2020-797-E Finance-Pathways to Change outside agency agreement

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DocuSign Envelope ID:29B34BCC-1A11-40B3-9EE7-168E6261E415 Of the above, how many Hispanic/Latino 8 6 10 13 Of the above, how many non-Hispanic/Latino 44 36 54 76 Total 52 42 64 89 Age 0-5 years 6-18 years 19-50 years 50 40 60 83 51+years 2 2 4 6 Total 52 42 64 89 Geographic Location Town of Chapel Hill 5 10 10 14 Town of Carrboro 5 2 2 3 Orange County(Outside of Chapel Hill/Carrboro) 25 5 10 14 Outside of Orange County 17 25 42 54 Total 52 42 64 89 Income* Low-income(80%of the Area Median Income and Below).Please see income table in the attachments 50 *See note below Total 50 0 0 0 *Pathways has not requested information related to income,so we have no verifiable data to support any claims of low-income participants.A request for this information will be added to our intake forms so we can report accurately in the future. 8. Cost Per Individual This cost, per individual, must reflect the total program budget divided by the total number of program individuals in this application. Actual 2018-19* Projected 2019-20 Projected 2020-21 Total Cost of Program See note below $33,150 $79,034 Total # of Individuals 50 89 Cost Per Individual $546 $883 *Pathways is working with our accountants to establish our financial records according to GAAP (Generally Accepted Accounting Principles)for non-profit organizations. Income and expenses were not consistently entered against programs.We cannot with certainty state actual program income or expenses for accounting years prior to FY 2020. 9. Performance Indicators For Chapel Hill and Carrboro applicants: Please complete the following chart with information about the Strategic Objective, Intermediate Result, and the Agency Performance Indicator for each program for which you are applying for funding. Please see the Results Framework in the Attachments section as a reference. Program information P a g e 11 o f 3 7