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Home My WebLink About20081746.tiff RESOLUTION RE: APPROVE APPLICATION FOR EMERGENCY SHELTER GRANT ASSISTANCE 2008 AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with an Application for Emergency Shelter Grant Assistance 2008 from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Greeley/Weld County Housing Authority, to the Colorado Division of Housing,with further terms and conditions being as stated in said application, and WHEREAS,after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Housing Authority Board, that the Application for Emergency Shelter Grant Assistance 2008 from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Greeley/Weld County Housing Authority, to the Colorado Division of Housing be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of June, A.D., 2008. BOARD OF COUNTY COMMISSIONERS La WELD COUNTY, COLORADO AATTEST: y" '.' ; ; r 'el_----/ / 1861 I " � E r �7 William H. Jerke, Chair Weld County Clerk to th*:.- : t(- rf <A EXCUSED 11 Robert D. Maei, Pro-Tem BY: i i . Deputy Clerk o the Board 42 Wi 'a F. Garcia APPRO D AS TO,. RM: Ccf % David E. Long iced- st / ` LIZ — K Attorney �F3 '- uglas ademach r Date of signature: 7/8M617 2008-1746 HA0028 ESG/CDBG Funding for 2008-2009 We submitted a consolidated ESG Grant totaling $84,000 for the following agencies: Greeley Transitional House, A Woman's Place, Catholic Charities and Room at The Inn. The Division of Housing then asked if it was acceptable to the Housing Authority to change the source of the funds from Emergency Service Grant to Community Development Block Grant. They also asked us to distribute funds to Stepping Stones of Windsor. This was agreeable to the Housing Authority and they initially indicated that we would need to submit a new application. They actually used the ESG applications they had received. We since have been informed that we have been awarded $68,000.00 broken down as follows Room at The Inn $7,500 Catholic Charities $23,000 Stepping Stones $4,500 A Woman's Place $17,000 Greeley Transitional House $13,000 Weld Housing Authority $3,000 Total $68,000 We received $56,000 in 2007-2008 2008-1746 STATE OF COLORADO DEPARTMENT OF LOCAL AFFAIRS - oe cow 1313 Sherman Street,Suite 521 - ee Denver,Colorado 80203 Phone: (303)866-2771 y s• . FAX: (303)866-4819 •1876 TDD: (303)866-5300 Bill Ritter,Jr. Governor Susan E.Kirkpatrick Executive Director May 22, 2008 • Mr. William H. Jerke Chair, Weld County Commissioners Weld County Housing Authority P.O. Box 130 Greeley CO 80633 Dear Mr. Jerke: Re: ESG 08-045G The Emergency Shelter Grant(ESG)Program Committee reviewed your application and has recommended funding for your project. I concur with the recommendation and am offering to enter into a contract for a CDGG Emergency Shelter Grant in the amount of$68,000.00. These funds may not be obligated before a grant contract is fully executed. Expenditures made prior to the contract being fully executed may not be reimbursed by the state. Additionally, it is the finding of the Department of Local Affairs that the following activities as defined are exempt under 24 CFR 58.34 of the Environmental Review Procedures for the Emergency Shelter Grant Program. Please contact Robert Thompson at(303)866-5577 if you have any questions. Good luck with your project. ICr—Susan E. Kirkpatrick Executive Director cc: Senator Shawn Mitchell Senaort Scott Renfroe Representative James Riesberg Representative Jerry Sonneberg Representative Glenn Vaad LOCAL GOVERNMENT SUMMARY PAGE (TO BE COMPLETED ONLY BY LOCAL JURISDICTIONS WITH SUBGRANTEES) EMERGENCY SHELTER GRANT ASSISTANCE 2008 APPLICANT INFORMATION 1. Name and Address of Local Jurisdiction 2;Q.DH Project Number F i-tt)H use only =- : . Weld County Housing Authority P.o. Box 130 Greeley, CO 80633 3.'Date Received For CDH Use Only • 4. Name of Contact Person for Application (use 5. Phone 970 ' 6. FAX 970 7. EMAIL tom@greeley- drop down box) Mr.Thomas Teixeira 353-7437 353-7463 weldha.org TYPE OF ORGANIZATION 1 8. Municipalityunt 9.Housing Authority x/Co • 10. Service Area 12. Federal Identification Number(use drop down boxes) Weld County 4 --- 1 5 6 8 4 4 6 L 'u„isr' BUDGET SUMMARY—ALL- Projects: t `', ` Use Additional Sheets if Necessary �-� ,,,�e` ,1°'`,ry .4 �.y = 13. List Agency Name in 14. Operations 15. Essential 16. Homeless 17. Local this column • (List Amount of Services Prevention Government Admin Request) (List Amount of (List Amount of Request) Request) Agency 1 Name $17,000.00 $8,000.00 $10,000.00 kE Catholic Charities Agency 2 Name $9,500.00 $4,500.00 $1,000.00 r� Greeley Transitional House .` v Agency 3 Name $10,000.00 $14,000.00 A Woman's Place Agency 4 Name $5,000.00 $2,500.00 $500.00 = Room at the Inn Agency 5 Name _ Agency 6 Name "` 18. SUBTOTAL ALL By $41,500.00 $29,000.00 $11,500.00 ",, Categories `: 19. Local Government $2,000.00 Admin ._ =L_.,,airl, .ii.... ..�;,.. • ..no=r ... ..: .,72.':. .. 20. AMOUNT OF TOTAL REQUEST: $84,000.00 SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 21. Name of Local Elected Official or Authorized Representative 22. Title of Local Elected Official or Authorized (Please Type) (use drop down box) Representative Chair Weld County Commisoners Mr. William H. Jerke JUN 2 3 2008 23. Signature of Local Elected Official or Authorized Representative 24.Date of Signature M �1-- JUN 2 3 2008 F;1' cs,-/744 Application for Colorado Division of Housing (CDOH) EMERGENCY SHELTER GRANT ASSISTANCE 2008 APPLICANT INFORMATION 1. Applicant(Agency) Name and Address 2 CDH Project Nurriber For CDH Use only Catholic Charities and Community Services of the Archdiocese of Denver 3 Date Received 2500 1st Ave., Bldg CB For CDH 4 44 , Greeley, CO 80631 - ,current ESG�P��rofit i ret 5. Name of Contact Person for Application (drop 6. Phone 7. FAX 8. EMAIL down box) Ms. Sharon A. Mitchell 970-353-6433 970-353-3861 smitchell@ccdenver.org FiAikA'rN .. 9. Municipality/County 10. Housing Authority 11. Nonprofit Organization Please attach 501 (c)(3) ruling. 12. Federal Identification Number(Use drop down box) 8 4 --- 0 6 8 6 6 7 9 13. Project Service Area (List counties served) Weld County 14. How many years has your agency been in operation? 80 15. Population(s) Served: ® Men ®Women ® Families ❑Youth O Domestic Violence 16. Type and Characteristics of Programs for which ESG Assistance is Requested ®Emergency Shelter Maximum Capacity per Night 38 Maximum Stay 2 months for singles and 3 months for families ❑Day Shelter Maximum Capacity Average Number of Clients Served per Day ['Transitional Total Units Maximum Length of Stay Average Stay ®Homeless Prevention: Number of Families expected to Serve with ESG and Match Funds Each Year 20 Are you requesting dollars for a new program in this request? If yes, program name � � .. tl� 'Sn `�. h � ' C H��1$2 17. Name of Local Elected Official or Authorized Agency 18. Title of Local Elected Official or Authorized Representative (drop down box) Representative President/CEO Mr. Christopher M. Rose 19. Signature of Authorized Representative 20. Date .11-774 a . Line Item 21 Operations 22. Essential 23. Homeless 24 Administration Services Prevention Local govts w subgrants Utilities/Telephone $8,000 Supplies/Food/Janitorial $6,000 Supplies Maintenance/Repairs $3,000 Case Management $8,000 Salary Rental/Mortgage $10,000 Assistance 25. SUBTOTAL $17,000 $8,000 $10,000 26. TOTAL REQUEST: $35,000 27. Match Source(s) and Amount: Name Daniels Fund Amount$35,000 Name Daniels Fund Amount $35,000 Additional S.ace on .a•e 13 .fi r lr I 28. Please provide an explanation of your proposed protect budget and provide documentation of your need for requested categories of Operations, Staff Operations, Essential Services and Homeless Prevention. Please also provide the following: ■ If you are requesting Operations, please identify any operating staff for which you are requesting funding. • (b)If you are requesting an increased level of funding or a new service under Essential Services, you must demonstrate that a new/increased level of need exists and ESG funding will not replace governmental funding. • (c) If you are requesting Homeless Prevention funding, please explain how you will ensure that your clients meet HUD requirements for homeless prevention assistance. All requests should be eligible, necessary and reasonable. You may also use the following page for the budget if necessary. The total project budget for Operations and Essential Services at the Guadalupe Shelter in Greeley is $195,510. In order to operate the Guadalupe shelter, we incur utility expenses including heat, electricity, water and telephone service. The supplies included in this request include kitchen supplies, food,janitorial supplies, and office supplies. The maintenance and repairs expenses will include a portion of a furnace repair costing an estimated $8,000. With rising prices for food and energy, our Operations Supplies expenses will increase. We are also requesting salaries under the Essential Services category to pay for a portion of the salary of the Case Manager. The Case Manager works with clients to develop a plan to end their homelesness. This is done by the development of an action plan and the steps to take to return to a stable lifestyle. These Essential Services salaries are just that, essential, to help our clients rise out of their crisis situation into something more stable. (see next page for homeless prevention budget narrative) M lit `' rr „.IP:D CET C.ONTU IjA 'I0 RA( E ,,' EXPLANATION Ah1O DOCUMENTATIONIJ , `• (28. CONTINUED). YOU MAY CONTINUE YOUR BUDGET EXPLANTION ON THIS PAGE (IF NEEDED) Another critical service Catholic Charities provides is homeless prevention services such as rental or mortgage assistance. Our emergency assistance budget for Weld County is $134,547, with $33,000 for rental assistance. Our staff and volunteer≤ are experienced in administering several government and private grants and contracts, and are trained on the eligibility requirements for each funding source. To ensure that clients meet HUD requirements for homeless prevention assistance, v need a demand for rent or an eviction notice from the landlord of those in danger of losing their housing. If the client is leavin the shelter we need to have written notice from the prospective landlord what the tenant will be paying and their intention to rent to the client. We will then check with the Weld County Assessor's office that the listed landlord is the correct entity to receive the payment. We will also talk to the landlord to assure that this payment will keep the tenant in the home for 30 day: This is the same process that we use for the Emergency Food and Shelter Program. EXTENT AMb URGENCY oI THE NEED _ 29. What is the need to be addressed? How urgent is the need? Please provide local data or statistical information (waiting list, number of clients turned away, etc.) that supports the needs your agency will address. Please use only the space allotted. The need for emergency shelter in Weld County is increasing due to many complex factors involving the economy, the housing market, changes in federal housing policy, release of ex-offenders, etc. These factors combine to make affordable housing hard to reach, and hard to retain. The clients we are seeing at the Guadalupe shelter in Greeley are increasingly higher-need clients, with physical disabilities, substance abuse, mental illness, etc which add to the difficulty of maintaining safe, stable, affordable housing. But individuals and families know that Catholic Charities will meet their urgent need for shelter and assistance in regaining self sufficiency. The number of people living in poverty in Weld County has increased 25% since 2000, according to Census Bureau's 2006 American Community Survey. Weld's poverty rate was 15.7% in 2006, up from 12.5% in 2000. Although the federal poverty level is an oft-quoted statistic, a recent report by the Colorado Fiscal Policy Institute suggests a more appropriate measure is a "self sufficiency standard." They report that "overlooked and undercounted, a large and diverse group of families are experiencing economic distress in Colorado. For every family which falls under the official federal poverty line, there are two families who are above it but still cannot pay for their most basic needs." The Compass Weld County Assessment also affirms these statistics, stating that 33% of households reported that a moderate or major issue is not having enough money to buy household items and 35% of households reported finding it difficult to pay bills for basic needs such as utility. Further, 20% identified "not having enough money to pay for housing rent or mortgage". And in 2006, Colorado had the second-highest foreclosure rate in the country. Financial and real estate industry professionals have attributed much of this increase to a sluggish economy, manufacturing/tech sector job losses, and an increase in mortgage lending, particularly to low-income individuals who are at higher risk of defaulting on mortgage payments. In Weld County, 54.5% of poor households (those making 0-80% of area median income) had a housing cost burden, meaning they spent more than 30% of their income on housing. An additional 27.1% of households had a severe housing cost burden, paying over 50% of income on housing expenses. These forces are squeezing low-income people out of their housing, but changes in federal policies and funding levels have caused a decrease in some local housing assistance. The Guadalupe Shelter was started to serve the needs of the migrant farm worker population without housing, but in 1999 Catholic Charities constructed farm worker housing with support of the U.S. Department of Agriculture, and in 2004 added another adjacent project as well. With this new resource in the community, the number of migrant farm workers, and the number of homeless that are Hispanic, has dropped. Yet the need for emergency shelter remains heavy, especially during the harvest season. With the Homeless Prevention funds and other grants we were able to help 14 households (5 to stay in their homes and 9 households who moved from the shelter into a home). We however had to turn away twice as many due to a lack of funds from our funding sources. 30. Describe your project plan to assist the target population as it directly relates to the need addressed in Line 29. Please use only the space allotted. (Be sure to include the geographical areas and specific activities that you plan to provide). If this proposal is requesting funding for more than one activity(Essential Services, Operations/Staff Operations, Prevention) describe each separately. In response to this need, during the last fiscal year 2006-2007, Catholic Charities provided emergency shelter to 471 single individuals and 69 family members, for a total of 540 people, at the Guadalupe shelter in Greeley. These people were given 6,138 nights of shelter as well as 12,276 meals. We are the only emergency shelter in Weld County serving the general population. Catholic Charities will provide a continuum of shelter and supportive services to homeless individuals and families in meetinc their most basic needs, and through shelter case management services we will increase the client's ability to maintain stable housing. Through cooperation with other service providers, community agencies and congregations, we work to increase resources and housing for homeless persons experiencing a multitude of problems that they alone cannot solve, and assist those with benefit applications to file for their benefits and advocate for them when necessary. Our proposed Operations activities will be to provide sleeping space for up to 38 people each night. We are able to accommodate up to 19 children depending on the size of the family. The shelter services assure that the basic needs of the homeless clients are addressed: these include shelter, food, personal hygiene and safety. In addition to these very basic services, we offer extensive case management services, information and referral and benefit application facilitation. Our Essential Services Case Management will help the client determine what caused their homelessness and develop an action plan to address the barriers that keep them from being housed. The Case Manager w advocate for them, assist in completing necessary forms and utilize community expertise to address issues we do not have within our agency. For our Homeless Prevention activities, our shelter case manager refers households needing assistance as they leave the homeless shelter to the Emergency Assistance program. The client will complete an application for the program and share their plan and ability to continue to pay rent for the home, either from employment or other financial resources.The EA staff will contact the landlord to determine if they are willing to rent to the client, the amount of the rent and ask them to complete "Demand for Rent"form. The landlord will also need to agree that the rent paid will cover the first month's rent for 30 days. T EA staff will contact the Weld County Assessor's Office to verify that the landlord is the correct entity to receive the rent.The rent check will then be sent to the landlord. The client may be referred to another Catholic Charities program-Strengthening Families or Senior Services for ongoing support. They may also be referred to other community agencies if another agency has expertise with their presenting situation. A very similar process will be followed for those who are in danger of losing their housing but are not in the shelter. They will fill out an application, present a Demand for Rent of Payment from the landlord or mortgage holder, they may also present a eviction notice and lease depending upon how far they are behind in their payments. These clients will also be referred for c going services if it is determined that they may need more assistance than this need. We will also inform other community agencies of the availability of funds, including Greeley Transitional House, Room at the Inn, Connections for Independent Living, and United Way 211. These are the most common providers of services to those v emergency housing needs. We also receive other funds for rental and mortgage assistance and provide reports to those granting sources to keep them informed of the ongoing needs in the community. 31 Provide a plan for the future financial stability of the proposed project. (How will the program continue in the future if ES! funding is no longer provided?) If this proposal is requesting funding for more than one activity(Essential Services, Operations, Prevention), describe each. Catholic Charities is committed to providing help and creating hope for the homeless through emergency shelter and case management services like that provided at the Guadalupe shelter in Greeley, and we look for generous donors to invest in of programs and in our clients' lives. We have a strong base of individual donors (20%) and a healthy mix of public and private grants and contracts (41% and 7%, respectively). We also receive funds from the United Way and special events, and we receive many in-kind donations in addition to the contribution of hundreds of volunteers. To support this specific program, WE receive some federal funds from FEMA, but the majority of our funding comes from private foundation grants like the Daniels Fund, and many individual donations targeted for the shelter that qualify for the Enterprise Zone tax credit. We are very acti% in using community volunteers for this project. They provide hours of service to serve meals in the shelter program itself and as the volunteer advisory board. During the past fiscal year we had 1,746 volunteers who gave 3,569 hours of service. In addition to these strategies outlined above to achieve financial stability on the revenue side (government grants and contracts, local individual donors with Enterprise Zone tax credits, private foundations, and special events/fundraisers) Catholic Charities has increased its efforts to control expenses. We achieve this through effective use of volunteers, solicitation of in-kind donations, group purchasing, and tighter financial accountability. These strategies are the same for operations, essential services, and homeless prevention. ,n r S' .,,rt., '*1611 s x EXPRRIENCE ,-Ltyirr 'y , 32. Explain below any experience your organization or unit of local government has in implementing the activities that you have proposed in this application. Specifically, include the years of experience of staff and/or organization that will be administering the ESG funds. Where your organization and staff lack experience, explain how you will obtain the technical assistance needed to administer and complete the project. Catholic Charities' work with the homeless began during the cold winter of 1981, and in 1986 Samaritan House in Denver was constructed and began operations—it stands as the first building in the US constructed specifically as a homeless shelter. Catholic Charities has been providing services to the poor and disenfranchised in Northern Colorado for 35 years. During the past 26 years the agency has been providing services for the homeless. This includes emergency overnight shelter, meals, and emergency assistance. The emergency overnight shelter has been housed in the Guadalupe Shelter for 19 years. During that time we have had significant experience administering government grants and contracts to support th work. Our key staff include: Sharon Mitchell is the Regional Director for Weld County. Sharon has a B.A. in Administration of Community Programs/Certification in Nonprofit Administration and has 20 years human service experience (12 years administrative) including directing A Woman's Place. Jesus Flores is the Shelter Coordinator for Guadalupe. He provides direct supervision of the shelter staff, maintains the building, and manages supplies and food. He develops relationships with community volunteers and onors and provides case management for single clients. Jesus has two Bachelors degrees from the University of Colorado, one in Sociology ar one in Spanish. Josie Clark interviews the majority of clients requesting financial assistance, determines the level of assistance that they ce be given, and maintains resource records for the program. Josie has 2 years of experience with Catholic Charities and 6 years of experience working with clients in need. Dan Walker, has worked with Catholic Charities for 5 years, starting at Samaritan House and then moving to the Accountini Department in Denver where he is the Grants Administrator. He monitors grant and contract budgets and prepares invoice; and financial reports for funders. SHELTER REPORT t - ` ' :: , ' SHELTER CHARACTERISTICS 2006-2007 ACTUAL From 2007-2008 PROJECTED From HMIS7 HMIS' 33. Beds (including cribs) 38 38 34. Sleeping Rooms 5 5 35. Total Families Served 20 No 20 N/A 36. Total Persons in Families 69 No 1 80 N/A 471 No 470 N/A 37. Total Individuals Served 38. Total Shelter Nights 6,138 No 6500 N/A AVERAGE COSTI ON ORp HOUSEHOLD SERVEDxWITkH ESG F JN© NG, , - 3t is the average cost per person served for each of your ESG-funded activities? $355/unduplicated client for shelter 9 What and $125/unduplicated client for rental assistance (assuming household size of 4) (Total Activity Budget/# Unduplicated Clients) t Ai -'41-m :ae :. 40. Client Paid Hours 0 41. Client Unpaid Hours 3,069 42. Are ou a participating member of our local Continuum of Care)? Y X N tlTv es or o® e• gyax e ., f i, 1q tf" - oil.7f ea- tl. . tl..._ ^r,, Pq :.... x , :::.. aNi ggw [ @ y , .�:f :. @ tl.Atz,litti l' r3 K tllrja*ri $ @ i t S 8FC W B A C 6 • , ,-E b B O p e ialfkaratal S' -ClirrYY z; aii a. a4,' - 43. Shelter Information and Referral ►� Organization Name Not Applicable 44. Emergency Shelter ® Organization Name Not Applicable 45. Transitional Housing Organization Name Not Applicable 46. Permanent Housing (w/services) ® Organization Name Not Applicable 47. Soup Kitchen ❑ Organization Name Not Applicable 48. Case Management N Organization Name Not Applicable 49. Transportation ® Organization Name Not Applicable 50. Daycare ® Organization Name Not Applicable 51. Medical treatment ❑ Organization Name Sunrise No 52. Substance Abuse Counseling ❑ Organization Name Island Grove No 53. Psychological ❑ Organization Name North Range Behavioral No Health 54. Employment ❑ Organization Name Weld Co Job Services No 55. Life Skills/Budgeting U Organization Name Colorado Consumer Credit No 56. Educational ❑ Organization Name Aims Com College, UNC No 57. Security Deposit U Organization Name Not Applicable 58. Eviction Prevention ® Organization Name Not Applicable 59. Back Mortgage Payments ® Organization Name Not Applicable 60. Utility Assistance Payments ® Organization Name Not Applicable CONTINUUM OF CARE NARRATIVE 61. Explain how you coordinate homeless housing, essential services and homeless prevention activities with other local nonprofit agencies and governmental service providers to ensure coordinated case management, non duplication of services AND access to mainstream resources such as TANF, Food Stamps, Housing Assistance, etc. within your community or Continuum of Care. Catholic Charities provides a continuum of care for the homeless and those at risk of becoming homeless. From the shelter where people receive emergency shelter and food, they can also access emergency financial assistance, to case management that assists them in applying for housing, financial benefits and support in findin other resources. We also administer some Shelter Plus Care vouchers, offering permanent housing to the chronically homeless with disabilities. This continuum of services and experience providing it makes Catholic Charities uniquely able to carry out the ESG activities. Catholic Charities is a founding member of the North Front Range Continuum of Care. The COC is made up of agencies, local government staff and faith communities in Weld and Larimer Counties. The COC has been in existence since 1996. Through the efforts of the COC there has been Transitional Housing for families since 199. Shelter plus Care, 3 projects built to address the needs of the homeless especially those with mental health and physical disabilities. Together as a COC we meet monthly and discuss coordination of case management, housing opportunities and strategies to overcome other barriers that the homeless need to overcome. From thes meetings, an understanding of each agencies' programs and services is presented, and also the limitations of those programs. Decisions are made about the applications each agency is making to funding agencies and hom we can support each others' applications as ell as sharing services and not duplicating. Our program fills an important service gap in the county as it is the only emergency shelter program serving the general populations, with homelessness and sobriety as the only eligibility requirements. The Northern Front Range Continuum of Care has membership from both Weld and Larimer County. Because Catholic Charities works in both counties, we bring a unique and critical contribution to the Continuum of Care as we can share experiences and resources that are available from the two counties that have very different economies and population dynamics. Catholic Charities' Emergency Assistance program in Weld County works closely with funders like Energy Outreach Colorado and faith communities, businesses and individuals who make in-kind donations. We participate in the Furniture Bank, HESN, Interfaith Council and the Faith Community Outreach. We work closely with the United Way's 211 program, keeping them informed of our resources, and remaining open to collaboratioi with other agencies to provide clients unduplicated services. Agencies that Catholic Charities works with to meet the needs of those in Weld County include the following: • Weld County Department of Human Services for food stamps, TANF, and disability applications. They als have a office for birth certificates for those born in Colorado • Weld County Job services for job placement, veterans services and job searches. They also have training programs and job fairs. • Weld Food Bank for food for the shelter and members in the community. • North Range Behavioral provides the PATH staff that comes into the shelter and also on going mental health services and Shelter plus Care housing opportunities for single clients. • Island Grove Treatment Center for drug and alcohol services and a detox. • Connections for Independent Living for services for those who are physically disabled. • Weld and Greeley Housing Authority for Sections 8's and other forms of affordable housing. • Untied Way 211 for referrals for services. • Colorado Consumer Credit for budgeting and debit services. • Colorado Legal Services for legal issues, that are not criminal in nature. • Child Care is with a variety of providers but may include the Child care operated by Catholic Charities at the Plaza del Milagro. FINANCIAL CAPACITY - 62. Explain your organization's financial control system and procedures, and explain how your agency will monitor its activities to ensure that ESG dollars are spent in a timely manner. Catholic Charities' long-term, proven fiscal management is evidenced through its 4-star rating (the highest possible) from Charity Navigator, recognizing our financial health and organizational efficiency. Our nine-person Accounting Department records all income and expense activities for the agency. Grants and contracts are administered within the framework of accrual-based accounting. Each year we benefit from an independent audit including an OMB Circular A-133 version, conducted by Kundinger, McCutcheon, Corder & Engle, P.C. Our full- time grant administrator is a compliance professional bringing us many years of experience with reimbursement, draw-down and direct funding; and is adept with government and foundation reporting and ensuring that costs arc allowable and acceptable. ABILITY TO COMPLY WITH HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS) 63. When and where did your agency staff receive training on Homeless Management Information Systems (HMIS)? Laura Scott received training from Tracy Stewart on May 4, 2007 all day for the initial training. Melanie Dugan am Laura Scott received an all day training on Feb. 6, 2.007 with Tracy Stewart for the Colorado Coalition for the Homeless. Melanie and Laura had training on March 13, 2007 in Fort Collins with Tracy Stewart, and this was another all-day training. Melanie and Laura attended the Rural Initiative Retreat where they received 2 hours of training and updates on Sept 14, 2007 from Beverly Cisse and Kevin Tarrentino from Colorado Coalition for the Homeless. 64. List Computer(s) and printers that are/can be dedicated to HMIS: Models, Operating Systems, Storage Capacity Catholic Charities has a HP nx7400 Notebook PC with the Microsoft Windows XP operating system and 80GB of hard disk space for storage. This computer is dedicated to HMIS. 65. How do you ensure that client files are kept confidential? The client files for the HMIS system are locked in a fire and water proof file cabinet, and only trained and authorized staff hay user accounts and passwords to access HMIS. 66. Are you in compliance with HMIS? Please place an"X" in the box that best describes your current HMIS status? ❑ I am a new applicant. ❑ My agency is entering all HUD-required HMIS data elements on a consistent basis. ❑ My agency is in discussions with my systems operator regarding my participation. We have not yet been trained on the HMIS system. ❑ My agency is a new State ESG Applicant, but we enter HMIS information for another Federal grant. ❑ My staff has been trained on HMIS, but I am waiting to upgrade equipment and or training before we fully participate. ❑ My agency is exempt from HMIS. OTHER DOCUMENTS THAT YOU MUST SUBMIT WITH THIS APPLICATION (See attached pages) e .<„x llit ttiaMIVPIVIVV tl StATAE',SrIP1SOMNSEr 2EG2UfirEIiIENT a ` ,'�a • The State requires various insurance. Please use drop down box in each section indicating YES if you have the required insurance or NO if you do not. You may provide an explanation after each section of challenges that yot face. 1. "The Contractor shall obtain, and maintain at all times during the term of the agreement, insurance in the following kinds and amounts: a. Workers Compensation Insurance as required by state statute and Employer's Liability Insurance covering all of the contractor's employees acting within the course and scope of their employment. Yes 1.a. Issues or Explanation b. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalency, covering premises, operations,fire damage,independent contractors, products and completed operations,blanket contractual liability, personal injury, and advertising liability within minimum limits as follows: i. $1,000,000 each occurrence ii. $1,000,000 general aggregate; iii. $1,000,000 products and completed operations aggregate; and iv. $50,000 any one fire. Yes 1.b. Issues or Explanation c.Automobile Liability Insurance covering any auto(including owned, hired and non-owned autos)with a minimum limit as follows: $1,000,000 each accident combined single limit. Yes 1.c. Issues or Explanation 2. The State of Colorado is named (or will be named within 7 business days of the effective date of the contract)as additional insured or Commercial General Liability and Automobile Liability Insurance policies(leases and construction contracts will require the additional insured coverage for completed operations on endorsements CD 2010 11/85, CG 2037 or equivalent). Coverage required of the contract will be primary over any insurance or self-insurance program carried by the State of Colorado. Yes 2. Issues or Explanation 3. The Insurance includes(or will include within 7 business days of the effective date of the contract)provisions preventing cancellation or non-renewal without at least 45 days prior notice to the State by certified mail; Yes 3. Issues or Explanation 4. The contractor will require all insurance policies in any way related to the contract,and secured and maintained by the contractor,to include clauses stating that each carrier will waive all rights of recovery under subrogation or otherwise, against the State of Colorado,it: agencies, institutions, organizations,officers,agents, employees and volunteers. Yes 4. Issues or Explanation 5. All policies evidencing the insurance coverage required hereunder shall be insured by insurance companies satisfactory to the state. Yes 5. Issues or Explanation 6. The contractor shall provide certificates showing insurance coverage required by the contract to the State within 7 business days of the effective date of the contract. Yes 6. Issues or Explanation 7. Notwithstanding subsection"a'of this section, if the Contractor is a"public entity"agrees,within the meaning of the Colorado Government Immunity Act, CRS 24-10-101,et seq, as amended("Act"),the contractor shall at all times during the term of the contract maintain only such liability insurance by commercial policy or self-insurance, as is necessary to meet its liabilities under the act and shoe proof of insurance upon request. Yes 7. Issues or Explanation Catholic Charities/The Mission MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) NAME AMOUNT State/Local Government Funding NAME AMOUNT Private (including recipient) Funding Fund Raising/Cash Loans Building Value or Lease Donated Goods Donated Computers New Staff Salaries Volunteers ($5.00 per hour) Volunteer Medical/Legal Other (specify): Daniels Fund grant. We consistently $35,000 get $50,000 a year for the Guadalupe Shelter. The grant for the FY08-09 ESG contract year will'be reviewed by the Daniels Fund Board at their May 2008 meeting. A copy of our March 07-March 08 grant award is attached. I certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards (i.e.the value of a donated building used as match in a 2001 award cannot be used as match in 2007). This form is a description of the sources and amounts of such match funds,which are not being used as match for any other federal program. aC - 2/2410 8 Signature/Title Date Instructions for Completion of Match Certification All applicants are required to complete the Match Certification form. Eligible forms of match are as follows: • The value of salary paid to staff to carry out the ESG Program. • The value of the time and services contributed by volunteers to carry out the program at a rate of$5.00 per hour. • Volunteers providing professional services such as medical or legal services valued at the reasonable and customary rate in the community. • The value of any donated material or building. • The value of any building lease using a method to reasonably calculate fair market value. • Award letters from foundations, organizations, private individuals, and other government sources. Note: These awards must overlap the ESG funding period to be eligible. Catholic Charities/Guadalupe Shelter Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds Enterprise Zone Donations $4,500 United Way $25,000 Individual Program Donations $18,000 Parish Program Donations $2,000 Corporate & Business Program Donations $6,500 Weld County Housing Authority Shelter Nights/Case Mgt. $14,050 City of Greeley $12,000 FEMA Funds $28,000 Total Additional Funds Committed to the ESG Process: $110,050 In addition to this list of funding sources, Catholic Charities is committed to provide any additional funding required to operate the Guadalupe Shelter in Greeley. The source of these funds would be unrestricted private donations to the agency. C1 CATHOLIC J CHARITIES ARCHDIOCESE OF DENVER March 5, 2007 - Ms. Kristen Donovan Senior Vice President Daniels Fund 101 Monroe Street Denver, CO 80206 Dear Ms. Donovan: On behalf of Catholic Charities' Homelessness programs, I am grateful for the Daniels Fund's grant award of$250,000. With this grant, Catholic Charities will continue to serve the poorest among us, those living on the streets. Your generosity allows Catholic Charities to continue the work of our mission:to help people, strengthen families, and build communities. In return,we can help fulfill Bill Daniels' legacy of philanthropy within Denver and throughout Colorado. I am reminded by a story of Bill Daniels provided by one of my colleagues here at Catholic Charities. In this story Bill Daniels stands at the back of Holy Ghost Church and distributes$50 bills to each homeless person. This colleague explains that Mr. Daniels did this because he wanted to transmit to homeless people the dignity of having an amount of money for which they did not have to beg. This is the same spirit under which Catholic Charities operates its homeless shelters. Our services are -— - available to all people regardless of their background or belief. Our main priority is to empower the self sufficiency and dignity of our clients. I understand and acknowledge the terms of this grant. Please find the requested signed enclosure. If you have any questions, please contact me at 303.742.0828,or atjmauck@ccdenver.org. Sincerely, James H. Mauck President/CEO Providing Help, Creating Ho) 2525 WEST ALAMEDA AVENUE DENVER, CO 80219 303-742-0828 CCDenver., DANIELS FUND Request ID: 5302 Program Support Page 1 of 5 February 27, 2007 Mr. James Mauck President Catholic Charities 2525 West Alameda Avenue Denver, CO 80219-3010 Dear Mr. Mauck: On behalf of the Daniels Fund, it is a pleasure to provide a grant to Catholic Charities in the amount of$250,000 for Program Support ($100,000 for the Samaritan House; $25,000 for the Father Ed Judy House; $50,000 for the Mission Shelter, $50,000 for the Guadalupe Shelter, and $25,000 for the Glenwood Springs Transitional Housing program). The specific terms of your grant are described on the attached Schedule A. To comply with applicable statutes under the Internal Revenue Code ("Code") and as a condition to receiving the pant, we ask that you make the following agreements with respect to the grant. 1. Catholic Charities agrees to use the grants exclusively for the specified purposes. No part of the grants may be used for purposes other than charitable, scientific, literary, or educational purposes within the meaning of Section 501(c)(3) of the Code. Any modification of the use of grant funds is subject to the Daniels Fund's prior approval. 2. Catholic Charities will provide or has provided the Daniels Fund with a copy of the organization's tax exemption documents prior to the making of any grant. You represent that you are a Section 501(c)(3) publicly supported organization and agree to notify the Daniels Fund immediately in writing of any change in your federal tax status. 3. Catholic Charities must return to the Daniels Fund any unexpended funds at the close of the grant period. Unexpended funds must be promptly returned if either of the following occur: a. The Daniels Fund determines that the grantee organization has not performed in accordance with these terms, or in accordance with the purposes as represented in the approved request upon which the grant was based. b. The grantee organization loses its exemption from federal income taxation under Section 501(c)(3) of the Code. 4. Catholic Charities shall not use any portion of the grant funds to participate or intervene in any political campaign on behalf of or in opposition to any candidate for public office. 101 MONROE STREET • DENVER.CO 80206 • TEL 303.393.7220 • TOLL FREE 877.791.4726 WWW.DANIFI SFI INF1(1RE: Request ID: 5302 Page 2 of 5 5. No part of the grant funds may be used for a grant to any organization considered to be a private foundation for federal tax purposes unless you comply with the applicable "expenditure responsibility"provisions of the Code. 6. No part of the pant funds shall be paid to any Daniels Fund director, officer or associate for any purpose. 7. Catholic Charities must continue to observe policies of nondiscrimination in employment,board membership and in the use of these funds and the provision of service as represented to the Daniels Fund in your request for finding. 8. Catholic Charities shall maintain adequate financial records related to the expenditure of grant funds and shall make these records available to the Daniels Fund or its representative at reasonable times, if requested. Records related to the grant must be retained for at least four(4) years after grant funds are fully expended. 9. Catholic Charities shall use-the-name, logo or other information identifiable with the Daniels Fund only upon the written consent of the Daniels Fund communications office. A copy of all published media must be provided to the Daniels Fund. Catholic Charities agrees to allow the Daniels Fund to use the name, logo or other information identifiable with Catholic Charities in the Daniels Fund's periodic reports and media releases. 10. Catholic Charities may not assign or otherwise transfer its rights or delegate any of its obligations under this grant, without prior approval from the Daniels Fund. 11. By accepting this grant, Catholic Charities irrevocably and unconditionally agrees, to defend, indemnify and hold harmless the Daniels Fund and each of its officers, directors, employees and agents, from and against any and all claims, liabilities, losses and expenses arising from or in connection with any act or omission of Catholic Charities, associated with this grant. To acknowledge this agreement, to accept the grant and to receive funding, please review the grant terms in this letter and on the attached Schedule A, sign and return this original Letter of Agreement to the Daniels Fund's office as soon as possible. After receipt of the sigied original, we will issue the grant check pursuant to the grant payment terms outlined in the Schedule A. Request ID: 5302 Page 3 of 5 One of the guiding principles of the Daniels Fund is our belief that boundless opportunity can exist for each and every individual. The work of organizations such as Catholic Charities helps make this a reality. On behalf of the Daniels Fund, we wish you every success. Sincerely, Kristin Donovan Senior Vice President re Li da Childears President and CEO Grant Recipient: Catholic Charities Name: S K-€f / V(`� AL. Signature: \`J " Title: Accepted and agreed to by us this x,22.., day of At,1/4--r--1. , 2007 Request ID: 5302 Page 4 of 5 IF)) SCHEDULE A DESCRIPTION OF GRANT Grant Maker: Daniels Fund 101 Monroe Street Denver, Colorado 80206 Tax ID: 84-1393308 Tel: (303) 393-7220 Grant Recipient: Catholic Charities 2525 Nest Alameda Avenue Denver, CO 80219-3010 Tax ID: 84-0688679 Tel: (303) 742-0828 Fax: (303) 742-0774 Amount of Grant: - $250,000 Grant Period: March 13, 2007 -March 12, 2008 Purposes of Grant: Program Support, as follows: • $100,000 for the Samaritan House • $25,000 for the Father Ed Judy House • $50,000 for the Mission Shelter • $50,000 for the Guadalupe Shelter • $25,000 for the Glenwood Springs Transitional Housing program Grant Payment Terms: Full payment upon receipt of this signed Letter of Agreement. Special Conditions: __ N/A Expected Outcomes: Catholic Charities will provide shelter and basic necessities for 650 single individuals and 40 families. 25% (163 single individuals and 10 families)will identify barriers to self-sufficiency by working directly with case managers and will develop a plan of action to address those barriers. Guadalupe Shelter outcomes for 2007: • Catholic Charities will provide shelter and basic necessities for 800 single individuals and families. • 25% (150 individuals and 25 families) of total clients will identify barriers to self-sufficiency by working directly with case managers and will develop a plan of action to address those barriers. Request ID: 5302 Page 5 of 5 Transitional Housing program outcomes for 2007: • 70% of clients who successfully complete the transitional housing program will still be in housing six months after the program (Catholic Charities expects to have capacity to serve as many as 12 families over the year). Father Ed Judy House program outcomes for 2007: • 65% of those served will have income at the time of discharge; 70% of those served will meet with Workforce Development, develop resumes, and do online job searches; 60%of those served will leave with stable housing. Samaritan House program outcomes for 2007: - _ • 40% of those served will have income at the time of discharge; 35%will have savings in their housing fund at time of discharge; and 40%of those served will move into housing within 90 days. Reporting Requirements: Within thirty (30) days after the end of the grant period, Catholic Charities shall submit the attached Grantee Final Report to the Daniels Fund. The report must be signed by the organization's chief staff officer or authorized board member. Organizations are not eligible to apply for additional funds from the Daniels Fund until the grant period has been completed and the Grantee Final Report has been received. The Daniels Fund will notify Grantees in writing when all reporting requirements have been fulfilled and when a new application will be considered. Weld County Housing Authority *•• Greeley, C:.°8.01633°2 970 353-7437 C. COLORADO I,William H.Jerke Chair Board of County Commissioners Weld County Colorado duly authorized to act on behalf of Weld County hereby approve the following project proposed by Catholic Charities and Community Services of the Archdiocese of Denver to be located in Weld County. BY: - William H.Jerke,Chair March 31,2008 Certification of Consistency with Consolidated Plan I Carol E. Larsen, Community Development Coordinator certify that Catholic Charities and Community Services of the Archdiocese of Denver activities located in the City of Greeley is consistent with the Consolidated Plan for the City of Greeley Carol E. Larsen Community Development Coordinator March 31, 2008 EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS Christopher M. Rose (name of chief elected official or appropriate non-profit signatory) of Catholic Charities (town, city, county or nonprofit organization)which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U.S. Department of Housing and Urban Development (HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Political activities will be prohibited in accordance with subsection 675 (e) of the Community Services Block Grant Act of 1981. The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 576.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by Section 832(e) of the Cranston-Gonzalez National Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment exempts the first$100,000 from the matching requirement and requires that the benefit of the $100,000 exemption be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(ii) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B)that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E) occur a week before eviction, foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(iii) concerning that submission by nonprofit organizations applying for funding of a certification of approval of the proposed project(s) from the unit of local government in which the proposed project is located. The requirements of 24 CFR 576.51(b)(2)(v) concerning the funding of emergency shelter in hotels or motels or commercial facilities providing transient housing. The requirements of 24 CFR576.56(a)(3) concerning the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 concerning the prohibition of conflict of interest or financial interest in decision-making by elected officials, appointed officials, staff or board of directors except as may be granted by HUD as provided in 570.611(d). The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 576.77, concerning assistance to the homeless. 22 The requirements of 24 CFR 576.79, other appropriate provisions of 24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. The requirements of 24 CFR 576.80 concerning minimizing the displacement of persons, as a result of a project assisted with these funds. The requirements of 24 CFR 576.80 concerning the Uniform Relocation Assistance and Real Acquisition Policies Act of 1970. The requirement of the Cranston-Gonzalez National Affordable Housing Act (Public Law 101-625, November 28, 1990 contained in Section 832(e)(2)(C) that grantees develop and implement procedures the ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency Shelter Grants Program" will, except with written authorization of the person or persons responsible for the operation of such shelter, not be made public." The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104(g) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities, as specified in 24 CFR Part 58, and as applicable to activities of nonprofit organizations. The requirement that no Federal appropriated funds have been paid, by or on behalf of the local government or nonprofit organization, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal loan, the entering into of any cooperative agreement, and modification of any Federal contract, grant, loan or cooperative agreement. The requirement that if any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the local government or nonprofit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The requirement of disclosure specified in Subpart C of 24 CFR Part 12 regarding assistance from other HUD-funded programs. The requirement that the local government or nonprofit organization shall require that the language of the PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all standards at all tiers including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements and that all subrecipients shall certify and disclose accordingly. The requirement that(68 Fed. Reg. 43430) agencies receiving funding from the Emergency Shelter Grant Program become compliant with Homeless Management Information System (HMIS) as required by the Department of Housing and Urban Development. The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or nonprofit organization possesses legal authority to carry out emergency shelter grant activities in accordance with applicable law and regulations of the Department of Housing and Urban Development. Christopher M. Rose, President/CEO (N a Title) Signature Date 23 I N IMNSI t'N ` 0.00: . PERFOR''1IIAN0.E MEASUREMtNt a l OL500:4 a'" 51 All ESG proposals must comply with the CDOH Performance Measurements and Outcomes. I have read the performance and outcome measurements as shown below and understand that these may differ from measurements required by HUD (Please Use Drop Down Box) YES Performance Measurements and Outcome Requirements Objective: Serve the lowest income and hardest to serve individuals and families meeting critical housing needs through state and federal initiatives by creating a suitable living environment or decent affordable housing. Funding Source: ESG Activity: ESG Funding Objectives/Outcomes: 1. End chronic homelessness and move homeless families and individuals into permanent housing. 2. Availability/accessibility for the purpose of creating suitable living environments. 3. Promote self-sufficiency, efficient use of funds and effective program administration. CDOH Performance Measures/Indicators (Applies to all ESG funded projects): • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • Recipient expended all ESG funds within the established grant timeframe. • Recipient met the deadline for submitting their signed grant agreement. • Recipient met the deadline for submitting evidentiary documents. • Recipient met the deadline for submitting performance reports. • Recipient meets required standards for documentation of homelessness. • Recipient complies with required record keeping methods. • Recipient complies with the due process of terminating ESG funded assistance of participant. • Amount of money leveraged. • Does recipient have current non-corrected and/or corrected findings from previous compliance reviews? CDOH Performance Measures/Indicators specific to ESG-Funded Shelter and Transitional Housing: • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • The total number of adults and children served on an annual basis (reported under Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Homeless Prevention: • Number of persons assisted with ESG funds for eviction notices. • Number of persons assisted with ESG funds for utility termination notices. • Number of persons assisted with ESG funds for security deposits and/or first month's rent. • The total number of adults and children served on an annual basis (reported under Non-Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Essential Services: • Number of homeless persons that received ESG funded services concerned with employment. • Number of homeless persons that received ESG funded services concerned with health. • Number of homeless persons that received ESG funded services concerned with substance abuse. • Number of homeless persons that received ESG funded services concerned with education. • Number of homeless persons that become successfully independent of ESG funded services. • Number of homeless persons that return to their prior living situation • The total number of adults and children served on an annual basis (reported under Non-Residential Services). • The number of persons served by race and ethnicity. COPY OF YOUR 501 (c)(3) Ruling Internal Revenue Service Department of the Treasury District Director P. O. Box 2508 Cincinnati, OH 45201 Date: July 1, 2007 Person to Contact: James Blair ID II 31-07578 Telephone Number: 877-829-5500 FAX Number: Ms. Deirdre Dessingue 513-263-4330 Associate General Counsel United States Conference of Catholic Bishops 3211 4`"Street, N.E. Washington, D.C. 20017-1194 Dear Ms. Dessingue: In a ruling dated March 25, 1946, we held that the agencies and instrumentalities and all educational, charitable and religious institutions operated, supervised, or controlled by or in connection with the Roman Catholic Church in the United States, its territories or possessions appearing in The Official Catholic Directory 1946, are entitled to exemption from federal income tax under the provisions of section 101(6)of the Internal Revenue Code of 1939,which corresponds to section 501(c)(3)of the 1986 Code. This ruling has been updated annually to cover the activities added to or deleted from the Directory. The Official Catholic Directory for 2007 shows the names and addresses of all agencies and instrumentalities and all educational, charitable, and religious institutions operated by the Roman Catholic Church in the United States, its territories and possessions in existence at the time the Directory was published. It Is understood that each of these is a non-profit organization, that no part of the net earnings thereof inures to the benefit of any individual, that no substantial part of their activities is for promotion of legislation, and that none are private foundations under section 509(a)of the Code. Based on all information submitted,we conclude that the agencies and instrumentalities and educational, charitable, and religious institutions operated, supervised, or controlled by or in connection with the Roman Catholic Church in the United States, its territories or possessions appearing in The Official Catholic Directory for 2007 are exempt from federal income tax under section 501(c)(3)of the Code. Donors may deduct contributions to the agencies, instrumentalities and institutions referred to above, as provided by section 170 of the Code. Bequests, legacies, devises, transfers or gifts to them or for their use are deductible for federal estate and gift tax purposes under sections 2055, 2106, and 2522 of the Code. -2- Ms. Deirdre Dessingue Beginning January 1, 1984, unless specifically excepted, you and your subordinates must pay tax under the Federal Insurance Contributions Act(Social Security taxes)for each employee who is paid $100 or more in a calendar year, as indexed for inflation. You and your subordinates are not liable for the tax under the Federal Unemployment Tax Act (FUTA). By May 31, 2008, please send three(3)copies of The Official Catholic Directory for 2008 to IRS TE/GE in Cincinnati; one copy to the Processing Campus in Ogden; two copies each to the EO Area Managers in Newark, Brooklyn, Chicago, St. Paul, Atlanta, Los Angeles, the IRS National Headquarters and the Director, EO Examinations, Dallas. The conditions concerning the retention of your group exemption as set forth in our previous determination letter of August 17, 1983, remain in full force and effect. Sincerely, /7 r for Robert Choi, Director, Exempt Organizations Rulings & Agreements 5.7 Ccinei dry .67.7i Y..:r July 9, 2007 TO: Most Reverend Archbishops and Bishops, Diocesan Attorneys and State Conference Directors SUBJECT: 2007 Group Ruling , `1 J r FROM: Jeffrey Moon, General Counsel (Acting( r' ''. (Staff Deirdre Dessingue, Associate General Counsel) Attached is a copy of the Group Ruling issued to the United States Conference of Catholic Bishops on July 1, 2007 by the Internal Revenue Service ("IRS"), with respect to the federal tax status of Catholic organizations listed in the 2007 edition of the Official Catholic Directory ("OCD")I/. As explained in greater detail below, this ruling is important for establishing: (1) the exemption of such organizations from: (a) federal income tax; (b) federal unemployment tax (but see 14 of "Explanation" below); and (2) the deductibility, for federal income, gift and estate tax purposes, of contributions to such organizations. The 2007 Group Ruling is the latest in a series that began with the original determination of March 25, 1946. In the 1946 document, the Treasury Department affirmed the exemption from federal income tax of all Catholic institutions listed in the OCD for that year. Each year since 1946, in a separate letter, the 1946 ruling has been extended to cover the institutions listed in the current OCDV. The 2007 Group Ruling is consistent with the 2006 ruling. Annual group rulings clarify important tax consequences for Catholic institutions listed in the OCD, and should be retained for ready reference. Rulings from earlier years are important to establish the tax consequences of transactions that occurred during those years. A copy of the Group Ruling and this memo may be found on the USCCB website at www.usccb.ord/odc. 2 Catholic organizations with independent IRS exemption determination letters are listed in the 2007 OCD with an asterisk(), which is explained at page A-6 and indicates that such organizations are not covered by the Group Ruling. 1 Responsibilities under Group Ruling. Diocesan officials who compile 0CD information to send to the OCD publisher are responsible for the accuracy of such information. They must ensure that only qualified organizations are listed, that organizations are listed under their correct legal names, that organizations that cease to qualify are deleted promptly, and that newly- qualified organizations are listed as soon as possible. EXPLANATION 1. Exemption from Federal Income Tax. The latest ruling reaffirms the exemption from federal income tax under section 501(c)(3) of the Internal Revenue Code of"the agencies and instrumentalities and educational, charitable, and religious institutions operated, supervised or controlled by or in connection with the Roman Catholic Church in the United States, its territories or possessions appearing in the Official Catholic Directory for 2007" (with the exception of organizations designated in the OCD with an asterisk and foreign organizations). New for 2007: Organizations exempt under the Group Ruling generally are not included in IRS Publication 78, IRS Exempt Organization Business Master File ("EOBMF"), or online databases that are derived from these sources. This does not mean that organizations included in the Group Ruling are not tax-exempt, that contributions to them are not deductible, or that they are not eligible for grant funding from private foundations. Organizations included in the Group Ruling that encounter difficulties verifying their tax- exempt status under the Group Ruling should refer private foundations or other donors to IRS Publication 4573, Group Exemptions, available on the IRS website at www.irs.Qov. Publication 4573 explains that IRS does not determine which organizations are included in a group exemption, indicates how to verify that an organization is included in a group exemption, and clarifies that it is not necessary for an organization included in a group exemption to be listed in Publication 78 or the EOBMF. 2. Public Charity Status. The latest Group Ruling affirms that organizations included in the OCD are not private foundations under section 509(a) of the Code. Newly-created or newly-affiliated organizations must establish that they are not private foundations as a condition of inclusion in the Group Ruling and OCD. New for 2007: The Group Ruling states that organizations covered under its provisions are public charities under section 509(a), but does not specify the subsection of section 509(a) under which they are classified because all covered organizations are not classified under the same subsection. Although USCCB 2 is classified as a public charity under sections 509(a)(1) and 170(b)(1)(A)(i), that classification does not extend to organizations covered under the Group Ruling. Each organization must establish its own public charity classification under sections 509(a)(1), 509(a)(2) or 509(a)(3). As a result of new requirements imposed by the Pension Protection Act of 2006 with respect to private foundation grants to section 509(a)(3) supporting organizations, private foundations may no longer be willing to rely solely on the Group Ruling in their grantmaking decisions. Private foundations are likely to request more specific documentation of public charity status under sections 509(a)(1), 509(a)(2), 509(a)(3)-Type I, 509(a)(3)-Type II, or 509(a)(3)-Type III- functionally integrated. Certain types of organizations included in the Group Ruling qualify as public charities by definition under the statute: • churches and conventions and associations of churches under sections 509(a)(1) and 170(b)(1)(A)(i) [this category generally is limited to dioceses, parishes, religious orders, and state Catholic conferences]; • elementary and secondary schools, colleges and universities under sections 509(a)(1) and 170(b)(1)(A)(ii); and • hospitals under sections 509(a)(1) and 170(b)(1)(A)(iii). Other organizations covered under the Group Ruling may qualify under the public support tests of either sections 509(a)(1) and 170(b)(1)(A)(vi) or section 509(a)(2). Verification of public charity classification under either of the support tests generally can be established by providing a written declaration of the appropriate classification signed by an officer of the organization, along with a reasoned written opinion of counsel and a copy of the support test portion of Form 990, if applicable. A section 509(a)(3) organization included in the Group Ruling also may be able to rely upon a written declaration of the applicable supporting organization classification signed by an officer of the organization, along with a reasoned written opinion of counsel and Form 990, if applicable, to satisfy foundation grantors of their Type I, Type II, or functionally integrated Type III supporting organization status. 3. Deductibility of Contributions. The Group Ruling assures donors that contributions to the institutions listed in the 2007 0CD and covered by the Group Ruling are deductible for federal income, gift, and estate tax purposes. 3 4. Unemployment Tax. The Group Ruling establishes exemption from federal unemployment tax only. Individual states may impose unemployment tax on organizations included in the Group Ruling, even though they are exempt from the federal tax. Please refer to your attorney any questions you may have about state unemployment tax. 5. Social Security Tax. All section 501(c)(3) organizations, including churches, are required to pay taxes under the Federal Insurance Contributions Act (FICA) for each employee who is paid $100 or more in a calendar year.3/ Services performed by diocesan priests in the exercise of their ministry are not considered "employment" for FICA (Social Security) purposes,i/ and FICA should not be withheld from their salaries. For Social Security purposes, diocesan priests are subject to self-employment tax ("SECA") on their salaries as well as on the value of meals and housing or housing allowances provided to them./ Neither FICA nor income tax withholding is required on remuneration paid to religious institutes for members who are subject to vows of poverty and obedience and arc employed by organizations included in the Official Catholic Directory.§/ 6. Federal Excise Tax. Inclusion in the Group Ruling has no effect on an organization's liability for federal excise taxes. Exemption from these taxes is very limited. Please refer to your attorney any questions you may have about excise taxes. 7. State/Local Taxes. Inclusion in the Group Ruling does not automatically establish an organization's exemption from state or local income, sales or property taxes. Typically, separate exemptions must be obtained from the appropriate state or local tax authorities in order to qualify for any applicable exemptions. Please refer to your attorney any questions you may have about state or local tax exemptions. 8. Form 990. All organizations included in the OCD must file Form 990, Return of Organization Exempt from Income Tax, unless they are eligible Section 3121(w) of the Code permits certain church-related organizations to make an irrevocable election to avoid payment of FICA taxes, but only if such organizations are opposed for religious reasons to payment of social security taxes. I.R.C. §3121(b)(8)(A). 1.R.C. § 1402(a)(8). See also, Compensation of Priests, at htto.//www.usccb.ord/bishops/dfiklualtax.htm. 6 Rev. Rut. 77-290, 1977-2 C.B. 26. See also, OGC/LRCR Memorandum on Compensation of Religions, http./Mww.usccb.or_q/ogclRelComp2006.pdf(September 11, 2006). 4 for a mandatory or discretionary exception. There is no automatic exemption from the Form 990 filing requirement simply because an organization is included in the Group Ruling or listed in the OCD. Organizations required to file Form 990 must do so by the 15th day of the fifth month after the close of their fiscal year '/ Among the organizations not required to file Form 990 under section 6033 of the Code are: (i) churches; (ii) integrated auxiliaries of churchess!; (iii) the exclusively religious activities of religious orders; (iv) schools below college level affiliated with a church or operated by a religious order; (v) organizations with gross receipts normally not in excess of $25,000;2/ and (vi) certain church-affiliated organizations that finance, fund or manage church assets, or maintain church retirement insurance programs, and organizations controlled by religious orders that finance, fund or manage assets used for exclusively religious activities.!Q/ New for 2007: The Pension Protection Act of 2006 eliminated the discretionary exceptions to the Form 990 filing requirement with respect to section 509(a)(3) supporting organizations. The discretionary exceptions likely to be affected by this new provision are exceptions (v) and (vi) above. If an organization exempt under the Group Ruling is classified as a section 509(a)(3) supporting organization, it may no longer rely on exceptions (v) or (vi) above as the basis for not filing Form 990. However, a section 509(a)(3) supporting organization that qualifies as an integrated auxiliary of a church may rely on • that exception as a basis for not filing Form 990. As a statutory exception, the integrated auxiliary of the church exception was not affected by the Pension The penalty for failure to file the Form 990 is $20 for each day the failure continues, up to a maximum of $10,000 or 5 percent of the organization's gross receipts, whichever is less. However, organizations with annual gross receipts in excess of $1 million are subject to penalties of $100 per day, up to a maximum of $50,000. I.R.C. § 6652(c)(1)(A). a I.R.C. § 6033(a)(2)(A)(i): Treat Reg. § 1.6033-2(h). To qualify as an integrated auxiliary of a church, an organization must be described in section 501(c)(3), qualify as other than a private foundation, be affiliated with a church, and qualify as internally supported. An organization will be considered internally supported unless it both: (1) Offers admissions, goods, services, or facilities for sale, other than on an incidental basis, to the general public(except goods, services, or facilities sold at a nominal charge or substantially below cost), and (2) normally receives more than 50 percent of its support from a combination of governmental sources; public solicitation of contributions (such as through a community fund drive); and receipts from the sale of admissions, goods, performance of services, or furnishing of facilities in activities that are not unrelated trades or businesses. 5 Rev. Proc. 83-23, 1983-1 C.B. 687, Rev. Proc. 96-10, 1996-1 C.B. 577. 5 Protection Act. New for 2007: Under the Pension Protection Act of 2006, an organization exempt under the Group Ruling that claims exception (v) above (gross receipts normally not in excess of$25,000) as its basis for not filing Form 990 must file an annual electronic form ("e-postcard") as required by IRS, setting forth the following information: (1) the legal name of the organization; (2) any name under which the organization operates or does business; (3) the organization's mailing address and Internet website address; (4) the organization's EIN; (5) the name and address of a principal officer; (6) evidence of the organization's continued qualification for exemption from the Form 990 filing requirement; and (7) notification of termination, if applicable. If an organization fails to file the annual e-postcard for three consecutive years, its tax-exempt status will be considered revoked. Reapplication to IRS (not the Group Ruling process) will be required in order to reinstate exemption. Organizations that are required to file Form 990 must upon request make a copy of the form and its schedules and attachments (other than contributor lists) available for public inspection during regular business hours at the organization's principal office and at any regional or district offices having three or more employees. Form 990 for a particular year must be made available for a three year period beginning with the due date of the return.11/ In addition, organizations that file Form 990 must comply with written or in- person requests for copies of the Form 990. The organization may impose no charge other than a reasonable fee to cover copying and mailing costs. If requested, copies of the Form 990 for the past three years must be provided. In-person requests must be satisfied on the same day. Written requests must be satisfied within 30 days.12/ Newfor 2007: Under the Pension Protection Act of 2006, the tax-exempt status of an organization, including an organization exempt under the Group Ruling, that is required to file Form 990 but that fails to do so for three consecutive years will be considered revoked. Reapplication to IRS (not the Group Ruling process) will be required in order to reinstate exemption. 11 The penalty for failure to permit public inspection of the Form 990 is S20 for each day during which such failure continues, up to a maximum of$10,000. I.R.C. §6652(c)(1)(C). 12 I.R.C. § 6104(d). Generally, a copy of an organization's exemption application and supporting documents must also be provided on the same basis. However, since Catholic organizations covered under the Group Ruling did not file exemption applications with IRS, nor did USCCB, organizations covered under the Group Ruling should respond to requests for public inspection and written or in-person requests for copies by providing a copy of the page of the currant OCD on which they are listed. If a covered organization does not have a copy of the current OCD, it has two weeks within which to make it available for inspection and to comply with in-person requests for copies. Written requests must be satisfied within the general time limits. 6 9. Revenue Procedure 75-50. Rev. Proc. 75-50131 sets forth notice, publication, and recordkeeping requirements regarding racially nondiscriminatory policies that must be complied with by private schools, including church-related schools, as a condition of establishing and maintaining exempt status under section 501(c)(3) of the Code. Under Rev. Proc. 75-50 private schools are required to file an annual certification of racial nondiscrimination with the IRS. For private schools not required to file Form 990, the annual certification must be filed on Form 5578, Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax. This form is available at www.irs.gov. Form 5578 must be filed by the 15th day of the fifth month following the close of the fiscal year. Form 5578 may be filed by an individual school or by the diocese on behalf of all schools operated under diocesan auspices. The requirements of Rev. Proc. 75-50 remain in effect and must be complied with by all schools listed in the OCD. Diocesan or school officials should insure that the requirements of Rev. Proc. 75-50 are met since failure to do so could jeopardize the tax- exempt status of the school and, in the case of a school operated by a church, the tax-exempt status of the church itself. 10. Lobbying Activities. Organizations exempt under the Group Ruling may lobby for changes in the law, provided such lobbying is not more than an insubstantial part of their total activities. Attempts to influence legislation both directly and through grassroots lobbying are subject to this restriction. The term "lobbying" includes activities in support of or in opposition to referenda, constitutional amendments, and similar ballot initiatives. There is no distinction between lobbying activity that is related to an organization's exempt purposes and lobbying that is not. There is no fixed percentage that constitutes a safe harbor for "insubstantial" lobbying. Please refer to your attorney any questions you may have about permissible lobbying activities. 11. Political Activities. Organizations exempt under the Group Ruling may not participate or intervene in any political campaign on behalf of or in opposition to any candidate for public office. Violation of the prohibition against political campaign intervention can jeopardize the organization's tax-exempt status. In addition to revoking tax-exempt status, IRS may also impose excise taxes on an exempt organization and its managers on account of political expenditures. Where there has been a flagrant violation, IRS has authority to seek an injunction against the exempt organization and immediate assessment of taxes due. The Office of General Counsel memorandum, Political Campaign Activity Guidance for Catholic Organizations, available at vm-x.usccb.org/ogc, contains detailed information 33 1975-2 C.B. 587. 7 regarding the prohibition against political campaign intervention. If you have any questions in this regard, please refer them to your attorney. 12. Group Exemption Number. The group exemption number assigned to the USCCB Group Ruling is 0923. This number must be included on each Form 990, Form 990-T, and Form 5578 required to be filed by any organization exempt under the Group Ruling.1±I We advise against using the group exemption number on Form SS-4, Request for Employer Identification Number, because in the past this has resulted in IRS improperly including USCCB as part of the organization's name when it enters the organization in its database. New for 2007: Under the Pension Protection Act of 2006, Form 990-T is subject to public inspection and copying on the same basis as Form 990 (see ¶ 8 above). • " IRS has expressed concern about organizations covered under the Group Ruling that fail to include the group exemption number{0928) on their Form 990 filings, particularly the initial filing. 8 1 a 'ALABAMA..COLORADO•ARIZONA•MAI N E'TEXAS•UTAM.ALASKA' p w a`IOWA•LOUISIANA&WIS CONSIN •TENNESSEE•IDAHO • 2 0 5 aicj 0 P v O Q � it r 55 rships Z Z 'tiers, Q Q m A ... a 1817 v 2007 m > m z actor, Q �1t© ry (A o and W Y with iJ . . a z orary 1 E = Gli lc mZand OO H C4 4 H aO r,„ cxatbdlic .(A . re H Otrtttor H To Z > ZZ Anne o ,, O a DTTCIIYI U a 2007 > D. cn Q O Published Annually by n y .656) • L•g- eneapSon cn z z• INDIANA. OKLAHOMA• RHODE ISL AND•MONTANA•cn R •HAWAIIVWASHINGTON•VIRCINIA•VERMONT•WYOMING•0HIO• r< • RETURN TO: Non-Circulating vehr-Dhenicaic8111y Isis ' CHURCH hi 365 Community p P.O. Box 1581 t 4r4t� 4 Archdiocese of Denver 319-354.1811 = Archidioecesis Denveriensis E Renner,DW yY's' '- 'oundmion, spa E - P_ 319-33936.57;Fsr1 ;u Id u! Iowa Cii r ..4,-...: H' 5.Tel:3[93393.1 I t i - Owl Cti 7n . -W Pv 339 3540.li n Re owe City,1,400,500 y'�, , �� f►:��/. 339 3540.Ron e ESTABLISHED A VICARIATE-APOSTOLIC IN 1868. iintstries of to Square Miles 40,154. a. 52245. T§Iy. Sr Laura - - Erected a Diocese August 16,1887;created an Arc 4 Stewardship,ce0 'ifos(ikverend zr m cese November 41. Chu rib. N be 15 l9 01 Keokuk kukuk l Ur.O.EM.CAP.,D.D. I i`�.... G 524-7517.Luis W' .OB./91 E8 J.LAP I y ,�,/ •. Comprises the norfhem part of the State a(Colo u�n�o'e - s including the 25 Counties o, ,Arapahoe, Cr for International ter ordained August 29, 1970; der,m , ld, Clear Creek, Denver,Eagle, Gar II Ave., 5250E Tel tti ' win.' appointed Bishop of A3 0441 sr unite The ai'��L Gilpin, Grand, Jackson, Jefferson, , L ;90. Kathryn Bissell 1RrA��i ll, 1988; appointed Archbishop of Moffat, Morgan, Phillips, Pitkin, Rio Blanco, 7 • lshravf 181997. ! Sedgwick,Summit,Washington,Weld and Yuma tette Foundation,lies :379. Mike Ands 1 For legal titles of parishes and archdiocesan in Jerson.Cunt aft Perua�;' [ions,consult the Chancery. Pastoral Center:1300 S.Steele St..Denver,CO 80210. TOTES OF MEN :SE 1b1:303.7224687;Far.303-715-2041. ils refer to the Web:www.archden.org Iarchden her in the Religious section. a Email:derearchden.org 'the Poor of St.F he Precious Blum-C •r Regular of Saint e a NSTITUTES Op D IN THE DIOCESE STATISTICAL OVERVIEW Sisters of 7.S.B. i Catholic Hospitals 4 Elementary Schools,Diocesan and Parish Sisters for the Aged ay 1 Total Assisted 309,785 Total Students 1 Health Care Centers 4 Elementary Schools,Private on of the Humility :.mmte mekbiahops 1 Total Assisted 154906 Total Students 1.on of the Sister Active is Diocese 124 Homes for the Aged 11 CatecheeistRefgioua Education: of the DiocesanTotal Assisted 3,878 High School Students if Perpetual Adoration Diocesan Actin Outside Diocese 8 Day Care Centers 12 Elementary Students ion of the Third 'Retired,risk or Meant. 48 Total Assisted leas Total Students under Catholic Instruction p Immaculate,Mitt a tt Priests 180 Specialized Homes 1 Teachen in the Diocese: can Sisters—O.P. nsFlintsnin Est 110 Total Assisted 62 Priests Sisters of tIe Priests inn Diocese 37 Special Centers for Social Services 20 Brothers -O.P. i Total Assisted 250,000 Sisters ters of Christ the Dias 'Evan Priests 11 Residential Care of Disabled 2 fay'lecher, *has Priests 1 Total Assisted 464 Vital Statistics of the Sate" d M lariats]Demos 5 Educational . Receptions into the Church: De.mu in Diocese 172 :lgal—R.S.M. )W Baden 13 Seminaries,Diocesan 2 Infant Baptism'Ina's- :ten of Notre Dams tied gapt, 902 Students front This Diocese 103 Adult Baptism Totals :ten of St.Francis-0St, Students from Other Diocese 36 Received into Full Communion ( Charity of the E 120 Diocesan Students in Other Seminaries 3 First Communions ISMS Pastor. Religious 2 Confirmations r Saint Franca. G- i9.deet Diocesan Prints 98 Total Seminarians 108 Marriages: l Religious Prints 17 28 Colleges and Universities I Catholic St. Francis of the Ray- Total Students 16,004 Interfaith tieing Personnel: High Schools,Diocesan and Parish..... 2 'Null Marriages Seelen 13 'Dotal Students 940 Deaths c the Presentation 4 the . 6dat 302 High Schools,Private 6 Total Catholic Population lei Mmistets 221 Total Students 3,039 'Real Population 3, f the Third Order 4 St isi—O.S.F. 'the Third Order d R c the Third Order¢f R &sleeps-_Most Revs. Josetw PROJECNs Pontifical Council for the Laity in Rome, Aug. Ex Officio Members—Rev. Jaws DE Los of Charity(Tiffin,Ohio)-0. :Raawp ➢.D., coos. 'Stunt Bishop of 1996;elevated to Cardinal Feb.21,1998. Rev. Msgr. TRmus S. Firma, V.G.; V NECROLOGY 3ps *ad Vier Apoetol 00 e of Colorado and The Pastoral Center-13 S. Steele St., Denver. MImuEL G. GLENN, 9.T.L; Rev. Msgr. rd A.,Delmar,IA SL F i Yp9w Aug. 16, 1868; Est Bishop of Denver in 80210.2599.'Ill:303-7224687;Fax:303-715-2041. SCHROEDER. deed July 10,188F NICHOLAS CNRYsostoie Vicar General—Rev.Msgr.THOMAS S.FRY*,V.G. Members At large—Rev. Magri. EDWARD eRetir.di—Died Feb.A WAD'. 'titular Bishop of Mimosas end Moderator of the Curia—Rev.Msgr.TNou*S.Fans, J.C.L,Choi.;RAYMOND N.JoteL9 V.G.,I ird J.,lRetired)—Did1m R 18D_ Dearer cum jure successions, Oct. V.G. College of Consultors—Moat Rev.Qualm J. 9N mcted d to the See of Denver,July 10, Vicar for Clergy—Rev.Msgr.GEORGE SCHROEDER. O.F.M.Cap., D.D.; Very Rev. STEPHEN E y with the IRS and t AHg Aug. 9, 1917; J. HENRY TMEN, D.D., Vicar for Hispanic Ministry—Rev. JoNIE DR I OB V.F.;Rev. Magri. EDWARD BrEL7,J.C.L; 26,188&,eons.Bishop of Denver , SeptpS. FRY*, V.G.; Very Revs. MICHAEL G. l 1911;tieelgne,d W the See of Denver et ncellSANTos. S.TL; Rotten KMKE4 V.F.; FRANK I 0,1917; •resigned Jan.6.1931;Apostolic Admix Chancellor—FRANCLN'r MAtea. V.F.; floor S. MEREnrni, V.F.; Bea W JW7 16,1931;died:T 14, 1940•,URBAN J. Vice Chancellor—Tuannig J.McCumri,J.C.L. Selman,V.F. 'w l,0➢.,end.May 29,1916;Bishop of Denver, Archivist—KAaeL KLEIN. Arrhdiocesan Finance Council—Most Rev.Co Yet Apr- 17, 1931; cons June 10, 1931; Chief Financial Officer—DAVID A.HOLOEN. Cisme, O.F.M.Cap.,D.D.;Rev. Msgr.T iieRd July 16„1931;elevated. to Archiepiscopal presbyee al Council-- FRYAR V.G.; DAVID A.HOLDEN;JOHN P. h• Nos' 15, 1941; appt. Jan. 6, 1942; Archbishop—Most Rev. CHARLES J. CHAPIrr, LAWRENCE F. JOHNSTON; Wu.une E. 'ar logo,M Arrhbishop of Denver; resigned Feb. O.F.M.Cap.,D.D.,Prse: KATHLEEN M. SP[RtCK; NICE Ztesea; G 9, 1973; HN 11(ARD rrnC'.fiordDec.Pt 8, 1939;'5ttuullar Bishop of V. CASEY, ElectedCouncil—Veryives Ste Stems m Deanery . ADAMS to , V.F.; HARE;MICHAEL Poiagov c;WILLtw MAI ^' sad g ken- onliary av of Lincoln; app[ Auxiliary FRANK MARONEY, V.F.; KENNETH LI[IYZI, VF.; Deaneries—Very Revs. KENNETH LIU , I !April5, 1957; cons.April 24, 1967; appt. ROBERT L. Weirs; JOSEPH A. HARTRU , V.F.; Denver; GREGORY Alms, V.F., North W L m ncoln June 14, 1957; promoted to BERNARD A. SCHMITt, V.F.; GREGORY AMPS, V.F.; JAMES K. C'virINS, West Denver, p t w'uSig-P of Denver,Feb. 22, 1967;died March ANDREW KEMHERIJNG,V.F.; PHILIP S. MEREDITH, KEMBERLING, V.F., Southeast Denver; �• ,.5 FRARCIA CARDINAL STAFFORD, D.D., V.F.;DANIEL J. NOME,V.F.;JAMas K.GOGGINS; MEREDITH, V.F., Southwest Denver S's 3uemo , 1957; cons. Auxiliary Bishop of ROBERT KINKEL,V.F.,Vice Chm. t ADAMsS, V.F., Aurora; FRANK MARDI. ytop Feb. 29, 1976; installed Bishop of Newly Ordained Representative—Rev. KEVIN R. Boulder;JOSEPH A. HARTMANN,Y.F.,Fe �Lky Jay 18 1983; appt. Nov. 16, 1982; AuOUSTYN. ROBERT L. Weoow, Eastern Plains; Bt MrLL:.rf _ _. _ -_ ...... ....... e,.n. VF .:scale... Pnwcwr Kw - O DENVER (DEN) 370 CATHOLIC CHIJ$CH C7 U Flaherty, Daniel J., 902 Grant St., Louisville, Dudzic.Anthony,St.Mary's,Littleton Ngo, Lawrence Tong The N. 80027. Durnford, Jerome, Immaculate Heart of Mary, Marytrs,Wheatridge = Gabel, Emanuel, 8983 W. Jewell, Apt. #304, Northglenn Nusse,John,Our Lady of Fa rttl (J Lakewood,80232. Elder, R. Taylor, Immaculate Heart of Mary, Oehrle,Len A..(Retired', LL Gibbons, John M., Mullen Home, 3629 W. 29th Northallen Onesky, Leonard -Rai Nazi Ave,80211. Engel,Witold,St.Francis Cabrim Broomfield Kane, James E., 2397 S. Xanadu Way, Bldg. 9, Pruner,William,Holy Family Parish,Meeker Paddle.Carlos L,(Ite(iredl W #402,Aurora,80014. Finan,Robert E.,St.Vincent de Paul Parker,Clevles W,.lr,Notr¢ ';- (I) Kennedy, Patrick J., 9360 R Center Ave., #30, Filterer,George,(Retired) ver W 80247. Fortunate, George R., St. Ignatius of Antioch, Paulson.Joel J,St dude Yana O hleiner,James,P.O.Box 300545,80203-0545. Rangely Pulls,Richard P.Sacred He O Longwill,Carl,415 N.E.105th St.,Miami Shores, Fox, Thomas, Our Lady of the Mountains. Estes Pierson,.Anthony,St. 6lichaer 0 FL 33138. Park rare Methane, Marcus,2576 104th Cir., Westminster, Franklin, John, Holy Name Parish, Steamboat Pilger,Rex H.,Jr.,St.Joan or, = 80234. Springs Polak,Leonard E.,(Retired) O Meznar,Robert P.,4330 Thompson Ct.,80216. Fricke,Franklin,Ill,St,Joan of Arc Pontine,John E.,Sts.Peter& _ fL O'Malley, Joseph M., 1542 E. Nicholas Dr., Frisinger,Howard,(Retired) Quinlan,Thomas,(Retired) Q Centennial,80122-2945. Gallagher,Michael,St.Patrick,Minturn Quintana,Lloyd,Holy Trinity • Ossino,Angela,13800 E.Marina Dr.,#312,Aurora, Garcia,Modesto,St.Augustine,Brighton Rael,Gilbert E.,St.Mark,We wr 80014. Gerber,Joseph,St.Joan of Arc,Arvada Ramirez, Manuel de Jesus,( Puhl, Albert E., Gardens St. Elizabeth, 2835 W. Gollhofer,James D.,Nativity of Our Lord Parish, lope,Denver 32nd Ave #105,80211. Broomfield Rasnclli Alan M D.,3L Than Lpv Ryan,Dennis IC,P.O.Box 131,Frisco,80443. Gregorius,Robert,Our Lady of Loreto,Fairfield Reinert George J.,'Retired) rr Smith,Vincent Leo,P.O.Box 82,Fairplay,80440. Grimier,Richard,(Retired) Roderick,Ronald,1I,Christ 0 Sabieexczyk, David, 7074 S. Clermont Dr., Grimm,R.Paul,Littleton Adventist Hospital Rogge,Gary,St.Thomas Mon Centennial,80122-1180. Haigh,Robert,(Retired) Rompot Vernon L., KH.5., 4p Urban, Peter, 110 W. Simpson St., Lafayette, Halpine,Russell,Holy Cross,Thornton Denver I.. 80026. Harrington,Philip Ruuca,.Anthony F.,St.Mark (- tiWalsh, Michael, 1693 E. Lake Dr., Centennial, Hastings,William 0.,SL Peter,Greeley Ruiz,Nehemius,Holy Cruse I f.�d 80121. Hawkins,Kenneth L,Jr.,(Retired) Sales,Pablo,St.Anthony of I p. y- Weibel, George L, 13902 E. Marine Dr., #207, Hawley,Joseph W.,Our Lady of Fatima Parish Salvato,Mark,Cathedral of -1,'_ Aurora,80014. Hegarty,Marvin A.,(Retired) caption.Denver (: WceRh,Thomas,700 Washington St.,#40,80203. Howard,Michael J.,(Retired) Sanchez,Alfredo,(Retired) .. Howard,Robert J.,St.John the Baptist,Longmont Sanchez,Andrew,St.Mary's, Permanent Deacons: Hudec,Gordon D.,St.Augustin Sanchez,Wilfred G. St.Mar • Missy,Ronald J.,(Retired) • Jordan,Bill,SL Augustine,Brighton Sandoval,Alfonso M. Dir Dh f ' Arambula,Louis,St.Williams,Fort Logan Kaiser,Joseph A.,Nativity of the Lord,Broomfield Sandoval, Antonio A., Our Atencio,Sidney,St Cajetan,Denver Kelly,Dennis M.,St Joseph,Golden Church,Commerce City • Babish,Joseph T.,Immaculate Conception Cathe- Kenny,Timothy M.,St.Thomas More,Centennial Sandoval,Henry,Guardian I dual Kilbarger,Timothy M.,St Mary,Littleton Schaefer,Donald,Campus M Baker,Richard L,Spirit of Christ Catholic Corn- Kimble,Harold,Our Lady of the Valley,Windsor Senger,William,Jr.,Queen, munity,Arvada Kimminau, Victor.H., St. Stephen Parish; Glen- Smith,John L.,Ph.D.,Dir.I Barrows,Russell,St.Elizabeth of Hungary Pariah, nwood Springs Spears,Alan C.,St.Juries F r Denver Kotas,Gerald F.,Our Lady of the Pines Conifer St.Louis,Donald,St. Fran Beabout,Norman,SL Elizabeth,Buffalo Creek Kuneemiller,John,St John the Evangelist,Love- Deacons Benedetto,Joseph,(Retired) land Stemper,Steven,St.Thom. Banal,Leonard,(Retired) Lamar,Charles,St Mary,Breckenridge nial Berens,Michael,St.John the Baptist,Longmont La,Joseph Tam Van,(Retired) Stow,William J.,Katen Cal - Borda,Richard S.,Buckley Air Force Base Chapel Lee,William S.,(Retired) Sutton,Jack,Christ the Ki, Baselli,Francis"Bud',St.Rita's Mission Leiner,Kevin,Notre Dame,Denver Sweeney,Walter,Sacred He Brady,Richard A.,(Retired) Lenzo,Carl,St.James,Denver Thunhlom,John,Queen of _ i Bradt,Kelvin All Souls Englewood Lewis,David,Most Precious Blood Torn,Eugene,Presentatic 'I Brown,George,Our Lady of Loreto Lopez,Samuel,Risen Christ,Denver Torres,Frederick L.,Our L Bunch,Michael,Christ on the Mountain. Louehin,Albert J.,St.Vincent,Basalt Trewartha,William,St.Eli Clements,Edward It,Prison&Jail Ministry;St Lulea,Edward,(Retired) • Collins Joseph,Golden Luksch,David,Sacred Heart of Mary,Boulder - Trujillo,Samuel R.,Our La Concha,Henry,St.Cajetan,Denver Lybarger,Warren G.,SL Joseph,Ft.Collins Ubowski,Chester W.,St.I Corley,Melvin G.,Spirit of Christ Catholic Comma- Martha,Daniel M,,(Retired) ton nity,Arvada Martin,Gregory'Dusty',St Pius X,Aurora Valle,Edgar,Queen of Pea '., Coureeg Nathan D.,Contemplative Outreach Martinez,Gerardo,St.Therese,Aurora Vallero,Steven J.,St.Loui Creel,Rodger L,St.Anne,Arvada Metz,Karl T.,(Retired) Vieria,Richard,St.Mary I -' Cropp,Robert,SL Thomas More,Centennial McClellan,William,St.John XX1D,Ft.Collins ver ' i5 ii. Peter Hung Phi, Queen of Vietnamese MCDavid,Clarence G.,Assoc.Dir.Deacons, Cure Vigil,Arthur A.,All Saints • Martyrs,Wheetridge D'Ars Vacelka,Frank(Jay),St. Dersche ski,Ronald,St Louis,Louisville McKeown,John,(Retired) Wager,Martin A-,Seton H Del Real,Harold,Assumption Pariah,Welby Medenwaldt, Richard A., Nativity.of Our Lord, Wall,James R.,St.Peter: DePro6o,Dominic,Church of the Good Shepherd, Broomfield Ward,William,St.Mary's, . Denver - - Mellinger,Joseph H.,St.Mazy,Greeley Webster, Earl, Spirit of Menu Gu Devlin,no,Jon L,;St.Joseph, Collins gun, aid E.t St.Ignatius Loyola,Denver Community,Arvada : DiPanfino,John L,Our Lady of Mount Carmel Michieli,Ronald,St.Anthony,Sterling Weiss, Donald, St. Eliz Donohoe,Joseph H.,Light of the World,Littleton Miller,Gary E.,St.Mary Magdalene,Denver Collins Donvaf,Jason,(Retired) Moat,James,St Anne,Grand Lake Whaley, Patrick, Church Downey,Hugh,Missionary in Africa Montag e.Eric,Light of the World,Liltieton Denver 1 Doyle,Janos,Our Lady of Peace,Dillon Mooneyham,E.Cana.Light of the World,Littleton Wilhelm, Martin A., St.• • DreRing,L Kenneth,St.Bernadette Pariah,Lake- Morales,Dennis,St.James Parish,Denver Aurora wood Morin,George C.,St Vincent de Paul,Denver Wolfe,James,Immaculat Driesbach,John,Our Lady of Lourdes,Denver Neal,John R.,St Thomas More,Centennial Young,John Joseph,(net INSTITUTIONS LOCATED IN THE ARCHDIOCESE S8 I (Al SEMINARIES,RELIGIOUS OR Rev. Kent F. Dmter, S.T.L.,Vice Rector; Michael Paul Ewald, Dean Regis SCHOLASTICATES Woodward,Ph.D.,Librarian.Students 103. Hasson, Vice Pros. I) � Denver St.Andrew',77ieatine Religious House, 1050 Redemptoria Mater House of Formation, 3434 E. Strategic Alliances;Dr.I J S. Birch St, 80246.Tel:303-756-5522; Fax: 303- Arizona Ave.,80210.Tel:303-733-2220;Fax 303- School for Health Can J 691-2969. Rev. Bert Nadal, C.A., Prvv. Supc 733-2223, Email: redemptoris.mater@arehdea.org. Gaeta, Dean Libraries C F± Theatine Fathers. Priests 3. Very Rev. Florian Martin-Calama, S.T.L., Rector Campus Ministry; Mar C St. Dominic Priory,3005 W. 29th Ave.,80211-3701. for Redemptoris Mater Archdiaceean Missionary Dean,School for Profess Seminary, Revs, Federico Colautti, S.T.D., Vice C. Weber, Vice Provost 'let' 303-455-3614' Fax: 303-456-3087. Email:- wrightop@gmail.com. Rev. David F. Wright, O.P., Rector, Jose Maria Fuenmayor, Spiritual Dir. Mitchell, ASSOC..AssOC Provo: O.P.; Michael T Priests 3;Diocesan Seminarians 38; al Staff 5. Keifer, Exec. Asst, to L Prior; Bros. Jordan Coonen, conducted under the a 'I hfcCrovern,O.P.;Revs.Robert F.Staes,O.P.;Louis IBI COLLEGES AND UNIVERSITIES Jesus. (Jesuits 31 la,Si S. Marione, O.P.,Novice Master; Herbert Hayek, DENVER. Regis University (1877) 3333 Regis Blvd., 238;Students 16.004. 'J '- O.P;George Reynolds,0.P; Clinton P.Honkomp, 80221-1099.Tel:303-458-4100;Fax:303-4584921. 0 O.P., House Lector; Thomas P. Lynch, O.P. Web: www.re edu. John P. Box, Chat. Bd. of (Cl INTER.PAROCHI ,J Novitiate & Priory; Province of St. Albert the Trustees; Revs. Michael J. Sheeran, S.J., Pres.; DENVER. Boahop blachebe,. Great Priests 5;Brothers 2;Novices 3. ee., 458 Units Way, David M. Clarke, S.J.SJ, ; Dr. llan, Diane M. Novices: Bros. Paul M. Byrd;Peter A. Hollowell; Cooper, Dean of Students; Dr. Allan L. Service, 1103e; Fax: ._ - .. , .e• v. v_�_ owe m.vrhehculore. • • (:4 kh HURCH IN ` omen IN TILE U.S. 371 DENVER(DEN) g The, Queen el r ;0920 7N: 303-440.1411; Fax: 303- 935-7795. Rev. Roland V Freeman,Dir.of Special Ave., 80221. Tel: 303433-0906. Email: ge kva hulyfamilyhs.com. Sr. Mary Educ. & Chap.;Sr. Mary Catherine Widger,S.L., ppesarycrest@comcast.net. 'dy of Fatima. 4-019L'6Veb:`°me•Prin Stephanie rY g Web: red) 116 -, OS.F, Ste home Brown, Assoc. Dir. e.; Risha Spec. Educ., Founder & stiff ge www.ma crest or Paula Padilla, Contact. Sur . ,ryk Siswa 135. 3: Lay lbuchars 38; Students Cogrommunp tytG p Home.Dimas, Dir. Dducation of Mount dSt.tsVincent Horne (1.883)4159 Lowell Blvd, 4angty a. Y . .r„ approximately 400 mentally retarded children and 80211. Tel. 303-458-7220; Fax: 303-477- _ pL .- 559. ...el e i1i y R 9CBOOL9,PRIVATE adults; Founded in 1985 one 8 bed group home. Email: Isidsfirst@movliome.org. Web_ 'I' �•tre 0 .'C. IDINI� Grote WorkStudy Program Priests L Staff in Group Home 6;Total Assisted vhome.org. Sr. Amy Willcott, Exec. Dir Dante P Yw. Annually 375. Theraputic Residential Child Care Facility Jude P .13,01,1! }� lj1j�tiw,80212,701: 303-355-7449, E.0. Mount Saint Vincent Sisters 6;S. Daniel Stefan; ansh ( :;3IXI4b6-7453. Email: dobrien@ [HI GENEILAI.HOSPITALS:red Heartaf/ I edwrien@ School Sister, 2; Special Education Teachers 6; . Michael ill war Web: wwwarrupes DeNVEa. St. Joseph Hospital, 1835 Franklin St., &&." _w ppdm,Pne,&Confect Person.Jesuit 80218. Ml: 303-837.7111; Fax: 303-837-7123. Mental )Health;St Workers(1 Sister)6; Crisis Team ..Joan,y 4a 37;'Ibtal Stall 40;Total Enrollment (1 Sister)4;Students 72. g Robert Minkin, Interim CEO; Very Rev, James The Sacred Heart of Jesus Housing Foundation - 'etircd: - R Klejner, P.V., V.F., Chap.; Revs. Philip Negele, Peter&NJ, � vB aid,School(20031 4343 Utica St., O.GS.O., Chap.; John Water,, Chap.; Thomas Housing Thomas and Ruth C. Dunn Memorial Senior etindi 3hk 303-155-7449. Fax: 303-455-7453. Woerth,Chap.(Retired);Charles Okorougo,Chap. 715-3194;Faax:1303-715-2041.S. 1e St.,80210.Tel:303- 4 Tnnit plane{ngy@junomm. Web: Sisters of Charity of Leavenworth 13; Bed \lark ay P s toot t•ram.Rev.Stephen W.Planting, Capacity 565; In Patients Assisted Annually : .lesus Our a- ua�as, 511. Michael OT{agan, Prin,; Rey. 22,300;Outpatients Assisted Annually 115,000. [LI HOUSING FOR THE ELDERLY AND FOR &Yessrd 52.,Asst.Prin.Priests 3;fay St. Anthony Central Hospital, 4231 W. 16th Ave., FAMILIES(LOW INCOME) SC Thomas -`Don H. Volunteer, 4 Administrators 12; 80204. Tel: 303-629-4224; Fax: 303-595.8909. DENVER, Archdiuce an Housing Committee (1968) :etim ilia,' 168. Email: krieardelheide@cen[ure.org. Kris 1644 Pearl St., 80203, Tel: 303-830-0215; Fax: Christ the 13ng Ala High School, Corp. 119311 3601 S. Ordelheide,Contact.An operating unit of Catholic 303-830-2885. Email: mboland@ nos Alan `Earl 6hd 80236.1bl:303-761-1764; Fax: 303- archdiocesanhousing,org. Web: Health Initiatives vs). (an affiliate of K.H.S., cob ` }013602 6msil:hawley@mudenhigh.com. Web: Catholic Health Initiatives). www.amhhouaing.com. ml.nm.Greg Gotchey,Prin. The Villas at Sunny Acres(1968)An operating unit APearl emn Family Housing, Inc, (1968) 1544 ..blank �t7/iaion Brothers of J.K Mallen High of Catholic Health Initiatives Colorado (an Pearl St.,80203,Tel:303-830-0215;Fax:303-830- 'Cross M Parish, StMhen of the Christian Schools.,Coed affiliate of Catholic Health Initiatives)., 2501 E. 2885. Angela Fletcher, Contact Person. Housing may of Padua, Dad Brothers 1;Sisters 1;Lay Teachers 104th Ave., 80233. Tel: 303-4524181; Fax: 303- for Low-Income Families. OV 1,000. 3700 Humboldt,80205. dral of the Ira 'R 9tudeas 457-9885. Welt www.centura.org. An operating n kir Jesuit High School (1877) Co- unit of Catholic Health Initiatives Colorado (an 1900 S.Raritan,80223. tired) nog,Boys Die, 6400 S. Lewiston Way. affiliate of Catholic Health Initiatives); 1300 S.Irving,80219. Marys,Creel , y It let 303269-8000 Boys Div.; 303-2694100 Independent, Assisted & Nursing Home. Total 800 edS.Monaco,80224. it.Mary Mary - :0'>h Dix; Ear 903-768.2240 Boys Div.; Apartments 283; Bed Capacity 160; Assisted Cathedral Plaza Inc. (1980) 1544 Pearl St,80203, Dir.Deacons h;C. A 162114772 Girls Div. Web: Living 53;Total Assisted 496. Tel:303-830 Low-Income Fax:303-830.2885, Our Lady ,nregu esuitmm.Girls Diu,&Central Admin., ENGLEWOOD. •Centura Health (1996) 188 Inverness Housing for Elderly: City y 036 S, Lewiston Way, 80016. Rave. Philip G. Dr. W, Ste. 500, 80112. Tel: 303-804-8103; Fax: Holy Family Plaza, Inc. (1981) 1544 Pearl St., rdian Angels •$Fede,8.1.,Pres.Boys&Girls Division; Carl J. 303-804-8198. Email: kriaordelheide@centurearg. 80203.Tel:303-830-0215;Fax:1 303-830-2805, npus Ministry; gavaam,Si,Theology Teacher, John A.Apel, Web: www.centuraarg. Kris Ordelheide, Contact Marian Plaza, Inc.(1983) 1544 Pearl St.,80203. lueen e(pease 342,Supt.of Community'.David A. Wayne, Si., Person; Mr. Gregory Bur€tt, Pres. & CEO. An Tel:303-830-0215;Fax:303-830-2885. ,Dir.Formaom, :91. el Facilities; Thomas Vallquette, S,J„ operating unit of Colorado Health Initiatives Higgins Plaza,Inc.(1990)1544 Pearl St.,80203,Tel: ade'.s Parish, beaky Chap; Mr. Charlie 9aui6no, Prin., Boys Colorado. An affiliate of Catholic Health 303-830-0215;Fax:303-830-2886. Francis&hod 4 Etc W.Gretchen Kessler,Prin.Girls Div.;Bruce Initiatives. Tel: 303 Plaza,Inc. (1989)1544 Pearl St.,80203. A tapeed, Librarian Boys Division; Carol Am Ftuseo,Summit Medical Center(1968)P.O. Box 738, Mar -803-0215;Fax:303-830-2885. homes maser ' '-•'sea, Ltrsnsn Girls Division. Day School for 80443, Tel: 303-804-8103; Fax 303-804-8198. St.Martin Plaza,303-830-0215;Fax:(1988}1544 Pearl 3L,80203. 885. -.few; Day School fstm Girls. Lay Staff 174; Email: krisardelheide@centura.org. 340 Peak Dr., o Colorado ffAffordable 3W-83ou Housing .ri Catholic Cacao, - Saes-Boys Division 886; Students - Girls 80443. Eris Ordelheide, Contact Person. An Pearl r St., 80203. Tellic: Corp.;1 Fax 1544 St., 80203. Tel: 303-830-0215; Fax se King,Deaver . 4 lfodoo alienating unit of Catholic Health Initiatives 303-130-2885, ed Heart at Jesor, .St Mart's Academy High School(1864) Colorado Ian affiliate of Catholic Health •n of Peace Panidh 4616 9. University Blvd„ 80113, Tel 303-782- Housing St.,Management 303-830-0215;03-8 Inc. Far 303-830 1544 Initiatives) Pearl 80203.Tel: de&are Fe::nation of Om • x'000,Paz 303.7834201."Web: wvneammetorg. WESTMINSTER. St. Anthony North Hospital, 2551 W. Cur Lady of peaq -Dada V.Cryor,Pats.; Kathryn McNamee, Pri°, 84th Ave.,80030.Tel:303-804-8103;Fax:303-804-' 2885. Email:. housimhalan hoorah May lan xec t.ElizabethAm ''�of tomato at the Foot of the Coma. Sisters Web: www.erohhowing.mm. Mary Boland, Exec k lay'hechers 32;Students 277. Ordle8198. Email: krisordleheide@centura.org.operating. Kris pis Oatholic e,Conta ct Peives An operating unit tofo Clan Gardens,Inc.(; 2626 Osceola St.,80212 Sr Lady of Gram, • ofC o eth Iv nit ativ Colorado(an affiliate Tel: 303-0c. rg. Fax:i 30Si Da Web SC Frances C tnELEMENTARY SCHOOLS,PRIVATE of Catholic Health Initiatives). • of the s-uaorg. Hearts of Sisters, Daughter f Escudo De Guadalupe Elementary School, of the Sacred Hearts of Jesus and nMax- Peace,Aurora *Wes K•5), 3401 Peon St.,80211,W.303-964- (11 HOMES FOR AGED Louie,Iauunlb ' IMI Par: 303-964-0755. Email: david_urd@ (Wheyun,units.I H, sing Uni M28;Re, low 600 cry Magdaleene amelagaedslupe,org. Web: DBt1Se8 Fra2.T Heights, -62, ;970) 303- Osceola fem6ly gVeHousing Units 3777 Residents 6m.eaveisguadalupe.org. Dr.Vernits M.Valle; Web:„ ww Tel: inc.org.303433 82680 Fax: can-45Siste s, loya 80211.1 Villa, Inc.3034 (5066; Fax: W. 26th Ave.Ar jots Parish,Dmvr Pot,Dsrid A.Card,Pres.Lay Teachers 6;Total Daughters the Sac. Franciscan tsf us' and n, Tel: )berg, Chair Fox: tal Aasiate it.Clan of hiss,, 0.0118;Students 100. ry, (W of the Sacred HHousing M Jesus Susan; M.SDtaff 34.rg, Chairperson. Total Assin4 n House 1 Ray'Academy Lower School (1864) (Grades Mary, (Wheaten, 14.1., Housing Mivistal and 71;Total 34. er and Paul I4i, 454'5 S.University Blvd.,Englewood,80113. Senior Citizens, Housing Units 383; Total Staff Machebeuf Apartments, Inc.,1644 Pearl St.,8020; -y e,Littleton M M3-76243pp; Fan Web: 14;Residents 380. Trh 303-830-0215. Email mboland( of Christ Parish meM346283 Deidre V. O3-78,303-783-6201.Pr01.; Mary •C'o`de'''at St,Elizabeth(1968)2835 W.32nd Ave., archdiaceaaohousing,org. Wel • ha.Frederick Na.;Margaret 80211. Tel: 303-804-8103; Fax: 303-804-8198. www.archhouaing.°rg.Mary Boland,Exec Du. Ulu of Groea,Cross.Librarian.' Email: krisordelheideentura.° Web: r6 WEStmmsr99 Clare of Assisi2P ,Homes000 - 303-427;);.oasis Ann4metM at the Foot of the Lay vww.cantnaa Beth Breen, Admin.; Sr. Barker,24;Students 282. B' Inc. (1995) 2461 W. 82 H., Tel: 303 Tot lama* ST JacquelineStens Leech,Chap.;Kris ofOrdelheide,Coo Contact 4406 303-462-9271 71 s.(Corporate). Tot ch of the Cod 01160(G Marys Academy, Middle SchoolPerson.Sisurs of St.Francis of Colorado Springs Maria,Apartments 62;Total Stall 5. &.. �rsdea 64), 4646 S. University Blvd., (O.S,Fomen);llc Health Care Federation. (Men Villa Maria, Inc, (1996) 2461 W. 82nd PI it. Michael the. . 903-7624300;Fax:303-783-6201.Web: and• mammstmg,Martha Ashley, Prin.;Deidre V Initiatives Women); olorad (an affiliate ating unit of Catholic Catholic Ibt800314065. 40; sal Staff Fax:303412.577 ate Conception. • Pres.; Brian 76u1 Assisted 40;Meal Sall 6. p Bsoken eau Schwartz, Librarian, Lay Health Initiatives), Sisters 6;Independent living etired) Students 216, 180;Total Assisted Annually 92;Total Staff 100. [MI CATHOLIC CHARITIES&COMMUNITY till.]SPECIAL EDUCATION Little Sisters of the Poor(1918)3629 W.29th Ave., SERVICES twit 7h 80211. Tel 303-433-7221; Fax: 303-455-9184. Sr. DENVER. The Associated Catholic Charities �s College; Dr Bridge Community, Inc., 3101 W. Paul Magyar, L.S.P., Admin.; Rev. John M, e8Rsi4e Pt 80219.Tel: 303-936-4740; Fax: 303- Gibbons,Chap. Little Sisters of the Poor 9;Aged Colorado,2525 W.Alameda Ave.,80219.Tel:30, Professional 1457795,Esnad: riehebaid g , 742-0828; Fax: 303-742-0774, Email: Mauch Patricia A Naas, ge@romraat.net 1; Residents 70;Assisted Live 7;Total Stall to ) suck C°°tmt Parson&Dir.Sisters 1;Priests 1; AURORA St.Anna's House- u[halitrJmritieaden.com.James H.Manrk Ezra ire Peggy a sl lay5tag 8;Bed GroupCoo of SChap of Dir. :a; Peggy (re, . tot(tr0a.•Ro enteHome 8. Charity of St. Vincent de Paul. Colorado Chapter Catholic Charities and Community Services of ti ace) Dumwtta 1000 g. Wadswu enter,Inc.(1966)(Grades K-8). Inc.,3147 3.Pegnsa St.,80013.1e1:303-627-2986; Archdiocese of Denver,Inc.,2525 W Alameda Av, .sional Studios;R 1M7- Fat. 303h Blvd., 80123, Tel: 303-986- Fax: 303-627-2986. Email: em Pres.; 7260e 80219, Tel: 303-742-0828; Fax: 303-742-077 t Fin. n.v Sr Dodger. basein' er 4�o ternr3 Web: www 94 mail:ce cath hotmail,onm.Sisters Columba Kim, TPre Caecilia.; Email: info@rstholiccharitiesdemrom We Yi,Dir.Total Assisted Annually the Pres. .3 Ala 64, Pasquariello, Heed of School & D Care Centersg.James H.Hauck,Pres.,Sped inspires of the - asPene° Ssters l; Full time & part time [41 HOMES AND SERVICES FOR AGED AND Day Gen Cann 11; rvToic)Assisted 75 ssist s.oflt'eat fit' ts8&therapists 36;Students 88. INFIRM Center, for Social Services 22; Total Assist inters t, 250,000. DENVER. 'Hospice of Peace (1968) 1391 Speer Blvd., Catholic Charities Samaritan House Shelter I Ire:, TO THE HANDICAPPED Ste.600, 80204.Tel:303-804-8103;Fax: 303-804- Homeless,2301 Lawrence St.,80205,Tel:303-24 AL HIGH SCB 774 Correa Center, 3801 E. Florida Ave., 8198. Email: krisardelheide@centura.org. Iris 0241;Fax:303-294-9523. if Catholic NBh - 668( 80210 Tel: 303-759-5150; Fax: 303-759- Ordelheide, Gen. Counsel & Contact. An Fr. Ed Judy House Shelter for Homeless,4024 eno7n.f,933. 1N Email �_. -_ .... _____.:__ .._:. _r n_n.,c_ v_..nz r..:.:_,:..__ .. _-- _. DENVER(DEN) 372 CATHOLIC CH 0 • Catholic Charities 7Yansitional Housing, 1445 Em. Email:stfrancis@midamcaps.org. (Order of Friars 101 CONVENTS M4] (3 poria St.,Aurora, 80010.Tel:303.360-9686; Fax:303-360-8988. Minor Capuchin) Total inResidence 10;Students SI S 3; Total Stag 3. In Rea. Revs. Thomas More DENVER. blur= Catholic Charities The Carron Center Serving People Janeck, 0.F.M.Cap.; Blaine Burkey, 0.F.M.Cap, 2851 W 52nd ndst Conde, U with Disabilities, 3801 Florida Ave., 4208, 80210. Local Vicar; Gene Emrisek, 0.F.M.Cap.; Juhn rive,80 LL 'Cat:303-759-5150;Fax:303-759-5194. Services for Lager, O.k'.M.Cep.; Regis Scanlon, O FM.CaOJ-4J3-uet a Weh - Developmentally Disabled Adults and Ministry toEugene First ir Karen l roes., Prov ! It. U Deaf Persons. David Sonlry, O-EM.Cap.,Guardian; Bro. Firs Loss, W Child Care Centers Pellegrino,O.F.MAnp. Queen of Pzna Cnm•e N Catholic Charities Early Learning Center, 4440 Iraterni-94d San Antonio, 3554 Humboldt St., Center., I Sisters ill S W Navajo St.,80211.Tel:303-477-7610;Fax:303-477- 802053940.Tel:303-292-5110;Fax:303-292-5148. Christian Charit U 7664. In Res. Rev. Scully, McBe, O.EM.Cap.; Very Total in Residencei ; Catholic Charities Margery Reed Mayo Child Care Rev. Michael Scully,0.F.M.Cap.,Prof Mn.;Revs. Staff 7;Peace otal Serviced (] Center, 1128 28th St., 80205. Tel: 303-308-1420; Michael Suehnicki, O.EM.Cap.; John lbepfen Queen ofuColumConvent = Fax:303-308-1421. oeyknoCap.,Vicar. 4104.Columbine Rd., U Catholic Charities Child Development Center, 1155 480205.l Fathers and Brothers, 3554 Marion St., Web: w ace an Decatur St., 80204.Tel: 303.629-5466; Fax: 303- 80205. Tel: 303-296-1196; 303-854-7326; Fax: Francis of Penance an Q 6296710. 303-296-1196. Web: www.maryknoll.org.David A ' Garfield Child Care, 872 S. Knox Ct., 80219. Tel: Darling,Dir. Mu 3-860-4 40.Sr.Charity, 3(1J-92:!--9886. Catholic Foreign Mission Society of America 303-80Home.Sr. M. ! Garin Child Care, 1580 Julian St., 80204. Tel: The Redemptorists l Denver Province(1996) 1230 S. AIDS Home for 9 pa •,R;- — : 303-742-0828. Parken Rd., 80231. Tel: 303-370-0035; Fax: 303 Women 3 beds AIDS Plaza del Milagro Child Care Migrant Farm 370-0036. Web: www.redemptoriatadenveeorg Assisted o ` 77 Workers Child Care., 2500 lit Ave., Bldg. CC, Res.: 2130 E. Fourteenth Ave., 80206. Tel: 303- 44:: hl`/arcs)' of Our Lad Greeley, 80631. Tel: 970-3462897; Fax: 970-346- 331-1413. Very Rev. Thomas D. Piston, C.Se.R, 303-45 ,Strict EnFax' 2889. Prof Supc; Revs. Peter Connally, C.Ss.R., Prvv. C303-456-6339; Fax: Catholic Charities Head Start Services, 2525 W 'Vicar; Paul Coury, C.Ss.R.,ProfConsultor;Very capdarea@yahoo tom. Alameda Ave., 80219, 16l: 303-742-0828; Fax: Rev.Allan Weinert,C.Ss.R.,Office Fin.Svcs.;Bro. Armadillo, Abbess; I 303-742-4410. Thomas Wright,CSs.R.,Office FM.Svcs.Total in Capuc in Poor o Glares l 1 1 Catholic Charities Family Services,2525 W.Alameda Community:Priests 173;Deacons 2;Brothers 32. Capuchin ofMercy cy res Ave.,80219.Tel:303-742-0828;Far 303.7424373. Serving abroad: Most Rev. Alfred Novak, CSe.R O8 [10'ty C. Counseling, Adoption, Foster Care, Youth & (Retired),Residencia do Bispro C.P.531 83203-970, Email-0. TeI'. 303-765 • Senior Services. PR, Brazil. Tel: 55-41-422-7717; Email: vocation Fax:55-41.422- ramefalma.org.Sr Me Catholic Charities Immigration Services, 2525 W. 7717; Very Rev. Joseph W. lbbin, C.Ss.R., Suer. Local Supr Religiau V. Alameda Ave., 80219. Tel: 303-742-0828; Fax: Gen.,Casa SanrAlfonao,C.P.2458,00100 Rome, 303-742-4410. Italy.Tel:39-06-49490-1;Fax:39-06 446^0 12;Revs. Michigan). Sistersb 4. SHARE Colorado, 9360 Federal Blvd., Federal William Cleary, C.Ss.R., ICm 8 Ifs Rd., P.O.Box Go 404 Slather C303.52. Heights,80221.Tel:303-428-0400; Fax: 303-427- 29585, Secretariat, Kolodi Village, linden, Oyu Ems 1. Tel: 303 526 4440. State, Nigeria.Tel:234-2-2414040;Fax:234-2-810- Email. mcsbrinched, Catholic Charities Food Bank Partners,9360 Fed- 1401;William A.Peterson,C.Ss.R,(Gm 8 Ifs Rd., ww'de^"cxbnni-shrir eral Blvd., Federal Heights,80221.Tel: 303-303- Regist M.S.C., CI 0400;Fax:303427-4440. P.O.Box 29585,Secretariat,Knlodi Village,Ibadan, Registers Agent. 1 Oyo State, Nigeria. Tel: 234-2-241-3040; Par Sacred Heart of Jesus Catholic Charities Homeless Prevention Services, 1445 Emporia St., Aurora, 80010. Tel: 303-360- 234-2-8161401;Richard Thiele, t, KosC.Sa.R.,Min 8 He l.1 Gall u. comes of I } ,. Rd., P.O. Box 29585, Secretariat, Rolad+ Village.Z 9686;Fax:303460-8988. Gallup f t 80120.2' I 1 1 Catholic Charities Northern-Fart Collins, 460 Lin- Fa: 23 -2- 0-140State, Nigeria. Fitzgerald,el geral C Za R., Prioress. s Dia lmmact alced m i 1 den Center Dr. Fort Colli 80524.Tel:970-484- „ Fee 234-2-810-1401;William C3n.R., Prioress. Discalced C 5010;Fax:970-484-0259. The Mission Shelter for C.?.400,48900 Juazei listed: Bahia' Brazil. I0. J : Serving elsewhere,not listed:Rev, Q Homeless, Jab Bank, Emergency Assistance, Se- George Rassley, Loretto Center (l9fi C.Sa.R.,Loyalt 2 f39,205 E.Anton,Coeur d'Alene,nior Services,Immigration Services&Farm LaborEmail:1309.Tel:303'. li D. I` Housing Corp. C.83815.Tel:ROB-659-8511;Bro.William Green, Email: bet[ymcwse 0 r' Catholic Charities Northern- C.Ss.R„P.O.Box 1209,Coeur D Alen,ID 83816. f 1 Greeley,2500 1st Ave., Tel:206765-1894;Fax:2087th Ave.;Rev.Ricardo Sisters 4. S.L., CC W t • Bldg.CB,Greeley,80631.MI:97053-6433;Fax: Sisters 24. V3 �'I 970-353.3861. Emergency Assistance,Senior Ser- Elford, C Tel: 3662 S. 7th Ave, drcspn, AZ Sisters of Benedict of C W t• [1vices,Case Management,Immigration Services. ver,85713-6115.Colorado 520.206-9772.The Rion,C.ori+ta View Dr., 80123. of Denver,Colorado Rev.Timothy Watson,C.Sa.A,(� d Catholic Charities Guadalupe Shelter,1518 N.25th Chap. Superman Prima judiosb@atit coin.Sr.: Q '{ Ave.,Greeley,80631.Tel: 76353-3720. Federal Su VIRGINIA Due.Abbey o(: l Catholic Charities-Western Slope,1004 Grand Ave., Regis. Jwail Community f17w Jesuits al a I-' Glenwood S U.S. Hwy. 267, 805 Springs,81601.Tel:976384-2060;Fax: U were ty)„Jesuit House 1012,3333 Regis Blvd., Fax: 970-48albarg. I'sl . 970-945-2089. 80221-1099.Teti 303-458.4100;Fax:303-964-5525. Web ww Abbess urge., J. Catholic Charities Aurora Family Assistance Center, Revs. James B. Guyer, S.J., M. Cl & Contact O.S.B.,Abbess.Benet A. 1468 Iola St.,Aurora, 80010. Tel: 303-363-9543; Person for Regis Univ.;David M. Clarke,S2.;J. WHEAT hour Carmelite 11:; Fax:303-363-9544.rities Daniel Daly, S.J.; Donald E. Highberger, S.J.; Heart of Gas Angeles L�... Catholic Charities Northwest Emergency Assistance Edward L Maginnis,Shelton, Michael J. Sheeran, 303-422.6419. :irit5 Center,9366 Federal Blvd.,Federal Heights,80260. S.J.; Charles M. Shelton, Si.; John P. 'haling, '.4! ( 1il, Tel:720-974-1579;Fax:303-650-9551. S.J.; Stephen W. PM. , Si.; Gerard E. IPI RETRF 7�h Catholic Charities Northeast E.A. Center, 6621 Menard,S.J.;Thomas M.Ryan,Si. DENVER. St Joseph Rea ( .l' E.72nd Ave,Commerce City,80022.Tel:303-287- .≥~P1YSociety of Jesus - S/. Ignatius Loyola Jesuit Pkwy,30222 1127;Far 303-287-1153. Community(.944)2309 Gaylord St.,80206-5627. ALLENEPARM Catholic 'p Catholic Chanties Central Emergency Assistance Tel: 303322-8042; Fax: 303-322-2927: Email: r lit e i Center, 1445 Poplar St.,80220.Tel:303-399-1558; loyeladenves49eechelon.mm. Web: Spiritual Center Cc 3 Far 303393-1560. Email. Tel. 3 maid loyoF. eemm. Asap C. TNguyehomak Jost, Email: mold LL Catholic Chanties Southwest Emergency Assistance S.J.;Leo F.Weber,S.J.;Joseph Thee Nguyen,S.J.; tl Center,924 S.Sheridan Blvd.,Unit 1,30226.Tel: Stephen W. Planning, www.saintrnalu.org.rg.Ile 303-922-5205;Fax:303-922-5048, m. S.J., Stephen T.Yavorakg LiTrur Creek Jesus Our Ht �}:Iltill I,. Catholic Charities Brighton Food Pantry, 178 S. Si.;S.J H Jesuit Center R Scblichfe) 9J. Rd., 80127. JXavier (1993) 3450 W. 53rd,' _ I !.o Sixth St.,Brighton,80601.lbl:303-654-1040;Fax: 80221-6568.'NI:303480-3900;Far 303.480-3913, Web; ww Email: 303-654-1003. Web: wwjasuaour Catholic Charities Farm Labor Housing Co Revs.e John J. Waters, Si., Supr. & Contact for Donohoe,Dir. Corpora. Xavier Center; Richard F.Daly, Si.;Si.; Joseph lion,460 Linden Center Dr.,Fort Collins,li 80524. F. Bona, S.J.; John R. S . Michael V.Tel: 970-484-5010. Email: NI CAMP ivfo@cnehoRecharitieadeamm.Web:www.mdenver- Delaney,S.J.;Robert R.DeRouen,Si.;Edward F. Flaherty,Si.;H DENVER. Director o Can -I R Harry E.Hoewiacher,Sal.;J. Q. Le,Si.;William T.Miller,Si.;Anthony Short, St., 80210. Tel:303, Archdiocesan Social Ministries, 1300 S.Steele St., S.J.; William S. Udick, Si.; Curtis E. Van Del, Email: chris.stet 80210.Tel:303-715-3220;Fax:303-725-2042. S.J.; Walter Watson, S.J.; William W. Williams, www.archden.org. CI J Plaza del Milagro,Plaza del MBagro:2500 1st Ave., S.J.,Min.(Society of Jesus) on Schaefer. J *CC,Greeley,80631.1k1:970-353-6433. Regis University (Den CC Plaza del Sol, Plaza del Sol: 2501 Ash St., N36, CEt Coley ..Regis High Jesuit Community, F E. 200,90421.Tel:303- Q -Greeley, 80631. Thl: 970-378-1171; Fax: 970.378- Coley Ave., 80016-1006. Tel: 303-690-4782; Far Email. yL 303-680-7662. Revs.John Apel,Si.,Supr.; David Pmalone re 1176. Sr Peg Maloney, I A Wayne, S.J.;Thomas M. Valiquette,Si.;. Carl Nathan Jacobi, CooINI MONASTERIES AND RESIDENCES OF J. Baumann, Si.; Philip G. Steeteelle,e, S.J., Pres. McCoy,Chapel Mgr. LL PRIESTS AND BROTHERS Regis Jesuit High School. University of Denser O j DENVER. Congregation of the Mission Midwest SNOWMA.SS. St. Benedict's Monastery (19561 1012 House, 1795 S. Willi W Province: De Pool House, 2340 S. University Monastery Rd., 81654. Tel: 970-927-3311; Fax: .657. Email dense N Blvd., 80210. Tel: 303-715-9123; Fax: 303-777- 970-927-3399. Email: retreat@rofaet. Web: www.focusonllaeary. Ill 0468. Revs. Prudencio Rodriguez de Yune, C.M., www.snowmass.org. Rt. Rev. Joseph Boyle, Focus Christine WI I 1 Supr.; Paul L. Golden. C.M.: Richard R: Ryan n r c n• R. nw.......e rr.._.:__ n r•a n. ns..n...l.-.. �_._�.. COPY OF YOUR LAST AUDIT Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidated Financial Statements and Supplementary Information June 30,2007 (With Independent Auditor's Report Thereon) Independent Auditor's Report Board of Directors Catholic Charities and Community Services of the Archdiocese of Denver,Inc.: We have audited the accompanying consolidated statement of financial position of Catholic Charities and Community Services of the Archdiocese of Denver, Inc. (Catholic Charities) as of June 30, 2007, and the related consolidated statements of activities, functional expenses, and cash flows for the year then ended. These financial statements are the responsibility of Catholic Charities' management. Our responsibility is to express an opinion on these financial statements based on our audit. The prior year summarized comparative information has been derived from the Catholic Charities' 2006 financial statements and, in our report dated November 6, 2006, we expressed an unqualified opinion on those financial statements. We conducted our audit in accordance with U.S. generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Catholic Charities as of June 30, 2007, and the changes in its net assets and its cash flows for the year then ended in conformity with U.S. generally accepted accounting principles. Our audit was performed for the purpose of forming an opinion on the basic financial statements taken as a whole. The supplementary information included in pages 21-23 is presented for purposes of additional analysis and is not a required part of the basic financial statements. Such information has been subjected to the auditing procedures applied in the audits of the basic financial statements and, in our opinion, is fairly stated in all material respects in relation to the basic financial statements taken as a whole. November 5, 2007 1 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidated Statement of Financial Position June 30, 2007 (With Summarized Totals for 2006) 2007 2006 Assets: Cash and cash equivalents S 676,896 839,770 Accounts receivable 1,717,585 1,985,809 Contributions receivable(note 2) 1,014,534 744,383 Inventory and other assets 666,113 1,042,799 Reserve cash(note 9) 399,371 309,458 Investments(note 3) 5,323,114 5,784,478 Beneficial interest in assets held by others (note 4) 1,397,272 1,217,062 Custodial accounts(note 8) 42,375 41,781 Deferred charges 199,551 70,056 Property and equipment, net(notes 5, 10, 11 and 12) 20,327,415 17,926,647 Total assets 5 32,764,226 29,962,243 Liabilities: Accounts payable 5 686,237 512,119 Accrued expenses 1,446,977 1,509,611 Deferred revenue(note 6) 61,999 70,462 Liabilities under annuity agreements (note 7) 769,366 769,841 Custodial accounts(note 8) 42,375 41,781 Notes and mortgages payable(note 10) 1,311,447 1,329,645 Bonds payable(note 11) 5,005,000 1,480,000 Obligations under capital leases(note 12) 97,620 48,356 Total liabilities 9,421,021 5,761,815 Net Assets: Unrestricted: Property and equipment, net of related debt 12,837,586 13,934,311 Board designated(note 13) 2,938,106 2,938,106 Undesignated 1,963,135 2,184,545 Total unrestricted net assets 17,738,827 19,056,962 Temporarily restricted(note 13) 4,151,202 3,690,695 Permanently restricted(note 13) 1,453,176 1,452,771 Total net assets 23,343,205 24,200,428 Commitments and contingencies(notes 14-19) Total liabilities and net assets 5 32,764,226 29,962,243 See accompanying notes to financial statements. 0 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidated Statement of Activities Year Ended June 30,2007 (With Summarized Totals for 2006) Temporarily Permanently 2007 2006 Unrestricted Restricted Restricted Total Total Revenue,Gains and Support: Public support: Direct contributions {: 2,496,145 1,829,661 405 4,326,211 4,237,805 Wills and bequests 58,944 285,034 - 353,978 574,109 Contributed materials 474,124 - - 474,124 446,735 Archbishop's Catholic Appeal and other support(note 15) 488,565 81,435 - 570,000 565,000 Public and private grants(note Ia) 7,949,820 1,971,380 - 9,921,200 14,163,723 United Ways and Combined Federal Campaign 789,096 549,941 - 1,339,037 1,192,499 Auto program 87,054 - - 87,054 31,750 Change in net present value of annuities (74,646) - - ;74,646) (50,836) Fundraising events and special appeals 234,347 - - 234,347 252,392 Special event direct expenses (48,011) - - ;48,011) (40,678) Net assets released from restrictions 4,424,461 (4,424,461) - - - Total public support 16,889.899 292,990 405 17.183.294 21,432,499 Revenue: Program service fees 4,184,122 - - 4,184,122 7,181,804 SHARE food sales 4,509,025 - - 4,509,025 7,502,677 Rental income and subsidy 759,577 - - 759,577 844,203 Interest and investment income 352,466 167,517 - 519,983 273,943 Gain on sale of asset 21,534 - - 21,534 (35,239) Miscellaneous income 51 197 - - 51,197 37,009 Total revenue and gains 9,877,921 167,517 - 10,045,438 9,804,397 Total revenue,gains and support 26,767,820 460,507 405 27,228,732 31,236,896 Expenses: Program services: Mission/Ministry 2,883,105 - - 2,883,105 2,591,914 Homeless/Housing(note la) 5,346,208 - - 5,346,208 10,841,883 Family/Children 11,090,651 - - 11,090,651 10,076,874 SHARE Colorado 4,479,182 - - 4,479,182 4,472,604 Farm Labor Housing 788,396 - - 788,396 917,503 Total program services 24,587,542 - - 24,587,542 28,900,778 Supporting services: General and administrative 2,499,765 - - 2,499,765 2,183,969 Fundraising 398,648 - - 998,648 879,156 Total supporting services 3,498,413 - - 3,498,413 3,063,125 Total expenses 28,085,955 - - 28,085,955 31,963,903 Change in net assets ;1,318,135) 460,507 405 ;857,223) (727,007) Net assets,beginning of year 19,056,962 3,690,695 1,452,771 24,200,428 24,927,435 Net assets,end of year S 17,738,827 4,151,202 1,453,176 23,343,205 24,200,428 See accompanying notes to financial statements. 3 — O in O co O in — in en N r 'C m O ^ rn 0' b b b bw 0 N N O N n V1 ? 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Consolidated Statement of Cash Flows Year Ended June 30,2007 (With Summarized Totals for 2006) 2007 2006 Cash flows from operating activities: Change in net assets $ ;857,223) ;727,007) Adjustments to reconcile change in net assets to cash provided(used)by operating activities: Depreciation )39,745 937,209 Amortization 65,438 68,501 Contributions restricted for capital projects ,588,561) ;120,321) Gifts of securities :51,184) (44,669) Gifts of property and equipment 65,350) (78,313) Contributions restricted for endowment :405) ;360) Realized and unrealized loss.(gain)on investments ;220,414) 35,281 Actuarial loss on annuity obligations 74.646 50,836 (Gain)loss on disposal of fixed assets ;2_1,534) 35,239 Changes in operating assets and liabilities: (Increase)decrease in receivables 268,224 (98,482) (Increase)decrease in contributions receivable ;270.151) 100,001 (Increase)decrease in prepaid expenses and other assets 336,979 ;529,761) Increase in accounts payable and accrued expenses 111,484 199,534 Increase(decrease)in deferred revenue (8,463) 19,556 Net cash used by operating activities 286.769) 152,756) Cash flows from investing activities: Proceeds from sales of investments 3,901,190 2,112,753 Purchases of investments (4,348,438) (1,971,383) Investments in reserve accounts ,89,913) (37,205) Sales of property,equipment and other assets 75,000 232,533 Purchases of property and equipment (3,288,921) ;595,375) Net cash used by investing activities (3.751,082) ;258,677) Cash flows from financing activities: Proceeds from contributions restricted for: Capital projects 5.88,561 120,321 Endowment 405 360 Proceeds from borrowing 3,568,377 32,551 Payment of bonds ;100,000) ;100,000) Payment of annuity obligations ;109,921) (96,688) Present value of liability for new gift annuity 34,800 227,388 Payments on notes payable and capital lease obligations :107,245) ;300,870) Net cash provided by(used by)financing activities 3,874,977 '116 938) Net decrease in cash and cash equivalents ;162,874) '528,371) Cash and cash equivalents at beginning of year 339,770 1,368,141 Cash and cash equivalents at end of year $ 576,896 839,770 Supplemental disclosures: Interest paid $ 179,818 198,487 See accompanying notes to financial statements. Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements June 30,2007 (1) Summary of Significant Accounting Policies (a) General Catholic Charities and Community Services of the Archdiocese of Denver, Inc. (Catholic Charities) is organized as a Colorado not-for-profit corporation and was formed on April 27, 1928. Under the 1983 Code of Canon Law of the Roman Catholic Church, Catholic Charities is also public juridic person and accordingly, is subject to its Canonical Statutes. Catholic Charities operates various programs to assist and promote charitable, welfare, educational, health, and social services in the Denver-Metropolitan area, Weld and Larimer counties and in Western Slope counties within the territory of the Archdiocese of Denver(the Archdiocese). Some of the major programs in operation are: The Office of Mission and Ministry is responsible for the provision and coordination of services within Catholic Charities to individuals and families in need of basic necessities through emergency assistance and neighborhood food banks. The office encompasses direct services, education, advocacy, immigration assistance and organized efforts to change societal systems that keep families from independence and self-sufficiency. The Office of Homelessness and Housing provides temporary shelter and meals as well as case management for homeless persons at Samaritan House and the Father Ed Judy House in Denver, the Mission in Fort Collins, and the Guadalupe Shelter in Greeley. The office also addresses employment and training issues, transitional housing, farm worker housing and the development of additional housing projects. Included in the office is Courtyard Commons, a 34-unit apartment house that offers transitional housing for persons leaving homeless shelters (see note 19). During the years ended June 30, 2007 and 2006, Catholic Charities received and expended pass through federal funds totaling $66,732 and $5,687,940 respectively, for Hurricane Katrina relief. These amounts are included in revenue and expense on the statement of activities. The Office of Family and Children provides daycare programs, Head Start, and before and after school programs, in Northern Colorado and Metro Denver. The Family Center provides adoptive, child welfare, and counseling services to birth parents with unplanned pregnancies. It also provides marriage and family counseling, senior services, and youth services. SHARE Colorado is an acronym for Self Help and Resource Exchange. This program provides individual participants a choice of pre-selected food baskets for a nominal fee and two hours of community service. 6 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (1) Summary of Significant Accounting Policies, Continued (a) General,Continued Farm Labor Housing Corporation (FLHC) is a separately incorporated program, formed in 1993 to provide farm labor housing that is safe, clean and affordable and to act as a catalyst to building more farm labor housing. The initial project for FLHC, Plaza del Milagro, consists of a 40-unit housing complex, which includes a community center and child-care center located in Greeley, Colorado. Plaza del Sol, which consists of 42 independent housing units, housing up to 144 single occupants, began renting in fiscal year 2004. (b) Consolidation The accompanying financial statements include the accounts of Farm Labor Housing Corporation, a separate not-for-profit corporation. All material inter-organizational transactions have been eliminated in consolidation. (c) Basis of Accounting The accompanying financial statements of the Catholic Charities have been prepared on the accrual basis of accounting and, accordingly, reflect all significant receivables, payables, and other liabilities. (d) Financial Statement Presentation Financial statement presentation follows the requirements of Statement of Financial Accounting Standards (SFAS) No. 117, Financial Statements of Not-For-Profit Organizations. Under SFAS No. 117, Catholic Charities is required to report information regarding its financial position and activities according to three classes of net assets: unrestricted, temporarily restricted, and permanently restricted net assets. In addition, Catholic Charities is required to present a statement of cash flows. (e) Contributions Catholic Charities accounts for contributions in accordance with the requirements of the Financial Accounting Standards Board in SFAS No. 116, Accounting for Contributions Received and Contributions Made. In accordance with SFAS No. 116, contributions received are recorded as unrestricted, temporarily restricted, or permanently restricted support, depending on the existence or nature of any donor restrictions. 7 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (1) Summary of Significant Accounting Policies, Continued (e) Contributions, Continued Donor-restricted support is reported as an increase in temporarily or permanently restricted net assets, depending on the nature of the restriction. When a restriction expires (that is, when a stipulated time restriction ends or purpose restriction is accomplished), temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions. (I) Contributions Receivable Unconditional contributions receivable are recognized as revenues in the period the pledge is received. Contributions receivable are recorded at net realizable value if expected to be collected in one year and at fair value if expected to be collected in more than one year. Conditional contributions receivable are recognized when the conditions on which they depend are substantially met. Catholic Charities uses the allowance method to determine uncollectible contributions receivable. The allowance is based on prior years' experience and management's analysis of specific promises made. (g) Cash and Cash Equivalents Catholic Charities considers all unrestricted highly liquid investments with an initial maturity of three months or less and that are not part of the investment portfolio to be cash equivalents. Bank accounts held as custodial accounts (note 8) or as reserve accounts (note 9) have not been included in cash and cash equivalents. (h) Investments Investments in marketable securities with readily determinable fair values and all investments in debt securities are stated at their fair values in the statement of financial position. Unrealized gains and losses are included in the change in net assets in the statement of activities. (i) Inventories Catholic Charities' inventory is stated at cost, and consists primarily of food to be sold in the SHARE program. At June 30, 2007, inventory amounted to $638,426. 8 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (1) Summary of Significant Accounting Policies, Continued (j) Concentrations of Credit Risk Financial investments which potentially subject Catholic Charities to concentrations of credit risk include$2,090,394 held by the Archdiocese of Denver Irrevocable Revolving Fund Trust and invested on behalf of Catholic Charities. Catholic Charities also holds commercial bonds and stocks valued at $3,265,465 that are subject to changes in value due to market factors. Catholic Charities places its temporary cash and money market accounts with creditworthy, high-quality financial institutions. A significant portion of the funds are not insured by the FDIC or related entity. Accounts receivable consist of program service fees due primarily from government agencies, and government grant and contract related receivables. The allowance for doubtful accounts is based on past experience and on analysis of the collectibility of current accounts receivable. Accounts deemed uncollectible are charged to the allowance in the year they are deemed uncollectible. Accounts receivable are considered to be past due based on contractual terms. Catholic Charities is subject to the risk of loss from certain government receivables if the government determines that certain amounts are unallowable reimbursements, although this has not happened to date. Management believes the receivables are fully collectible, and the allowance for doubtful accounts is adequate. Concentration of credit risk associated with contributions receivable exists as approximately 90% of Catholic Charities' contributions receivable balance consists of pledges from two donors. (k) Property and Equipment Land, buildings and equipment with initial cost or value of more than $1,000 are capitalized at cost or, if donated, the estimated fair market value of the asset at the date of donation. Catholic Charities received donations of property and equipment valued at $65,350 during the year ended June 30, 2007. Depreciation is computed on a straight- line basis over the estimated useful lives of the assets. Equipment leased under capital leases is recorded at the present value of the lease payments. Amortization of capitalized leases is included with depreciation on the financial statements. (I) Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. 9 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (1) Summary of Significant Accounting Policies,Continued (m) Advertising Catholic Charities uses advertising to promote certain programs and products. The costs of advertising are expensed as incurred. During fiscal year 2007, advertising costs totaled $165,733. (n) Contributed Materials and Services Donated materials which meet the criteria for recognition under SFAS No. 116 are reflected as contributions in the accompanying statements at their estimated values at date of receipt. Donated materials consisted of food valued at $474,124 contributed for shelter operations. Automobiles were donated for resale or scrap for which Catholic Charities received income from the proceeds in the amount of $87,054. Catholic Charities receives the rent-free use of a community center from the Denver Housing Authority, and a group home on the Fort Logan campus from the Colorado Department of Human Services. No amount is recorded in the financial statements for this use. No amounts have been reflected in the financial statements for donated services. Catholic Charities pays for most services requiring specific expertise. However, many individuals volunteer their time and perform a variety of tasks that assist Catholic Charities with specific assistance programs. (o) Functional Allocation of Expenses The costs of providing the various programs and other activities have been summarized on a functional basis in the statement of functional expenses. Accordingly, certain costs have been allocated among the programs and supporting services benefited. (p) Tax Exempt Status Catholic Charities is exempt from federal income tax under Section 501{c}{3} of the Internal Revenue Code through its inclusion in the United States Conference of Catholic Bishops group ruling and listing in the Official Catholic Directory. Accordingly, contributions to Catholic Charities qualify for the charitable contribution deduction. Income from activities not directly related to Catholic Charities' tax exempt purpose is subject to taxation as unrelated business income. There was no unrelated business income subject to tax in 2007 or 2006. (q) Prior Period Information The accompanying financial statements include certain prior-year summarized comparative information in total but not by net asset group. Such information does not include sufficient detail to constitute a presentation in conformity with generally accepted accounting principles. Accordingly, such information should be read in conjunction with Catholic Charities' financial statements for the year ended June 30, 2006, from which the summarized information was derived. 10 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (2) Contributions Receivable Contributions receivable by Catholic Charities at June 30, 2007, consist primarily of grants from foundations, other agencies and individuals. Farm Labor Housing has no contributions receivable at June 30, 2007. Scheduled payments are as follows: Due within one year $ 241,667 Due within one to five years 793,432 Thereafter 100.000 1,135,099 Less: Unamortized discount (63,366) Allowance for uncollectibles (57,199) Net contributions receivable $ 1,014534 Catholic Charities has also received conditional pledges of support totaling $400,000 for the purpose of building a Head Start and Early Head Start facility. The pledges are conditional on certain requirements being approved by the Department of Health and Human Services. The conditions were not met at June 30, 2007 and the pledges have therefore not been recorded as receivable in the financial statements. (3) Investments Investments are recorded at fair value. Unrealized gains and losses are reported as increases or decreases in unrestricted net assets because the gains and losses are unrestricted. Investments consisted of the following at June 30, 2007: Investments with the Archdiocese of Denver Irrevocable Revolving Fund Trust $ 2,090,394 Preferred stock and corporate notes 946,483 Mutual funds invested in debt securities 263,280 Managed equity investments 2,055,702 Money market and cash balance 967.255 $ 6 2.1114 Investment income is summarized as follows: Interest and dividend income $ 299,569 Realized and unrealized appreciation of investments 220.414 Total investment income $ 519,983 The Archdiocese of Denver Irrevocable Revolving Fund Trust (Revolving Fund Trust) is a trust that enables parishes and other Catholic entities within the territory of the Archdiocese to pool financial resources to obtain competitive terms for depositing, withdrawing and borrowing money. The Revolving Fund Trust holds title to the assets of the Trust. However, the equitable and beneficial ownership of the assets of the trust belong to and are owned by each entity participating in the Revolving Fund Trust pursuant to the terms and conditions of the Trust Agreement. 11 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (4) Beneficial Interest in Assets Held by Others Catholic Charities has entered into an agreement with the Catholic Foundation for the Roman Catholic Church in Northern Colorado (the Foundation), to hold and invest certain endowed funds, originally valued at $1,100,000. The funds deposited at the Foundation are to be held in perpetuity by the Foundation, to which variance power has been given. The Foundation shall distribute annually to Catholic Charities, as much of the net income of the Fund as Catholic Charities requests and the Foundation deems consistent with the agreement and the distribution policies of the Foundation. At June 30, 2007, the investments had a fair market value of$1,397,272. (5) Property and Equipment Property and equipment consisted of the following at June 30, 2007: Catholic Farm Labor Charities Housing Total Land and land improvements $ 3,847,778 936,157 4,783,935 Buildings 13,838,046 6,756,587 20,594,633 Construction in progress 496,219 - 496,219 Furniture and equipment 2.094.858 455.334 . 2.550.192 20,276,901 8,148,078 28,424,979 Less accumulated depreciation (6.734,535) (1.363,029) (8,097,564) Property and equipment, net $ 13.5_42.3.€6. 6,785,049 2.0.3.2_7215_ (6) Deferred Revenue Grant and contract revenue is recognized as revenue when Catholic Charities incurs allowable reimbursable costs for the purpose specified by the grantor or contractor. Cash received in excess of the expended costs is recorded as unearned revenue, and allowable costs incurred in excess of cash received are recorded as a receivable. Deferred revenue at June 30, 2007 consisted of grants and program service fees received but not yet expended for the allowable purposes. (7) Charitable Gift Annuities Catholic Charities has received several charitable gift annuity contracts. These contracts require Catholic Charities to make fixed payments to the beneficiaries over their lifetimes. The obligation to make the periodic disbursements to the beneficiary becomes a general obligation of Catholic Charities. This liability is recorded at the net present value of the expected future payments, discounted at interest rates ranging from 4% to 6% over the expected lives of the beneficiaries, and totaled $769,366 at June 30, 2007. 12 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (8) Custodial Accounts Catholic Charities maintains separate bank accounts on behalf of individuals for whom Catholic Charities has been appointed guardian or trustee. These accounts are shown as both an asset and a liability on the Statement of Financial Position as all disbursements must be on behalf of the individuals for whom the accounts are maintained. (9) Reserve Accounts FLHC is required to make payments to a reserve account for Plaza del Milagro until the balance reaches $400,000, at which time the funds may be used for repair, replacement, or improvement of the property, to meet payments on loan obligations, or to promote the loan or grant purpose. For fiscal year 2007, the required payment to this reserve account was $40,000, bringing the total account balance to $305,065. Annual payments of$41,380 are required to be made to a similar account for the Plaza del Sol until the balance reaches $413,800. Payments to the Plaza del Sol reserve of$41,380 were made to the reserve during the year bringing the balance of the account to $94,306. (10) Notes and Mortgages Payable At June 30, 2007, notes and mortgages payable were all issued by Farm Labor Housing Corporation and consisted of the following: Note payable to USDA, Rural Development, interest at 1%, monthly payments to be made over 33 years, secured by first lien on the 40-unit property-Mi/ogro $ 405,581 Note payable to Weld County, interest at 3%, monthly payments to be made over 33 years, secured by deed of trust-Milagro 258,524 Note payable to USDA, Rural Development, including accrued interest at 1%, monthly payments to be made over 33 years beginning at the time operations begin—Sol 1,188,505 Note Payable to Colorado Housing Finance Authority, interest at 1%, monthly payments of$1,608 to be made over 30 years.-Sol 445,395 Note payable to Weld County, interest at 3%, monthly payments beginning in 2004, secured by deed of trust-So/ 89 204 2,387,209 Less discount (1,075,762) Net notes payable-Farm Labor Housing Corp. $ J 3 J 1"447 13 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (10) Notes and Mortgages Payable, Continued The future undiscounted principal payments on these notes for years ending June 30 are: 2008 $ 78,087 2008 78,754 2009 79,770 2010 80,804 2011 81,854 Later years 1.987.940 2,387,209 Less discount (1.075.762) Net notes payable, Farm Labor Housing $ J 111 447 FLHC has received five loans with interest rates substantially lower than prevailing interest rates. These notes have been discounted, depending on the market rate for similar loans at the time of borrowing. The discounts have been deducted from the face value of the notes, and were recorded as restricted contributions in the years in which the loans were received (the years ended June 30, 1999, 2002, and 2004). The discount totals $1,075,762 at June 30, 2007. As this discount is amortized, a corresponding amount is released from temporarily restricted net assets. (11) Bonds Payable 2001 Bonds On June 22, 2001, the Colorado Educational and Cultural Facilities Authority issued Mortgage Revenue Refunding Bonds (2001 Bonds) in the amount of $1,930,000, the proceeds of which were loaned to Catholic Charities for the purpose of refunding$2,000,000 of First Mortgage Bonds, Series 1996 (1996 Bonds), which had an outstanding balance of $1,800,000. The bonds were secured by a first mortgage on land and office building at 2525 Alameda in Denver, Colorado (see note 20). The bonds were subject to call and redemption on any interest payment date at par plus accrued interest, after November 15, 2006. Subsequent to June 30, 2007, the balance of the Series 2001 Bonds, $1,380,000, was paid in full.In addition to the principal payment, interest of$38,652 was paid and $61,757 of unamortized deferred charges was expensed. 7007 Bonds On May 30, 2007, the Colorado Educational and Cultural Facilities Authority issued Mortgage Revenue Refunding Bonds (2007 Bonds) in the amount of $3,625,000, the proceeds of which were loaned to Catholic Charities for the purpose of purchasing real property located at 4045 Pecos Street, Denver, Colorado to serve as an administrative office building and the Company's headquarters. 14 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (11) Bonds Payable, Continued The 2007 Bonds are payable in annual principal installments varying from $105,000 to $280,000, beginning June I, 2008. Interest is payable semi-annually at rates ranging from 5.00% to 5.25%. The bonds are secured by a first mortgage on land and office building in Denver, Colorado. Bonds maturing after June I, 2017, may be redeemed on any date after June 1, 2016 at a redemption price equal to the principal amount plus accrued interest to the redemption date. Debt service to maturity for the 2007 Bonds for the fiscal years ending June 30 is as follows: Principal Interest Total 2008 $ - 194,564 194,564 2009 105,000 194,025 299,025 2010 110,000 188,775 298,775 2011 120,000 183,275 303,275 2012 125,000 176,975 301,975 Thereafter 3 165.000 1 645.563 4.810 563 Totals $ 3,625.000 LIUM 6 908 177 Bond issuance costs totaling $136,290 have been recorded as deferred charges and are being amortized on the straight-line basis over the term of the bond issue. (12) Capital Leases Catholic Charities has entered into capital lease agreements for refrigerated trailers for use in the SHARE program and for office equipment, including copiers. Amortization expense related to the leases is included with depreciation expense on the statement of functional allocation. Future principal and interest payments on these leases for years ending June 30 are: 2008 $ 43,065 2009 37,878 2010 28,074 109,017 Less interest (11.397) $ 7 620 15 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (13) Restrictions on Net Assets (a) Temporarily Restricted Temporarily restricted net assets at June 30, 2007 consist of the following: Catholic Charities: Contributions promised by donors, but not yet received $ 1,014,534 Contributions restricted by donors but not yet expended 889,266 Remaining proceeds from the Lowry Settlement 1.171.640 Subtotal 3.075 440 Farm Labor Housing Corporation: Unamortized loan discount (note 10) 1,075.762 Total $ I 151 1O2 Net assets released from restrictions during 2007 consisted of the following: Catholic Charities: Collection of contributions receivable $ 112,484 Restricted contributions expended per donor instructions 4.253.404 Subtotal 4.365.888 Farm Labor Housing Corporation: Amortization of below market rate note payable 58.571. Total $4,424.461. In addition, unrestricted net assets generated by Farm Labor Housing projects are restricted for use by that particular housing project. (b)Permanently Restricted Permanently restricted net assets consist of endowment fund assets that are subject to restrictions requiring that the principal be invested in perpetuity and only the income be used. Permanently restricted net assets consist of the following endowment funds at June 30, 2007: Catholic Charities Endowment Fund-Samaritan House $ 1,000,000 Catholic Charities Endowment Fund-operations 100,000 General Endowment 50,000 South West Emergency Assistance 26,257 Marjory Reed Mayo- equipment 25,000 Samaritan House-capital improvements 251.919 Total permanently restricted net assets $ 1 453.176 16 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (13) Restrictions on Net Assets, Continued (c) Board Designated Net Assets Board designated net assets are set aside at the discretion of the board of directors and may be redirected at their discretion at a future date. The Board of Catholic Charities has designated net assets for future use as follows: Capital improvements $ 935,000 Margery Reed Mayo 562,702 Catholic Charities Operations 562,702 Homelessness and Housing 562,702 Northern Operations 315.000 $ 7938.106 (14) Operating Leases Catholic Charities rents office space for administrative and program needs in various locations. Total minimum rental commitment under these written lease agreements are as follows for the years ended June 30: 2008 $ 95,425 2009 53,270 2010 25.346 $ 7a-n41 In addition, Catholic Charities rents space for various programs on a month to month basis. Total rent expense for the year ended June 30, 2007 was $336,230. (15) Related Party Transactions—Archdiocese of Denver and Related Organizations Catholic Charities has as its general purpose, the promotion of the charitable causes of the Archdiocese. In addition to investments, the following related party transactions existed with the Archdiocese for the year ended June 30, 2007: (a) The Archdiocese of Denver contributed $570,000 to Catholic Charities through the Archbishop's Catholic Appeal. The Archdiocese also provided funding of$146,592 for the Archdiocesan Social Ministry and Justice for Immigrants programs staffed by Catholic Charities. At June 30, 2007, Catholic Charities had receivables for theses programs from the Archdiocese of Denver totaling $24,630. 17 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (15) Related Party Transactions, Continued (b) Archdiocesan Housing, Inc. (AHI), an entity related to the Archdiocese, reimbursed Catholic Charities for a portion of the wages of certain shared employees totaling $74,538 in the year ended in June 30, 2007. AHI also reimbursed Catholic Charities $83,390 for shared information technology services. AHI contracted with Catholic Charities to provide case management services at senior housing sites, for a total of $96,826. At June 30, 2007, Catholic Charities had receivables totaling $41,404 for these services. Catholic Charities also paid AHI $42,099 for expenses relating to the development of the new Guadalupe Shelter. Catholic Charities recorded $32,115 of expenses related to a shared employee of Catholic Charities and AHI. This amount is payable to AHI and is included in accounts payable at June 30, 2007. (c) Catholic Charities is one of two members of the non-profit organization, St. Vincent de Paul Stores (St. Vincent). Catholic Charities has a loan receivable from St. Vincent. Principal payments on the loan amounted to $6,000 in 2007 and St. Vincent drew down an additional $22,700 in cash to fund operations. Catholic Charities rents space in the St. Vincent store for one of its emergency assistance centers. In 2007, Catholic Charities paid St. Vincent rent of$6,000 and reimbursed utilities amounting to $1,643. The receivable totals $54,232 at June 30,2007. (d) The Archdiocese of Denver Risk Management and Property/Casualty Insurance Trust (Risk Management Trust) currently procures worker's compensation, property and general liability insurance coverage for Catholic Charities. Catholic Charities contributed $269,615 to the Risk Management Trust during the year ended June 30, 2007. (16) Pension Cost Catholic Charities has established a retirement plan under section 403(6) of the Internal Revenue Service Code that is available to employees. Catholic Charities contributes 5% of employee salaries for employees with a year or more service. In addition, Catholic Charities matches 50% of employee contributions of the first 4% contributed by the employee, up to a maximum 2% of their salaries. Total employer contributions under this plan were$534,973 for the year ended June 30, 2007. (17) Land Use Restrictions In conjunction with the renovation of the Mission building in Ft. Collins that was partially funded by a grant of$46,235 from the City of Ft. Collins in 2006, Catholic Charities has agreed to continue to operate the building as a CDBG eligible public facility for 90 years or refund the grant. Farm Labor Housing Corporation has received four loans with interest at rates below market (see note 10).The loans require that the Plaza del Milagro and Plaza del Sol be maintained 18 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (17) Land Use Restrictions, Continued as low-income housing. In addition, FLI-IC has received an $85,000 loan from the Federal Home Loan Bank. This loan bears no interest and will be forgiven in till after 15 years, as long as FLHC is in compliance with the loan contract, which includes rental to eligible tenants, and continued ownership of the Plaza del Milagro. This loan was recorded as a contribution in the year it was received. A similar loan was received in July, 2003 for the construction of Plaza del Sol in the amount of $200,000, which was also recorded as a contribution in prior financial statements. The Plaza del Sol loan has terms that are the same as the Plaza del Milagro loan. During the year ended June 30, 2005, Catholic Charities received a grant from the Greeley Urban Renewal Authority (GURA) totaling $200,000, towards the purchase of a new site for the relocation of the Guadalupe Shelter. The grant requires that the property be used as a shelter; should the use change, the portion of the fair market value attributable to the grant must be refunded to GURA. (18) Mount Loretto Project Catholic Charities was involved in the development and construction of Mount Loretto, an affordable housing complex. Catholic Charities' interest in the property was transferred to a newly formed company, Mount Loretto LLC, in which Catholic Charities, through its membership in Loretto/Charities, LLC, has an interest of less than .01%. Mount Loretto, LLC received additional funding by issuing bonds through Colorado Affordable Catholic Housing Corporations and from tax credit investors. Loretto/Charities, LLC is the general partner of the Mount Loretto, LLC. The obligations of the general partner are guaranteed by Catholic Charities. The general partner is also required to loan to the owner all funds needed to cover operating deficits for a 36-month period beginning after the project has achieved a three month break even, up to the greater of 10% of the final mortgage or $250,000, and provide an escrow of $130,000 as security for its obligations. In the event of tax credit recapture, the general partner is required to reimburse the investors for any recaptured credits. AHI has agreed to provide legally enforceable "back-up guarantees" and to escrow the required amounts to meet the operating deficit guaranty as well as any escrow required to meet the debt service reserve requirement. During the year ended June 30, 2004, Catholic Charities received funding totaling $600,000 from the State of Colorado for the construction of Mount Loretto. As a condition to the receipt of this funding, a covenant has been recorded to insure that the housing is to be rented to low income occupants for a term of 40 years. Should this condition not be met during the 40 year period, the $600,000 must be repaid. Similarly, during the year ended June 30, 2005 Catholic Charities received a grant of$600,000 from the City and County of Denver, and a grant of$294,000 from the Federal Home Loan Bank. The terms of these grants require that the property be rented to low income occupants for terms of 30 and 15, years respectively. 19 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (19) Courtyard Commons On April 4, 2006, Catholic Charities sold the property at 1122 Pearl Street, Denver, known as Courtyard Commons. The property was sold to Courtyard Commons, LLC, a limited liability company whose managing member is AHI Development, LLC. The property consists of a 34-unit apartment house that offered transitional housing for persons leaving homeless shelters. The property was sold for$840,000 comprised of$202,731 in payment of the existing CHAFA mortgages on the property, and a promissory note of $637,269. The promissory note bears interest of 4.79%, and requires that Courtyard Commons LLC make annual payments of $1,000, cash flows permitting. The balance of the note and accrued interest is due and payable in full in 2045. Because payment of the note is uncertain, Catholic Charities has determined that a gain on sale will be recorded under the cost recovery method only when payments are received. No payments were received in 2007. (20) Sale of Building Subsequent to fiscal year end, Catholic Charities sold its administrative building and headquarters located at 2525 W. Alameda Ave., Denver, Colorado. The building,which had a book value of$1,323,767, was sold on September 26, 2007 for $1,925,000, which resulted in a gain of$482,781 after commissions and charges. 20 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidating Statement of Financial Position June 30, 2007 Catholic Farm Labor Charities Housing Total Assets: Cash and cash equivalents $ 348,160 328,736 676,896 Accounts receivable 1,675,338 42,247 1,717,585 Contributions receivable 1,014,534 - 1,014,534 Due from(to)other fund 60,000 (60,000) - Inventory and other assets 663,446 2,667 666,113 Reserve cash - 399,371 399,371 Investments 6,323,114 - 6,323,114 Beneficial interest in assets held by others 1,397,272 - 1,397,272 Assets held in trust for others 42,375 - 42,375 Deferred charges 199,551 - 199,551 Property and equipment, net 13,542,366 6,785,049 20,327,415 Total assets $ 25,266,156 7,498,070 32,764,226 Liabilities: Accounts payable $ 598,020 88,217 686,237 Accrued expenses 1,437,517 9,460 1,446,977 Deferred revenue 61,999 - 61,999 Liabilities under annuity agreements 769,366 - 769,366 Assets held in trust for others 42,375 - 42,375 Notes and mortgages payable - 1,311,447 1,311,447 Bonds payable 5,005,000 - 5,005,000 Obligations under capital leases 97,620 - 97,620 Total liabilities 8,011,897 1,409,124 9,421,021 Net Assets: Unrestricted Property and equipment, net of related debt 8,439,746 4,397,840 12,837,586 Board designated 2,938,106 - 2,938,106 Undesignated 1,347,791 615,344 1,963,135 Total unrestricted net assets 12,725,643 5,013,184 17,738,827 Temporarily restricted 3,075,440 1,075,762 4,151,202 Permanently restricted 1,453,176 - 1,453,176 Total net assets 17,254,259 6,088,946 23,343,205 Total liabilities and net assets $ 25,266,156 7,498,070 32,764,226 See accompanying independent auditors' report. 21 Catholic Charities and Conlin tinily Services Statement of Activities Year Ended June 30,2007 (With Summarized Totals for 2006) Temporarily Permanently 2007 2006 Unrestricted Restricted Restricted Total Total Revenue,Gains and Support: Public support: Direct contributions R 2,496,145 1,829,661 405 4,326,211 4,237,358 Wills and bequests 68,944 285,034 - 353,978 574,109 Contributed materials 474,124 - - 474,124 446,7335 Archbishop's Catholic Appeal and other support 488,565 8L435 - 570,000 565,000 Public and private grants 7,949,820 1,971,380 - 9,921,200 14,163,723 United Way and Combined Federal Campaign 789,096 549.941 - 1,339,037 1,192,499 Auto Program 87,054 - - 87.054 41.750 Change in net present value of annuities (74,646) - - :74,646) (50,836) Fundraising events and special appeals 234,347 - - 234,347 252,392 Special event direct expenses (48,011) - - :48,011) (40,678) Net assets released from restrictions 4,365.888 '4,365.888) - - - Total public support 16,831,326 351.563 405 17,183,294 21,432,052 Revenue: Program service fees 4,184,122 - - 4,184,122 4,181,804 SHARE food sales 4,509,025 - - 4,509,025 4,502,677 Rental income 110,305 - - 110,305 224,547 Interest and investment income 343,093 167,517 - 510,610 272,174 Gain(loss)on sale of asset 21,534 - - 21,534 (35,239) Miscellaneous income 7,321 - - 7,321 14,891 Total revenue and gains 9,175,400 167,517 - 9,342,917 9,160,854 Total revenue,gains and support 26,006,726 519,080 405 26,526,211 30,592,906 Expenses: Program services: Mission/Ministry 2,883,105 - - 2,883,105 2,591,914 Homeless/Housing 5,346,208 - - 5,346,208 10,841,883 Family/Children 11,090,651 - - 11,090,651 10,076,874 SHARE Colorado 4,479,182 - - 1,479,182 4,472,604 Total program services 23,799,146 - - 23,799,146 27,983,275 Supporting services: General and administrative 2,402,058 - - 2,402,058 2,078,195 Fund raising 998,648 - - 998,648 879,156 Total supporting services 3,400,706 - - 3,400,706 1957,351 Total expenses 27,199,852 - - 27,199,852 30,940,626 Change in net assets (1,193,126) 519,080 405 (673,641) (347,720) Net assets,beginning of year 13,918,769 2,556,360 1,452,771 17,927,900 18,275,620 Net assets,end of year $ 12,725,643 3,075,440 1,453,176 17,254,259 17,927,900 See accompanying independent auditors'report. 22 Catholic Charities and Community Services Farm Labor Housing Corporation Statement of Activities Year Ended June 30,2007 (With Summarized Totals for 2006) Temporarily 2007 2006 Unrestricted Restricted Total Total Revenue, Gains and Support: Public support: Direct contributions $ - - - 447 Government grantsNet assets released from restrictions 58,573 (58,573) - - Total public support 58,573 (58,573) - 447 Rental income, tenants 211,769 - 211,769 209,877 Rental income, USDA subsidy 437,503 - 437,503 409,779 Interest 9,373 - 9,373 1,769 Other miscellaneous 43,876 - 43,876 22,118 Total revenue 702,521 - 702,521 543,543 Total revenue, gains and support 761,094 '58,573) 702,521 543,990 Expenses: Program services: Construction management 5,000 - 5,000 6,811 Plaza del Sol operations 465,114 - 465,114 469,182 Plaza del Milagro operations 318,282 - 318,282 441,510 Total program expenses 788,396 - 788,396 )17,503 Supporting services: General and administrative 97,707 - 97,707 105,774 Total expenses 886,103 - 886,103 1,023,277 Change in net assets (125,009) (58,573) (183,582) (379,287) Net assets, beginning of year 5,138,193 1,134,335 6,272,528 6,651,815 Net assets, end of year $ 5,013,184 1,075,762 6,088,946 6,272,528 See accompanying notes to financial statements. W-9 (Attached as a separate document in this packet) Substitute Form REQUEST FOR TAXPAYER IDENTIFICATION State of Colorado W-9 NUMBER(TIN)VERIFICATION Do NOT send to IRS PRINT OR TYPE RETURN TO ADDRESS BELOW Legal Nalne (OWNER OF THE EIN OR SSN AS NAME APPEARS ON IRS OR SOCIAL SECURITY ADMINISTRATION RECORDS) DO NOT ENTER THE BUSINESS NAME OF A SOLE PROPIETORSIIII'ON MIS LINE-See Reverse for Important Information Catholic charities and Community Services of 'Ws Arta t70 At 02-trot't, (7sc, Trade Name—complete only if doing business as(D/B/A) Remit Address 4045 Pecos St . , Denver, CO 80211 Purchase Order Address--Optional PART II See Part II Instructions on Back of Form Check legal entity type and enter 9 digit Taxpayer Identification Number(TIN)below: Da\at enter an SSN or f IN that was not (SSN=Social Security Number EIN=Employer Identification Number) assigned to the legal Ilanle entered ahoar, n Individual (Individual's SSN) NOTE: If no sane is cirded onaJoinl Account when there is most that one name,the number will be considered bs be that of the first name listed. n Sole Proprietorship (Owner's SSN or Business EIN) SSN -- --- -- ---- Note: Enter both the owner's SSN and the business BIN(if you are required to have one) BIN I-1 Partnership O General O Limited (Partnership's EIN) n Estate/Trust (Legal Entity's EN) NOTE: Do not furnish theidencficmion number of the personal representative or trustee micas the legalendty itsdf is not designated in the account title.List and circle the name of the legal trust,estate,or pension Must. nOther > .501 (C) 3. Nonprofit (Entity's EM) t34 -_ UbHbb7 Limited Liability Company,Joint Venture,Club,etc. -- nCorporation Do you provide medical services? O Yes0 No (Corp's EIN) Includes corporations providing medical billing services -- nGovernment(or Government Operated)Entity (Entity's EIN) riOrganization Exempt from Tax under Section 501(a) (Org's EIN) Do you provide medical services? O Yes O No -- nCheck Here if you do not have a SSN or EIN,but have applied for one. See reverse for information on How to Obtain A TIN Licensed Real Estate Broker? O Yes O No Under Penalties of Perjury,I certify that: (1) The number listed on this form is my correct Taxpayer Identification Number(or I am waiting for a number to be issued to me)AND (2) I am not subject to backup withholding because: (a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service (IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding(does not apply to real estate transactions,mortgage interest paid,the acquisition or abandonment of secure property, contribution to an individual retirement arrangement(IRA),and payment other than interest and dividends). CERTIFICATION INSTRUCTIONS--You must cross out item(2)above if you have been notified by the IRS that you are currently subject to backup withholding because of under reporting interest or dividends on your tax return. (See Signing the Certification on the reverse of this form.) THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE YOUR CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATIONS REQUIRED TO AVOID BACKUP WITHHOLDING. Chris o her M. RosP�, President/CEO NAME(Print or Type) �/ TITLE((kilat or T pe AUTHORIZED SIGNATURE A1. /`o'er DATE D/a5�D� PHONE( 303 ) 742-0828 DO NOT WRITE BELOW THIS LINE RETURN BOTH COPIES TO ADDRESS ABOVE AGENCY USE ONLY Agency Approved by Date 1099: Yes No Action Completed by Date VENDOR: Addition Change 615-82-50-7093(R 4/97) Application for Colorado Division of Housing (CDOH) EMERGENCY SHELTER GRANT ASSISTANCE 2008 , APPLICANT INFORMATION 1. Applicant (Agency) Name and Address 2. CDH Project Number For CDH Use only Greeley Transitional House 3. Date Received 10th For CDH lase Only, ' 120610 Street x.y n Greeley, CO 80631 'q ° „_ . r y O`Prog"(at« ele ' sk`, ' eE! �, . 5. Name of Contact Person for Application (drop 6. Phone 7. FAX 8. EMAIL down box) Mrs.Jodi Hartmann pgp (970)352-3217 j� (970)y 352-0130 jhart@gwest.net {'9� $#' . ix"a?.....+_ 'tm�"v ft.INT.V2.Ya&i-t.:..`x; g/ .ti 9. Municipality/County 10. Housing Authority 11. Nonprofit Organization Please attach 501 (c)(3)ruling. 12. Federal Identification Number(Use drop down box) CIII 1 0 14 15 19 15 18 I 13. Project Service Area(List counties served) Weld County 14. How many years has your agency been in operation? 23 years 15. Population(s)Served: ❑ Men ❑Women ® Families ['Youth 0 Domestic Violence 16.Type and Characteristics of Programs for which ESG Assistance is Requested ®Emergency Shelter Maximum Capacity per Night 12 families Maximum Stay 45 ❑Day Shelter Maximum Capacity Average Number of Clients Served per Day ['Transitional Total Units Maximum Length of Stay Average Stay ['Homeless Prevention: Number of Families expected to Serve with ESG and Match Funds Each Year Are you requesting dollars for a new program in this request? 0 If yes, program name 3� x, :: �4 faN R`j3 A f, (0.4 ,.1 2 15.e.e r�.z.. u..i5..;'. ..�. 7..'...S�' � >� e � ts°.* �'i. s c �e�Y 1E�i="� �� L�� A�t '(r'R�� '' 17. Name of Local Elected Official or Authorized Agency 18.Title of Local Elected Official or Authorized Representative (drop down box) Representative Executive Director Mrs. Jodi Hartmann 19. Si nature of Authorized Representative 20. Date March 27, 2008 1 BUDGET „ Line Item 21. Operations 22. Essential 23. Homeless 24. Administration Services Prevention Local govts w subgrants Staffing-Shelter $2,000.00 Operations Repairs & Maintenance $500.00 Utilities & Telephone $4,500.00 Facility Insurance $2,500.00 Case Management $4,500.00 Security Deposits $1,000.00 25. SUBTOTAL $9,500.00 $4,500.00 $1,000.00 26. TOTAL REQUEST: $$15,000.00 27. Match Source(s) and Amount: Name United Way of Weld County Amount$10,000.00 Name Geor.e Doerin. Foundation Amount $5,000.00 Additional S.ace on .a.e 13 Virat f p� ‘1:,79,-771f t ,4/,- ,,t, A � @!F A � 6104:>'� 1�A1 A;1� � Al�a�' �v c ti�' ��` �` 28. Please provide an explanation of your proposed project budget and provide documentation of your need for requested categories of Operations, Staff Operations, Essential Services and Homeless Prevention. Please also provide the following: ■ If you are requesting Operations, please identify any operating staff for which you are requesting funding. • (b)If you are requesting an increased level of funding or a new service under Essential Services, you must demonstrate that a new/increased level of need exists and ESG funding will not replace governmental funding. ■ (c) If you are requesting Homeless Prevention funding, please explain how you will ensure that your clients meet HUD requirements for homeless prevention assistance. All requests should be eligible, necessary and reasonable. You may also use the following page for the budget if necessary. OPERATIONAUOPERATIONAL STAFFING: Staffing—Shelter Operations: Will be used to help pay for the part-time House Managers who provide client oversight, security and maintenance after normal business hours to insure 24/7 on-site safety and supervision. Funds will partially pay for one of the five part-time staff members employed in this position. Repairs& Maintenance: Will be used to pay for routine repairs and maintenance at the shelter facility including appliance repairs (we have a total of 20 major appliances), lawn maintenance, small repairs, and cleaning supplies. Utilities&Telephone: Will provide partial funding for gas, electric, water&sewer, and business telephone costs for the shell facility. Facility Insurance: Will provide partial funding of shelter commercial/liability policy. ESSENTIAL SERVICES: Case Management-Emergency Shelter Clients: Will provide partial funding for case manager to provide goal setting, and referrals and information for employment, health, nutrition, education, child care,transportation,job training, budgeting, social services assistance,and permanent housing for client families. Case manager will act as mediator and liaison with landlords to prevent homelessness and to insure clients comply with lease agreements. HOMELESS PREVENTION: Security Deposits: Will be used to provide security deposit assistance necessary to prevent client families from becoming homeless due to inadequate resources to pay deposits upon leaving the emergency shelter. Assistance will only be given to those clients who have been living in the emergency shelter and have found permanent affordable housing upon leaving the shelter. Funds requested will enable us to assist 20 client families with a $50.00 security deposit assistance. f.>` ≥~ E � { h1�+9 G1„�y„ G�� z^, e "7y''^'^�' r ,.,75 St`. A 5[t�4 � ?.E Cf CLINyL"#S �VI L€.1 1 Ff t , r {„M ` a$§ 1 . ._��.m.,,�,n..�.S,.,:k.�._ =:.=viz.�,.��s.:.,v, ..,,...�s (28.CONTINUED). YOU MAY CONTINUE YOUR BUDGET EXPLANTION ON THIS PAGE (IF NEEDED) X `� \{¢ *gi�pp yn. �.�{ }F I 'c y�$��''yy z g ,,a t c 1 0- �' .=.1;i.re:(h Cj r f+ A tedzi <. o- �� kSALY;{'f ffi.li# en3e4; 29. What is the need to be addressed? How urgent is the need? Please provide local data or statistical information(waiting list, number of clients turned away, etc.)that supports the needs your agency will address. Please use only the space allottei The need for Emergency Shelter and services for homeless families continues to be urgent in Greeley/Weld County. Despite having expanded and relocated in 2005 to a new shelter facility that essentially doubled our capacity, we have remained at a high occupancy level (85%year-round, 100% seasonally),with up to a nine-family waiting list at times (GTH Internal Reports According to GTH's internal monthly statistical reports, in 2004 (at the previous smaller facility)the shelter served 57 families (185 individuals)with a continual waiting list of about six families. In 2007 the shelter served 100 families(303 individuals). These figures represent a 75% increase in number of families served over the past two and a half years, and a 64% increase in number of individuals served. Further, the number of shelter nights provided grew 94%from 5,344 individual shelter night: provided in 2004, to 10,351 individual shelter nights provided in 2007. It is anticipated that these numbers will be maintained in 2008 (and probably increased)as the northern Colorado economy struggles to recover from the highest foreclosure rate in the state, low wages, and increasing poverty. The shelter has been 100%full since the first of March and we have begun a waiting list. Other factors documenting the urgency of need include: • Ninety-nine percent(99%)of the families GTH served in 2007 were the working poor, defined as those families living at or below 40%of AMI (average median income). In the Greeley MSA the AMI is $59,800. Forty percent of that amount is $23,920 which is considered to be very low income for a family of four. • According to the Colorado Division of Housing,the fair market rent for a two bedroom apartment in Greeley is $609. CDH also estimates that the mean renter hourly wage is $9.15, and that the maximum rent affordable at this wage is$476. In ord to afford a two-bedroom apartment at this wage,families must have two wage earners. • This can be problematic for much of the population GTH serves. Seventy-nine percent(66%)of the families we serve are single parent families, and of the families with two parents most have young children under five years of age,for whom child care is an issue. • Many of the families GTH serves are working in retail and service jobs paying minimum wage ($7.02/hr.)with no benefits. • According to the Colorado Division of Housing,there are 14,390 renter households in Weld County with households living or below 40% of AMI. Of these households, 57%are paying more than 30%of their income for housing, and 48% are payin greater than 35% of their income for housing. This means there are more than 8,000 households at risk of homelessness because they realistically cannot afford to live in their home. • Clearly, the high cost of housing combined with low wages is a volatile equation that increasingly pushes families over the edge into homelessness. 30. Describe your project plan to assist the target population as it directly relates to the need addressed in Line 29. Please use only the space allotted. (Be sure to include the geographical areas and specific activities that you plan to provide). If this proposal is requesting funding for more than one activity(Essential Services, Operations/Staff Operations, Prevention), describe each separately. Our plan to address the need stated in Line 29 is to provide emergency shelter and essential services to assist homeless families in helping themselves—to move from crisis to self-sufficiency. OPERATIONS/STAFF OPERATIONS: This plan is accomplished by providing temporary emergency shelter(up to 45 days) a our 12 bedroom emergency shelter facility in Greeley. Client families are housed in individual bedrooms with full baths, and then share a kitchen and living room with three other families. ESSENTIAL SERVICES: While living at the shelter families receive weekly intensive case management which involves immediate and long-term goal-setting, life-skills training, and commitment to a self-sufficiency plan. Our intake/enrollment process is designed to identify families who are highly motivated to move from a position of instability and dependence on public programs to emotional stability and economic self-sufficiency as rapidly as possible. Families enter the program initially because they are homeless. The clients set goals for improving their situation—primarily through securing employment(if unemployed)and"permanent"affordable housing. The adults attend life skills classes two evenings a week while living at the shelter. Examples of topics covered in these classes include parenting, credit management, employment skills(i.e. interviewing/resume development), community resources(e.g. Partners, Boys & Girls Clubs, Weld Food Bank),etc. The children and adolescents meet weekly with a Child/Adolescent case manager for referrals, mentoring, tutoring, and other services targeted to the unique needs of homeless children and youth HOMELESS PREVENTION: Funds are available to help families with up to$50.00 of their security deposit(if needed) when moving into permanent housing after leaving the shelter thus ensuring that families are not at risk of continued homelessness resulting from inability to meet all of the security deposit requirements. � 4 r: 3-`‘s:?' , s'S a.. RS'X tii. 4ix-ki53..ss, s ' xa,$17'-n • �rry _ b 43 �� . M.� • ":." } ti��>, i L is i 31. Provide a plan for the future financial stability of the proposed project. (How will the program continue in the future if ESC funding is no longer provided?) If this proposal is requesting funding for more than one activity(Essential Services, Operations, Prevention), describe each. OPERATIONS/STAFFING OPERATIONS: If ESG funding is no longer provided, the organization will look to other historical sources of funding including private foundations, individual and corporate donors, and possibly United Way funding. The organization is also in the process of increasing the number of special events we sponsor each year and is forming a "Friends of Greeley Transitional House"special fundraising committee to not only increase revenues at our special events, but to build our existing Endowment Fund over the next several years. Our Executive Director and Board of Directors monitor our funding sources closely and will respond with increased fundraising efforts if necessary;however, it should be noted that all sources of funding as described in this application are critical to our being able to maintain services at the current level in order to meet the community need, and any dramatic reduction in funding could necessitate reducing services if additional funding cannot be secured. ESSENTIAL SERVICES: Same HOMELESS PREVENTION: If ESG funds were not available, assistance with security deposits would likely not be available unless new private foundation or public funding specifically for purpose could be obtained. + . ' + er N :"«* a*":r' 3t r xF` ad T •k � r 'x t .n_3:. k xG hr ,z3 ant' s°fs 9a' d 6 32. Explain below any experience your organization or unit of local government has in implementing the activities that you have proposed in this application. Specifically, include the years of experience of staff and/or organization that will be administering the ESG funds. Where your organization and staff lack experience, explain how you will obtain the technical assistance needed to administer and complete the project. The organization has been receiving ESG funding for 13+years, and the Greeley/Weld Housing Authority has been administering the funds on our behalf for at least that long as well. Jodi Hartmann, the Executive Director and administrator of the funds for Greeley Transitional House has been administering ESG funds for the past three years, and has over 20 years'experience writing and administering federal grants. The Case Manager providing Essential Services and overseeing the Homeless Prevention activities has been with Greeley Transitional House for 11 years and has provided ESG services and oversight for eight of those 11 years. In addition, Jodi Hartmann has attended all mandatory Division of Housing ESG trainings since joining the organization and stays current on all program requirements as provided by Division of Housing. **��'' � ,:.'..-.,>$�£`�] -,..:.�.„'��'.,ar *.'.w^cxi+ o-'''`' `c'�'W,:r,.ror,. �`�!Pp ..4G',"'� '3�a•: y eA'`+' ' .. �,^ 8 ts�":w.�" i w�r.4.�.. � ".� SHELTER CHARACTERISTICS 2006-2007 ACTUAL From 2007-2008 PROJECTED From HMIS? HMIS' 33. Beds (including cribs) 21 . , 21 f ,, 34. Sleeping Rooms 12 ,, , 12 35.Total Families Served 100 110 36.Total Persons in Families 303 325 37. Total Individuals Served 38.Total Shelter Nights 10351 10500 ^2iselz ;�'a. r .. �.�.�'awa 39. What is the average cost per person served for each of your ESG-funded activities?$27.50 (Total Activity Budget/# Unduplicated Clients) f> -t a •-•-: + {Tar' e, a. � � ..(...„‘,1..,'. y� d iiS �7��1 � k�S�FF�ArP��P®�5 A Q 4 � } �< #-a�� 'f ' �@7 1 y#i� - i•,,, 'I i 0r t ® G c .tI:P� is 'C.ir I .gak..�a"32' ?,WA. IN k I a ys.`,k o-f zip 40. Client Paid Hours 3588 41. Client Unpaid Hours 8 42. Are ou a .articie atins member of our local Continuum of Care ? Yes ® or No ❑ F r .!T k7, _'3•}j /f �" �i o-""6 -V' Ef PC5 • R I t $ °Ari 1 ? . . . . . f tOTO '' p .a ti;; -2.4,47;t. ,,� .• iff: # '� V . • . . k ati . 71 f i .1%-44>,... ,..,,W4;14.4' #� �� e e . § 5"y. l : '! E?,t a .R If3,st". E'' .,,.1.(2)-44 z . bt ' ...nl,.. . F. . 1 0. (trot Plpplicable) 43. Shelter Information and Referral A Organization Name Not Applicable 44. Emergency Shelter ® Organization Name Not Applicable 45. Transitional Housing ® Organization Name Not Applicable 46. Permanent Housing (w/services) cg Organization Name Greeley!Weld Housing Not Applicable Authority 47. Soup Kitchen ® Organization Name We no longer have a soup Not Applicable kitchen in Greeley, but emergency food boxes are available from the Weld Food Bank and Salvation Army 48. Case Management ® Organization Name Not Applicable 49. Transportation E Organization Name Greeley Bus System Not Applicable 50. Daycare ® Organization Name Variety of public/private Not Applicable vendors 51. Medical treatment ® Organization Name Monfort Family Clinic, Not Applicable NCMC Family Physicians,Weld Co. Health Dept. 52. Substance Abuse Counseling ® Organization Name North Rante Behavioral Not Applicable Health, Island Grove Treatment Center, NCMC Psych Care 53. Psychological ® Organization Name North Range Behavioral Not Applicable Health, NCMC Psych Care 54. Employment ® Organization Name Weld Co. Employment Not Applicable Services, Temporary Employment Agencies, Private businesses 55. Life Skills/Budgeting El Organization Name Not Applicable 56. Educational ® Organization Name Weld Co. Employment Not Applicable Services, Aims Community College 57. Security Deposit ® Organization Name Not Applicable 58. Eviction Prevention ® Organization Name Catholic Charities Not Applicable Northern (limited), Faith Community Services Fund 59. Back Mortgage Payments ® Organization Name Catholic Charities Not Applicable Northern (limited) 60. Utility Assistance Payments ® Organization Name Catholic Charities Not Applicable Northern (limited), Faith Community Services Fund h F <c l ( 1p ® 6 V tiAla � )114IfitF ,,uut G s 61. Explain how you coordinate homeless housing, essential services and homeless prevention activities with other local nonprofit agencies and governmental service providers to ensure coordinated case management, non-duplication of service: AND access to mainstream resources such as TANF, Food Stamps, Housing Assistance, etc. within your community or Continuum of Care. GTH works closely with other homeless safety net providers in Weld County, and is an active participant in the Homeless Continuum of Care in northern Colorado. GTH cooperates with A Woman's Place (shelter for victims i domestic violence), A Room at the Inn (church-sponsored transitional housing for families) and the Guadalupe Shelter(night shelter only for primarily homeless single men and women and a few families) to provide referrals and information. Each of these shelters serves a different niche of the homeless population and little duplication services occurs. However, the availability of these services provides our agencies with options for homeless families when we are full. Families will often stay at one of the other agencies until there is room at GTH. We fir that these programs compliment our programs rather than compete for duplication of services. Unfortunately, the is more need in the community than all of these agencies/programs combined can meet. GTH works closely with the Greeley/Weld County Housing Authority to enroll our clients in housing programs for which they are eligible, and many of our families find permanent housing through this agency. We also work regularly with the Weld County Department of Social Services to ensure that our clients enroll in programs for which they are eligible and to guide them in providing all the proper documentation required. All of these agencies (including GTH) are also members of the United Way Housing & Emergency Services Network which meets monthly to discuss community needs and responses, communicate activities within each organization, and to coordinate new programs to meet emergency needs. Ste, tt11 - F yy F r f +fir.Gqy i'4 3 � 4-a.S� ' �h ',A t,&...�,�� '"�� .... .� � v �P 62. Explain your organization's financial control system and procedures,and explain how your agency will monitor its activities to ensure that ESG dollars are spent in a timely manner. • The Board of Directors is responsible for the financial health and integrity of the corporation. • The Executive Director is responsible for establishing and implementing accounting and reporting procedures, which reflect sound fiscal management and provide for appropriate accountability to the Board of Directors and thi public. • The Executive Director, Assistant Director and the Administrative Coordinator are bonded. • A checking and interest bearing savings account, petty cash checking account and all other investments are maintained with a financial institution in Weld County. • Financial records are maintained in accordance with generally accepted professional accounting practices and procedures and in a form and format appropriate to the requirements of an annual audit. • The Executive Director is responsible for submitting a proposed annual budget at the October Board meeting of each calendar year for the next year. Board of Directors will be responsible for final approved budget on an annual basis. • Routine and/or recurring expenses for operations of The Greeley Transitional House program which fall within the annual budget limitation approved by the Board of Directors are paid by the Executive Director as due. Drafts for such bills bear the co-signatures of the Executive Director and a member of the Executive Board. • Intermittent and unusual expenses that do not exceed $100.00 shall be paid from petty cash. A petty cash checking account not to exceed The Executive Director along with the Accountant prepares a Financial Report foi submission to the Board of Directors at its regular monthly meeting which details monthly and year-to-date expenditures. • The Executive Director and the Executive Board of Directors arrange for an independent an independent audit the corporation's financial records at the end of each calendar year, if and as required by funding sources. The auditor of auditing firm provides their findings to the Board of Directors. • ESG grant expenses are processed following the same procedures outlined above. Reimbursement for reques is submitted after funds have been expended in each of the funded categories. • A separate expense account and income account have been established to record ESG expenses and matchin income. ESG expense reimbursement requests are submitted quarterly after expenses have been incurred, and all grant-related expenses are typically incurred by the third quarter of the grant period to insure that all ESG dollars are spent in a timely manner. 1‘.:15[ t l € cli5lF�I . ", I r;� e C�]'1; t e rya I:\ - i>il 3 I�l �7aaiF tE)��l [ ,�1 hdf 63. When and where did your agency staff receive training on Homeless Management Information Systems (HMIS)?We have received training on three separate occassions from the Colorado Coalition for the Homeless (CCH) Balance of State HMIS Coordinator over the last two years. The trainings were held both at our agency and at CCH. The most recent training occurred in the fall of 2007 over the telephone to provide a refresher training for the staff performing HMIS data entry. 64. List Computer(s)and printers that are/can be dedicated to HMIS: Models, Operating Systems, Storage Capacity HMIS data entry is performed on an HP1502 computer with Windows XP operating system. It has a 2.67 GHZ processor and 2.5 GB ram, and a 75 GB hard drive. This computer is connected to an HP Deskjet 5610, and an HP Laser printer. 65. How do you ensure that client files are kept confidential?The only staff that have access to the client files and the HMIS system are the case managers who enter the HMIS data into the system with secure passwords. Files are kept in locked file cabinets in offices that are locked when not in use, and only permanent,full-time staff have access to those offices by key. Al employees are required to sign a confidentiality agreement upon employment at GTH. 66. Are you in compliance with HMIS? Please place an"X" in the box that best describes your current HMIS status? ❑ I am a new applicant. ® My agency is entering all HUD-required HMIS data elements on a consistent basis. D My agency is in discussions with my systems operator regarding my participation. We have not yet been trained on the HMIS system. ❑ My agency is a new State ESG Applicant, but we enter HMIS information for another Federal grant. ❑ My staff has been trained on HMIS, but I am waiting to upgrade equipment and or training before we fully participate. O My agency is exempt from HMIS. OTHER DOCUMENTS THAT YOU MUST SUBMIT WITH THIS APPLICATION (See attached pages) The State requires various insurance. Please use drop down box in each section indicating YES if you have the required insurance or NO if you do not. You may provide an explanation after each section of challenges that you face. 1. "The Contractor shall obtain,and maintain at all times during the term of the agreement,insurance in the following kinds and amounts: a. Workers Compensation Insurance as required by state statute and Employer's Liability Insurance covering all of the contractor's employees acting within the course and scope of their employment. Yes 1.a. Issues or Explanation b. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalency,covering premises, operations,fire damage,independent contractors, products and completed operations,blanket contractual liability,personal injury,and advertising liability within minimum limits as follows: i. $1,000,000 each occurrence ii. $1,000,000 general aggregate; iii. $1,000,000 products and completed operations aggregate;and iv. $50,000 any one fire. Yes 1.b. Issues or Explanation c.Automobile Liability Insurance covering any auto(including owned,hired and non-owned autos)with a minimum limit as follows: $1,000,000 each accident combined single limit. N/A(Not Applicable) 1.c. Issues or Explanation 2. The State of Colorado is named (or will be named within 7 business days of the effective date of the contract)as additional insured on Commercial General Liability and Automobile Liability Insurance policies(leases and construction contracts will require the additional insured coverage for completed operations on endorsements CD 2010 11/85,CG 2037 or equivalent). Coverage required of the contract will be primary over any insurance or self-insurance program carried by the State of Colorado. Yes 2. Issues or Explanation 3. The Insurance includes(or will include within 7 business days of the effective date of the contract)provisions preventing cancellation or non-renewal without at least 45 days prior notice to the State by certified mail; Yes 3. Issues or Explanation 4. The contractor will require all insurance policies in any way related to the contract,and secured and maintained by the contractor,to include clauses stating that each carrier will waive all rights of recovery under subrogation or otherwise,against the State of Colorado, its agencies,institutions,organizations,officers,agents,employees and volunteers. Yes 4. Issues or Explanation 5. All policies evidencing the insurance coverage required hereunder shall be insured by insurance companies satisfactory to the State. Yes 5. Issues or Explanation 6. The contractor shall provide certificates showing insurance coverage required by the contract to the State within 7 business days of the effective date of the contract. Yes 6. Issues or Explanation 7. Notwithstanding subsection"a'of this section,if the Contractor is a"public entity"agrees,within the meaning of the Colorado Govemment Immunity Act,CRS 24-10-101,et seq,as amended("Act"),the contractor shall at all times during the term of the contract maintain only such liability insurance by commercial policy or self-insurance,as is necessary to meet its liabilities under the act and shoe proof of insurance upon request. Yes 7. Issues or Explanation MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) NAME AMOUNT State/Local Government Funding NAME AMOUNT Private (including recipient) Funding Fund Raising/Cash Loans Building Value or Lease Donated Goods Donated Computers New Staff Salaries Volunteers ($5.00 per hour) Volunteer Medical/Legal Other(specify) $15,000.00 I certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards (i.e.the value of a donated building used as match in a 2001 award cannot be used as match in !: . This form is a description of the sources and amounts of such match funds,which are not being used as match for any othe federal ro ram. c7/77/O� gnatu e/Title Date Instructions for Completion of Match Certification All applicants are required to complete the Match Certification form. Eligible forms of match are as follows: • The value of salary paid to staff to carry out the ESG Program. • The value of the time and services contributed by volunteers to carry out the program at a rate of$5.00 per hour. • Volunteers providing professional services such as medical or legal services valued at the reasonable and customary rate in the community. •The value of any donated material or building. • The value of any building lease using a method to reasonably calculate fair market value. • Award letters from foundations, organizations, private individuals, and other government sources. Note: These awards must overlap the ESG funding period to be eligible. Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds Private foundation funding $95,000.00 City of Greeley funding $5,000.00 United Way of Weld County $60,000.00 Donations/Fundraisers $75,000.00 Total Additional Funds Committed to the ESG Process $235,000.00 Weld County Housing Authority ��• P.O. 130 Greeley, CO 80632 970 353-7437 111 C. COLORADO I,William H.Jerke Chair Board of County Commissioners Weld County Colorado duly authorized to act on behalf of Weld County hereby approve the following project proposed by Greeley Transitional House to be located in Weld County. BY: 71--,—) _ William H.Jerke,Chair March 31,2008 Certification of Consistency with Consolidated Plan I Carol E. Larsen, Community Development Coordinator certify that Greeley Transitional House activities located in the City of Greeley is consistent with the Consolidated Plan for the City of Greeley Carol E. Larsen Community Development Coordinator March 31, 2008 EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS Jodi Hartmann (name of chief elected official or appropriate non-profit signatory) Greeley Transitional House of (town, city, county or nonprofit organization)which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U.S. Department of Housing and Urban Development(HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Political activities will be prohibited in accordance with subsection 675 (e) of the Community Services Block Grant Act of 1981. The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 576.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by Section 832(e) of the Cranston-Gonzalez National Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment exempts the first$100,000 from the matching requirement and requires that the benefit of the $100,000 exemption be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(ii) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B)that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E)occur a week before eviction,foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(iii) concerning that submission by nonprofit organizations applying for funding of a certification of approval of the proposed project(s) from the unit of local government in which the proposed project is located. The requirements of 24 CFR 576.51(b)(2)(v) concerning the funding of emergency shelter in hotels or motels or commercial facilities providing transient housing. The requirements of 24 CFR576.56(a)(3) concerning the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 concerning the prohibition of conflict of interest or financial interest in decision-making by elected officials, appointed officials, staff or board of directors except as may be granted by HUD as provided in 570.611(d). The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 576.77, concerning assistance to the homeless. The requirements of 24 CFR 576.79, other appropriate provisions of 24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. The requirements of 24 CFR 576.80 concerning minimizing the displacement of persons, as a result of a project assisted with these funds. The requirements of 24 CFR 576.80 concerning the Uniform Relocation Assistance and Real Acquisition Policies Act of 1970. The requirement of the Cranston-Gonzalez National Affordable Housing Act (Public Law 101-625, November 28, 1990 contained in Section 832(e)(2)(C) that grantees develop and implement procedures the ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency Shelter Grants Program" will, except with written authorization of the person or persons responsible for the operation of such shelter, not be made public." The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104(g) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities, as specified in 24 CFR Part 58, and as applicable to activities of nonprofit organizations. The requirement that no Federal appropriated funds have been paid, by or on behalf of the local government or nonprofit organization, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal loan, the entering into of any cooperative agreement, and modification of any Federal contract, grant, loan or cooperative agreement. The requirement that if any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the local government or nonprofit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The requirement of disclosure specified in Subpart C of 24 CFR Part 12 regarding assistance from other HUD-funded programs. The requirement that the local government or nonprofit organization shall require that the language of the PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all standards at all tiers including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements and that all subrecipients shall certify and disclose accordingly. The requirement that(68 Fed. Reg. 43430)agencies receiving funding from the Emergency Shelter Grant Program become compliant with Homeless Management Information System (HMIS)as required by the Department of Housing and Urban Development. The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or nonprofit organization possesses legal authority to carry out emergency shelter grant activities in accordance with applicable law and regulations of the Department of Housing and Urban Development. J••' Hartmann, Executive Director (Nam• and Titl ) 3/27/2008 Si•-cure Date All ESG proposals must comply with the CDOH Performance Measurements and Outcomes. I have read the performance and outcome measurements as shown below and understand that these may differ from measurements required by HUD. (Please Use Drop Down Box) YES Performance Measurements and Outcome Requirements Objective: Serve the lowest income and hardest to serve individuals and families meeting critical housing needs through state and federal initiatives by creating a suitable living environment or decent affordable housing. Funding Source: ESG Activity: ESG Funding Objectives/Outcomes: 1. End chronic homelessness and move homeless families and individuals into permanent housing. 2.Availability/accessibility for the purpose of creating suitable living environments. 3. Promote self-sufficiency, efficient use of funds and effective program administration. CDOH Performance Measures/Indicators(Applies to all ESG funded projects): • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • Recipient expended all ESG funds within the established grant timeframe. • Recipient met the deadline for submitting their signed grant agreement. • Recipient met the deadline for submitting evidentiary documents. • Recipient met the deadline for submitting performance reports. • Recipient meets required standards for documentation of homelessness. • Recipient complies with required record keeping methods. • Recipient complies with the due process of terminating ESG funded assistance of participant. • Amount of money leveraged. • Does recipient have current non-corrected and/or corrected findings from previous compliance reviews? CDOH Performance Measures/Indicators specific to ESG-Funded Shelter and Transitional Housing: • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • The total number of adults and children served on an annual basis (reported under Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Homeless Prevention: • Number of persons assisted with ESG funds for eviction notices. • Number of persons assisted with ESG funds for utility termination notices. • Number of persons assisted with ESG funds for security deposits and/or first month's rent. • The total number of adults and children served on an annual basis (reported under Non-Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Essential Services: • Number of homeless persons that received ESG funded services concerned with employment. • Number of homeless persons that received ESG funded services concerned with health. • Number of homeless persons that received ESG funded services concerned with substance abuse. • Number of homeless persons that received ESG funded services concerned with education. • Number of homeless persons that become successfully independent of ESG funded services. • Number of homeless persons that return to their prior living situation • The total number of adults and children served on an annual basis (reported under Non-Residential Services). • The number of persons served by race and ethnicity. COPY OF YOUR 501 (c)(3) Ruling COPY OF YOUR LAST AUDIT W-9 (Attached as a separate document in this packet) Substitute Form REQUEST FOR TAXPAYER IDENTIFICATION State of Colorado W-9 NUMBER(TIN)VERIFICATION Do NOT send to IRS PRINT OR TYPE RETURN TO ADDRESS BELOW Legal Name (OWNER OF THE FIN OR SSN AS NAME APPEARS ON IRS OR SOCIAL SECURITY ADMINISTRATION RECORDS) DO NOT ENTER THE BUSINESS NAME.OF A SOLE PROPIEFORSHIP ON TIIIS LINE-Sec Rcversc for important Infomminn �srte/ -A/ /ratmiiinnal 416e- Trade Name--complete only if doing business as(D/B/A) Remit Address /2o1, //, Sire/k, Greeley, CCU 8643/ Purchase Order Address—Optional PART II See Pat II Instructions on Bads of Form Check legal entity type amd enter 9 digit Taxpayer Identification Number(TIN)below Do Not enter an SS\or L I\that may not (SSN=Social Security Number EIN=Employer Identification Number) assigned to the legal name entered above n Individual (Individual's SSN) --- NOTE rennineu deed on JainAmomt when lure is more to cee case to comber will to mankind to be that cilia fire relished --- -- — n Sole Proprietorship (Owner's SSN or Business EIN) SSN — ____ Note: Enter both the owner's SSN and the business EIN(if you are required to have one) EIN n Partnership O General O Limited (Partnership'S EIN) n Estate/fnist (Legal Entity's BIN) NOTE Do not furnish be iderifrnm caber of the pasted eprsentaw or aurme edam the legal Fatty itself is net devpu*N in at account tiaa lit aid drde me neat of me legal Mist,mar;or maim amt n Other > _ (Entity's EIN) Limited Liability Company,Joint Venture,Club,etc. —— — nCorporation Do you provide medical services? O Yesfl No (Cup's BIN) _ Includes corporations providing medical billing services -- nGovernment(or Government Operated)Entity (Entity's BIN) gi Organization Exempt from Tax under Section 501(a) Sip/ X3) (pig's EIN) � Do you provide medical services? Yes O No ( -1 YO-t6- I I Check Here if you do not have a SSN or EIN,but have applied for one. See reverse for information on How to Obtain A TIN I 1 Licensed Real Estate Broker? O Yes O No Under Penalties of Petjury,I certify that: (1) The number listed on this form is my correct Taxpayer Identification Number(or I am waiting for a number to be issued to me)AND (2) I am not subject to backup withholding I rm'w: (a)tam exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service (IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding(does not apply to real estate transactions,mortgage interest paid,the acquisition or abandonment of secure property, contribution to an individual retirement arrangement(IRA),and payment other than interest and dividends). CERTIFICATION INSTRUCTIONS—You must cross out item(2)above if you have been notified by the IRS that you are currently subject to backup withholding because of under reporting interest or dividends on your tax return. (See Signing the Certification on the reverse of this form.) THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE YOUR CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATIONS REQUIRED TO AVOID BACKUP WITHHOLDING. / /�t,� ,[� NAME(Print or Type) J di (40(4 TITLE(Er or T ) CUY-/ve I(J/'CLt f ol/� AUTHORIZED SIGNATURE - DATE d et PHONE( 9'o )s -'3.7/1- DO NOT WRITE B W THIS RETURN BOTH COPIES TO ADDRESS ABOVE AGENCY USE ONLY Agency Approved by Date 1099: Yes_ No_ Action Completed by Date VENDOR: Addition Change 615-82-50-7093(R 4/97) Internal Revenue Service Department of the Treasury P. 0. Box 2508 Date: October 29, 2003 Cincinnati, OH 45201 Person to Contact: Viola Wahoff 31-07420 Greeley Transitional House, Inc. Customer Service Representative Transitional House Toll Free Telephone Number: 12.02 Sixth Street 8:00 a.m.to 6:30 p.m.EST Greeley, CO 80631 877-829-5500 Fax Number: 513-263-3756 Federal identification Number: 84-1045958 Dear Sir or Madam: This is in response to your request of October 29,2003, regarding your organization's tax-exempt status. in June 19B7 we issued a determination letter that recognized your organization as exempt from federal income tax. Our records indicate that your organization is currently exempt under section 501(c)(3) of the Internal Revenue Code. Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a)of the Code because it is an organization described in • sections 509(a)(1) and 170(b)(1)(A)(vi). This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990, Return of Organization Exempt from income Tax, only if its gross receipts each year are normally more than$25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of$20 a day, up to a maximum of$10,000, when a return is filed late, unless there is reasonable cause for the delay. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act(social security taxes) on remuneration of$100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. -2- Greeley Transitional House, Inc. 84-1045958 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return. In this letter,we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. Section 6104 of the Internal Revenue Code requires you to make your organization's annual return available for public inspection without charge for three years after the due date of the return. The law also requires organizations that received recognition of exemption on July 15, 1987, or later,to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to-any individual who requests such documents in person or in writing. Organizations that received recognition of exemption before July 15, 1987, and had a copy of their exemption application on July 15, 1987, are also required to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing. For additional information on disclosure requirements, please refer to Internal Revenue Bulletin 1999- 17. Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep it with the organization's permanent records. If you have any questions, please call us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status. Sincerely, ----07e")SC-17aq*, John E. Ricketts, Director, TE/GE Customer Account Services George W. DoeringWCR Family64 Foundation 14495 Greeley, CO 80631 December 19, 2007 Greeley Transitional House 1206 10th Street Greeley, CO 80631 Dear Friends, Enclosed is our donation for$15,000. We are happy to be part of your program which benefits many people in our community. Sincerely, 0�1� Gayle CSoering George W. Doering Family Foundation I��EF��sn*s�rm.nym¢-rn:-r.G 22r+n it em __,: c II GEORGE W. DOERING � . i! FAMILY i2 sow :. IjI' iaass��RDATION � 'o it GREELEY, Cp Ba 1 ,� 124 6 � 80631 �2'�^ygTM 11 �i!�i/r_1_2z__- �: ,k, �l, Greeley Transi1_9_:_-9J — fr: c tiona�ouse �L r .fteen thousand _ II sand and no1100- J $ 15, 000. 00 1 I _ kiI/' 0 UnTIMM ion Colony Bank _' � ' ,- l` ll nMR�]�MM M I. - Urrnr_ �On"'-IOL] i�l � z X033 _' 30 3837 n. Co—' t 3070 53� 0V II� �T�.nmw'rysn ru'ra,>a rr� r�uxaan�-rn0 �Q�:2}�/� ip',� _-- V/ m. III �am'c'ni zr._nn ma cca ni J�. LtT LT:I United fr n Way UNITED WAY OF WELD COUNTY 2007-2008 REQUEST FOR REIMBURSEMENT FORM Second Payment Request with First Quarter Unit Report and Financial statement attached X Third Payment Request with Second Quarter Unit Report and Financial statement attached Final Payment Request with Third Quarter Unit Report and Financial statement attached. Prerequisite: all contracted clients for the fiscal year must be expended. Initial Payment Request(for next funding cycle) with Final Annual Report, Fourth Quarter Unit Report and Financial statement. AGENCY NAME: Greeley Transitional House CONTACT PERSON & phone: Jodi Hartmann, 352-3215 Under normal circumstances all Requests for Reimbursements received by the 5th day of the month, will be funded by the 20th day of the month. $ $18,546.96 United Way of Weld County TOTAL Allocation for this year (-) $ $9,273.48 -_ TOTAL amount of all previously received payments this year (-) $ $4,636.74 _ Amount of this request (25% of Allocation or less) (_) $ $4,636.74 Balance of Allocation Executive Director ignature Title Jodi Hartmann 1/14/08 Printed Name Date I I Report On The Audit Of GREELEY TRANSITIONAL HOUSE,INC. Greeley,Colorado December 31,2006 1 1 1 I I I I I I I Brock & Associates, P.C. Certified Public Accountants I I Brock & Associates, P.C. Jim Brock,CPA Certified Public Accountants James Kloxin,CPA I June 13, 2007 I Board of Directors Greeley Transitional House, Inc. Greeley, Colorado • We have audited the accompanying financial statements of the Greeley Transitional House, Inc., as of and for the year ended December 31, 2006, as listed in the table of contents. These financial statements are the responsibility of the Agency's management. Our responsibility is to express an opinion on these financial statements based on the audit. We conducted the audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and I significant estimates made by management, as well as evaluating the ovuall financial statement presentation. We believe that the audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Greeley Transitional House, Inc., as of December 31, 2006, and the results of its operations and changes in net assets and cash flows for the year then ended,in conformity with generally accepted accounting principles. Respectfully submitted, 3,n/ OCla J ge. Brock&Associates,P.C. Certified Public Accountants I 4631 W. 20th Street Road,Suite 101 • Greeley,CO 80634 (970) 356-7994 • FAX (970) 304-9421 I GREELEY TRANSITIONAL HOUSE,INC. I Greeley,Colorado Statements of Financial Position December 31,2006 and 2005 I2006 2005 ASSETS ICurrent Assets Cash and Cash Equivalents (Note 1) 7,393 42,112 I Marketable Equity Securities - 24,090 Grants Receivable 14,135 15,992 Prepaid Expense 1,164 1,723 Deposits 576 - . I Total Current Assets 23,268 83,917 Property Assets I Land and Buildings 518,251 517,851 Equipment and Furniture 22,893 22,893 Less: Accumulated Depreciation (30,803) - (16,077) ' Total Property Assets 510,341 524,667 Total Assets 533,609 608,584 I LIABILITIES AND NET ASSETS Current Liabilities I Note Payable-Line of Credit(Note 2) - - Accounts Payable 1,933 11,453 Payroll Withholding and Taxes Payable 6,760 1,693 I Accrued Compensated Absences - 1,143 il Total Current Liabilities 8,693 14,289 Long Term Liabilities IMortgage Payable (Note 2) 30,645 39,000 Total Long Term Liabilities 39,338 53,289 I Net Assets Unrestricted: Fixed Assets 492,300 524,667 I Undesignated Tot - 28,657 Total Unrestricted 492,300 553,324 Temporarily Restricted 1,971 1,971 ll Total Net Assets 494,271 555,295 Total Liabilities and Net Assets 533,609 608,584 I I liThe accompanying notes are an integral part of these financial statements. Exhibit 1 ll 2 I GREELEY TRANSITIONAL HOUSE,INC. IGreeley,Colorado Statement of Activities For the Year Ended December 31,2006 IWith Summary Information for the Year Ended December 31, 2005 II 2006 Temporarily 2005 Unrestricted Restricted Total Total I Support and Revenue Public Support I Donations 130,483 130,483 216,809 Other Revenues Governmental Grants - 77,960 77,960 218,292 I United Way Funding - 39,087 39,087 40,927 Fund Raising Event 10,955 10,955 - Investment Income 712 - 712 357 . Net Increase(Decrease) in Fair I Value of Investments (1,209) (1,209) 1,686 Gain on Sale of Assets - - - 128,565 Other Income 564 - 564 2,997 Total 141,505 117,047 258,552 609,633 Net Assets Released From I Restrictions Restrictions Satisfied by Payment 117,047 (117,047) - - ITotal Support and Revenue 258,552 - 258,552 609,633 Functional Expenses(Exhibit 4) Program Services 271,392 - 271,392 267,882 I Management and General 26,064 26,064 22,384 Fund Raising 22,120 22,120 20,340 I Total Functional Expenses 319,576 - 319,576 310,606 Increase(Decrease)in Net Assets (61,024) (61,024) 299,027 Net Assets -Beginning of Year 553,324 1,971 555,295 256,268 INet Assets -End of Year 492,300 1,971 494,271 555,295 I I I IThe accompanying notes are an integral part of these financial statements. Exhibit 2 I3 I I GREELEY TRANSITIONAL HOUSE,INC. Greeley, Colorado Statements of Cash Flows IFor the Years Ended December 31,2006 and 2005 2006 2005 Cash Flows From Operating Activities Increase (Decrease)in Net Assets (61,024) 299,027 I Adjustments to Reconcile Increase in Net Assets to Net Cash Provided by (Used by) Operating Activities: I Depreciation 14,726 12,169 Gain on Sale of Assets (128,565) Unrealized(Gains) Losses - Securities - (1,686) I (Increase)Decrease in Assets: Grants Receivable 1,857 (2,053) Prepaid Expense 559 1,954 Deposits (576) 19,078 IIncrease(Decrease) in Liabilities: Accounts Payable -Trade (9,520) 8,003 Payroll Taxes Payable 5,067 (2,960) Accrued Compensated Absences (1,143) (12,509) Net Cash Provided(Used)by Operating Activities (50,054) 192,458 I Cash Flows From Investing Activities Proceeds from Sale of Investments 23,690 175,000 Purchase of Property Assets - (547,149) I Net Cash Provided(Used)by Investing Activities 23,690 (372,149) Cash Flow from Financing Activities Mortgage Loan Proceeds - 267,500 IMortgage Loan Payments (8,355) (228,500) Net Cash Provided(Used)by Financing Activities (8,355) 39,000 I Net Change in Cash and Cash Equivalents (34,719) (140,691) Cash and Cash Equivalents - Beginning of Year 42,112 182,803 Cash and Cash Equivalents - End of Year 7,393 42,112 INoncash Activities Increase in Market Value of IEquity Securities - 1,686 I I IThe accompanying notes are an integral part of these financial statements. Exhibit 3 I4 I GREELEY TRANSITIONAL HOUSE,INC. IGreeley, Colorado Statement of Functional Expenses For The Year Ended December 31,2006 IWith Summary Information for the Year Ended December 31, 2005 IISupporting Services Program Management Fund Totals I Services and General Raising 2006 2005 Salaries and Wages 175,592 17,518 15,571 208,681 192,155 Payroll Taxes 15,989 1,614 1,435 19,038 15,383 I Depreciation 13,842 442 442 14,726 12,169 • Utilities 13,499 431 431 14,361 12,890 Employee Benefits 10,428 1,115 991 12,534 15,589 1 Program Expenses 8,361 - - 8,361 17,964 Insurance 6,204 327 6,531 4,764 I Professional Fees 2,528 3,792 - 6,320 3,950 • I Repairs and Maintenance 5,305 - - 5,305 4,275 Telephone 3,315 183 292 3,790 4,015 Advertising 1,722 - 1,722 3,444 1,118 1 Office Expenses 2,804 134 214 3,152 2,913 Training 2,382 127 203 2,712 2,686 ! Household Supplies 2,326 - - 2,326 9,015 I Mortgage Interest 2,186 70 70 2,326 5,581 Travel Expenses 1,819 1,819 969 Rental Expense 880 28 28 936 2,252 Employee Appreciation 700 40 64 804 - 0 Dues 417 205 - 622 467 Donor Recognition 594 594 99 i Postage 441 25 41 507 950 Other Expense 414 414 1,402 Bank Charges 236 13 22 271 i Resident Emergency 2 - - 2 - ITotals 271,392 26,064 22,120 319,576 310,606 i I II I I I 0 The accompanying notes are an integral part of these financial statements. Exhibit 4 I5 GREELEY TRANSITIONAL HOUSE,INC. Greeley,Colorado Notes to Financial Statements December 31,2006 Note 1 - Summary of Significant Accounting Policies Nature of Activities The Greeley Transitional House,Inc. operates a temporary housing facility for homeless families in Greeley,Colorado. • Business Activity The financial statements have been prepared on the accrual basis of accounting in accordance with generally accepted accounting principles. Public Support and Revenue Grants and other contributions of cash are reported as temporarily restricted support if they are received with donor stipulations that limit the use of the donated assets. When a donor restriction expires, that is, when a stipulated time restriction ends or purpose restriction is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions. Donated materials and equipment are reflected as contributions in the accompanying statements at their estimated values at date of receipt. No amounts have been reflected in the statements for donated services, since no objective basis is available to measure the value of such services. Nevertheless, a substantial number of volunteers have donated significant amounts of their time in the Agency's program services and its fund-raising campaigns. Income Tax Status The Agency qualifies as a tax-exempt organization under Section 501(c)(3)of the Internal Revenue Code and,therefore,has no provision for federal income taxes. Cash and Cash Equivalents The Agency considers all highly liquid investments purchased with a maturity of three months or less to be cash equivalents. The Agency places its temporary cash investments with high credit quality financial institution. At times, such balances and temporary investments may be in excess of FDIC insurance limits. 6 GREELEY TRANSITIONAL HOUSE,INC. Greeley,Colorado Notes to Financial Statements December 31,2006 Note 1 - Summary of Significant Accounting Policies (Continued) Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly,actual results could differ from those estimates. • Building and Equipment Building and equipment are valued at cost or fair market value at date of acquisition. Depreciation of buildings and equipment is provided on a straight-line basis over a useful life of 7 to 40 years. Functional Expenses Expenses are charges to program services and supporting services based on direct expenditures incurred. Any expenditures not directly chargeable are allocated to a program based on related salary expenses. Note 2 Mortgage Payable Detail Payee Current Long Term Total Wells Fargo, Interest Rate 7.95% due 1/4/22, secured by Real Estate at 1206 10th St., Greeley, CO - 30,645 30,645 Note 3 -Note Payable—Line of Credit Payee Current Long Term Total Wells Fargo, Interest Rate 2% over prime, annually renewable $25,000 line of credit, unsecured - - 7 Application for Colorado Division of Housing (CDOH) ,xtom� EMERGENCY SHELTER{ � � GRANT� ASSISTANCE 2008 �r t _"^'Xn. �F # .`..::vre . i. v' .. °A`PPLIcANT'INFORMATION �! � . s 'd✓�.^s nttx. �.r:x-ssf. ... �� 1. Applicant(Agency) Name and Address • CDH 4r1 $:; For'C"DH eo A Woman's Place, Inc. 3;Dafe e1 GD ForH U e On' i" ' tA �-:e; -5147-7Gore 2`t ..?.L i -` :; '' :t aye •y o e _� Ln 5. Name of Contact Person for Application (drop 6. Phone 7. FAX 8. EMAIL down box) Ellen Szabo 970-351-0476 970-351-6686 Director@awpdv.org s Y A - n 5 hT c v. = e1� P ® . , s,»nx...xv. Lsh_7a.�..»..L.o-L..�.. _.,.._ t ..,. ;x so-z..r. ..u, wr�stx;�.k.1�C ,�i � 'n 9.. Municipality/County 10. Housing Authority 11. Nonprofit Organization ❑ ❑ it ❑ Please attach 501 (c) (3)ruling. 12. Federal Identification Number(Use drop down box) 8 4 — 0 8 1 1 5 9 6 13. Project Service Area(List counties served)Weld County 14. How many years has your agency been in operation? 31 15. Population(s) Served: XD Men XD Women XD Families X❑Youth XD Domestic Violence 16. Type and Characteristics of Programs for which ESG Assistance is Requested X❑Emergency Shelter Maximum Capacity per Night 28 Maximum Stay 30 Nights ❑Day Shelter Maximum Capacity Average Number of Clients Served per Day ['Transitional Total Units Maximum Length of Stay Average Stay ['Homeless Prevention: Number of Families expected to Serve with ESG and Match Funds Each Year Are ou re.uestin. dollars for a new .ro.ram in this re.uest? No If es, aro.ram name -�:. ��f �av a n.: r 4 ..� �s a. t: b �i;"n ;..ip ...'� {' rt 4Y`'F,' s�' ,i,. ''�. y: �r�•t „� }}p.�•'�, -, "1-143:71 41.4:21,7,47SMaaripoqiitBsogion.ckiaki?4,1 17. Name of Local Elected Official or Authorized Agency 18. Title of Local Elected Official or Authorized Representative (drop down box) Representative Executive Director Mr. Ellen Szabo A- 19. Signa ure of u oriz Representative 20. Date 3/24/2008 BUDGET Line Item 21. Operations 22. Essential 23. Homeless 24. Administration _ Services Prevention Local govts w subgrants Case Management $14,000.00 Utilities $6,000.00 Repairs/Maintenace $2,000.00 Insurance $2,000.00 25. SUBTOTAL $10,000.00 $14,000.00 26. TOTAL REQUEST: $ $24,000.00 27. Match Source(s) and Amount: Name Amount Name Amount Additional S.ace on •a'e 13) } »O ® 1:'P f7J: 'J J9,1, i ':. 7rrt "`` 28. Please provide an explanation of your proposed proiect budget and provide documentation of your need for requested categories of Operations, Staff Operations, Essential Services and Homeless Prevention. Please also provide the following: • If you are requesting Operations, please identify any operating staff for which you are requesting funding. • (b)If you are requesting an increased level of funding or a new service under Essential Services, you must demonstrate that a new/increased level of need exists and ESG funding will not replace governmental funding. • (c) If you are requesting Homeless Prevention funding, please explain how you will ensure that your clients meet HUD requirements for homeless prevention assistance. All requests should be eligible, necessary and reasonable. You may also use the following page for the budget if necessary. Due to significant funding cuts from the City of Greeley and United Way, A Woman's Place is actively seeking alternative sources of funding. Though we are experiencing funding cuts, in order to meet the needs of our community we are expandinc the services we provide. Our expansion includes the addition of prevention and treatment counseling program and the continued expansion of the legal advocacy and outreach programs (legal advocacy services provided increased by 706% fron 2006 to 2007). With this expansion we expect an increase in the need for case management for residential clients and thus we are increasing our case management request by $7,000.00. A Woman's Place offers 24 hour emergency shelter and services, and the utilities and maintenance costs associated with this level of business have increased significantly. As operational costs have increased due to inflation and the rising price of gas A Woman's Place has doubled its request in the area of utilities, insurance and repairs and maintenance, � V IMAM .VATIO','.O,A0,�A'r'ii�'f�'' l sk 9 EXPLANATION AND DOCUMENTATION)" (28. CONTINUED). YOU MAY CONTINUE YOUR BUDGET EXPLANTION ON THIS PAGE (IF NEEDED) • Mee.- 1 ..'.. EXTENT AND URGENCY"OF=THE-NEED 29. What is the need to be addressed? How urgent is the need? Please provide local data or statistical information (waiting list, number of clients turned away, etc.) that supports the needs your agency will address. Please use only the space allotted. There is significant, critical need for domestic violence services in Greeley and throughout Weld County. In 2006, 1,240 cases that had references to domestic violence were heard in the Nineteenth Judicial Courts. The Greeley Police Department intervened in domestic violence incidents at the rate of 431 per year, and the Sheriffs Office at 272 per year(stats from 2006). It is difficult to estimate the number of unreported domestic violence crimes, but incidence of domestic violence in Weld County is even greater than these statistics indicate. It is important to note that, according to the results of a 2003 ACLU report** 56% of homeless women in Chicago, 50% of homeless women in San Diego, and nearly 50% of homeless women in New York were homeless due to domestic violence. 100% of A Woman's Place residential clients are homeless due to domestic violence. In 2007, A Woman's Place provided 2273 nights of shelter to 115 women and 129 children. Staff took 1045 crisis calls and 4127 information and referral calls. 29 women and their children were turned away in 2007 due to lack of space. As our Legal Advocacy and Outreach services continue to expand, and with the implementation of a much needed counseling program, A Woman's Place expects to serve an increased number of clients throughout 2008 and into 2009. **pleaseseewww.aclu.org/Fi1esPDFs/housing%20paper.4 .pdf for the entire report.** a r, t w g. ue aK` x j Y i ro re `k li rt .-'"= ',;�i"'&,-`' +�S S k".l-" p sq t ₹ rt a; vianitik��'�;��t ' 5rr' S5 �J �i�� z e �� a :s z':�- � �5 ) k ;yt� - ,, . t '14 3. e ₹. r;₹ -Fz s o ''- r "P`4r r i f ra : r .. ; 30. Describe your project plan to assist the target population as it directly relates to the need addressed in Line 29. Please use only the space allotted. (Be sure to include the geographical areas and specific activities that you plan to provide). If this proposal is requesting funding for more than one activity(Essential Services, Operations/Staff Operations, Prevention), describe each separately. A Woman's Place is asking for funding in the areas of Essential Services, Operations, and Prevention but as an organization that is based in a residential safehouse it is difficult for us to separate these into three separate categories. A Woman's Place offers a continuum of services for women and children who are victims/survivors of domestic violence. Our services include: screenings, intakes and crisis intervention 24 hours per day, 365 days per year, prevention and treatment counseling services, crisis and domestic violence support for victims of domestic violence; educational and support groups for residents and nonresidents; individual and group education/support for children and adolescents; parenting support and education; 24 hour phone coverage for crisis, domestic violence advocacy, and information/referral; and legal advocacy. Our services promote the self-sufficiency goals of the agency. All our services are free, confidential, and offered in English and Spanish. We have contracted with a 24 hour confidential interpretation service that provides interpretation in over 150 languages. In 2005 we created a 30 day self-sufficiency program designed to assist women and their children to lead safer lives and access resources necessary to becoming economically independent. In 2007 we expanded our legal advocacy services, including establishing a presence in the courthouse where we can be more available to victims of domestic violence seeking protection orders. In 2008 we are offering Prevention and Treatment Counseling, providing group and individual domestic violence counseling services for resident and nonresident clients. '1'1°117"; Or's- S 31. Provide a plan for the future financial stability of the proposed project. (How will the program continue in the future if ESG funding is no longer provided?) If this proposal is requesting funding for more than one activity(Essential Services, Operations, Prevention), describe each. A Woman's Place is requesting funding in the areas of Essential Services, Operations, and Prevention but as an organization that is based in a residential safehouse it is difficult for us to separate these into three separate categories. A Woman's Place has multiple sources of funding and so does not depend on any one source for the continued operation of our programs.We are implementing a strategic plan for expanding our grant funding, as well as expanding our fund raising and donor revenue. We are requesting increased funding from ongoing grantors based upon the merit of our service provision history and our careful planning and development of these expanded services. Our donor base and fund raisers have responded very positively to our demonstrated success in areas of staff and programmatic development of client services. Ours is a project that responds to a genuine and critical need in the Weld County community, and we have a demonstrated record in ethical, responsible and knowledgeable service provision. At this time, we are experiencing significant funding cuts from the City of Greeley and United Way. We expect to have continued funding from grantors such as VAWA, VOCA, VALE Weld and DAAP, and hope to have continued funding from EFSP, ESG and the Housing Authority. We have recently been awarded significant grants from several foundations, and also from smaller grantors. We will continue to research and apply for appropriate grants to support our operations. In addition, our donations and fund raisers continue to grow. In 2006 A Woman's Place co-founded, with three other agencies (A Kid's Place, c.a.r.e. and Eldergarden) For Goodness Sake. For Goodness Sake is a collaboration that assists us with resource sharing, raising awareness of our agencies in the community, and also has a fund raising component. We expect this fund raising component to grow. r-• .... eau ; • "a'-9'^, .. t..sz >,z m^^s %xk ,.vw :,- �s ;;.. " S =' na ^f EVx,t ' ": tr ' i ''x ' .,ats �. 32. Explain below any experience your organization or unit of local government has in implementing the activities that you have proposed in this application. Specifically, include the years of experience of staff and/or organization that will be administering the ESG funds. Where your organization and staff lack experience, explain how you will obtain the technical assistance needed to administer and complete the project. All staff works under the supervision of Executive Director, Ellen Szabo, M.Ed. Ellen is a graduate of Harvard College(A.B. and Teacher's College, Columbia University (M.Ed.) and has worked in the field of counseling for over 20 years. All direct services staff are supervised by a licensed Clinical Psychologist who has over 20 years experience in the field. All Counselors have regular supervision from the Clinical Supervisor, and must have a Masters degree or be working toward a Masters degree. All Advocates must either have a Bachelors degree or be working toward that degree, or have an Associat Degree. All staff and volunteers who work directly with clients must have an initial 15 hours of training in victims advocacy. In addition, staff attends regular trainings including, but not limited to, Victims Rights, Cultural Awareness/Diversity, Child Abuse reporting, and trainings sponsored by COVA and CCADV. All staff are required to attend a 40 hour domestic violent training conducted by A Woman's Place and regularly scheduled in-services to keep current on issues related to domestic violence. 'at=.y -h'rt₹r ! r r° -F<. Gtv g •j'" x c v r ., ea . .� . , . .. .w ^ z. _..,,_. . ., SHELTER CHARACTERISTICS 2006-2007 ACTUAL From 2007-2008 PROJECTED From HMIS? HMIS? 33. Beds (including cribs) 28 " F m F`.:a 28 *f + , -r 14 34. Sleeping Rooms 8 " 8 " s� ..' { t .��'. 35. Total Families Served 63 85 36. Total Persons in Families 192 193 37. Total Individuals Served 52 52 38. Total Shelter Nights 2273 2500 AVE SST PER,PERSON R HOU4.SEHOLD SERVED WITHTESG FUNDING 39. What is the average cost per person served for each of your ESG-funded activities? $192.93 per night of stay (Total Activity Budget/#Unduplicated Clients) ..tc `'f *.916 al;:a• s3 .g, S. _.. .. . re. _ � wti '�` crass 'Af t",; -_,._ ,..,.1;0.s �3* swan 40. Client Paid Hours 0 `Due to the sensitive nature of domestic violence we are unable to require clients to work for us. 41. Client Unpaid Hours 0 42. Are ou a .articipatin. member of our local Continuum o. Care ? Yes ❑ or No x❑ mL; s" Tt.rs 1';p n %,$+ .9 ''!: 'ff a] ® s i e dxaA ' ® • ki+s' > a * ,n r..x. -: 'e .� '-' -.y';'' n e Q.�STYZ .C L . } I . ss S -^ 2 — g5ct -,:.1 °L4.,....4- .1.-:.'t ,:.1 °sfea 'YaPL .2J', e e v ' a i !i5 b� ₹ a 0 .} � � r u } a „xtk � �-l^`{� �Y� F. ' � 3j� Y a�9s any. e a s e & 43. Shelter Information and Referral X Yes 44. Emergency Shelter X NA 45. Transitional Housing Greeley Transitional House NA 46. Permanent Housing (w/services) Weld County Housing Authority NA 47. Soup Kitchen None NA 48. Case Management X NA 49. Transportation City Bus NA 50. Daycare NA 51. Medical treatment NCMC, Sunrise Clinic NA 52. Substance Abuse Counseling Island Grove Treatment Center NA 53. Psychological X IGTS, UNC, Northrange Behavioral Health NA 54. Employment Job Services of Weld County NA 55. Life Skills/Budgeting X NA 56. Educational Aims, UNC,Weld County School District 6 NA 57. Security Deposit Catholic Charities NA 58. Eviction Prevention Weld County Housing Authority NA 59. Back Mortgage Payments Weld County Housing Authority NA 60. Utility Assistance Payments United Way, Catholic Charities NA CONTINUUM OF CARE NARRATIVE 61. Explain how you coordinate homeless housing, essential services and homeless prevention activities with other local nonprofit agencies and governmental service providers to ensure coordinated case management, non-duplication of services AND access to mainstream resources such as TANF, Food Stamps, Housing Assistance, etc. within your community or Continuum of Care. Domestic Violence creates a population of great vulnerability and impacts the financial, psychological, medical, physical and legal well being of victims. A Woman's Place is the only agency in Weld County that provides safe shelter and a continuum of services specifically for victims of domestic violence. A Woman's Place provides extensive case management services that include assisting clients to access resources including but not limited to: TANF, Food Stamps, Housing Assistance, medical care, mental health and substance abuse care, job searches, educational resources. 62. Explain your organization's financial control system and procedures, and explain how your agency will monitor its activities to ensure that ESG dollars are spent in a timely manner. In order to guarantee financial accountability A Woman's Place has contracted out the position of bookkeeper. The bookkeeper has no signing authority. The Executive Director has"read only" access to QuickBooks. The Executive Director reviews all financials daily, weekly, and monthly. These controls ensure that all financial transactions are reviewed by a third party and the Executive Director on a regular basis. The board treasurer reviews the financials on a monthly basis and the financials are also reviewed at every board meeting. A Woman's Place also engages the services of an outside auditor yearly. Our yearly audit is being conducted at this time and results should be available in March. All grant funds are entered into a spreadsheet that articulates what the funds are designated for, and what the grant cycle is. In addition a face sheet is created for each grant that summarizes grant cycle, designation of funds, matching funds, due dates of billings and reports and any other information that is relevant to the grant award. �.e,.611s =lf5e.u. YG s 'e'dk iv-h ti 1: ..-. AP Tte` veraPtsivvrrt1 Homatss'NEKSEmENT INFoRILATIowsYST msimsr 63. When and where did your agency staff receive training on Homeless Management Information Systems(HMIS)? A Woman's Place attends HMIS meetings to ensure that it is kept informed of the many issues that result from/contribute to homelessness. As a domestic violence shelter A Woman's Place is not required to report to HMIS. 64. List Computer(s)and printers that are/can be dedicated to HMIS: Models, Operating Systems, Storage Capacity N/A 65. How do you ensure that client files are kept confidential? A Woman's Place is bound by law to keep confidentiality. Identifying information is not kept in client files, all clients are assigned a number and the client files are stored in a locked cabinet. Only direct services staff of A Woman's Place has access to these files. Any demographic information kept on the computer system of A Woman's Place for grant purposes does not include names, only client numbers. All grant related information, including critical information for statistics, is kept in a separate file that contains no identifying information. 66. Are you in compliance with HMIS? Please place an "X" in the box that best describes your current HMIS status? ❑ I am a new applicant. ❑ My agency is entering all HUD-required HMIS data elements on a consistent basis. ❑ My agency is in discussions with my systems operator regarding my participation. We have not yet been trained on the HMIS system. ❑ My agency is a new State ESG Applicant, but we enter HMIS information for another Federal grant. ❑ My staff has been trained on HMIS, but I am waiting to upgrade equipment and or training before we fully participate. X❑ My agency is exempt from HMIS. 4 OTHER DOCUMENTS THAT YOU MUST SUBMIT WITH THIS APPLICATION (See attached pages) in The State requires various insurance. Please use drop down box in each section indicating YES if you have the required insurance or NO if you do not. You may provide an explanation after each section of challenges that you face. 1. "The Contractor shall obtain, and maintain at all times during the term of the agreement, insurance in the following kinds and amounts: a. Workers Compensation Insurance as required by state statute and Employer's Liability Insurance covering all of the contractor's employees acting within the course and scope of their employment. Yes 1.a. Issues or Explanation b. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalency,covering premises, operations,fire damage,independent contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability within minimum limits as follows: i. $1,000,000 each occurrence H. $1,000,000 general aggregate; iii. $1,000,000 products and completed operations aggregate; and iv. $50,000 any one fire. Yes 1.b. Issues or Explanation c.Automobile Liability Insurance covering any auto(including owned,hired and non-owned autos)with a minimum limit as follows: $1,000,000 each accident combined single limit. Yes 1.c. Issues or Explanation 2. The State of Colorado is named (or will be named within 7 business days of the effective date of the contract)as additional insured on Commercial General Liability and Automobile Liability Insurance policies(leases and construction contracts will require the additional insured coverage for completed operations on endorsements CD 201011/85,CG 2037 or equivalent). Coverage required of the contract will be primary over any insurance or self-insurance program carried by the State of Colorado. Yes 2. Issues or Explanation 3. The Insurance includes(or will include within 7 business days of the effective date of the contract) provisions preventing cancellation or non-renewal without at least 45 days prior notice to the State by certified mail; Yes 3. Issues or Explanation 4. The contractor will require all insurance policies in any way related to the contract, and secured and maintained by the contractor,to include clauses stating that each carrier will waive all rights of recovery under subrogation or otherwise,against the State of Colorado, its agencies, institutions,organizations, officers, agents,employees and volunteers. Yes 4. Issues or Explanation 5. All policies evidencing the insurance coverage required hereunder shall be insured by insurance companies satisfactory to the State. Yes 5. Issues or Explanation 6. The contractor shall provide certificates showing insurance coverage required by the contract to the State within 7 business days of the effective date of the contract. Yes 6. Issues or Explanation 7. Notwithstanding subsection"a'of this section, if the Contractor is a"public entity"agrees,within the meaning of the Colorado Government Immunity Act,CRS 24-10-101, et seq, as amended ("Act"),the contractor shall at all times during the term of the contract maintain only such liability insurance by commercial policy or self-insurance,as is necessary to meet its liabilities under the act and show proof of insurance upon request. Yes 7. Issues or Explanation 1 MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) NAME AMOUNT State/Local Government Funding NAME AMOUNT City of Greeley $20,625.00 Town of Windsor $4,000.00 Private (including recipient) Funding Fund Raising/Cash Loans Building Value or Lease Donated Goods Donated Computers New Staff Salaries Volunteers ($5.00 per hour) Volunteer Medical/Legal Other (specify) I certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards(i.e.the value of a donated building used as match in a 2001 award cannot be used as match in 2007). This form is a description of the sources and amounts of such match funds,which are not being used as match for any other federal pro ra tamiti-}-x J e_ 2 3/24/2008 t I Date 17 Instructions for Completion of Match Certification All applicants are required to complete the Match Certification form. Eligible forms of match are as follows: •The value of salary paid to staff to carry out the ESG Program. •The value of the time and services contributed by volunteers to carry out the program at a rate of$5.00 per hour. •Volunteers providing professional services such as medical or legal services valued at the reasonable and customary rate in the community. •The value of any donated material or building. •The value of any building lease using a method to reasonably calculate fair market value. •Award letters from foundations, organizations, private individuals, and other government sources. Note: These awards must overlap the ESG funding period to be eligible. Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds United Way 3,000.00 Other 9,000.00 Sub Total: 12,000.00 Expected Donations 32,000.00 Donate a Car 1,000.00 For Goodness Sake 5,000.00 FRIENDS OF A WOMANS PLACE 50,000.00 Cell Phones 300.00 Cheers Ticket Sales 6,250.00 Cheers Silent Auction 15,000.00 Cheers Raffle 8,000.00 Sub Total: 85,550.00 Adolph Coors Foundation 20,000.00 Anschutz Foundation 7,500.00 COMMUNITY FOUNDATION 0.00 Comprecare Foundation 5,000.00 Daniel's Fund 30,000.00 MONFORT 50,000.00 WOMEN'S FUND-WELD" 1,380.00 Sub Total 113,880.00 VALE WELD EQUIPMENT GRANT 5,000.00 CITY OF EVANS 4,100.00 DAAP/ACT 60,000.00 EMERGENCY FOOD 8 SHELTER GRANT 8,000.00 UNITED WAY-WELD 21,805.00 VALE WELD 60,000.00 VAWA 15,433.00 VOCA 38,000.00 WELD COUNTY HOUSING AUTHORITY 17,000.00 Total Additional Funds Committed to the ESG Process $472,768.00 A a Weld County Housing Authority P.O. 130 Greeley, CO 80632 970 353-7437 Ci COLORADO I,William H.Jerke Chair Board of County Commissioners Weld County Colorado duly authorized to act on behalf of Weld County hereby approve the following project proposed by A Woman's Place Inc.to be located in Weld County. BY: YZ.—, - William H.Jerke,Chair March 31,2008 Certification of Consistency with Consolidated Plan I Carol E. Larsen, Community Development Coordinator certify that A Woman's Place Inc. activities located in the City of Greeley is consistent with the Consolidated Plan for the City of Greeley Carol E. Larsen Community Development Coordinator March 31, 2008 EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS Ellen Szabo(name of chief elected official or appropriate non-profit signatory)Executive Director of A Woman's Place, Inc. which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U.S. Department of Housing and Urban Development(HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Political activities will be prohibited in accordance with subsection 675 (e) of the Community Services Block Grant Act of 1981. The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 576.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by Section 832(e) of the Cranston-Gonzalez National Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment exempts the first$100,000 from the matching requirement and requires that the benefit of the $100,000 exemption be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(ii) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B) that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E)occur a week before eviction, foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(iii) concerning that submission by nonprofit organizations applying for funding of a certification of approval of the proposed project(s) from the unit of local government in which the proposed project is located. The requirements of 24 CFR 576.51(b)(2)(v) concerning the funding of emergency shelter in hotels or motels or commercial facilities providing transient housing. The requirements of 24 CFR576.56(a)(3) concerning the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 concerning the prohibition of conflict of interest or financial interest in decision-making by elected officials, appointed officials, staff or board of directors except as may be granted by HUD as provided in 570.611(d). The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 576.77, concerning assistance to the homeless. The requirements of 24 CFR 576.79, other appropriate provisions of 24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. 17 The requirements of 24 CFR 576.80 concerning minimizing the displacement of persons, as a result of a project assisted with these funds. The requirements of 24 CFR 576.80 concerning the Uniform Relocation Assistance and Real Acquisition Policies Act of 1970. The requirement of the Cranston-Gonzalez National Affordable Housing Act (Public Law 101-625, November 28, 1990 contained in Section 832(e)(2)(C) that grantees develop and implement procedures the ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency Shelter Grants Program"will, except with written authorization of the person or persons responsible for the operation of such shelter, not be made public." The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104(g) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities, as specified in 24 CFR Part 58, and as applicable to activities of nonprofit organizations. The requirement that no Federal appropriated funds have been paid, by or on behalf of the local government or nonprofit organization, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal loan, the entering into of any cooperative agreement, and modification of any Federal contract, grant, loan or cooperative agreement. The requirement that if any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the local government or nonprofit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The requirement of disclosure specified in Subpart C of 24 CFR Part 12 regarding assistance from other HUD-funded programs. The requirement that the local government or nonprofit organization shall require that the language of the PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all standards at all tiers including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements and that all subrecipients shall certify and disclose accordingly. The requirement that(68 Fed. Reg. 43430) agencies receiving funding from the Emergency Shelter Grant Program become compliant with Homeless Management Information System (HMIS) as required by the Department of Housing and Urban Development. The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or nonprofit organization possesses legal authority to carry out emergency shelter grant activities in accordance with applicable law and regulations of the Department of Housing and Urban Development. Ellen Szabo Executive Director (Na d Title) 3/24/2008 gna r Date 1R r. v `rI70}f 'ERraiai`AN-00V1EASUREMEfT1T^5,AIVD CittfeC5 5 : °' 4\t £`. All ESG proposals must comply with the CDOH Performance Measurements and Outcomes. I have read the performance and outcome measurements as shown below and understand that these may differ from measurements required by HUD. (Please Use Drop Down Box) YES Performance Measurements and Outcome Requirements Objective: Serve the lowest income and hardest to serve individuals and families meeting critical housing needs through state and federal initiatives by creating a suitable living environment or decent affordable housing. Funding Source: ESG Activity: ESG Funding Objectives/Outcomes: 1. End chronic homelessness and move homeless families and individuals into permanent housing. 2. Availability/accessibility for the purpose of creating suitable living environments. 3. Promote self-sufficiency, efficient use of funds and effective program administration. CDOH Performance Measures/Indicators (Applies to all ESG funded projects): • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • Recipient expended all ESG funds within the established grant timeframe. • Recipient met the deadline for submitting their signed grant agreement. • Recipient met the deadline for submitting evidentiary documents. • Recipient met the deadline for submitting performance reports. • Recipient meets required standards for documentation of homelessness. • Recipient complies with required record keeping methods. • Recipient complies with the due process of terminating ESG funded assistance of participant. • Amount of money leveraged. • Does recipient have current non-corrected and/or corrected findings from previous compliance reviews? CDOH Performance Measures/Indicators specific to ESG-Funded Shelter and Transitional Housing: • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • The total number of adults and children served on an annual basis (reported under Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Homeless Prevention: • Number of persons assisted with ESG funds for eviction notices. • Number of persons assisted with ESG funds for utility termination notices. • Number of persons assisted with ESG funds for security deposits and/or first month's rent. • The total number of adults and children served on an annual basis(reported under Non-Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Essential Services: • Number of homeless persons that received ESG funded services concerned with employment. • Number of homeless persons that received ESG funded services concerned with health. • Number of homeless persons that received ESG funded services concerned with substance abuse. • Number of homeless persons that received ESG funded services concerned with education. • Number of homeless persons that become successfully independent of ESG funded services. • Number of homeless persons that return to their prior living situation • The total number of adults and children served on an annual basis (reported under Non-Residential Services). • The number of persons served by race and ethnicity. 1Q Internal Revenue Service Department of t. Treasury District Director P. O. Box 2508 Cincinnati, OH 45201 Date: November 22, 1999 Person to Contact: Tonya Martin 31-03017 Customer Service Representative A Womans Place, Inc. Telephone Number: P.O. Box 71 877-829-5500 Greeley, CO 80632-0071 Fax Number: 513-263-3756 Federal Identification Number. 84-0811596 Dear Sir or Madam: This letter is in response to your telephone call requesting a copy of your organization's determination letter. This letter will take the place of the copy you requested. • Our records indicate that a determination letter issued in January 1976 granting your organization exemption from federal income tax under section 501(c)(3) of the internal Revenue Code. That letter is still in effect Based an intonation subsequently submitted,we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in sections 509(a)(1) and 170(b)(1)(A)(vlO. This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or Its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to the Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of-the organization's annual accounting period. The law imposes a penalty of$20 a day, up to a maximum of$10,000,when a return is filed late, unless there is reasonable cause for the delay. AU exempt organizations(unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act(social security taxes)on remuneration of$100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for Its use are deductible for federal estate and gift tax purposes If they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. -2- A Womans Place, Inc 84-0811596 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return. In this letter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. The law requires you tpmake your organization's annual return available for public inspection without charge for three years after the due date of the return. You are also required to make-ay.-affable for public inspection a copy of your organization's exemption application, any supporting documents and the exemption letter to any individual who requests such documents In person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet (World Wide Web). You may be liable for a penalty of$20 a day for each day you do not make these documents available for public inspection (up to a maximum of$10,000 in the case of an annual return). Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep It with the organization's permanent records. If you have any questions, please call us at the telephone number shown In the heading of this letter. This letter affirms your organization's exempt status. Sincerelydailti 4114-gif C. Ashley Bullard District Director A WOMAN'S PLACE, INC. FINANCIAL STATEMENTS Years Ended December 31, 2006 and 2005 TABLE OF CONTENTS Independent Auditors'Report BALANCE SHEETS 2 STATEMENTS OF ACTIVITIES 3 STATEMENTS OF FUNCTIONAL EXPENSES 4 STATEMENTS OF CASH FLOWS 6 NOTES TO FINANCIAL STATEMENTS 7 ANdERSON A Professional d Corporation of Certified Public Accountants ©WIIITNEy ■ ■ ■ ■ ■ Independent Auditors'Report Board of Directors A Woman's Place, Inc. Greeley, Colorado We have audited the accompanying balance sheets of A Woman's Place, Inc. (a nonprofit organization) as of December 31, 2006 and 2005, and the related statements of activities, functional expenses, and cash flows for the years then ended. These financial statements are the responsibility of the Agency's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of A Woman's Place as of December 31, 2006 and 2005, and the results of its operations and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States. ( \tar.�t February 28, 2007 5801 West 11th Street • Suite 300 (970) 352-7990 Greeley,Colorado 80634-4813 FAX(970) 352-1855 A WOMAN'S PLACE, INC. BALANCE SHEETS December 31 2006 2005 ASSETS Cash $ 110,160 $ 8,928 Receivables from Funding Agencies 48,799 62,686 Prepaid Expenses and Other Assets 5,667 400 Investments 224,521 233,923 Property and Equipment(net) 554,421 572,901 TOTAL ASSETS $ 943,568 $ 878,838 LIABILITIES Accounts Payable $ 4,110 $ 13,820 Accrued Liabilities 12,601 11,559 Deferred Revenue - 3,572 Total Liabilities 16,711 28,951 NET ASSETS Unrestricted: Investment in Property and Equipment 554,421 572,901 Undesignated 369,629 274,272 Temporarily Restricted 2,807 2,714 Total Net Assets 926,857 849,887 TOTAL LIABILITIES AND NET ASSETS $ 943,568 $ 878,838 See Accompanying Notes to Financial Statements. 2 V) O00 NMO VD i V) 0) 000 N N O. 00 en 0 t- en O M N V' 00 'D h 00 O) V) 't b M O --. M O. 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V N M 00 00 CA �, N M ,-. 000b01M V1M000O *ern V 1/4•0 VD W y V N O O N N 4; V ct M re, 4 M C N Vj Ch '" N z 93 93 w a w vs o vp 4 U o. z o 7Cd 0 o w "0 N > C S" U --, C m 0) b 00 m Q 4.1 en O C CU ,.E 0 'u, •- a0+ O 0 0 cd O O .2 O U .D m 4C) 0 cs C 0Pr V] Z t 0 N C ° 'a.' m U C� V]2 cn C/3 C O9 n co .O w C Q v W i C Q Ti d b �n - C X c b D C a) a •m N h '� <y C C !� 0ado = K' U � W E O H w ec4 a a , anC 7.3 � m .�' c a �i ` C H' 0 3o o o mEoao u ra o •G ° o a o H aa) 0 CA >' aV Ow ..EOOaawc4cncnHH Qa` 0 H cn -5- A WOMAN'S PLACE, INC. STATEMENTS OF CASH FLOWS Years Ended December 31 2006 2005 Cash Flows from Operating Activities: Cash received from contributions and other funding $478,782 $ 415,052 Interest and dividends received 8,009 5,754 Cash paid to employees and suppliers (394,532) (526,477) Net Cash Provided(Used) by Operating Activities 92,259 (105,671) Cash Flows from Investing Activities: Change in investments 12,100 71,175 Purchase of property and equipment (3,127) (3,000) Net Cash Provided by Investing Activities 8,973 68,175 Cash Flows from Financing Activities _ - Net Increase (Decrease) in Cash 101,232 (37,496) Cash, Beginning of Year 8,928 46,424 Cash, End of Year $ 110,160 $ 8,928 Reconciliation of Change in Net Assets to Net Cash From Operating Activities: Increase (Decrease) in Net Assets $ 76,970 $ (91,433) Adjustments: (Gain) loss on investments (2,698) (4,007) Disposal of furnishings and equipment - 1,967 Depreciation 21,607 20,918 (Increase)decrease in: Receivables 13,887 (11,264) Prepaid expenses and other assets (5,267) 4,426 Increase(decrease)in: Accounts payable (9,710) (14,644) Accrued liabilities 1,042 (15,206) Deferred revenue (3,572) 3,572 Net Cash Provided (Used)by Operating Activities $ 92,259 $ (105,671) See Accompanying Notes to Financial Statements. -6- A WOMAN'S PLACE, INC. NOTES TO FINANCIAL STATEMENTS NOTE 1 - Summary of Significant Accounting Policies: The accounting and reporting policies of A Woman's Place, Inc. (the Agency) conform to accounting principles generally accepted in the United States. The following summary of significant accounting policies is presented to assist the reader in evaluating the Agency's financial statements. Organization: The Agency is a non-profit organization formed in 1978 to provide services to women and their children who are victims of family violence. All areas of Weld County are served. A staff of professionals, student interns, and volunteer/advocates operate a safehouse facility for short-term crisis housing and provide advocacy, case management and support. Included in the services are a 24-hour help line, a children's program, community education, outreach, case management, legal advocacy, Latino outreach, and support groups. Basis of Presentation: The Agency reports information regarding its financial position and activities according to three classes of net assets: unrestricted net assets, temporarily restricted net assets, and permanently restricted net assets. Contributions restricted by the donor for particular programs are recorded as temporarily restricted revenue and included in temporarily restricted net assets until expended. Support that is restricted by the donor is reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is recognized. The Agency has no permanently restricted assets. Cash: The Agency maintains bank accounts at a commercial bank. The balances in those accounts may, at times, exceed the $100,000 Federal Deposit Insurance Corporation insurance limit. For purposes of the statement of cash flows, the Agency considers cash to include all cash on hand and demand bank deposits. Investments: The Agency records investments in marketable securities at market value. Interest and dividend income on marketable securities is recorded when received. Pledges Receivable: Donors' unconditional promises to give are recorded as pledges receivable and contribution revenue when received. -7- A WOMAN'S PLACE, INC. NOTES TO FINANCIAL STATEMENTS NOTE 1 - Summary of Significant Accounting Policies - Continued: Property and Equipment: Property and equipment purchased by the Agency are stated at acquisition cost. Donations of property and equipment are recorded at fair value on the date received. Depreciation is computed using the straight-line method over the estimated useful lives of the assets (twenty-five years for buildings, three to five years for furniture and equipment, and five to ten years for leasehold and building improvements). The Agency uses a capitalization limit of$1,000. Grants and Contracts: Grants and contracts from federal, state, and local governments and private foundations are considered exchange transactions and recorded as revenue when eligible expenses are incurred. Receivables from funding agencies represent amounts due for eligible expenses incurred prior to year end. Advances from funding agencies represent cash received in advance of incurring eligible expenses. In-kind Donations: Donations of materials and supplies to the Agency are recorded at estimated fair value when received. Donated office and facility space is recorded at the estimated value of comparable space in the community. The estimated value of donated services are recorded when the services provided require specialized skills, are by persons possessing those skills, and would typically be purchased if they were not donated. While instrumental to the Agency's delivery of program services, most of the volunteer services provided to the Agency do not meet the accounting criteria to be recorded in these financial statements. Functional Allocation of Expenses: The costs associated with each of the Agency's program and supporting services have been summarized in the statement of functional expenses. Certain costs have been allocated among the programs and supporting services benefited. Advertising Expenses: Advertising costs are expensed as incurred. Advertising expenses were $2,484 and $2,033 at December 31, 2006 and 2005, respectively. Use of Estimates: The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly, actual results could differ from those estimates. -8- A WOMAN'S PLACE, INC. NOTES TO FINANCIAL STATEMENTS NOTE 1 -Summary of Significant Accounting Policies- Continued: Income Taxes: The Agency qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision is made in these financial statements for income taxes. NOTE 2- Investments: 2006 2005 December 31 Cost Market Cost Market Money Market Funds $ 5,629 $ 5,629 $ 56,087 $ 56,087 Certificates of Deposit 100,000 99,516 -- -- Bonds 60,000 58,800 -- -- Mutual Funds 58,933 60,576 165,407 177,836 $ 224,562 $224,521 $ 221,494 $ 233,923 NOTE 3- Property and Equipment: December 31 2006 2005 Land $ 22,490 $ 22,490 Facility 632,354 632,354 Furniture and equipment 12,184 11,543 667,028 666,387 Less: Accumulated depreciation 112,607 93,486 $ 554,421 $ 572,901 NOTE 4 -Net Assets: At December 31, 2006, temporarily restricted net assets are available for the following purposes or periods: December 31 2006 2005 Client needs $ 1,973 $ 2,469 Language line 589 -- Other 245 245 $ 2,807 $ 2,714 -9- A WOMAN'S PLACE, INC. NOTES TO FINANCIAL STATEMENTS NOTE 5 - Grants and Contracts: Governmental grants and contracts are generally subject to audit by the federal government or other grantor. The ultimate determination of amounts received under these programs generally is based upon allowable costs reported to and audited by the government or grantor. Until such audits have been completed and final settlement • reached, there exists a contingency to refund any amount received in excess of allowable costs. Management is of the opinion that no material liability will result from such audits. Following is a summary of grant awards to the Agency and the corresponding amount • expended in 2006: Year Ended December 31,2006 Grant Award Grant Period Expended Federal(direct and passthrough): Victims Assistance/Domestic Violence Outreach Project(VOCA) $ 39,013 01/06 to 12/06 $ 31,459 Domestic Abuse Assistance Program(DAAP)and (ACT) 72,200 7/05 to 06/06 36,100 60,000 7/06 to 06/07 30,000 Violence Against Women(VAWA) 15,433 04/05 to 03/06 3,858 15,433 04/06 to 03/07 11,575 Federal Emergency Management Agency 9,000 10/05 to 09/06 9,000 Weld County-Emergency Shelter Grant 11,057 07/05 to 06/06 5,529 10,694 07/06 to 06/07 5,430 State and Local: City of Greeley-Night Intake/Counseling 25,000 01/06 to 12/06 25,000 Domestic Violence Intervention Program(VALE) 54,088 01/05 to 06/06 27,044 57,233 07/06 to 06/07 30,189 Weld County Housing Authority 20,356 01/06 to 12/06 20,356 Other 4,100 Total $239,640 NOTE 6 - Operating Leases: Beginning November 2000, the Agency leased office space in Southern Weld County, Colorado under a three-year lease requiring monthly lease payments of S1,195. Rent expense was $2,629 in 2005. In May 2005, operations in Southern Weld County were discontinued. -10- Substitute Form REQUEST FOR TAXPAYER IDENTIFICATION State of Colorado W-9 NUMBER(TIN)VERIFICATION Do NOT send to IRS PRINT OR TYPE RETURN TO ADDRESS BELOW Legal Name (OWNER OF THE EIN OR SSN AS NAME APPEARS ON IRS OR SOCIAL SECURITY ADMINISTRATION RECORDS) DO NOT ENTER THE BUSINESS NAME OF A SOLE PROPIETORS HIP ON THIS LINE-See Reverse for Important Information A Woman 's Place, Inc Trade Name—complete only if doing business as(D/B/A) Remit Address PO Box 71 Greeley Colorado 80632 Purchase Order Address—Optional PART 11 See Part II Instructions on Back of Form Check legal entity type and enter 9 digit Taxpayer Identification Number(TIN)below: Do Not enter nl SSN or EIN that‘•as not (SSN=Social Security Number EIN=Employer Identification Number) assigned to the legal name entered above f I Individual (Individual's SSN) NOM If no name is curled on Joint Account when there is more that ant name,the number will be considered to be that of the first name listed. --- -- ---- nSole Proprietorship (Owner's SSN or Business EIN) Note: Enter both the owner's SSN and the business EIN(if you are required to have one) EIN F1 Partnership ❑ General O Limited (Partnership's EIN) n Estate/Trust (Legal Entity's EIN) NOTE Do not furnish the identification number of the personal repraemaeive or muster unless the legal entity itself is not designated in the account title List and circle the name of the legal tmsl,estate,or pension trust -- n (Entity's EIN) Limited Liability Company,Joint Venture,Club,etc. -- nCorporation Do you provide medical services? O YesO No (Corp's EIN) Includes corporations providing medical billing services — nGovernment(or Government Operated)Entity (Entity's EIN) nOrganization Exempt from Tax under Section 50I(a) (Org's EIN) 84 _ 0811596 (� Do you provide medical services? O Yes El No 1 -- — 1 Check Here if you do not have a SSN or EIN,but have applied for one. See reverse for information on How to Obtain A TIN f t Licensed Real Estate Broker? O Yes O No Under Penalties of Perjury,I certify that: (1) The number listed on this form is my correct Taxpayer Identification Number(or 1 am waiting for a number to be issued to me)AND (2) I am not subject to backup withholding because: (a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service (IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding(does not apply to real estate transactions,mortgage interest paid,the acquisition or abandonment of secure property, contribution to an individual retirement arrangement(IRA),and payment other than interest and dividends). CERTIFICATION INSTRUCTIONS—You must cross out item(2)above if you have been notified by the IRS that you are currently subject to backup withholding because of under reporting interest or dividends on your tax return. (See Signing the Certification on the reverse of this form.) THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE YOUR CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATIONS REQUIRED TO AVOID BACKUP WITHHOLDING. NAME(Print or T e Ellen Szabo Executive Director yP ) TITLE(Print or Type) AUTHORIZED SIGNATURE DATE 3/24/200 PHONE(97O ) 351.-0476 DO NOT WRITE BELOW THIS LINE RETURN BOTH COPIES TO ADDRESS ABOVE AGENCY USE ONLY Agency Approved by Date 1099: Yes No_ Action Completed by Date VENDOR: Addition_ Change 615-82-50-7093(R 4/97) .. ,_ ' Client#: 13520 WOMPL ACORDX, CERTIFICATE OF LIABILITY INSURANCE DA,EIYYmMYYYn PRODUCER I 95/17/07 Flood ER Peterson Ins.Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.Box 578 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEM)OR 4687 W.18th StreetALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley,CO 80632 INSURERS AFFORDING COVERAGE NAIL# MIMED A Woman's Place,Inc. INSURER k Philadelphia Indemnity Insurance P O Box 71 INSURER B: Pinnacol Assurance INSURER C: Carolina Casualty Insurance Company Greeley,CO 80632 INSURER O. COVERAGES INSURER E THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOCATED.NOPMTHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. INSURANCE O MS OF POLICY Llli Rfj F MAMMA POLICY EFFECTIVE POLICY EXPRATION IA GENERAL LABILITY PHPK165 DATE IMMIDDmh DATE mew:UYY) LYRS 05/16/07 05/16/08 EACH OCCURRENCE 51,000,000 X COMMERCIAL GENERAL(awryDAMAGE TO RENTED CLAIMS MADE El OCCUR PREMISES y eminence) 5100.000 Professional Agg$3,000,000 MERSONAL LADY one INJURY 55,000 Liability Per Inc$1,000,000 PERSONAL LADYINJURr $1,000,000 GEM.AGGREGATE GI UAIT APPLIES PER PRODUCTS.COI Aram-ATE s3,000,000 s3,000,000 —1 POICY I I JE& fl Loc PRODUCTS coMP,oPAcc A AMMONSeumsv,r PHPK165197 05/16/07 05/16/08 ANY All AUTO AUTOS (EM �)) LSAT 51,000,000 SCIEDULED AUTOS Pt porn( eI INJURY Pw n) $ X HIRED AUTOS X NONOVRIEJIAUTOS BODILY INJURY $)PROPERTY DAMAGE 5 GARAGE LIABILITY (Pr.waam) A ANY AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC S EXCESSAJNBRELL IIA LAI•LRr AUTO ONLY: AGG $ IOCCUR I ICLIMSMADE EACH OCCURRENCE5 AGGREGATE $5 1 DEDUCTIBLE $ $RETENTION $ B EWORID:RSCOMPENSATION AND 4044266 10/01/06 10/01/07 X I WCSrATU- 0TH. S MPLOYERS'unsure AMC PRGPRIETO PARTNEWEXELMIVE ACH ACCIDENT I ER OFiRCfirMEMBBI Fyn.Irop1 EL.EACH 5103,000 SPECIAL NRWISIONSD IIPIY EL DISEASE-EA EMPLOYEE El00,000 C 0114" Directors& 37059101 EL ME ASP-POLICY LIMIT $500,000 A Officers 08/26706 06/26/07 Agg$1,000,000 Commercial Prop PHPK765197 Per Oco$1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS( 05/16/07 05116108 Bldg$839,069 PPj75,600 TNNn Iitions VEHICLES: ADDED BY FNDORSEYENTI SPECIAL PROVISIONS The following cancellation conditions always apply: •10 days for nonpayment of premium -If policy shown,10 days for Workers'Compensation for fraud;material misrepresentation;non-payment of premium;other reasons approved by the Commissioner of (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION Colorado Department of Human Services DATE THEREOF,THE GSUING INSURER WILL ENDEAVOR TO MAIL Domestic Abuse Assistance .--31L DA*sMS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DOSOSHALL HALL Atln:Ruth Glenn •POSE NO OBLK,AT,oN OR LABUTY OF ANY)(ND UPON THE MIURER.ITS AGENTS OR 1575 Sherman St 3rd Fl REPRESENTATNES. Denver,CO 80203.1702 AUTHORIZED REPRESENTATIVE ACORO 25(200110)1 of 3c #S781J587MJ81356 PXC 0 ACORD CORPORATION 1988 --_ ...._ . - r ak B2/B3 License & Permit/Miscellaneous ' Y • V Commercial Surety Application • i�f,,� Complete this application in its entirety. 7 HTHE s Application must be SIGNED, WITNESSED and DATED. ARTFORD .. I General Information Questions .;;^r-: 5 Type of Bond(describe purposc) Unemployment Compensation Bond (Attach a copy of the bond form,if available) Agency Name: ROlAgettcy Colo: Flood and Peterson Insurance. Inc. 34-342316 Sub Producer Code: Bond Number: 3485BE55361 Agency City: e r —�-g�J Agency State: Colorado Bond Amount: S 4,137 Effective Date of Bond: 1/1/08 Bond Term,if known: Cont. H of years Applicant is:(select one) O Individual O Partnership ❑ C�Co rp ❑ S-Co Applicant(Principal): A Woman's PlacerP El LLC ❑ Name to appear on Bond,if different from Applicant: Applicant's Address: P.O. Box 71, Greeley, t,u BOb3[ Applicant's Business Description or Latest Occupation: Nan profit Number of Years in Business: 76 SS#: - Fed Tax ID: 84—0811396 U.S.Citizen? ❑ No 9 Yes Obligee—party requiring the bond(required): Department of Labor & Industry, Commonwealth of PA Obligee Address Spventh and Pnrarer Strppra, Barriahurg_ PA 17121 Billing Method: Q AgencyBill ❑ Direct Billed—full payment O Dina Bill TABS Account Billing Address,if different from Applicant's Address: TABS Account No.: n`.`;; : :. ; Onderwritintl Onegions .«( ,. �,.. .•. Does the Applicant have any other Surety bonds in force with any other Surety company? ? r e Has another Surety company declined to write this or any y ® No Ov Yes y previous bond? No O Yes Have you ever bad a bond involuntarily terminated or cancelled? Has there ever been a claim or legal action against any bond executed on your behalf 7 No O Yes Do you or any of your companies have any pending lawsuits,unsatisfied judgments or liens? ��..Jll No ❑ Yes Have you or any of your companies declared bankruptcy or become insolvent? ® No O Yes Have you or any of your companies been the subject of any legal or administrative proceedings resulting in ® No ❑ Yes disciplinary action? Have you ever been convicted oh a felony? ® No O Yes (If you answered Yes to any of.lhe above oestioexpl ®. No O Yes Has the Applicant continuously been in business under the current name and eow ownership for r at least l three ayears?) O No Y Does the bond guarantee the performance of a specific contract or agreement? ® es If Yes,attach a copy of the contract or agreement. Q No O Yes Does the bond cover any type of environmental or pollution exposure? copy attached Does the bond grantee the a mem of taxes,fees,wa es or a ent of an e? 13 No ❑ Yes No Yes rage I oft 82162007 !127 AM ISIcp Fay !A NM..o m iA004.01l Application for Colorado Division of Housing (CDOH) EMERGENCY SHELTER GRANT ASSISTANCE 2008 °RappK ' , :kf mA<,�� 'TAPPLLVA1NT IN�bRhIfAT!'Qt 1. Applicant(Agency) Name and Address 'For CDH Use on(y A Woman's Place, Inc. 3/blatOReceived For COH Use Only 44%.04 L5 0 8 0 f*p N; 5. Name of Contact Person for Application (drop 6. Phone 7. FAX 8. EMAIL down box) Ellen Szabog 970-351-0476 970-351-6686 Director@awpdv.org su , _n mS�'�;t2v'2 'u....., }h..�_..;:.,_. hmsxeZ 9. Municipality/County 10. Housing Authority 11. Nonprofit Organization Please attach 501 (c) (3) ruling. 12. Federal Identification Number(Use drop down box) 8 4 -- 0 8 1 1 5 9 6 13. Project Service Area (List counties served)Weld County 14. How many years has your agency been in operation? 31 15. Population(s) Served: X❑ Men X❑Women XD Families X❑Youth XD Domestic Violence 16. Type and Characteristics of Programs for which ESG Assistance is Requested X❑Emergency Shelter Maximum Capacity per Night 28 Maximum Stay 30 Nights DDay Shelter Maximum Capacity Average Number of Clients Served per Day ❑Transitional Total Units Maximum Length of Stay Average Stay DHomeless Prevention: Number of Families expected to Serve with ESG and Match Funds Each Year Are ou re•uestin. dollars fora new •ro•ram in this re.uest? No If es, •ro.ram name 17. Name of Local Elected Official or Authorized Agency 18. Title of Local Elected Official or Authorized Representative (drop down box) Representative Executive Director Mr. Ellen Szabo 19. igna ure of u oriz Representative 20. Date 3/24/2008 BUDGET Line Item 21 Operations 22. Essential 23. Homeless 24. Administration Services Prevention Local govts w subgrants Case Management $14,000.00 Utilities $6,000.00 Repairs/Maintenace $2,000.00 Insurance $2,000.00 25. SUBTOTAL $10,000.00 $14,000.00 26. TOTAL REQUEST: $ $24,000.00 27. Match Source(s) and Amount: Name Amount Name Amount Additional S.ace on pa.e 13) 28. Please provide an explanation of your proposed project budget and provide documentation of your need for requested categories of Operations, Staff Operations, Essential Services and Homeless Prevention. Please also provide the following: IN If you are requesting Operations, please identify any operating staff for which you are requesting funding. • (b)If you are requesting an increased level of funding or a new service under Essential Services, you must demonstrate that a new/increased level of need exists and ESG funding will not replace governmental funding. • (c) If you are requesting Homeless Prevention funding, please explain how you will ensure that your clients meet HUD requirements for homeless prevention assistance. All requests should be eligible, necessary and reasonable. You may also use the following page for the budget if necessary. Due to significant funding cuts from the City of Greeley and United Way, A Woman's Place is actively seeking alternative sources of funding. Though we are experiencing funding cuts, in order to meet the needs of our community we are expanding the services we provide. Our expansion includes the addition of prevention and treatment counseling program and the continued expansion of the legal advocacy and outreach programs (legal advocacy services provided increased by 706% iron- 2006 to 2007). With this expansion we expect an increase in the need for case management for residential clients and thus we are increasing our case management request by $7,000.00. A Woman's Place offers 24 hour emergency shelter and services, and the utilities and maintenance costs associated with this level of business have increased significantly. As operational costs have increased due to inflation and the rising price of gas A Woman's Place has doubled its request in the area of utilities, insurance and repairs and maintenance. ®.R� ® ...ffi IN UA1 ON.FzAGE ..{S`x4 F', t' '' 4 F"R"'... ≥7% t't„ 7 "'' EXPLANATION AND DOCUMENTATION) (28. CONTINUED). YOU MAY CONTINUE YOUR BUDGET EXPLANTION ON THIS PAGE (IF NEEDED) • EXTENT AND URGENCY OF THE NEED 29. What is the need to be addressed? How urgent is the need? Please provide local data or statistical information (waiting list, number of clients turned away, etc.) that supports the needs your agency will address. Please use only the space allotted. There is significant, critical need for domestic violence services in Greeley and throughout Weld County. In 2006, 1,240 cases that had references to domestic violence were heard in the Nineteenth Judicial Courts. The Greeley Police Department intervened in domestic violence incidents at the rate of 431 per year, and the Sheriffs Office at 272 per year(stets from 2006). It is difficult to estimate the number of unreported domestic violence crimes, but incidence of domestic violence in Weld County is even greater than these statistics indicate. It is important to note that, according to the results of a 2003 ACLU report** 56% of homeless women in Chicago, 50% of homeless women in San Diego, and nearly 50% of homeless women in New York were homeless due to domestic violence. 100% of A Woman's Place residential clients are homeless due to domestic violence. In 2007, A Woman's Place provided 2273 nights of shelter to 115 women and 129 children. Staff took 1045 crisis calls and 4127 information and referral calls. 29 women and their children were turned away in 2007 due to lack of space. As our Legal Advocacy and Outreach services continue to expand, and with the implementation of a much needed counseling program, A Woman's Place expects to serve an increased number of clients throughout 2008 and into 2009. **pleaseseewww.aclu.org/Fi1esPDFs/housing%20paper.d .pdf for the entire report.** a 5 k5a .m , `'a'r- t it,.,. 4i !h "� � a 30. Describe your project plan to assist the target population as it directly relates to the need addressed in Line 29. Please use only the space allotted. (Be sure to include the geographical areas and specific activities that you plan to provide). If this proposal is requesting funding for more than one activity(Essential Services, Operations/Staff Operations, Prevention), describe each separately. A Woman's Place is asking for funding in the areas of Essential Services, Operations, and Prevention but as an organization that is based in a residential safehouse it is difficult for us to separate these into three separate categories. A Woman's Place offers a continuum of services for women and children who are victims/survivors of domestic violence. Our services include: screenings, intakes and crisis intervention 24 hours per day, 365 days per year, prevention and treatment counseling services, crisis and domestic violence support for victims of domestic violence; educational and support groups for residents and nonresidents; individual and group education/support for children and adolescents; parenting support and education; 24 hour phone coverage for crisis, domestic violence advocacy, and information/referral; and legal advocacy. Our services promote the self-sufficiency goals of the agency. All our services are free, confidential, and offered in English and Spanish, We have contracted with a 24 hour confidential interpretation service that provides interpretation in over 150 languages. In 2005 we created a 30 day self-sufficiency program designed to assist women and their children to lead safer lives and access resources necessary to becoming economically independent. In 2007 we expanded our legal advocacy services, including establishing a presence in the courthouse where we can be more available to victims of domestic violence seeking protection orders. In 2008 we are offering Prevention and Treatment Counseling, providing group and individual domestic violence counseling services for resident and nonresident clients. renx it2.ti _ . .. S ►,s' Room at the Inn : Greater Greeley IHN, Inc. 1213 5" Ave • Greeley, CO. 80631 • (970) 378-0100 • www.roomattheinn.us March 27, 2008 Weld County Housing Authority ATTN: Tom Texiera 903 6th St. Greeley, CO. 80631 RE: Emergency Shelter Grant Proposal 2008-2009 Dear Tom, Hello and I hope that this letter is finding you well. Enclosed is the 08-09 ESG Grant Proposal for Room at the Inn. I thought I would send you this note to explain some things. As you may remember, I had some problems with using the electronic grant application that was delivered to our agencies via email. I tried the second one that you sent to me and still had no luck. I also called Verda Martin of DOH, and she sent me an unformatted version and I encounter the same problems„ namely, limited space for text and losing my all of my text when I would reach certain points in the document. I also called Trang Van of the DOH and explained the situation. Trang recommended that I use separate sheets to answer the questions where I was encountering problems, but to be sure to label them. So that is what I have done, You will find each sheet clearly documented as to which question that they pertain to. Also, the document printed out somewhat"scattered", making the document with extra pages. I apologize for this but I found that there was nothing that I could do to prevent it. Also, on my grant match documentation, I have created a statement from a couple of our churches to commit volunteer hours for the ESG grant match requirement. I was able to get one of the corrdinators in today to sign the document and I am waiting for a signature from the other coordinators,who have told me that they will be in on Monday to do it. When I get their signed documents, I will get them to you immediately. In the mean time, please accept a copy of the document for just a few days. If you have any questions, please let me know. Thank you, Tom. Stacy Suniga Room at the Inn 970-378-0100 Our mission is to offer hope to the families of homeless children by providing assistance, food, shelter, safety, and emotional support in partnership with communities of faith. Application for Colorado Division of Housing (CDOH) EMERGENCY SHELTER GRANT ASSISTANCE 2008 APPLICANT INFORMATION 1. Applicant (Agency) Name and Address 2. CDH Project Number For CDH Use only Room at the Inn 3. Date Received Interfaith Hospitality Network, Inc. For CDH Use Only 1213 5th Avenue 4. Current ESG Program Recipient? Greeley, CO. 80631 CURRENT r PRIOR (] NEVER E 5. Name of Contact Person for Application (drop 6. Phone 7. FAX 8. EM X L down box) 1 (2 n /Ms. Stacy Suniga, Executive Director 970-378-0100 970-353-0320 th 00 ere/tint/t aci:&-L TYPE OF ORGANIZATION 9. Municipality/County 10. Housing Authority 11. Nonprofit Organization ❑ ❑ Please attach 501 (c)(3)ruling. 12. Federal Identification Number(Use drop down box) 8 4 — 1 5 5 4 7 6 7 13. Project Service Area (List counties served) Greeley/Weld County 14. How many years has your agency been in operation? 5 years beginning in July, 2002 15. Population(s) Served: 0 Men 0 Women 0 Families ❑Youth 0 Domestic Violence 16. Type and Characteristics of Programs for which ESG Assistance is Requested ®Emergency Shelter Maximum Capacity per Night 18 Maximum Stay 60 ®Day Shelter Maximum Capacity 18 Average Number of Clients Served per Day 15 ❑Transitional Total Units Maximum Length of Stay Average Stay ®Homeless Prevention: Number of Families expected to Serve with ESG and Match Funds Each Year 5 Are you requesting dollars for a new program in this request? No If yes, program name SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 17. Name of Local Elected Official or Authorized Agency 18.Title of Local Elected Official or Authorized Representative (drop down box) Representative Ms. Stacy Suniga Executive Director `LL`72144-C1 9 Signature of ho zed Re 20.resentativeDate.. S BUDGET Line Item 21. Operations 22. Essential 23. Homeless 24.Administration Services Prevention Local govts w subgrants Insurance $2,500.00 Agency Utilities $2,000.00 Transportation $500.00 Case Management $1,500.00 Counseling/Education $1,000.00 Security Deposit $500.00 25. SUBTOTAL $5,000.00 $2,500.00 $500.00 26. TOTAL REQUEST: $$8,000.00 27. Match Source(s) and Amount: Name Amount Name Volunteer Hours Amount $13,700.00 (Additional Space on page 13) PROPOSED PROJECT BUDGET EXPLANATION AND DOCUMENTATION 28. Please provide an explanation of your proposed project budget and provide documentation of your need for requested categories of Operations, Staff Operations, Essential Services and Homeless Prevention. Please also provide the following: • If you are requesting Operations, please identify any operating staff for which you are requesting funding. • (b)If you are requesting an increased level of funding or a new service under Essential Services, you must demonstrate that a new/increased level of need exists and ESG funding will not replace governmental funding. • (c) If you are requesting Homeless Prevention funding, please explain how you will ensure that your clients meet HUD requirements for homeless prevention assistance. All requests should be eligible, necessary and reasonable. You may also use the following page for the budget if necessary. OPERATIONS: Room at the Inn is requesting support with necessary costs incurred in the daily operation of our shelter. Specifically,funding assistance for case management, agency insurance, utility expenses, and necessary transportation costs of our agency van. Room at the Inn operates 7 days per week for 365 days per year. Our yearly insurance costs are approximately$5000.00 per year. Agency utilities will cost approximately$8000.00 per year, and transportation maintenance and repair usually cost around $800.00 annually. ESSENTIAL SERVICES: Room at the Inn is seeking funds from the Emergency Shelter Grant for case-management and counseling activities. Assuring the long-term success of families requires access to one to one support and assistance programs. Enrollment into specific courses and/or support programs will become an Integral and vital part of our long term self-sufficiency goals,whether that program is offered at the Family Resource Center or with a collaborating agency. It is our hope for our life skills/educational programs and counseling support to bring meaningful experiences that will promote the development of new competencies in the family and will allow the family to advocate on their own behalf in the future. Room at the Inn also offers Strengths Based Case Management to each program family. Case management for our clients costs our agency roughly$20,000.00 per year. ESG programming is implemented by the following staff: (Due to technical difficulties,for a listing of complete ESG staff, please see page labeled Question#32- Experience) Case Manager. Amelia Estrella: Amelia is a full time student at UNC who currently works part-time with Room at the Inn. She started her venture with Room at the Inn as a student intern whose excellent people skills and ability to achieve unbelievable success with clients eamed her a paying position with our organization. Amelia assists Michelle with the Champions program by matching and supervising mentors to work with high risk clients who qualify for Champions after they leave Room at the Inn for homes of their own. Amelia also serves as a mentor for a few clients. Amelia also performs some case-management duties with current Room at the Inn clients. She engages with families to learn of those that may need active support to avoid the trauma of homelessness. Amelia also provides direct case management and referral to homeless clients and others in an outreach capacity. She co-directs the agencies Mentoring program by matching volunteer mentors with homeless families who graduate our program. She also supervises and supports mentors with monthly support sessions Amelia engages collaboratively with other area agencies who work with families in the United Way Champions Mentoring Project. HOMELESS PREVENTION: We request funds to assist homeless families with Security Deposit Assistance for Client Families. This is a very valuable service to families who have worked hard to regain independence. For many,the extra support in the form of Security Depos Assistance is all that's needed to help them to transition from Homelessness to Long-term Housing BUDGET CONTINUATION PAGE EXPLANATION AND DOCUMENTATION) (28. CONTINUED).YOU MAY CONTINUE YOUR BUDGET EXPLANTION ON THIS PAGE(IF NEEDED) EXTENT AND URGENCY OF THE NEED 29. What is the need to be addressed? How urgent is the need? Please provide local data or statistical information (waiting list, number of clients turned away, etc.)that supports the needs your agency will address. Please use only the space allotted. Due to technical difficulties with this grant application document,the narrative for this question will be found in the attached document labeled"ESG Question#29-Extent and Urgency of Need". Thank you. Room at the Inn: ESG Grant Proposal 2008-2009 ESG Question #29 — Extent and Urgency of the Need Low income families face enormous stresses. The pressure can severely disrupt family life and lead to a spectrum of crisis. Prolonged battles with poverty issues can cloud hope and diminish motivation for families who have no idea of where to turn to for help... and lead many to homelessness. Adding to the complications of homelessness is the sky-rocketing numbers of local foreclosures. *Banks and lenders foreclosed on 2,869 Weld County homes in 2007, a 38 percent increase from record-setting 2006. Even families who have rented homes are finding themselves out on the street because their landlords are foreclosing, increasing the epidemic of displaced families at several levels. Low incomes and high housing costs cause constant struggle for many families, especially those who are consistently finding themeselves in crisis because of poverty. Raising a family today in a time of economic uncertainty and stress can be a challenge for anyone. Imagine, living in strangulating poverty and the daily not knowing of how you will meet the basic needs of your children. Sadly, fear and hopelessness has become common place for many in our community because of the lack of personal finances and resources. *"According to the 2000 Census findings, 15 % of Greeley community families with related children under 18 years of age, fell below poverty level status. The number increases to 22% for families with related children under the age of 5. This fact is unacceptable. Resources and support programs are a vital element to help the less fortunate in the Greeley Community. Room at the Inn, Greeley Interfaith Hospitality Network rises to meet the challenges of poverty, fear and hopelessness every day. Though we are usually selecting program participants from a waiting list, time and time again, Room at the Inn has helped homeless families to regain their independence and renew their lives. The direct mission of Room at the Inn is to support families who struggle with poverty and crisis, and journey with them to their independence, and we seek to continue this mission in partnership with the Division of Housing through the Emergency Shelter Grant. Statistical sources *Weld County Public Trustee web site at www.wcpto.com ** 2000 U.S. Census Bureau Summary File 3. — Colorado- Greeley PROJECT PLAN 30. Describe your project plan to assist the target population as it directly relates to the need addressed in Line 29. Please use only the space allotted. (Be sure to include the geographical areas and specific activities that you plan to provide). If this proposal is requesting funding for more than one activity(Essential Services, Operations/Staff Operations, Prevention), describe each separately. Due to technical difficulties with this grant application document, the narrative for this question will be found in the attached document labeled"ESG Question #30-Project Plan". Thank you. Room at the Inn: ESG Grant Proposal 2008-2009 ESG Question#30- Project Plan OPERATIONS: Obtaining our Federal 501 (c) (3) status in 2001,we opened our doors for service to homeless families on September 30 of that year. Room at the Inn operates 24 hours per day, 365 days per year, working in partnership with 13 churches, to provide for their immediate needs of shelter, food, safety, and friendship. Local communities of faith provide overnight accommodations and warm meals for families, while agency staff works with families in a comprehensive case management program during the day at our local day center. The day center also serves as an office for parents to find employment, housing and other resources as well as a retreat for their families from the elements. The Room at the Inn Homeless Shelter provides services to an average of 120 people, or 35 homeless families per year. In 2006, we were overjoyed to realize that 90%of the families we served found long-term permanent housing with the support of our shelter and assistance programs. Our success rate for 2007 was 87%. ESSENTIAL SERVICES: In April 2007,Room at the Inn launched a branch program to support the expansion of our mission to help homeless families. The Room at the Inn Family Resource Center (FRC) found a home through the support of the City of Greeley. The purpose of FRC is to provide preventative crisis support and resources that give families needed skills to break the cycle of emergency services dependence. We believe that in the FRC, we are effectively providing programs that address the issues that are unique to families who live with poverty, allowing them to achieve long-term success. The FRC gathers the agency community to bring resources and expertise in the areas of life skills courses, education, and advocacy, providing these services directly in the heart of one Greeley's predominately low-income communities, North Greeley. PREVENTATIVE SERVICES: Many families who come to us for services have only the clothes on their backs as their familial assets. The journey to recovery can be quite an undertaking. Because of this reality, we feel that is it is essential to continue to support homeless families with Security Deposit Assistance. Whether a family is dealing with unforeseen crisis or long- term poverty, the work of Room at the Inn aligns with the goals of the Emergency Shelter Grant by helping homeless families overcome crippling issues and find a way of life that is independent of emergency support. We appreciate the ESG partnership in this effort. PLAN FOR FINANCIAL STABILITY 31. Provide a plan for the future financial stability of the proposed project. (How will the program continue in the future if ESG funding is no longer provided?) If this proposal is requesting funding for more than one activity(Essential Services, Operations, Prevention), describe each. Room at the Inn is committed to raising funds for the long term continuation of providing service to homeless families. Our funding is heavily created by individual and church support, grants, and fundraising. We have two annual fundraisers activities, our Heads for Homeless Ga/a and Annual Golf Marathon, which account for an average of $40,000 of annual budget. Our individual giving program, Innkeepers, averages about$30,000.00 per year and church support act.unts for an approximate of$8,000.00. Grants for this year, including ESG, will account for roughly $80,000.00. Our dollar for dollar grant match for the Emergency Shelter Grant will come from our grant award through United Way, which for 2008 is a dollar amount of$43,333.00. OPERATIONS: Funding as previously mentioned, are used to support the direct services and programs of Room at the Inn Another great source of support for Room at the Inn operating dollars is the unique partnerships that we have created with the local faith community. This partnership has the potential to reach 30,000 people through our membership of 13 local churches. We have had 1800+volunteers provide hands-on, face to face volunteer duties in 2007. The benefits of our design to utilize precious community in-kind donations such as bedroom and dining space in our participating churches and volunteers for meals, hospitality hosting, and overnight stays, saves our agency an estimated$200,000.00 in annual operation costs. We find that engaging the community to directly participate creates a win-win situation for all. Volunteers not only find awareness about the homeless issue, they become veritable catapults for change in our clients lives. Many clients have found landlords and employers through their contact with volunteers. Clients change the lives of volunteers as well, as many volunteers are profoundly touched by unknowing ability to make a difference as individuals. If the Emergency Shelter Grant cannot meet our full funding request, Room at the Inn would continually seek sources and innovative opportunities to fund our agency in its entirety. ESSENTIAL SERVICE: Active partnerships with other service-oriented agencies is a priority for Room at the Inn, as evidenced through the implementation of our Family Resource Center. Room at the Inn is committed to the goals of the Family Resource Center which includes the case management and counseling services that we are requesting funding for from ESG.. If ESG could not fund our request in its entirety, we will continue our effort to seek financial partners who share the visions of collaboration and community unity, as well as develop relationships with those in the community who might be interested in shared resources. We also intend to increase fundraising efforts, as well as join our agency partners to fundraise jointly for these services. We are committed to finding a way to continue what we believe to be a mission that is important for our community HOMELESS PREVENTION: Prevention services are an important service for our community. We are currently creating partnerships to increase Mt level of funding for this service in our community, especially through a collaborative effort with the local Faith Community Service Fund. We are jointly approaching the local churches for increased support to fortify the coffers fc homeless prevention. Though a timely process, we hope to obtain Community pledges before the end of the year. EXPERIENCE 32. Explain below any experience your organization or unit of local government has in implementing the activities that you have proposed in this application. Specifically, include the years of experience of staff and/or organization that will be administering the ESG funds. Where your organization and staff lack experience, explain how you will obtain the technical assistance needed to administer and complete the project. Due to technical difficulties with this grant application document, the narrative for this question will be found in the attached document labeled "ESG Question#32-Experience". Thank you SHELTER REPORT SHELTER CHARACTERISTICS 2006-2007 ACTUAL From 2007-2008 PROJECTED From HMIS? HMIS 33. Beds(including cribs) 16 16 34. Sleeping Rooms 6 6 35. Total Families Served 34 38 36. Total Persons in Families 100 120 37. Total Individuals Served 0 0 38. Total Shelter Nights 3919 4000+ AVERAGE COST PER PERSON OR HOUSEHOLD SERVED WITH ESG FUNDING 39. What is the average cost per person served for each of your ESG-funded activities?. Our average cost for operation pr person,which includes beds, meals, and 24 hour a day shelter is$17.50. Our average cost for Counseling/life skills support and case management activities is$30.00 per person. Our average cost for prevention activities in Rent Assistance and Security Deposit Assistance is$200.00 per family (Total Activity Budget/#Unduplicated Clients) CLIENT PARTICIPATION REPORT (HUD REQUIRES DOCUMENTATION OF CLIENT PARTICIPATION) 40. Client Paid Hours 1100 41. Client Unpaid Hours 218 CONTINUUM OF CARE COORDINATION 42. Are you a participating member of our local Continuum of Care)? Yes ® or No 0 SHELTER/ Who provides the following services in your Do you have a written SUPPORTIVE SERVICES community? agreement to coordinate (1) If it's your organization put an "X'in this column services? beside the corresponding service; Use the drop down box to TYPE OF SERVICE (2) If it's another oganizaton, please list their name Answer"Yes°or"No"or'NA' (Not Applicable) 43. Shelter Information and Referral 0 Organization Name United Way 211, Not Applicable Catholic Charities Northern 44. Emergency Shelter ►P Organization Name Greeley Transitional Not Applicable House; Guadelupe Center 45. Transitional Housing U Organization Name Not Applicable 48. Permanent Housing (w/services) ❑ Organization Name WC Housing Authority; Yes Island Grove Village 47. Soup Kitchen IA Organization Name 1"Presbyterian Church Yes 48. Case Management ® Organization Name WC Social Services; WC No Job Services 49. Transportation ® Organization Name City of Greeley Bus Svc. Yes 50. Daycare U Organization Name WC Childcare Svc. Yes Various entities in City. 51. Medical treatment U Organization Name Sunrise Health Clinic; No Monfort Childrens Clinic 52. Substance Abuse Counseling 0 Organization Name Alcoholics Anonymous; No Island Grove Rehabilitation Center 53. Psychological ❑ Organization Name North Range Behavioral No Health; NCMC Psych Care 54. Employment E9 Organization Name WC Job Services; Temp. No Employ.Svcs. 55. Life Skills/Budgeting ® Organization Name C.A.R.E.; Consumer Yes Credit Counseling 56. Educational ® Organization Name AIMS College; WCSD 6; Yes Agatha Browne Mem.Training Center 57. Security Deposit I?51 Organization Name Faith Community Service Yes Fund 58. Eviction Prevention 0 Organization Name Faith Community Service Yes Fund 59. Back Mortgage Payments ❑ Organization Name Faith Community Service Yes Fund 60. Utility Assistance Payments 0 Organization Name Catholic Charities; Faith Yes Community Service Fund CONTINUUM OF CARE NARRATIVE Room at the Inn: ESG Grant Proposal 2008-2009 ESG QUESTION #32: EXPERIENCE Stacy Suniga,Director of Room at the Inn. Stacy oversees the 24 hour, 365 day per year program. She supervises two part time employees, and 15 church volunteer coordinators. Stacy's key responsibilities include: Volunteer training, schedule coordination, case management and referral to homeless clients and others in an outreach capacity, leads internal sessions in the areas of people skills and guest/volunteer dynamics. She coordinates professionals from outside agencies for education, life skills courses and counseling for clients. Stacy completes the screening process for all potential clients and determines eligibility for participation into the program. Stacy manages the financial records for individual donors and completes all grant writing duties for the agency. She also manages the day to day expenses and operations of the agency. As well, she is the community liaison,joining other agencies to work in continuum on such boards as Housing and Emergency Services Network,Northern Front Range Continuum of Care, and Homeruns for Homeless Rental Assistance. Stacy also speaks publicly about the services of Room at the Inn at various community forums. Stacy was one of the key founders of the Room at the Inn Agency, and has been the Director since the agencies inception in 2001. She completed her training in Small Business Administration in 1992 and has been a business owner for 13 years. Since becoming the Executive Director for Room at the Inn, Stacy has updated her training as a Non-Profit Director by enrolling in courses in non-profit management. She utilizes the expertise of trainers at the Community Resource Center and the Colorado Non-profit Association, both in Denver. Stacy maintains an active membership with both organizations. As well,National Interfaith Hospitality Network provides educational training for Executive Directors every 18 months at various specified locations within the U.S. Stacy faithfully attends every training period to expand her educational knowledge on every aspect of Executive Directorship. Barbara Peverley,Day Center Administrator: Barbara oversees the daily activities of the day center. She assists our guests in scheduling case management appointments and is readily available for referral support. She also works with clients regarding accountability toward program guidelines, ensuring the participation of all in household chores and attendance in program courses. Barbara also schedules area agency instructors for life skills courses at our day facility, and coordinates volunteers to run children's programs that will coincide with our adult courses. Barbara also provides receptionist and secretarial services for the Room at the Inn Day Center. Michelle Summey: Michelle is the Family Resource Administrator who works with families who are not homeless but seeking assistance in preventative outreach via our Family Resource Center. Michelle brings extensive experience in non-profit as worked as a certified counselor for Why Am I Tested? (WAIT), an abstinence training program, and she is certified in Prevention and Relationship Enhancement Program(PREP) counseling, a marriage. She also ran a Southern Colorado non-profit Room at the Inn: ESG Grant Proposal 2008-2009 called Pearl concerts, that brought drug-free entertainment to youth in such venues as the Crowley State Fair, the Colorado State Fair and other state-wide events. Following her personal passion to help others in the community, she sought employment in non-profit in Northern Colorado after a move here in early 2007. After being hired by Room at the Inn, she was trained by our National Office to Direct our Mentorship Program. Michelle has excitedly to put her talents and energy into the Family Resource Center and the Outreach Champion Mentoring Program, helping to build the program through training and of mentors, administration of the Champions Mentor Program and increased collaboration with other agencies in the community to serve Champion clients. Amelia Estrella: Amelia is a full time student at UNC who currently works part-time with Room at the Inn. She started her venture with Room at the Inn as a student intern whose excellent people skills and ability to achieve unbelievable success with clients earned her a paying position with our organization. Amelia assists Michelle with the Champions program by matching and supervising mentors to work with high risk clients who qualify for Champions after they leave Room at the Inn for homes of their own. Amelia also serves as a mentor for a few clients. As well, she performs case- management duties with current Room at the Inn clients. Church Coordinators (17 volunteers Positions) : Church Coordinators recruit and organize volunteers from their participating communities of faith. They supervise assistant coordinators and volunteers as they manage volunteer hosting duties in all phases of the Room at the Inn program within their host church. 1000+ Community Volunteers: There are a variety of volunteer responsibilities that are provided everyday of the year. The volunteers who give so graciously of their time, talent, and treasure are an important aspect of Room at the Inn that keep the agency operating. Needed on a daily basis, all volunteers function as agency staff. Volunteers provide most of the agency hosting responsibilities which include: being a presence in the evening and overnight stays with guests, dinner preparation and serving, driving guests to and from church and day center, and providing special activities for guests. Some volunteers also provide mentoring to families and individuals within the community, creating a unique bond to bring support to a family for one year. Room at the Inn receives technical support through our National Organization Family Promise. Family Promise also offers continued training at all levels, from Executive Director to volunteer, and the opportunity to implement innovative programming developed at the National Level. Currently there are 160"networks" such as ours in the United States and Canada. 61. Explain how you coordinate homeless housing, essential services and homeless prevention activities with other local nonprofit agencies and governmental service providers to ensure coordinated case management, non-duplication of services AND access to mainstream resources such as TANF, Food Stamps, Housing Assistance, etc.within your community or Continuum of Care. Room at the Inn enjoys very close working relationships with nearly every service agency in Weld and many in Larimer County. Room at the Inn Case Managers work daily in conjuction with case managers and employees of other service agencies to find resources and programs that will help clients to succeed. As well. our case managers meet twice per month with other case managers from Greeley Transistional House, Catholic Charities Northern, and Connections for Independent Living, to discuss strategy and to determine the best services for clients who have entered into our Champions Self-Reliance Program. Our Local United Way Counsel for Non- profits group or HESN (Housing and Emergency Services Network) brings together Directors and/or staff from local service agency to discuss local poverty issues and implement projects that meet the needsof our low income community members. This group is in the process of developing a city wide forum for case-managers to meet for increased communication and development of collaborative efforts. Room at the Inn has gathered a largely diverse group of non-profits and educators to work collaboratively within our Family Resource Center, to provide services to homeless families in everything from health care programs sponsored by the Weld County Health Department, to services for obtaining legal citizenship and voter registration. In the middle of this spectrum is: AIMS College sponsored ESL, GED and New Frontier Bank Money Smart classes. Mentoring services provided by Room at the Inn for United Way, the Department of Social Services TANF Dept, and B.A.MI Be a man of Summitview Church. Other programs such as"Resist"Abstinence Program a student-parent supported abstinence group, UNC sponsored cultural activities for students, parenting, budgeting and computer classes, and advocacy support groups, are just some of the excitement that happens on a regular basis on Room at the Inn property. A current complete listing of active partnerships include fifteen(15) local churches for the provision of homeless services, Aims Community College, Frontier Bank, Island Grove Apartment Complex(for ESL Classes), Colorado Progressive Coalition-El Voto Latino (for advocacy), United Way Champions Program, University of Northern Colorado Spanish Department, Weld County Health Department, Women's International League for Peace and Freedom, C.A.R.E., Together We Can, Faith Community Service Fund, Weld County Social Services TANF Program, B.A.M Mentoring Program and Agatha Browne Memorial Training Center for Computer Courses (for computer training.)All of these entities have a direct, regular working relationship in conjunction with Room at the Inn to provide direct services at the Family Resource Center. Our agency also enjoys solid working relationships with other entities outside of agency property, to the benefit of shared clients. FINANCIAL CAPACITY- 62. Explain your organization's financial control system and procedures, and explain how your agency will monitor its activities to ensure that ESG dollars are spent in a timely manner. Room at the Inn has a financial system that keeps a tight account of financial spending. Deposit of checks and other money sources are done daily by Barbara Peverely, our Day Center Administrator. Before making deposits, Barbara makes a photocopy of every check and deposit ticket for our private files. Checks are deposited in account at Cache Bank by 2:00pm every day. Decisions to make payments for activities (other than agency utilities and other necessary expenses) are made by the Executive Director, Stacy Suniga. When payment approval is made, a formal request is given to our Treasure, who then creates and signs a check for payment and either delivers it personally to the Executive Director for delivery or makes arrangements with the Executive Director for pick up from staff. The Executive Director makes arrangements for payment to be made to the correct party. At this point in time, Room at the Inn is only using the treasurer's signature for all written checks. This method is used to keep very strict control measures over agency fund disbursements. Last year, Room at the Inn has converted to the accounting system of QuickBooks for non-profit for more accurate reporting and easier streamlining of agency spending and accounts receivables. The Agency Treasurer does a internal review once per month on the financail information that is entered into the program. Once every six months, our agency accounts are reviewed by an outside party, Karen Turner who is Assistant Professor of Accounting Studies at University of Northern Colorado and a Certified Internal Auditor. An official audit was attempted in 2007, but after a review of agency financials, the professional accounting firm, Siebert and Assoc. recommended against it, citing that the low agency budget and narrow profit margin did not justify the action at that time. Room at the Inn hired an outside professional agency, Automatic Data Processing, Inc., to process payroll checks and payroll expenses and generate payroll data reports for the agency Room at the Inn's Executive Director strictly oversees the financial accounting for the Emergency Shelter Grant. She ensures that money is used as intended and that payments and reports are given in a timely manner. ABILITY TO COMPLY WITH HOMELESS MANAGEMENT INFORMATION SYSTEMS(HMIS) 63. When and where did your agency staff receive training on Homeless Management Information Systems(HMIS)? Room at the Inn staff was formerly trained on usage of the HMIS Tapestry system on April 6, 2006. This training took place onsite at the Room at the Inn Agency. Tracy Stewart of the Colorado Coalition for the Homeless conducted our training on HMIS. Tracy is also the HMIS contact for the Balance of State Continuum of Care 64. List Computer(s) and printers that are/can be dedicated to HMIS: Models, Operating Systems, Storage Capacity Due to technical difficulties with this grant application document, the narrative for this question will be found in the attached document labeled "ESG Question#64- HMIS Computer Systems". Thank you 85. How do you ensure that client files are kept confidential?See document labeled-ESG Question#65- 66.Are you in compliance with HMIS? Please place an 'X° in the box that best describes your current HMIS status? ❑ I am a new applicant. ❑ My agency is entering all HUD-required HMIS data elements on a consistent basis. ❑ My agency is in discussions with my systems operator regarding my participation. We have not yet been trained on the HMIS system. ❑ My agency is a new State ESG Applicant, but we enter HMIS information for another Federal grant. ® My staff has been trained on HMIS, but I am waiting to upgrade equipment and or training before we fully participate. ❑ My agency is exempt from HMIS. Room at the Inn: ESG Grant Proposal 2008-2009 "ESG Question #64:- HMIS Computer Systems" Dell Inspiron 8600-Laptop 76487-OEM-0011903 Intel Pention—Processor 1.6 GHz 599 MHz and 512 MB Of Ram Microsoft Windows XP Professional version 2002 Dell Dimension DIME521 76477-OEM-0011903-00102 AMD Athlon 64 x 2 Dual Core Processor 3800+ 2.00 GHz and 960 MB of Ram Microsoft Windows XP Professional Edition Dell Dimension D/ME521 89572-OEM-7332166-00096 AMD Athlon 64 x 2 Dual Core Processor 3800+ 2.00 GHz and 958 MB of Ram 32 Bit Operating System All computers are regularly maintained onsite for function and virus,firewall and spy ware protection by a professional Technician. Room at the Inn: ESG Grant Proposal 2008-2009 ESG Question #65-Confidentiality Every person who has a professional responsibility to have access to client files will sign a firm confidentiality agreement with the Room at the Inn agency. This agreement is a legal binding contract that states that Room at the Inn will take legal action if confidentiality is violated. As well, all clients will sign a Release of Information form at intake. This document allows communication between their case manager and other professionals in the community who are working with this the family to secure housing and other needed resources. For added security, all client files are kept in a locked, fire and water proof cabinet. OTHER DOCUMENTS THAT YOU MUST SUBMIT WITH THIS APPLICATION (See attached pages) ABILITY TO COMPLY WITH STATE'S INSURANCE REQUIREMENTS The State requires various insurance. Please use drop down box in each section indicating YES if you have the required insurance or NO if you do not. You may provide an explanation after each section of challenges that you face. 1. 'The Contractor shall obtain, and maintain at all times during the term of the agreement, insurance in the following kinds and amounts: a. Workers Compensation Insurance as required by state statute and Employer's Liability Insurance covering all of the contractor's employees acting within the course and scope of their employment. Yes 1.a. Issues or Explanation b. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalency, covering premises, operations,fire damage, independent contractors, products and completed operations, blanket contractual liability,personal injury, and advertising liability within minimum limits as follows: i. $1,000,000 each occurrence ii. $1,000,000 general aggregate; iii. $1,000,000 products and completed operations aggregate; and iv. $50,000 any one fire. Yes 1.b. Issues or Explanation c.Automobile Liability Insurance covering any auto(including owned, hired and non-owned autos)with a minimum limit as follows: $1,000,000 each accident combined single limit. Yes 1.c. Issues or Explanation 2. The State of Colorado is named(or will be named within 7 business days of the effective date of the contract)as additional insured on Commercial General Liability and Automobile Liability Insurance policies(leases and construction contracts will require the additional insured coverage for completed operations on endorsements CD 201011/85,CG 2037 or equivalent). Coverage required of the contract will be primary over any insurance or self-insurance program carried by the State of Colorado. Yes 2. Issues or Explanation 3. The Insurance includes(or will include within 7 business days of the effective date of the contract)provisions preventing cancellation or non-renewal without at least 45 days prior notice to the State by certified mail; Yes 3. Issues or Explanation 4. The contractor will require all insurance policies in any way related to the contract, and secured and maintained by the contractor,to include clauses stating that each carrier will waive all rights of recovery under subrogation or otherwise, against the State of Colorado, its agencies, institutions, organizations, officers, agents, employees and volunteers. Yes 4. Issues or Explanation 5. All policies evidencing the insurance coverage required hereunder shall be insured by insurance companies satisfactory to the State. Yes 5. Issues or Explanation 6. The contractor shall provide certificates showing insurance coverage required by the contract to the State within 7 business days of the effective date of the contract. Yes 6. Issues or Explanation 7. Notwithstanding subsection'a' of this section, if the Contractor is a'public entity'agrees,within the meaning of the Colorado Government Immunity Act,CRS 24-10-101, et seq, as amended('Act'),the contractor shall at all times during the term of the contract maintain only such liability insurance by commercial policy or self-insurance, as is necessary to meet its liabilities under the act and show proof of insurance upon request. Yes 7. Issues or Explanation MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) NAME AMOUNT State/Local Government Funding NAME AMOUNT Private(including recipient) Funding Fund Raising/Cash Loans Building Value or Lease Donated Goods Donated Computers New Staff Salaries Volunteers ($5.00 per hour) $13,700.00 Volunteer Medical/Legal Other(specify) I certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards(i.e.the value of a donated building used as match in a 2001 award cannot be used as match in 2007). This form is a description of the sources and amounts of such match funds,which are not being used as match for any other federal program. Signatureffitle Act ` Date d .21 i>dEx?c /7UC ft Jo Instructions for Completion of Match Certification All applicants are required to complete the Match Certification form. Eligible forms of match are as follows: • The value of salary paid to staff to carry out the ESG Program. •The value of the time and services contributed by volunteers to carry out the program at a rate of$5.00 per hour. • Volunteers providing professional services such as medical or legal services valued at the reasonable and customary rate in the community. • The value of any donated material or building. • The value of any building lease using a method to reasonably calculate fair market value. •Award letters from foundations, organizations, private individuals, and other govemment sources. Note: These awards must overlap the ESG funding period to be eligible. Room at the Inn : Greater Greeley IHN, Inc. 1213 5*Ave • Greeley, CO. 80631 • (970) 378-0100 • www.roomattheinn.us RE: HUD/ESG Grant Project Match Documentation Attn: Stacy Suniga, Executive Director Volunteer Agency: Our Saviors Lutheran Church This document is to verify that our church will commit at least 300 volunteer hours per hosting rotation for Room at the Inn. Our church is scheduled for 5 hosting rotations for the Emergency Shelter Grant period of July 1, 2008 to June 30, 2009. Our total Volunteer hour commitment for the ESG Grant 2008- 2009 is: 1500 hours Vita' Kathy Goetz Church Coordinator Our Savior's Lutheran Church Room at the Inn : Greater Greeley IHN, Inc. 1213 5"Ave • Greeley, CO. 80631 • (970) 378-0100 • www.roomattheinn.us r �. RE: HUD/ESG Grant Project Match Documentation Attn: Stacy Suniga, Executive Director Volunteer Agency: First Congregational Church This document is to verify that our church will commit an average of 248 volunteer hours per hosting rotation for Room at the Inn. Our church is scheduled for 5 hosting rotations for the Emergency Shelter Grant period of July 1, 2008 to June 30, 2009. Our total Volunteer hour commitment for the ESG Grant 2008- 2009 is: 1240 hours Karen Fentiman and Cathy Lasell Church Coordinators First Congregational Church Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds Please see page titled "Additional Funds Documentation" Total Additional Funds Committed to the ESG Process $96,833.00 Room at the Inn: ESG Grant Proposal 2008-2009 Additional Funds Documentation Donations- Church— 1500.00 Corporate- 10,000.00 Individual - 20,000.00 United Way Designations- 1500.00 Fundraising- Hearts for Homeless- 3,500.00 Golf Marathon- 12,000.00 Breakin the Cycle Poker Run 2,000.00 Grants- United Way of Weld County- Strengthening Families and Adults-Champions 43,333.00 74(•HclTh‘jo Weld County Housing Authority P.O. 132 Greeley, CO 80632 I970 353-7437 C. COLORADO I,William H.Jerke Chair Board of County Commissioners Weld County Colorado duly authorized to act on behalf of Weld County hereby approve the following project proposed by Room at the Inn to be located in Weld County. BY: " 1 k Lv—t - William H.Jerke, Chair March 31,2008 Certification of Consistency with Consolidated Plan I Carol E. Larsen, Community Development Coordinator certify that Room at the Inn activities located in the City of Greeley is consistent with the Consolidated Plan for the City of Greeley Carol E. Larsen Community Development Coordinator March 31, 2008 EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS Stacy Suniga (name of chief elected official or appropriate non-profit signatory) of (town, city, county or nonprofit organization)which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U.S. Department of Housing and Urban Development(HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter Is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Political activities will be prohibited in accordance with subsection 675 (e) of the Community Services Block Grant Act of 1981. The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 578.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by Section 632(e) of the Cranston-Gonzalez National Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment exempts the first $100,000 from the matching requirement and requires that the benefit of the $100,000 exemption be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(i) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B)that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E) occur a week before eviction,foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(ii) concerning that submission by nonprofit organizations applying for funding of a certification of approval of the proposed project(s) from the unit of local govemment in which the proposed project is located. The requirements of 24 CFR 576.51(b)(2)(v) concerning the funding of emergency shelter in hotels or motels or commercial facilities providing transient housing. The requirements of 24 CFR576.56(a)(3) conceming the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 conceming the prohibition of conflict of interest or financial interest in decision-making by elected officials, appointed officials, staff or board of directors except as may be granted by HUD as provided in 570.611(d). The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, conceming the population to be served.The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 578.77, concerning assistance to the homeless. CDOH PERFORMANCE MEASUREMENTS AND OUTCOMES All ESG proposals must comply with the CDOH Performance Measurements and Outcomes. I have read the performance and outcome measurements as shown below and understand that these may differ from measurements required by HUD. (Please Use Drop Down Box) YES Performance Measurements and Outcome Requirements Objective: Serve the lowest income and hardest to serve individuals and families meeting critical housing needs through state and federal initiatives by creating a suitable living environment or decent affordable housing. Funding Source: ESG Activity: ESG Funding Objectives/Outcomes: 1. End chronic homelessness and move homeless families and individuals into permanent housing. 2. Availability/accessibility for the purpose of creating suitable living environments. 3. Promote self-sufficiency, efficient use of funds and effective program administration. CDOH Performance Measures/Indicators(Applies to all ESG funded projects); • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • Recipient expended all ESG funds within the established grant timeframe. • Recipient met the deadline for submitting their signed grant agreement. • Recipient met the deadline for submitting evidentiary documents. • Recipient met the deadline for submitting performance reports. • Recipient meets required standards for documentation of homelessness. • Recipient complies with required record keeping methods. • Recipient complies with the due process of terminating ESG funded assistance of participant. • Amount of money leveraged. • Does recipient have current non-corrected and/or corrected findings from previous compliance reviews? CDOH Performance Measures/Indicators specific to ESG-Funded Shelter and Transitional Housing: • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • The total number of adults and children served on an annual basis(reported under Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Homeless Prevention: • Number of persons assisted with ESG funds for eviction notices. • Number of persons assisted with ESG funds for utility termination notices. • Number of persons assisted with ESG funds for security deposits and/or first month's rent. • The total number of adults and children served on an annual basis (reported under Non-Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Essential Services: • Number of homeless persons that received ESG funded services concemed with employment. • Number of homeless persons that received ESG funded services concemed with health. • Number of homeless persons that received ESG funded services concemed with substance abuse. • Number of homeless persons that received ESG funded services concemed with education. • Number of homeless persons that become successfully independent of ESG funded services. • Number of homeless persons that retum to their prior living situation • The total number of adults and children served on an annual basis(reported under Non-Residential Services). • The number of persons served by race and ethnicity. The requirements of 24 CFR 576.79, other appropriate provisions of 24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. The requirements of 24 CFR 576.80 concerning minimizing the displacement of persons, as a result of a project assisted with these funds. The requirements of 24 CFR 576.80 concerning the Uniform Relocation Assistance and Real Acquisition Policies Act of 1970. The requirement of the Cranston-Gonzalez National Affordable Housing Act (Public Law 101-625, November 28, 1990 contained in Section 832(e)(2)(C)that grantees develop and implement procedures the ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency Shelter Grants Program"will, except with written authorization of the person or persons responsible for the operation of such shelter, not be made public." The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104(g) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities, as specified in 24 CFR Part 58, and as applicable to activities of nonprofit organizations. The requirement that no Federal appropriated funds have been paid, by or on behalf of the local government or nonprofit organization, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal loan, the entering into of any cooperative agreement, and modification of any Federal contract, grant, loan or cooperative agreement. The requirement that if any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the local government or nonprofit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying,"in accordance with its instructions. The requirement of disclosure specified in Subpart C of 24 CFR Part 12 regarding assistance from other HUD-funded programs. The requirement that the local government or nonprofit organization shall require that the language of the PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all standards at all tiers including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements and that all subrecipients shall certify and disclose accordingly. The requirement that(68 Fed. Reg.43430) agencies receiving funding from the Emergency Shelter Grant Program become compliant with Homeless Management Information System (HMIS)as required by the Department of Housing and Urban Development. The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or nonprofit organization possesses legal authority to carry out emergency shelter grant activities In accordance with applicable law and regulations of the Department of Housing and Urban Development. Stacy Suniaa (Name an Title) —"� 3/26/2008 -Signs ure Date CDOH PERFORMANCE MEASUREMENTS AND OUTCOMES All ESG proposals must comply with the CDOH Performance Measurements and Outcomes. I have read the performance and outcome measurements as shown below and understand that these may differ from measurements required by HUD. (Please Use Drop Down Box) YES Performance Measurements and Outcome Requirements Objective: Serve the lowest income and hardest to serve individuals and families meeting critical housing needs through state and federal initiatives by creating a suitable living environment or decent affordable housing. Funding Source: ESG Activity: ESG Funding Objectives/Outcomes: 1. End chronic homelessness and move homeless families and individuals into permanent housing. 2.Availability/accessibility for the purpose of creating suitable living environments. 3. Promote self-sufficiency, efficient use of funds and effective program administration. CDOH Performance Measures/Indicators(Applies to all ESG funded projects): • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • Recipient expended all ESG funds within the established grant timeframe. • Recipient met the deadline for submitting their signed grant agreement. • Recipient met the deadline for submitting evidentiary documents. • Recipient met the deadline for submitting performance reports. • Recipient meets required standards for documentation of homelessness. • Recipient complies with required record keeping methods. • Recipient complies with the due process of terminating ESG funded assistance of participant. • Amount of money leveraged. • Does recipient have current non-corrected and/or corrected findings from previous compliance reviews? CDOH Performance Measures/Indicators specific to ESG-Funded Shelter and Transitional Housing: • Number of homeless persons receiving case management who move into safe and stable housing. • Average cost per person receiving ESG assistance. • The total number of adults and children served on an annual basis(reported under Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/indicators specific to ESG-Funded Homeless Prevention: • Number of persons assisted with ESG funds for eviction notices. • Number of persons assisted with ESG funds for utility termination notices. • Number of persons assisted with ESG funds for security deposits and/or first month's rent. • The total number of adults and children served on an annual basis (reported under Non-Residential Services). • The number of persons served by race and ethnicity. CDOH Performance Measures/Indicators specific to ESG-Funded Essential Services: • Number of homeless persons that received ESG funded services concerned with employment. • Number of homeless persons that received ESG funded services concerned with health. • Number of homeless persons that received ESG funded services concerned with substance abuse. • Number of homeless persons that received ESG funded services concerned with education. • Number of homeless persons that become successfully independent of ESG funded services. • Number of homeless persons that return to their prior living situation • The total number of adults and children served on an annual basis(reported under Non-Residential Services). • The number of persons served by race and ethnicity. COPY OF YOUR 501(c)(3) Ruling CO PY DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE P. 0. BOX 2508 CINCINNATI, OH 45201 Employer Identification Number: 2 4 ?CI 84-1554767 Date: DLN: 17053092964045 Contact Person: ID# 31534 ROOM THE INN INTERFAITH FAITH E CUMMINS HOSPITALITY NETWORK INC Contact Telephone Number: G2EELEY3 5TH AVE CO 80631-4229 (877) 829-5500 R Public Charity Status: 170(b) (1) (A) (vi) Dear Applicant: Our letter dated November 2000, stated you would be exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code, and you would be treated as a public charity, rather than as a private foundation, during an .advance ruling period. Based on the information you submitted, you are classified as a public charity under the Code section listed in the heading of this letter. Since your exempt status was not under consideration, you continue to be classified as an organization exempt from Federal income tax under section 501(c) (3) of the Code. Publication 557, Tax-Exempt Status for Your Organization, provides detailed information about your rights and responsibilities as an exempt organization. You may request a copy by calling the toll-free number for forms, (800) 829-3676. Information is also available on our Internet Web Site at www.irs.gov. If you have general,questions about exempt organizations, please call our toll-free number shown in the heading between 8:30 a.m. - 5:30 p.m. Eastern time. Please keep this letter in your permanent records. Sincerely�ryyours,aerie `Lerne r Lois Director, Exempt Organizations Rulings and Agreements Letter 1050 (DO/CG) COPY OF YOUR LAST AUDIT SIEBERT & ASSOCIATES, P.C. Office (970) 353-3750 Fax (970)353-3752 Certified Public Accountants 8219 West 20th Street,Suite B William J. Siebert, CPA Greeley,Colorado 80634 May 15, 2007 Jessica L. Orcuu, CPA Board of Directors Room at the Inn Interfaith Hospitality Network, Inc. 1213 5th Avenue Greeley, Colorado 80631 Re: Proposed audit of 2006 financial statements We have recently met with Kara Haines and subsequently received internally prepared financial statements and various supporting documents to assist in the preparation of an audit proposal for Room at the Inn. The Services Agreement for the Emergency Shelter Grant with the Weld County Housing Authority has a requirement under the "Financial Management' section that requires an annual audit of all funds expended under ESG must conform to the Single Audit Act of 1984 and OMB circular A-128. In addition, the United Way of Weld County requires that the Agency shall use generally accepted accounting auditing standards for nonprofit organizations and complete an annual, independent audit according to generally accepted auditing standards. To complete the various audit procedures to perform an audit in accordance with U.S. generally accepted auditing standards and the standards for financial audits contained in Government Auditing Standards: and comply with the laws, regulations, and provisions of contracts or grant agreements in accordance with the Single Audit Act Amendments of 1996 and OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations, we estimate the fees for such an engagement would be approximately $5,000. Since the net income for 2006 amounted to only $2,716, it does not appear realistic to incur a significant audit fee at this time. We understand that representatives of the Authority have previously audited the Grant through the Weld County Housing Authority. In regard to United Way's audit requirement, we noted that certain fundraising expenses should be netted with the gross income from fundraising events, which results in revenue less than the $100,000 requirement for an annual audit by United Way of Weld County. An independent internal review could be completed to meet their requirements. We recommend that a request be made to the United Way of Weld County for exclusion from the annual audit requirement for the reasons explained previously. A more beneficial use of the funds would be to strengthen the Organizations internal controls and conduct a risk assessment evaluation. In summary, we sincerely feel that an audit at this time is not in the best interest-of the organization financially. If we can be of further assistance, please contact us. Very truly yours, SIEBERT &ASSOCAITES, P.C. William J. iebert W-9 (Attached as a separate document in this packet) Fonn W'9 Request for Taxpayer Give form to the (Rev.October 2007) Identification Number and Certification requester.Do not Department or the Treasury send to the IRS. Internal Revenue Servos Nag(as shown on your Income tax return) oi Tr/71'4C trit- 44' a Business name,if different from above c 0 CCheck appropriate box: ❑ Individual/Sole proprietor Pr Corporation ❑ Partnership Exempt .r ❑ Limited liability company.Enter the tax classification(C=dlsregarded entity,C=corporation,P=partnership)► ❑ Payee At ❑ Other(see Reinder* ► A/c rl- Pre , f t Address(number,street and apt.or suite no.) Requester's name and address(optionan City,state,and ZIP code 6rce ci, Co , $61k3 I AList account nun s)here(option° Part I Taxpayer Identification Number(TIN) Enter your TIN fn the appropriate box.The TIN provided must match the name given on Line 1 to avoid social"aloft number backup withholding.For individuals,this is your social security number(SSN). However,for a resident alien,sole proprietor,or disregarded entity,see the Part I Instructions on page 3.For other entities, it is , your employer identification number(EIN). If you do not have a number,see How to get a TIN on page 3. or Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employ.Uploy.Identification number U number to enter. f1 / s-s-97 - 7 Part II Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer Identification number(or I am waiting for a number to be issued to me),and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S.citizen or other U.S.person(defined below). Certification Instructions.You must cross out item 2 above if you have been notified by the IRS that you we currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,hem 2 does not apply. For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the Certification,but you must provide your correct TIN.See the instructions on page Sege us.p., l`�•d ,� .¢f-© J v Here us.parson Date General Instructions Definition of a U.S. person. For federal tax purposes, you are considered a U.S.person if you are: Section references are to the Internal Revenue Code unless otherwise noted. • An individual who Isa U.S. citizen or U.S.resident alien, • A partnership,corporation,company,or association created or Purpose of Form organized In the United States or under the laws of the United A person who is required to file an information return with the States, IRS must obtain your correct taxpayer Identification number(TIN) • An estate(other than a foreign estate),or to report,for example, income paid to you, real estate • A domestic trust(as defined in Regulations section transactions, mortgage interest you paid,acquisition or 301.7701-7). abandonment of secured property, cancellation of debt,or al rules for contributions you made to an IRA. Special partnerships. Partnerships that conduct a trade or business in the United States are generally required to Use Form W-9 only if you are a U.S. person(including a resident alien),toprovide pay a withholding tax on any foreign partners'share of income your correct TIN to the person from such business. Further,in certain cases where a Form W-9 requesting it(the requester)and,when applicable,to: has not been received, a partnership Is required to presume that 1.Certify that the TIN you are giving is correct(or you are a partner Is a foreign person, and pay the withholding tax. waiting for a number to be issued), Therefore, If you are a U.S. person that Is a partner in a 2.Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. 3.Claim exemption from backup withholding if you we a U.S. status and avoid withholding on your share of partnership exempt payee.If applicable,you are also certifying that as a income. U.S.person,your allocable share of any partnership Income from The person who gives Form W-9 to the partnership for a U.S.trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding foreign partners'share of effectively connected income, on Its allocable share of net income from the partnership Note. If a requester gives you a form other than Forn W-9 to conducting a trade or business in the United States is in the request your TIN,you must use the requester's form if it is following cases: substantially similar to this Form W-9. • The U.S.owner of a disregarded entity and not the entity, Cat No.10231x Form W-9 (Rev.10-2007) Hello