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Applicant Name : INDIAN RIVER CO . BOARD OF COUNTY COMISSIONERS DUNS #_079 -208 - 989 <br /> ProjectName : Family Options Transitional Housing II ( One Year Renewal ) <br /> Exhibit Me SHP Project Information <br /> Project Information <br /> 1 . Basic Identification <br /> a. Grantee Name : Indian River County Board of County Commissioners <br /> b . Project Name : Family Options Transitional Housing <br /> c. Sponsor Name : Indian River County Department of Human Services <br /> d . Address : 720 4u' Street, Vero Beach, FL 32962 <br /> e . Telephone : 772 -567-7790 <br /> f. Fax Number: 772-567-5991 <br /> g . Contact Person: Louise Hubbard <br /> h . Project Congressional District: 15 , 16 <br /> i . Project 6-digit Geographic Code : 129061 <br /> J . Project Number of Grant Being Renewed FL2913409003 PIN: FL13168 <br /> k. Component/Type : (please check one) THE PHO SSO❑ SH-Th❑ <br /> SH-Ph ❑ HMIS❑ IH❑ <br /> 1. Priority Number on Exhibit 1 : 4 <br /> 2 . Number of Beds/Number of Participants <br /> Chart 1 : Beds <br /> Beds Current Level <br /> Number of Bedrooms* 12 <br /> Number of beds* 28 <br /> *Do not complete information on the number of bedrooms and beds for Supportive Services Only <br /> (SSO) or Dedicated IIIvIIS projects. In those instances, enter "N/A" in the appropriate cells. <br /> Chart 2 : Participants <br /> Current Level No. Projected to <br /> Participants (if applicable) be served over the <br /> Pan ant term <br /> 16 <br /> Number of families with children <br /> Of persons in families with children 4 <br /> a. number of disabled <br /> b. number of other adults <br /> c. number of children <br /> Of single individuals not in families <br /> a. number of disabled individuals <br /> a. 1 . number of disabled individuals <br /> who are chronically homeless <br /> b. number of other individuals <br /> Form HUD 40076 CoC-2RA page 1 <br />