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2b. Number and Type of HOPWA Capital Development Project Units (For Current or Past Capital <br />Development Projects that receive HOPWA Operating Costs this Reporting Year) <br />For units entered above in 2a. please list the number of HOPWA units that fulfill the following criteria: <br /> Number Designated Number <br />Designated to <br />Number Energy- <br /> for the Chronically <br />Assist the <br />Star Compliant Number 504 Accessible <br /> Homeless Homeless <br />Rental units constructed <br />(new) and/or acquired <br />with or without rehab <br />Rental units rehabbed <br />Homeownership units <br />constructed (if approved) <br />3. Units Assisted in Types of Housing Facility/Units Leased by Project Sponsor or Subrecipient <br />Charts 3a., 3b. and 4 are required for each facility, In Charts 3a. and 3b., indicate the type and number of housing units in the <br />facility, including master leased units, project-based or other scattered site units leased by the organization, categorized by the <br />number of bedrooms per unit. <br />Note: The number units may not equal the total number of households served. <br />Please complete separate charts for each housing facility assisted. Scattered site units may be grouped together. <br />3a. Check one only <br />? Permanent Supportive Housing Facility/Units <br />? Short-term Shelter or Transitional Supportive Housing Facility/Units <br />3b. Type of Facility <br />Complete the following Chart for all facilities leased, master leased, project-based, or operated with HOPWA funds during the <br />reporting year. <br />Name of Project Sponsor/Agency Operating the Facility/Leased Units: <br /> Total Number of Units in use during the Operating Year <br />Type of housing facility operated by the Cate orized b the Number of Bedrooms per Units <br />project sponsor/subrecipient SRO/Studio/0 <br /> <br />bdrm 1 bdrm 2 bdrm 3 bdrm 4 bdrm 5+bdrm <br />a. Single room occupancy dwelling <br />b. Community residence <br />c. Project-based rental assistance units or leased units <br />d. <br />Other housing facility <br /> Specify' <br />4. Households and Housing Expenditures <br />Enter the total number of households served and the amount ofHOPWA funds expended by the project sponsor/subrecipient on <br />subsidies for housing involving the use of facilities, master leased units, project based or other scattered site units leased by the <br />organization. <br />Housing Assistance Category: Facility Based Housing Output: Number of <br />Households Output: Total HOPWA Funds Expended during <br />Operating Year b Project S onsor/subreci lent <br />a Leasing Costs <br />b Operating Costs <br /> <br />C. Project-Based Rental Assistance (PBRA) or other leased <br />units <br />d Other Activity (if approved in grant agreement) Specify: <br /> <br />e Adjustment to eliminate duplication (subtract) <br /> <br />f• TOTAL Facility-Based Housing Assistance <br />Sum Ro%vs a. through d. minus Row c.) <br />Previous editions are obsolete Page 25 form IIUD-40110-D (Expiration Date: 10131/2014) <br />25D-40