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EXHIBIT A <br />AGENCY REQUEST FOR FUNDING FROM Indian River COUNTY <br />FISCAL YEAR 2019/2020 <br />A. Program Cover Page <br />Agency: Treasure Coast Homeless Services <br />Council, Inc. <br />Telephone: 772-567-7790 ext.1012 <br />Contact Person: Louise Hubbard <br />Fax: 772-567-5991 <br />Title: Executive Director <br />E -Mail: irhsclh@aol.com <br />Address: 2525 St. Lucie Avenue <br />Vero Beach, FL 32960 <br />d <br />Website Address: www.tchelpspot.org <br />Program Title: Homeless Resource Center, Inc. <br />I certify that information contained in this application accurately <br />`f <br />reflects the activities of this,,.agency,, <br />4and,f;: <br />that the expenditures or portions thereof for which County funds are being requested are not reimbli�sed`I <br />by. sourceX�AX , <br />eanyher <br />�� <br />Louise Hubbard , Executive Director <br />S' nature <br />Print name and title <br />ttnet oescnption of the Program for which funding is requested: <br />The primary function of the Resource Center is to provide housing assistance to prevent and end <br />homelessness. The programs provide assistance to individuals and families to prevent homelessness by <br />avoiding evictions for low income persons, and to rehouse eligible homeless individuals and families in fair <br />market rental housing in the community. Target populations also include homeless disabled persons and <br />Veterans who are homeless or about to become homeless. <br />summary Keport <br />Amount requested from Indian River County for 2019/2020: $15,270 <br />Total Proposed Program budget for 2019/2020: $717,921 <br />Percent of total Program budget: 2% <br />Current Funding (2018/2019) $15,270.00 <br />Dollar increase / (decrease) in request: $0 <br />Percent increase / decrease in request: 0% <br />It request increased 5% or more, briefly explain why: <br />This is not an increase. <br />The Organization's Board of Directors has approved this applica on 'te): <br />Todd Heckman <br />Name of President/Chair of the Board Signature <br />Louise Hubbard�J / <br />Name of Exec. Director/CEO "gnature <br />1 <br />EXHIBIT A <br />