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• <br /> 3 <br /> BENEFICIARY SUMMARY REPORT <br /> NSP1 Grantee: 08-F6401-004 Contract#: 08-F6401-004 <br /> Name and Phone of Person Jan Meston • Date: 8/2312012 <br /> Completing This Report: <br /> For 1, 2, and 3 below, count persons and ensure that the totals match. For 4 and 5, <br /> count households. <br /> NSP Activity Type Type A Type B Type B* Type D Type E Type E* <br /> DRGR Activity Number nia 03-8004 04-8004 n/a n/a • n/a <br /> 1. Total Persons Benefiting 4 7 <br /> 2. Ethnic Breakdown(persons) <br /> Hispanic/Latino 2 <br /> Non-Hispanic/Latino 4 5 <br /> Total by Ethnicity 4 7 <br /> 3. Racial Breakdown (persons) <br /> White 4 7 <br /> Black/African American <br /> Asian • <br /> American Indian/Alaskan Native <br /> Native Hawaiian/Other Pacific Islander <br /> American Indian/Alaskan Native and White <br /> Asian and White •_ <br /> Black/African American and White <br /> American Indian/Alaskan Native and <br /> Black/African American <br /> Other Multi-Racial <br /> Unknown <br /> Total by Race 4 7 <br /> 4. Low, Moderate, Middle Income Breakdown (households) <br /> Low Income(0-50%AMI) 2 4 <br /> Moderate Income(51-80%AMI) <br /> Middle Income(81-120%AM!) <br /> Total LMMI Served 2 4 <br /> 5. Group Breakdown (households) <br /> Female-Headed Households 3 <br /> Disabled/Special Needs Households 2 4 <br /> Homeless Households <br /> Total Served by Group 2 7 <br /> NSP1 Closeout Performance Report 23 Page 6 of 12 <br />