+----------------------+-----------+----------+-----+-----+----+------+
| # Grantee Name:      | *         | **Actual | ##  |     |    |      |
|                      | *Expected | Annual** | Res |     |    |      |
| **Program Year:**    | Annual    |          | our |     |    |      |
|                      | Number of | **Number | ces |     |    |      |
|                      | Units**   | of       |  us |     |    |      |
|                      |           | Units**  | ed  |     |    |      |
|                      | **To Be   |          | dur |     |    |      |
|                      | Co        | **Com    | ing |     |    |      |
|                      | mpleted** | pleted** |  th |     |    |      |
|                      |           |          | e p |     |    |      |
|                      |           |          | eri |     |    |      |
|                      |           |          | od  |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
|                      |           |          | **  | **  | *  | *    |
|                      |           |          | CDB | HOM | *E | *HOP |
|                      |           |          | G** | E** | SG | WA** |
|                      |           |          |     |     | ** |      |
+----------------------+-----------+----------+-----+-----+----+------+
| # BENEFICIARY GOALS  |           |          |     |     |    |      |
|                      |           |          |     |     |    |      |
| # (Sec. 215 Only)    |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Homeless households  |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Non-homeless         |           |          |     |     |    |      |
| households           |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Special needs        |           |          |     |     |    |      |
| households           |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| **Total Sec. 215     |           |          |     |     |    |      |
| Beneficiaries\***    |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| # RENTAL GOALS       |           |          |     |     |    |      |
|                      |           |          |     |     |    |      |
| # (Sec. 215 Only)    |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Acquisition of       |           |          |     |     |    |      |
| existing units       |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Production of new    |           |          |     |     |    |      |
| units                |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Rehabilitation of    |           |          |     |     |    |      |
| existing units       |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Rental Assistance    |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| **Total Sec. 215     |           |          |     |     |    |      |
| Affordable Rental**  |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| # HOME OWNER GOALS   |           |          |     |     |    |      |
|                      |           |          |     |     |    |      |
| # (Sec. 215 Only)    |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Acquisition of       |           |          |     |     |    |      |
| existing units       |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Production of new    |           |          |     |     |    |      |
| units                |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Rehabilitation of    |           |          |     |     |    |      |
| existing units       |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Homebuyer Assistance |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| **Total Sec. 215     |           |          |     |     |    |      |
| Affordable Owner**   |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| # COMBINED           |           |          |     |     |    |      |
|  RENTAL AND OWNER GO |           |          |     |     |    |      |
| ALS (Sec. 215 Only)  |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Acquisition of       |           |          |     |     |    |      |
| existing units       |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Production of new    |           |          |     |     |    |      |
| units                |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Rehabilitation of    |           |          |     |     |    |      |
| existing units       |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Rental Assistance    |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Homebuyer Assistance |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| **Combined Total     |           |          |     |     |    |      |
| Sec. 215 Goals\***   |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| **OVERALL HOUSING    |           |          |     |     |    |      |
| GOALS**              |           |          |     |     |    |      |
|                      |           |          |     |     |    |      |
| **(Sec. 215 + Other  |           |          |     |     |    |      |
| Affordable           |           |          |     |     |    |      |
| Housing)**           |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Annual Rental        |           |          |     |     |    |      |
| Housing Goal         |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| Annual Owner Housing |           |          |     |     |    |      |
| Goal                 |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+
| **Total Overall      |           |          |     |     |    |      |
| Housing Goal**       |           |          |     |     |    |      |
+----------------------+-----------+----------+-----+-----+----+------+