 6300.00 5,516.15 506.00 506.00 18853.74 19,470.79 1837.00 1,603.93 104836.56 90,000.00 12695.00 18,977.00 65220.00 50,912.84 480.00 408.00 2928132.69 2,864,534.80 -202232.81 Page 2 of 2 Exhibit D 1 of 2 pages Expense 7000 -Salaries 7050 • Salaries - Clerical 7090 - Salaries - Para Professional 7095. Expense for DPSS 7100 -Health Insurance 7210 -Payroll taxes 7230 -WIC Insurance 7240 • Unemployment Insurance 7400 Sbpens/SC 8040 -Accounting Services 8041 -ADP Fees 6110 -Office supplies 6175 - EducationalTraining 8200 -Telephone 8300 . Postage 8400 • Mortgage Interest ExpenselMon 8410 -Rent 8411 • Mortage Interest ExpenselCovina 8420 -Mortgage Interest Expense 8425 -Line of Credit Interest Expense 8430 -Utilities 8440 Maintenance - Building 8445 Maintenance Service & Repairs 8490 -Alarm Expense 8501 • Rental & Maint of Equipment 8525 • Equipment Tax 8600 -Printing 8720 • Mileage 8810 •Educatlonal Conferences 9000 -Membership Dues 9100 -Filing Fees 9200 • Liability Insurance 9500 • Miscellaneous 9520 - Bank charges/Fees 9540 -Business License Renewal 9570 • Purchase of Service 9590 • Drug Testing 9592 •Fam Pres-Subcontractor 9593 • DV Cal-works Subcontractors 9594 • Family Support Subcontractor 9600 • U.S Finger Print Expense Total Expense Net Incomenoss Santa Anita Family Services Budget 08-09 Jul '07 • June 08 Jul 108 - June 09 1326627.54 1,299, 311.06 161926.94 159,261.77 455597.68 443,388.00 0.00 102,000.00 117489.68 100,931.00 156536.75 135,571.97 67963.68 45,000.00 37771.57 24,000.00 4953.62 5,090.51 22130.00 23,000.00 12303.93 13,000.00 53094.85 45,000.00 320.00 360.00 36692.53 36,562.00 9974.74 9,000.00 8692.96 10,423.00 82595.00 83,403.60 4635.60 5,562.72 13135.69 9,988.99 1148.62 810.37 33626.43 34,458.80 7089.69 6,978.85 8429.25 2,300.00 1260.00 1,533.50 20658.36 21,870.76 101.63 121.96 3774.48 800.00 26706.28 15,610.74 3283.00 2,139.65 1427.00 1,574.41 803.99 414.23 33909.00 35,000.00 2744.00 2,672.20 6300.00 5,516.15 506.00 506.00 18853.74 19,470.79 1837.00 1,603.93 104836.56 90,000.00 12695.00 18,977.00 65220.00 50,912.84 480.00 408.00 2928132.69 2,864 r- 34._~ I -202232.81 Page 2 of 2 - Santa Anita Family Services Projected Budget FY 09-10 EXHIBIT E 1 OF 2 pages Jul '09 -June 10 Income 4000 - Donations 23,080.00 4100 - Program Fundraising 800.00 4200 • Board Contributions 5,000.00 4600 • Revenue - Assoc Org. Monrovia 2,000.00 5001 - Senior Center Contract 860,178.00 50012 • Family Support Contract 150,000.00 50015 • DV Calworks Contract 229,038.00 50018 • DV Calworks Grow Contract 20,754.00 50019. DV Grow Dist 5 6,918.00 5002 - Pathways Contract 19,682.00 5003 • Pact Contract 116,666.00 5006 - City of Azusa Contract 10,000.00 5007 • City of Covina 2,500.00 5013 • City of Baldwin Park-SC 5,000.00 5014 - Covina Unified School Dist 22,830.00 5015 • Arcadia Unified School 14,000.00 5016 • Pathways GR-Contract 8,007.00 5017 • Pathways Calworks-Contract 7,144.00 5019 • Proposition 36 Contract 300,000.00 5020 • Family Preservation Contract 500,830.00 5022 - City of Rosemead. Contract 40,000.00 5023 • General Relief/FCS Contract 5,069.00 5024 • Calworks/FCS Contract 19,000.00 5025 • Image Plus Contract 74,047.00 5026 • Impact Plus- CDBG Contract 15,931.00 5027 • City of Monterey Park Contract 5,000.00 5031 • San Gabriel Unified 14,400.00 5050. DPSS-Food Stamp 2,880.00 5060 - DPSS Senior Srvs 49,622.30 5080. CSBG 5CM 30,810.40 5090. CSBG DV1 59,331.30 5091. CSBG 1SS 18,081.70 6000 • Murex Petroleum Corp. 3,417.00 6100 • Amerada Hess Corp. 16,647.00 6150 • Denbury 1,656.00 6175 - Ranch Dal Co. 1,239.00 6185 • FidelityOll Company 300.00 6195 • Assistance League 17,500.00 6200 - Counseling Fees 146,000.00 6230 • Rental income 2,251.00 6520 -Interest 636.00 6811 - United Way Donor Contributions 1,013.00 Total Income 2,829,258.70 Page 1 of 2 Santa Anita Family Services Projected Budget FY 09-10 Jul '09 -June 10 EXHIBIT E 1 OF 2 pages J Expense 7000 • Salaries 7050 • Salaries - Clerical 7090 - Salaries - Para Professional 7100 - Health Insurance 7210 - Payroll taxes 7230 • WIC Insurance 7240 • Unemployment Insurance 7400, StipenslSC 8040 • Accounting Services 8041 • ADP Fees 8109. Equipment 8175 • Educational Training 8200 • Telephone 8300 • Postage 8410 • Rent 8420 • Mortgage Interest Expense 8425 • Line of Credit Interest Expense 8430 - Utilities 8440 • Maintenance - Building 8445 • Maintenance Service & Repairs 8490 - Other Building Expense 8501 • Rental & Maint of Equipment 8525 • Equipment Tax 8530 • Computer Maintenance 8600 • Printing 8720 - Mileage 8810 - Educational Conferences 9000 • Membership Dues 9100 - Filing Fees 9200 • Liability Insurance 9520 • Bank charges/Fees 9540 - Business License Renewal 9550 - Gateway Billing 9570 • Purchase of Service 9590 • Drug Testing 9592 • Fam Pres-Subcontractor 9593 • DV Cal-works Subcontractors 9594 • Family Support Subcontractor 9600 • U.S Finger Print Expense 9610 - Van Expense Total Expense 1,258,635.93 159,261.77 535,563.00 102,489.00 141,309.00 51,438.00 24,000.00 5,090.00 23000.00 12,159.00 18,000.00 360.00 36,562.00 9,000.00 83,403.60 41,635.32 1,600.00 34,458.00 6,978.00 5,579.00 1,533.00 21,870.00 121.00 480.Q0 10,110.00 15,060.00 6,566.00 5,516.15 506.00 30,740.00 1,603.93 300.00 600.00 19,000.00 1,603.00 91,932.00 18,876.00 50,912.00 408.00 1,000.00 2,829,258.70 Net Income 0 Page 2 of 2 EXHIBIT F 2008-2009 Funding Resources FUNDING SOURCES ALLOCATION AMOUNT Donations 13,880 Client Fees 198,739 Contracts DPSS 168,000 City of Azusa 10,000 City of Baldwin Park 5,000 City of Covina 34,500 Arcadia Unified School 5,000 Senior Center Contract 847,878 San Gabriel Unified 13,000 P.A.C.T. Contract 116,666 Pathways Contract 19,682 General Relief 13,156 CalWORKS Contract 22,242 Pathways Proposition 36 358,103 Family Preservation Contract 486,434 Family Support Contract 150,000 Domestic Violence Calworks Contract 300,000 City of Rosemead 40,000 City of Monterey Park 5,000 White Cap Foundation 20,000 Impact Plus 15,000 Royalties 13,193 Image Plus 61,706 Miscellaneous 17,500 TOTAL 2,934,679 CITY OF ROSEMEAD PRIVATE OR NON-PROFIT COMMUNITY SERVICE ORGANIZATION Name of Address ExecutiN Contact Telephone: bt-9 6 - 91S 5w / Fax: (G / - 0""k-5, ' 01-16 "l Email: Purpose of Organization: aL Enter "X" by the appropriate designation: Non-profit organization For-profit organization Enter "X" by all that apply: A faith-based organization An institution of higher education Not Applicable TOTAL UNDUPLICATED CLIENTS RECEIVED: FY 06-07 (Please Complete Attached Backup - Performance Report) FY 07-08 (Est.) FY 08-09 ROSEMEAD 2008-2009 FINANCIAL SUPPORT: AGENCY TOTAL BUDGET FOR FISCAL YEAR 2009-2010 2009-2010 FINANCIAL REQUEST FROM CITY OF ROSEMEAD: 97 ~e Ofl .01 Request for Funding - Fiscal Year 2009-2010 1. State the Agency's mission, goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Missions Statement: Goals: 8 Objectives: C Programs designed to meet goals and objects: D 2. Briefly explain any new programs or services to Rosemead residents during FY 2008-2009. Are any planned for FY 2009-2010? 3. How are clients referred to your agency? 6 L-7,5- A IIA Ll)xr-D 4. List and explain any major changes in funding patterns or expenditures ;1VZ9 AIL- z 5. List major sources of funding and the amount (i.e. cities, county, state, federal, fundraising, etc.) A What facilities in Rosemead are used to gQnduct services? 94- 7. The proposed Community Service would be provided to: Mark each that apply Low and Moderate-Income persons or households _ C Abused Children Handicapped Persons Pousel Homeless Persons Migrant Farm Workers _X Elderly Persons Illiterate Persons Battered S 8. How many Rosemead citizens do you project will benefit from your program/project: ~j AD Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) e A LA cry 10. Has your organization conducted the proposed activity before? Yes X No 11. Describe your organization's experience with CDBG 12. Total number served in prior years funded by the city of Rosemead CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2006-2007 SUMMARY OF DIRECT BENEFIT ACTIVITIES P ease coun t number of unduplicat ed ersons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 81 % or Higher of Median Income Low Income 80% of Median income Very Low 50% of Median Income Extremely Low Income 30% f M di I 1 3 D o e an ncome Unknown/Other Total Q ~ CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2007-2008 SUMMARY OF DIRECT BENEFIT ACTIVITIES Pl ease coun t number o f unduplicat ed persons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 81 % or Higher of Median Income Low Income 80% of Median income Very Low 50% of Median Income Extremely Low Income 30% of Median Income .12 Unknown/Other Total 4 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2008-2009 (ESTIMATE) SUMMARY OF DIRECT BENEFIT ACTIVITIES Pl ease coun t number f unduplicat ed persons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 81 % or Higher of Median Income Low Income 80% of Median income Very Low 50% of Median Income Extremely Low Income 30% of Median Income / s 06, 3 Unknown/Other T-T Total ` 13. Proposed Program Budget - FY 2009-2010 (Public Service Requests Only) CDBG SHARE OTHER SOURCES Personnel $ $ Equipment $ $ Supplies $ $ Consultant Services $ $ Space Rent & Utilities $ $ Audits $ $ Other $ $ $ $ Total Costs $ $ TOTAL OPERATING BUDGET EXPENSES Use Whole Dollars Only A Most recent fiscal year 2007/2008 B Current Operating Year 2008/2009 C Proposed Budget July 1, 2009 to June 30 2010 D Percent Change* Expense Salaries / 6- 3 Employee Benefits Employees Payroll Taxes d o'l Profes. & Consultant Fees D hiD Supplies Telephone & Faxes a 60 Postage & Shipping Occupancy & Utilities 3 (o Rental & Maint. of Equip. D ~a ~D Printing & Publishing Travel and Transportation Conferences Specific Assist. To Individuals 700 Membership Dues ADD o`~ J Awards & Grants insurance ).i ;q --7P- u C~~DOD la Equipment Purchased / a Misc. Expenses Transfer to Other Funds Dues to National Organizations Other Surplus (or Deficit) of Total Support & Revenue '7 J - Over Expenses * * Explain What is Included in the "Other" Category. 6 * Percent Change Between Items in Columns B and C. Please explain Changes Greater than TOTAL OPERATING BUDGET REVENUE Use Whole Dollars Only A Most Recent Fiscal Year 2007-2008 B Current Operating Year 2008-2009 C Proposed Budget July 1, 2009 to June 30, 2010 D Percent Change* Public Support Contributions Q r) Dc) 9 Foundation & Private Grants Fundraising/ special Events / a Legacies and Bequests Other Federated Org. United Way Misc. Organizations Other`' OR' 6 VrO Q D Q Subtotal Ila. //,7 j 4AOA Government Federal Q~ pp~~ ~U State Local Subtotal a QQ Other Revenue Membership Dues Program Services Fees Investment Income Transfer From Other Fund All Other Revenue Subtotal TOTAL REVENUE a Qf, v D *C'.nlumn A is the Audited or Most Recently completed 1-Month Period I HAVE BEEN AUTHORIZED TO SUBMIT REQUEST FOR FUNDING Signature Na ZU,~~ Title Z046 - a 9 =~~y9 Phone Number V,9- ~ t6lo Organ' tion DD D e CITY OF ROSEMEAD PRIVATE OR NON-PROFIT COMMUNITY SERVICE ORGANIZATION REQUEST for Funding-Fiscal Year 2009-10 Purpose of Organization: People For People is a non-profit food program. We began operations on March 1, 1984 and since then we have served the unemployed, welfare mothers, and fathers, low-income families, the elderly, homeless families and individuals. We serve the cities of Alhambra, San Gabriel, Rosemead, Temple City, Monterey Park, and all the unincorporated county areas within our service boundaries. Our purpose is to help people on a monthly basis, providing food, clothing, job opportunities and moral support. 1 State the Agency's mission, goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. A Mission Statement "The organization seeks to promote those forms of interdenominational cooperative effort as will be for mutual benefit of the Christian cause and Christian values in our community including; the assistance of food, clothing, counseling, and referral to educational opportunities for the needy in the communities of the participating churches." B Goals C objectives The object of our program is to continue to serve qualified people with supplemental food clothing, including counseling on a one to one basis according to their needs. We also provide job search and follow up to clients who need employment. The homeless are given food, clothing, hygiene kits, and blankets on a needed basis. We provide home delivery to the elderly and disabled individuals, in the city of Rosemead. I r- p O a 0. io 5 Q a ~ w n n f 'fl w `1 O UO N Da p f p. z~ 0 N 0 -1 7C• C z w~-C7~n L ° o m o r 00 S CrQ ~.0 F 0o0 ~.c -0 ' f0 in Oo a 7c OM ° ° ct O" 0 c > n o I . T Z (10 0 CD cm 0 f Ia. n 0 a o p Q CO ~ o (Co O •u " ;:r r d r- 7 =r cHO 0 Cl) O Cr ° C E~ -3 Co ro FL oi~ > E3 o 40 y V/ R co N fD m V1 ~ _ rn O 1 ~ 0 C7 c) D~ 0 0 0 0 7 ° 0 %0 77 ° a (co cr Cn O n o to o..o g o_ +1ai, v u, a n y O U) „n y O d n a C A? ov }Cbi r 0 n Vi p p n eri ~ O G ~ A N H ^ IID Cn ~ y A • d ~ o vA O n m 0 0 9 n CD w CJ. 0~ y^~ 0 =r -TI 0 w n O w -v cn t^ n O' Cn A v V ° g A ".'1 N N y S fT y o M t (C CD N 9C O (9 N rn ~•M g H (9 co N 0. (v OD o < ° m y a (oo n n to . !A Q• Q Co ~ N _ M . O a0o Jr* n co S 4 o o m o n n y7yC7~m n 0x n o 0 0 0 G m 'a t2l < En 12 ::r _ o 0 ga. 0 CL cl, Z, o rn o a w fp ^ 7 y co w n p . 0 (OO (D . FL C Er 0 O 9 o~ b =r 0 ~ co N b O m 0 b ~n 0 n ~o O O b (o 0 QQ .y d lS D a O M C'1 O to pD C3 CL _ar A r e Un CITY OF ROSEMEAD GRANT CONT. 3. How are clients referred to your agency ? By local churches, The Los Angeles county 211 service, word of mouth, local chambers, schools and by other organizations, in our service area. 5. List major sources of funding and the amount (i.e. cities, county, state, federal, fundraising. Etc.) Churches & Individuals $ 70,000.00 Fundraisers $ 28,000.00 CDBG Grant $ 27,600.00 Our food donations come from churches, local markets, food drives during the holidays and from the Postal workers food drive which occurs in May each year. This food drive fills our pantry each year. In 2008 we collected 70 ton of canned and dry foods. 8. (a) Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: Our home delivery has been successful. We provide food and fellowship to 35 Rosemead residents on a monthly basis. These residents have no transportation to come to our location for help. The holiday season brought much joy to our seniors and our families each family was given a large box of food a turkey and chickens, plus toys for the children. These generous gifts of toys and food came from the City of Rosemead, Wal-Mart and the citizens of Rosemead. 11. Describe your organization's experience with CDBG People For People has had a successful and harmonious relationship with the City of Rosemead for many years. We were so pleased to become a recipient of the CDBG Grant in 2000-01 which has continued to the present time. We have learned many ways to improve our ability to serve the people of our communities. We have upgraded our methods of record keeping, fiscal responsibilities, working with State, Federal and City employees, community service workers and our faithful volunteers. We are so grateful for the opportunity the Grant has provided for our clients and co-operating with the HUD representatives. ,~7_ -a, 3 CITY OF ROSEMEAD GRANT CONT. 12. Total number served in prior years funded by the city of Rosemead. 2005 /06 1,393 2006 /07 2,603 2007 /08 3,017 CITY OF ROSEMEAD PRIVATE OR NON-PROFIT COMMUNITY SERVICE ORGANIZATION Request for Funding - Fiscal Year 2009-2010 Name of Organization: Rosemead High School Address: 9063 East Mission Street, Rosemead, CA 91770 Executive Director: Larry Callaham, Contact Name: Yvonne Gandara Assistant Principal Student Services Telephone: 626 286-3141 Fax: 626 Email: ygandara@emuhsd.k1 Purpose of Organization: For the past 53 years, Rosemead High- School's counselors have provided classroom guidance, guidance in planning students' programs, peer facilitation, and individual and groups counseling to the limits of its budget. Need always outstrips demand, particularly when non-academic crises occur and students need immediate attention. Counselors estimate that at least 30% of the school's 2,074 students come from homes with significant dysfunctions. Counselors routinely see students who are traumatized due to child neglect, homelessness, domestic violence, conflicts with stepparents, sexual abuse, family illness and death of a parent, drug and/or alcohol abuse in the home, involvement with gangs, prostitution, rape, and incidents relating to suicide and self-mutilation. Enter "X" by the appropriate designation: _x Non-profit organization For-profit organization Enter "X" by all that apply: A faith-based organization An institution of higher education _x_ Not Applicable TOTAL UNDUPLICATED CLIENTS RECEIVED: FY 06-07 (Please Complete Attached Backup - Performance Report) FY 07-08 (Est.) FY 08-09 ROSEMEAD 2008-2009 FINANCIAL SUPPORT: AGENCY TOTAL BUDGET FOR FISCAL YEAR 2009-2010: 83 153 $ 13,650 $ 494,577 2009-2010 FINANCIAL REQUEST FROM CITY OF ROSEMEAD: $ 13,650 State the Agency's mission, goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Mission Statement: The mission of the El Monte Union High School District is to provide a sound and well-balanced education program for each student. The program is geared to each pupil's needs and restricted only by the financial limits of the district. Educational experience relate to daily living and give direction to career planning with future employment and technology trends in mind. Students will be actively engaged in each educational activity with all efforts to develop a healthy body, disciplined mind, broad education, and sound character. Schools will assist students in developing a knowledge and appreciation for mankind's heritage, culture, and wisdom. Students will develop into well-rounded, useful, intelligent citizens appreciative of our democratic way of life. In particular, the district's goals for each student include a strong academic program; positive attitude towards self, others, learning, and work; educational exposure to a variety of courses and disciplines; career awareness and exploration; consumer and economic awareness; and life planning and decision making. Goals: The overarching goal of the program is to provide crisis intervention counseling and support to resolve at-risk high school students' short-term problems that are overwhelming and traumatic. Within this framework, our goals are several. Most immediately, the goal is to provide crisis intervention for teens for: • Suicide prevention • Protecting children from exploitation • Managing intense grief, acute anxiety, recent sexual assault, acute depression, hallucinations, violent tendencies toward self and others, problems with alcohol and substance abuse, neglect, and homelessness Longer-term goals relate to: • Dropout prevention • Anger management • Pregnancy prevention • Recovery from trauma • Removal of escalation triggers • Stabilization Objectives: Objectives and outcomes are linked to goals. Short-term objectives include: • Decrease in teen suicide attempts • Decrease in 911 calls • Decrease in arrests • Decrease in hospitalization • 100% short-term response to children seen Longer-term objectives, relate to longer-term goals, include: • Preparation of crisis management plan • Decrease in teen on teen violence, cutting, or suicide attempts • Decrease in teen pregnancy • Decrease in accidents • High school graduation • Positive planning Programs designed to meet goals and objects: This crisis intervention for teens program consists of guidance, education, and referral to resources. The crisis intervention counselor, for whom we are seeking funding, works with over 80 students each year. She counsels students, attends to students having breakdowns or suicidal episodes, and otherwise provides services to help students cope with and recover from traumatic events. 2. Briefly explain any new programs or services to Rosemead residents during FY 2008-2009. Are any planned for FY 2009-2010? Services will remain the same, however, due to additional problems occasioned by the economic crisis, we expect demand for services will increase. 3. How are clients referred to your agency? The school refers students experiencing crises to a qualified crisis intervention specialist. She will provide short-term (1-3 months) crisis intervention services, family outreach, referrals for long-term mental health, medical, and other community agencies' services. 4. List and explain any major changes in funding patterns or expenditures There are no anticipated changes in either funding patterns or expenditures. 5. List major sources of funding and the amount (i.e. cities, county, state, federal, fundraising, etc.) None for this specific program 6. What facilities in Rosemead are used to conduct services? Rosemead High School 7. The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households X Abused Children X Handicapped Persons X Illiterate Persons Battered Spouses X Homeless Persons Migrant Farm Workers Elderly Persons 8. How many Rosemead citizens do you project will benefit from your program/project: 80+ Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) The crisis intervention counselor, Joan Elvidge, spent one full day with a 16- year-old suicidal student until the Psychological Evaluation Team (PET) from the Los Angeles Department of Mental Health was able to come to the school. The student had recently broken up with his girlfriend, and wrote a suicide note that a friend brought to the school's attention. We called Ms. Elvidge in to consult with the student. Based on her recommendation as a counselor and child therapist, we called the Department of Mental Health. The student was subsequently admitted under the 5150 classification for 72-hour observation. 10. Has your organization conducted the proposed activity before? Yes _X No 11. Describe your organization's experience with CDBG This program received funding for the academic years of '08-'09 and '07-'08 and a mid-year award of $ 5,460 in '05-'06. 12. Total number served in prior years funded by the city of Rosemead: 200+ 4 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2006-2007 SUMMARY OF DIRECT BENEFIT ACTIVITIES We did not apply for funds in 2006-2007 Pl ease count number f unduplicat ed persons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 8.1 % or Higher of Median Income Low Income 80% of Median income Very Low 50% of Median . Income Extremely Low Income 30% of Median Income Unknown/Other Total CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2007-2008 SUMMARY OF DIRECT BENEFIT ACTIVITIES Pl ease count number f unduplicat ed persons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 81 % or Higher of Median Income 10 1 11 3 Low Income 80% of Median income 1 43 11 55 15 Very Low 50% of Median Income 1 12 13 11 Extremely Low Income 30% of Median Income 1 3 4 4 Unknown/Other Total 83 33 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2008-2009 (ESTIMATE) SUMMARY OF DIRECT BENEFIT ACTIVITIES Pl ease count number o f undu licat ed persons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 81% or Higher of Median Income 4 13 4 21 6 Low Income 80% of Median income 49 4 53 34 Very Low 50% of Median Income 9 62 8 79 24 Extremely Low Income 30% of Median Income Unknown/Other Total 153 64 13. Proposed Program Budget - FY 2009-2010 (Public Service Requests Only) CDBG SHARE OTHER SOURCES Personnel $ 0 $ - Equipment $ 0 $ - Supplies $ 0 $ - Consultant Services $ 13,650 $ - Space Rent & Utilities $ 0 $ - Audits $ 0 $ - Other $ 0 $ - $ $ Total Costs $ 13,650 $ - TOTAL OPERATING BUDGET EXPENSES Use Whole Dollars Only A Most recent fiscal year 2007/2008 B Current Operating Year 2008/2009 C Proposed Budget July 1, 2009 to June 30 2010 D Percent Change* Expense Salaries 439,410 441,610 441,610 -10% Employee Benefits 45,773 47,174 47,174 0% Employees Payroll Taxes 49,410 52,856 52,856 0% Profes. & Consultant Fees Supplies Telephone & Fax 2,560 2,660 2,713 + 2% Postage & Shipping Occupancy & Utilities Rental & Maint. of Equip. Printin & Publishing Travel and Transportation Conferences 5,027 5,230 0 -100% Specific Assist. To Individuals Membership Dues Awards & Grants Insurance Equipment Purchased Misc. Expenses Transfer to Other Funds 0 0 0 ' Dues to National Organizations 0 0 0 Other Surplus (or Deficit) of Total Support & Revenue 0 0 0 0 Over Expenses * Percent Change Between Items in Columns B and C. Please explain Changes Greater than 15% between columns B and C (C-B)B. Due to California State budget cuts that must be absorbed by the counseling program, there will be no money available for counselor conferences this year. Explain What is Included in the "Other" Category. TOTAL OPERATING BUDGET REVENUE Use Whole Dollars Only A Most Recent Fiscal Year 2007-2008 B Current Operating Year 2008-2009 C Proposed Budget July 1, 2009 to June 30, 2010 D Percent Change* Public Support $ 528,530 $ 549,530 $ 494,577 -10% Contributions Foundation & Private Grants Fundraising/ special Events Legacies and Bequests Other Federated Or g. United Way Misc. Organizations Other Subtotal Government Federal State Local Rosemead CDBG 13,650 13,650 13,650 0% Subtotal Other Revenue Membership Dues Program Services Fees Investment Income Transfer From Other Fund All Other Revenue Subtotal TOTAL REVENUE $ 542,180 $ 564,180 $ 508,277 -10% *Column A is the Audited or Most Recently completed 1-Month Period Percent Change From B and C (C-B)/B. Please Explain Changes Greater than 15% Percent I HAVE BEEN AUTHORIZED TO SUBMIT REQUEST FOR FUNDING Si nature _Larry Callaham Signature Name Principal Title 626 286-3141 Phone Number EMUHSD, Rosemead High School Organization January 15, 2009 Date I ' y PRIVATE OR NON-PROFIT COMMUNITY SERVICE ORGANIZATION Request for Funding - Fiscal Year 2009-2010 CITY OF ROSEMEAD Name of Organization: Rosemead School District Address: 3907 Rosemead Blvd Rosemead, CA 91770 Executive Director: Contact Name: Telephone: Fax: Email: Purpose of Organization: 312-2913 j lovato(@,,rosemead.k 12.ca.us Education: Preschool - 8' grade Enter "X" by the appropriate designation: X Non-profit organization For-profit organization Enter "X" by all that apply: A faith-based organization An institution of higher education X- Not Applicable TOTAL UNDUPLICATED CLIENTS RECEIVED: FY 06-07 146 (Please Complete Attached Backup - Performance Report) 120 FY 07-08 (Est.) FY 08-09 200 (87 July-Dec.) ROSEMEAD 2008-2009 FINANCIAL SUPPORT: $11,707.00 AGENCY TOTAL BUDGET FOR FISCAL YEAR 2009-2010: $25,493,103 2009-2010 FINANCIAL REQUEST FROM CITY OF ROSEMEAD: $12,000.00 John Lovato (626) 312-2900, Ext. 232 Dr. Amy Enomoto-Perez 1. State the Agency's mission, goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Missions Statement: Rosemead School District provides a challenging academic learning environment that encourages lifelong learning. In partnership with parents and community, our mission is to nurture the intellect, aesthetic, physical and emotional growth of each child in preparation for new horizons. Goals: Increase parent participation in classes provided during the Peace Fair and Conflict Resolution. Reduce bullying and suspensions by 10% as indicated in the California Healthy Kids Survey and school site documentation. Objectives: Provide parents with tools to help their child increase student achievement and help parents development effective parenting strategies. Programs designed to meet goals and objects: Conflict Resolution Classes provided to each of the five school sites, the District-wide Peace Fair, and Parent Encounter. 2. Briefly explain any new programs or services to Rosemead residents during FY 2008-2009. Are any planned for FY 2009-2010? Content from Steven Covey's "7 Habits for Highly Successful Families " was integrated into the Conflict Resolution and Peace Fair Classes. The Conflict Resolution program still focuses on ways to resolve conflict and effectively communicate within the family. The addition of the 7 Habits for Successful Families provides parents with strategies for success in and outside of school. The Peace Fair focused on the foundation of the 7 Habits and Habit 1. The Encounter Parent program focused on Habit 2. 3. How are clients referred to your agency? The parents of all K-8`h grade students are notified in English, Spanish, Vietnamese and Chinese about the events via our community liaisons, flyers, and our District- wide phone message system. 4. List and explain any major changes in funding patterns or expenditures No changes to funding are projected. 2 S. List major sources of funding and the amount (i.e. cities, county, state, federal, fundraising, etc.) Safe and Drug Free Schools - Title TV-- 919, SR9 00 far materials and inwrurtinnal supplies. 6. What facilities in Rosemead are used to conduct services? 4 elementary and I middle school sites 7. The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households Abused Children Handicapped Persons Illiterate Persons Battered Spouses X Homeless Persons X Migrant Farm Workers Elderly Persons 8. How many Rosemead citizens do you project will benefit from your program/project: 200 Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) One of our parents (Ms. Luna), is a single mother raising her special needs middle school son For many years her son has stru Bled academically and has had difficulties with = personal reponsihilityv Ads Luna a ended all three parent eduratian classes cn far this year. She has begun utilizing the strategies that she learned in these classes. Her son is becoming more responsible and is making more academic progress this year. 10. Has your organization conducted the proposed activity before? Yes X No 11. Describe your organization's experience with CDE In 1996, the District was awarded CDBG funds to in Conflict Resolution to the City of Rosemead Park and Recreation leaders, as well as, families in the 12. Total number served in prior years funded by the city of Rosemead To date, 1,481 clients have been served through the Conflict Resolution Classes and Peace Fair Classes. CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2006-2007 SUMMARY OF DIRECT BENEFIT ACTIVITIES Pl ease coun t number o f undu licat ed persons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 81 % or Higher of Median Income Low Income 80% of Median income 1 5 2 8 Very Low 50% of Median Income 33 4 37 1 Extremely Low Income 30% of Median Income 3 37 23 63 18 Unknown/Other 1 - Total 108 19 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2007-2008 SUMMARY OF DIRECT BENEFIT ACTIVITIES Please count number of undu licated persons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 1 1 2 81 % or Higher of Median 0 3 3 Income Low Income 80% of Median 4 4 8 2 income Very Low 50% of Median Income 6 3 9 2 Extremely Low Income 30% of Median Income 18 11 29 8 Unknown/Other Total 51 12 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2008-2009 (ESTIMATE) SUMMARY OF DIRECT BENEFIT ACTIVITIES Please count number of undu licated ersons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Origin Origin Native Above Low Income 81 % or Higher of Median Income 3 4 7 Low Income 80% of Median income 6 10 16 4 Very Low 50% of Median Income 1 2 10 7 20 g Extremely Low Income 30% of Median Income 24 29 53 15 Total 13. Proposed Program Budget - FY 2009-2010 (Public Service Requests Only) CDBG SHARE OTHER SOURCES Personnel $ 11,200.00 $ Equipment $ $ Supplies $ $ 600.00 Consultant Services $ $ Space Rent & Utilities $ $ Audits $ $ Other $ 800.00 $ $ $ $ $ $ $ Total Costs $ 12, 000.00 is 600.00 5 TOTAL OPERATING BUDGET EXPENSES Use Whole Dollars Only A Most recent fiscal year 2007/2008 B Current Operating Year 2008/2009 C Proposed Budget July 1, 2009 to June 30, 2010 D Percentage Change' Expense Salaries 16,105,545 16,331,308 16,401,179 0.43% Employee Benefits 4,243,046 4,087,490 4,090,468 0.07% Employees Payroll Taxes 475,090 603,865 597,353 -1.08% Profes. & Consultant Fees 1,117,668 1,161,032 1,237,682 6.60% Supplies 1,781,191 3,589,800 1,735,779 -51.65% Telephone & Fax 53,918 59,891 11.08% Postage & Shipping 16,500 17,471 5.88% Occupancy & Utilities 468,9871 593,023 654,739 10.41 % Rental & Maint. Of E ui 284,070 311,557 9.68% Printin & Publishin 0 25,000 27,013 8.05% Travel and Trans ortation 302,161 335,204 10.94% Conferences 61,572 62,671 1.78% Specific Assist. To Individuals #DIV101 Membership Dues 16,619 21,500 22,102 2.80% Awards & Grants 0 #DIV/01 Insurance 111,942 116,509 119,771 2.80% Equipment Purchased 21,021 0 0 #DIV/01 Misc. Expenses 517,060 468,915 497,077 6.01% Transfer to Other Funds 721,260 496,166 493,384 -0.56% Dues to National Organizations 0 #DIV101 Others " 0 0 0 #DIV/0! TOTAL OPERATING BUDGET EXPENDES 26,330,379 28,212,829 26,663,341 -5.49% Surplus (or Deficit) of Total Support &Revenue 541,883 2,462,281 1,170,238 Over Expenses (557,917 1,170,238 Percent Change Between Items in Columns B and C. Please explain Changes Greater than 15% between columns B and C (C-B)fB. The previous year's restricted ending balance and deferred revenue carried over to the current year increased the expenditures. "Explain What is Included in the 'Other' Category. WA TOTAL OPERATING BUDGET REVENUE Use Whole Dollars Only A Most recent fiscal year 2007/2008 B Current Operating Year 2008/2009 C Proposed Budget July 1, 2009 to June 30, 2010 D Percentage Change` Public Support Contributions #DIV/0! Foundation & Private Grants #DIV/0! Fundraising/ special Events #DIV/01 Legacies and Bequests #DIVIO! Other Federated O . #DIVlO! United Way #DIV/0! Misc. Organizations #DIV/O! Other 15,627 33,214 33,214 0.00% Subtotal 15,627 33,214 33,214 0.00% Government Federal 2,331,763 2,611,408 2,611,408 0.00% State 23,859,756 22,807,655 22,539,528 -1.18°0 Local 665,116 298,271 308,953 3.5811/0 Subtotal 26,856,635 25,717,334 25,459,889 -1.00% Other Revenue Membership Dues #DIV/0! Program Services Fees #DIV/01 Investment Income #DIV/0! Transfer From Other Fund #DIV/0! All Other Revenue #DIWO! Subtotal. 0 0 0 #DIV/0! TOTAL REVENUE 26,872,262 25,750,548 25,493,103 -1.00% Column A Is the Audited or Most Rencently completed 1-Month Period * Percent Change From B and C (C-B)/B. Please Explain Changes Greater than 15% Percent I HAVE BEEN AUTHORIZED TO SUBNIIT REQUEST FOR FUNDING Signature ame 5u~~~ntehdctti-I- Title ((,Z4,) 312-7-'100 Phone Number g6t" ,a ds j D~SiT~ Organization l /I Date N CITY OF ROSEMEAD PRIVATE OR NON-PROFIT COMMUNITY SERVICE ORGANIZATION Request for Funding - Fiscal Year 2009-2010 Name of Organization: Housing Rights Center Address: 520 S. Virgil Avenue, Suite 400 Executive Director: Frances Espinoza Contact Name: Frances Espinoza Telephone: (213) 387-8400 ext. 35 Fax: (213) 381-8555 Email: fespinoza@hrc-la.org Purpose of Organization: Los Angeles, CA 90020 The Housing Rights Center's purpose is to promote equal opportunity in housing. We do this through by offering City of Rosemead residents services from our four key areas: (1) Discrimination Complaint Investigation, (2) Enforcement and Legal Services, (3) Landlord/Tenant Counseling, and (4) Education and Outreach. Enter "X" by the appropriate designation: X Non-profit Organization For-profit organization Enter "X" by all that apply: A faith-based organization An institution of higher education X Not Applicable TOTAL UNDUPLICATED CLIENTS RECEIVED: (Please Complete Attached Backup - Performance Report) FY 06-07 185 FY 07-08 158 (Est.) FY 08-09 170 ROSEMEAD 2008-2009 FINANCIAL SUPPORT: $25,000 AGENCY TOTAL BUDGET FOR FISCAL YEAR 2009-10: $1.47M 2009-2010 FINANCIAL REQUEST FROM CITY OF ROSEMEAD: $25,000 Page 1 of 10 1. State the Agency's mission, goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Mission Statement: The Housing Rights Center's mission is to actively support and promote fair housing through education and advocacy, to the end that all persons have the opportunity to secure the housing they desire and can afford, without discrimination based on their race, color, religion, gender, sexual orientation, national origin, familial status, marital status, disability, ancestry, age, source of income, or other characteristics protected by law. Goals: (1) HRC will assist a minimum of 175 Rosemead residents with housing discrimination and landlord/tenant concerns; (2) At least 10% of Rosemead clients will be assisted in languages other than English; and, (3) At least 85% of Rosemead residents who complete an evaluation about a Rosemead housing rights workshop will rate the information provided as being useful. Objectives: To educate/inform as many Rosemead residents as possible about the fair housing laws. Programs designed to meet goals and objectives: 1. Documentation of Activities HRC's comprehensive intake database includes a reporting component that makes the production of statistics and other diagnostic data accurate and efficient. Statistical reports will include all demographic and complaint issue data, which will facilitate the analysis of trends and emerging needs. We also track all our outreach activities in a database that allows us to track our activities by event type. 2. Documentation of Discrimination Complaints HRC will continue our practice of maintaining complete and organized case files. Our case files adhere to a strict format, which facilitates case management and review. Case files include all relevant documents and materials produced in the investigation and resolution of our cases. 2. Briefly explain any new programs or services to Rosemead residents during FY 2008-2009. Are any planned for FY 2009-2010? In 2008/09, HRC designed our first newsletter for property owners and managers. The newsletter included explanations to the most frequently asked questions by rental property owners. HRC translated the newsletter into Chinese and Spanish and distributed it throughout Rosemead. The newsletter was well received so HRC plans to continue this service for property owners in 2009/10. 3. How are clients referred to your agency? City Hall, Internet (HRC Website: www.hrc-la.org), Phone Book, Outreach Events, Community Organizations, word-of-mouth. 4. List and explain any major changes in funding patterns or expenditures There have not been any major changes in funding patterns or expenditures. Page 2 of 10 5. List major sources of funding and the amount (i.e. cities, county, state, federal, fundraising, etc.). :AYE 1R -FUNDING SOURCE AMOUNT RECEIVED 08/09 Alhambra $27.000 08/09 Baldwin Park $15,000 08/09 Carson $30,096 08/09 Culver City $20,144 08/09 El Monte $25,000 08/09 Glendale $15,000 08/09 Hawthorne $40,800 08/09 Inglewood $57,300 08/09 Lancaster $24,300 08/09 Los Angeles $411,252 08/09 Los Angeles County $136,150 08/09 Montebello $20,000 08/09 Monterey Park $25,000 08/09 Oxnard $28,200 08/09 Palmdale $25,740 08/09 Pasadena $60,000 08/09 Pasadena Mediation $40,000 08/09 Pico Rivera $20,000 08/09 Pomona $30,000 08/09 Redondo Beach $22,822 08/09 Rosemead $25,000 08/09 South Pasadena $5,000 08/09 Ventura City $9,000 08/09 Ventura County $44,550 08/09 West Covina $15,000 08/09 Whittier $25,000 08/09 Attorney Fees/Registration from Training Seminars $250,000 6. What facilities in Rosemead are used to conduct services? HRC conducts Fair Housing and Housing Rights Workshops at the Garvey Community Center. 7. The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households Abused Children X Handicapped Persons Illiterate Persons Battered Spouses X_ Homeless Persons Migrant Farm Workers X Elderly Persons Page 3 of 10 8. How many Rosemead citizens do you project will benefit from your program/project: 175 9. Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional pages if necessary) A recent case HRC resolved was for an elderly Rosemead resident and her son who had severe mental and physical disabilities. The client, who had been a tenant for 13 years, was given a 30-day notice to vacate. The client was distressed as she was the sole caretaker for her son and would need more time to secure new housing. After interviewing the client, HRC spoke with the property owner to inform him that he had served the client with an invalid notice and that he should have given her a 60-day notice to vacate rather than a 30-day notice. The property owner agreed to issue a new notice. HRC then made a request for an additional thirty days for the client to vacate her due to her sons multiple disabilities. HRC sent a letter to the owner outlining the fair housing laws which give people with disabilities the right to request reasonable accommodations, which are changes in rules, polices, and procedures. The property owner forwarded our letter to his attorney and his attorney contacted HRC to inform us they would grant the client a total of 90 days to vacate her unit. HRC requested written verification of the accommodation, which the attorney faxed to HRC. By resolving the case HRC helped the client and the landlord avoid the eviction process. 10. Has your organization conducted the proposed activity before? Yes X No 11. Describe your organization's experience with CDBG The Housing Rights Center has more than 20 years of experience working with CDBG grants to provide fair housing services to local cities and counties. These cities and counties conduct annual programmatic and financial reviews. HRC has always received excellent reviews. 12. Total number served in prior years funded by the City of Rosemead Page 4 of 10 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2006-2007 SUMMARY OF DIRECT BENEFIT ACTIVITIES Please count number of American SUB-TOTAL Female White Black not Hispanic Asian or Head of not of of Pacific Indian or Hispanic Hispanic Islander Alaskan Household Origin Origin Native 1 Above Low Income 1 1 1 3 81% or Higher of 10 1 9 5 4 29 Median Income 33 12 18 89 4 Low Income 80% 26 of Median Income - - _ Very Low 50% of Median Income 4 27 12 2 64 9 9 Extremely Low 19 Income 30% of Median Income Unknown/Other Total 185 14 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2007-2008 SUMMARY OF DIRECT BENEFIT ACTIVITIES Please count number of u ndu licated e rsons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Ori Origin Native Above Low Income 1 - 3 4 81 % or Higher of 3 8 15 26 1 Median Income 7 54 4 Low Income 80% 4 27 16 of Median Income 1 17 3 Very Low 50% of 2 10 4 Median Income 15 11 57 13 Extremely Low 3 28 Income 30% of Median Income Unknown/Other Total 158 21 Page 5 of 10 CITY OF ROSEMEAD PERFORMANCE REPORT FOR FISCAL YEAR 2008-2009 (ESTIMATE) SUMMARY OF DIRECT BENEFIT ACTIVITIES Please count number of undu licated ersons White Black not Hispanic Asian or American SUB-TOTAL Female not of of Pacific Indian or Head of Hispanic Hispanic Islander Alaskan Household Ori in Origin Native Above Low Income 81 % or Higher of 2 6 6 14 1 Median Income Low Income 80% 2 18 14 34 4 of Median Income Very Low 50% of 6 44 6 56 2 Median Income Extremely Low 10 32 24 66 6 Income 30% of Median Income Unknown/Other Total 170 13 Page 6 of 10 13. Proposed Program Budget - FY 2009-2010 (Public Service Requests Only) CDBG SHARE OTHER SOURCES Personnel Wages $ 19,047 $ 991,653 Personnel Fringe Benefits $ 2,233 $ 182,217 Single Audit $ 60 $ 6,440 Testing/Tester Training $ 158 $ 19,842 Travel/Mileage $ 70 $ 14,930 Rent/Storage $ 900 $ 98,350 Office/Public Info Supplies $ 422 $ 24,578 Equip/Computer Consultant $ 893 $ 32,107 Phone $ 600 $ 26,900 Postage $ 160 $ 23,840 Insurance $ 300 $ 14,700 PI Internet $ 57 $ 4,443 Subscri /Tn Mt $ 100 $ 7,000 Total Costs I s 25,000 $ 1,447,000 Page 7 of 10 TOTAL OPERATING BUDGET EXPENSES Use Whole Dollars Only A Most Recent Fiscal Year 2007/08 B Current Operating Year 2008/09 C Proposed Budget July 1, 2009 to June 30, 2010 D Percent Chan e' Ex ense Salaries 920,766 986,043 1,010,700 2.50% Employee Benefits 100,299 103,314 101,070 -2.17% Employee Payroll Taxes 76,723 . 81,374 83,380 2.47% Prof & Consultant Fees 29,911 20,300 20,000 -1.48% Supplies 37,075 16,820 15,500 -7.85% Telephone & Fax 26,185 27 500 25,500 -7.27% Postage & Shipping 13,844 14,700 14,000 -4.76% Occupancy & Utilities 94,547 96,304 95,000 -1.35% Rental & Maint. Of Equip. 19,382 20,860 20,000 -4.12%- Printing & Publishing 19,724 10,200 9,500 -6.86% Travel and Transportation 13,853 9,400 8,500 -9.57% Conferences 11,510 3,806 4,000 5.10% Specific Assist. To Individuals 36,167 41,400 42,000 1.45% Membership Dues Awards & Grants Insurance 13,860 14,000 13,000 -7.14% Misc. Expenses 24,185 11,485 9,850 -14.24% Transfer to Other Funds Dues to National Organizations TOTAL EXPENSES 1,438,031 1,457,506 1,472,000 0.48% ` Percent Change Between Items in Column B and C. Please Explain Changes Greater than 15% between columns B and C (C-B)/B. N/A Explain What is Included in the "Other' Category. Page 8 of 10 TOTAL OPERATING BUDGET REVENUE Use Whole Dollars Only Page 9 of 10 'Column A is the Audited or Most Recently Completed 1-Month Period "Percent Change From B and C (C-B)/B. Please Explain Changes Greater than 15% I HAVE BEEN AUTHOIZED TO SUBMIT REQUEST FOR FUNDING ature Name Executive Director Title (213) 387-8400 ext. 35 Phone Number Housing Rights Center Organization January 14, 2009 Date Page 10 of 10 CM OF ROSEMEAD PRIVATE OR NON-PROFIT COMMUNITY SERVICE ORGANIZATION Request for Funding - Fiscal Year 2009-2010 Name of Organization: Address: Morrison Management Specialist 8329 De Celis Place, North Hills. CA 91343 Executive Director: Nadar Poursadeghi Contact Name: Nadar Poursadeghi Telephone: 818-362-9552 Fax: 818-362-2878 Email: npour aol.com Purpose of Organization: - Food Service Enter "X" by the appropriate designation: _X_ Non-profit organization For-profit organization Enter "X" by all that apply: A faith-based organization An institution of higher education _X_ Not Applicable TOTAL UNDUPLICATED CLIENTS RECEIVED: FY 07-08 (Please Complete Attached Backup - Performance Report) FY 08-09 415 (Est.) FY 09-10 415 AGENCY TOTAL BUDGET FOR FISCAL YEAR 2008-2009: $74,397 2008-2009 FINANCIAL REQUEST: $69,300 CITY OF ROSEMEAD PRIVATE OR NON-PROFIT COMMUNITY SERVICE ORGANIZATION Request for Funding - Fiscal Year 2009-2010 Name of Organization: Morrison Management Specialist Address: 8329 De Celis Place North Hills CA 91343 Executive Director: Nadar Poursadeghi Contact Name: Nadar Poursadeghi Telephone: h 18-362-9SJ2 Fax: 818-362-2878 Email: npour@aol com Purpose of Organization: Food Service Enter "X" by the appropriate designation: _X_ Non-profit organization For-profit organization Enter "X" by all that apply: A faith-based organization An institution of higher education _X_ Not Applicable TOTAL UNDUPLICATED CLIENTS RECEIVED: FY 07-08 (Please Complete Attached Backup - Performance Report) FY 08-09 415 (Est.) FY 09-10 415 AGENCY TOTAL BUDGET FOR FISCAL YEAR 2008-2009: $74,397 2008-2009 FINANCIAL REQUEST: $69,300 State the Agency's mission, goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Missions Statement: Goals: Provide meals to seniors Objectives: Provide food services to seniors Programs designed to meet goals and objects: 2. Briefly explain any new programs or services to Rosemead residents during FY 2008-2009. Are any planned for FY 2009-2010? Continue existing services 3. How are clients referred to your agency? Not applicable/City of Rosemead 4. List and explain any major changes in funding patterns or expenditures Reduction in the number of meals served to seniors 1. State the Agency's mission, goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Missions Statement: Goals: Provide meals to seniors Objectives: Provide food services to seniors Programs designed to meet goals and objects: 2. Briefly explain any new Programs or services to Rosemead residents during FY 2008-2009. Are any planned for FY 2009-2010? Continue existing services 3. How are clients referred to your agency? Not applicable/City of Rosemead 4. List and explain any major changes in funding patterns or expenditures Reduction in the number of meals served to seniors 5. List major sources of funding and the amount (i.e. cities, county, state, federal, fundraising, etc.) CDBG and General Fund 6. What facilities in Rosemead are used to conduct services? Rosemead City Recreation Center and Garvey Center 7. The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households Abused Children X Handicapped Persons Illiterate Persons Battered Spouses Homeless Persons Migrant Farm Workers X Elderly Persons 8. How many Rosemead citizens do you project will benefit from your program/project: _415_ Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) 10. Has your organization conducted the proposed activity before? Yes _X No 11. Describe your organization's experience with CDBG 15 years experience providing food services for seniors 12. Total number served in prior years funded by the city of Rosemead 15 5. List major sources of funding and the amount (i.e. cities, county, state, federal, fundraising, etc.) CDBG and General Fund 6. What facilities in Rosemead are used to conduct services? Rosemead City Recreation Center and Garvey Center 7. The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households Abused Children X Handicapped Persons Illiterate Persons Battered Spouses Homeless Persons Migrant Farm Workers X Elderly Persons 8. How many Rosemead citizens do you project will benefit from your program/project: _415_ Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) 10. Has your organization conducted the proposed activity before? Yes X No 11. Describe your organization's experience with CDBG 15 years experience providing food services for seniors 12. Total number served in prior years funded by the city of Rosemead 15 TOTAL OPERATING BUDGET EXPENSES Use Whole Dollars Only A Current Operating Year 2008-2009 B Proposed Budget July 1, 2009 to June 30 2010 C Percent Change' Expense Salaries Employee Benefits Employees Payroll Taxes Profes. & Consultant Fees Supplies $747397 $69,300 Telephone & Fax Postage & Shipping Occupancy & Utilities Rental & Maint. of Equip. Printing & Publishing Travel and Transportation Conferences Specific Assist. To Individuals Membership Dues Awards & Grants Insurance Equipment Purchased Misc. Expenses Transfer to Other Funds Dues to National Organizations Other Surplus (or Deficit) of Total Support & Revenue Over Expenses * Percent Change Between Items in Columns B and C. Please explain Changes Greater than 15% between columns B and C (C-B)/B. Reduction in meals Explain What is Included in the "Other" Category. N/A 4 TOTAL OPERATING BUDGET EXPENSES Use Whole Dollars Only A Current Operating Year 2008-2009 B Proposed Budget July 1, 2009 to June 30 2010 C Percent Change' Expense Salaries Employee Benefits Employees Payroll Taxes Profes. & Consultant Fees Supplies $74,397 $69,300 Telephone & Fax Postage & Shipping Occupancy & Utilities Rental & Maint. of Equip. Printing & Publishing Travel and Transportation Conferences Specific Assist. To Individuals Membership Dues Awards & Grants Insurance Equipment Purchased Misc. Expenses Transfer to Other Funds Dues to National Organizations Other Surplus (or Deficit) of Total Support & Revenue Over Expenses * Percent Change Between Items in Columns B and C. Please explain Changes Greater than 15% between columns B and C (C-B)B. Reduction in meals Explain What is Included in the "Other" Category. N/A 4 I HAVE BEVT AUTHORTXED Ta SUBMIT REQVM FOR FUNDWG Sig -xtnre Nam ~7k Phone Number At 2 Organization Date I HAVE BEEN AU MOREVED Ta SIIBWr REQUEST FOR FUNDING ~Signa~nreNam ~ 7, Pbione Number r: Qgnjxati0~1 Date