2016-597-E Finance - Orange Congregations in Mission - Samaritan Relief Ministry - Outside Agency Performance Agreement

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DocuSign Envelope ID:A3E0213B-1DCD-43A3-9C41-A2EC55A8CA94 t A - continued Provider's Outside Agency Application MAIN APPLICATION 2. AGENCY INFORMATION Please provide the following information about your agency (Limit of 2 pages total): a) Years in Operation, Date of Incorporation (Month/Year) May 1981 b) Agency's Purpose/Mission To minister to the urgent needs of citizens of northern Orange County through the volunteer efforts of diverse congregations and individuals inspired by faith in God, and to enhance self-sufficiency and awareness of community resources. c) Types of Services the Agency Provides Samaritan Relief Ministry: Provides emergency food, utility and rental payment, and prescription medication payment. Meals on Wheels: Provides a nutritious meal, Monday through Friday to primarily elderly people who are homebound, alone during lunchtime, and unable to prepare a nutritious meal themselves due to either cognitive or physical disability. Thrift Shop: A place where clothing, books, and household items can be purchased for very low cost and donors are able to make tax deductable donations. d) Agency's Experience with Similar Programs as the Funding Request The Samaritan Relief Ministry has been helping people in northern Orange County since 1981. The program has grown from a checkbook administered by a church secretary to a highly efficient food pantry and immediate financial assistance availability. Donations of food come from many community resources. The current program manager has been in place for over 18 years and has brought the program record keeping from index card files to a computerized database. e) Other Pertinent Agency Information Orange Congregations in Mission uses a calendar year budget. OCIM uses a certified public accountant to compile its financials each month. Main Application 5/25/2016 9:39:17 AM 0 I:° of 22