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Home My WebLink AboutGrant Related - BOCC (002)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST SUBMITTED BY: K Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kat"Cl2 Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE:5/27/2026 PHONE:2937 ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ®Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB JAVI R, T ING_`, 1SU00_ESTEb*0R1j W-W � r, Community Development Block Grant Public Service (CDBG PS) No. 25-64210-005 in the amount of $66,979.12 for the months of December 2025 - April 2026. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: -/ APPROVE: DENIED ABSTAIN D1: D2: D3: DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 DEPARTMENT OF COMMERCE. 1011 Plan Street SEE - PO BOX 42525 . Olymmw, shingh w k9 04-252 - (') 7255-40,00 Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 25-64210-005 452344 COMMERCE VENDOR OR CLAIMANT (Warrant payable to:) INSTRUCTION TO VENDOR OR CLAIMANT: Grant County Submit this form to claim payment for materials, merchandise or DBA BOARD OF COMMISSIONERS services. Show complete detail for each item. PO BOX 37 EPHRATA, WA 98823 Vendor's Certificate: The individual signing this voucher below warrants they have the authority to do so as authorized and on behalf Karrie Stockton - - of the entity identified in the Vendor/Claimant section. The individual (Vendor Contact Person) signing below certifies under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or (509) 754-2011 services furnished to the State of Washington, and that all goods (Vendor Contact Phone) furnished and/or services rendered have been provided without discrimination because of age, sex, marital status, race, creed, color, kstocktona-grantcountywa.gov (Vendor Contact Email) national origin, handicap, religion or Vietnam era or disabled veterans status. 07/01 /25 - 06/30/26 (Contract Period) Karrie Stockton Kstockton2 5/27/2026 10:13:19 AM 12/01 /25 - 04/30/26 (REPORT PERIOD) (SUBMITTED BY) (SUBMIT DATE) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING 1 Contract Total $.00 $.00 $.00 $.00 $.00 9068 Project Cost - Unassigned $128,500.00 $66,979.12 $.00 $.00 $128,500.00 9069 PS Genl Admin charges $3,500.00 $.00 $.00 $.00 $3,500.00 - Unassigned Non - Match Total: $132,000.00 $665979.12 $.00 $.00 $1329000.00 PROGRAM APPROVAL Date (The individual signing this voucher warrants they have the authority to sign this voucher.) DOC DATE CURRENT REFERENCE DOC NO. VENDOR NUMBER and SUFFIX DOC. NO. SWV0002426 03 ACCOUNT NO. ASD NUMBER VENDOR MESSAGE 53421 TRANS REV MASTER SUB SUB MG MS GL ACCT SUB AMOUNT PROGRAM CODE CODE INDEX OBJ SUB SID INDEX OBJ 625FO320 NZ 64210 READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 5/27/2026 8:21:37 AM Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CIVIS Invoice ID: DEPARMENT OF 1030 25-64210-005 452344 COMMERCE C All Expenses under $1,000 Paid by UBI Paid by Organization Name Paid to Contractor Paid to UBI Paid to Organization Name Paid to Org Type ' Expense Type Amount Type Subcontractor Total Sub Subcontractor Total CDEG Public Services Expenditure Report Attachment 4-A 12/30125 Department of commerce Attn: CDBG Program Certification: l certify that the information on this form is a true and accurate report of the cash status and that all reported expenditures are properly chargeable to the referenced grant. Community Action Agency Subrecipient: Contract M Signature: Jic of Washington 25-64210-005 815 Fruitvale Blvd Report Period: Printed Name: Dereje Mekuria Yakima, WA 98902 Dec-25 Report M Tide: CFO " 31 Date: Total Amount Requested This Period: $6,155.68 1. Name of Service Program: Asset Development & other Asset Development MM amount requested or t ese program activities t is 1 period, $6,155.68'. Description of service program how low- and moderate -income (L ii) persons were served this period: Housing counseling, credit coaching, foreclosure services, business startup, financial education workshops and high school classes. Free tax -prep, 2. Name of Service Program: Energy Assistance amount requested or these program activities this period: $0.66 Description of service program how low- and moderate -income (L.MI) persons were served this period: Energy assistance and conservation education. 8. Name of Service Program: Indirect Admin amount requested or these program activities this period: $0.06 Description of service program how low- and moderate -income (Ll11ll) persons were served this period: General administration expenses associated with managing energy assistance and asset development activities oversight and assessments. Indirect admin. 4. dame of Service Program: Contract Recipient General Prog Admin CDBG amount requested or these program activities this ----- period: $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period: Description Account SALARY ADM. ALLOCATION 5001 P/R TAX & BEN. ADM ALLOC. 5005 SALARIES 5000 FICA 5002 L & I 5003 STATE UCI(ES) 5004 PFML 5006 MEDICAL INS. 5008 PENSION 5010 ACCRUED PTO 5011 HSA 5015 FRINGE BENEFIT 5016 CONSULTANT,CONTR.SERV. 5101 WEBSITE DESIGN & HOSTING 5103 CONSUMABLES 5400 EQUIPMENT 5402 DRUG/ALCOHOL SCREEN 5911 COMMUNICATION 5923 SALARIES 5000 FICA 5002 L & I 5003 STATE UCI(ES) 5004 PFML 5006 MEDICAL INS. 5008 PENSION 5010 ACCRUED PTO 5011 HSA- 5015 Total GL Reports From,MIP Reporting System IWW26 Y7D CurrentMonthly 12/31/26 WD Previous Months. Expenditures Expense Expenditures Adjustments $ $ $ $ $ $ m $ 4,961.79 $ 4,961.79 $ $7$ - 437.37 $ 437.37 $ $ $ 44.98 $ 44.98 $ $ $ 31.79 $ 31.79 $ $ $ 38.77 $ 38.77 $ $ 412.97 $ 412.97 $ $ $ 220.51 $ 220.51 $ $ $ 7.50 $ 7.50 $ $ $ $ - $ - $ - $ .6,155.68 6,,155.68 BittingSummari YTD Bitted 05 Public Services $ Total $ Previous Months. Current Monthly Exp Adjustments $ 6,155.68 $ $ -6,155.68 $ Budget YTD Billed Budget Balance 05 Public Services $ 128,500.00 $ 6,155.68 $ 1228344.32 Total Billing 12f2025 $ $ 4,961.79 $ 437.37 $ 44.98 $ 31.79 I$ 38.77 $ 412.97 $ 220.511 $ 7.50 $ $ $ $ $ $ $ i$ 6,155.68 7D Expensed By Category $ 69155-68 Non -Bitted, Total Bluing IV2025 $ 6,155.68 Total YTD %." 'Expenses Per GIL (6,155.68) Less YTD Bitted Difference Opportunities Industrialization Center of Washington General Ledger Transactions 12/1/25-12/31/25 500 - CDBG PS 2025 - GRANT YEAR 2025 00 - GENERAL Category Depart... Program Code Category Title Code Code GL Code GL Title 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5000 SALARIESMAGES EXPENSE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5002 PICA,OIC EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5003 L AND I,OIC SNARE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5004 STATE UCI(ES),OIC EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5006 PAID FAMILY MEDICAL LEAVE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5010 PENSION,OIC EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5011 ACCRUED PTO EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5015 HSA Total 23 PROGRAM SUPPORT (OPERATIONS) Total 2025 - GRANT YEAR 2025 Report Total ❑chit rrorlil 4,961.79 437.37 44.98 31.79 38.77 412.97 220.51 7.50 6,155.68 0.00 6,155.68 0.00 6,155.68 0.00 Date: 5126/26 11:04:06 AM Page:1 CDBG Public Services Expenditure Report Attachment 4-A 12/30/25 Department of Commerce Attn: CDBG Program Certification: I certify that the information on this form is a true and accurate report of the cash status and that all reported expenditures are properly chargeable to the referenced grant. Community Action Agency Subrecipient: Contract #: Signature: 'A_ OIC of Washington 25-64210-005 815 Fruitvale Blvd Report Period: Printed Name: Dereje Mekuria Yakima, WA 98902 Jan-26 Report #: Title: CFO 32 Date: 5/27/2026 Total Amount Requested This Period: $13,226.36 1. Name of Service Program: Asset Development & Other Asset Development CDBG amount requested for these program activities this period: $13, 226.36 Description of service program how low- and moderate -income (LMI) persons were served this period: Housing counseling, credit coaching, foreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep. 2. Name of Service Program: Energy Assistance amount requested for these program activities this period: $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period: Energy assistance and conservation education. 3. Name of Service Program: Indirect Admin CDBG amount requested for these program activities this period: $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period: General administration expenses associated with managing energy assistance and asset development activities oversight and assessments. Indirect admin. 4. Name of Service Program: Contract Recipient General Prog Admin. CDBG amount requested for these program activities this 11period: $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period: i' Description t Account SALARY ADM. ALLOCATION 5001 PIR TAX & BEN. ADM ALLOC. 5005 SALARIES 5000 FICA 5002 L & I 5003 STATE UCI(ES) 5004 PFML 5006 MEDICAL INS. 5008 PENSION 5010 ACCRUED PTO 5011 HSA 5015 FRINGE BENEFIT 5016 CONSULTANT,CONTR.SERV. 5101 WEBSrrE DESIGN & HOSTING 5103 CONSIUMABLES 5400 EQUIPMENT 5402 DRUG/ALCOHOL SCREEN 5911 COMMUNICATION 5923 SALARIES 5000 FICA 5002 L&I 5003 STATE UCI(ES) 5004 PFML 5006 MEDICAL INS. 5008 PENSION 5010 ACCRUED PTO 5011 HSA 5015 Total 500 - CDBG PS GL Reports From MIP Reporting System 1=1125 Y7D Current Monthly 01=26 Y7D Previous Months. Expenditures expenditures Expense Expenditures Afflustments m 4,961.79 $ 8,764.44 $ 13,726.23 $ $7$ 437.37 $ 720-12 $ 1,157.49 $ $ 44.98 $ 118.90 $ 163.88 $ $ 31.79 $ 118-59 $ 150.38 $ $ 38.77 $ 79.77 $ 118.54 $ $ - $ 1,849.40 $ 1,849.40 $ $ 412.97 $ 691.76 $ 1,104.73 $ $ 220.51 $ 703.38 $ 923.89 $ $ 7.50 $ 180.00 $ 187.50 $ $ $ $ $ $ $ $ $ $ $ 6J5.68 13=6*'96*-$-- l9o382.04 05 Public Services $ Total $ YM Bitted Current Monthly Exp, 6,155-68 $ 13,226-36 St155.681 $ 13,226.36 Previous Months. Adjustments Budget _, YTD Bitted Budget Balance 05 Public Services $ 128,500.00 ' $ 19,382.04 $ 109,117.96 Total Billing OW026 $ 8,764.44 $ 720.12 $ 118.90 $ 118.59 1 $ 79.771 $ 1,849.40 $ 691.76 $ 703.38 $ 180.00 $ $ $ 13,226.36 W Expensed By Category $ 19,382.04 Non -Bitted Total Billing OV2026 $ 13,226.36 139226A.. Total %ffD 19.38ZOV Expenses Per GIL (19,382.04) Less YM Bitted Difference Opportunities industrialization Center of Washington General Ledger Transactions 1/1/26 - 1/31/26 500 - CDBG PS 2025 - GRANT YEAR 2025 00 - GENERAL Category Depart... Program Code Category Title Code Code GL Code GL Title 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5000 SALARIES,WAGES EXPENSE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5002 FICA,OIC EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5003 L AND I,OIC SHARE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5004 STATE UCI(ES),OIC EXP 23 PROGRAM SUPPORT- (OPERATIONS) 005 12 5006 PAID FAMILY MEDICAL LEAVE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5010 PENSION,OIC EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5011 ACCRUED PTO EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5015 HSA Total 23 PROGRAM SUPPORT (OPERATIONS) Total 2025 - GRAM' YEAR 2025 Report Total Mesklf f,retrlCl 8,764.44 720.12 118.90 118.59 79.77 691.76 703.38 180.00 11,376.96 0.00 11,376.96 0.00 11,376.96 0,00 o•* 1 1 = 376 • 96"" 1'849.40+ 134226°36* I Date: 5/26126 11:16:47 AM Page: 1 Opportunities Industrialization Center of Washington General Ledger Transactions 1/1/26-1/31/26 2025 - GRANT YEAR 2025 jr 500 - CDBG PS 00 - GENERAL Category Code Category Title 23 PROGRAM SUPPORT (OPERATIONS) Total 23 PROGRAM SUPPORT (OPERATIONS) Report Total Depart... Program Code Code GL Code GL Title 005 12 5008 MEDICAL INSURANCE,OIC EXP Total 2025 - GRANT YEAR 2025 Debit Credit 1,849.90 1,849.40 0.00 1,849.40 0.00 1,849.400.00 Date: 5126/2611:24:57 AM Page: 1 CDBG Public Services Expenditure Report Attachment 4-A 12130125 Department of Commerce Attn: CDBG Program Certification: [certify that the information on this form is a true and accurate report of the cash status and that all reported expenditures are properly chargeable to the referenced grant. Community Action Agency Subrecipient: Contract #: Signature: OIC of Washington 25-64210-005 815 Fruitvale Blvd Report Period: Printed Name: Dereje Mekuria Yakima, WA 98902 Feb-26 Report #: Title: CFO, 33 Date: - Total Amount Requested This Period: $17,700M 1 Name of Service Program-, Asset Development & Other Asset Development DBG amount requested for these program _activities this period: S17,700.00. Description of service program how low- and moderate -income (LMI) persons were served this period, Housing counseling, credit coaching, foreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep. 2, Name of Service Program- Energy Assistance amount requests a for these program activities this period.- SOM Description of service program how low- and moderate. -Income (LMI) persons were served this period- Energy assistance and conservation education. 3. Name of Service Program-. Indirect Admin CMIG amount requested for these program activities this . llperiod; $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period: General administration expenses associated with managing energy assistance and asset development activities oversight and assessments. Indirect admin. 4. Name of Service Program. Contract Recipient General Prog Admin. CDBG amount requests a f6r these program activities this 1period: $0.001 Description of service program how low- and moderate -income (LMI) persons were served this period: Description Account SALARY ADM. ALLOCATION 5001 P/R TAX & BEN. ADM ALLOC. 5005 SALARIES 5000 FICA 5002 L & I 5003 STATE UCI(ES) 5004 PFML 5006 MEDICAL INS. 5008 PENSION 5010 ACCRUED PTO 5011 HSA 5015 FRINGE BENEFIT 5016 CONSULTANT,CONTR.SERV. 5101 WEBSITE DESIGN & HOSTING 5103 CONSIUMABLES 5400 EQUIPMENT 5402 DRUGIALCOHOL SCREEN 5911 COMMUNICATION 5923 SALARIES 5000 FICA 5002 L & I 5003 STATE UCI(ES) 5004 PFML 5006 MEDICAL INS. 5008 PENSION 5010 ACCRUED PTO 5011 HSA 5015 Total 500 - CDBG PS GIL Reports From MI P Reporting System 01131126 VTV CimentMonthly 02/28126 VTV Previous Months. ftep(Otures Expense Expendittires old, dstments 13,726.23 $ 11,561.83 $ 25,288.06 $ .7$ $ 1,157.49 $ 901.67 $ 2,059.16 $ $ 163.88 $ 160.37 $ 324.25 $ $ 150.38 $ 149.90 $ 300.28 $ $ 118.54 $ 100.87 $ 219.41 $ $ 1,849.40 $ 2,772.88 $ 4,622-28 $ $ 1,104.73 $ 874.62 $ 1,979-35 $ $ 923.89 $ 957.86 $ 1,881.75 $ $ 187.50 $ 220-00 $ 407.50 $ $ = $ $ $ $ $ $ • $ $ $ $ $ $ $ $ $ • $ • $ 199382.04 17,700.00 37,082.64 -$ Total Billing 0;72/2026 $ 11,561.83 $ 901.67 $ 160-37 $ 149.90 $ 100.87 $ 2,772.88 $ 874.62 $ 957.861 $ 220.00 $ $ $ $ 17,700.0 TD Expensed By Category $ 37,082.04 -17.700A Bittingsummary Previous Months. YT13 Billed Current Monthly Exp 1 Adjustments Non -Bitted Total Bitting 02/2026 05 Public Services $ 19,382.04 $ 17,700.00 $ $ $ 17,700.001 Total $ 19,382.04_1 $ :17,700.00 $ 44 $ 17,700.00 Total Expenses Per GL Budget YTD Bitted Budget Balance $ (37,082.04) Less YTD Billed 05 Public Services $ 128,500.00 $ 370082.04 $ 91,417.96 $ Difference Opportunities Industrialization Center of Washington General Ledger Transactions 2/1/26 - 2/28/26 2025 - GRANT YEAR 2025 500 - CDBG PS 00 - GENERAL Category Depart... Program Code Category Title Code Code GL Code GL Title Debit Credit 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5000 SALARIES,INAGES EXPENSE 11,561.83 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5002 FICA,OIC EXP 901.67 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5003 L AND I,OIC SNARE 160.37 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5004 STATE UCI(ES),OIC EXP 149.90 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5006 PAID FAMILY MEDICAL LEAVE 100.87 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5010 PENSION,OIC EXP 874.62 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5011 ACCRUED PTO EXP 957.86 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5015 MSA 220.00 Total 23 PROGRAM SUPPORT (OPERATIONS) 14,927.12 0.00 Total 2025 - GRANT YEAR 2025 14,927.12 0.00 0001- Report Total 14,927.12 / 0.00 ®.*_ 14+927°12+, 21,772.88+ 1 7' 700 m CEO* ! Date: 5/26/2611:18:26 AM Page: 1 Category Code Category Title 23 PROGRAM SUPPORT (OPERATIONS) Total 23 PROGRAM SUPPORT (OPERATIONS) Report Total Opportunities Industrialization Center of Washington General Ledger Transactions 2/1/26 - 2128/26 2025 - GRANT YEAR 2025 500 - CDBG PS 00 - GENERAL Depart... Program Code Code GL Code GL Title 005 12 5008 MEDICAL INSURANCE,OIC EXP Total 2025 - GRANT YEAR 2025 Debit Credit 2,772.88 2,772.88 0.00 2,772.88 0.00 2,772.88/ 0.00 Date: 5/26/2611:26:50 AM Page: 1 CDBG Public Services Expenditure Report Attachment 4-A 12130/25 Department of Commerce Attn: CDBG Program Certification: I certify that the information on this form is a true and accurate report of the cash status and that all reported expenditures are properly chargeable to the referenced grant. Community Action Agency Subrecipient: Contract #. Signature: OIC of Washington 25-64210-005 815 Fruitvale Blvd Report Period: Printed Name: Dereje Mekuria Yakima, WA 98902 Mar-26 Report #: Title: CFO 34 Date: Total Amount Requested This Period: $16,411 1 Name of Service Program" Asset Development & Other Asset Development amount requested for these program activities _this _____ 1period, S 16,411 874 Description of service program how low- and moderate -income (LMI) persons were served this period- Housing counseling, credit coaching, foreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep- - ---------- 2- Name of Service Program- Energy Assistance CDBG amount requested or -ttlese- program acbVffti_&s_ffiis 1period, $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period.; Energy assistance and conservation education 3 Name of Service Program- Indirect Admin COBG amount requestsorthese program activities this [pe�rio'cd: $0,00 Description of service program how low- and moderate -income (LMI) persons were served this period- General administration expenses associated with managing energy assistance and asset development activities oversight and assessments. Indirect admin. 4. Name of Service Program, Contract Recipient General Prog Admin. CDBG amount requested T57_ffiese program activities- s llperiod; $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period: 500 - CDBG PS 0212WS VTD Description Account E 171 rl IT 0".. T i SALARY ADM. ALLOCATION 5001 $ P/R TAX & BEN. ADM ALLOC. 5005 $ Asset Development &.Other, Asset Developmew, SALARIES 5000 $ FICA 5002 $ L & I 5003 $ STATE UCI(ES) 5004 $ PFML 5006 $ MEDICAL INS. 5008 $ PENSION 5010 $ ACCRUED PTO 5011 $ HSA 5015 $ FRINGE BENEFIT 5016 $ CONSULTANLCONTR-SERV. 5101 $ WEBSITE DESIGN & HOSTING 5103 $ CONSUMABLES 5400 $ EQUIPMENT 5402 $ DRUG/ALCOHOL SCREEN 1 5911 9 $ $ COMMUNICATION 9 23 5923 $ SALARIES 5000 $ FICA 5002 $ L & I 5003 $ STATE UCI(ES) 5004 $ PFML 5006 $ MEDICAL INS. 5008 $ PENSION 5010 $ ACCRUEDPTO 5011 $ HSA 5015 $ Total tt 25,288.06 $ 2,059.16 $ 324.25 $ 300.28 $ 219.41 $ 4,622.28 1,979.35 $ 1,881.75 407.50 GL Reports From M I P Reporting Wem CuffentMonthly 0MV26 Y7D Previous Months. Expense Expenditure! AdJustments 13,545.14 $ 38,833.20 $ 1,070.79 $ 3,129.95 $ 201.15 $ 525.40 $ 176.07 $ 476.35 $ 118.43 $ 337.84 $ $ 4,622-28 $ 1,027.04 $ 3,006.39 $ $ 1,881.75 $ 240.00 $ 647.50 $ 33.25 $ 33.25 $ 17-v082.04 162411.0 63.493.91 1 ItIngSummW Previous Months. YTD Billed Current Monthly Exp Adjustments Non -Bitted 05 Public Services $ 370082.04 16,411.87 $ $ Total $ 37,082.04 $ 16v411.87 $ $ Budget YTD Bitted Budget Balance 05 Pubilc Services $ 128,500.00 $ 53,493-91 $ 75,006.09 To (at Billing 0312026 $ $ 13,545.14 $ 1,070.791 $ 201.15 $ 176.07 $ 118.43 $ 1,027.04 $ 240.00 $ 33.25 $ • $ $ $ 16,411.8 Total, BILUng 03/2026 W Expensed By Category 53t493.91 16A11.87 16;4" Total YTD 3 .W Expenses Per GL (539493.91) Less YTD Bitted Difference Opportunities Industrialization Center of Washington General Ledger Transactions 3/1/26 - 3/31/26 500 - CDBG PS 2025 - GRANT YEAR 2025 00 - GENERAL Category Depart... Program Code Category Title Code Code GL Code GL Title 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5000 SALARIES,WAGES EXPENSE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5002 FICA,OIC EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5003 LAND I,OIC SHARE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5004 STATE UCI(ES),OIC EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5006 PAID FAMILY MEDICAL LEAVE 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5010 PENSION,OIC EXP 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5015 HSA 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5016 Fringe Benefit Total 23 PROGRAM SUPPORT (OPERATIONS) Total 2025 - GRANT YEAR 2025 Report Total Debit Credit 13,545.14 1,070.79 201.15 176.07 118.43 1,027.04 240.00 33.25 16,411.87 0.00 16,411.87 0.00 16,411.87 0.00 Date: 5/26/26 11:19:26 AM Page: 1 CDBG Public Services Expenditure Report Attachment 4-A 12/30/25 Department of Commerce Attn: CDBG Program Certification: I certify that the information on this form is a true and accurate report of the cash status and that all reported expenditures are properly chargeable to the referenced grant. Community Action Agency Subrecipient: Contract M Signature: OIC of Washington 25-64210-005 815 Fruitvale Blvd Report Period: Printed Name: Dereje Mekuria Yakima., WA 98902 Apr-26 Report #: 35 Title: CFO Date* " IZ� Total Amount Requested This Period: $13,485.21 1 Name of Service Program- Asset Development & Other Asset Development D137ahidunt reques - t -&-d--fdr- these program activities this I period.- $13,485.21 Description of service program how low- and moderate -income (LMI) persons were served this period., Housing counseling, credit coaching, foreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep 2 Name of Service Program, Energy Assistance CDBG amount requested for these program activities this 11period: $0.00 Description of service program how low- and moderate -Income (LMI) persons were served this period- Energy assistance and conservation education, 3 Name of Service Program: Indirect Admin aamount requested art hese program activ -iffi-s- 1period: $6,60 Description of service program how low- and moderate -income (LMI) persons were served this period: General administration expenses associated with managing energy assistance and asset development activities oversight and assessments. Indirect admin, 4. Name of Service Program: Contract Recipient General Prog Admin. G amount requested for these program activities this period: $0.00 Description of service program how low- and moderate -income (LIVID persons were served this period: Description Account 1 SALARY ADM. ALLOCATION 5001 P/R TAX & BEN. ADM ALLOC. 5005 SALARIES 5000 FICA 5002 L & I 5003 STATE UCI(ES) 5004 PFML 5006 MEDICAL INS. 5008 PENSION 5010 ACCRUED Pro 5011 HSA 5015 FRINGE BENEFIT 5016 CONSULTANT,CONTR.SERV. 5101 WEBSITE DESIGN & HOSTING 5103 CONSUMABLES 5400 EQUIPMENT 5402 DRUG/ALCOHOL SCREEN 5911 COMMUNICATION 5923 Assistance En e'rgy SALARIES 5000 FICA 5002 L & I 5003 STATE UCI(ES) 5004 PFML 5006 MEDICAL INS. 5008 .PENSION 5010 ACCRUED PTO 5011 HSA 5015 Total 500 - CDBG PS GL Reports From MIP Reporting System 03/.32� YID Current Monthly 04/30/26YTD Pfevlous Months. rExperidifitrres Expense Expenditures Adjustments r $ 38,833.20 $ 11,395.88 $ 50,229.08 $ - $ 3,129.95 $ 861.80 $ 30991.75 $ - $ 525.40 $ 168.07 $ 693.47 $ - $ 476.35 $ 142.09 $ 618.44 $ - $ 337.84 $ 95.60 $ 433.44 $ - $ 40622.28 $ . $ 4,622.28 $ - $ 3,006.39 $ 821.77 $ 3,828.16 $ - $ 1,881.75 $ - $ 1,881.75 $ . $ 647.50 $ - $ 647.50 $ - $ 33.25 $ 33.25 $ - $ $ - $ - 53*493.91 $ '149485.21 $ 66,979.12 $ - 05 Public Services $ Total $ YTD Bitted Current Monthly Exp 53,493.91 $ 13,485.21 531,493.91 $ 139485.21 ! Previous Months. Adjustments $ - Budget YTD Bitted Budget Balance 05 Public Services $ 128,500.00 1 $ 66,979.12 $ 61,520.88 Total Bi[UngO412026 YTD Expensed By Category 11 11,395.88 861.80 168.07 142.09 95.60 821.77 S 66,978.12 Non -Bitted Total 811ling 0412026 $ - $ 1%485.21 $ - $ 13�,485,21 Total YTD 66,M4 2 Expenses Per GL $ (66,979.12) Less YTD Billed $ - Difference Opportunities Industrialization Center of Washington General Ledger Transactions 4/1/26 - 4/30/26 500 - CDBG PS 2025 - GRANT YEAR 2025 00 - GENERAL Category Depart... Program Code Category Title Code Code GL Code GL Title Debit Credit 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5000 SALARIES,WAGES EXPENSE 110395.88 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5002 FICA,OIC EXP 861.80 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5003 LAND I,OIC SHARE 168.07 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5004 STATE UCI(ES),OIC EXP 142.09 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5006 PAID FAMILY MEDICAL LEAVE 95.60 23 PROGRAM SUPPORT (OPERATIONS) 005 12 5010 PENSION,OIC EXP 821.77 Total 23 PROGRAM SUPPORT (OPERATIONS) 13,485.21 0.00 Total 2025 - GRANT YEAR 2025 13,485.21 0.00 Report Total 13,485.21 0.00 Date: 5/26/2611:20:55 AM Page: 1