OMB Approval No. 2506-0133
exp. 12/31/2017
Detailed Project Budget & Housing Outputs (each organization)
Namie of City of Nashua, NH
organization:
Type: Grantee: J; Project Sponsor: [] | If applicable: | Faith based: L] | Grassroots: []
B. Eligible Activity HOPWA Request
Yr. 1 Yr. 2 Yr. 3 Totals:
1. Acquisition Budget
+ & |Description:
= 7 # of Units
é @ |2. Rehabilitation/Repair/Conversion Budget
2e¢ se
: 3 Description: # of Units
A 3. New Construction (C ity Residences & SRO dwellings gs
2 2 ew ons ruction ( ommunity Residence: ig: Budget
= @ |jonly) Description: :
3 z # of Units
s
& & Type of Facility: Short-term shelter (J; transitional housing LJ; Community residence 1; sro dwelling OC: or other permanent
supportive housing [_]
4. Operating Costs for Housing Facility
2 roseeiat Budget
escription:
£ 2 ° # of Units
ou .
gee is Leasing Budget
° escription: # of Units
6. Tenant-Based Rental Assistance Payments Budget
Description:
S 5 # of Households|
a = 7. Short-Term Rent, Mortgage & Utility Payments to Prevent Budget
™ %H} |Homelessness
Description:
# of Households|
ee Budget
S 2 8. Supportive Services Costs
& 5 Description:
aA
Ht of Households,
9. Housing Information Services Budget
f Description: H# of Households
& |!0. Permanent Housing Placement Services Budget
g Description:
Ee # of Households|
q 11. Resource Identification to Establish, Coordinate, & Develop
© Housing Assistance
7 Description: Budget
oe
Ss :
6 ‘{l2. Other Housing Costs (approved by HUD) Budget
Description: Hf of Units
2 13. Grantee's Administrative Costs $13,000 |$13,000 |$13,000 $39,000
gy |Description: Budget
£ & 14. Project Sponsor's Administrative Costs
Z & iDescription:
me
< Budget
15. Total HOPWA Request for this Organization
539,000
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
Form HUD-40110-B (Expiration Date 12/31/2010)
