HomeMy WebLinkAbout2021-08-26 Housing & Human Services PACKET
Ashland Housing and Human
Services Commission
Regular Meeting Agenda
August 26,2021:4:00–6:00pm
Please click the link below to join the webinar:
https://zoom.us/j/95034073101?pwd=YkZ1UmtKSnlwekpFckZSeEcwWTBhQT09
1.(4:00)Approval of Minutes (5 min)
July22, 2021
2.(4:05)Public Forum (5 min)
3.(4:10)Social Service Grant Presentations(90min)
Presentations in Alphabetical Order by Organization
4.(5:40)Discussion and Allocation Recommendation(20min)
5.(6:00) Adjournment
Ashland Housing and Human Services Commission
DraftMinutes
July 22, 2021
Call to Order
Commission Co-ChairRich RohdecalledtheZoom meetingtoorderat4:00pm.
Commissioners Present:Council Liaison
Rich RohdeGina Duquenne
Echo Fields
Jackie BachmanSOU Liaison
Linda ReppondNone appointed at this time
(Vacant)
(Vacant)Staff Present:
Heidi ParkerLinda Reid, Housing Program Specialist
Commissioners Not In Attendance:
Leda Shapiro
Chris Mahan
Approvalof Minutes
CommissionersEcho Fields /Heidi Parker m/s to approve the minutes ofJune 24, 2021
asamended.Voice Vote: All Ayes. Motion passed.
Public Forum
Elizabeth From Peace housewould like the City to provide porta-john units at Mistletoe&Tolmanfor homeless
camping in that area. July 1, Parks & Rec removedtheporta-john and sinkthat werethere. Peace House serves
approx.125 4-times per week at this location.
Commission agreesto talk about this subject at the end of this meeting tonight
Post Legislative Session-Housing and Homeless Related Bills
State Representative Pam Marshgives an update on Legislative Bills that recently passed that are linked to
Wildfire relief, housing relief,mental health issues, homeless issue, climateissues, and racial justice issues.
Food Resources Community OutreachEventDiscussion
Heidi Parker, Housing Commissionerbrings forth the idea to profile one organizations and businessesthatare
doing outreach once a week or once a month in the local paper to show the community who is providingservices
for those that are inneed.Commission discusses ideas in how to highlightthese organizationsand forms a work
group withHeidi, Rich, and Linda Reppond.
Porta-Toilet Discussion
Commission discussesneedfor unitsand past damages to unit. Commission asks Gina DuQuenneto Convey to
City Council that the Housing and HumanServices commission has a continued interest in the ongoing COVID
situation and Porta-Toilet placement in the city. Commission would like to have a joint discussion about the issue
with City Council.Linda Reppond will draft a letter to Ashland Parks commission detailing the need for Porta-
Toiletsand present it at the next meeting for approval.
Liaison Reports
RichRohde, Co-Chairlets the commission know there has been an invite from OHRA to tour the new shelter
center.
rd
council meeting will have the first reading of the
Gina DuQuenne, Council Liaisonannounces August 3
rd
with Ashland
amendmentto the City AnnexationOrdinance and there will be a combined meeting on August 23
Parks and City Council
Linda Reid, Staff Liaisonlet the commission know that AC units have been installed in the(3) pallet houses at
the Unitarian Church. At State Wide housing meeting it was discussedthat most cities do not have a policy on
Cooling Shelters and when they shouldbeopened. Linda puts forth to the commission to ask if this is something
they would like to work on and present to the City Council
UpcomingMeetingfor Housing Commission RegularMeeting
Aug 26, 2021
Adjournment:Rich Rohdeadjourned the meeting at6:22p.m.
Respectfullysubmitted by Liz Hamilton
Housingand Human Services
Commission Memo
TITLE:Social Service Grant Review and Recommendation
DEPT:Community Development
DATE:August 26, 2021
SUBMITTED BY:Linda Reid, Housing Program Specialist
The City of Ashland issued a Request for Proposals for the available one-yearallocation of Social
Service Grant funds totaling $135,000. In response the City received 11 proposals for the available
funds. The Housing and Human Services Commission is tasked with reviewing the proposals and
forwarding a funding recommendation to the City Council for review and consideration at their regular
business meeting on September 21, 2021. The applications are attached to this Memo along with the
grant scoring master sheet.
Applications Received:
Ashland Food AngelsGeneral Program Support
Community WorksDunn House
Community WorksSexual Assault Victims Services
Community Volunteer NetworkCall a Ride-RSVP
Peace HouseMeals Program
St. Vincent De PaulPreventing Homelessness
Center For Non-Profit Legal Access to Housing for Low-Income
ServicesResidents
JC SARTSexual Violence Response Program
La ClinicaMobile Health Unit
RVCOGFood and Friends
OHRA
Grants Sub-Committee Scoring Sheet Instructions
1)Each tab is labeled for each of the (INSERT AMOUNT OF APPLICANTS)
organization name has been entered at the top of the sheet
2) Record your scores (0-4) for each of the 16 evaluation criteria using the
up/down arrows to the right of the "points awarded" column
If you intend to not give the applicant any points in one of the categories,
please click the down arrow so that a zero is entered in the field
3) Please be sure to enter your name in the highlighted field in the top
section of each scoring sheet
4)When completed, please save the document using the file name provided
with the inclusion of your last name at the end of the file name
5)If you choose to use the print version of the scoring sheet, please write in
you name at the top of each sheet and record your scores in the "points
awarded column and be sure to use whole numbers (no 2.5's, 3.75, etc)
If you have any questions or data entry issues, please email Linda Reid, Housing Program Specialist
applicants and their full
2021-22 Social Service Grants Scoring Sheet
Grant Applicant Name:
Community Works-SAVS
Committee Member Scoring the Application:
GRANT APPLICATION EVALUATION CRITERIA
Rate on a Scale from Least
applicable to Most
applicable
Strategic Priority
Does this activity meet a Strategic Priority identified in the Strategic
Plan?
1 2 3 4 5
Does this activity allocate resources to activities which address an
identified strategic priority?
1 2 3 4 5
Is this proposal innovative?
1 2 3 4 5
Does this proposal leverage community collaborations or enhanse and
existing local or regional partnership?
1 2 3 4 5
Does this organization have the proven capacity to carry out their stated
goal/meet proposed numerical outcomes?
1 2 3 4 5
Is this proposal ready to proceed?
1 2 3 4 5
If applicant has received funding in the past has applicant met anticipated
outcomes in the past?
1 2 3 4 5
Was the grant application proposal clear, concise, and complete?
1 2 3 4 5
TOTAL NUMBER OF POINTS FOR APPLICATION0
Rating
0
City of Ashland Social Service Grant Program
Application and Forms
2021 - 2022
(Revised January 2021)
ORGANIZATION LEGAL NAME Center For Nonprofit Legal Services DATE: 7/23/2021
OTHER NAMES ORGANIZATION KNOWN BY (DBA) _______________________________________
ADDRESS 225 W MAIN ST, MEDFORD, OR 97501
Street City State Zip
FEDERAL EMPLOYER ID NUMBER (FEIN)23 7227761
PROGRAM/PROJECT TITLE ACCESS TO HOUSING FOR LOW-INCOME ASHLAND RESIDENTS
See MEMO for important information on goals and priorities for Ashland.
Which strategic priority does your program focus? Legal aid to obtain/maintain housing
AMOUNT REQUESTED from this funder for this program/project 2021-2022 $ 15,000
Executive Director listed below)
Name _________________________________________________________________________________
Telephone ____________________________ E-mail _________________________________________
EXECUTIVE DIRECTOR INFORMATION
Name Debra F. J. Lee
Telephone 541-779-7292
E-mail debrafjlee@gmail.com
CERTIFICATION
The information contained in this application is true and correct to the best of my knowledge.
_________________________________________ _______________________________________
Signature of Board Secretary Signature of Executive Director/CEO
Lilia Caballero Debra F. J. Lee
Type Name Type Name
1
SUMMARY INFORMATION
RECIPIENT AGENCY Center for NonProfit Legal Services, Inc.
PROGRAM/PROJECT TITLE Access To Housing For Low-Income Ashland Residents
1. Program/project is: new __ established/continuing x pilot __ If pilot, expected
duration ___________
2. Primary geographic location and population program funding will serve. (If funding awarded City
of Ashland, will require tracking the number of city residents served for reporting purposes.
The Center for NonProfit Legal Services (CNPLS) requests funding to continue providing critical life-changing
civil legal representation for elder and indigent residents of the City of Ashland.
3. What will this funding enable?
This funding will allow CNPLS attorneys to help maintain fair, safe, accessible, and affordable housing for
Ashland's veterans, seniors disabled, and indigent residents at risk of homelessness. CNPLS' attorneys protect
tenants' legal rights through legal education, negotiation, and court representation. Our attorneys have received
additional training to support FEMA appeals and other obstacles that fire survivors encounter.
4. Number of volunteers this program/project will engage: 2.0
Number of paid program employees this program/project will engage: 1.75
5. Total number volunteers agency utilizes: 25
Total number of paid agency employees: 19
6. Outline key strategies of the project/program with timeline and staff structure.
Funding this grant will support our ongoing mission to provide legal education, advocacy, and civil legal
representation. Residents of the City of Ashland were devastated last year by COVID restrictions and the
Almeda fire. Residents are only beginning to recover, and we anticipate increasing challenges for low-
income residents now that the housing moratorium is lifted. Our proposal will protect non-discriminatory
housing and help Ashland's most vulnerable citizens navigate the recovery process. We will complete this
project within the year. Saff will include 0.5 FTE attorney time and .75 paralegal time.
7. Use this space for comments, explanations, and exceptions to questions on this application that can't be
included within the question format. You may also leave it blank.
2
AGENCY AND PROGRAM/PROJECT NARRATIVE
RECIPIENT AGENCY Center for NonProfit Legal Services, Inc.
PROGRAM/PROJECT TITLE Access To Housing For Low-Income Ashland Residents
Answer all three narrative questions. Use only the space provided – place the question number and letter
preceding each answer; the amount of space you allot for each response is your choice. Use Helvetica font – 11
point.
1. Description of organization (include inception date) and
a. mission statement, purpose(s), and how this program/project fits with your mission.
b. your organization's unique qualifications to accomplish your program outcomes?
c. what approach is your agency taking to serve clients and train staff on trauma-informed care?
2. What:
a. issues(s) is the project/program intended to impact,
b. strategy for change your program will be based on,
c. evidence do you have that the project/program will be successful in the proposed setting, and
d. what tool(s) will you use to measure outcomes?
3. How would the community as a whole benefit if your program receives funding? (Include a
description of collaborations and integration and the role program/project plays in the sector.)
1. a) The Center for NonProfit Legal Services (CNPLS) mission is: "To secure justice for and protect the
rights of needy persons residing in Jackson County so that such persons shall not by reason of being in
financial need be denied equal protection under the law." CNPLS has provided free civil legal
assistance to low-income persons and seniors residing in Jackson County since December 27, 1972.
Housing stabilization is essential to CNPLS's mission to build clients' capacity for self-sufficiency,
improve Social Determinants of Health (SODH), and decrease Adverse Childhood Experiences (ACE).
1. b) CNPLS is uniquely qualified to accomplish our program outcomes as we are the only legal aid
providers in Jackson County with Oregon licensed attorneys. Only Oregon licensed attorneys are
permitted to give legal advice in Oregon legal matters, such as housing. This project is consistent with
our mission and Ashland's Strategic Priorities. As we help Ashland's seniors and indigent residents'
obtain/maintain affordable, safe, and secure housing, we break the cycle of poverty. Secure housing is
the foundation for health and well-being, allowing citizens to be more productive and engaged with their
community. Our attorneys specialize in poverty law, including housing, employment rights, public
benefits, family law involving domestic violence and protective services, individual rights -Protecting our
Veterans, and immigration law. Poverty law involves constantly changing laws, and our concentration
allows for a high level of responsiveness and competence. Our attorneys are highly trained and
experienced, with an 80% success rate.
1. c) Providing services using trauma-informed care is essential if we want to successfully work with
indigent and senior members of our community, especially after the devastation of COVID and last
year's wildfires. Staff receives training from online resources such as NCLER and community trainers
like Jackson Care Connect. To prevent re-traumatizing clients, we have established a physically safe,
respectful, and culturally competent environment. Staff seeks to be transparent and trustworthy as we
teach our clients about the law, help them understand their rights, and provide legal options. The legal
information we provide our clients gives them the knowledge to make informed choices in the
development of their case. We require client investment in our representation, and we will not move
forward until the client understands their options and authorizes the attorney to proceed. Our
confidential, client-centered relationships defuse client anxiety. Access to justice empowers the most
marginalized members of our community.
3
2. a) We propose to assist in obtaining/maintaining housing for Ashland's most vulnerable residents. Our
housing attorney provides legal representation that protects affordable, safe, and fair housing. He
conducts outreach at Project Community Connect and offers legal education presentations about fair
housing law for our community partners, protected populations, and ACCESS' Ready to Rent program
participants. Our attorneys concentrate their legal assistance on the elderly, disabled, and indigent of
Ashland. Our representation holds landlords accountable to the Oregon Landlord/Tenant Act (ORLTA).
Our Executive Director serves as the Continuum of Care (CoC) board president and serves on the
Housing Authority Commission (HAC). We propose holding conversations with elected and appointed
officials on finding solutions for the expanding housing crisis.
2. b) Our Access to Housing project will civilly enforce the state and federal Fair Housing Acts to maintain
affordable, safe, and non-discriminatory housing for seniors, indigent, and protected classes of Ashland
residents. The legislature removed the moratorium effective July 1, 2021; we anticipate an increased
need by community members who require help negotiating with landlords and guidance maneuvering
through rental assistance programs. We are creating videos on the rights and responsibilities of
tenants and landlords for the court to show before first appearances in Forcible Entry and Detainer
(FED) cases. These videos willhelp parties navigate the FED process and provide opportunities to
seek legal assistance. We will also assist Ashland residents facing challenges to their housing while
working with FEMA and other governmental agencies after the wildfires.
2 c) The Center for NonProfit Legal Services has served as the only source of civil legal assistance for
low-income Ashland residents for close to 50 years. We provide legal education, advocacy, advice,
and representation, empowering low-income households to become stable, adequately sheltered, and
self-sustaining. We have a proven track record of providing successful resolutions for our clients.
2 d.) Using our case management system, Legal Server, we generate statistical reports each quarter
describing the number of clients served, client demographics, level of request for services, and case
disposition. This report tracks the results of our efforts within specific legal practice areas. Client
satisfaction surveys and statistical reports are how we assess our success. In addition, we use this
information to verify that we have met our goals for outreach and representation.
3. Access to justice enfranchises the whole community. Civil legal aid levels the playing field by educating
people about their rights. It fulfills our nations' fundamental promise of justice for all-not for the few who
can afford it. Our program partners with the Rogue Valley Council of Governments (RVCOG) to
provide legal services to seniors experiencing problems with housing, Medicare/Medicaid, and SNAP
benefits. In addition, we collaborate with Southern Oregon Rehabilitation Center and Clinics (SORCC)
to help veterans who are disabled and homeless secure government benefits so they can maintain their
independence. Legal Services is working with ACCESS Ready to Rent and RVCOG's Home at Last
program to teach second-chance renters how to be responsible tenants.
4
GENERAL FINANCIAL INFORMATION
RECIPIENT AGENCY Center for NonProfit Legal Services, Inc.
PROGRAM/PROJECT TITLE Access To Housing For Low-Income Ashland Residents
1.For most recently completed 990:
a. FISCAL YEAR (mm/yyyy – mm/yyyy): 07/01/2019 – 06/30/2020
b. Administration & Fundraising expense: $ 124,839 14%
Administration & Fundraising (expressed as percent of total budget -also known as
management and general, that portion of your expenses not dedicated solely to program or
services), calculated directly from your IRS form 990. Part IX: Add Line 25 C (administrative
cost total) and Line 25 D (fundraising cost total) and divide by Part IX, Line 25, Column A
(total expenses).
c. Program expense$ 754,585
d. Total expenses:$ 879,424
e. Sources of revenue:
Memberships/ individual contributions $ ________%
Raised through fundraising activities $16,865 2%
Government $88,270 9%
Foundations $839,359 88%
United Way $9,636 1%
Fees for Service $______________ %
Other (reimbursements, payments, $______________ %
bequests, etc.)
f. Total revenue:
$ 954,130
2.What is the highest level of financial reporting required by your funders? Audit
3.Briefly describe your sustainability outlook for the project/program in the future.
Our Partnership for Justice Campaign is taking a proactive approach to ensure our sustainability. Our
goal is to expand our capacity to provide legal assistance to Ashland residents by building community
support and our endowment fund. Our long-term focus is to expand our fund development capacity,
building on our endowment fund and improving the energy efficiency of our building to reduce
expenses to continue our work for justice.
4.a. Total organizational annual budget current ongoing fiscal year: $1,096,776
b. Total program/project budget current ongoing fiscal year: $65,00
5
ORGANIZATION BUDGET 2021-22
PROJECT PERIOD July 1, 2021 to June 30, 2022
RECIPIENT AGENCY Center for NonProfit Legal Services
Pending
Secured
REVENUE
Commitments
Commitments
City of Medford Funds $ 10,000 $
City of Ashland Funds $ 15,000 $
Jackson County Funds $ $41,610
CDBG (identify) Medford $ 10,000 $
Other State or Federal Funds (RVCOG) $ $ 28,660
United Way Funds $ 10,000$
Other Funds (identify) $ 367,309 $ 614,197
SUB TOTALS $ 412,309 $ 614,197
TOTAL REVENUE (Pending & Secured) $ 1.096,776
EXPENDITURES
A.PERSONNEL SERVICES
Total Salaries $ 722,073
Total Benefits $ 121,802
$ 843,875
TOTAL PERSONNEL SERVICES
B.MATERIALS & SERVICES: (please detail other major budget categories)
General
$ 130,953
Technology
$58,000
Supplies/Equipment
$ 26,053
Occupancy
$ 31,907
Professional Expenses: Insurance/Bond
$ 5,988
$
TOTAL MATERIALS & SERVICES $252,901
C.CAPITAL OUTLAY (must constitute part or all of funded public service activity to be eligible expense)
Equipment $
Furnishings $
Other capital expenses /Identify: $
TOTAL CAPITAL OUTLAY $
TOTAL EXPENDITURES (Sum of A, B & C) $ 1,096,776
6
PROGRAM BUDGET 2021-22
PROJECT PERIOD July 1, 2021 to June 30, 2023
RECIPIENT AGENCY Center for NonProfit Legal Services, Inc.
Pending
Secured
REVENUE
Commitments
Commitments
City of Medford Funds $ $
City of Ashland Funds $ 15,000 $
Jackson County Funds $ $ 1,600
CDBG (identify) $ $
Other State or Federal Funds $ $
United Way Funds $ $
Other Funds (identify) $ 8,400 $ 40,000
SUB TOTALS $ $
TOTAL REVENUE (Pending & Secured) $65,000
EXPENDITURES
A.PERSONNEL SERVICES
Total Salaries $ 47,000
Total Benefits $ 5,173
$ 52,173
TOTAL PERSONNEL SERVICES
B.MATERIALS & SERVICES: (please detail other major budget categories)
General
$ 5,944
Technology
$ 1,400
Supplies/Equipment
$1,595
Occupancy
$ 3,528
Professional Expenses: Insurance
$ 360
$
TOTAL MATERIALS & SERVICES $ 12,827
C.CAPITAL OUTLAY (must constitute part or all of funded public service activity to be eligible expense)
Equipment $
Furnishings $
Other capital expenses /Identify: $
TOTAL CAPITAL OUTLAY $
TOTAL EXPENDITURES (Sum of A, B & C) $ 65,000
7
CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE
(Use absolute numbers only –no percentages.)
RECIPIENT AGENCY Center for NonProfit Legal Services, Inc.
PROGRAM/PROJECT TITLE Access To Housing For Low-Income Ashland Residents
# Whole Program # Ashland
I.
Gender
Female
Age*
174 13
Male
9 1
Other
II. 1 1
Total Program 265
Total Ashland 17
0 to 5
2
6 to 12
45 1
13 to 17
92 7
18 to 30
30 1
31 to 50
96 8
51 to 61
62 +
Unknown
Total Program 265
Total Ashland 17
*at point of entry for service
IV.Race/Ethnicity
City of Medford and City of Ashland applicants fill out ethnicity and Medford/Ashland columns. United Way
applicants fill out Whole Program and Ethnicity portions.
#Whole Program Ethnicity #
Hispanic/Latino* Ashland
White _________164_ __________ _________13_
Black/African American __________5 __________ _________1_
American Indian/Alaskan Native __________6 __________ _________1_
Native Hawaiian/other Pacific Islander __________ __________ __________
American Indian/Alaskan Native and __________ __________ __________
White
Black/African American and White __________ __________ __________
American Indian/Alaskan Native and
Black/African American __________ __________ __________
Other Multi Racial __________90 __________83 __________2
Other __________ __________ __________
Totals __________ __________ __________
Ethnicity is a portion of each Race category listed and will likely not match the total demographic served – it would only match if
100% of your clients identify as Hispanic/Latino.
8
Agency Board Profile
RECIPIENT AGENCY Center for NonProfit Legal Services, Inc.
PROGRAM/PROJECT TITLE Access To Housing For Low-Income Ashland Residents
1. Number of board members required in bylaws? Minimum 9 Maximum 15
2. Number of board members currently active? # Voting 12 Vacancies 0
3. Average percentage board meeting attendance (over last completed year): 75 %
4. Percent of board in attendance required for a quorum: 51 %
5. List various board, advisory and ad hoc committees and the number of people on each.
Committee Number of Members
Personnel Committee3
Executive Committee 3
Finance Committee/Audit 4
Local Campaign for Equal Justice 10
Partnership for Justice 8
6.
Characteristics of Board of Directors at time of application:
Race/Ethnicity
Number Ethnicity
Identifying Hispanic/Latino*
White 10
Black/African American 1
American Indian/Alaskan Native
Native Hawaiian/other Pacific Islander
American Indian/Alaskan Native and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Other Multi Racial 1 1
Other
Totals 12
1
* Fill out this column pertaining to board Ethnicity is a portion of each Race category listed. It will very
likely not match the total board category – it would only match if 100% of your board identifies as
Hispanic/Latino.
9
City of Ashland Social Service Grant Program
Application and Forms
2021 - 2022
(RevisedJanuary 2021)
ORGANIZATION LEGAL NAME _Community VolunteerNetwork ______DATE: _7//2021___
OTHER NAMES ORGANIZATIONKNOWN BY (DBA) _____________________________________
ADDRESS_____________________________________________________________________________
1 W. Main St. Suite 303 Medford OR 97501
Street City State Zip
93-0892261
FEDERAL EMPLOYER ID NUMBER (FEIN) _________________________
PROGRAM/PROJECT TITLE ___________________________________________________________ RSVP/Call-A-Ride Program
See MEMO forimportant information on goals and priorities forAshland.
Increase transportation options/services
Which strategic priority does yourprogram focus? _____________________________
AMOUNT REQUESTED fromthis funder for this program/project 2021-2022 $ ________________
4,000
GRANT CONTACT (If other than Executive Director listed below)
Name _________________________________________________________________________________
Telephone ____________________________ E-mail ___________________________________________
EXECUTIVE DIRECTOR INFORMATION
Name _________________________________________________________________________________
Kristin Milligan
Telephone ____________________________ E-mail __________________________________________
541-857-7784 kmilligan@retirement.org
CERTIFICATION
The information contained in this application is true and correct to the best ofmyknowledge.
________________________________________________________________________________
Signature of Board President Signature of Executive Director/CEO
Kristin Milligan
Michele Jones
________________________________________________________________________________
Type Name Type Name
1
SUMMARY INFORMATION
Community Volunteer Network
RECIPIENT AGENCY __________________________________________________________
PROGRAM/PROJECT TITLE ____________________________________________________
RSVP/Call-A-Ride Program
1.Program/project is: new __ established/continuing __pilot __If pilot, expected
X
duration ___________
2.Primary geographic location and population program funding will serve. (If funding awarded City
of Ashland, will require tracking the number of city residents served for reporting purposes.
RSVP of Jackson County is stationed out of Medford with volunteers placed at local non-profits throughout Jackson County.
Additionally, RSVP has established direct service programs assisting the elderly and disabled, including the Call-A-Ride medical
transportation program that provides service throughout Jackson County, including Ashland. Many of the individuals we serve are
Ashland residents that must travel to Medford for medical appointments and procedures.
3.What will this funding enable?
Funding will enable our program to continue to support Ashland’s elderly and disabled residents to get to their medical
appointments. Ashland residents continue to seek our services and we increased the number of rides for Ashland residents by 24%
from the prior year. Most of our Ashland clients require rides to and from Medford for their appointments. These trips can be
challenging for our program to fill as they require extensive time and travel availability of our volunteers. Funding enables us to
recruit, outreach and secure volunteers to provide these needed rides.
35
4.Number of volunteers this program/project will engage: __________
1.25
Number of paid program employees this program/project will engage: __________
5.Total number volunteers agency utilizes: __________
4.5
Total number of paid agency employees: __________
6.Outline key strategies of the project/program with timeline and staff structure.
Key Strategies: Utilize volunteers to provide free medical transportation services to older adult (60+), in addition to
disabled persons of all ages throughout Jackson County.
Timeline: Services are provided year-round during normal medical appointment hours. Volunteers accommodate evening
and sometimes weekend appointments for clients as needed.
Staff Structure: Call-A-Ride Program Coordinator supports volunteers and clients and manages the day-to-day operations. The RSVP
Program Specialist provides back up support and manages the data and required program reporting associated with all RSVP
Programs including Call-A-Ride. Both the Call-A-Ride Program Coordinator and RSVP Program Specialist report to Community
Volunteer Network's Executive Director.
7.Use this space for comments, explanations, and exceptions to questions on this application that
can’t be included within the question format. You may also leave it blank.
Please note that the Program budget identified is for the RSVP Program in its entirety, however; we are seeking funding
specifically for our Call-A-Ride initiative within the RSVP Program.
2
AGENCY AND PROGRAM/PROJECT NARRATIVE
Community Volunteer Network
RECIPIENT AGENCY ___________________________________________________________
RSVP/Call-A-Ride Program
PROGRAM/PROJECT TITLE _____________________________________________________
Answer all three narrative questions. Use only the space provided – place the question number and letter
preceding each answer;the amount of space you allot for each response is your choice. Use Helvetica font – 11
point.
1.Description of organization (include inception date) and
a.mission statement, purpose(s) and how this program/project fits with your mission.
b.your organization’s unique qualifications to accomplish your program outcomes?
c.what approach is your agency taking to serve clients and train staff on trauma informed care?
2.What:
a.issues(s) is the project/program intended to impact,
b.strategy for change your program will be based on,
c.evidence do you have that the project/program will be successful in the proposed setting, and
d.what tool(s) will you use to measure outcomes?
3.How would the community as a whole benefit if your program receives funding? (Include a
description of collaborations and integration and the role program/project plays in the sector.)
1.a. Community Volunteer Network's (CVN) mission is to "provide meaningful volunteer opportunities for seniors to enrich the lives of
people in their communities." The Call-A-Ride program is a perfect fit within our mission as the drivers are all volunteers 55 and older,
and the medical transportation service is a great need in our community.
1.b CVN's Call-A-Ride program has been in service since the 1980s. The program’s sponsoring organization, Pacific Retirement Services,
Inc. (PRS), has assisted the RSVP Program in building upon existing partnerships in addition to forming new ones increasing the
organization's impact throughout the community.
1.c. CVN's approach to serving our senior volunteers and clients is to support their needs holistically, whether it be emotionally, socially,
or by connecting them to our network of non-profits and resources when we are not the proper agency to fulfill their needs. Our Call-A-
Ride volunteers attend an AARP driver's training course and are treated to special recognition events. Program staff attend a variety of
senior focused trainings to ensure we are keeping up with trends and recognizing the needs of our volunteers.
2.a. According to the U.S. Census Bureau, the total population of those age 65 and above in Jackson County is 22.6%. Many of the
individuals in this demographic, cannot operate a vehicle or use public transportation due to physical or mental limitations. Call-A-Ride
provides a safe and individualized alternative for this segment of the population.
As the program utilizes volunteer drivers, clients are instructed that rides should be requested at least three business days prior to the
need. Call-A-Ride staff then coordinates drivers with the requested rides. Consideration is given to the geographic locations of clients
and volunteers during the dispatching process. Volunteers wishing to participate in the program are thoroughly vetted prior to doing so.
Driving records for these drivers are requested from the Department of Motor Vehicles, as are background checks through the Oregon
State Police prior to their participation in the program; they also receive training from program staff. Volunteers may request mileage
reimbursement of .30/mile, and are covered by supplemental liability insurance during their time of service. Due to the nature of the
program, emotional bonds and relationships are formed between the volunteers and clients; request for specific drivers are not unusual
and are accommodated when possible. Not only are these individuals receiving a necessary transportation service, their quality of life is
improved by these relationships.
2.b. Data from the AARP tells us nationally that more than 50% of the non-driving population age 65+ stay at home on any given day
because they lack access to transportation. Adults 65+ that have stopped driving make 15% fewer trips to the doctors. Our strategy
for change is to remove transportation as a barrier in our community so that older adults get to their medical appointments while
receiving companionship and comfort from our volunteers.
2.c. Evidence the program is successful is based on the number of individuals who benefit from the service and the number of rides provided.
In the 2019-2020 fiscal year, 120 seniors and those with disabilities benefited from our services, receiving 2,980 rides; this was accomplished
by 44 volunteers. Specifically in Ashland, we provided approximately 687 rides (a 24% increase from the year prior) for 25 Ashland residents.
2.d. The Call-A-Ride Volunteer Coordinator collects data and enters them into a dosage tracker which is used to measure the outcomes of our
program. Data collected includes client and volunteer information such as appointment times, miles driven to and from appointment, number
of trips, etc. This tool is used to ensure we are effectively serving as many clients as possible.
3. Call-A-Ride remains a steady and heavily relied upon program and caters to a significant portion of our population that is often overlooked
and under-served. Supporting the medical transportation needs of seniors and those with disabilities free of charge is imperative to the overall
health and well being of the community's aging population. Our organization relies on strong community partnerships and we collaborate with
all local senior serving agencies including Ashland Senior Services Division, Rogue Valley Council of Governments; and our transportation
partner in RVTD.
3
4
GENERAL FINANCIAL INFORMATION
Community Volunteer Network
RECIPIENT AGENCY __________________________________________________________
RSVP/Call-A-Ride Program
PROGRAM/PROJECT TITLE ____________________________________________________
1.For most recently completed 990:
07/2019 - 06/2020
a.FISCAL YEAR (mm/yyyy – mm/yyyy): ____________________ b. Administration &
64,112
10.89
Fundraising expense: $ _____________ ________%
Administration & Fundraising (expressed as percent of total budget - also known as
management and general, that portion of your expenses not dedicated solely to program or
services), calculated directly from your IRS form 990. Part IX: Add Line 25 C (administrative
cost total) and Line 25 D (fundraising cost total) and divide by Part IX, Line 25, Column A
(total expenses).
c.Program expense$ _____________
524,586
588,698
d.Total expenses:
$ _____________
e.Sources of revenue:
Memberships/ individual contributions $______________________%
Raised through fundraising activities $______________________%
69.6
Government $______________________%
409,780
9.4
Foundations $______________55,220________%
3.6
United Way $______________________%
21,391
Fees for Service $______________________%
0
17.4
Other (reimbursements, payments, $______________________%
102,546
bequests, etc.)
f.Total revenue:588,937
$ _____________
2.What is the highest level of financial reporting required by your funders?
3.Briefly describe your sustainability outlook for the project/program in the future.
The program will continue to seek local monies to meet the 30% funding match required of the Federal
AmeriCorps Seniors grant award. The program has been successful in acquiring funds from local and state
governments, foundations, and the United Way of Jackson County. Pacific Retirement Services, Inc. has been a
great partner and desires to continue providing valuable in-kind support in form of rent, utilities, and support
costs including IT and accounting.
767,943
4.a. Total organizational annual budget current ongoing fiscal year: __________
283,475
b.Total program/project budget current ongoing fiscal year:___________
ORGANIZATION BUDGET 2021-22
PROJECT PERIOD July 1, 2021to June 30, 2022
RECIPIENT AGENCY __________________________________________________________ Community Volunteer Network
Pending
Secured
REVENUE
Commitments
Commitments
City of Medford Funds $$
15,000
4,000
City of Ashland Funds $$
Jackson County Funds $$
CDBG (identify) $$
Other State or Federal Funds $$
418,827
United Way Funds $$
21,500
Other Funds (identify) $$
308,616
Foundation; school; in-kind
SUB TOTALS $$
440,327
327,616
767,943
TOTAL REVENUE (Pending &Secured) $
EXPENDITURES
A.PERSONNEL SERVICES
206,619
Total Salaries $
Total Benefits $
82,178
$
288,797
TOTAL PERSONNEL SERVICES
B.MATERIALS & SERVICES: (please detail other major budget categories)
Payroll Taxes, Local Mileage, Travel and Education$
28,572
$
Contract Services, Dues & Subscriptions, Insurance
15,600
$
Postage, Printing, Office Supplies and Phone
7,650
$
280,860
Direct Volunteer; Stipends, Meals, Insurance, Physicals, Travel, Recognition
$
Other Misc.
41,714
$
In-kind104,750
TOTAL MATERIALS & SERVICES $
472,446
C.CAPITAL OUTLAY (must constitute part or all of funded public service activity to be eligible expense)
Equipment $
Furnishings $
Other capital expenses /Identify: $
0
TOTAL CAPITAL OUTLAY $
TOTAL EXPENDITURES (Sum of A, B & C) $
767,943
5
PROGRAM BUDGET 2021-22
PROJECT PERIOD July 1, 2021to June 30, 2023
Community Volunteer Network
RECIPIENT AGENCY __________________________________________________________
Pending
Secured
REVENUE
Commitments
Commitments
City of Medford Funds $$
8,000
City of Ashland Funds $$
4,000
Jackson County Funds $$
3,300
CDBG (identify) $$
Other State or Federal Funds $$
13,000
61,200
United Way Funds $$
9,000
Other Funds (identify) $$
Foundations, RVTD, RVCOG
116,72568,250
Misc. and in-kind
SUB TOTALS $$
145,050
138,450
283,475
TOTAL REVENUE (Pending & Secured) $
EXPENDITURES
A.PERSONNEL SERVICES
Total Salaries $
114,166
Total Benefits $
50,563
$
164,729
TOTAL PERSONNEL SERVICES
B.MATERIALS & SERVICES: (please detail other major budget categories)
$
14,275
Payroll Taxes, Mileage, Travel & Education
$
Contract Services, Dues & Subscriptions & Insurance7,250
$
4,100
Postage, Printing, Office Supplies and Phone
$
35,700
Direct Volunteer; Insurance, Travel/mileage & Recognition
$
Other
17,671
$
In-Kind39,750
TOTAL MATERIALS & SERVICES $
118,746
C.CAPITAL OUTLAY (must constitute part or all of funded public service activity to be eligible expense)
Equipment $
Furnishings $
Other capital expenses /Identify: $
TOTAL CAPITAL OUTLAY $
0
283,475
TOTAL EXPENDITURES (Sum of A, B & C) $
6
CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE
(Use absolute numbers only – no percentages.)
RECIPIENT AGENCY ________________________________________________________
Community Volunteer Network
RSVP/Call-A-Ride Program
PROGRAM/PROJECT TITLE _________________________________________________
# Whole Program # Ashland
I.
Gender
Female
Age*
98
20
______ ______
Male
5
22
______ ______
Other
II.
______ ______
Totals
12025
______ ______
0 to 5
______ ______
6 to 12
______ ______
13 to 17
______ ______
18 to 30
4
______ ______
51 to 61
2
114
62 + ______ ______
23
2
Unknown 31 - 50
25
Total
120
*at point of entry for service
IV.Race/Ethnicity
City of Medford and City of Ashland applicants fill out ethnicity and Medford/Ashland columns. United Way
applicants fill out Whole Program and Ethnicity portions.
#Whole Program Ethnicity #
Hispanic/Latino* Ashland
7616
White __________ __________ __________
Black/African American __________ __________ __________
1
American Indian/Alaskan Native __________ __________ __________
1
Native Hawaiian/other Pacific Islander __________ __________ __________
American Indian/Alaskan Native and White __________ __________ __________
2
Black/African American and White American __________ __________ __________
Indian/Alaskan Native and
Black/African American __________ __________ __________
Other Multi Racial __________ __________ __________
8 unknown
41 unknown
Other __________ __________ __________
25
Totals __________ __________ __________
120
Ethnicity is a portion of each Race category listed and will likely not match the total demographic served – it would only match if
100% of your clients identify as Hispanic/Latino.
Agency Board Profile
Community Volunteer Network
RECIPIENT AGENCY _______________________________________________________________
PROGRAM/PROJECT TITLE ________________________________________________________
RSVP/Call-A-Ride Program
5 9
1.Number of board members required in bylaws?Minimum ____ Maximum _____
2.Number of board members currently active? # Voting ____ Vacancies _____
7
7
3.Average percentage board meeting attendance (over last completed year): _____ %
91.75
4.Percent of board in attendance required for a quorum: _____ %51
5.List various board, advisory and ad hoc committees and the number of people on each.
Committee Number of Members
____________________________________ ________________
CVN Board of Directors 7
____________________________________ ________________
____________________________________ ________________
____________________________________ ________________
____________________________________ ________________
6. Characteristics of Board ofDirectors at time of application:
Race/Ethnicity
Number Ethnicity
Identifying Hispanic/Latino*
7
White __________ __________
Black/African American __________ __________
American Indian/Alaskan Native __________ __________
Native Hawaiian/other Pacific Islander __________ __________
American Indian/Alaskan Native and White __________ __________
Black/African American and White __________ __________
American Indian/Alaskan Native and
Black/African American __________ __________
Other Multi Racial __________ __________
Other __________ __________
Totals __________ __________
7
* Fill out this column pertaining to board Ethnicity is a portion of each Race category listed. It will very
likely not match the total board category –it would only match if 100% of your board identifies as
Hispanic/Latino.
8
Buubdinfou3
Community Volunteer Network
Board Member Roster
2020-2021
ChairMembersAt Large:
MicheleJones, 2011
DougSpani, 2012
Retired, United Way, CVN
Retired,Phoenix-Talent School District
C:(541)261-1097
C:(541)944-7622
Michele.jones1097@gmail.com
mspani@charter.net
GregJones, 2008
Vice Chair
Retired, CityofMedford, CCCS
Tim Clayton, 2014
C: (541) 944-6291
US Bank
Gregejones48@gmail.com
W:541-776-2546
Timothy.clayton@usbank.com
TimMartin, 2020
DigitalProduct Manager, Lithia
Treasurer
C:541-625-8491
NickParsons, 2013
Tmartin@lithia.com
CommunityVolunteer
C:541-227-8289
parsonspad2020@gmail.com
John Howard, 2013
Retired, Congressman Walden’s office
541-292-4172
bboxtek@gmail.com
Buubdinfou4
Buubdinfou5
City of Ashland Social Service Grant Program
Application and Forms
2021 - 2022
(Revised January 2021)
ORGANIZATION LEGAL NAME: La Clinica del Valle Family Health Care Center, Inc
DATE: July 23, 2021
OTHER NAMES ORGANIZATION KNOWN BY (DBA): La Clinica
ADDRESS: 973 Chevy Way, Medford, Oregon 97504
FEDERAL EMPLOYER ID NUMBER (FEIN): 94-30966772
PROGRAM/PROJECT TITLE: Mobile Health Center
Which strategic priority does your program focus on?
Services for people with mental health issues
Services for people with drug and alcohol addiction
Services for at-risk youth
AMOUNT REQUESTED from this funder for this program/project 2021-2022: $ 10,000
GRANT CONTACT:
Name: Ed Smith-Burns, Community Partnership Director
Email: esmithburns@laclinicahealth.org Phone: 541-690-3512
EXECUTIVE DIRECTOR INFORMATION
Name: Brenda Johnson, Chief Executive Officer
Email: bjohnson@laclinicahealth.org Phone: 541-512-3151
CERTIFICATION
The information contained in this application is true and correct to the best of my knowledge.
___________________________________ __________________________________
Signature of Board President Signature of Executive Director/CEO
President Brenda Johnson, CEO
1
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City of Ashland Social Service Grant Program
Application and Forms
2021-2022
(Revised January 2021)
ORGANIZATION LEGAL NAME Ashland Home Visit Conf.,St. Vincent de Paul DATE:7/12/2021
OTHER NAMES ORGANIZATION KNOWN BY(DBA) Society of St. Vincent de Paul
ADDRESS 987 Hillview Drive, Ashland OR 97520
Street City State Zip
FEDERAL EMPLOYER ID NUMBER (FEIN)93-0831082
PROGRAM/PROJECT TITLE Preventing Homelessness in Ashland, OR
See MEMO for important information on goals and priorities for Ashland.
Which strategic priority does your program focus? Placing and Keeping People in Housing
AMOUNT from this funder for this program/project 2021-2022: $28,000
GRANT CONTACT (If other than Executive Director listed below)
Name: Vicky Weiss, volunteer grant writer
Telephone: (541) 708-5173 (h); (541) 499-2857 (cell)
E-mail: vweiss590@gmail.com
EXECUTIVE DIRECTOR INFORMATION
Name: John Vinatieri
Telephone: (541) 324-8672 (cell)
E-mail: johnandrita.vinatieri@gmail.com
CERTIFICATION
SUMMARY INFORMATION
RECIPIENT AGENCY: Ashland Home Visit Conference, St. Vincent de Paul
PROGRAM/PROJECT TITLE: Preventing Homelessness in Ashland, OR
If pilot, expected duration
Program/project is: new__established/continuing _X_ pilot __
___________
2.Primary geographic location and population program funding will serve. (If funding awarded City of Ashland,
will require tracking the number of city residents served for reporting purposes. .
The goal of this program is to keep residents of Ashland housed by assisting with rental deposits, rental payments,
closing costs, taxes, and utility payments.
3.What will this funding enable?
With the moratorium on evictions set to expireand further assistance still in the planning stages, we anticipate a
huge increase in the number of people who call on us for rental assistance.In reaching out to state legislators to
learn what options will be available to those still in need of financial assistance, we have been told to expect a
large increase in requests once the eviction moratorium and relief for landlords expire. Since receiving this
message, the federal government has released aid to the states. How all of this will impact those in need in our
community is unknown at this point.
4.Number of volunteers this program/project will engage: 28
Number of paid program employees this program/project will engage: 0
5.Total number volunteers agency utilizes: 300+ (in Medford, Ashland, Talent, Phoenix, and Central Point)
Total number of paid agency employees: 0
6.Outline key strategies of the project/program with timeline and staff structure.
Two volunteers respond to calls to our helpline fivedays a week. We are one ofvery few organizations in the
Rogue Valley which respond with same-day assistance to those in need. (It is important to note here that we
never dispense funds directly to individuals; payments are always made directly to the entity to which they are
owed.) We employ a payment formula that allows clients a fixed annual assistance sum based on the size of the
familyand the need. During the pandemic with so many unemployed, we have increased this allotment as our
resources have allowed.
7.Use this space for comments, explanations, and exceptions to questions on this application that can’t be
included within the question format. You may also leave it blank.
With relief for landlords available and the moratorium on evictions in place, we have for the first time had more
requests for help with utility payments than with rental assistance. The need on this front has become so dire that
our volunteers find themselves dealing with collection agencies—something we have not encountered before.
AGENCY AND PROGRAM/PROJECT NARRATIVE
RECIPIENT AGENCY Ashland Home Visit Conference, St. Vincent de Paul
PROGRAM/PROJECT TITLE Preventing Homelessness in Ashland, OR
Answer all three narrative questions. Use only the space provided–place the question number and letter preceding
each answer;the amount of space you allot for each response is your choice. Use Helvetica font –11 point.
1.Description of organization (include inception date) and
a.mission statement, purpose(s) and how this program/project fits withyour mission.
b.your organization’s unique qualifications to accomplish your program outcomes?
c.what approach is your agency taking to serve clients and train staff on trauma informed
care?
2.What:
a.issues(s) is the project/program intended to impact,
b.strategy for change your program will be based on,
c.evidence do you have that the project/program will be successful in the proposed
setting, and
d.what tool(s) will you use to measure outcomes?
3.How would the community as a whole benefit if your program receives funding? (Include a
description of collaborations and integration and the role program/project plays in the sector.)
1.a. and b. The Rogue Valley District Council of St. Vincent de Paul is dedicated to providing
compassionate, prompt support and care to the poor and needy in Jackson County, regardless of age, race,
religion, creed, sex, sexual preference or ethnic origin. Although the Society's name is recognized around
the world, each Council is locally organized, funded, and staffed. Our Council has no financial
connection or obligation to any church; no effort is made to preach, convert, or proselytize. Our Council
was established in 1982 and has nine operating divisions or conferences, of which the Ashland/Talent
Home Visit Conference is one. Because we have no paid employees and rely on volunteers to deliver all
of our services, all of the funds we obtain are used to help those in Ashland and Talent, OR who are in
need of housing or to keep those in danger of being homeless stay housed. Because we have worked in
the Ashland and Talent area for so long and work so closely with a host of other agencies, we are well
known. Many of our volunteers have worked with us for many years, so we have established networks
that allow us to seek additional aid for individuals and families when it is needed.
c. In our work we encounter clients from a wide range of diverse backgrounds and experiences. Our
Rule and our ongoing training enable us to be sensitive to the impact upon our clients of both overt
discrimination and frequent micro-aggressions.We endeavor to be a deeply respectful and supportive
presence in their lives, while providing assistance in difficult times.Our organization of volunteers meets
bi-monthly to discuss difficult cases, receive additional training, and review our Rule and Manual
outlining the practice of trauma-informed care. Among our volunteers is Dr. Ellen Grush, a clinical
psychologist who specializes in the treatment of trauma victims.
2.a. In fiscal year 2019-2020, 88% of our expenditures went to paying rent, rental deposits, and utility
payments in an effort to keep housed those who called on us. This need became especially acute when
businesses in Ashland began to close down, leaving those who had been working in the service industry
without jobs. As the rent moratorium began to take effect, we found that requests for utility payments for
the first time began to exceed requests for rental payments. In some cases we have been dealing directly
with collection agencies—something we do not regularly see. In addition, many of those made homeless
by the Almeda fire have sought temporary or permanent housing in Ashland, many arriving with almost
3
nothing. We have been working mightily along with other agencies to provide these folks with clothing,
food, medicine, new ID’s, car repair in addition to housing costs—anything that can help stabilize a
family. Our president meets every two weeks with the Emergency Shelter Task Force led by Jackson
county officials as the group endeavors to keep track of the various groups offering assistance to those in
need including county, state, and federal forms of assistance in addition to that offered by the various
non-profit organizations in the area. The combination of rampant unemployment caused by the Covid-19
outbreak and the horrible Almeda fire has caused us to increase the annual allotment we assign to clients
in an effort to keep housed those who call on us. The result is that we expended all the funds from our
last Social Services grant from the city of Ashland well before the end of the biennium.
2. b. Strategy for change in this coming year will be based on the kinds of calls for assistance we receive
as government assistance becomes available.Will it be sufficient to meet the needs of those who have
been severely impacted by the wildfire and the loss of jobs? As fears of fire danger lead to the expulsion
of the homeless from wooded areas along the Bear Creek Greenway and other areas, will we be able to
meet the needs of those who are being displaced? With great need looming, St. Vincent de Paul is
looking for new, additional funding sources in addition to those we have sought in the past. The need to
work closely and cooperatively with other agencies—both public and private—has never been more
crucial to the work we do.
2. c. and d. Our success in the work we do is the result of our long record of service to this community.
Established in 1982, St. Vincent de Paul has helped those in need for many years, and many of our
volunteers have worked here for so long that they have networks and contacts in place that allow us to
address particular needs quickly and efficiently almost always on the same day the assistance is requested.
We are oneof a very few agencies that provide same-day assistance to those in need. This kind of
service, provided five days a week, means that we prevent utility shut-offs and address other emergency
needs quickly and efficiently.
To measure our success, we keep a monthly tally of the number of calls we receive and the kind of
service provided. Our meetings once every two weeks allow us to discuss difficult cases with all of our
volunteers, among whom are retired social workers, clinical psychologists, nurses, and doctors. Many of
our most difficult cases require follow-up by those among our volunteers who are most familiar with the
case and/or are best equipped to address the need. We track cases carefully.
3.Every day, especially during this past year of great need, we receive calls from people who have never
called us before. Many of them never dreamed they would need the kind of assistance they are seeking
from us. With the need so great, we are called upon not just by individuals and families but by other
agencies looking to couple their efforts and financial assistance with ours. During the past year we have
worked especially closely with OHRA, Maslow Project, United Way, ACCESS, Rogue Food Unites,
RVTD, and the list goes on. Because we are well known to offer same-day assistance, St. Vincent de
Paul in Ashland is an indispensable partner in our community’s efforts to keep its citizens housed and
healthy.
With emergency rental assistance approved by Congress and to be distributed by the states, the details
concerning how to apply for these funds and the networks to be put in place for their distribution have (as
of this writing) not yet been fully worked out. In the meantime, with a very limited Oregon Shakespeare
schedule and few tourists, many in our community are still out of work and anxious as the rental
moratorium expires. With the excessive heat of this summer, utility bills are soaring, leaving many
families anxious. As we work diligently with other agencies, we want to be able to help all those we can.
GENERAL FINANCIAL INFORMATION
RECIPIENT AGENCY Ashland/Talent Home Visit Conference, St. Vincent de Paul
PROGRAM/PROJECT TITLE: Preventing Homelessness in Ashland, OR
1.For most recently completed990:
Available upon request
a.FISCAL YEAR (mm/yyyy – mm/yyyy): 10/2019-09/2020
b. Administration & Fundraising expense: $ __2,292____ ____2____%
(Phone, bank services, office supplies)
Administration & Fundraising (expressed as percent of total budget -also known as management and
general, that portion of your expenses not dedicated solely to program or services), calculated directly
from your IRS form 990. Part IX: Add Line 25 C (administrative cost total) and Line 25 D (fundraising
cost total) and divide by Part IX,Line 25, Column A (total expenses).
Program expense $ __2,292.___________
Total expenses:$ __2,292___________
Sources of revenue:
Memberships/ individual contributions $___96,000___________48____%
Raised through fundraising activities $___41,809____________21_____%
Government $___25,500____________12_____%
Foundations $___35,438____________18_____%
United Way $_______0__________0____%
Fees for Service $_______0__________0_____%
Other (reimbursements, payments, $___1,377___________ ___1____%
bequests, etc.)
f. Total revenue:$ _200,124
2.What is the highest level of financial reporting required by your funders? Financial Review
3.Briefly describe your sustainability outlook for the project/program in the future.
The most recent 990 form is for the entire Rogue Valley Council of St. Vincent de Paul, rather than just the
Ashland/Talent Home Visit Conference. The information above is for our Ashland/Talent Home Visit
Conference only. “Memberships” includes our support from the Rogue Valley Council.
4.a. Total organizational annual budget current ongoingfiscal year:$184,500(Ashland/Talent only)
b. Total program/project budget current ongoing fiscal year:134,000
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ORGANIZATION BUDGET 2021-22
PROJECT PERIOD July 1, 2021to June 30, 2022 Please see next page
RECIPIENT AGENCY Rogue Valley Council of St. Vincent de Paul
__________________________________________________________
Pending
Secured
REVENUE
Commitments
Commitments
City of Medford Funds $$
City of Ashland Funds $$
Jackson County Funds $$
CDBG (identify) $$
Other State or Federal Funds $$
United Way Funds $$
Other Funds (identify) $$
SUB TOTALS $$
TOTAL REVENUE (Pending & Secured) $
EXPENDITURES
A.PERSONNEL SERVICES
Total Salaries $
Total Benefits $
$
TOTAL PERSONNEL SERVICES
B.MATERIALS & SERVICES: (please detail other major budget categories)
$
$
$
$
$
$
TOTAL MATERIALS & SERVICES $
C.CAPITAL OUTLAY (must constitute part or all of funded public service activity to be eligible
expense)
Equipment $
Furnishings $
Other capital expenses /Identify: $
TOTAL CAPITAL OUTLAY $
TOTAL EXPENDITURES (Sum of A, B & C) $
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Rogue Valley Council ofSt. Vincent de Paul
(Nine divisions of which Ashland/Talent is one)
Budget FY 2020-21
(Oct. 1, 2020-Sept. 30, 2021)
Actual FY 2019-20 Proposed FY 2020-21
Revenues
Store Sales$532,770 $720,000
General Public Contributions225,059 225,000
Church Support 76,57165,000
Bequests106,595 55,000
Foundations and Trusts367,730290,000
Government Grants 314,103 175,000
Fundraiser Events 36,255 32,000
2020 Fire and Fire Project - 325,000
All Other 50,145 43,000
Total Revenues $1,709,228 $1,930,000
Expenditures
Rent and Shelter $420,519 $495,000
Housing Assistance152,486 200,000
Utilities Assistance 171,138 294,000
Homeless Camping Supplies 32,10660,000
Emergency Assistance 14,485 24,500
Personal and Household 12,598 21,000
All Other 23,522 38,971
SubTotalfor Client Support $826,904 $1,133,471
2020 Fire and Fire Project - 325,000
Utilities 112,455 115,000
Maintenance and Repairs98,985 90,000
Insurance 36,984 36,000
Security 34,210 45,000
Supplies33,810 34,000
Computer/Data Processing 31,343 18,000
All Other 115,545 116,000
Total Expenditures$1,290,236$1,912,471
NET DIFFERENCE$418,992 $17,529
Note: Expenditures do not include donated goods or imputed services.
PROGRAM BUDGET 2021-22
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PROJECT PERIOD July 1, 2021to June 30, 2022
RECIPIENT AGENCY ____Ashland/Talent Home Visit Conference, St. Vincent de Paul
Pending
Secured
REVENUE
Commitments
Commitments
City of Medford Funds $$
City of Ashland Funds $ 28,000 $
Jackson County Funds $$
CDBG (identify) $$
Other State or Federal Funds $$
United Way Funds $$
Other Funds (identify) Council, grants, donations $$ 156,500
SUB TOTALS $ 28,000 $ 156,500
TOTAL REVENUE (Pending & Secured) $184,500
EXPENDITURES
A.PERSONNEL SERVICES
Total Salaries $ 0
Total Benefits $ 0
$
TOTAL PERSONNEL SERVICES
B.MATERIALS & SERVICES: (please detail other major budget categories)
Utility payments
$ 52,000
Rent (Rental deposits, closing costs, taxes)
$ 82,000
Transportation
$ 3,500
Insurance & Registration
$ 3,500
ID & DLs, car repair
$ 3,050
Clothing, food, camping supplies, phone, medical needs
$ 13,300
TOTAL MATERIALS & SERVICES $157,350
C.CAPITAL OUTLAY (must constitute part or all of funded public service activity to be eligible
expense)
Equipment Officesupplies $ 1,000
Furnishings $
Other capital expenses /Identify: Phone service, bank charges$ 500
TOTAL CAPITAL OUTLAY $1,500
TOTAL EXPENDITURES (Sum of A, B & C) $158,850
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CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE
(Use absolute numbers only –no percentages.)
RECIPIENT AGENCY ____Ashland Home Visit Conference_________________
PROGRAM/PROJECT TITLE_Preventing Homelessness in Ashland, OR
I. # Whole Program # Ashland
.
Gender
Age*Female
542_ 425
Male
435 331
Other
5 5
Totals
982 761
0 to 5
93 66
6 to 12
118 91
13 to 17
91 69
18 to 30
135 101
31 to 40
157 127
41 to 50
158 128
51 to 61
97 73
62 +
103 83
Unknown
30 23
Total
982 761(Ashland only)
*at point of entry for service
IV.Race/Ethnicity
City of Medford and City of Ashland applicants fill out ethnicity and Medford/Ashland columns. United Way
applicants fill out Whole Program and Ethnicity portions.
#Whole Program Ethnicity #
Hispanic/Latino* Ashland
White ___929_______ __________ ___722_______
Black/African American ____20_____ __________ ____11______
American Indian/Alaskan Native ____13_____ __________ ____12______
Native Hawaiian/other Pacific Islander _____8_____ __________ _____6____
American Indian/Alaskan Native and White _____3_____ __________ _____1____
Black/African American and White American _____0____ __________ _____0____
Indian/Alaskan Native and
Black/African American _____0_____ __________ _____0____
Other Multi Racial _____2_____ __________ _____2_____
Other _____7____ __________ _____7_____
Totals ____982______ ___143_______ ____761_____
Ethnicity is a portion of each Race category listed and will likely not match the total demographic served –it would
only match if 100% of your clients identify as Hispanic/Latino.
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Agency Board Profile
RECIPIENT AGENCY _______Ashland/Talent Home Visit Conference, St. Vincent de Paul
PROGRAM/PROJECT TITLE Preventing Homelessness in Ashland, OR
1.Number of board members required in bylaws? Minimum _21_ Maximum _30_
2.Number of board members currently active? # Voting _21__Vacancies 7
3.Average percentage board meeting attendance (over last completed year): __ 75%
4.Percent of board in attendance required for a quorum: __51%
5.List various board, advisory and ad hoc committees and the number of people on each.
Committee Number of Members
_____Executive Committee___6_____________
____________________________________ ________________
____________________________________ ________________
____________________________________ ________________
____________________________________ ________________
6. Characteristics of Board of Directors at time of application:
Race/Ethnicity
Number Ethnicity
Identifying Hispanic/Latino*
White __21________ ____1______
Black/African American __________ __________
American Indian/Alaskan Native __________ __________
Native Hawaiian/other Pacific Islander __________ __________
American Indian/Alaskan Native and White __________ __________
Black/African American and White __________ __________
American Indian/Alaskan Native and
Black/African American __________ __________
Other Multi Racial __________ __________
Other __________ __________
Totals ___21_______ ____1______
* Fill out this column pertaining to board Ethnicity is a portion of each Race category listed. It will very likely not matchthe total
board category –it would only match if 100% of your board identifies as Hispanic/Latino.
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Society of St. Vincent de Paul
Rogue Valley Council Board of Directors
PositionNamePhoneContactJoined Board
President*John Vinatieric-541-324-8672johnandrita.vinatieri@gmail.com2020
Past President*Kathy Begleyh 541-826-5722Begley2001@aol..com2012
c 541-951-6012
Past President*Socorro Hollowayh 541-776-4138socorro2@charter.net2009
c 541-821-5953
VP-Facilities*Dennis Mihockoc 541-531-38322007
dennissvdp@gmail.com
VP –Grants*Rich Hansenh 541-770-6062richhansen39@charter.net2013
c 541-261-6855
Treasurer*Tom Flemingh 541-499-6466Tom.Fleming@svdpmedford.org2016
SecretaryNancy Fleming541-499-6466 h nldfleming@gmail.com2019
**Store ManagerKaren McNeillyh 541-855-2008patrickmcneilly@charter.net1995
Volunteer Coordinator
ConferenceOfficersPhoneE-mail AddressJoined
Board
Marilyn Gradwell, Presidentc 541-944-3985marilyn.numaim@gmail.com2021
Social Services
Fr. Jim Clifford, VPc 541-944-3536jim.clifford.osa@gmail.com
Sacred Heart, Conference 1
2021
Ralph Browning, Presidentc 541-261-0866browningralph2015
Thrift Store
@gmail.com
Bl. Anna Maria, Conference 2
Charlotte Martinson, Mgrc 541-499-8992cmmartinson@charter.net2015
Kitchen
Curt Swift, Presidentc 541-864-9232 cswift4444@gmail.com 2015
St. Teresa, Conference 3
Helen Smith,VPc 541-512-9153 hfsmithsmallsteps@gmail.com
Urban Rest StopLee Myers, Presidentc 541-601-5273myersmanor1942@gmail.com2013
St. Francis of Assisi, Conference 4 TC Myers, VPc 541-301-0025
Nancy Fleming, Presidenth 541-499-6466nldfleming@gmail.com2016
Office
St. Anna, Conference 5
John Engelhardt, Presidenth 541-482-8222jje@jeffnet.org2017
Ashland Social Services,
c 541-324-9541
Conference 6
Beth Hunter, Mgrc 541 664-3481beth_j.hunter@q.com2016
Food Pantry
Glenn Cote, c 541-261-8322 jcgcote@charter.net
Shepherd of the Valley,
Conference 7
Nancy Morrow. Presidentc 530-276-30222morrow@frontiernet.net2021
Family Shelter
Nick Koutsouros, Mgr.c 541-778-8104
St. Anthony, Conference 8
Don Krolak, Presidentc 916-225-0223donkrolak@gmail.com2016
Home Visit/Med Assist
St. Augustine, Conference 9
**Needy MedsDon Krolakc 916-225-0223donkrolak@gmail.com
**SVDP Dental ProgramWyn LewisC 541-890-6016wynlewis0286@gmail.
com
*Executive committee member **Not a Board member
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Attachment 4:
Full financial Review of Fiscal Year 2019-2020, completed in January 2021 is lengthy. It is available
upon request.
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