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HomeMy WebLinkAbout2026-02-26 Housing & Human Services Committee PACKET Housing & Human Services Advisory Committee Meeting Agenda ASHLAND HOUSING & HUMAN SERVICES ADVISORY COMMITTEE REGULAR MEETING AGENDA Thursday, February 26, 2026 Siskiyou Room, 51 Winburn Way 4 pm Note: Anyone wishing to speak at any Housing and Human Services Advisory Committee meeting is encouraged to do so. If you wish to speak, please rise and, after you have been recognized by the Chair, give your name and complete address for the record. You will then be allowed to speak. Please note the public testimony may be limited by the Chair. Zoom Link: https://zoom.us/j/93712009632 I.CALL TO ORDER II.APPROVAL OF THE AGENDA III.CONSENT AGENDA A.Approval of December 18, 2025, Minutes IV.PUBLIC FORUM A.Public Forum. V.NEW BUSINESS A.Social Service Grant Presentation (4:15-5:05 p.m.) B.Social Service Grant Application Review and Recommendation (5:05-5:25 p.m.) C.Recreational Vehicles in Single Family Neighborhoods Discussion (5:25-5:45 p.m.) VI.UNFINISHED BUSINESS VII.INFORMATIONAL ITEMS A.Liaison Reports. B.General Announcements. VIII.AGENDA BUILDING - FUTURE MEETINGS IX.ADJOURNMENT: 6:00 PM If you need special assistance to participate in this meeting, please contact Linda Reid at linda.reid@ashlandoregon.gov or 541.488.5305 (TTY phone number Notification at least three business days before the meeting will enable the City to make reasonable arrangements to ensure accessibility to the meeting in compliance with the Americans with Disabilities Act. Page 1 of 1 Housing And Human ServicesCommittee Minutes December 18, 2025 REGULARMEETING Minutes Commissioner’sPresent:CouncilLiaison: Bob Kaplan Echo Fields Montana Hauser Jim Dykstra Noah WerthaiserStaffPresent: Montana HauserLinda Reid; Housing Program Specialist John MaherSOULiaison: Ashley LaubeVacant Commissioner’sAbsent I.CALL TO ORDER: 4:05p.m. II.CONSENT AGENDA A.Approval of October23, 2025, Minutes Werthaiser/FieldsM/S. Voice Vote: ALL AYES. The minutes from October 23,2025,were approvedwith two corrections: a date correction, and a correction to the spelling of Vice Chair Hauser’s name. III.PUBLIC FORUM (4:05-4:15 p.m.) A.Public Forum. No one spoke IV.NEW BUSINESS A.Review of Goals for 2026 Committee members reviewed and discussed the goals that were identified at the th November 20Meeting.Committee members want to brainstorm to come up with a more inclusive term for YIMBY. Committee members talked about coming up with an infographic to visually define affordablehousing Homeless goalsuse HMIS data to provide educationaboutresources needs. The question was asked“what do we need to know,what types of information will help the Council Make good decisions?” We need to ask the Councilwhat types of information would be most helpful to them. Page 1of 2 Housing And Human ServicesCommittee Minutes Development process goals: Committee members discussed taking a deep dive into fees and incentives:Get feedbackfrom stakeholdersoutside of the Planningprocess. Learn about how to streamline the process across all departments to help reduce costs/overhead. Look at previous efforts to get feedback and potentially elicit new feedback from developers. B.Workplan Review Committee members reviewed and discussed workplan for the coming year. C.Nominations for Committee Chair and Vice Chair Laube/Maher M/S Committee Member Werthaiser for Chair, with Committee Member Hauser continuing as Vice Chair. Motion was approved Unanimously. V.UNFINISHED BUSINESS None. VI.INFORMATIONAL ITEMS A.Liaison Reports-Councilor Kaplan provided the Liaison report. B.General Announcements VII.AGENDA BUILDING –Future Meetings C-Pace Program Overview Grant Application Review RV’s in Single Family Neighborhoods VIII.ADJOURNMENT:6:00p.m. In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, please email linda.reid@ashland.or.us. Notification 72 hours prior to the meeting will enable the City to make reasonable arrangements to ensure accessibility to the meeting (28 CFR 35.102-35.104 ADA Title 1). Page 2of 2 Memo DATE: February 26, 2026 TO: Housing and Human Services Advisory Committee FROM: Linda Reid, Housing Program Manager DEPT: Planning RE: Social Service Grant Presentations and Committee Evaluation and Recommendations Social Services grant money is funded through the City’s General Fund. The City received tenapplications totaling over $236,000 in response to the request for proposals.The City of Ashland Housing and Human Services Advisory Committee will review the grant requests and will make a recommendation for grant awards to the City Council.Subsequently, the City Council will hold a public hearing on April 21, 2026, and will make a final decision on grant awards. Applicants will have the opportunity to speak briefly about their proposals and answer questionsregarding their proposals. Presentations are optional and arenot mandatory to receive funding. Presentations will be in alphabetical order providing about five minutes foreach presenter depending on the number of presenters in attendance. 1.Ashland Emergency Food Bank 2.Center for Non-Profit Legal Services 3.Community Works, Dunn House 4.Food and Friends-Rogue Valley Council of Governments 5.Jackson County SART 6.OHRA 7.Rogue Valley Mentoring 8.Southern Oregon Jobs with Justice 9.St. Vincent De Paul 10.United Way Planning Department 20 East Main StreetTel:541.488.5300 Ashland, Oregon 97520Fax:541.552.2059 ashland.or.usTTY: 800.735.2900 !"!#$%&'%%()*+,!-./*#0123 Ashland Emergency Food Bank /*43%$%+5%-6789:9; DISTRIBUTION ACCOUNTTOTAL AS OF DECEMBER 31, 2025AS OF DECEMBER 31, 2024 (PY)$ CHANGE (PY)% CHANGE (PY) Assets Current Assets Bank Accounts Edward Jones Account35.2035.200.00 Key Bank Checking287,034.25291,729.20-4,694.95 Key Bank Savings 2408265,669.2888,169.28177,500.00 Rogue Credit Union 3258118,383.96118,383.96 Rogue Credit Union Money Market 3232115,000.00115,000.00 Total for Bank Accounts$786,122.69$379,933.68$406,189.01 Accounts Receivable Other Current Assets$827,500.85$801,209.35$26,291.50 Total for Current Assets$1,613,623.54$1,181,143.03$432,480.51 Fixed Assets$411,855.00$424,410.00-$12,555.00 Other Assets$67,273.89$53,081.00$14,192.89 Total for Assets$2,092,752.43$1,658,634.03$434,118.40 Liabilities and Equity Liabilities Current Liabilities$34,002.03$20,431.53$13,570.50 Long-term Liabilities Total for Liabilities$34,002.03$20,431.53$13,570.50 Equity Net Assets1,579,664.431,466,095.04113,569.39 Net Income419,032.91141,857.84277,175.07 Grant/Fund Balances Anna May Foundation Grant1,293.550.001,293.55 Ashland Com Health-Outreach6,462.330.006,462.33 Ashland Co-op Grant0.004,000.00-4,000.00 Ashland Co-op Restricted Diet G254.54254.540.00 CareOregon Grant$0.00$358.83-$358.83 Carpenter Grant4,118.500.004,118.50 Chaney Grant2,775.000.002,775.00 Isaac Lindsay Fund121.00121.000.00 Marie Lamfrom Grant24,998.0024,998.00 OR Community Foundation Grants$5,000.00$10,515.25-$5,515.25 Roundhouse Foundation Grant Bal13,114.3815,000.00-1,885.62 Trinity Food/Produce Grant1,915.760.001,915.76 Total for Grant/Fund Balances$60,053.06$30,249.62$29,803.44 Total for Equity$2,058,750.40$1,638,202.50$420,547.90 Total for Liabilities and Equity$2,092,752.43$1,658,634.03$434,118.40 City of Ashland Social Service GrantProgram Application and Forms 2026 - 2027 OpportunitiesforHousing,ResourcesandAssistance 02/12/26 ORGANIZATIONLEGALNAME:DATE: OHRA OTHERNAMESORGANIZATIONKNOWNBY(DBA) PO Box 1133AshlandOR94520 ADDRESS StreetCityStateZip FEDERALEMPLOYERIDNUMBER(FEIN) AshlandCommunityHousingProgram PROGRAM/PROJECTTITLE: SeeMEMO forimportant information on goals andprioritiesforAshland. Assistance to obtain and/or retain housing Which strategicpriority does your program focus? $ 110,000 AMOUNT REQUESTED from this funder for this program/project 2026-2027 $ GRANT CONTACT (If other than Executive Director listed below) Name Telephone E-mail EXECUTIVEDIRECTORINFORMATION DanCano Name (541)531-0669danc@ohrahelps.org TelephoneE-mail CERTIFICATION The information contained in thisapplicationistrueand correct to the best ofmyknowledge. Signature ofBoardPresidentSignatureofExecutive Director/CEO Dan Cano Catherine Gerbracht Type NameTypeName 1 SUMMARYINFORMATION OpportunitiesforHousing,ResourcesandAssistance RECIPIENTAGENCY Ashland Community HousingProgram PROGRAM/PROJECTTITLE 1. Program/projectis:newestablished/continuing_ pilot If pilot,expectedduration 2.Primary geographic location and population program funding willserve. (If funding awarded City of Ashland, will require tracking the number of city residents served for reporting purposes. City of Ashland 3.What willthis funding enable? This funding will enable OHRA to deliver Ashland focused case management, navigation and housing support servicesthatkeep working familiesand vulnerable individuals housed, and link unhoused residents to services and housing supports. 4.10 Number of volunteersthis program/project will engage: 10 Number of paid program employees thisprogram/project will engage: 5.40 Total number volunteer’s agency utilizes: 50 Totalnumber of paidagencyemployees: 6.Outline keystrategiesofthe project/program withtimeline and staffstructure. OHRA'sstrategyistocarve out anAshlandfocused program designedtobest respond tothe needs of unhoused and housing threatened Ashland residents. The program willallocate a navigator whowillleveragecommunityresources,collaborations, and regional partnerships to access rent assistance, deposit assistance, and utility assistance. These activities have a direct and positive impact on getting or keeping Ashland residents housed. OHRA will utilize The OHRA Center, which is the region's largest drop-in resource center and shelter.TheCenteris known tothecommunity and key to helping at-riskresidentsaccessservices from our 60+ agency partners including La Clinica, Maslow Project, DHS, and Jackson County Mental Health. 7.Usethisspacefor comments, explanations, and exceptions toquestions on thisapplication that can’t be included within the question format. You may also leave it blank. Ourrequestis for $110,000 of thiswewill use $60,000 for a resource navigator's wages and benefits and $50,000 for rent deposit, one-time rental assistance and/or utilities assistance. 2 AGENCYANDPROGRAM/PROJECTNARRATIVE OpportunitiesforHousingResourcesandAssistance RECIPIENT AGENCY Ashland Community Housing 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. 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 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.) Mission, Purpose and Program Fit: OHRA helps low-income people build better lives. By offering hope and access to social service resources, we encourage those in need on the path to self-sufficiency. OHRA’s purpose is embedded in our mission statement; we work with low-income people by building trusting relationships, we connect them to appropriate resources, through our Resource Center or our network of more than 60 partners to help them on a path so sustainability. The proposed program is a continuation of services and methods OHRA has provided since its inception. This program will pay for a navigator who is trained to establish relationships with the target population, and through supports and linkages to services the project offers hope, access, and movement toward sustainability. These funds will be used to support Ashland residents exclusively. Approach: Resource navigators build trust and understanding with people who are unhoused, unstably OHRA’s resource centers. This trauma informed approach increases the housed, and who are guests visiting navigator’s influence on the community member to engage in services that address the immediate and OHRA’sstaff receive regular and up to date training on trauma informed longer-term challenges they face. practices through professional trainers and in-house mentoring. Issues the project/program intended to impact: This program addresses all 4 challenges identified in Ashland’s Strategic Plan for Social Services. These challenges include 1) providing more effective services options for high need individuals with challenging behaviors, 2) increasing services to vulnerable populations struggling with disabilities, mental health, or elder care; 3) increase housing supports/options for working families; and 4) linking families and individuals to transitional housing. These challenges continue to be present in Ashland, and in many ways have increased. Over 75% of individuals who OHRA contacts at the Night Lawn and shelters have some co-occurring symptoms related to cognitive or mental health challenges. Working families continue to struggle to maintain affordable housing; and more seniors need rent assistance and support. We see this daily in our shelters and outreach programs. Strategy for Change: Our service model is based on navigators building a trusting relationship with guests and assisting them to address personal, social, health, and other barriers to stability. OHRA's continuous development of strategic partners is also critical to keeping residents housed and linking guests to services. 3 AGENCYAND PROGRAM/PROJECT NARRATIVE Opportunities for Housing, Resources and Assistance RECIPIENT AGENCY Ashland Community Housing Program PROGRAM/PROJECT TITLE Continue from previouspage(if needed): Evidence that the project/program will be successful: OHRA has delivered comprehensive social services to Ashland since 2014. Between 4/1/21 and 6/30/25, OHRA navigators helped 575 unhoused families (880 individuals including 121 children) find permanent housing and assisted 1,381 families threatened with eviction (2,944 individuals including 1,106 children) to remain housed. By leveraging these funds to provide targeted and specialized services using proven strategies, OHRA will successfully keep or re-house a significant number of Ashland families and individuals and link unhoused residents to critical services. Tool(s) to measure outcomes: OHRA uses the states' Homeless Management Information System to track engagement notes and progress, while program expense procedures document how and where funds are spent. Using these tools, OHRA will track and report the number of unhoused residents we house, the number of residents we help to stay housed, and the funds spent for emergency deposit, back-rent, and utility assistance. We will also perform follow-up contacts at 6 and 12 months to determine the status of the households we assist and the number of other services delivered (e.g. life skills education, utilities assistance, referrals to other services). Benefit to the community as a whole: In 2025, OHRA deepened its collaboration with the Ashland Police Department, leaders on the City Council, neighborhood leaders, and community advocates to increase coordination that has led to increased capacity and services for residents in crisis. However, OHRA’s capacity to continue its work relies on financial support and partnerships with the City and its residents. By the city investing this funding in ORHA, we can continue to be a catalyst and resource hub for addressing our city's social services challenges. 4 GENERAL FINANCIAL INFORMATION Opportunities for Housing, Resources abd Assistance RECIPIENTAGENCY Ashland Community Housing Program PROGRAM/PROJECT TITLE 1. For most recently completed 990: a. 07/2022 -06/2023 FISCAL YEAR (mm/yyyy – mm/yyyy): 372,901 15.8 b.Administration & 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), calculateddirectlyfrom your IRSform 990. Part IX:AddLine25 C (administrative cost total) and Line 25 D (fundraising cost total) and divide by Part IX, Line 25, Column A (total expenses). 1,991,802 c.Programexpense $ 2,364,703 $ d. Total expenses: e.Sources of revenue: 0 % Memberships/individual contributions $ Raisedthroughfundraisingactivities $% 1,705,089 57.8 Government $% 1,242,973 42.1 Foundations $% 0 % UnitedWay $ 0 Feesfor Service % $ 2,880 0.1 $% Other (reimbursements, payments, bequests, etc.) 2,950,942 f. Total revenue: $ 2. What is the highest level of financial reporting required by your funders? Federal single audit 3. Briefly describe your sustainability outlook for the project/program in the future. OHRA will continue to leverage funds from the state, private foundations and private donors to maintain capacity. Critical to this is our fundraising and grant-writing infrastructure, which gives us the capacity to seek funding for successful programs. The City also has been a critical part of our sustainability as well, as we work closely with City Council and staff to partner on state and future federal grants to increase housing options for Ashland's most vulnerable. 4. 3,109,956 a. Total organizational annual budget current ongoing fiscal year: 1,456,798 b. Total program/project budget current ongoing fiscal year: 5 CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE (Useabsolutenumbersonly – nopercentages.) Opportunities for Housing, Resources and Assistance RECIPIENTAGENCY Ashland Community Housing Program PROGRAM/PROJECTTITLE #Whole Program #Ashland I. Gender Age*Female 950 298 Male 957 341 Other 125 25 II. Totals 142 49 0to5 190 59 6to12 12447 13to 17 97 268 18to 30 382 128 31to 40 349 101 41to 50 98 292 51to 61 209 77 62+ 86 9 Unknown 665 2042 Total *at pointof entryfor service IV. Race/Ethnicity #Whole Program Ethnicity # Hispanic/Latino* Ashland 1445 132 485 White 62 1 28 Black/African American 49 13 18 AmericanIndian/AlaskanNative 25 0 8 NativeHawaiian/other PacificIslander 45 5 7 AmericanIndian/AlaskanNativeandWhite 43 0 14 Black/African American andWhite American Indian/Alaskan Nativeand 4 1 0 Black/African American 223 183 73 Other MultiRacial 89 0 28 Other 1985335 662 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 Opportunities for Housing, Resources and Assistance RECIPIENTAGENCY Ashland Community Housing Program PROGRAM/PROJECTTITLE 1. 7 17 Number of board members required in bylaws? Minimum Maximum 2.130 Number of board members currently active? # Voting Vacancies 90 3. Average percentage board meeting attendance (over last completed year): % 51 4. Percent of board in attendance required for a quorum: % 5. List various board, advisory and ad hoc committees and the number of people on each. Committee Number of Members Executive Committee 6+1 staff member Finance Committee 4+1 staff member 4+1 staff member Board Development and Governance Committee 5+1 staff member Development Committee 6. Characteristicsof Board of Directors at time of application: Race/Ethnicity NumberEthnicity Identifying Hispanic/Latino* 11 1 White Black/African American American Indian/Alaskan Native NativeHawaiian/other PacificIslander American Indian/AlaskanNative andWhite 1 Black/African American and White American Indian/Alaskan Native and Black/African American Other MultiRacial Other 12 1 Totals * FilloutthiscolumnpertainingtoboardEthnicityis a portionof eachRace categorylisted.It willvery likely not match the total board category – it would only match if 100% of your board identifies as Hispanic/Latino. There are 4 bi-lingual board members. 9 2 AGENCY AND PROGRAM/PROJECT NARRATIVE Center for NonProfit Legal Services, Inc. RECIPIENT AGENCY __________________________________________________________ RemovingLegalBarrierstoSelfSufficiency PROGRAM/PROJECT TITLE ____________________________________________________ Answer all three narrative questions. Use only the space provided Î place the question number and letter preceding each answer;the amount of space you allot for each response is your choice. Description of organization (include inception date) and a.mission statement, purpose(s) and how this program/project fits with your mission. b.your organizationÓs 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 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.TheCenterforNonProfitLegalServices(theCenter)hasprovidedfreecivillegalassistanceto low-incomepersonsandseniorsresidinginJacksonCountysinceDecember1972.LegalServices'mission is:"TosecurejusticeforandprotecttherightsofneedypersonsresidinginJacksonCountysothatsuch personsshallnotbyreasonofbeinginfinancialneedbedeniedequalprotectionunderthelaw."Our attorneysfocustheirrepresentationonthepriorityneedsofmarginalized,under-resourcedindividuals, individualswithcertainintersectingidentities,andtheelderlyinJacksonCounty.Ourtargetpopulationsare communitiesofColorandMarginalizedPopulations:thehomeless,veterans,vulnerableaging,andpeople withdisabilities.Usingtrauma-informedcareprinciples,weworktoengage,protect,andensurethatthis populationhasaccesstoresourcesthatmeettheirbasicneedsforfood,sustainableshelter,medicalcare, incomemaintenance,freedomfromdomesticviolenceinfamilymatters,andcitizenshipenfranchisement throughthenaturalizationprocess. 1.b.)CNPLSisuniquelyqualifiedtoaccomplishourprogramoutcomesaswearetheonlylegalaid providersinJacksonCountywithOregonlicensedattorneys.OnlyOregonlicensedattorneysarepermittedto givelegaladviceinOregonlawmatters,suchashousingandpublicbenefits.Thisprojectisconsistentwith ourmissionandAshland'sStrategicPriorities.AswehelpAshland'sseniorsandindigentresidents' obtain/maintainaffordable,safe,andsecurehousing,andremovebarrierstopublicbenefitswebreakthe cycleofpoverty.Securehousingandaccesstopublicbenefits,includingfoodandhealthcarebenefits,arethe foundationforhealthandwell-being,allowingcitizenstobemoreproductiveandengagedwiththeir community.Ourattorneysspecializeinpovertylaw,includinghousing,employmentrights,publicbenefits, familylawinvolvingdomesticviolenceandprotectiveservices,individualrights-ProtectingourVeterans, andimmigrationlaw.Povertylawinvolvesconstantlychanginglaws,andourconcentrationallowsforahigh levelofresponsivenessandcompetence.Ourattorneysarehighlytrainedandexperienced,withan80% successrate. 1.c)Providingservicesusingtheprinciplesoftrauma-informedcareisessentialifwewanttosuccessfully workwithindigentandseniormembersofourcommunity.Staffreceivestrainingfromonlineresourcessuch asNCLERandcommunitytrainerslikeJacksonCareConnect.Topreventre-traumatizingclients,wehave establishedaphysicallysafe,respectful,andculturallycompetentenvironment.Staffseekstobetransparent andtrustworthyasweteachourclientsaboutthelaw,helpthemunderstandtheirrights,andprovidelegal options.Thelegalinformationweprovideourclientsgivesthemtheknowledgetomakeinformedchoicesin hdlfhiWiliiiidill 3 CenterforNonProfitLegalServices,Inc. RemovingLegalBarrierstoSelfSufficiency 2.a)Weproposetoassistinobtaining/maintaininghousingandaccessingpublicbenefitsforAshland's mostvulnerableresidents.Ourhousingattorneyprovideslegalrepresentationthatprotectsaffordable, safe,andfairhousing.HeconductsoutreachatProjectCommunityConnectandofferslegaleducation presentationsforourcommunitypartnersandprotectedpopulationsaboutfairhousinglaws.Ourpublic benefitsattorneyassistsseniorsandindigentresidentswithacquiringbenefitsandoverturningbenefit denials.Allofourattorneysconcentratetheirlegalassistanceontheelderly,disabled,andimpoverished ofAshland.OurrepresentationholdslandlordsaccountabletotheOregonLandlord/TenantAct (ORLTA).OurExecutiveDirectorservesastheContinuumofCare(CoC)boardpresidentandserveson theHousingandCommunityDevelopmentCommission(HCDC).Weproposeholdingconversations withelectedandappointedofficialsonfindingsolutionsfortheexpandinghousingcrisis. 2b)OurRemovingLegalBarrierstoSelf-SufficiencyprojectisbasedontheHousingStrategyand IncomeandPovertyStrategy.Wedesignedthisprojecttoprovidelegalrepresentationtohomeless, indigent,andseniorAshlandresidentswhoareexperiencinglegalbarrierstosafe,cleanandaffordable housing,andincome,foodandaccesstohealthcare.CNPLSprovideslegaleducation,advocacy,advice andrepresentation,empoweringlow-incomehouseholdstobecomestable,independent,and self-sustaining.Weworktoprotectandensurethatthisoftenmarginalizedpopulationobtainsaccessto resourceswhichallowsthemtomeettheirbasicneedsforfood,sustainableshelter,medicalcareand incomemaintenance. 2c)TheCenterforNonProfitLegalServiceshasservedastheonlysourceofcivillegalassistancefor low-incomeAshlandresidentsforover50years.Ashlandresidentsmakeupaboutonequarterofour caseload.Weprovidelegaleducation,advocacy,advice,andrepresentation,empoweringlow-income householdstobecomestable,adequatelysheltered,andself-sustaining.Wehaveaproventrackrecordof providingsuccessfulresolutionsforourclients. 2d.)Usingourcasemanagementsystem,LegalServer,wegeneratestatisticalreportseachquarterthat describethenumberofclientsserved,clientdemographics,thelevelofservicerequested,andcase disposition.Thisreporttrackstheresultsofoureffortswithinspecificlegalpracticeareas.Client satisfactionsurveysandstatisticalreportsarehowweassessoursuccess.Inaddition,weusethis informationtoverifythatwehavemetouroutreachandrepresentationgoals. 3.Accesstojusticeenfranchisesthewholecommunity.Civillegalaidlevelstheplayingfieldby educatingpeopletoknowtheirrights.Itfulfillsournations'fundamentalpromiseofjusticeforall-not forthefewwhocanaffordit.OurprogrampartnerswiththeRogueValleyCouncilofGovernments (RVCOG)toprovidelegalservicestoseniorsexperiencingproblemswithhousing,Medicare/Medicaid, andSNAPbenefits.Inaddition,wecollaboratewithSouthernOregonRehabilitationCenterandClinics (SORCC)tohelpdisabledandhomelessveteranssecuregovernmentbenefitssotheycanmaintaintheir independence. 4 GENERAL FINANCIAL INFORMATION Center for NonProfit Legal Services, Inc. RECIPIENT AGENCY __________________________________________________________ RemovingLegalBarrierstoSelfSufficiency PROGRAM/PROJECT TITLE ____________________________________________________ 1.For most recently completed 990: 07/2023-06/2024 a. FISCAL YEAR (mm/yyyy Î mm/yyyy): ____________________ 159,89614 b. Administration & 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). 982,218 c.Program expense $ _____________ 1,142,114 $ _____________ d.Total expenses: e.Sources of revenue: 0 Memberships/ individual contributions $______________ ________% 17,6091.04 Raised through fundraising activities $______________ ________% 1,062,32662.65 Government $______________ ________% 512,70430.24 Foundations $______________ ________% 9,000.53 United Way $______________ ________% 0 Fees for Service $______________ ________% 93,9575.54 Other (reimbursements, payments, $______________ ________% bequests, etc.) 1,695,626 f. Total revenue: $ _____________ 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. WearetakingaproactiveapproachtosustainabilitywithourPartnershipforJusticeCampaign.We areworkingwithourstatepartnerstocreatenewavenuesoffundingafterTrump'scutstofunding. OurgoalistocontinueexpandingourcapacitytoprovidelegalassistancetoAshlandresidentsby buildingcommunitysupportandourendowmentfund.Ourlong-termfocusistoexpandourfund developmentcapacity,buildingonourendowmentfundandimprovingtheenergyefficiencyofour buildingtoreduceexpensestocontinueourworkforjustice. $ 1,567,482 4.a. Total organizational annual budget current ongoing fiscal year: __________ $ 65,000 b. Total program/project budget current ongoing fiscal year:___________ 5 CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE (Use absolute numbers only Î no percentages.) Center for NonProfit Legal Services, Inc. RECIPIENT AGENCY ________________________________________________________ RemovingLegalBarrierstoSelfSufficiency PROGRAM/PROJECT TITLE _________________________________________________ # Whole Program # Ashland I. Gender Age* Female 27566 ______ ______ Male 19731 ______ ______ Other 52 II. ______ ______ Totals 0 ______ ______ 0 to 5 0 ______ ______ 6 to 12 4 ______ ______ 13 to 17 527 ______ ______ 18 to 30 6315 ______ ______ 31 to 40 7013 ______ ______ 41 to 50 15 83 ______ ______ 51 to 61 49 175 ______ ______ 62 + ______ ______ Unknown ______ ______ Total *at point of entry for service IV. Race/Ethnicity #Whole Program Ethnicity # Hispanic/Latino* Ashland 71 313 White __________ __________ __________ 3 10 Black/African American __________ __________ __________ 9 American Indian/Alaskan Native __________ __________ __________ 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 __________ __________ __________ 808012 Other Multi Racial __________ __________ __________ 434 Other __________ __________ __________ 44780 Totals __________ __________ __________ Ethnicity is a portion of each Race category listed and will likely not match the total demographic served Î it would only match if 100% of your clients identify as Hispanic/Latino. 8 Agency Board Profile Center for NonProfit Legal Services, Inc RECIPIENT AGENCY _______________________________________________________________ RemovingLegalBarrierstoSelfSufficiency PROGRAM/PROJECT TITLE ________________________________________________________ 515 1.Number of board members required in bylaws? Minimum ____ Maximum _____ 5 2.Number of board members currently active? # Voting ____ Vacancies _____ 75 3.Average percentage board meeting attendance (over last completed year): _____ % 51 4.Percent of board in attendance required for a quorum: _____ % 5.List various board, advisory and ad hoc committees and the number of people on each. Committee Number of Members Personnel3 ____________________________________ ________________ Executive3 ____________________________________ ________________ Finance4 ____________________________________ ________________ Local Campaign for Equal Justice7 ____________________________________ ________________ Partnership for Justice7 ____________________________________ ________________ 6. Characteristics of Board of Directors at time of application: Race/Ethnicity Number Ethnicity Identifying Hispanic/Latino* 6 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 __________ __________ 11 Other __________ __________ 71 Totals __________ __________ * 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 Î it would only match if 100% of your board identifies as Hispanic/Latino. 9 CENTER FOR NONPROFIT LEGAL SERVICES BOARD ROSTER COLETTE BOEHMER C OLIN M. M URPHY S EAN T IPTON 210L AUREL STREET S OUTHERN O REGON P UBLIC ATTORNEY AT LAW MEDFORD,OR 97501 D EFENDER, I NC. F ROHNMAYER D EATHERAGE TH 541-779-7552 PHONE 301W.6S TREET 2592E.B ARNETT R D, 541-772-3374 FAX M EDFORD, OR 97501 MEDFORD, OR 97504 cboehmerlaw@gmail.com 541-779-5636 PHONE (541) 779-2333 Member since 1990 colin@sopd.net tipton@fdfirm.com Member since 2024 Member since 2023 JENNIFER NICHOLLS (TREASURER) BROPHY MILLS SCHMOR GERKING KATELYN MASON 201 W MAIN ST.STE 5 JAMES A.REDDEN MEDFORD OR 97501 US COURT HOUSE TH 541-772-7123 PHONE 310 W EST 6 S TREET 541-772-7249 FAX M EDFORD, OR 97501 jnicholls@brophylegal.com 541-608-8770-PHONE Member since 2017 katelyn_mason@ord.uscourts.gov Member since 2022 LILIA CABALLERO (SECRETARY) MEDFORD POLICE DEPARTMENT CHRISTINA H. RUBY TH 411 W..8 STREET ATTORNEY AT LAW 541-770-5770- PHONE 260 JACKSON CREEK DRIVE lilia.caballero@ci.medford.or.us JACKSONVILLE, OR 97530 Member since 2013 541 778-1647 christina.h.hayes@gmail.com M EMBER SINCE 2017 SUMMARY INFORMATION Dpnnvojuz!Xpslt! RECIPIENT AGENCY __________________________________________________________ Evoo!Ipvtf!Tifmufs PROGRAM/PROJECT TITLE ____________________________________________________ 5 1.Program/project is: new established/continuing _ 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 forreporting purposes. Uif!Evoo!Ipvtf!Tifmufs!tfswft!tvswjwpst!xip!bsf!ipnfmftt!ps!bu!jnnjofou!sjtl!pg!ipnfmfttoftt! evf!up!epnftujd!wjpmfodf-!tfyvbm!bttbvmu-!tubmljoh-!boe!ivnbo!usbggjdljoh!uispvhipvu!Kbdltpo! Dpvouz-!Psfhpo-!jodmvejoh!sftjefout!pg!Btimboe/!Gps!npsf!uibo!61!zfbst-!uif!Evoo!Ipvtf!Tifmufs! ibt!cffo!uif!pomz!fnfshfodz!tifmufs!jo!Kbdltpo!Dpvouz!tqfdjgjdbmmz!eftjhobufe!gps!tvswjwpst!pg! joufsqfstpobm!wjpmfodf/!Uiptf!xip!tffl!tifmufs!bu!uif!Evoo!Ipvtf!ibwf!op!tbgf!bmufsobujwft/! 3.What will this funding enable? Uijt!gvoejoh!xjmm!tvqqpsu!uif!pqfsbujpo!pg!uif!mpx.cbssjfs!Evoo!Ipvtf!Tifmufs!boe!3508!IfmqMjof! up!bddftt!uif!tifmufs!fotvsjoh!jnnfejbuf!tbgfuz!gps!361!tvswjwpst!fwfsz!zfbs-!ibmg!pg!xipn!bsf! dijmesfo/!Tubggfe!3508!cz!Dpnnvojuz!Xpslt!Dfsujgjfe!Bewpdbuft!usbjofe!jo!usbvnb.jogpsnfe-! tfswjdft-!uif!tifmufs!gptufst!ifbmjoh/!Bewpdbuft!qspwjef!ipvtjoh!bewpdbdz!up!beesftt!cbssjfst!tvdi! bt!qpps!sfoubm!ijtupsz!ps!mbohvbhf!bddftt!tp!tvswjwpst!dbo!usbotjujpo!up!qfsnbofou-!tbgf!ipvtjoh/ 34 4.Number of volunteers this program/project will engage: __________ : Number of paid program employees this program/project will engage: __________ 46 5.Total number agency utilizes: __________ 4: Total number of paid agency employees: __________ 6.Outline key strategies of the project/program with timeline and staff structure. Uif!Evoo!Ipvtf!jt!b!mpx.cbssjfs!tifmufs!xjui!Dfsujgjfe!Bewpdbuft!po!tjuf!3508/!Ju!qspwjeft! jnnfejbuf!tbgfuz!boe!dpnqsfifotjwf!tvqqpsujwf!tfswjdft!up!tubcjmj{f!tvswjwpst!boe!tvqqpsu!uifjs! usbotjujpo!joup!tbgf!boe!tvtubjobcmf!ipvtjoh/!Lfz!tusbufhjft!jodmvef!usbvnb..jogpsnfe!tvqqpsu-! qspwjtjpo!pg!cbtjd!offet-!boe!joejwjevbmj{fe!tbgfuz!qmboojoh/!Dpnnvojuz!Xpslt!Ipvtjoh! Bewpdbuft!nffu!xjui!fbdi!sftjefou!boe!dpnqmfuf!b!ipvtjoh!offet!bttfttnfou-!jefoujgz!boe!sfevdf! ipvtjoh!cbssjfst-!tvqqpsu!jo!obwjhbujoh!boe!pcubjojoh!ipvtjoh-!qspwjef!gjobodjbm!bttjtubodf!gps! npwf.jo!dptut-!pggfs!mjgf!tljmmt!fevdbujpo-!boe!qspwjef!cbtjd!ipvtfipme!jufnt!gps!ofxmz!ipvtfe! tvswjwpst/!Podf!jo!qfsnbofou!ipvtjoh-!bewpdbuft!dpoujovf!qspwjejoh!mjgf!tljmmt!tvqqpsu!boe! bewpdbdz!up!qspnpuf!ipvtjoh!tubcjmjuz!boe!mpoh.ufsn!tvddftt/!Uif!Evoo!Ipvtf!jt!pqfo!zfbs.spvoe! xjui!b!mpx!tubgg.up.sftjefou!sbujp!uibu!fotvsft!joejwjevbmj{fe-!ujnfmz!tvqqpsu/! 7.Use this space for comments, explanations, and exceptions to questions on this application that leave it blank. Uif!Evoo!Ipvtf!Tifmufs!jt!uif!gjstu!dsjujdbm!tufq!jo!b!tvswjwpst!qbui!up!tbgfuz-!tubcjmjuz-!boe! qfsnbofou!ipvtjoh/!Evoo!Ipvtf!qspwjeft!uif!tubcjmjuz!offefe!up!cfhjo!xpsljoh!upxbse!mpoh.ufsn! ipvtjoh!boe!joefqfoefodf/!Jo!beejujpo!up!pqfsbujoh!uif!Evoo!Ipvtf!Tifmufs-!Dpnnvojuz!Xpslt! efmjwfst!dpnqsfifotjwf-!xsbqbspvoe!tfswjdft!uispvhi!tubgg!fncfeefe!gvmm.ujnf!xjuijo! dpnnvojuz!tztufnt-!jodmvejoh!EIT-!uif!dpvsuipvtf-!mbx!fogpsdfnfou!bhfodjft-!uif!Dijmesfot! Bewpdbdz!Dfoufs-!Dpnnvojuz!Kvtujdf-!TPV-!boe!Sphvf!Dpnnvojuz!Dpmmfhf/!! Dpnnvojuz!Xpslt!ibt!pvs!pxo!usbotjujpobm!ipvtjoh!boe!jt!cvjmejoh!npsf!up!fotvsf!tvswjwpst! ibwf!bddftt!up!efejdbufe!ipvtjoh!qbjsfe!xjui!tvqqpsujwf!tfswjdft/!Uphfuifs-!fnfshfodz!tifmufs-! usbotjujpobm!ipvtjoh-!tztufn.cbtfe!bewpdbdz-!boe!pohpjoh!tvqqpsujwf!tfswjdft!gpsn!bo!fdptztufn! pg!dbsf/!Fbdi!zfbs-!Dpnnvojuz!Xpslt!tfswft!bqqspyjnbufmz!3-111!joejwjevbmt!jo!qfstpo!boe! sftqpoet!up!npsf!uibo!23-111!dbmmfst!uispvhi!pvs!3508!dsjtjt!mjof/! 2 AGENCY AND PROGRAM/PROJECT NARRATIVE Dpnnvojuz!Xpslt RECIPIENT AGENCY __________________________________________________________ Evoo!Ipvtf!Tifmufs PROGRAM/PROJECT TITLE ____________________________________________________ Answer all three narrative questions. Use only the space providedplace the question number and letter preceding each answer;the amount of space you allot for each response is your choice. Description of organization (include inception date) and a.mission statement, purpose(s) and how this program/project fits with your mission. b.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 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.) 2b/!Dpnnvojuz!Xpslt!njttjpo!jt!up!csjoh!ipqf-!tvqqpsu-!boe!fnqpxfsnfou!up!uiptf!jnqbdufe!cz!wjpmfodf/! 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Bewpdbuft-!sfrvjsfe!cz!Psfhpo!tubuvuf-!xjui!uif!usbjojoh!boe!fyqfsujtf!up!fggfdujwfmz!tvqqpsu!tvswjwpst/! 2d/!Dpnnvojuz!Xpslt!jt!effqmz!dpnnjuufe!up!tvswjwps.dfoufsfe!dbsf/!Bmm!tubgg!bsf!sfrvjsfe!up!dpnqmfuf!uif! tubuf!Dfsujgjfe!Bewpdbuf!usbjojoh!xijdi!jodmveft!usbvnb.jogpsnfe!dbsf-!bouj.pqqsfttjpo!qsbdujdft-!boe!dvmuvsbm! sftqpotjwfoftt/!Bewpdbuft!bqqmz!uijt!usbjojoh!cz!sfdphoj{joh!uif!jnqbdut!pg!dpnqmfy!usbvnb-!qsjpsjuj{joh! tvswjwps!bvupopnz-!boe!qspwjejoh!joejwjevbmj{fe!tvqqpsujwf!tfswjdft/!Uijt!bqqspbdi!qspnpuft!ifbmjoh-! ejhojuz-!boe!fnqpxfsnfou!xijmf!tvqqpsujoh!tvswjwpst!jo!bdijfwjoh!mbtujoh!tbgfuz!boe!tubcjmjuz/! 3b/!Joufsqfstpobm!wjpmfodf!sfnbjot!b!dsjujdbm!jttvf!jo!Psfhpo-!xjui!npsf!uibo!pof!jo!uisff!xpnfo!ibwjoh! tvswjwfe!epnftujd!wjpmfodf!boe!ofbsmz!ibmg!ibwjoh!tvswjwfe!tfyvbm!bttbvmu!.!cpui!ijhifs!uibo!obujpobm! bwfsbhft/!Uiftf!ovncfst!bsf!npsf!tubhhfsjoh!gps!uiptf!gspn!nbshjobmj{fe!dpnnvojujft/!Epnftujd!wjpmfodf! bddpvout!gps!81&!pg!gfnbmf!ipnjdjeft!tubufxjef/!Kbdltpo!Dpvouz!jt!b!ivc!pg!ivnbo!usbggjdljoh!.!cpui!tfy!boe! mbcps-!boe!uif!sbuft!pg!usbggjdljoh!jo!pvs!dpnnvojuz!ibwf!hspxo!up!b!tubuf!pg!fnfshfodz/!! Epnftujd!wjpmfodf!jt!b!qsjnbsz!esjwfs!pg!ipnfmfttoftt/!Xpnfo!sfqpsu!epnftujd!wjpmfodf!bt!uif!jnnfejbuf! dbvtf!pg!uifjs!ipnfmfttoftt!33.68&!pg!uif!ujnf-!boe!49&!pg!epnftujd!wjpmfodf!tvswjwpst!fyqfsjfodf! ipnfmfttoftt!bu!tpnf!qpjou!jo!uifjs!mjwft/!Cfzpoe!ipvtjoh!jotubcjmjuz-!tvswjwpst!gbdf!tjhojgjdbou!nfoubm!boe! qiztjdbm!ifbmui!dpotfrvfodft!uibu!sftvmu!jo!mpoh.ufsn!usbvnb-!dispojd!ifbmui!dpoejujpot-!boe!tfwfsf! qtzdipmphjdbm!ibsn/!Xjuipvu!bddftt!up!tbgf!ipvtjoh!boe!usbvnb.jogpsnfe!tvqqpsu-!tvswjwpst!bsf!bu!ifjhiufofe! sjtl!pg!dpoujovfe!bcvtf-!ipnfmfttoftt-!boe!mpoh.ufsn!jotubcjmjuz/! 3 4 GENERAL FINANCIAL INFORMATION Dpnnvojuz!Xpslt RECIPIENT AGENCY __________________________________________________________ Evoo!Ipvtf!Tifmufs PROGRAM/PROJECT TITLE ____________________________________________________ 1.For most recently completed990: 1803134.1703135 a. FISCAL YEAR (mm/yyyy mm/yyyy): ____________________ 844-91631 b. Administration & 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). 3-895-942 c.Program expense $ _____________ 4-629-747 $ _____________ d.Total expenses: e.Sources of revenue: 473-95:: Memberships/ individual contributions $______________ ________% 378-1118 Raised through fundraising activities $______________ ________% 2-989-74459 Government $______________ ________% 2-391-43444 Foundations $______________ ________% mftt!uibo!2 21-111 United Way $______________ ________% 11 Fees for Service $______________ ________% :9-3124 Other (reimbursements, payments, $______________ ________% bequests, etc.) 4-9:8-117 f. Total revenue: $ _____________ 2.What is the highest level of financial reporting required by your funders? Dpnnvojuz!Xpslt!jt!sfrvjsfe!up!ibwf!b!tjohmf!bveju-!evf!up!uif!gfefsbm!gvoejoh!bnpvou!sfdfjwfe/ 3.Briefly describe your sustainability outlook for the project/program in the future. Dpnnvojuz!Xpslt!tvtubjobcjmjuz!pvumppl!gps!uif!Evoo!Ipvtf!Tifmufs!jt!tuspoh!boe!xfmm!ftubcmjtife/! Uif!tifmufs!sfdfjwft!tubcmf-!opo.dpnqfujujwf!tubuf!boe!gfefsbm!gvoejoh!bmmpdbufe!boovbmmz!uispvhi!uif! Efqbsunfou!pg!Kvtujdf-!fotvsjoh!dpotjtufou!cbtfmjof!tvqqpsu!gps!pohpjoh!pqfsbujpot/!Jo!beejujpo-! dpnnjuufe!mpdbm!qijmbouispqjd!qbsuofst!dpousjcvuf!sfmjbcmf!boovbm!gvoejoh-!jodmvejoh!uif!Ifbsut!'! Wjoft!Gpvoebujpo-!xijdi!qspwjeft!ofbsmz!21&!pg!uif!tifmufst!boovbm!pqfsbujoh!cvehfu/! 4-558-929 4.a. Total organizational annual budget current ongoingfiscal year: __________ 2-347-634 b. Total program/project budget current ongoing fiscal year:___________ 5 CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE (Use absolute numbers only no percentages.) Dpnnvojuz!Xpslt RECIPIENT AGENCY ________________________________________________________ Evoo!Ipvtf!Tifmufs PROGRAM/PROJECT TITLE _________________________________________________ # Whole Program # Ashland I. Gender Age* Female 28725 ______ ______ Male 661 ______ ______ Other 291 II. ______ ______ Totals 613 ______ ______ 0 to 5 585 ______ ______ 6 to 12 324 ______ ______ 13 to 17 611 ______ ______ 18 to 30 4:2 ______ ______ 31 to 40 2:2 ______ ______ 41 to 50 264 ______ ______ 51 to 61 91 ______ ______ 62 + 11 ______ ______ Unknown 35:25 ______ ______ Total *at point of entry for service IV. Race/Ethnicity #Whole Program Ethnicity # Hispanic/Latino* Ashland 29221 White __________ __________ __________ 295 Black/African American __________ __________ __________ 8 American Indian/Alaskan Native __________ __________ __________ 5 Native Hawaiian/other Pacific Islander __________ __________ __________ American Indian/Alaskan Native and White __________ __________ __________ Black/African American and White American __________ __________ __________ Indian/Alaskan Native and Black/African American __________ __________ __________ 8 Other Multi Racial __________ __________ __________ 4343 Other __________ __________ __________ 35:4325 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. Uif!upubmt!gps!hfoefs!mjtufe!bcpwf!bsf!35:!gps!uif!Xipmf!Qsphsbn!boe!25!gps!uif!Djuz!pg!Btimboe/!Uif! ebub!qspwjefe!jt!pomz!gps!uif!Evoo!Ipvtf!Tifmufs-!boe!opu!gps!uif!foujsf!Dpnnvojuz!Xpslt!bhfodz/ 8 Agency Board Profile Dpnnvojuz!Xpslt RECIPIENT AGENCY _______________________________________________________________ Evoo!Ipvtf!Tifmufs PROGRAM/PROJECT TITLE ________________________________________________________ :28 1.Number of board members required in bylaws? Minimum ____ Maximum _____ 241 2.Number of board members currently active? # Voting ____ Vacancies _____ 77 3.Average percentage board meeting attendance (over last completed year): _____ % 61 4.Percent of board in attendance required for a quorum: _____ % 5.List various board, advisory and ad hoc committees and the number of people on each. Committee Number of Members Fyfdvujwf6 ____________________________________ ________________ Gjobodf7 ____________________________________ ________________ Efwfmpqnfou24 ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ 6. Characteristics of Board of Directors at time of application: Race/Ethnicity Number Ethnicity Identifying Hispanic/Latino* 22 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 __________ __________ 32 Other __________ __________ 242 Totals __________ __________ * 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 2594 E. Barnett Rd -C Medford, OR 97504 (541) 779-2393 (541) 779-3317 FAX R O S T E R Barbara Johnson Board of Directors 541-821-8582 FY 2025-2026 MEMBER NAMEADDRESS/PHONETERM/COMMITTEE(S) Debbie McQueen (Bob)417 S. Central Valley Drive 1stTerm: 07/01/19-06/30/22 BOARD CHAIR Central Point, OR 97502 2ndTerm:07/01/22-06/30/25 Retired Health Care(541) 821-0696 Committees: Development, Executive Bobdeb51@gmail.com Skills: Healthcare profession st Kevin Sanders (Terry)PO Box 1242 1Term: 5/25/2016-06/30/2019 nd VICE BOARDCHAIR Talent, OR 97540 2Term:7/1/19-06/30/22 Operations Manager(541) 951-1955 Bylaw Extension:7/1/22-06/30/26 Corey Robbins Painting Company kevin@coreyrobbins.comCommittees: Development, Executive Skills: Building and painting Geoff Boldt 2832 Rosemont Ave 1st Term: 01/01/25-06/30/28 TREASURER Medford, OR 97504 2nd Term: Oregon Pacific Wealth (541)890-8328 Committees: Skills: Management Geoff.Boldt@oregonpacificwealth.com Economics, Finance st Cathy Fultineer (Rod McLeod)2337 Hillside Drive 1Term: 07/01/20-06/30/23 nd Consulting Chief Marketing OfficerCentral Point, OR 97502 2Term:07/01/23-06/30/26 SECRETARY(541)261-5499 Committees: cathyjfultineer@gmail.com Development, Executive Skills: Business, marketing Keyan Botsford 4006 Fieldbrook Avenue 1stTerm: 2/01/23-6/30/26 nd Orthodontist/Business OwnerMedford, OR 97504 2Term: (925) 984-7223 Committees: Development Botsford Family Orthodontics keyanbotsford@gmail.com Skills: Networking, community connections Jacquelyn Bunick 2850 Shanteal Pl 1st Term:1/08/20-6/30/23 nd AttorneyMedford, OR 97504 2Term:07/01/23-6/30/26 Jarvis, Dryer, Gilatte, & Larsen, (217) 840-1521 Committees: LLP jbunick@medfordlaw.net Development Skills: Legal Doug Diehl(Patti)3938 Piedmont Terrace 1st Term: 11/4/2020 –06/30/2023 nd Doctor & Medical AdministratorMedford, OR 97504 2Term:07/01/23-06/30/26 Retired(541) 951-1295 (c)Committees: Business dreammd474@gmail.com Skills: Healthcare professional Vanessa Espino 3306 S Pacific Highway #97 1st Term: 10/01/22–06/30/2025 nd Victim AdvocateMedford, OR 97501 2Term: 07/01/25-6/30/2028 District Attorney Office(541)944-4610 Committees: EspinoVI@jacksoncounty.org Business Skills: Advocacy, Customer Service st Brent Hackwell (Danielle) P.O. Box 1117 1 Term:02/01/21-06/30/24 nd Chief Operating Officer Jacksonville, OR 97530 2 Term: 07/01/24-06/30/27 KOGAP (541)941-1172 Committees: bvh@kogap.com Development Skills: Business and Construction Melissa Markos(Gulielmo 10 E South Stage Road SPC 308 1st Term: 06/01/25-06/30/28 Brunese)Medford, OR 97501 2nd Term: Non-Profit Management (541)840-4016 Committees: ACCESS/Jackson County Continuum of Care mmarkos@accesshelps.org Skills: Non-Profit Budget, Management, Grant Writing, Program, Fundraising, Leadership Stacy Owens (Rich)890 Bybee Drive 1st Term: 03/01/24-06/30/27 Teacher, St. Mary’s Jacksonville, OR 97530 2nd Term: (541)660-1774 Committees: Stacyownes0807@gmail.com Skills: Program Management, Problem Solving, Time Management & Training8 Kylie Padget 1239 Shafer Lane 1st Term: 05/01/25-06/30/28 Pelvic Floor Physical Therapist, Medford, OR 97501 2nd Term: Asante (541)993-5248 Committees: Kylie.padget@gmail.com Skills: Healthcare and fundraising Lee Ayers Preboski 900 Butler Creek Road 1st Term: 11/01/25-06/30/28 Education – Criminologist, Ashland, OR 97520 2nd Term: Emeritus Faculty SOU (541)821-1508 Committees: ayersL@sou.edu Skills: Policy, Analysis, Grant Writing, Strategic Planning, 2 2/10/26 Community Works Balance Sheet Community Works - 2024/2025 Jun - 25May - 25Jun - 24 Assets Current Assets Cash1,013,4401,131,983883,887 Investments1,384,5421,365,3981,293,147 Accounts Receivables496,584374,955361,564 Promises to Give180,800195,828180,376 Other Current Assets12,11411,35029,561 Total Current Assets 3,087,4793,079,5142,748,536 Fixed Assets Land53,20853,20853,208 Buildings523,813523,813523,813 Equipment64,67064,67064,670 Furniture & Fixtures30,12130,12130,121 Construction in Progress4,5054,5051,482,663 Accumulated Depreciation(506,216)(504,416)(483,065) Total Fixed Assets 170,101171,9011,671,411 Other Long Term Assets Endowment Fund Held in Perpetuity5,0005,0005,000 ROU Assets - Operating Leases193,270199,790251,187 Total Other Long Term Assets 198,270204,790256,187 Total Assets 3,455,8503,456,2054,676,133 Liabilities & Fund Balance Current Liabilities Accounts Payable36,53932,98365,977 Payroll Liabilities151,783157,799146,447 Deferred Revenues367,279425,410285,269 ROU Current Liabilities - Operating Leases81,58874,22669,617 Other Current Liabilities4000(25) Total Current Liabilities 637,589690,417567,285 Long Term Liabilities ROU Long-Term Liabilities - Operating Leases118,060131,937187,363 Total Long Term Liabilities 118,060131,937187,363 Fund Balance Fund Balance2,700,2002,633,8503,921,486 Total Fund Balance 2,700,2002,633,8503,921,486 Total Liabilities & Fund Balance 3,455,8503,456,2054,676,133 08/10/2025 12:28:20 PMPage 1 Community Works Income Statement Community Works - 2024/2025 FYE Agency2024/2025% of2023/2024 Jul 24 - Jun 25BudgetBudgetActual Revenue Government Revenue2,824,3522,874,24098%2,600,910 Foundation Revenue135,101457,33330%406,731 Development Revenue787,578402,630196%854,326 Misc. Revenue162 Total Revenue 3,747,1933,734,203100%3,861,968 Expenses Personnel2,072,0352,096,42499%1,936,736 Fringe Benefits363,233391,26193%332,187 Travel & Training24,35427,60088%37,967 Equipment2,636 Supplies63,45628,680221%39,682 Groceries13,1908,000165%16,314 Contractual12,97018,76469%13,093 Client Assistance365,840296,592123%521,016 Facilities174,600181,02096%174,042 Insurance24,37624,57399%19,666 Professional Services258,982163,000159%181,062 Other Expenses87,00689,40097%162,200 Admin Allocation Total Expenses 3,462,6773,325,314104%3,433,965 Net Operating Income 284,515408,88970%428,003 Other Income and Expenses Depreciation Expense(23,152)(27,450)84%(24,702) Investment Revenue115,185129,147 Bank & Investment Fees(15,433)(12,000)129%(16,252) Net Assets Released from Restrictions(97,300) Total Other Income and Expenses 76,601(39,450)(194%)(9,106) NET SURPLUS/(DEFICIT) 361,116369,43998%418,897 08/10/2025 12:32:07 PM- 2 -Page 1 INDEPENDENT AUDITOR’S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER MATTERS BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS To the Board of Directors Community Works, Inc. Medford, OR 97504 We have audited, in accordance with the auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller General of the United States (Government Auditing Standards), the consolidated financial statements of Community Works, Inc. (the Organization), which comprise the Organization’s consolidated statement of financial position as of June 30, 2025 and the related consolidated statements of activities, functional expenses and cash flows for the year then ended, and the related notes to the consolidatedfinancial statements(collectively, the financial statements), and have issued our report thereon datedDecember 3, 2025. Report on Internal Control Over Financial Reporting In planning and performing our audit of the financial statements, we considered the Organization’s internal control over financial reporting (internal control) as a basis for designingaudit procedures that are appropriate in the circumstances for the purpose of expressing our opinion on the financial statements, but not for the purpose of expressing an opinion on the effectiveness of the Organization’s internal control. Accordingly, wedo not express an opinion on the effectiveness of the Organization’s internal control. A deficiency in internal control exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, misstatements on a timely basis. A material weakness is a deficiency, or a combination of deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement of the entity’s financial statements will not be prevented, or detected and corrected, on a timely basis. A significant deficiency is a deficiency, or a combination of deficiencies, in internal control that is less severe than a material weakness, yet important enough to merit attention by those charged with governance. Our consideration of internal control was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control that might be material weaknesses or significant deficiencies. Given these limitations, during our audit we did not identify any deficiencies in internal control that we consider to be material weaknesses. However, material weaknesses or significant deficiencies may exist that were not identified. Report on Compliance and Other Matters As part of obtaining reasonable assurance about whether the Organization’s financial statements are free from material misstatement, we performed tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements, noncompliance with which could have a direct and material effect on the financial statements. However, providing an opinion on compliance with those provisions was not an objective of our audit, and accordingly, we do not express such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards. 15 841O'HareParkway,Suite200,Medford,OR97504 sorren.com Ph:(541)773-6633 Purpose of this Report The purpose of this report is solely to describe the scope of our testing of internal control and compliance and the results of that testing, and not to provide an opinion on the effectiveness of the entity’s internal control or on compliance. This report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the entity’s internal control and compliance. Accordingly, this communication is not suitable for any other purpose. Sorren CPAs P.C. Medford, Oregon December 3, 2025 16 INDEPENDENT AUDITOR’S REPORT ON COMPLIANCE FOR EACH MAJOR FEDERAL PROGRAM AND REPORT ON INTERNAL CONTROL OVER COMPLIANCE REQUIRED BYTHE UNIFORM GUIDANCE To the Board of Directors Community Works, Inc. Medford, OR 97504 Report on Compliance for Each Major Federal Program Opinion on Each Major Federal Program We have audited Community Works, Inc.’s (the Organization) compliance with the types of compliance requirements identified as subject to audit in the OMB Compliance Supplement that could have a direct and material effect on each of the Organization’s major federal programs for the year ended June 30, 2025. The Organization's major federal programs areidentified in the summary of auditor’s results section of the accompanying schedule of findings and questioned costs. In our opinion, Community Works, Inc. complied, in all material respects, with the compliance requirements referred to above that could have a direct and material effect oneach of its major federal program for the year ended June 30, 2025. Basis for Opinion on Each Major Federal Program We conducted our audit of compliance in accordance with auditing standards generally accepted in the United States of America(GAAS); the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller General of the United States (Government Auditing Standards);and the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Our responsibilities under those standards and the Uniform Guidance are further described in the Auditor's Responsibilities for the Audit of Compliance section of our report. We are required to be independent of the Organization and to meet our other ethical responsibilities, in accordance with relevant ethical requirements relating to our audit. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion on compliance for each major federal program. Our audit does not provide a legal determination of the Organization's compliance with the compliance requirements referred to above Responsibilities of Management for Compliance Management is responsible for compliance with the requirements referred to above and for the design, implementation, and maintenance of effective internal control over compliance with the requirements of laws, statutes, regulations, rules and provisions ofcontracts or grant agreements applicable to the Organization's federal programs. 17 841O'HareParkway,Suite200,Medford,OR97504 Ph: (541) 773-6633 sorren.com Auditor’s Responsibilities for the Audit of Compliance Our objectives are to obtain reasonable assurance about whether material noncompliance with the compliance requirements referred to above occurred, whether due to fraud or error, and express an opinion on the Organization's compliance based on our audit. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS, Government Auditing Standards, and the Uniform Guidance will always detect material noncompliance when it exists. The risk of not detecting material noncompliance resulting from fraud is higher than for that resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control. Noncompliance with the compliance requirements referred to above is considered material, if there is a substantial likelihood that, individually or in the aggregate, it would influence the judgment made by a reasonable user of the report on compliance about the Organization's compliance with the requirements of each major federal program as a whole. In performing an audit in accordance with GAAS, Government Auditing Standards, and the Uniform Guidance, we: Exercise professional judgment and maintain professional skepticism throughout the audit. Identify and assess the risks of material noncompliance, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the Organization's compliance with the compliance requirements referred to above and performing such other procedures as we considered necessary in the circumstances. Obtain an understanding of the Organization's internal control over compliance relevant to the audit in order to design audit procedures that are appropriate in the circumstances and to test and report on internal control over compliance in accordance with the Uniform Guidance, but not for the purpose of expressing an opinion on the effectiveness of the Organization's internal control over compliance. Accordingly, no such opinion is expressed. We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and any significant deficiencies and material weaknesses in internal control over compliance that we identified during the audit. Report on Internal Control Over Compliance A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a federal program on a timely basis. A material weakness in internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over compliance, such that there is a reasonable possibility that material noncompliance with a type of compliance requirement of a federal program will not be prevented, or detected and corrected, on a timely basis. A significant deficiency in internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over compliance with a type of compliance requirement of a federal program that is less severe than a material weakness in internal control over compliance, yet important enough to merit attention by those charged with governance. Our consideration of internal control over compliance was for the limited purpose described in the Auditor's Responsibilities for the Audit of Compliance section above and was not designed to identify all deficiencies in internal control over compliance that might be material weaknesses or significant deficiencies in internal control over compliance. Given these limitations, during our audit we did not identify any deficiencies in internal control over compliance that we consider to be material weaknesses, as defined above. However, material weaknesses or significant deficiencies in internal control over compliance may exist that were not identified. 18 Our audit was not designed for the purpose of expressing an opinion on the effectiveness of internal control over compliance. Accordingly, no such opinion is expressed. The purpose of this report on internal control over compliance is solely to describe the scope of our testing of internal control over compliance and the results of that testing based on the requirements of the Uniform Guidance. Accordingly, this report isnot suitable for any other purpose. Sorren CPAs P.C. Medford, Oregon December 3, 2025 19 City of Ashland Social Service Grant Program Application and Forms 2026-2027 02/13/26 JacksonCountySART ORGANIZATION LEGAL NAME:________________________________________ DATE:_______ OTHER NAMES ORGANIZATION KNOWN BY(DBA)_____________________________________ 2305AshlandStreet#104-418AshlandOR97520 ADDRESS _____________________________________________________________________________ Street City State Zip FEDERAL EMPLOYER ID NUMBER (FEIN)_______________ SurvivorCareProgram PROGRAM/PROJECT TITLE:___________________________________________________________ See MEMO for important information on goals and priorities for Ashland. Accesstohousing/mentalhealth/substanceuseservices Which strategic priority does your program focus? _____________________________ $12,000 AMOUNT REQUESTED from this funder for this program/project 2026-2027$__________________ GRANT CONTACT (If other than Executive Director listed below) Name _________________________________________________________________________________ JudithRosen (541)840-8063development@jacksoncountysart.org Telephone____________________________ E-mail__________________________________________ EXECUTIVE DIRECTOR INFORMATION AvaDerosier Name _________________________________________________________________________________ (541)951-4250ava@jacksoncountysart.org Telephone____________________________ E-mail__________________________________________ CERTIFICATION The information contained in this application is true and correct to the best of my knowledge. Digitally signed by Maylee Oddo Digitally signed by Ava DeRosier Maylee OddoAva DeRosier Date: 2026.02.13 13:24:11 -08'00'Date: 2026.02.13 13:24:44 -08'00' ________________________________________________________________________________ Signature of Board President Signature of Executive Director/CEO MayleeOddoAvaDeRosier ________________________________________________________________________________ Type Name Type Name 1 2 AGENCY AND PROGRAM/PROJECT NARRATIVE JacksonCountySART RECIPIENT AGENCY __________________________________________________________ SurvivorCareProgram PROGRAM/PROJECT TITLE ____________________________________________________ Answer all three narrative questions. Use only the space provided Î place the question number and letter preceding each answer;the amount of space you allot for each response is your choice. Description of organization (include inception date) and a.mission statement, purpose(s) and how this program/project fits with your mission. b.your organizationÓs 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 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.) 1a.Foundedin2004,JacksonCountySARTworkstoensureaneffective,compassionateandcollaborative responsetosexualanddomesticviolencethatprioritizessurvivorsÓneedsandtopreventthisviolencethrough communityengagementandchange.Ourprojectfurthersourmissionbystrengtheningourbest-practicecare, solidifyngitsexpansiontoDV/IPVsurvivorsandtrainingcommunitypartnersintrauma-informedresponse. 1b.UnitedWay'sExecutiveDirector,DeeAnneEverson,callsoursÐthemostrespectedsexualassault responseteaminourstate.ÑTheforensicnurseswhostaffourimmediatemedicalresponsearestate-trained andcertifiedinrespondingtothephysicalandpsychologicaleffectsofsexualassaultanddomesticviolence andincaringforvulnerable/underservedpopulations.OurResourceSpecialistisanexperiencedadvocate withextensiveexpertiseincrimevictimsÓrightsandaffordablehousing/behavioralhealthresources.She helpssurvivorsnavigatecomplex,often-fragmentedsupportsystemstoaccesstheservicestheyneed. 1c.WehavelongledeffortstounderstandtraumaÓsimpactsandtopromotetrauma-informedpracticesinour state.(Inintroducingherbilltomandatetrauma-informedtrainingforlawenforcement(HB2575),OR RepresentativePamMarshcreditedourworkasherinspiration.)Weconductlocalandregionaltrainingson theneurobiologyoftraumaandtheimportanceoftrauma-informedcare;wealsotrainourownstaffregularly andintegratethisknowledgeintoallourpolicies,proceduresandsurvivorinteractions. 2a.EmergencydepartmentsareoftenthefirstÎandsometimestheonlyÎcontactthatsurvivorsofdomestic violencehavewiththehealthcaresystem.Studiessuggestthatupto38%offemaleemergencypatientshave experienceddomesticabusewithinthepastyear.Yetstafftendtofocussolelyontreatingimmediateinjuries, withoutaddressingorevenrecognizingtheirunderlyingcauseÎorpatientsÓequallyurgentpsychologicaland socialneeds.ÐTheypatchedmeup,Ñonesurvivortoldus.ÐButthatwasit.IsworeIÓdnevergoback.Ñ Thesemissedopportunitieshaveleftpatientsindanger. Likerape-relatedtrauma,thetraumathatDVsurvivorsexperienceincreasestheirriskoflong-termmental andphysicalharm.Non-lethalstrangulationoccursin38%ofDVincidentsand,whileitoftenleavesno visiblemarks,canprovedeadlyifnotrecognizedandtreated.Andharmoftenescalates:DVhasbeenlinked to69%offemalehomicidesinOregon. 3 Jackson CountySART SurvivorCareProgram Furthermore,asoffendersgenerallypreyonthevulnerable,manysurvivorshavealready-existingtrauma andcomplexneedsthatmustbeaddressedbeforetheycanbegintoheal.About80%oftheDVand sexualassaultsurvivorsweserveliveonlow-incomes.Halfareunhousedorhousingunstable.Roughly 30%havecoexisting,oftenpreviouslyundiagnosedmentalhealthissues,and40%haveadrug/alcohol dependency.Fewhavetheresourcestocopewithrecoveryontheirown. 2b.Studiesshowthatsurvivorswhoreceiveacompassionate,comprehensive,trauma-informedfirst responsearesignificantlylesslikelytosufferlong-termpsychologicalandphysicalharm.Survivorstell usrepeatedlythatournurses,unliketraditionally-trainedmedicalstaff,lessenedtheirsenseofisolation andshameandhelpedthemunderstandboththetraumatheywereexperiencingandtheirrightsand optionsregardingtheircasesandtheircare.Manysayourresponserestoredasenseoftrustandcontrol, increasingtheirwillingnesstoseekfurtherserviceslikefollow-upcare--akeypredictoroffuture well-being.ForDVsurvivorsnotreadyorabletoleavetheirabuserÎittakessevenattemptsonaverage Îaknowledgeofoptionsandresourcescanofferacrucialfuturelifeline. ManyDVsurvivorsneedresourceslikeasafeplacetostaybeforetheycanleave.Weknowthat resourceavailabilityisnotthesameasaccess;traumatizedsurvivorsseldomhavethementaland emotionalbandwidthtonavigatecomplexbureaucraciestofindthehelptheyneed.Soourfirstresponse servesasanon-ramp,notanend-point;aconnectiontoadvocacyandpartners'existingDVservices,free medicalfollow-upandourResourceSpecialistforongoingaid. 2c.Forover20yearswehaveprovidedfree,immediatecare,forensicevidencecollectionandresource connectiontoallsexualassaultsurvivorsrequestingit.100%ofsurveyrespondentssayourcarehelped themmakeinformedchoicesabouttheirsituationandpathforward;98%sayourResourceSpecialist helpedthemgetthefollow-upcareandservicestheyneeded.DVresponsesaretoosmallyettobe statisticallysignificant,butlookpromisingsofar. 2d.Weregularlydocumentserviceoutcomesusingsurvivorsurveys,ProgramManagerdebriefsofcases andherprogramoperationsreviews,Wealsosurveyourtrainingparticipants.OurMedicalConsultant reviewsprogrampolicies,proceduresandcaseresponse.aswell. 3.Ourprogram: ¤Canreducelong-termphysical,psychologicalandfinancialharmsforalargepartofourcommunity. Sexualviolenceimpactshalfofallwomenand1in3men;forDVitÓs1in3and1in4respectively (CDC).RatesforLGBTQIA+,BIPOCanddisabilitycommunitiesareevenhigher. ¤Reducescommunitycostsofviolence-relatedsubstanceuse,jobloss,mental/physicalhealthissues. ¤Increasesgeneralpublicsafety.Overhalfofallmassshootingsinvolvedomesticviolence. ¤HelpsextendpartneragenciesÓstrengthsandincreasesurvivorsÓaccesstoresourcesandsupportby integratingourserviceswithothersÓ.CommunityWorksprovidesadvocatesforoursexualassault response;weconnectDVsurvivorstotheirshelter;ourResourceSpecialist'sfocusontime-consuming socialservicesnavigationletstheiradvocatesconcentrateoncrucialemotionalsupport.Wecoordinate casemanagementandshareresourceswithhealth/behavioralhealthclinics,drugandalcoholservice agenciesandagenciesworkingwiththeunhoused.Agenciesoftensplithousingcostswithusforclients, helpingourResourceSpecialistsecuresafe,permanenthousingfor20+low-incomeAshlandsurvivorsa year. ¤Increasestrustinpublicsystems(healthcare,lawenforcement,justice)andcommunityengagement withthem.WedoubledsexualassaultsurvivorsÓreportingratestopolicewithinfouryearsofour originalprogramÓsstart. ¤Supportsthelegalprocesswithexpertevidencecollection,documentationandtrialtestiny. ¤Canhelpcreateamoreuniform,cohesiveandknowledgeableresponsetotraumaamongfirst responder,hospitalandsocialservicesstaff. 4 GENERAL FINANCIAL INFORMATION JacksonCountySART RECIPIENT AGENCY __________________________________________________________ SurvivorCareProgram PROGRAM/PROJECT TITLE ____________________________________________________ 1.For most recently completed 990: 01/2024-12/2024 a. FISCAL YEAR (mm/yyyy Î mm/yyyy): ____________________ 171,82425 b. Administration & 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). 526,540 c.Program expense $ _____________ 698,364 $ _____________ d.Total expenses: e.Sources of revenue: 100,570 16 Memberships/ individual contributions $______________ ________% Raised through fundraising activities $______________ ________% 185,640 29 Government $______________ ________% 242,234 37 Foundations $______________ ________% 15,0002 United Way $______________ ________% 100,290 16 Fees for Service $______________ ________% Other (reimbursements, payments, $______________ ________% bequests, etc.) 643,734 f. Total revenue: $ _____________ 2.What is the highest level of financial reporting required by your funders? Financialstatementplus990 3.Briefly describe your sustainability outlook for the project/program in the future. Federal/statecutswereachallenge.Wehavescaledbackourin-schoolpreventionworktoreduce costsandstabilizeourSurvivorCareProgram;wesecuredfundingfrommultiplenewfoundation partners;andweincreasedindividualdonations.Fortunatelywehavehealthyreservesandcancount roughly$328Kinservicefees(fromhospitals,notsurvivors),hospitalfoundationsupportand recurringdonationsashighlylikelyincome.Needlesstosay,yoursupportisespeciallycrucialthis year. 717,750 4.a. Total organizational annual budget current ongoing fiscal year: __________ 390,474 b. Total program/project budget current ongoing fiscal year:___________ 5 CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE (Use absolute numbers only Î no percentages.) Jackson CountySART RECIPIENT AGENCY ________________________________________________________ Survivor CareProgram PROGRAM/PROJECT TITLE _________________________________________________ # Whole Program # Ashland I. Gender Age* Female 52 314 ______ ______ Male 8 15 ______ ______ Other 1 4 II. ______ ______ Totals ______ ______ 0 to 5 1 2 ______ ______ 6 to 12 3 34 ______ ______ 13 to 17 24 114 ______ ______ 18 to 30 15 67 ______ ______ 31 to 40 9 57 ______ ______ 41 to 50 3 42 ______ ______ 51 to 61 5 12 ______ ______ 62 + 51 ______ ______ Unknown 61 333 ______ ______ Total *at point of entry for service IV. Race/Ethnicity #Whole Program Ethnicity # Hispanic/Latino* Ashland 39/954 270 White __________ __________ __________ 2 4 Black/African American __________ __________ __________ 1 2 American Indian/Alaskan Native __________ __________ __________ 4 Native Hawaiian/other Pacific Islander __________ __________ __________ 1 American Indian/Alaskan Native and White __________ __________ __________ Black/African American and White American __________ __________ __________ Indian/Alaskan Native and Black/African American __________ __________ __________ 41 Other Multi Racial __________ __________ __________ 492 Other __________ __________ __________ 33339/961 Totals __________ __________ __________ Ethnicity is a portion of each Race category listed and will likely not match the total demographic served Î it would only match if 100% of your clients identify as Hispanic/Latino. Pleasenotethatthesenumbersrecordsurvivorsservedlastyear.Theydonotincludetheseveral hundredAshlandagency/communitymembersservedbyourprogram-relatedtrainings. Thisyearweexpecttotrain110+Ashlandmedical/lawenforcement/emergencyresponse/socialservice staffonourDVservicesandontrauma-informedinteractionswithsurvivors. OtherMultiRacial=Asian 8 Other=NotReported Agency Board Profile Jackson CountySART RECIPIENT AGENCY _______________________________________________________________ Survivor CareProgram PROGRAM/PROJECT TITLE ________________________________________________________ 511 1.Number of board members required in bylaws? Minimum ____ Maximum _____ 5 0 2.Number of board members currently active? # Voting ____ Vacancies _____ 80 3.Average percentage board meeting attendance (over last completed year): _____ % 50 4.Percent of board in attendance required for a quorum: _____ % 5.List various board, advisory and ad hoc committees and the number of people on each. Committee Number of Members Financial2 ____________________________________ ________________ BoardDevelopment2(1+ExDirector) ____________________________________ ________________ Compliance/legal2 ____________________________________ ________________ Executive3(2+ExDirector) ____________________________________ ________________ ____________________________________ ________________ 6. Characteristics of Board of Directors at time of application: Race/Ethnicity Number Ethnicity Identifying Hispanic/Latino* 4 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 __________ __________ 1 Other __________ __________ 5 Totals __________ __________ * 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 Î it would only match if 100% of your board identifies as Hispanic/Latino. 9 City of Ashland Social Service Grant Program Application and Forms 2026-2027 ORGANIZATION LEGAL NAME:________________________________________ DATE:_______ OTHER NAMES ORGANIZATION KNOWN BY(DBA)_____________________________________ ADDRESS _____________________________________________________________________________ Street City State Zip FEDERAL EMPLOYER ID NUMBER (FEIN)_______________ PROGRAM/PROJECT TITLE:___________________________________________________________ See MEMO for important information on goals and priorities for Ashland. Which strategic priority does your program focus? _____________________________ AMOUNT REQUESTED from this funder for this program/project 2026-2027$__________________ GRANT CONTACT (If other than Executive Director listed below) Name _________________________________________________________________________________ Telephone____________________________ E-mail__________________________________________ EXECUTIVE DIRECTOR INFORMATION Name _________________________________________________________________________________ Telephone____________________________ E-mail__________________________________________ 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 ________________________________________________________________________________ Type Name Type Name 1 SUMMARY INFORMATION RECIPIENT AGENCY __________________________________________________________ PROGRAM/PROJECT TITLE ____________________________________________________ 1.Program/project is: new established/continuing _ 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 forreporting purposes. 3.What will this funding enable? 4.Number of volunteers this program/project will engage: __________ Number of paid program employees this program/project will engage: __________ 5.Total number agency utilizes: __________ Total number of paid agency employees: __________ 6.Outline key strategies of the project/program with timeline and staff structure. 7.Use this space for comments, explanations, and exceptions to questions on this application that leave it blank. 2 AGENCY AND PROGRAM/PROJECT NARRATIVE RECIPIENT AGENCY __________________________________________________________ PROGRAM/PROJECT TITLE ____________________________________________________ Answer all three narrative questions. Use only the space providedplace the question number and letter preceding each answer;the amount of space you allot for each response is your choice. Description of organization (include inception date) and a.mission statement, purpose(s) and how this program/project fits with your mission. b.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 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.) 3 4 GENERAL FINANCIAL INFORMATION RECIPIENT AGENCY __________________________________________________________ PROGRAM/PROJECT TITLE ____________________________________________________ 1.For most recently completed990: a. FISCAL YEAR (mm/yyyy mm/yyyy): ____________________ b. Administration & 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 $ _____________ $ _____________ d.Total expenses: e.Sources of revenue: Memberships/ individual contributions $______________ ________% Raised through fundraising activities $______________ ________% Government $______________ ________% Foundations $______________ ________% United Way $______________ ________% Fees for Service $______________ ________% Other (reimbursements, payments, $______________ ________% bequests, etc.) f. Total revenue: $ _____________ 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. 4.a. Total organizational annual budget current ongoingfiscal year: __________ b. Total program/project budget current ongoing fiscal year:___________ 5 CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE (Use absolute numbers only no percentages.) RECIPIENT AGENCY ________________________________________________________ PROGRAM/PROJECT TITLE _________________________________________________ # Whole Program # Ashland I. Gender Age* Female ______ ______ Male ______ ______ Other II. ______ ______ Totals ______ ______ 0 to 5 ______ ______ 6 to 12 ______ ______ 13 to 17 ______ ______ 18 to 30 ______ ______ 31 to 40 ______ ______ 41 to 50 ____________ 51 to 61 ______ ______ 62 + ______ ______ Unknown ______ ______ Total *at point of entry for service IV.Race/Ethnicity #Whole Program Ethnicity # Hispanic/Latino* Ashland 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 ______________________________ 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 _______________________________________________________________ PROGRAM/PROJECT TITLE ________________________________________________________ 1.Number of board members required in bylaws? Minimum ____ Maximum _____ 2.Number of board members currently active? # Voting ____ Vacancies _____ 3.Average percentage board meeting attendance (over last completed year): _____ % 4.Percent of board in attendance required for a quorum: _____ % 5.List various board, advisory and ad hoc committees and the number of people on each. Committee Number of Members ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ 6. Characteristics of Board of Directors at time of application: Race/Ethnicity Number Ethnicity Identifying Hispanic/Latino* 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 __________ __________ * 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 2026-2027 302103137 Tpvuifso!Psfhpo!Kpct!xjui!Kvtujdf ORGANIZATION LEGAL NAME:________________________________________ DATE:_______ OTHER NAMES ORGANIZATION KNOWN BY(DBA)_____________________________________ 369!B!Tusffu!$2.331!!!!!!!!!!!!!!!!!!Btimboe!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Psfhpo!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!:8631 ADDRESS _____________________________________________________________________________ Street City State Zip FEDERAL EMPLOYER ID NUMBER (FEIN)_____________ Btimboe!Dpnnvojuz!Qfbdf!Nfbm PROGRAM/PROJECT TITLE:___________________________________________________________ See MEMO for important information on goals and priorities for Ashland. Ivohfs!boe!Ipnfmfttoftt Which strategic priority does your program focus? _____________________________ 8111 AMOUNT REQUESTED from this funder for this program/project 2026-2027$__________________ GRANT CONTACT (If other than Executive Director listed below) Name _________________________________________________________________________________ Telephone____________________________ E-mail__________________________________________ EXECUTIVE DIRECTOR INFORMATION Kbtpo!Ipvl Name _________________________________________________________________________________ 652.952.9452!kbtpoAtpkxk/psh Telephone____________________________ E-mail__________________________________________ 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 Wbofttb!IpvlKbtpo!Ipvl ________________________________________________________________________________ Type Name Type Name 1 SUMMARY INFORMATION Tpvuifso!Psfhpo!Kpct!xjui!Kvtujdf RECIPIENT AGENCY __________________________________________________________ Btimboe!Dpnnvojuz!Qfbdf!Nfbm PROGRAM/PROJECT TITLE ____________________________________________________ 5 1.Program/project is: new established/continuing _ 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 forreporting purposes. Pvs!tfswjdf!qsjnbsjmz!tvqqpsut!uif!ipnfmftt-!ipvtjoh!boe!gppe!jotfdvsf!dpnnvojujft!jo!Btimboe! boe!tvsspvoejoh!bsfbt/! 3.What will this funding enable? Gvoejoh!xjmm!tvqqpsu!pvs!dvssfou!boe!npefsbuf!fyqbotjpo!pg!dpnnvojuz!nfbm!qsphsbnt!boe!ejsfdu! pvusfbdi!tfswjdft/!Xf!xjmm!cf!dsfbujoh!npsf!tqbdf!gps!dpnnvojuz!qbsuofst!up!qspwjef!fevdbujpo-! ibsn!sfevdujpo!boe!tfswjdf!obwjhbujpo/!Gvsuifsnpsf-!xf!xjti!up!jnqmfnfou!npsf!usbdljoh!pg! tfswjdft!boe!dmjfout!up!cfuufs!dppsejobuf!cfuxffo!tfswjdf!qspwjefst!boe!obwjhbupst/!Gvoejoh!xjmm! bmtp!tvqqpsu!uif!gbdjmjubujpo!pg!usbjojoh!gps!wpmvouffst!jo!usbvnb!boe!wjpmfodf!jogpsnfe!dbsf-! ef.ftdbmbujpo!boe!dpogmjdu!sftpmvujpo!boe!efwfmpqnfou!pg!cftu!qsbdujdft!gps!sfbdijoh!boe!tfswjoh! 4.Number of volunteers this program/project will engage: __________ 1.3 Number of paid program employees this program/project will engage: __________ 5.Total number agency utilizes: __________ 2 Total number of paid agency employees: __________ 6.Outline key strategies of the project/program with timeline and staff structure. Xf!ibwf!b!wfsz!hppe!xpsljoh!ufbn!pg!wpmvouffst!xip!nbobhf!boe!tvtubjo!pvs!xfflmz!nfbm! ejtusjcvujpot/!Xf!xjmm!cf!qbzjoh!pof!efejdbufe!qfstpo!qbsu.ujnf!up!ifmq!nbobhf!pvs!wpmvouffst!boe !up!gbdjmjubuf!epobujpot-!fud/!Xf!ibwf!b!mfbefstijq!usbjojoh!qsphsbn!uibu!xf!fodpvsbhf!wpmvouffst!up !ublf!up!hjwf!uifn!uif!tljmmt!up!svo!nffujoht-!gvoesbjtjoh!boe!wpmvouffs!sfdsvjunfou/!!Xf!ibwf!b! ofx!ejtusjcvujpo!ebz!gps!dmpuijoh!boe!hfbs!uibu!xf!xjmm!cf!pshboj{joh!jo!Nbsdi/!!Xf!bsf!dpoofdujoh !xjui!b!dpnnvojuz!divsdi!uijt!npoui!up!csjoh!uif!Xfeoftebz!dpnnvojuz!nfbmt!joeppst!gps!uif! tvnnfs/ Xf!ibwf!nbkps!usbjojoh!boe!dpnnvojuz!pvusfbdi!fwfou!qmboofe!up!Bqsjm!boe!Nbz/!Pvs!hpbm!jt!up! pshboj{f!bmm!dpnnvojuz!nfbmt!jo!voefs!b!dpmmbcpsbujpo/!Xf!bsf!xpsljoh!xjui!uif!Btimboe!Mjpot!up! ifmq!dsfbuf!uif!gpvoebujpo!gps!uijt!ivohfs!nbobhfnfou!ufbn/ 7.Use this space for comments, explanations, and exceptions to questions on this application that leave it blank. 2 AGENCY AND PROGRAM/PROJECT NARRATIVE Tpvuifso!Psfhpo!Kpct!xjui!Kvtujdf RECIPIENT AGENCY __________________________________________________________ Btimboe!Dpnnvojuz!Qfbdf!Nfbm PROGRAM/PROJECT TITLE ____________________________________________________ Answer all three narrative questions. Use only the space providedplace the question number and letter preceding each answer;the amount of space you allot for each response is your choice. Description of organization (include inception date) and a.mission statement, purpose(s) and how this program/project fits with your mission. b.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 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.) 2b*!Tpvuifso!Psfhpo!Kpct!xjui!Kvtujdf!)TPKXK*!jt!b!dpbmjujpo!pg!dpnnvojuz-!mbcps-!tuvefou-!boe!gbjui.cbtfe! hspvqt!boe!joejwjevbmt!xpsljoh!up!jnqspwf!pvs!dpnnvojuz!tuboebse!pg!mjwjoh!boe!up!cvjme!usbotgpsnbujwf! qpxfs!gps!tpdjbm-!sbdjbm-!boe!fdpopnjd!kvtujdf!jo!pvs!dpnnvojuz/!!Pvs!ejsfdu!bje!qsphsbnt!bmm!cfhbo!xjui! sfrvftut!gspn!pvs!nfncfstijq!up!nffu!uif!offe/ 2c*!TPKxK!ibt!b!tpmje-!mpoh!ufsn!ijtupsz!pg!ifmqjoh!up!qspwjef!offefe!tfswjdft!jo!pvs!dpnnvojuz/!Pvs! pshboj{bujpo!xbt!gpvoefe!jo!3119!boe!jo!3126!xf!tubsufe!uif!Qfbdf!Nfbm!qsphsbn/!Qfbdf!Nfbmt!bduvbmmz! cfhbo!jo!uif!Btimboe!Nvojdjqbm!Dpvsusppn!bgufs!xf!tbx!fwjefodf!pg!gppe!jotfdvsjuz!jo!upxo!uibu!xbt! mfbejoh!!up!tpnf!gpmlt!gffmjoh!mjlf!uifz!ibe!op!puifs!sftpsu!uibo!up!tufbm!gppe!up!gffe!uifntfmwft!boe!uifjs! gbnjmjft/!Xf!cfmjfwf!uibu!bddftt!up!cbtjd!offet!bsf!gvoebnfoubm!ivnbo!sjhiut-!boe!uibu!opcpez!tipvme!hp! ivohsz/ Xf!bmtp!ibwf!b!efdbef.mpoh!ijtupsz!pg!pshboj{joh!uif!boovbm!Qfbdf!Nfbm!Dpnnvojuz!Uibolthjwjoh!Gfbtu!bt! xfmm!bt!b!ipmjebz!hjwfbxbz!boe!nfbm!kvtu!cfgpsf!Disjtunbt!fwfsz!Efdfncfs/!Uiftf!fwfout!esbx!ivoesfet!pg! qfpqmf!xip!mjwf!jo!Btimboe/!Pvs!cfmpwfe!ipmjebz!dfmfcsbujpot!fotvsf!uibu!uifsf(t!b!qmbdf!bu!uif!ubcmf!gps! fwfszpof/ 2d*!Pvs!pshboj{bujpo!jt!svo!cz!qfpqmf!xip!ibwf!cffo!tfwfsfmz!jnqbdufe!cz!ovnfspvt!gpsnt!pg!usbvnb-!boe! xf!csjoh!mjgf!fyqfsjfodf!up!uif!gpsfgspou!pg!ipx!xf!joufsbdu!xjui!pvs!dpnnvojuz/!Uif!gjstu!uijoh!uibu!xf!ep!jt! xf!cvjme!usvtu!xjui!pvs!hvftut-!boe!xf!bsf!wfsz!qspufdujwf!pg!uifjs!vojrvf!offet/!Tfwfsbm!ujnft!fbdi!zfbs!xf! pggfs!usbjojoh!po!efftdbmbujpo!uibu!jt!pqfo!up!uif!qvcmjd!bt!xfmm!bt!pvs!wpmvouffst!boe!pvs!voipvtfe!ofjhicpst/! Uispvhipvu!uif!zfbs-!xf!njssps!xbzt!up!dsfbuf!tbgf!tqbdft!xifsf!pvs!ofjhicpst!dbo!gffm!b!tfotf!pg!tfdvsjuz/! Pof!uijoh!xfwf!mfbsofe!jt!ipx!jnqpsubou!ju!jt!up!cf!dpotjtufou/!Xf!bsf!dpnnjuufe!up!qspwjejoh!nfbmt!po! Uivstebzt-!Gsjebzt!boe!Tvoebz!npsojoht!bt!mpoh!bt!uifsf!jt!b!offe/! Xf!vujmj{f!qfpqmf!xjuijo!uif!ipvtfmftt!dpnnvojuz!up!ifmq!vt!mfbe/!Pwfs!uif!zfbst!xf!ibwf!ibe!tubgg!nfncfst! xip!bsf!voipvtfe/!Gps!vt!ju(t!wfsz!jnqpsubou!up!fotvsf!uibu!pvs!dpnnvojuz!ibt!b!wpjdf!xjuijo!pvs! pshboj{bujpo/ Xf!pgufo!ublf!pomjof!usbjojoh!po!usbvnb!jogpsnfe!dbsf-!boe!xf!tibsf!xibu!xf(wf!mfbsofe!xjui!pvs!wpmvouffst/! Wbofttb!Ipvl-!pvs!dibjs-!jt!dfsujgjfe!jo!Nfoubm!Ifbmui!Gjstu!Bje!usbjojoh/! 3 4 GENERAL FINANCIAL INFORMATION Tpvuifso!Psfhpo!Kpct!xjui!Kvtjdf RECIPIENT AGENCY __________________________________________________________ Dpnnvojuz!Qfbdf!Nfbm PROGRAM/PROJECT TITLE ____________________________________________________ 1.For most recently completed990: Kbo!3135!.!Efd!3135 a. FISCAL YEAR (mm/yyyy mm/yyyy): ____________________ 6-9118/8 b. Administration & 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). 71-:43 c.Program expense $ _____________ 85-:26 $ _____________ d.Total expenses: e.Sources of revenue: 8-12121 Memberships/ individual contributions $______________ ________% 3:-17252 Raised through fundraising activities $______________ ________% 3-1145 Government $______________ ________% 42-92156 Foundations $______________ ________% United Way $______________ ________% Fees for Service $______________ ________% Other (reimbursements, payments, $______________ ________% bequests, etc.) 81-635 f. Total revenue: $ _____________ 2.What is the highest level of financial reporting required by your funders? Boovbm!Sfqpsu 3.Briefly describe your sustainability outlook for the project/program in the future. Xf!ibwf!b!tuspoh!tvqqpsu!gps!pvs!pqfsbujpo!dptut!uipvhi!uif!dpousjcvujpot!pg!nfncfst!boe!nfncfs! pshboj{bujpot/!!Qsphsbnt!sfrvjsf!vt!up!gvoesbjtjoh!boe!xf!ibwf!b!wfsz!tuspoh!boe!bdujwf!wpmvouffs!qppm !xip!bsf!xjmmjoh!up!tufq!vq!up!nblf!uijoht!ibqqfo/!Xf!xjmm!dpoujovf!pvs!dbnqbjhot!gps!gvoejoh!pvs! qspkfdut!uispvhi!hsbout!boe!efejdbufe!epobujpot/ 86-111 4.a. Total organizational annual budget current ongoingfiscal year: __________ 73-111 b. Total program/project budget current ongoing fiscal year:___________ 5 CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE (Use absolute numbers only no percentages.) Tpvuifso!Psfhpo!Kpct!xjui!Kvtujdf RECIPIENT AGENCY ________________________________________________________ Btimboe!Dpnnvojuz!Qfbdf!Nfbm PROGRAM/PROJECT TITLE _________________________________________________ # Whole Program # Ashland I. Gender Age* Female 311311 ______ ______ Male 611611 ______ ______ Other 811811 II. ______ ______ Totals 2121 ______ ______ 0 to 5 2121 ______ ______ 6 to 12 2121 ______ ______ 13 to 17 9191 ______ ______ 18 to 30 261261 ______ ______ 31 to 40 236236 ______ ______ 41 to 50 211211 ______ ______ 51 to 61 6161 ______ ______ 62 + 276276 ______ ______ Unknown 811811 ______ ______ Total *at point of entry for service IV. Race/Ethnicity #Whole Program Ethnicity # Hispanic/Latino* Ashland 56161561 White __________ __________ __________ 6161 Black/African American __________ __________ __________ 3636 American Indian/Alaskan Native __________ __________ __________ 3636 Native Hawaiian/other Pacific Islander __________ __________ __________ 11 American Indian/Alaskan Native and White __________ __________ __________ 11 Black/African American and White American __________ __________ __________ Indian/Alaskan Native and 11 Black/African American __________ __________ __________ 8686 Other Multi Racial __________ __________ __________ 236236 Other __________ __________ __________ 81161811 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 Tpvuifso!Psfhpo!Kpct!xjui!Kvtujdf RECIPIENT AGENCY _______________________________________________________________ Btimboe!Dpnnvojuz!Qfbdf!Nfbm PROGRAM/PROJECT TITLE ________________________________________________________ 6: 1.Number of board members required in bylaws? Minimum ____ Maximum _____ 83 2.Number of board members currently active? # Voting ____ Vacancies _____ 71 3.Average percentage board meeting attendance (over last completed year): _____ % 62 4.Percent of board in attendance required for a quorum: _____ % 5.List various board, advisory and ad hoc committees and the number of people on each. Committee Number of Members 3311!Bewjtpsz!Dpnnjuuff2 ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ 6. Characteristics of Board of Directors 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 __________ __________ 2 Other __________ __________ 81 Totals __________ __________ * 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 SUMMARY INFORMATION Tu/!Wjodfou!ef!Qbvm-!Btimboe0Ubmfou!Dpogfsfodf RECIPIENT AGENCY __________________________________________________________ Lffqjoh!Vujmjujft!po!jo!Btimboe!ipvtfipmet PROGRAM/PROJECT TITLE ____________________________________________________ 5 1.Program/project is: new established/continuing _ 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 forreporting purposes. Uijt!hsbou!xjmm!xjmm!cf!vtfe!up!ifmq!lffq!vujmjujft!po!jo!sftjefodft!pg!uiptf!mjwjoh!jo!Btimboe/ 3.What will this funding enable? Gvoejoh!pg!uijt!jojujbujwf!xjmm!bmmpx!vt!up!bje!bqqspyjnbufmz!211!ipvtfipmet!xjui!uifjs!vujmjuz!cjmmt/! Dbmmt!gps!bttjtubodf!xjui!vujmjujft!dvssfoumz!fydffe!bozuijoh!xf!ibwf!tffo!jo!uif!qbtu-!boe!uif! bnpvout!pxfe!bsf!mbshfs!uibo!xf!ibwf!fwfs!tffo!cfgpsf/!!Xijmf!pvs!Tu/!Wjodfou!ef!Qbvm!wpmvouffst! dbnf!up!uif!bje!pg!pwfs!2311!joejwjevbmt!evsjoh!3136-!ifmqjoh!xjui!b!wbsjfuz!pg!offet-!ofbsmz!31&! pg!pvs!cvehfu!)pwfs!%51-111*!xfou!up!vujmjuz!qbznfout/!!Npsf!uibo!ibmg!pg!uibu!tvn!xfou!ejsfdumz!up! 27 4.Number of volunteers this program/project will engage: __________ 1 Number of paid program employees this program/project will engage: __________ 3:+ 5.Total number agency utilizes: __________ 1 Total number of paid agency employees: __________ 6.Outline key strategies of the project/program with timeline and staff structure. Uipvhi!pvs!pshboj{bujpo!ifmqt!uiptf!jo!offe!jo!b!wbsjfuz!pg!xbzt-!lffqjoh!qfpqmf!tbgfmz!ipvtfe!jo! Btimboe!jt!pvs!ovncfs!pof!qsjpsjuz/!!Jo!pvs!mbtu!gjtdbm!zfbs-!:6&!pg!pvs!cvehfu!xbt!tqfou!po! lffqjoh!qfpqmf!ipvtfe-!ipvtjoh!efqptjut-!boe!vujmjuz!dptut/!!Pvs!wpmvouffst!botxfs!pvs!ifmqmjof! boe!xpsl!jo!ufbnt!pg!uxp!gjwf!ebzt!b!xffl!gspn!:;41!BN!voujm!5;11!QN-!beesfttjoh!uif!offet!pg! uiptf!xip!dbmm!po!vt/!!Xf!dpnf!up!uif!bje!pg!dbmmfst!podf!qfs!zfbs!)opu!xboujoh!bozpof!up!cfdpnf! efqfoefou!vqpo!pvs!bttjtubodf*!xjui!b!tfu!bnpvou!pggfsfe/!!Xifo!pvs!gjobodjbm!bttjtubodf!jt! jotvggjdjfou!up!nffu!b!dbmmfst!offe-!xf!sfbdi!pvu!up!puifs!bhfodjft/!)Fbdi!wpmvouffs!jt!frvjqqfe! xjui!b!tfwfouffo.qbhf!mjtu!pg!puifs!pshboj{bujpot!pggfsjoh!bttjtubodf!xjui!tqfdjgjd!jogpsnbujpo! bcpvu!uif!ljoe!pg!bttjtubodf!pggfsfe*-!boe!pvs!uxjdf!npouimz!nffujoht!bmmpx!vt!up!lffq!vq!up!ebuf! po!xibu!puifs!bhfodjft!bsf!pggfsjoh/ 7.Use this space for comments, explanations, and exceptions to questions on this application that leave it blank. Tu/!Wjodfou!ef!Qbvm!nffut!b!dsvdjbm!offe!gps!uif!djuj{fot!pg!Btimboe;!uif!bcjmjuz!up!pggfs!tbnf.ebz! bttjtubodf!xifo!ofdfttbsz/!!Op!puifs!tpdjbm!tfswjdf!pshboj{bujpo!jo!pvs!bsfb!jt!bcmf!up!sftqpoe!bu! uif!fmfwfoui!ipvsŽ!up!uif!offet!pg!uiptf!xip!dbmm/!!Xf!bsf!fggfdujwfmz!bo!fnfshfodz!ifmqmjof-! boe!puifs!tpdjbm!tfswjdf!pshboj{bujpot!lopx!uijt/!!Uifz!spvujofmz!ejsfdu!uiptf!xjui!qsfttjoh!offet! up!vt/!!)Po!boz!hjwfo!ebz!po!uif!ifmqmjof!bt!nboz!bt!ibmg!uif!dbmmt!xjmm!cf!gspn!puifs!bhfodjft! tffljoh!bttjtubodf!gps!uifjs!dmjfout/*! +Uijt!ovncfs!jodmveft!uiptf!xip!tfswf!bt!usbotmbupst!boe!bddpvoubout!pomz/ 2 AGENCY AND PROGRAM/PROJECT NARRATIVE Tu/!Wjodfou!ef!Qbvm-!Btimboe0Ubmfou!Dpogfsfodf RECIPIENT AGENCY __________________________________________________________ Lffqjoh!Vujmjujft!po!jo!Btimboe!ipvtfipmet PROGRAM/PROJECT TITLE ____________________________________________________ Answer all three narrative questions. Use only the space providedplace the question number and letter preceding each answer;the amount of space you allot for each response is your choice. Description of organization (include inception date) and a.mission statement, purpose(s) and how this program/project fits with your mission. b.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 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.) 2/!b/!!!!Uif!Sphvf!Wbmmfz!Ejtusjdu!Dpvodjm!pg!Tu/!Wjodfou!ef!Qbvm!jt!efejdbufe!up!qspwjejoh!dpnqbttjpobuf-! qspnqu!tvqqpsu!boe!dbsf!up!uif!qpps!boe!offez!jo!Kbdltpo!Dpvouz-!sfhbsemftt!pg!bhf-!sbdf-!sfmjhjpo-!dsffe-!tfy-! tfyvbm!qsfgfsfodf!ps!fuiojd!psjhjo/!!Bmuipvhi!uif!Tpdjfuz(t!obnf!jt!sfdphoj{fe!bspvoe!uif!xpsme-!fbdi!Dpvodjm! jt!mpdbmmz!pshboj{fe-!gvoefe-!boe!tubggfe/!!Pvs!Dpvodjm!ibt!op!gjobodjbm!dpoofdujpo!ps!pcmjhbujpo!up!boz! divsdi<!op!fggpsu!jt!nbef!up!qsfbdi-!dpowfsu-!ps!qsptfmzuj{f/!!Pvs!Dpvodjm!xbt!ftubcmjtife!jo!2:93!boe!ibt! ojof!pqfsbujoh!ejwjtjpot!ps!dpogfsfodft-!pg!xijdi!uif!Btimboe0Ubmfou!Ipnf!Wjtju!Dpogfsfodf!jt!pof/!!Cfdbvtf! xf!ibwf!op!qbje!fnqmpzfft!boe!sfmz!po!wpmvouffst!up!efmjwfs!bmm!pg!pvs!tfswjdft-!bmm!pg!uif!gvoet!xf!pcubjo!bsf! vtfe!up!ifmq!uiptf!jo!offe!jo!Btimboe!boe!Ubmfou!bt!xf!pggfs!b!xjef!bssbz!pg!tfswjdft/!!Cfdbvtf!xf!ibwf! xpslfe!jo!uif!Btimboe!boe!Ubmfou!bsfb!gps!tp!mpoh!boe!xpsl!tp!dmptfmz!xjui!b!iptu!pg!puifs!bhfodjft-!xf!bsf! xfmm!lopxo/!!Nboz!pg!pvs!wpmvouffst!ibwf!xpslfe!xjui!vt!gps!nboz!zfbst-!tp!xf!ibwf!ftubcmjtife!ofuxpslt! uibu!bmmpx!vt!up!tffl!beejujpobm!bje!gps!joejwjevbmt!boe!gbnjmjft!xifo!ju!jt!offefe/!!Xf!bmtp!ibwf!Tqbojti! tqfblfst!bwbjmbcmf!up!bttjtu!xjui!opo.Fohmjti!tqfblfst/! c/!!Xf!bsf!vojrvf!jo!uibu!xf!bsf!uif!pomz!foujuz!tfswjoh!Btimboe!uibu!pggfst!tbnf.ebz!bttjtubodf!up!uiptf!jo! offe/!!Nboz!pg!uiptf!xip!dbmm!po!vt!ep!tp!bu!uif!fmfwfoui!ipvsŽ!xifo!uifz!bsf!gbdjoh!tbnf.ebz!tivu.pggt/!! Cfdbvtf!pvs!ifmqmjof!jt!tubggfe!gspn!:;41!BN!voujm!5;11!QN!gjwf!ebzt!b!xffl-!xf!bsf!uifsf!up!sfdfjwf!dbmmt! opu!pomz!gspn!uiptf!jo!offe!cvu!bmtp!gspn!puifs!tfswjdf!bhfodjft!efbmjoh!xjui!dmjfout/!!Uifz!dbmm-!lopxjoh!xf! bsf!bcmf!up!qspwjef!tbnf.ebz!bttjtubodf/! d/!!!!!!!!Jo!pvs!xpsl!xf!fodpvoufs!dmjfout!gspn!b!xjef!sbohf!pg!ejwfstf!cbdlhspvoet!boe!fyqfsjfodft/!Uif!Svmf! pg!Tu/!Wjodfou!ef!Qbvm!boe!pvs!pohpjoh!usbjojoh!fobcmf!vt!up!cf!tfotjujwf!up!uif!jnqbdu!vqpo!pvs!dmjfout!pg! cpui!pwfsu!ejtdsjnjobujpo!boe!njdsp.bhhsfttjpot/!!Xf!foefbwps!up!cf!b!effqmz!sftqfdugvm!boe!tvqqpsujwf! qsftfodf!jo!uifjs!mjwft-!xijmf!qspwjejoh!bttjtubodf!jo!ejggjdvmu!ujnft/!!Pvs!wpmvouffst!nffu!cj.npouimz!up! ejtdvtt!ejggjdvmu!dbtft-!up!sfdfjwf!beejujpobm!usbjojoh-!boe!up!sfwjfx!pvs!Svmf!boe!Nbovbm!pvumjojoh!uif! qsbdujdf!pg!usbvnb.jogpsnfe!dbsf/!!Xijmf!xf!xpsl!dmptfmz!xjui!Kbdltpo!Dpvouz!Nfoubm!Ifbmui-!pvs!wpmvouffst! bsf!bmm!qspwjefe!xjui!b!xsjuufo!mjtu!pg!Dsjtjt!Ef.Ftdbmbujpo!Ufdiojrvft-Ž!xijdi!bsf!wfsz!ifmqgvm/! 3/!b/!Tu/!Wjodfou!ef!Qbvm!tfflt!gvoejoh!up!beesftt!uif!Djuz!Dpvodjmt!tusbufhjd!qmbo-!Hpbm!6;!Tffl! pqqpsuvojujft!up!fobcmf!bmm!djuj{fot!up!nffu!cbtjd!offet/Ž!!Xifo!uif!Dpwje!qboefnjd!tusvdl-!ju!bggfdufe! fwfszpof!cvu!ftqfdjbmmz!uiptf!sftjefout!mjwjoh!cfmpx!uif!qpwfsuz!mfwfm/!!Bt!uif!djuz!pg!Btimboe!tusvhhmfe-!uif! djuz!vujmjuz!pggjdf!dmptfe!boe!tivu.pggt!xfsf!tvtqfoefe-!hjwjoh!uiptf!tusvhhmjoh!b!sfqsjfwf/!!! 3 4 GENERAL FINANCIAL INFORMATION Tu/!Wjodfou!ef!Qbvm-!Btimboe0Ubmfou!Dpogfsfodf RECIPIENT AGENCY __________________________________________________________ Lffqjoh!Vujmjujft!po!jo!Btimboe!ipvtfipmet PROGRAM/PROJECT TITLE ____________________________________________________ 1.For most recently completed990: 2103135.1:03136 a. FISCAL YEAR (mm/yyyy mm/yyyy): ____________________ 2-138/6 b. Administration & 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). 53-:69 c.Program expense $ _____________ 2:4-964 $ _____________ d.Total expenses: e.Sources of revenue: :7-11158 Memberships/ individual contributions $______________ ________% :1-92254 Raised through fundraising activities $______________ ________% 11 Government $______________ ________% 29-611: Foundations $______________ ________% 11 United Way $______________ ________% 11 Fees for Service $______________ ________% 4-6652 Other (reimbursements, payments, $______________ ________% bequests, etc.) 319-976 f. Total revenue: $ _____________ 2.What is the highest level of financial reporting required by your funders? ::1!)gspn!Nfegpse!Dpvodjm-!bwbjmbcmf!vqpo!sfrvftu* 3.Briefly describe your sustainability outlook for the project/program in the future. Uif!Nbovbm!pg!uif!Tpdjfuz!pg!Tu/!Wjodfou!ef!Qbvm-!q/!37;!!Tvsqmvt!gvoet!tipvme!cf!tibsfe!hfofspvtmz! xjui!npsf!offez!Dpogfsfodft!ps!uif!tqfdjbm!xpslt!pg!uif!Ejtusjdu!Dpvodjm/Ž!!Uibu!tujqvmbujpo!opufe-! xf!nblf!ju!b!qsbdujdf!up!nbjoubjo!bqqspyjnbufmz!36&!pg!pvs!sfwfovf!jo!pvs!bddpvout/!!Jg!ju!mpplt!bt! uipvhi!xf!bsf!jo!ebohfs!pg!hpjoh!cfmpx!uibu!bnpvou-!xf!mpxfs!uif!bnpvou!xf!bsf!bcmf!up!qspwjef!up! uiptf!xip!dbmm!po!vt!boe!xpsl!xjui!dbmmfst-!bewjtjoh!uifn!po!puifs!tpvsdft!pg!bttjtubodf/!! 326-111 4.a. Total organizational annual budget current ongoingfiscal year: __________ 61-611 b. Total program/project budget current ongoing fiscal year:___________ 5 CURRENT MEMBER/CLIENT DEMOGRAPHIC PROFILE (Use absolute numbers only no percentages.) Tu/!Wjodfou!ef!Qbvm-!Btimboe0Ubmfou!Dpogfsfodf RECIPIENT AGENCY ________________________________________________________ Lffqjoh!Vujmjujft!po!jo!Btimboe!ipvtfipmet PROGRAM/PROJECT TITLE _________________________________________________ # Whole Program # Ashland I. Gender Age* Female 6934:9 ______ ______ Male 397313 ______ ______ Other 25688 II. ______ ______ Totals 954: ______ ______ 0 to 5 22:8: ______ ______ 6 to 12 9162 ______ ______ 13 to 17 272:9 ______ ______ 18 to 30 287236 ______ ______ 31 to 40 2399: ______ ______ 41 to 50 262211 ______ ______ 51 to 61 238:7 ______ ______ 62 + ______ ______ Unknown 2137788 ______ ______ Total *at point of entry for service IV. Race/Ethnicity #Whole Program Ethnicity # Hispanic/Latino* Ashland 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 __________ __________ __________ 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. Pvs!Tu/!Wjodfou!ef!Qbvm!lffqt!nfujdvmpvt!sfdpset/!!Uiftf!tipx!uibu!evsjoh!3136-!xf!dbnf!up!uif!bje!pg! pwfs!2311!joejwjevbmt/!!Btljoh!dbmmfst!jo!ejtusftt!gps!uif!qbsujdvmbs!ljoet!pg!efnphsbqijd!efubjmt!mjtufe! bcpwf!pgufo!gffmt!jousvtjwf/!!Pvs!dbmmfst!bsf!qfpqmf!jo!offe!xip!fyqfsjfodf!joejhojujft!pg!fwfsz!tpsu-! fwfsz!ebz/!!Xf!ep!bmm!xf!dbo!opu!up!dpousjcvuf!up!uifjs!ejtusftt/!!Uif!hfoefs!boe!bhf!ovncfst!bcpwf!bsf! uiptf!xf!ibwf!pcubjofe!xifo!ju!ibt!cffo!qpttjcmf!up!ep!tp/!!Xf!ep!OPU!dpmmfdu!fuiojd!ops!sbdjbm! jogpsnbujpo!gspn!uiptf!xf!ifmq/! 8 Opuf;!gps!tpnf!sfbtpo-!uijt!fmfduspojd!gpsn!xjmm!opu!bmmpx!nf!up!upubm!uif!hfoefs!boe!bhf!dbufhpsjft! bcpwf-!ops!xjmm!ju!bmmpx!nf!up!mjtu!uif!upubm!pg!uif!fyqfoejuvsft!po!uif!qsfwjpvt!qbhf/ Agency Board Profile Tu/!Wjodfou!ef!Qbvm-!Btimboe0Ubmfou!Dpogfsfodf!)Uif!Cpbse!jt!uibu!pg!pvs!Sphvf!Wbmmfz!Dpvodjm* RECIPIENT AGENCY _______________________________________________________________ Lffqjoh!Vujmjujft!po!jo!Btimboe!ipvtfipmet PROGRAM/PROJECT TITLE ________________________________________________________ 3241 1.Number of board members required in bylaws? Minimum ____ Maximum _____ 321 2.Number of board members currently active? # Voting ____ Vacancies _____ 86 3.Average percentage board meeting attendance (over last completed year): _____ % 62 4.Percent of board in attendance required for a quorum: _____ % 5.List various board, advisory and ad hoc committees and the number of people on each. Committee Number of Members Fyfdvujwf!Dpnnjuuff7 ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ ____________________________________ ________________ 6. Characteristics of Board of Directors at time of application: Race/Ethnicity Number Ethnicity Identifying Hispanic/Latino* 312 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 __________ __________ 312 Totals __________ __________ * 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 Memo DATE: February 26, 2026 TO: Housing and Human Services Advisory Committee FROM: Linda Reid, Housing Program Manager DEPT: Planning RE: Discussion of Long-TermOccupancy of Recreational Vehicles and Tiny Houses in Single Family Neighborhoods. At a City Council Study Session held on December 15, 2025, the City Council asked the HHSAC to discusswhether the City should consider allowing long term occupancy of recreational vehicles and tiny homes in Single family neighborhoodsat an upcoming meeting. Councilmember Sherrellprovided some information to the City Councilat th the December 15Study Sessionon the City of Portland, Oregon’s program that allows households to reside in Recreational Vehicles in Single Family neighborhoods. Councilor Sherrell has noted that Clackamas, Lane and Deschutes Counties have also adopted policies that allow households to reside in recreational vehicles in single family neighborhoods. Below isa link tothe City of Portlandprogram page, and to the City of Portland's definition of a Recreational Vehicle. www.portland.gov/ppd/zoning-land-use/zoning-code- overview/occupied-rvs-and- tiny-houses-wheels The Council Study Session memo also included the following considerations from City Staff: Occupied RVs on Single-Family Lots: Key Planning, Safety,and Fiscal Considerations 1. Land Use • Temporary RV occupancy during an emergency housing crisis (e.g., COVID) can beauthorized without long-term zoning implications. Planning Department 20 East Main StreetTel:541.488.5300 Ashland, Oregon 97520Fax:541.552.2059 ashland.or.usTTY: 800.735.2900 Memo • Ashland already provides emergency shelter capacity through its car-campingallowance on commercial and church parking lots (with property-owner consent),offering a flexible temporary option without altering residential zoning. • A permanent allowance for RVs as dwellings effectively adds a new residential unitand would require review of setbacks, density, driveway capacity, fire access, andspacing between structures, none of which occurs without a formal land-use orbuilding-permit process. 2. Utilities & Infrastructure • RVs are not designed for permanent water, sewer, or electrical connection;improvised hookups create safety and sanitation risks. Extension cords, hoses, andRV sewer fittings are not permitted for long-term residential use. Consideration ofnew (permanent) utility connections would need to be evaluated, permitted and inspected. • A permanently occupied RV is functionally an additional dwelling, which wouldnormally trigger system development charges (SDCs) based on the impacts of anadditional household on City systems (water, sewer, parks, transportation) 3. Taxation • Unlike ADUs or duplexes, an RV does not add taxable real-property value, resultingin an untaxed dwelling on the lot. • Property taxes fund fire protection, police, schools, streets, parks, and emergencyservices. A household living full-time in an RV receives these services, but becausethe RV cannot be assessed as real property, no additional tax revenue is generatedto support the increased demand. 4. Habitability & Substandard Housing • RVs are built to RV standards, not residential building code, and lack requiredsnow-load capacity, seismic resilience, insulation, ventilation, and moisturecontrol for permanent housing. Planning Department 20 East Main StreetTel:541.488.5300 Ashland, Oregon 97520Fax:541.552.2059 ashland.or.usTTY: 800.735.2900 Memo • Heavy reliance on propane for heating and cooking creates increased fire andexplosion risk when used long-term. Further naturalgas use for new dwellingsin the City may have implications regarding the pollution impact fee passed byCouncil which goes into effect on January 1, 2026. • Long-term RV occupancy typically results in substandard living conditions that donot meet minimum habitability requirements. Planning Department 20 East Main StreetTel:541.488.5300 Ashland, Oregon 97520Fax:541.552.2059 ashland.or.usTTY: 800.735.2900