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DocuSign Envelope ID: E9DE81F9-0070-4074-8F70-93DABC24ACE1 A - continued
<br /> Provider's Outside Agency Application
<br /> MAIN APPLICATION
<br /> k.) Schedule of Positions
<br /> Please include program staff positions followed by volunteer positions; these financial figures
<br /> should match the personnel figures in your Agency Comparative Budget Excel Form. Similar
<br /> positions can be combined. (i.e., 8 Occupational Therapists can be inserted as one line item).
<br /> If provided,-
<br /> indicate:
<br /> Position Titles
<br /> FTE** Program Actual Estimated Projected 17
<br /> -Position
<br /> 2014 16 2015 16 2016 Total Retirement
<br /> Vacant Staff+ - Budget Plan
<br /> (H) Health
<br /> Plan
<br /> Program 1.0 25%(1) 71,515.90 $57,636.82 $55,482.26 8.7%
<br /> Dir/Assoc Dir 25%(2)
<br /> 25%(3)
<br /> Dir of Domestic 1.0 100%(1) 42,078.73 $40,332.16 $41,124.52 6.5%
<br /> Violence Services
<br /> Dir of Court 1.0 100%(1) 38,466.00 $37,740.00 $39,321.00 6,2%
<br /> Advocacy&
<br /> Community
<br /> Response
<br /> Dir of Education 1.0 100%(3) 37,219.00 $37,700.00 $38,480.52 6.0%
<br /> Programs
<br /> Client Services
<br /> 1.0 50%(1) 19,254.25 $35,432.16 $36,238.72 5.7% H
<br /> Specialist 50%(3)
<br /> Dir of Latino 1.0 100%(1) 33,053.88 $34,500.00 $35,190.00 5.5%
<br /> Services
<br /> Dir of Teens Climb 1.0 o%(lob% 33,660.00 $34,000.08 $34,680.08 5.5%
<br /> High Programs
<br /> but 0%w/
<br /> OC Funds)
<br /> Dir of Self- 1.0 100%(2) 43,699.43 $33,222.98 $34,680.08 5.5%
<br /> Sufficiency
<br /> Programs
<br /> Support Group .67 80%(1) 20,230.10 $21,442.68 $20,837.80 3.3%
<br /> Coordinator 20%(3)
<br /> Information & .8 100%(3) N/A N/A $13000.00 2.0%
<br /> Referral Coord.
<br /> (Johnson Service
<br /> Corps. intern)
<br /> VITA Coordinator .4 100%(2) $5,684.77 $7,376.00 $7,673.99 1.2%
<br /> Executive Director 1.0 15%(1) $17,129.22 $63,254.00 $66,300.00 10.4%
<br /> 15%(2)
<br /> 15%(3)
<br /> -
<br /> Development Dir 1,0 0% 0 $33,500.00 $51,000.00 8.0%
<br /> Finance & HR Dir 1.0 15%(1) $48,253.80 $44,000.00 $44,880.00 7.1%
<br /> 15%(2)
<br /> 15%(3)
<br /> Admin Manager .67 15%(1) $26,962.65 $22,685.52 $25,010.67 3.9%
<br /> 15%(2)
<br /> 15%(3)
<br /> Communications .67 40%(3) $46,010.58 $35,979.58 $24,000.00 3.8%
<br /> & Development
<br /> Coord
<br /> Fringe Benefits $65,392.49 $62,471.35 $68,399,35 10.7%
<br /> (FICA, Insurance,
<br /> Taxes, etcj
<br /> Main Application 1/24/2016 2:59:42 PM Page 14 0 f 5 8
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