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PROGRAM INFORMATION8/31/2018 11:35:08 AM Page 5 of 11 <br />Additional Program Information <br />d)Target Population <br />Complete the following tables, with numbers (not percentages) of individuals served and to be <br />served,to the best of your ability, <br />Program Target PopulationDemographics <br />Actual <br />2016-17 <br />Estimated <br />2017-18 <br />Projected <br />2018-19 <br />Gender <br />Male 9 9 9 <br />Female 4 4 4 <br />Total 13 13 13 <br />Ethnicity <br />African-American 3 3 3 <br />American Indian or Alaska Native <br />Asian 1 1 1 <br />Caucasian 9 9 9 <br />Native Hawaiian or other Pacific Islander <br />Other: specify __________________ <br />Total 13 13 13 <br />Of the above, how many Hispanic/Latino 0 0 0 <br />Of the above, how many non-Hispanic/Latino 0 0 0 <br />Total 0 0 0 <br />Age <br />0-5 years <br />6-18 years <br />19-50 years 6 6 6 <br />51+ years 7 7 7 <br />Total 13 13 13 <br />Geographic Location <br />AlamanceCounty <br />Chatham County <br />Durham County <br />Wake County <br />Orange CountyBreakdown <br />Chapel Hill Public Housing 13 13 13 <br />Town of Chapel Hill (Non-Public Housing) <br />Town of Carrboro <br />Town of Hillsborough <br />City of Mebane(Orange County) <br />Orange County (Outside Municipalities) <br />Total 13 13 13 <br />Exhibit A <br />Provider's Cardinal Managed Care Application and Work Statement <br />DocuSign Envelope ID: 45F8D9E2-21AC-4868-9A00-7CEFD1517F11