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EXHIBIT A <br />INDIAN RIVER COUNTY NONPROFIT / QUASI AGENCY REQUEST FOR FUNDING <br />A. Program Cover Page <br />Agency: Senior Resource Association, Inc. Telephone: 772-569-0760 <br />Contact Person: Crissie Tucker Fax: 772-778-7272 <br />Title: Comptroller E -Mail: ctucker(d)_sramail.or <br />Address: 694 14th Street <br />Website Address: www.SeniorResourceAssociation.Org <br />Program Title: Vero Beach, FL 32960 <br />1 Agree - By checking the "I Agree" box and entering your name below, you certify that information contained <br />in this application accurately reflects the activities of this agency and that the expenditures or portions thereof for <br />which County funds are being requested are not reimbursed by any other source. <br />Name: Crissie Tucker Title: Comptroller <br />3riet description of the Program for which tundina is requested: <br />Senior Resource Association (SRA) is requesting funding for Senior Supportive Services, Adult Enrichment <br />& Respite Programs, and Meals on Wheels. SRA provides services to encourage and enhance the natural <br />support system of an older adult, with special emphasis on caregivers and families. Services include but not <br />limited to: case management, personal care, homemaking, companionship, caregiver respite, emergency <br />alert response, pest control, chore, facility respite, DayAway, shopping assistance and meals. <br />Summary Keport <br />Amount requested from Indian River County for 2022/2023: $145,463.00 <br />Total Proposed Program budget for 2022/2023: $4,034,018.00 <br />Percent of total Program budget: 3.61 % <br />Current Funding (2021/2022) $125,927.00 <br />Dollar increase / (decrease) in request: $19,536.00 <br />Percent increase / decrease in request: 15.51 % <br />f request increased 5% or more, briefly explain why: <br />In previous years we received COVID related funding. This year, our funding is returning to the normal <br />funding sources which require county matches. <br />The Organization's Board of Directors has approved this application on (date): 04/29/22 <br />Name of President/Chair of the Board <br />Name of Exec. Director/CEO: <br />EXHIBIT A <br />Don Wright <br />Karen Deigl <br />