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Backup Documents 09/09/2025 Item #16D 8 1 6 D 8 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY C22MMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing_lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Lisa N. Carr Community and Human LNC 9/4/25 Services 2. County Attorney Office County Attorney Office Ct! D 611g1Zr 3. BCC Office Board of County Commissioners (jf 97,q 4. Minutes and Records Clerk of Court's Office q/f/ 5.l PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Lisa N. Carr,Grants Coordinator II, Phone Number 239-252-2339 Contact/Department Community and Human Services Division Agenda Date Item was September 9, 2025 Agenda Item Number 16.D. 8 Approved by the BCC Type of Document SHIP program Annual Report Number of Original 1 Attached Certification Documents Attached PO number or account N/A number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? YES 2. Does the document need to be sent to another agency for additional signatures? If yes, LNC provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be LNC signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's LNC Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the LNC document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's LNC signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip LNC should be provided to the County Attorney Office at the time the item is input into CivicPlus. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 09/09/2025 and all changes made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the Ct D Chairman's signature. Please email a copy of the signed certification to lisa.carr@colliercountyfl.gov. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16D8 State Housing Initiatives Partnership (SHIP) Program Annual Report and Local Housing Incentives Certification On Behalf of Collier County Board of County Commissioners Local Government), I hereby certify that: 1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true and accurate for the closeout years 2021/2022 and 2022/2023 and interim year 2023/2024. 2. The local housing incentives or local housing incentive plan have been implemented or are in the process of being implemented. Including, at a minimum: a. Permits as defined in s.163.3164 (15) and (16) for affordable housing projects are expedited to a greater degree than other projects; and b. There is an ongoing process for review of local policies, ordinances, regulations,and plan provisions that increase the cost of housing prior to their adoption. 3. The cumulative cost per newly constructed housing per housing unit,from these actions is estimated to be$306,900. 4. The cumulative cost per rehabilitated housing per housing unit,from these actions is estimated to be $22,238.00. Staff Member responsible for submitting annual report to FHFC: Lisa N. Carr a/�] Attest: 4 ,•sf+*-- `! `1S hief Elected Official or Designee Signature Date CPYST ;1 ,.KINZEL,'CLE IK, ,, Burt L. Saunders, Chairman Chief Elected Official or Designee Printed Name . 41 '/'' 1 vY D ut .9ae5t ' . • as f� •:�irtnan°s .4s)gna iirc,nnly Approved as to Form and Legality: ..ko, Jeffrey A. Klatzkow County Attorney Li U i" I Zs ATTEST(Seal) 420.9075(10) Each county or eligible municipality shall submit to the corporation by September 15 of each year a report of its affordable housing programs and accomplishments through June 30 immediately preceding submittal of the report.The report shall be certified as accurate and complete by the local government's chief elected official or his or her designee. Transmittal of the annual report by a county's or eligible municipality's chief elected official,or his or her designee, certifies that the local housing incentive strategies,or, if applicable,the local housing incentive plan, have been implemented or are in the process of being implemented pursuant to the adopted schedule for implementation, 16D8 Form SHIP AR/2009 67-38.008(5),F A.0 Effective Date 5/23/2017 Title: SHIP Annual Report Report Status: Unsubmitted w/Extension Collier County/Naples FY 2022/2023 Closeout Form 1 Page 1 1 6 D 8 Form SHIP AR/2009 67-38,008(5),F.A.C. Effective Date:5/23/2017 SHIP Distribution Summary Homeownership Expended Encumbered Unencumbered Code .:Strategy Amount Units Amount ' Units Amount ; i' 'Units 2 Down Payment Assistance $40 000.00 1 5 Disaster Assistance S56.324.60 8 8 Rental Rehab $580,205.58 1 $1,264.814.42 2 10 Rental Rehab $750,000 00 2 Homeownership Totals: $676,530.18 10 $2,014,814.42 4 Rentals Expended Encumbered Unencumbered Code Strategy Amount Units Amount , Units Amount Units` 13 Rental Disaster Assistance $1.115,581.031 61 $302,288.68 1 14 Rental Rehab $767,980.80 3 19 Rental Development $401,291.92 1 Rental Totals: $2,284,853.75 65 $302,288.68 1 Subtotals: $2,961,383.93 75 $2,317,103.10 5 Additional Use of Funds Use Expended Percentage Administrative $367,757.50 10.00 % Homeownership Counseling Admin From Program Income $26.025.01 4.99 % Admin From Disaster Funds $28.175.94 8.41 Admin From HHRP $91,373 87 3.19% Totals: $3,474,716.25 75 $2,317,103.10 5 $.00 Total Revenue (Actual and/or Anticipated) for Local SHIP Trust Fund Source of Funds Amount State Annual Distribution $3,677,575.00 Program Income (Interest) $134,418.47 Program Income (Payments) $386,081.76 Recaptured Funds $.00 Disaster Funds $334,700.00 HHRP Funds $2,855,650.00 *Carry Forward to Next Year: $1,602,622.73 Carryover funds from previous year 56,016.85 NOTE This carry forward amount will only be accurate when all revenue amounts and all expended, Total: $7,394,442.08 encumbered and unencumbered amounts have been added to Form 1 Page 2 16D8 Form SHIP AR/2009 67-38.008(5),F.A.C. Effective Date:5/23/2017 Form 2 Rental Unit Information Description.;' • I`Eff. 7 Bed 2 Bed 3 Bed 4 Bed ELI 525 562 675 814 1,007 VLI 873 936 1,123 1,297 1,447 LOW 1,397 1,497 1,797 2,076 2,316 MOD 2,097 2,247 2.697 3,114 3,474 Up to 140% 2,446 2,621 3,146 3,633 4,053 Recap of Funding Sources for Units Produced ("Leveraging") Source of Funds Produced Amount of Funds Expended to through June 30th for Units Date % of Total Value SHIP Funds Expended $2,961,383,93 37.39% Public Moneys Expended $600,778 90 7,59% Private Funds Expended $4.278,477.86 54.03% Owner Contribution $78,676.10 .99% Total Value of All Units $7,919,316.79 100.00% SHIP Program Compliance Summary - Home Ownership/Construction/Rehab FL Statute_.; Compliance Cate o SHIP Funds Trust Funds % of Trust Fun d 9 ry Minimum To Homeownership $2,691,344.60 $4,018,291,85 66.98% 65% Construction/Rehabilitation $3,764,292 72 $4.018,291.85 93.68% 75°/0 Program Compliance - Income Set-Asides Income Category ;.SHIP Funds Total Totals of Available Percentages Funds% " Extremely Low $954,831.45 21.04% Very Low $541,162.68 11.92% EL+VL: 32.96% Low $354,294.60 7.81% EL+VL+L: 40.77% Moderate $129,597.70 2.86% Over 120%-140% 5.00 .00% Totals: $1,979,886.43 43.62% Project Funding for Expended Funds Only Page 3 16D8 Form SHIP AR!2009 67-38.008(5),F.A.C. Effective Dale:5/23/2017 Income Category Totat Funds Mortgages, Total Funds SHIP ' Total SHIP' Total# Mortgages, Loans& SHIP Grants Grant Funds Units Loans&DPL's DPL Unit#s Unit#s Expended Extremely Low $954,831.45 14 $.00 0 $954.831.45 14 Very Low $541,162.68 30 $.00 0 $541,162.68 30 Low $354,294.60 20 $.00 0 $354,294.60 20 Moderate $129,597.70 9 $.00 0 $129,597.70 9 Over 120%-140% $.00 0 $.00 0 $.00 0 Totals: $1,979,886.43 73 $.00 0 $1,979,886.43 73 Form 3 Number of Households/Units Produced List Unincorporated and Each Over Strategy.,,, Municipality ELI VLI Low Mod 140% Total Down Payment Unincorporated 1 1 Assistance Rental Rehab Unincorporated 3 3 Rental Rehab TBD 0 Rental Development TBD1 0 Rental Disaster Unincorporated 11 29 15 6 61 Assistance Disaster Assistance Unincorporated 1 4 3 8 Totals: 14 30 20 9 73 Characteristics/Age (Head of Household) List Unincorporated . and Each Description Municipality 0-25 26-40 41 -61 62+ Total Down Payment Unincorporated 1 1 Assistance Rental Rehab Unincorporated 3 3 Rental Rehab TBD 0 Rental Development TBD1 0 Rental Disaster Unincorporated 1 16 32 12 61 Assistance Disaster Assistance Unincorporated 3 2 3 8 Totals: 1 19 35 18 73 Family Size List Unincorporated and Each 1 2-4 5+ -Description► Municipality Person People People Total Down Payment Unincorporated 1 1 Assistance Page 4 16D8 Form SHIP AR/2009 67-38.008(5).F.A.C. Effective Date:5/23/2017 Rental Rehab Unincorporated 3 3 Rental Rehab TBD 0 Rental Development TBD1 0 Rental Disaster Unincorporated 32 26 3 61 Assistance Disaster Assistance Unincorporated 2 6 8 Totals: 37 33 3 73 Race (Head of Household) List Unincorporated ;and Each Hisp- Amer Description Mumci ail p p; ty;" White Black anic Asian Indian _other ;'Total Down Payment Unincorporated 1 1 Assistance Rental Rehab Unincorporated 0 Rental Rehab TBD 0 Rental Development TBD1 0 Rental Disaster Unincorporated 37 8 3 1 49 Assistance Disaster Assistance Unincorporated 4 2 2 8 Totals: 41 9 5 3 58 Demographics (Any Member of Household) List Unincorporated and lwach Farm Home- Description Municipality Worker less Elderly Total Down Payment Unincorporated 0 Assistance Rental Rehab Unincorporated 0 Rental Rehab TBD 0 Rental Development TBD1 0 Rental Disaster Unincorporated 0 Assistance Disaster Assistance Unincorporated 0 Totals: 0 Special Target Groups for Funds Expended (i.e. teachers, nurses, law enforcement, fire fighters, etc.) Set Aside :Special Target Total#'of Description ''".Group Expended Funds Expended Units Down Payment Assistance Educator/School 40,000.00 1 Employee Form 4 Status of Incentive Strategies Page 5 16D8 Form SHIP AR/2009 67-38.008(5), F.A.C. Effective Date. 5/23/2017 Incentive Description (If Other) Category Status Year Adopted (or N/A) Expedited permitting Required Implemented, 2005 in LHAP Ongoing review process Required Implemented, 2005 in LHAP Flexible densities AHAC Review Adopted 2004 Support Services Working with Housing Development Corporation (dba HELP) as a Non-Sponsor provider of Home Buyer Counseling and Financial Literacy. Other Accomplishments Collier County is a 'SHIP success story Award Winner for 2019 Availability for Public Inspection and Comments Per LHAP Requirements Life-to-Date Homeownership Default and Foreclosure Total SHIP Purchase Assistance Loans: 3114 Mortgage Foreclosures A. Very low income households in foreclosure: 2 B. Low income households in foreclosure: 3 C. Moderate households in foreclosure: 1 Foreclosed Loans Life-to-date: 6 SHIP Program Foreclosure Percentage Rate Life to Date: 0.19 Mortgage Defaults A. Very low income households in default: B. Low income households in default: C. Moderate households in default: Defaulted Loans Life-to-date: 0 SHIP Program Default Percentage Rate Life to Date: 0.00 Strategies and Production Costs Strategy Average Cost Disaster Assistance $7,040.58 Down Payment Assistance $40,000.00 Rental Development $401,291.92 Page 6 ����� � �� �� ' � �~ Form SHIP Amrnoo 67-38.008(5). r*o. Effective Date:morzon ' Rental Disaster Assistance $18.28821 Rental Rehab $337,046.60 Expended Funds Total Unit Count. 75 Total Expended Amount: $2.961,383.93 �r�� Full Name ; Address— city ��^ - Z]p ' Code ` Alread Counted_. _° Down Payment Cester 102O Dockside Court Naples 34114 $40.000.00 Assistance Williams #505 Rental Rehab Olga 8aquano 8455 Rattlesnake Naples 34113 $255.993.60 Hernandez Hammock RD #11O1 Rental Rehab Patricia 8455Ratt|eanako Naples 34113 $255.993,60 Zawooki Hammock RD#1123 Rental Rehab Mario Castro 8455Ratt|eoneke Naples 34113 $255.993.60 Hammock RD#21O5 Rental Rehab TBD TBD TBD TBD TBD $580.205.58 ` | Rental TBO1TBO1 T8DI TBD1 TBD1 $401.201.92 | Development Rental Disaster CaniColvin 4417 Petal Drive Naples 34112 $20.000.00 Assistance #107 , Rental Disaster Samantha Gill 4830Sonha Barbara Naples 34104 $23.533.04 Assistance 8|vd #2103 Rental Disaster Paul Tannura 235 Lanchester Naples 34112 $20.00.00 Assistance Court Rental Disaster AdamStanbm 4220Gu|nstneam Naples 34112 B20.096.00 Assistance Drive Unit 2B Rental Disaster |da|mioRuiz 452O Coral Palms Naples 34110 $15,764,86 Assistance Lane#8 Rental Disaster Thomas 825 Copeland Ave Everglades 34130 $13.30000 Assistance Pomam||i #17 Cdy Rental Disaster Mikae|aKeUy 4S54 Boxwood Way Naples 34116 $10.025.00 Assistance ' Rental Disaster Michael 247227thAve NE Naples 34120 $20.00.00 Assistance Brewer Rental Disaster Jeanny Garcia 2037 Rookery Bay Naples 34114 320.00O00 Assistance Dr Apt. 1807 Rental Disaster Henry Beltran 4938 West Blvd Naples 34103 $20.400,00 Assistance Rental Disaster Lore Cardenas 3225Saba| CT#2 Naples 34112 S25.00000 Assistance Rental Disaster TaraHagmman 11OO Pine Ridge RD Naples 34108 $12550.00 Assistance Unit1O1A Rental Disaster Emi|yK8ejiac 185 Jasmine Cir Naples 34102 $18.288,00 Assistance Rental Disaster Adrian Conner 2209San K0encoRO Marco Island 34145 S20.000.00 Assistance Rental Disaster Jamie Haun 1252Henderoon Naples 34114 $23.085.00 Assistance Creek DR#1 | ! | Page 7 16D8 Form SHIP AR/2009 67-38.008(5).F.A.C. Effective Date:5/23/2017 Rental Disaster Bower Thomas 421 16th ST NE Naples 34120 $20,000.00 Assistance Rental Disaster Brigitte Austin 3752 Fountain View Naples 34109 $25,000.00 Assistance Circle#108 Rental Disaster Reginald 2527 Linwood Ave Naples 34112 $19,700 00 Assistance Wilson Apt. A Rental Disaster Jacqueline 10605 Noahs Cir Naples 34116 $18.325.00 Assistance Chavez #514 Rental Disaster Shayne 10131 Sweetgrass Naples 34104 $20,000.00 Assistance Faerber Cir#203 Rental Disaster Linda Pierre 1367 Wildwood Naples 34104 $7,200.00 Assistance Lakes Blvd#5 Rental Disaster Jose Santiago 5689 Agostino Way Ave Maria 34142 $20,000.00 Assistance Rental Disaster Andrelle 8150 Gerbera Dr Naples 34113 $13,844.70 Assistance Saintilma Unit 8208 Rental Disaster Erin Demarest 820 Central Dr Naples 34104 $25,000.00 Assistance Rental Disaster Kathleen 14950 Schooner Bay Naples 34119 $25,000.00 Assistance Alvarez Lane Apt 19101 Rental Disaster Kimberly Cobb 8245 Ibis Club Drive Naples 34104 $23,475.00 Assistance #411 Rental Disaster Charles 1150 Hamilton Lane Chokoloskee 34138 $19,135.05 Assistance Bartlett #41 Rental Disaster Vickie Pennell 102 Freesia Street# Everglades 34138 $20,000.00 Assistance 4 City Rental Disaster Arolaine 8690 Weir Drive Apt Naples 34104 $8,176.00 Assistance Joseph 306 Rental Disaster Michelle 1915 Sunshine Blvd. Naples 34116 $19,250.00 Assistance Chirillo Apt. B Rental Disaster Jeffrey 2280 Pineland Ave., Naples 34112 $18,000.00 Assistance Johnson #9 Rental Disaster Roger Hill JR 1165 Lastrada Lane Naples 34103 $22,050.00 Assistance Rental Disaster Justin Mullin 2280 Pineland Ave# Naples 34112 $25,000.00 Assistance 2 Rental Disaster Barbara 1920 Rookery Bay Naples 34114 $17,075.00 Assistance Margaron Dr. Apt 106 Rental Disaster Amber Poole 820 96 Avenue North Naples 34108 $25,000.00 Assistance Rental Disaster Jackie Dean 508 13th Street Naples 34102 $19,814.00 Assistance North Rental Disaster Joan Griffin 117 Cardinal Ct Everglades 34139 $23,750.00 Assistance City Rental Disaster Lisa Loren 2523 Winifred Ave Naples 34112 $19,098.00 Assistance Rental Disaster Jessica 5483 Rattlesnakes Naples 34112 $23,100.00 Assistance Schreier Hammock Rd, Apt_ 303B Rental Disaster Amanda 1400 5th Avenue N. Naples 34102 $24,650.00 Assistance Frassica #12H Page 8 16D8 Form SHIP AR/2009 67-38.008(5),F.A.C. Effective Date,5/23/2017 Rental Disaster Nanette I2230 28th Ave SE Naples 34117 $22,033.33 Assistance Brechtel Rental Disaster Robert Bright 2080 Pelton Ave Naples 34112 $17,500.00 Assistance Rental Disaster Jean Siegel 1628 Eastmount Naples 34110 $9,892.32 Assistance Vernon Lane Rental Disaster Alexander 4220 Gulfstream Naples 34112 $9,475.00 Assistance Kane Drive#9 Rental Disaster Darline 100-13 Santa Clara Naples 34104 $25,000.00 Assistance Bonhomme Dr Rental Disaster Natasha Taylor 15514 Mark LN Naples 34119 $25,000.00 Assistance #1205 Rental Disaster Joey Lavarco 1680 Alameda Dr Naples 34120 $24,700 00 Assistance Rental Disaster Malcolm Carter 181 33rd Avenue Naples 34120 $20.700.00 Assistance Rental Disaster Ronald Roster 24 Onyx Dr Naples 34114 $14,000.00 Assistance Rental Disaster Gloria Maria 3504 Plantation Way Naples 34112 $9,265.00 Assistance Velasquez Rental Disaster Robert Conner 4380 27th CT SW, Naples 34116 $9,870.00 Assistance APT 407 Rental Disaster Scott Krasinski 2605 Estey Avenue Naples 34104 $20,500.00 Assistance Rental Disaster Cynthia 1248 Enbrook Loop Naples 34114 $25,000.00 Assistance Castillo Rental Disaster Madelon Ziska 9202 Vanderbilt Naples 34108 $16,510.00 Assistance Drive Rental Disaster Loretta 15275 Collier Blvd, Naples 34119 $9,000.00 Assistance Grantham Suite 201 Rental Disaster Billie Gail 1840 Florida Club Naples 34112 $7,000.00 Assistance Posonski Circle Rental Disaster Marioly Antelo 10630 Noahs Circle, Naples 34116 $6,852.00 Assistance Apt 805 Rental Disaster Julia Cooper 100 Valley Stream Naples 34113 $14,000.00 Assistance Dr Unit 101 Rental Disaster Raschia Wong 5201 19th Place SW Naples 34116 $12,547.53 Assistance Rental Disaster Philip Haynes 3491 County Barn Naples 34112 $9,211.46 Assistance Road Rental Disaster Susan Smith 8056 Josefa Way Naples 34114 $23,840.74 Assistance Disaster Jonathan 508 5th Ave Marco Island 34145 $11.325.00 Assistance Gelman Disaster Maria Ortiz 609 Roberts Ave W Immokalee 34142 $9,510.60 Assistance Disaster Irma Roman 13324 Covenant RD Naples 34114 $3,660.00 Assistance Disaster Sonia Kleiner 43 Knights Bridge Rd Naples 34112 $10,000.00 Assistance Disaster Michael Hines 3580 Shaw Naples 34117 $6,243.00 Assistance Boulevard Page 9 16D8 Form SHIP AR12009 67-38.008(5).F.A.C. Effective Date:5/23/2017 Disaster Jessica Bonilla 12800 Horseshoe Naples 34104 $3,276.00 Assistance Drive N Disaster Jennifer 6929 Lone Oak Naples 34109 $6,620 00 Assistance Sheman Boulevard Disaster Kristyn Nicole 668 West Valley Bonita Springs 34134 $5,690.00 Assistance Stetson Drive Administration by Entity Name ,Business Type Strategy Covered Responsibility Amount Program Income Program Income Funds Loan Repayment: 5386,081.76 Refinance: Foreclosure: Sale of Property: Interest Earned: $134,418.47 Total: $520,500.23 Number of Affordable Housing Applications Number of Affordable Housing Applications Submitted 43 Approved 20 Denied 23 Explanation of Recaptured funds Description. Amount Total: $.00 Rental Developments Development Owner Address City Zip SHIP Amount SHIP Compliance Name Code Units Monitored By MHP Collier MHP 777 Miami 33131 $767,981.00 3 LTD (EKOS Collier LTD Brickell Cadenza II) Ave suite 1300 MHP Collier MHP 777 Miami 33131 $401,292.00 2 LTD (Ekos Collier LTD Brickell Cadenza I) Ave suite 1300 Page 10 16D8 Form SHIP AR/2009 67-38.008(5), F.A.G. Effective Date:5/23/2017 Single Family Area Purchase Price The average area purchase price of single family units: 447,750.00 Or Not Applicable Form 5 Special Needs Breakdown Expended Encumbered' %Of Code(s) Strategies Amount Units Amount Units Allocation 5 Disaster Assistance $6,243.00 1 13 Rental Disaster Assistance $232,550.07 11 14 Rental Rehab $767,980.80 3 Total: $1,006,773.87 15 14.66% Special Needs Category Breakdown by Strategy Expended Encumbered Strategies Special Needs Category Amount Units Amount Units (14) Rental Rehab Person with Disabling $255,993.60 1 Condition (not DD) (14) Rental Rehab Receiving Social Security $511,987.20 2 Disability Insurance (13) Rental Disaster Person with Disabling $120.009.33 6 Assistance Condition (not DD) (13) Rental Disaster Receiving Social Security $48,840.74 2 Assistance Disability Insurance (13) Rental Disaster Receiving Veterans $25.000.00 1 Assistance Disability Benefits (13) Rental Disaster Developmental Disabilities $38,700.00 2 Assistance (5) Disaster Assistance Receiving Veterans $6,243.00 1 Disability Benefits Provide a description of efforts to reduce homelessness: Assistance is Provided through the HUD Emergency Solutions Grant and US Treasury- Emergency Rental Assistance Interim Year Data Page 11 16D8 Form SHIP AR/2009 67-38.008(5), F.A.C. Effective Date:5/23/2017 Interim Year Data Revenue... ' State Annual Distribution $4,578,962.00 SHIP Disaster Funds HHRP Allocation Program Income $799,885.70 Total Revenue: $5,378,847.70 Expe`ndttureslEncumbrances Program Funds Expended $1,492,757.81 Program Funds Encumbered $3.388,199.40 Total Administration Funds Expended $313,483.35 Total Administration Funds Encumbered $184,407.14 Homeownership Counseling Total Expenditures/Encumbrances: $5,378,847.70 Set Asides Percentage- 65% Homeownership Requirement $3,590,000.00 78.40% 75% Construction/Rehabilitation $4,790,957.21 104.63% 30%Very Low Income Requirement 0.00% 60%Very Low+ Low Income Requirements $1,472,757.81 27.38% 20% Special Needs Requirement 0.00% Page 12 16D8 Form SHIP AR/2009 67-38.008(5),F A.C. Effective Date:5/23/2017 LG Submitted Comments: Page 13 1 6 D► 8 Form SHIP AR/2009 67-38.008(5),F.A.C. Effective Date:5/23(2017 Title: SNIP Annual Report Report Status: Unsubmitted Collier County/Naples FY 2021/2022 Closeout Form 1 SHIP Distribution Summary Homeownership Expended Encumbered Unencumbered Code Strategy Amount 'Units Amount Units Amount Units 2 Down payment Assistance $615,000.00 20 3 Owner Occupied Rehab $733,830.54 19 10 New Construction $950,000.00 19 Homeownership Totals: $2,298,830.54 58 Rentals Expended Encumbered Unencumbered. Code Strategy Amount Units Amount Units Amount Units 14 Rental Rehab $743,580.00 44 Rental Totals: $743,580.00 44 Subtotals: $3,042,410.54 102 Additional Use of Funds Use Expended Percentage Administrative $265.005.50 10.00 % Homeownership Counseling Admin From Program Income $34,666.92 4.99 % Admin From Disaster Funds - Admin From HHRP NaN % Totals: $3,342,082.96 102 $.00 $.00 Total Revenue (Actual and/or Anticipated) for Local SHIP Trust Fund Source of Funds Amount State Annual Distribution $2,650.055.00 Program Income (Interest) $15,563.33 Program Income (Payments) $677,775.16 Recaptured Funds $.00 Disaster Funds HHRP Funds * Carry Forward to Next Year: $6,016.85 Carryover funds from previous year $4,706.32 NOTE: This carry forward amount will only be accurate when all revenue amounts and all expended, Total: $3,348,099.81 encumbered and unencumbered amounts have been added to Form 1 Page 1 16D8 Form SHIP AR/2009 67-38.008(5). F.A.C. Effective Date'5/23/2017 Form 2 Rental Unit Information Description Eff. ... I Bed 2 Bed -. 3 Bed 4 Bed, ELI 496 531 637 759 929 VLI 826 885 1,061 1,226 1,367 LOW 1.321 1,415 1,698 1,961 2,188 MOD 1.983 2,124 2,547 2,943 3,282 Up to 140% 2,313 2,478 2,971 3,433 3,829 Recap of Funding Sources for Units Produced ("Leveraging") Source of Funds Produced Amount of Funds Expended to through June 30th for Units Date % of Total Value SHIP Funds Expended $3,042,410.54 35.33% Public Moneys Expended 8677,844 19 7.87% Private Funds Expended $4,805,534 86 55.80°%o Owner Contribution $86,224.02 1.00% Total Value of All Units $8,612,013.61 100.00% SHIP Program Compliance Summary - Home Ownership/Construction/Rehab FL Statute Compliance Category SHIP Funds Trust Funds % of Trust Fund Minimum% Homeownership $2.298,830,54 S2,654,76132 86 59% 65% Construction/Rehabilitation $3,007,410.54 $2,654,761 32 113.28% 75% Program Compliance - Income Set-Asides Income Category SHIP Funds Total Totals of Available Percentages Funds% * Extremely Low $174,742.39 5.22% Very Low $1,087,826.95 32.49% EL+VL. 37.71% Low $1,312,144.66 39.19% EL+VL+L: 76.90% Moderate $467,696.54 13.97% Over 120%-140% $ 00 .00% Totals; $3,042,410,54 90.87% Project Funding for Expended Funds Only Page 2 16D8 Form SHIP AR/2009 67-38.008(5), F.A.C. Effective Date 5/23/2017 Income Category Total Funds Mortgages, Total Funds.: SHIP Total SHIP ^Total.# Mortgages, Loans& SHIP Grants Grant Funds Units , ..Loans&DPL's DPL Unit#s Unit#s Expended,, Extremely Low $174,742.39 4 $.00 0 $174,742.39 4 Very Low $1,087,826.95 32 $.00 0 $1.087.826.95 32 Low $1,312,144.66 39 $.00 0 $1.312,144.66 39 Moderate $467,696.54 27 $.00 0 $467,696.54 27 Over 120%-140% $.00 0 $.00 0 $.00 0 Totals: $3,042,410.54 102 $.00 0 $3,042,410.54 102 Form 3 Number of Households/Units Produced List Unincorporated and Each Over Strategy Municipality ELI VLI Low Mod 140% Total New Construction Unincorporated 7 12 19 Rental Rehab Unincorporated 18 8 18 44 Owner Occupied Unincorporated 4 6 7 2 19 Rehab Down payment Unincorporated 1 12 7 20 Assistance Totals: 4 32 39 27 102 i 1 Characteristics/Age (Head of Household) i List_Unincorporated i and Each Description Municipality 0-25 26-40 41 -61 62+ Total New Construction Unincorporated 9 10 19 Rental Rehab Unincorporated 2 16 21 5 44 Owner Occupied Unincorporated 10 9 19 Rehab Down payment Unincorporated 1 12 7 20 Assistance Totals: 3 37 48 14 102 Family Size List Unincorporated , and Each 1 2-4 5+ Description Municipality Person People People Total. New Construction Unincorporated 17 2 19 Rental Rehab Unincorporated 4 27 13 44 Owner Occupied Unincorporated 11 6 2 19 Rehab — Down payment Unincorporated 17 3 20 Assistance Totals: 15 67 20 102 Page 3 � 8� n �� Form SHIP Aemooe or-na000(»).FAo. Effective Date:soaco1r Race (Head ofHousehold) List Unincorporated mno �oon ��� � n�p' Amer - Description � - ^ �- ��� � Municipality White Black anic. Asian Indian otner, =�Trtal==~ New Construction Unincorporated 4 6 10 19 Rental Rehab Unincorporated 4 11 25 4 44 Owner Occupied Unincorporated 9 5 5 10 Rehab Down payment Unincorporated 2 A 9 20 Assistance Totals: 19 30 49 4 102 Demographics (Any Member ofHousehold) List Unincorporated ' � `Forn� Home- Description ,, �Municipality Worker ^ Elderly Total ~ New Construction Unincorporated O Rental Rehab Unincorporated 7 2 8 Owner Occupied Unincorporated O Rehab Down payment Unincorporated 0 Assistance Totals: 7 % S Special Target Groups for Funds Expended (i.e. teachers, nurses, |avv enforcement, fire fighters, etc.) Set Aside Special TmqJot Tmtmi#of Description Group - ` Expended Funds .' Expended Units�� New Construction Educator/School 50.000.00 1 Employee 'Rental Rehab Educator/School 10.819.02 1 Employee Form 4 Status of Incentive Strategies Incentive Description (If Other) Category Status Year Adopted (or N/A) | Expedited permitting Required Implemented, 2005 i in LHAP ' Ongoing review process Required Implemented, 2005 in LHAP | | Flexible densities AHACRevew Adopted 2004 Support Services Page 4 16D8 Form SHIP AR/2009 6'7-38.008(5), F.A.C. Effective Date:5/23/2017 Working with Housing Development Corporation (dba HELP) as a non-Sponsor of Home Buyer Counseling and Financial Literacy. Other Accomplishments Collier County is a SHIP Success Story Award Winner for 2019 Availability for Public Inspection and Comments Per LHAP Requirements Life-to-Date Homeownership Default and Foreclosure Total SHIP Purchase Assistance Loans: 3113 Mortgage Foreclosures A. Very low income households in foreclosure: 2 B. Low income households in foreclosure: 3 C. Moderate households in foreclosure: 1 Foreclosed Loans Life-to-date: 6 SHIP Program Foreclosure Percentage Rate Life to Date: 0.19 Mortgage Defaults A. Very low income households in default: 0 B. Low income households in default: 0 C. Moderate households in default: 0 Defaulted Loans Life-to-date: 0 SHIP Program Default Percentage Rate Life to Date: 0.00 Strategies and Production Costs Strategy p Average Cost Down payment Assistance $30,750.00 New Construction $50,000.00 Owner Occupied Rehab $36,691.53 Rental Rehab $16,899.55 Expended Funds Total Unit Count: 102 Total Expended Amount: $3,042,410.54 Strategy Full Name Address . City Zip Expended FY if Unit Code Funds Already Counted New Construction Mara 5879 Opportunity Naples 34112 $50,000.00 Buchanan Cirle#701 Page 5 16D8 Form SHIP AR/2009 67-38.008(5).F.A.C. Effective Date:5/23/2017 New Construction Marvin 5875 Opportunity Cir Naples 34112 $50,000.00 Cabrera #903 New Construction Jose Capote 5875 Opportunity Cir Naples 34112 $50,000.00 #904 New Construction Sarah Coyer 5892 Opportunity Cir Naples 34112 $50,000.00 #201 New Construction Yoima Dinza 5887 Opportunity Cir Naples 34112 $50,000.00 #303 New Construction Richard 5871 Opportunity Cir Naples 34112 $50,000.00 Margelie #1102 New Construction Karen Martell 5891 Opportunity Cir Naples 34112 $50,000.00 #101 New Construction Yarileinis 5887 Opportunity Cir Naples 34112 $50,000 00 Rodriguez #304 Mejias New Construction Marie Saimpre 5871 Opportunity Cir Naples 34112 $50,000.00 #1101 New Construction Ricardo Blanco 5867 Opportunity Cir Naples 34112 $50,000.00 #1201 New Construction Jon Joseph 5867 Opportunity Cir Naples 34112 $50,000.00 Cappelluti #1202 New Construction Sarah Higgins 5861 Opportunity Cir Naples 34112 $50,000.00 #1304 New Construction Sabrina Silva 5861 Opportunity Cir Naples 34112 $50,000.00 #1303 New Construction Giovel Rios 5849 Opportunity Cir Naples 34112 $50,000.00 #1503 New Construction Franslet 5841 Opportunity Cir Naples 34112 $50,000.00 Etienne #1903 New Construction Antonio 1442 Songbird # Naples 34105 $50,000.00 Gallardo 3203 Garcia New Construction Delivrance 5790 Pride Way Naples 34112 550,000,00 Deslouche #2901 New Construction Nerve Achelus 5790 Pride Way Naples 34112 $50,000.00 #2902 New Construction Maria San 5833 Opportunity Naples 34112 $50,000.00 Juana Corcle#2302 Rodriquez Palacios Rental Rehab Iraida Grande 346 Leawood Circle, Naples 34104 $100,000.00 Salmeron Rm#1 Rental Rehab Barbara 346 Leawood Circle, Naples 34104 $100,000.00 Mackey Rm#2 Rental Rehab Patricia 346 Leawood Circle, Naples 34104 $100,000.00 Cushing Rm#3 Owner Occupied Steven 5346 Treetops Drive Naples 34113 $52,500.00 Rehab Sheppard Owner Occupied Jeff Sykes 1281 16th Ave SW Naples 34117 $812.70 2020-2021 Rehab Owner Occupied Sandra Davis 33 Sonderhen Drive Naples 34114 $44,427.08 Rehab Page 6 16D8 Form SHiP AR/2009 67-38.008(5),F.A.C. Effective Dale:5/23/2017 Owner Occupied Isabel Lopez- 10261 Emperor Lane Naples 34114 $46,769.56 Rehab Melero Owner Occupied Lucy Hall 415 Gaunt Street Immokalee 34142 $40,955.25 Rehab Owner Occupied Jean Magis 613 Jefferson Ave Immokalee 34142 $22,248.90 Rehab West Owner Occupied Ruby 2990 54th Lane SW Naples 34116 $38,228.40 Rehab Robinson Owner Occupied Marie Gilot 2355 Delta Drive Naples 34117 $52.484.25 Rehab Owner Occupied Andrea Gulyas 2527 44th Street SW Naples 34116 $23,331.00 Rehab Owner Occupied Tammy 14657 Apalachee St Naples 34114 $33,969.41 Rehab DesOrmeau Owner Occupied Maria Ortiz 609 Roberts Ave lmmokalee 34142 $52,500,00 Rehab Owner Occupied Ana M Rivera 617 6th Avenue lmmokalee 34142 $10,608.15 Rehab Owner Occupied Pamela Judy 6187 Parkers Naples 34112 $30,160.35 Rehab Hammock Road Owner Occupied Jonas Foster 955 Roseate Drive Naples 34104 $37,531.73 Rehab Owner Occupied Beth D Garvin 5290 Treetops Drive, Naples 34113 $43,861.65 Rehab Unit 1-201 _ Owner Occupied Billa Martin 1017 Central Drive Naples 34104 $45,892.30 Rehab Owner Occupied Shirley 624 Clifton Street Immokalee 34142 $41,254.76 Rehab Fegueroa Owner Occupied Luis Soto 2793 Poinciana Naples 34105 $49,623.00 Rehab Street Owner Occupied Vera Stroden 1969 Crestview Way, Naples 34119 $31,867.50 Rehab Unit 151 Owner Occupied Alexis 3905 Estero Bay Naples 34112 $34,804.55 Rehab Schomburg Lane Down payment Luis Perez 2883 62nd Ave NE Naples 34120 $50,000.00 Assistance Down payment Kimberly 915 Cypress Court Naples 34110 $20,000.00 Assistance McNeely Down payment Andy Ricardo 10390 Royalty Way Naples 34114 $25,000.00 Assistance Pierre Down payment Spencer 10344 Knight Drive Naples 34114 $25,000.00 Assistance Joseph Down payment Wendy Lemus 10360 Knight Drive Naples 34114 $30,000.00 Assistance Down payment Tatiana Alexis 10300 Noble Drive Naples 34114 $35,000.00 Assistance Marcellon Down payment Julson St 10296 Noble Drive Naples 34114 $30,000.00 • Assistance Charles Down payment Ruth Janet 10307 Noble Drive Naples 34114 $30,000.00 Assistance Liggans Down payment Ricky Doland 10311 Noble Drive Naples 34114 $30,000,00 Assistance Page 7 16D8 Form SHIP AR/2009 67-38.008(5),F.A.C. Effective Date:5/23/2017 Down payment Blonde) Fils 10339 Knight Drive Naples 34114 $35,000.00 Assistance Aime Down payment Danny 10320 Noble Drive Naples 34114 $30,000.00 Assistance Jimenez Sabina Down payment Edrey Alonso 10319 Noble Drive Naples 34114 $30,000.00 Assistance Eloy Down payment Victorina 10291 Noble Drive Naples 34114 $30,000.00 Assistance Martin Martin Down payment Narissa A 10356 Knight Drive Naples 34114 $30,000.00 Assistance Regis Boatswain Down payment Lorena 10324 Noble Drive Naples 34114 $30,000.00 Assistance Almanza Serrato Down payment Jean M 10303 Noble Drive Naples 34114 $30,000.00 Assistance Vazquez Pareta Down payment Samuel A 506 S First St Immokalee 34142 $30,000.00 Assistance Nieto Ovalles Down payment Tilleta Simons 225Ospreys Landing Naples 34104 $30,000.00 Assistance # 1101 Down payment Eduardo 13660 Legacy Ln Naples 34114 $30,000.00 Assistance Chavez Martinez Rental Rehab Heriberto 2411 Sanders Pines Immokalee 34142 $10,819.02 Gamez Suarez Circle, Unit 2411 Rental Rehab Margarita 2413 Sanders Pines Immokalee 34142 $10.819.02 Hernandez Circle, Unit 2413 Rental Rehab Alonso Alfaro 2415 Sanders Pines Immokalee 34142 $10,819.02 Circle, Unit 2415 Rental Rehab Ruth Lebon 2417 Sanders Pines Immokalee 34142 $10,819.03 Circle, Unit 2417 Rental Rehab Gregory 2419 Sanders Pines Immokalee 34142 $10,819.03 Vincent Circle, unit 2480 Rental Rehab Alta Denavar 2420 Sanders Pines lmmokalee 34142 $10,819,02 Circle, Unit 2420 Rental Rehab Manuel 2422 Sanders Pines Immokalee 34142 $10,819.03 Orantes Circle, Unit 2422 Gonzalez Rental Rehab Sandra 2424 Sanders Pines lmmokalee 34142 $10,819.02 Villagomez Circle, Unit 2424 Rental Rehab Diana Leiva 2426 Sanders Pines Immokalee 34142 $10,819.03 Guevara Circle, Unit 2426 Rental Rehab Maria Bedolla 2428 Sanders Pines Immokalee 34142 $10,819.03 Circle, Unit 2428 Rental Rehab Bernada Meus 2431 Sanders Pines Immokalee 34142 $10,819.02 Circle, Unit 2431 Rental Rehab Virgilia 2433 Sanders Pines Immokalee 34142 $10,819.03 Francisco Jose Circle. Unit 2433 Rental Rehab Francisca 2435 Sanders Pines lmmokalee 34142 $10.819.03 Marquez Circle, Unit 2435 Almendarez Page 8 16D8 Form SHIP AR/2009 67-38.008(5),F.A.C. Effective Date:5/23/2017 Rental Rehab Alvaro Garcia 2437 Sanders Pines lmmokalee 34142 $10,819.02 Circle, Unit 2437 Rental Rehab Jean Joseph 2439 Sanders Pines lmmokalee 34142 $10,819.03 Circle, Unit 2439 Rental Rehab Clemente F. 2440 Sanders Pines lmmokalee 34142 $10,819.02 Lopez Circle, Unit 2440 Rental Rehab Lainese Privil 2442 Sanders Pines lmmokalee 34142 $10,819.02 Circle, Unit 2442 Rental Rehab Wadson 2444 Sanders Pines lmmokalee 34142 $10,819.03 Mildort Circle, Unit 2444 Rental Rehab Eduardo 2445 Sanders Pines Immokalee 34142 S10,819.03 Serrano Lara Circle, Unit 2445 Rental Rehab Louiness 2446 Sanders Pines lmmokalee 34142 $10,819.03 Cadet Circle, Unit 2446 Rental Rehab Crystal 2448 Sanders Pines lmmokalee 34142 S10,819.03 Aguilera Circle, Unit 2448 Rental Rehab Alejandrina 2451 Sanders Pines Immokalee 34142 $10,819.03 Carrera Juarez Circle, Unit 2451 Rental Rehab Evangelina 2453 Sanders Pines lmmokalee 34142 $10,819,02 Erebia Circle, Unit 2453 Rental Rehab Sara Simonise 2455 Sanders Pines lmmokalee 34142 $10,819.02 Circle, Unit 2455 Rental Rehab Yanelis '2457 Sanders Pines Immokalee 34142 $10,819.02 Zaldivar Circle, Unit 2457 Carrazana Rental Rehab Ilda Sanchez 2459 Sanders Pines lmmokalee 34142 $10,819.02 Garcia Circle, Unit 2459 Rental Rehab Domongo 2460 Sanders Pines Immokalee 34142 $10,819.03 Ramirez Perez Circle, Unit 2460 Rental Rehab Nisei Meza 2462 Sanders Pines lmmokalee 34142 $10,819.02 Circle, Unit 2462 Rental Rehab Carmellno 2464 Sanders Pines Immokalee 34142 $10,819.02 Santis Circle, Unit 2464 Rental Rehab Elizzabeth 2466 Sanders Pines lmmokalee 34142 $10,819.03 Jimenez Circle, Unit 2466 Rental Rehab Rayed Hatem 2468 Sanders Pines lmmokalee 34142 $10,819.02 Circle, Unit 2468 Rental Rehab Lucina Garcia 2471 Sanders Pines Immokalee 34142 $10,819.03 Garcia Circle, Unit 2471 Rental Rehab Aima Trejo 2473 Sanders Pines lmmokalee 34142 $10,819.03 Ramirez Circle, Unit 2473 Rental Rehab Joel Martinez 2475 Sanders Pines Immokalee 34142 $10,819.02 Circle, Unit 2475 Rental Rehab Marcel Saint 2477 Sanders Pines lmmokalee 34142 $10,819.02. Juste Circle. Unit 2477 Rental Rehab Francisco 2479 Sanders Pines lmmokalee 34142 $10,819.03 Diego Circle, Unit 2479 Francisco Rental Rehab Eduardo 2480 Sanders Pines Immokalee 34142 $10,819.02 Venegas Circle, Unit 2419 Garcia Rental Rehab Mauseul 2482 Sanders Pines lmmokalee 34142 $10,819.02 Philistin Circle, Unit 2482 Page 9 16D8 Form SHIP AR/2009 67-38.008(5).F.A,C. Effective Date:5/23/2017 Rental Rehab Irene Flores 2484 Sanders Pines Immokalee 34142 $10,819.02 Ortiz Circle, Unit 2484 Rental Rehab Elcie Blanc 2486 Sanders Pines Immokalee 34142 $10,819.02 Circle, Unit 2486 Rental Rehab Fuentes 2488 Sanders Pines Immokalee 34142 $10,819.02 Salinas Circle, Unit 2488 Down payment Samantha 3720 Fieldstone Blvd Naples 34109 $35,000.00 Assistance Flora Kee Administration by Entity Name Business Type Strategy Covered Responsibility Amount Collier County County Administration $299,672.42 Government Program Income Program Income Funds Loan Repayment: $677,775.16 Refinance: Foreclosure: Sale of Property: Interest Earned: $15,563.33 Total: $693,338.49 Number of Affordable Housing Applications Number of Affordable Housing Applications Submitted 38 Approved 25 Denied 13 Explanation of Recaptured funds Description Amount Total: $.00 Rental Developments Development Owner Address City Zip SHIP Amount SHIP Compliance Name Code Units Monitored By Single Family Area Purchase Price Page 10 16D8 Form SHIP AR/2009 67-38.008(5).F.A.0 Effective Date:5/23/2017 The average area purchase price of single family units: 445,000.00 Or Not Applicable Form 5 Special Needs Breakdown Expended Encumbered %of Codes) " "Strategies Amount Units Amount Units` Allocation 3 Owner Occupied Rehab $166,290.00 4 10 New Construction $100,000.00 2 14 Rental Rehab $332,457.08 6 Total: $598,747.08 12 22.59% Special Needs Category Breakdown by Strategy Expended Encumbered Strategies Special Needs Category Amount Units Amount Units (10) New Construction Receiving Veterans $50,000.00 1 Disability Benefits (10) New Construction Person with Disabling $50,000.00 1 Condition (not DD) (14) Rental Rehab Person with Disabling $221,638.05 4 Condition (not DD) (14) Rental Rehab Receiving Social Security $100,000.00 1 Disability Insurance (3) Owner Occupied Rehab Receiving Social Security $105,000 00 2 Disability Insurance (3) Owner Occupied Rehab Person with Disabling $61,290.00 2 Condition (not DD) (14) Rental Rehab Developmental Disabilities $10,819.03 1 Provide a description of efforts to reduce homelessness: Assistance is provided through the HUD Emergency Solutions Grant and US Treasury - Emergency Rental Assistance Interim Year Data Page 11 1 6D 8 Form SHIP AR/2009 67-38.008(5), F,A.C. Effective Date:5/23/2017 Interim Year Data Revenue ' State Annual Distribution $3,677,575.00 SHIP Disaster Funds $334.700.00 HHRP Allocation $2,855,650.00 Program Income $520,500.23 Total Revenue: $7,388,425.23 ExpenditurestEncumbrances Program Funds Expended $2.961,383.93 Program Funds Encumbered $2,317,103.10 Total Administration Funds Expended $513,332.32 Total Administration Funds Encumbered $0.00 Homeownership Counseling Total Expenditures/Encumbrances: $5,791,819.35 Set=Asides . Percentage 65% Homeownership Requirement $1,885.020.00 27 45% 75% Construction I Rehabilitation $3,820,617.32 55.63% 30%Very Low Income Requirement $1,495,994,13 20.25% 60%Very Low+ Low Income Requirements $1,850.288.73 25.04% 20% Special Needs Requirement $1,006,773.87 13.63% Page 12 16D Form SHIP AR/2009 67-38.008(5).F.A.C. Effective Date.5/23/2017 LG Submitted Comments: Edits made to the report by the LG resulted in report status being changed back to "Unsubmitted" Page 13