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Indian Riva County Healthy Start Coalition,Inc. <br /> BELLY BEAUTIFUL <br /> Children's Service Advisory Committee <br /> PROGRAM COVER PAGE <br /> Organization Name: Indian River Counly Healthy Start Coalition Inc <br /> Executive Director: Kathleen Cain E-mail: Kathie a,irchealthystart.org <br /> Address: 333-170' Street, Suite 2R Telephone: 772-563-9118 <br /> Vero Beach, FL 32960 Fax: 772-563-9125 <br /> Program Director:_ Linda Roberts(PIWH at IRMC) E-mail: verodoula(a),vero.com <br /> Address: 1050-37h Place, Suite 101 & 102 Telephone: 772-770-6116 <br /> Vero Beach, FL 32960 Fax: 772-564-6120 <br /> Program Title: BELLY BEAUTIFUL <br /> Priority Need Area Addressed:_ Building parent capacity and improvinghealth prenatally for <br /> families to experience positive birth outcomes <br /> Brief Description of the Program: Taxonomy: PN8100.6500: Parent/Family Support Groups <br /> PH6100.1800-900: Teen Expectant/New Parent Assistance The Belly Beautiful program educates <br /> first-time; second time, teen mothers and fathers on topics related to healthy preggancy, peaceful <br /> childbirth and infant care. The group classes increase social support and health literacy among young <br /> families. The program is offered at IRMC and Gifford Youth Achievement Center. <br /> SUMMARY REPORT—(Enter Information In The Black Cells Only) <br /> Amount Requested from Funder for 2016/17: $ 6,000.00 <br /> Total Proposed Program Budget for 2016/17: $ 41,740.00 <br /> Percent of Total Program Budget: 14.4% <br /> Current Program Funding (2016/17): $ 6,000 <br /> Dollar increase/(decrease) in request: $ _ <br /> Percent increase/(decrease) in request ** 0.0% <br /> Unduplicated Number of Children to be served Individually: _ <br /> Unduplicated Number of Adults to be served Individually: _ <br /> Unduplicated Number to be served via Group settings: 335 <br /> Total Program Cost per Client: 124.60 <br /> **If request increased 5%or more,briefly explain why: N/A <br /> If these funds are being used to match another source,name the source and the$ amount: <br /> N/A <br /> The Organization's Board of Directors has approved this application on(date).April 18,201 t5 <br /> P.Glenn Tremml,M.D. AD 0 <br /> Name of President/Chair of the Board Signature <br /> Kathleen Cain ` <br /> Name of Executive Director/CPO Signature <br /> 2 <br />