Annual Statement /Performance and Evaluation Report        
Capital Fund Program and Capital Fund Program Replacement Housing Factor (CFP/CFPRHF)  
Part I: Summary  
PHA  Name: Grant Type and Number   Federal FY of Grant:  2010    
Community Development Authority of the City of Madison Capital Fund Program Grant No:   WI39-P003-501-10    
Replacement Housing Factor Grant No:    
       Original Annual Statement                        Reserve for Disasters/Emergencies                       Revised Annual Statement (revision no.      )                                                               
    1134129
      Performance & Evaluation Report for Period Ending:                               Final Performance and Evaluation Report
Line                                       Total Estimated Cost                                                 Total Actual Cost  
No. Summary by Development Account Original Revised Obligated Expended
1 Total Non-CGP Funds        
2 1406 Operations 226,825.80 0.00 0.00 0.00
3 1408 Management Improvements 165,000.00 0.00 0.00 0.00
4 1410 Administration 113,412.90 0.00 0.00 0.00
5 1411 Audit 0.00      
6 1415 Liquidated Damages 0.00      
7 1430 Fees and Costs 2,772.64 0.00 0.00 0.00
8 1440 Site Acquisition 0.00      
9 1450 Site Improvement 168,927.61 0.00 0.00 0.00
10 1460 Dwelling Structures 361,238.60 0.00 0.00 0.00
11 1465.1 Dwelling Equipment-Nonexpendable 62,583.29   0.00 0.00
12 1470 Nondwelling Structures 0.00      
13 1475 Nondwelling Equipment 13,368.16 0.00 0.00 0.00 437,190.05
14 1485 Demolition 0.00      
15 1490 Replacement Reserve 0.00      
16 1492 Moving to Work Demonstration 0.00      
17 1495.1 Relocation Costs 0.00      
18 1499 Development Activities 0.00      
19 1501 Collaterization or Debt Service 0.00      
20 1502 Contingency 20,000.00 0.00 0.00 0.00  
21 Amount of Annual Grant (Sum of Lines 2-20) 1,134,129.00 0.00 0.00 0.00
22 Amount of line 21 Related to LBP Activities        
23 Amount of line 21 Related to Section 504 Compliance        
24 Amount of line 21 Related to Security - Soft Costs 144,134.00 0.00 0.00 0.00
25 Amount of line 21 Related to Security - Hard Costs        
26 Amount of line 20 Related to Energy Conservation Measures        
     Signature of Executive Director and Date   Signature of Public Housing Director/Office of Native American Programs Administrator and Date  
     X    X