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PART 2: Sources of Leveraging and Program income 1. Sources of Leveraging Report the source(s) of cash or in-kind leveraged federal, state, local or private resources identified in the Consolidated or Annual Plan and used in the delivery of the HOPWA program and the amount of leveraged dollars. In Column [1], identify the type of leveraging. Some common sources of leveraged funds have been provided as a reference point. You tray add Rows as necessary to report all sources of leveraged funds. Include Resident Rent payments paid by clients directly to private landlords. Do NOT include rents paid directly to a HOPWA program as this will be reported in the next section. In Column [2] report the amount of leveraged funds expended during the operating year. Use Column [3] to provide some detail about the type of leveraged contribution (e.g., case management services or clothing donations). In Column [4], check the appropriate box to indicate whether the leveraged contribution was a housing subsidy assistance or another form of support. Note: Be sure to report on the number of households supported with these leveraged funds in Part 3, Chart 1, Column A. A. Source of Leveraging Chart [2] Amount of Leveraged [3] Type of [4] Housing Subsidy T _ [l] Source of Leveraging Funds Contribution Assistance or Other Support - ,RubIicTuadti e ?Housing Subsidy Assistance Ryan White-Housing Assistance []Other Support ?Housing Subsidy Assistance Ryan White-Other []Other Support ?Housing Subsidy Assistance Housing Choice Voucher Program []Other Support ?Housing Subsidy Assistance Low Income Housing Tax Credit []Other Support ?Housing Subsidy Assistance HOME []Other Support ?Housing Subsidy Assistance Shelter Plus Care []Other Support ?Housing Subsidy Assistance Emergency Solutions Grant []Other Support ?Housing Subsidy Assistance Other Public: []Other Support ?Housing Subsidy Assistance Other Public: ?OtherSupport ?Housing Subsidy Assistance Other Public: []Other Support ?Housing Subsidy Assistance Other Public: []Other Support ?Housing Subsidy Assistance Other Public: []Other Support Private Funding ?Housing Subsidy Assistance Grants []Other Support ?Housing Subsidy Assistance In-kind Resources []Other Support ?Housing Subsidy Assistance Other Private: []Other Support ?Housing Subsidy Assistance Other Private: []Other Support Other Fundi ug _ ?Housing Subsidy Assistance Grantee/Project Sponsor/Subrecipient (Agency) Cash []Other Support R id R b Cli i L P P dl d es ent ent ent to r vate ayments an or TOTAL Sum of all Rows Previous editions are obsolete Page 8 form HUD-40110-1) (Expiration Date: 10/31/2014) 25D-23