CACFP ADE APPLICATION 10-1-2018 TO 9-30-2019.PDF

Maricopa County Head Start Program
Arizona Department of Education
Child and Adult Care Food Program (CACFP) Funding Application
October 1, 2018 to September 30, 2019
Application Funding amount not-to-exceed: $475,000
The Maricopa County Head Start program submitted an application to the Arizona Department of
Education (ADE) on 11/6/18 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. The Application was
submitted through an ADE database. The Head Start program received electronic approval of the
application on Dec 10, 2018.
Sponsor Information-Maricopa County Head Start Program
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 Unified School District; and Scottsdale Unified School District
Are you using a computer generated meal count system: No
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
Responsible Principals Name Birthdate Non-Business Mailing Address
Chairman of the Board Bill Gates
Executive Director Bruce Liggett
Assistant Director Eve DelReal
Head Start Nurse Chrisanda DeBois
Head Start Nutritionist Maureen Mason

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 $1,159,923.00 Yes
Anticipated Monthly CACFP Reimbursement: $39,000.00
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 (09CH010385/C-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 Head Start program
will utilize Head Start grant funds (09CH010385/C-22-16-011-G) & to reimburse the contracted School
Districts for services provided.
Budget Information
Budget Summary
Projected Annual CACFP Administrative Expenses
Administrative Cost – Labor $15,120
TOTAL $15,120
Projected Annual CACFP Operational Expenses
Operating Cost – Labor $64,260
Operating Cost – Food $608,081.95
TOTAL $672,341.95
Projected Annual Non-CACFP Income for Non-Profit Food Service
Total Projected Annual Non-Profit Food Service Costs $687,461.95
Projected Annual CACFP Reimbursement for upcoming Fiscal Year $475,000
Total Projected Funds required for Operations of a Non-Profit Food Service: This is $212,461.95
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