| SHOP 4 - SHOP Consortium Member/Affiliate Quarterly Summary Report on Program Activity to Grantee |
| I. SHOP Overview |
|
|
|
|
|
|
Enter the date for the beginning of the reporting period. Use the following format: mm/dd/yy
Report Period Begin |
|
|
|
|
|
|
Enter the date for the end of the reporting period. Use the following format:
mm/dd/yy.
Report Period End |
|
Public reporting burden for this collection of information is estimated to average 2.25 hours. This includes the time for collecting, reviewing, and reporting the data. The information will be used to monitor the application of SHOP grant funds and the effectiveness of the program. Response to this request for information is required in order to receive the benefits to be derived. This agency may not collect this information, and you are not required to complete this form unless it displays a currently valid OMB control number. |
|
Enter the grant # (no hyphens or spaces) listed on the grant agreement sent to affiliate or consortium member from the grantee. A separate report must be submitted for each SHOP award.
Grant # |
|
|
The total amount of SHOP funds distributed to the affiliate or consortium member.
SHOP Grant Amount |
|
|
Name of your organization. Please abbreviate.
Consortium Member/Affiliate Name |
|
|
List the states in the organization's service area. Use state abbreviations.
States Served |
|
|
The number of dwelling units your organization proposes to fund under this SHOP award.
Proposed Dwelling Units |
|
|
Report the amount of SHOP funds available for administrative expenses.
Proposed Administrative Expenses |
|
|
Automatically calculated field - no entry required.
The proposed average cost per unit is the "SHOP Grant Amount" minus any "Proposed Administrative Expenses," divided by the "Proposed Dwelling Units."
Proposed Average SHOP Cost Per Unit |
$0.00 |
|
|
|
|
| II. Financial Summary |
Year to date |
1st Quarter |
2nd Quarter |
3rd Quarter |
4th Quarter |
|
Report the amount of SHOP funds expended for administrative expenses each quarter.
SHOP Funds Expended for Administration |
$0.00 |
|
|
|
|
|
Report the amount of SHOP funds expended for land acquisition each quarter.
Note: Land acquisition expenses may include financing and closing costs.
SHOP Funds Expended for Land Acquisition |
$0.00 |
|
|
|
|
|
Report the amount of other funds leveraged for land acquisition each quarter.
Other Funds Expended for Land Acquisition |
$0.00 |
|
|
|
|
|
Automatically calculated field-no entry required.
"Total land acquisition expenses" is calculated by adding the SHOP funds and other funds leveraged for land acquisition.
Total Land Acquisition Expenses |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
|
Report the amount of SHOP funds expended for infrastructure improvements each quarter.
SHOP Funds Expended for Infrastructure |
$0.00 |
|
|
|
|
|
Report the amount of other funds leveraged for infrastructure improvements each quarter.
Other Funds Expended for Infrastructure |
$0.00 |
|
|
|
|
|
Automatically calculated field- no entry required.
"Total infrastructure expenses" is calculated by adding SHOP funds and other funds leveraged for infrastructure improvements.
Total Infrastructure Expenses |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
|
Report the amount of funds provided by other funding sources (public and/or public) to complete the self-help housing units. Include any additional administrative expenses that may not have been coved by the SHOP funds.
Other Fuinds Expended (Funds Leveraged) |
$0.00 |
|
|
|
|
|
automatically calculated field--This field adds other funds expended for land acquisition, other funds expended for infrastructure, and other funds expended--funds leveraged.
Total Funds Leveraged |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
|
Automatically calculated field - no entry required.
"Total SHOP funds expended this quarter" adds "Administrative," "SHOP land acquisition" and "SHOP infrastructure" costs expended each quarter.
Total SHOP Funds Expended This Quarter |
|
$0.00 |
$0.00 |
$0.00 |
$0.00 |
|
Automatically calculated field-no entry required.
Reports the total amount of SHOP funds expended to date.
Total SHOP Funds Expended to Date |
$0.00 |
|
|
|
|
|
Automatically calculated field - no entry required.
"SHOP Balance" automatically subtracts the "Total SHOP funds drawn to date" from the "SHOP grant amount" to show the balance of SHOP funds available for use.
SHOP Balance |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| III. Program Accomplishments |
|
|
|
|
|
|
Report the number of environmental reviews completed each quarter.
Environmental Reviews Completed |
0 |
|
|
|
|
|
Report the number of lots/existing units acquired each quarter.
Lots /Existing Units Acquired |
0 |
|
|
|
|
| Infrastructure |
|
|
|
|
|
|
Report the number of SHOP units with infrastructure started each quarter.
Started |
0 |
|
|
|
|
|
Report the number of SHOP units for which the infrastructure was completed each quarter.
Completed |
0 |
|
|
|
|
| Construction |
|
|
|
|
|
|
Report the number of SHOP units where construction has started each quarter.
Started |
0 |
|
|
|
|
|
Report the number of SHOP units with construction completed each quarter.
Completed |
0 |
|
|
|
|
|
Automatically calculated field-no entry required.
Total Dwelling Units Completed & Conveyed to Homebuyer |
0 |
0 |
0 |
0 |
0 |
|
Of the total SHOP units conveyed to homebuyers each quarter, how many of those units are single family units?
NOTE: For the purposes of the SHOP program, a single-family unit is defined as a detached single unit home.
Total single family units |
0 |
|
|
|
|
|
Of the total SHOP units conveyed to homebuyers each quarter, how many units are located within multifamily projects?
NOTE: For the purposes of the SHOP program, a multifamily project is defined as a housing structure comprised of two or more attached units.
Total units in multifamily projects |
0 |
|
|
|
|
| IV. Unit Characteristics (completed & conveyed units) |
|
|
|
|
|
|
Report the number of completed SHOP-funded units that are accessible to persons with disabilities each quarter. Do not use visitable units.
Accessible Units |
0 |
|
|
|
|
|
Report the number of completed SHOP-funded units that are visitable by persons with disabilities each quarter. Do not use accessible units.
Visitable Units |
0 |
|
|
|
|
|
Report the number of completed SHOP-funded units located in designated Colonias areas in the states of California, Arizona, Texas, and New Mexico?
Units Located in Colonias |
0 |
|
|
|
|
| V. Unit Averages (completed & conveyed units) |
|
|
|
|
|
|
Manual entry required.
Report the Average Appraised Value of the SHOP units conveyed to homebuyers each quarter.
Average Appraised Value |
#DIV/0! |
|
|
|
|
|
Manual entry required.
Report the "Average Sales Price" for SHOP units each quarter.
Note: For the purposes of this report is the average sales price refers to the price for which the SHOP units sold.
Average Sales Price to Homebuyer |
#DIV/0! |
|
|
|
|
|
Manual entry required.
Report the total number of hours all homebuyer families worked on their SHOP units.
Total Number of Sweat Equity Hours |
0 |
|
|
|
|
|
Manual entry required.
Report the total number of hours all volunteers worked on SHOP units.
Total Number of Volunteer Hours |
0 |
|
|
|
|
| VI. Homebuyer Income Targeting (completed & conveyed units) |
|
Manual Entry required.
Record the number of homebuyers in the 0-30% of median income range.
0-30% of median |
0 |
|
|
|
|
|
Manual Entry required.
Record the number of homebuyers in >30% - 50% of median income range.
>30-50% of median |
0 |
|
|
|
|
|
Manual Entry required.
Record the number of homebuyers in the >50% -80% of median income range.
>50-80% of median |
0 |
|
|
|
|
| Total |
0 |
0 |
0 |
0 |
0 |
| SHOP 4 - SHOP Consortium Member/Affiliate Quarterly Summary Report on Racial/Ethnic Data to Grantee |
|
|
|
|
|
|
| I. SHOP Overview |
|
|
|
|
|
|
|
Enter the date for the beginning of the reporting period. Use thefollowing format: mm/dd/yy
Report Period Begins |
|
|
|
|
|
|
|
Enter the date for the end of the reporting period. Use the following format: mm/dd/yy.
Reporting Period Ends |
|
|
|
|
|
|
|
Enter the grant # (no hyphens or spaces) listed on the grant agreement sent to the affiliate or consortium member from the grantee. A separatereport must be submitted for each SHOP award.
Grant # |
|
|
|
|
|
|
|
Name of your organization. Please abbreviate.
Consortium Member/Affiliate Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Report, numerically, the racial and ethnic characteristics of the head of household for all units conveyed to SHOP homeowners this quarter.
Ethnic/Racial Composition (completed & conveyed units) |
Automatically calculated field - no entry required.
Cumulative ethnic/racial composition data.
Year to date |
1st Quarter |
2nd Quarter |
3rd Quarter |
4th Quarter |
|
| American Indian or Alaska Native - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| Asian - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| Black or African American - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| Native Hawaiian or Other Pacific Islander - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| White - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| American Indian or Alaska Native & White - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| American Indian or Alaska Native & Black or African American - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| Asian & White - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| Black or African American & White - Total |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
| * Other Multiple Race Combinations Greater Than One Percent: [Per form instructions, write a description using this box] |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
|
Indicate the total number of all racial categories reported that do not fit the nine racial categories above, and do not equate to 1% of the total population being reported.
Balance of Individuals Reporting More Than One Race |
0 |
0 |
0 |
0 |
0 |
|
| Hispanic or Latino |
0 |
|
|
|
|
|
| Not Hispanic or Latino |
0 |
|
|
|
|
|
|
|
|
|
|
|
|
| Hispanic or Latino - Total |
0 |
0 |
0 |
0 |
0 |
|
| Not Hispanic or Latino - Total |
0 |
0 |
0 |
0 |
0 |
|
| Total Beneficiaries |
0 |
0 |
0 |
0 |
0 |
|
| * If the aggregate count of any reported multiple race combination that is not listed above exceeds 1% of the total population being reported, you should separately indicate the combination. See detailed instructions under "Other Multiple Race Combinations." |
|
|
|
|
|
|
|
|