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EXHIBIT A <br />INDIAN RIVER COUNTY NONPROFIT / QUASI AGENCY REQUEST FOR FUNDING <br />A. Program Cover Page <br />Agency: New Horizons of the Treasure Coast, Telephone: 772-468-5600 <br />Contact Person: William Wims Fax: <br />Title: CEO/President E -Mail <br />Address: 4500 W Midway Road <br />Website Address: nhtcinc.org <br />Program Title: Mental Health and Substance Abuse <br />wwims(a)nhtcinc.onmicrosoft.com <br />I Agree - By checking the "I Agree" box and entering your name below, you certify that information contained in this <br />application accurately reflects the activities of this agency and that the expenditures or portions thereof for which County <br />funds are being requested are not reimbursed by any other source. <br />Name: William Wims Title: CEO/President <br />brneT aescription OT the vrogram Tor wnicn Tunaing is requestea: <br />New Horizons of the Treasure Coast and Okeechobee delivers accessible behavioral and primary health care services <br />to children, adults and families, regardless of finances, to achieve mental and physical wellness, thereby improving the <br />quality of life in local communities . <br />Summary rteport <br />Amount requested from Indian River County for 2022/2023: $352,554.00 <br />Total Proposed Program budget for 2022/2023: $26,506,772.00 <br />Percent of total Program budget: 1.33% <br />Current Funding (2021/2022) $329,490.00 <br />Dollar increase / (decrease) in request: $23,064.00 <br />Percent increase / decrease in request: 7% <br />request increased 5% or more briefly explain why: <br />Along with an increasing number of indigent and uninsured Indian River County citizens, the need for additional <br />personnel to handle this increase was imperative. To better hire, train, and retain licensed staff our agency increased <br />staff wages by 7%. <br />The Organization's Board of Directors has approved this application on (date): 04/02/2022 <br />Name of President/Chair of the Board: <br />Name of Exec. Director/CEO: <br />EXHIBIT A <br />Greg Pickett <br />William Wims <br />