501(c)(2) X 501(c)(3) 501(c)(4) 502(c)(3) Other (specify)
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1 II. APPLICANT INFORMATION 2013 INGHAM COUNTY COMMUNITY APPLICATION 1. Organization: Capital Area Community Services, Inc. 2. Contact Person. Barbara J. Sluka Zumsteg, Associate Director for Community Programs Marina Poroshin Rural Ingham Service Center Coordinator 3. Organization's Address: Administration: 1301 Rensen St.. Lansing, Ml CACS Rural Ingham Service Center 218 E. Maple Street Mason, Ml Phone Number: or Mason: Fax Number: (517) WEB: 6. Proposal Title: Low Income Heating Assistance Amount Requested: $8, Federal Tax Identification Number: Preference of receiving Ingham County communications regarding community agency grants: Please Check One - X U.S. Postal Services Address: 10. Please indicate the names and titles of persons who are authorized to execute agreements on behalf of your organization: Name: Ivan W. Love Jr. Title: Executive Director 11. Nonprofit Organization: Please Check One - 501(c)(2) X 501(c)(3) 501(c)(4) 502(c)(3) Other (specify) 12. Business organization (profit) Non-Profit Agency 13. Unit of government including schools (specify): NA 14. Not incorporated (specify legal and/or professional status of the requesting individual): NA 15. How long has the applicant organization been in business? 48 consecutive years. 16. What is the number of full-time equivalent positions currently employed? 2 FT & 3 PT staff in the Rural Ingham Service Center 17. How many volunteers are currently involved? We have two four volunteers on a regular basis. In addition, volunteers vary from one project to another, two or three to entire groups of 35 or more. Several Civic organizations support the activities in the center and over the year volunteers are often involved.
2 18. a. How does your proposal involve coordination or collaboration with County services, other local governments, or other agencies? CACS works collaboratively with other service providers, faith based organizations, local businesses and other non-profit organizations to address unmet needs in the community. Close collaboration with other service providers maximizes resources and avoids unnecessary duplication of services. What other programs similar to your program are operating in the County? DHS provides assistance with utility shuts-offs as well as, the Salvation Army and St. Vincent DePaul. Direct payment assistance provided through Capital Area Community Services requires participation in an Energy Education workshop prior to payment to help individuals reduce their energy consumption which in turn leads to less dependency on organizations. Funding for home heating assistance has been substantially reduced (25%- 40% over the past two years). Requests for assistance with home heating costs has risen in light of the economic situation in our area. 19. Is this your first request for funds from Ingham County? NO 20. a) Have you sought funds for this proposal or concept from any other entity? Please identify who and the response. Yes No Dart Foundation has awarded home heating assistance funds to assist with this unmet need, and we anticipate that continued support through the local Walk for Warmth fund raising efforts in Rural Ingham County. Last year this Rural Ingham fundraising effort raised $17,146. Ml Public Service Commission Funds through the Ml Community Action Agency Association has been the one constant source of metered home heating assistance funds in the CACS service area. The current contract is 26% lower than last year and, at this time funding for 2013 is unknown. b) Does the proposal anticipate utilizing funds other sources? Yes NO In addition to the funding described above, we just received the renewal of the Low income heating assistance contract LCA (deliverable fuel) for However those funds cannot be used for metered fuel. c) To what extent is the other funding assured? At this time the other funding source contracts mentioned in 20 (a) are expected, however the level of funding is uncertain at this time.
3 DETAILED SCOPE OF WORK The Scope of Work should be one page or less and contain: 1. A statement regarding the general nature of services and population with which your agency concerns itself. CACS provides services to the low income population in the four county service area which includes Rural Ingham County. The local office is located at 218 E. Maple Street in Mason and, both outreach and direct services are provided to the outlying areas as well, Stockbridge, Dansville, Leslie etc. CACS services include FREE tax preparation assistance, Emergency Food Bank and surplus commodity food distribution, Senior Services, MMAP, Weatherization, Homeless Prevention and Homeless Case Management, Family Stability to prevent homelessness through direct payment assistance to vendors on the clients behalf, home heating assistance, Client Education including Budgeting and Money Management, Energy Conservation and Home Buyer Education, as well as Information and referral and linkage to other services in the community. 2. A statement explaining how the proposal will address the County's long-term objective of Meeting Basic Needs. (See the attached Resolution # Resolution Approving Criteria for Ranking 2013 Applications for Community Agency Funding). This proposal addresses the Ingham County Board of Commissioners objective of providing direct home heating assistance to meet Basic Needs and avoid duplication of resources. Direct home heating assistance prevents homelessness by maintaining basic services and, result in greater stability of the family unit. 3. A statement detailing the specific services which will be provided by Ingham County' appropriation. A statement of the specific target group for these areas. Direct Home Heating Assistance for low income individuals/families in Rural Ingham County, with specific emphasis on Seniors 60+ years of age. Direct payment assistance provided through CACS requires participation in an Energy Education workshop prior to payment to the heat related vendor. 4. A statement describing the eligibility criteria for these services. (See the attached Resolution # Resolution Approving Criteria for Ranking 2013 Applications for Community Agency Funding and must serve residents of Ingham County are eligible). Eligible households must have an annual income level at or below 150% of the federal poverty level income guidelines, which for a family of two (2) in 2012 is $22,695 and must be a resident of Rural Ingham County as outlined in this proposal guidelines and any other restrictions so set by the Ingham County Board of Commissioners. 5. A statement describing the time for the performance of these services. Services will be proved between January 1, 2012 and September 30, 2013, or as otherwise determined by the Ingham County Board of Commissioners Ingham Co Community App 2013
4 IV. PROJECT BUDGET The Proposed Line Item Budget should be structured to address four major areas: Personnel Services, Professional and Contractual Services, Operating Expenses, and Direct Services to Ingham County Residents. Please be advised that for 2013 emphasis will be placed on provision of direct services to county residents and COUNTY REQUESTED AMOUNT OTHER SOURCES 1 Personnel Services a. Salaries & Wages b. FICA c. Unemployment d. Fringe Benefits (may be further subdivided) e. Overtime f. Temporary g. Work Study Wages -?, Professional and Contractual a. Medical Services (for recipient population) b. Accounting Services c. Membership/Subscriptions d. Federal or State grant match e. Office Equipment Leases f. Maintenance Agreements ODeratins Expenses a. Telephone b. Rent c. Utilities d. Postage e. Office Supplies f. Travel g. Insurance 4 Direct Services to Ingham County Residents a. Food b. Utilities c. Shelter/Housing d. Other Direct Assistance TOTAL $8,500 $8,500 $42,000 $42,000
5 CAPITAL AREA COMMUNITY SERVICES Program Progress Summary as of May 31, 2012 Contract Dates Program Grant Award Year-to-Date Budget Expenditure to Date % of Exp. to Budget , , /01/11-07/31/12 08/01/11-07/31/12 09/01/09-03/31/12 07/ /30/12-10/ /30/12 07/01/11-06/30/12 07/01/11-06/30/12 10/01/10-05/31/12 09/01/11-08/31/12 10/01/11-08/31/12 09/30/10-09/29/11 02/01/12-06/30/13 07/01/11-06/30/12 01/03/ /12 04/01/12-03/31/13 04/01/12-03/31/13 Administration CSBG Head Start Early Head Start HPRP HUD-Eaton Senior Outreach GSRP HUD-Clinton & Shiawassee HUD-Lansing Early Learning Mentor TEFAP 3-year Old Scholarships CSFP Home Visiting LCA Head Start Expansion MSHDA-FIP City of Lansing MCAAA-EAP MSHDA DOE Supplement DOE Stimulus 1,150,000 1,061,959 10,437,632 1,691, , ,791 73, ,110 93, , ,000 93, , , , , ,262 8,908 30,000 90, , , , , ,973 9,437,632 1,409, ,000 97,892 73, ,740 85, , ,000 36, ,000 98, , , ,262 2,097 27,500 50, , , , ,156 9,621,537 1,236, ,000 99,895 73,270 19,411 77, , ,935 25, , ,136 76, , , ,170 58, , , , GRAND TOTALS 18,780,018 15,704,988 15,374, Contract Dates Program Grant Award Year-to-Date Budget Expenditure to Date % of Exp. to Budget 1. 07/01/11-06/30/ /01/11-06/30/ /07/11-06/30/ /01/12-12/31/ /15/11-06/30/ /01/12-12/31/12 ESG Energy Assistance Walk-for-Warmth Emergency Services CSBG-M United Way CSBG-T Ingham Heating Assis' 40,155 65,965 15,000 8,500 20,000 8,500 40,155 65,965 13,125 8,500 16,667 3,542 33,124 29,228 9,406 4,057 19,427 3, , , , Grant Award Year-to-Date Budget Expenditure to Date % of Exp. to Budget GRAND TOTALS 18,982,082 15,896,886 15,517,
6 CAPITAL AREA COMMUNITY SERVICES, INC. BOARD OF DIRECTORS GROUP I (Elected Public Official or their Representatives) CITY OF LANSING Joan Jackson Johnson, Director Human Relations & Community Services Department 124 W. Michigan Avenue 4th Floor, City Hall Lansing, MI Phone: (517) CITY OF EAST LANSING Heather Pope City of East Lansing 410 Abbott Road East Lansing, MI Phone: (517) , ext CLINTON COUNTY BOARD OF COMMISSIONERS Robert Showers Larry E. Martin 1225 Calumet 673 W. Front Street DeWitt, MI Ovid, MI Phone: (517) Phone: (989) EATON COUNTY BOARD OF COMMISSIONERS John Boles Roger Eakin 5923 Bradford Lane 4270 N. Smith Road Lansing, MI Dimondale, MI Phone: (517) Phone: (517) INGHAM COUNTY BOARD OF COMMISSIONERS Eric Schertzing Carol Koenig Ingham County Treasurer 690 N. Hagadorn Road P.O. Box 215 East Lansing, MI Mason, MI Phone: (517) Phone: (517) SHIAWASSEE COUNTY BOARD OF COMMISSIONER John Plowman 202 Meadowdale Lane Perry, MI Phone: (517) LANSING CITY COUNCIL Brian Jeffries, Atty Moores River Drive Lansing, MI Phone: (517) (Office)
7 GROUP II (Consumer Members) LANSING SERVICE CENTER ADVISORY COUNCIL April Clark 4732 Pleasant Grove Lansing, MI Phone: (517) Orianda Powers 5752 Orchard Court Lansing, MI Phone: (517) INGHAM COUNTY ADVISORY COUNCIL Carol McDaniel 526 W. Harper Street Mason, MI Phone: (517) John Kenny 4169 Onondaga Road Onondaga, MI Phone: (517) (517) cell CLINTON COUNTY ADVISORY COUNCIL Sylvester (Gene) Sherrill 2119 W. Maple Rapids Road St. Johns, MI Phone:(517) Ervin Currie 901 N. Lansing Street, Apt. #1 St. Johns, MI Phone: (989) SHIAWASSEE COUNTY ADVISORY COUNCIL Margo Harris 920 Milwaukee Street Owosso, MI Phone: (989) Rhonda Beebe 1309 N. Hickory Street Owosso, MI Phone: (989) EATON COUNTY ADVISORY COUNCIL Chuck Jenson 4903 Mulliken Road Charlotte, MI Phone: (517) (home) (517) (cell) Montgomery Elliott 3162 Bass Lane P.O. Box 33 Mulliken, MI Phone: (517) (cell) HEAD START POLICY COUNCIL Andrew Metcalf, Jr Doe Pass Lane Perry, MI Phone: (517) (517) INGHAM INTERMEDIATE SCHOOL DISTRICT Michelle Nicholson 2630 W. Howell Road Mason, MI Phone: (517) INGHAM COUNTY DHS Randy Rauch, Director P.O. Box S. Cedar Street Lansing, MI Phone: Su Alyn Holbrook, Director P.O. Box S. Cedar Street Lansing, MI Phone:
8 GROUP III (Community Representatives) BUREAU OF TRANSPORTATION PLANNING Ulysses S. Beasley 3632 Blue River Lansing, MI Phone: (517) BUSINESS, INDUSTRY AND COMMUNITY Cleo Cipicchio Gary Gosaynie 1809 S. Holly Way 1309 N. Washington Street Lansing, MI Owosso, MI Phone: (517) Phone: (989) (home) (989) (work) John Bagby Robert Nelson, Atty Carlson 1423 Fair Oaks Court Lansing, MI East Lansing, MI Phone: (517) Phone: (517) CAPITAL AREA CONTINUING & COMMUNITY EDUCATION ASSOCIATION (CACCEA) Linda Cabose 6651 Old River Trail Lansing, MI Phone: (517) (home) GREATER LANSING LABOR COUNCIL Glenn Freeman, III 435 Stoll Road Lansing, MI Phone:(517) WKAR-TV 23 Beany Tomber 283 Communication Arts & Science Building Michigan State University East Lansing, MI Phone: (517) Melissa McCollum for Tracy Ryan, Grant Manager Bureau of Community Action and Economic Opportunity Department of Human Services 235 S. Grand Avenue, Suite 204 Lansing, MI Phone: (517)
9 i ' Received: 8/27/01 12:22; AUG =42 id- U Internal Revenue Service 51748Z7747 -> CAPITAL AHEA COMMUNITY SERVICE ; Paoo 2 CAPITAL AREA COMMUNITY SU 5174S27747 P.02/03 P.02'03 Department of the Treasury P. O. Box 2508 Cincinnati, OH Date: August 27, 2001 Capital Area Community Services, Inc. 101 E Willow St. Lansing, Ml Person to Contact: Mrs. Swana Smith Customer Service Specialist Toll Free Telephone Number: 8:00 urn. to 330 p,m. EST Fax Number: Federal Identification Number: Dear Sir or Madam: This letter is in response to your telephone request on August 27, 2001, for a copy of your organization's determination letter. This letter will take the place of the copy you requested. Our records indicate thai a determination letter issued in March 1966, granted your organization exemption from federal income tax under section 501(c).(3) of the Internal Revenue Code. That letter is still in effect Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in sections 509(a)(1) and 170(b)(1)(A)(vi). This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990, Return of Organization Exempt from Income Tax only if its gross receipts each year are normally more than $25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of S100 or more paid to each employee durinq a S f "df year Your or9anization is not liable for the tax imposed under the Federal Unemployment Tax Act Organizations that are not private foundations are not subject to the excise taxes under ChaDter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code Beauests legacies, devises transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes.f they meet the applicable provisions of sections 2055, 2106 and 2522 of the Code
10 AUG =42 CAPITAL AREA COmUNITY SU P.'03/03-2- Capital Area Community Services. Inc Your organization is not required o business.ncome under ^5V income tax returns unless it is subject to the tax on unrelated ^^^^^ is subject to this tax, it must file an Business Income Tax Return. In this letter, we or.»«actives a, unread.rade o, business as defined in section 513 of the Code, the exemption application, any inspection (up to a maximum of $10,000 in the case of an annual return). Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep it with the organization's permanent records. If you have any questions, please call us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status. Sincerely, John E. RicKetts, Director, TE/GE Customer Account Services THTQl TnTQI O D
501(c)(2) X 501(c)(3) 501(c)(4) 502(c)(3)
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