Grant Type and Number Capital Fund Program Grant No. MN46P Replacement Housing Factor Grant No. Date of CFFP:

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Part I: Summary Type of Grant Date of CFFP: FFY of Grant: FFY of Grant Approval: X Original Annual Statement Reserve for Disasters/Emergencies Revised Annual Statement (Revision No: ) Line Performance and Evaluation Report for Period Ending: Summary by Account Final Performance and Evaluation Report 1 Total non-cfp 2 1406 Operations (may not exceed 20% of line 20)(3) 3 1408 Management Improvements 4 1410 Administration (may not exceed 10% of line 20) 5 1411 Audit 6 1415 Liquidated Damages 7 1430 Fees and Costs 8 1440 Site Acquisition 9 1450 Site Improvement 10 1460 Dwelling Structures 11 1465.1 Dwelling Equipment-Nonexpendable To be completed for the Performance and Evaluation Report To be completed for the Performance and Evaluation Report or a Revised Annual Statement (3) PHAs with under 250 units in management may use 100% of CFP Grants for operations (4) RHF funds shall be include here

Part I: Summary Type of Grant Date of CFFP: FFY of Grant: FFY of Grant Approval: X Original Annual Statement Reserve for Disasters/Emergencies Revised Annual Statement (Revision No: ) Line Performance and Evaluation Report for Period Ending: Summary by Account Final Performance and Evaluation Report 12 1470 Non-dwelling Structures 13 1475 Non-dwelling equipment 14 1480 General Capital Fund 15 1485 Demolition 16 1492 Moving to Work Demonstration 17 1495.1 Relocation Costs 18a 1499 Activities (4) 18ba 1501 Collateralization or Debt Service paid by the PHA 19 9000 Collateralization or Debt Service paid via System of Direct Payment 20 1502 Contingency (may not exceed 8% of line 20) 21 Amount of Annual Grant: (sum of lines 2-20) To be completed for the Performance and Evaluation Report To be completed for the Performance and Evaluation Report or a Revised Annual Statement (3) PHAs with under 250 units in management may use 100% of CFP Grants for operations (4) RHF funds shall be include here

Part I: Summary Type of Grant Date of CFFP: FFY of Grant: FFY of Grant Approval: X Original Annual Statement Reserve for Disasters/Emergencies Revised Annual Statement (Revision No: ) Line Performance and Evaluation Report for Period Ending: Summary by Account Final Performance and Evaluation Report 22 Amount of line 21 Related to LBP Activities 23 Amount of line 21 Related to Section 504 Activities 24 Amount of line 21 Related to Security - Soft Costs 25 Amount of line 21 Related to Security - Hard Costs 26 Amount of line 21 Related to Energy Conservation Measures Signature of Executive Director /S/ MRK620 Date 10/16/2017 Signature of Public Housing Director Date To be completed for the Performance and Evaluation Report To be completed for the Performance and Evaluation Report or a Revised Annual Statement (3) PHAs with under 250 units in management may use 100% of CFP Grants for operations (4) RHF funds shall be include here

MN212000002 - WHISPERING PINES Seal Coat & Patch - Whispering Pines ( Dwelling Unit-Site Work (1480) ) $2,800.00 New Walk & Drain Tile - 2349 Wimbledon Bay ( Dwelling Unit-Site Work (1480) ) $16,000.00 Deck Demolition - 2218 Tower Court ( Dwelling Unit-Exterior (1480) ) $6,000.00 MN212000002 - WHISPERING PINES Security Cameras - Whispering Pines ( Non- Dwelling Interior (1480) ) $6,917.00 To be completed for the Performance and Evaluation Report or a Revised Annual Statement To be completed for the Performance and Evaluation Report

Bathroom Rehab 1st & 2nd floors - 8534 Imperial ( Dwelling Unit-Interior (1480) ) $11,000.00 Kitchen Rehab - 8534 Imperial ( Dwelling Unit-Interior (1480) ) $13,000.00 Bathroom Rehab - 8457 Grafton ( Dwelling Unit-Interior (1480) ) $1,800.00 Kitchen Rehab - 8457 Grafton ( Dwelling Unit- Interior (1480) ) $4,500.00 To be completed for the Performance and Evaluation Report or a Revised Annual Statement To be completed for the Performance and Evaluation Report

Siding, Window and Paint - 1450 Granada Ave ( Dwelling Unit-Exterior (1480) ) $6,000.00 Bathroom Rehab - 1492 Granada Ave ( Dwelling Unit-Interior (1480) ) $3,000.00 Bathroom Rehab 1st floor & Basement - 2231 Hallmark Ave ( Dwelling Unit-Interior (1480) ) $9,617.00 Kitchen Rehab - 8204 Grange ( Dwelling Unit- Interior (1480) ) $3,000.00 To be completed for the Performance and Evaluation Report or a Revised Annual Statement To be completed for the Performance and Evaluation Report

Bathroom Rehab - 8204 Grange ( Dwelling Unit-Interior (1480) ) $7,000.00 Bathroom Rehab - 6361 Alderwood Plaza ( Dwelling Unit-Interior (1480) ) $2,530.00 Not associated with any specific development Op Sub and Non-HUD ( Operations (1406) ) $1.00 Not associated with any specific development Tenant Damages ( Dwelling Unit-Interior (1480) ) $1.00 To be completed for the Performance and Evaluation Report or a Revised Annual Statement To be completed for the Performance and Evaluation Report

Total: $93,166.00 To be completed for the Performance and Evaluation Report or a Revised Annual Statement To be completed for the Performance and Evaluation Report

Part III: Implementation Schedule for All Fund (Quarter Ending Date) Original Obligation End Date Actual Obligation End Date All (Quarter Ending Date) Original Expenditure End Date Actual Expenditure End Date Reasons for Revised Target Dates Obligation and expenditure end dated can only be revised with HUD approval pursuant to Section 9j of the U.S, Housing Act of 1937, as amended.