Contract for Social Media - Excel

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					    Forms           THE COMBINED FUNDERS ANNUAL REPORT
     2009

                    Reporting Period:                               January 1 thru December 31, 2009
                                                                         Read instructions before completing report

                    CONTRACT IDENTIFIERS                                                                         CONTRACTOR / OWNER

   State CTED:                                                                                       Agency:
      WSHFC:                                                                                          Name:
   King County:                                                                                      Position:
    Snohomish                                                                                         Street:
        County:                                                                                          City:                                 Zip:
                                                                                                      Phone:
                                                                                                         Fax:
                                                                                                      E-Mail:

                    PROJECT INFORMATION

 *Project Name:                                                                 County:
          Street:                                                                   City:                                                      Zip:
Property Tax ID:
         Street:                                                                    City:                                                      Zip:
Property Tax ID:

        *Note: For scattered-site projects, provide an additional attachment listing address, city, and Property Tax ID # for all buildings or addresses.



                    PROJECT PROPERTY MANAGER (person who can answer questions about this report)

  Organization:
 Contact Name:
         Street:
           City:                                                                                                                               Zip:
        Phone:
           Fax:
        E-Mail:



                    PROJECT UPDATE
Please describe any extraordinary activities/circumstances of impact to the project during this reporting period. For example - negative cash
flow, operational difficulties, organizational changes, capital improvements, etc.




                                                                    CERTIFICATION
To the best of my knowledge, all information stated herein, as well as any attachments are true and accurate. The person certifying this report
should be the same person that is accountable to the public funder's contract. Property Management companies typically should not certify
these reports.


                Authorized Representative
                                                                               Print Name                                       Signature
                                         Date
                                                                                       Certificate of Continuing Project Compliance Part B/Table 1
                                                                                                2008 Combined Annual Compliance Report
                                                                                              Report Period: January 1, 2008 - December 31, 2008


Project Name:
          City:                                              County:                                           Put an X by each funder(s) that will receive this report:              Project ID(s)
 Total # Units:                                            Buildings:                                         WA State Housing Finance Commission Tax Credit Program                   OID/OAR#:
                                                                                                                                       WA State DCTED (Housing Division)                Contract #
                                                                                                                                                          City of Seattle
                                                                                                                                                           King County                  System ID#
                                                                                                                                                     Snohomish County                  Contract ID#
                                                                                                                        Household Size                   City of Tacoma
 Prepared by:                                             Telephone:                         Date:                                1       Email:
Project Name:                                                                                                                        0
                                                                                                                          0          0




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      2008 Certificate of Continuing Project Compliance Part B / Table 1                                               2 of 6
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                                                                                                     Project Name:
                                                                                                      Prepared by:




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2008 Certificate of Continuing Project Compliance Part B / Table 1
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                                                                                                                                                                                       2008 Combined Annual Compliance Report




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                                                                           Combined Funders Annual Report 2008
                                                                                    Table 1A - HOME

     Project Name:
              # of HOME units per project:
        # 50% and Below/Low HOME rent:
        # 65% and Below/High HOME rent:                                                       Before Completing this form please read the instructions and only use the codes for each column.

     Unit #            # of     Is Unit      Tenants             Monthly rent including utilities                   Income Data                             Race            Size    Type    Source of
                                                                                                                                        Ethnicity of Head
                       Bdrms    Occupied?    Before    Tenant        Subsidy             Total            Monthly Gross     % of Area                       Head of Hshld   Hshld   Hshld   Rental
                                                                                                                                        of Household
                                             HOME      Contrib       Amt                 Rent             Income            Median                                                          Assistance

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19
2008 Table 1A - HOME Report Form                                                                                                                                                                   Page 1
                                                                           Combined Funders Annual Report 2008
                                                                                    Table 1A - HOME
     Project Name:
              # of HOME units per project:
        # 50% and Below/Low HOME rent:
        # 65% and Below/High HOME rent:                                                       Before Completing this form please read the instructions and only use the codes for each column.

     Unit #            # of     Is Unit      Tenants             Monthly rent including utilities                   Income Data                             Race            Size    Type    Source of
                                                                                                                                        Ethnicity of Head
                       Bdrms    Occupied?    Before    Tenant        Subsidy             Total            Monthly Gross     % of Area                       Head of Hshld   Hshld   Hshld   Rental
                                                                                                                                        of Household
                                             HOME      Contrib       Amt                 Rent             Income            Median                                                          Assistance

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38


2008 Table 1A - HOME Report Form                                                                                                                                                                   Page 2
                                                                   Tables 2 and 3


                                                      Table 2. Occupant Characteristics
                             Project Name:

                 1    Number of units or beds:
                                                 Renters
                                                 Owners
                                                 Total units in project
                                                 (Equal to Table 1)
                 2    Occupancy:
                                                 Number of units occupied at 12/31
                                                 Number of units vacant at 12/31

                 3    Number of Households served:
                                                 Total number of family households served
                                                 Total number of individual households served
                                                 Total Households (Equal to Table 1)



                 4    Race and Ethnicity of Households served:                      Race                    Ethnicity
                                                                          # Head of Households   #Hispanic Head of Households

                      White
                      Black or African American (AA)
                      Asian
                      American Indian or Alaska Native
                      Native Hawaiian or Other Pacific Islander
                      American Indian or Alaska Native and White
                      Asian and White
                      Black or African-American (AA) and White
                      American Indian or Alaska Native and Black or AA
                      Other Multi-Racial

                                                           Total

                 5    Household Income:
                                                 0-30%
                                                 31-50%
                                                 51-80%
                                                 Over 80%

                                                 Total Households


                 6    Single Parent Head of Household:
                                                 Single Female Head of Household
                                                 Single Male Head of Household

                 7    Total Households served during the year:
                                              Renter
                                              Owner

                                                 Total Households


                                                     Table 3. Special Needs information
                 1    Special Needs Population:
                                              Developmentally Disabled
                                              People Living with HIV/AIDS
                                              Survivors of Domestic Violence
                                              Substance Abusers and People in Recovery
                                              People Living with Chronic Mental Illness
                                              Physically Challenged
                                              Traumatic Brain Injured
                                              Veterans
                                              Frail Elderly
                                              Population At-Risk of Homelessness
                                              Mentally-ill, chemically-addicted
                                              Multiple Special Needs (specify needs)
                                                 Total Special Needs Households served

                 2    Total Number of Homeless Households served:
                                             Homeless family Head of Households served
                                             Homeless individual Head of Households served


2008 Tables 2 and 3

				
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