OMB Approval No. 2506-0133
exp. 12/31/2017
r
Detaiied Project Budget & Housing Outputs (each organization)
Name of Harbor Homes, Inc.
organization:
Type: Grantee: [_]; Project Sponsor: X | If applicable: | Faith based: L] | Grassroots: L]
B. Eligible Activity HOPWA Request
Yr. 1 Yr. 2 Yr. 3 Totals:
1, Acquisition Budget
+ S jDescription:
Pa # of Units
5 @ 2. Rehabilitation/Repair/Conversion Budget
2s ation
Bg [Pescapton: # of Units
S 3. New Construction (Community Residences & SRO dwellings Budget
3 a only) Description: .
oe H# of Units
a 5 ; ;
& & Type of Facility: Short-term shelter LL); transitional housing LJ; Community residence Lo; SRO dwelling LJ; or other permanent
Supportive housing oO
z I. Operating Costs for Housing Facility Budget
Be |Description: :
= # of Units
oo
£ z Leasing Budget
escription: # of Units
6. Tenant-Based Rental Assistance Payments Budget $309,677 |$309,678 |$309,678 [$929,033
> Description: 31 3 | 31 40
< # af Households!
& Z 7. Short-Term Rent, Mortgage & Utility Payments to Prevent Budget
m a Homelessness
Description:
# of Househalds|
ow Budget
g2 8. Supportive Services Costs
= 5 Description:
awn
Ht of Households
9. Housing Information Services Budget
Z Besenean: H# of Households|
2 10. Permanent Housing Placement Services Budget $4,560 [$4,560 [$4,560 $13,680
a os
Description:
7 pun # of Households 4 4 4 12
5 11. Resource Identification to Establish, Coordinate, & Develop
© Housing Assistance
5 Description: Budget
S 12. Other Housing Costs (approved by HUD) Bude
Pescription: # of Units
2 13. Grantee's Administrative Costs
e g Description: Budget
£ § |14. Project Sponsor's Administrative Costs
3 = |Description:
ga $21,996 |$21,997 $21,997
< Budget $65,990
5. Total HOPWA Request for this Organization
51,008,703
Note: Service delivery costs such as salary and overhead costs to deliver a particular budget line item
should be represented in the funding amount requested for that particular budget line item.
insert application package page number _ 4
Form HUD-40110-B (Expiration Date 12/31/2010)
