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<br />WORKSHEET TO EXHIBIT A
<br />Community Development Block Grant Program
<br />P. O. Box 391, Redwood City, CA 94064
<br />Name of Agency: Midpeninsula Citizens for Fair Housing
<br />Address and Zip Code: 475 Kingsley Avenue, Palo Alre, CA 94301
<br />Activity Name: Fair Housing Services
<br />A. Salary and Wages »»»»»»»>
<br />Position Hours @ $ - Budget
<br />Executive Director 81.69 x 28.02 $ 2,289 $ 51,000
<br />Staff Services Coordinator 81.70x23.34 $ 1,907 $ 42,478
<br />Proaram Director 65.34 x 23.34 $ 1,525 $ 33,983
<br />Receptionist 81.71 x 15.42 $ 1,260 $ 28,065
<br />Bookkeeper 70.05 x 24.34 $ 1,705 $ 37,973
<br />Fair Housinq Specialist 855.25 x $17.86 $ 15,275 $ 32,500
<br />All Counselors $ - $ 304,981
<br />Total Salary and Wages $ 23,961 $ 530,980
<br />B. Fringe Benefits
<br />Health Insurance $ 2,761 $ 61,503
<br />Workmen's Compensation $ 494 $ 10,938
<br />State Unemplovment Insurance $ 119 $ 2,648
<br />Other Personnel Costs (Specify) FICA $ 1,833 $ 40,620
<br />Total Fringe Benefits $ 5,207 $ 115,709
<br />C. Office
<br />Telephone $ 1,903 $ 19,600
<br />Office Supplies $ 242 $ 5,400
<br />Postaqe $ 145 $ 3,240
<br />Duplicating Costs $ 73 $ 1,620
<br />Total Office Costs $ 2,363 $ 29,860
<br />D. Marketing/Outreach
<br />Promotion $ - -
<br />Trainina $ 204 $ 4,538
<br />Advertising $ 29 $ 650
<br />Total Miscellaneous $ 233 $ 5,188
<br />E. Fiscal Management
<br />Accountinq $ 15 $ 325
<br />Auditing $ 170 $ 3,780
<br />Total Fiscal Management $ 185 $ 4,105
<br />F. Operations
<br />Instructional materials $ 233 $ 5,185
<br />Activities $ 2,347 $ 13,526
<br />Total Operations Expense $ 2,580 $ 18,711
<br />G. Other Budget Line Items *:
<br />Rent $ 6,137 $ 57,737
<br />Illsurance $ 213 $ 4,755
<br />Mileaae $ 886 $ 6,235
<br />Equipment Rent/Maintenance $ 445 $ 19,720
<br />Total Operations $ 7,681 $ 88,447
<br /> TOTALS 1$ 42,210 11$ 793,000 I
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<br />* Please fill this section if the line items listed in your application are not found in the listed examples above.
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