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C-22-14-027-G-08 Maricopa County Head Start Program Arizona Department of Education Child and Adult Care Food Program (CACFP) Funding Application October 1, 2020 to September 30, 2021 The Maricopa County Human Services Department, Early Education Division - Head Start program submitted an application with Department of Education on September 30, 2020 to participate in the federally funded Child and Adult Food Program (CACFP). CACFP provides aid to child and adult care facilities for the provision of nutritious foods that contribute to the wellness, healthy growth, and development of young children and adults. Maricopa County Early Education Division received electronic approval of the application on November 23, 2021. Sponsor Information DUNS Number: 050391270 Federal ID Number: 86-6000472 Physical Address: 2150 S. Country Club Dr. Mesa AZ 85210 Mailing Address: 2150 S. Country Club Dr. Mesa AZ 85210 Authorized Representative: Chrisanda DeBois Email Address: chrisanda.debois@maricopa.gov Organization: Public-County Disbursements: if you operate multiple centers you must disburse CACFP reimbursements within five working days of receipt from ADE to centers under your administration. Indicate your system for disbursing payments: N/A (Centers are part of same legal entity and the organization maintains a central bank account) Subcontracts: Organizations may subcontract certain program functions. If you subcontract, you must keep records to demonstrate compliance with procurement requirements and you must submit a copy of each subcontract. Important note: You may not subcontract CACFP management functions, such as the preparation of application materials, monitoring, claim preparation, or corrective action processes. Check the functions you plan to subcontract. Food Service: Mesa Public Schools and Scottsdale Unified School District Are you using a computer generated meal count system: Yes Name of computer generated meal count system used: Child Plus Non-pricing programs are those in which the organization assigns no separate charges for meals served to enrolled participants. Pricing programs are those organizations that charge families separately for meals. Organizations must have a Pricing Policy Statement approved by ADE prior to operating a pricing program. Is Organization Pricing or Non-Pricing? Non-pricing Financial Viability Non-Business Responsible Principals Name Birthdate Mailing Address Owner N/A N/A N/A . Executive Director Bruce Liggett Assistant Director, Early Education Division Eve DelReal Head Start Nurse Chrisanda DeBois Head Start Nutritionist Maureen Mason Page 1 of 2 C-22-14-027-G-08 Projected Revenue Sources List the available funding sources you plan to use to operate CACFP in the event of interruption of repayments. All amounts should be specified as Monthly revenue and should be an estimate of the amount that will be available to CACFP, if needed. Source Monthly Amount Allowable for CACFP Maricopa County Head Start Base Grant $74, 377.50 Yes Anticipated Monthly CACFP Reimbursement: $57,300.00 Explain the organizations plan to sustain the CACFP in the event of a delay or interruption of Program funds: The Maricopa County Head Start program will utilize Head Start grant funds (09CH010385C-22-16-011-G) to reimburse the contracted School Districts for services provided. Explain the organizations plan for repayment of any outstanding debts resulting from Program reclaims or from costs exceeding CACFP claim reimbursement, should they occur. Note Federal and State Funds cannot be used for repayment of CACFP debt: The Maricopa County Human Services Department would utilize the departments appropriated general funds, should repayments of outstanding debts occur. Budget Information Budget Summary Projected Annual CACFP Administrative Expenses Administrative Cost – Labor $10,080 TOTAL $10,080 Projected Annual CACFP Operational Expenses Operating Cost – Labor $73,080 Operating Cost – Food $548,021 TOTAL $621,101 Projected Annual Non-CACFP Income for Non-Profit Food Service Total Projected Annual Non-Profit Food Service $631,181 Costs Projected Annual CACFP Reimbursement for $458,400 upcoming Fiscal Year Total Projected Funds required for Operations $172,781 of a Non-Profit Food Service: This is the amount that must be contributed by the organization to cover the costs that exceed CACFP income based on the information provided in this budget Page 2 of 2