OMB Approval No. 2506-0133
exp. 12/31/2017
Application Budget Summary (al! applicants)
Applicant | City of Nashua, NH Number of | 2 Plan dates for 5/1/2018-4/30/2021
Name Project grant agreement
Sponsors and activities (mo./yr.)
A. Eligible Activity HOPWA Request Leveraged Funds
A. Year 1 IB. Year 2 C. Year 3 D. Total
= 1. Acquisition
2
Bs
3 5 > |2. Rehabilitation, Repair & Conversion
& EB, =
a =a °
£ E 3. New Construction (for Community
3 = {Residences and SRO dwellings only)
ey
~ 14. Operating Costs for Housing Facility
Bs
a
= & 5. Leasing
°
a 6, Tenant-based Rental Assistance $309,677 $309,678 $309,678 $929,033
[=<]
&
2 7. Short-term Rent, Mortgage, & Utility
5 Payments to Prevent Homelessness
e
wn
t 8 8. Supportive Services $114,995 $114,996 $114,996 $344,987 $532,984
=a
5 5
AW
|: Housing Information Services
a
Bi
S 10. Permanent Housing Placement $8,660 $8,660 $8,660 $25,980
a
111. Resource Identification to Establish,
E Coordinate & Develop Housing
bp Assistance
a 12. Other Housing Costs (please
& = {specify in narrative; requires HUD
= 1
5 approval)
13, Total Program Costs: 5 1,300,000
(total of lines 1-12)
2 '/14. Grantee’s Administrative $39,000
z¢
&S&
E & |15. Project Sponsor’s Administrative $91,000
= |costs
<
16. Total HOPWA Request 1,430,000
(total of lines 13-15)
Insert application package page number 2 Form HUD-40110-B (Expiration Date 12/31/2010)
