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Real Alternatives. Empowering Wemen for Life. Invoice No: IND-1015-0001 Sold To: Indiana State Department of Health Invoice Date: 11/30/15 ATTN: Finance (Purchasing, 26 ‘Order Number: 0015523208 2. Meridan Street Fund: 619101871813 305000 Indianapolis, IN. 46204 Description of Services Personal Services Federal ID: 23-2868660 Contract Period: 10/172015 - 973072016 Contract Amount: '$3,500,000.00 Contract Number: AT0-5-041137 Date of Services: 10/1/2018 - 10/31/2015 Payment requested for: Real Alternatives, nc. Description of Services and Total Paic $98,748.89 See attached detailed charges required bby ISDH program Project Code: NA Activity Code: NA 7810 Aleniown Soutevard, Suite 304, Harbury, PA 7112 THT Set-it2 V)_THT-SHNT IS) wre RealAtematves.o9 + woew LoveFacs org > wi ConcemedParents com ‘tatiana Peg St Pret sae Preart 8 CEO Soy weet Sse ootot Orener 3 Fe Stey ‘Seno accnsnat| Soy Sonor Acourtare Soy Soy Veet Opens ‘Snr Ins Sere Osan Sour, Sewer Cowanaar Saar Sores Pn goon Sev ote Comer Simca! Foege nse Se Fine Ones Fone Pape ses od Payot ares Foe one Cone Fone Person Fae Emloye Gop ne Fieve loys Ge nt To sora Sato Supes fen Expense Sarps Siieies Show eurmon ar Sweples —_Pagnancy fen ona The ‘Account contig Somce Copa Contac Gartacs lectus SerrreConence Genrocs ——_ Sanmts carey Gonrace Sirus Gotanoe Somting oer Presson Devoe Sher ‘ho srecing Sree ewer scene Shee Poapesheoen, Sree few Sree ‘eres Sere Shee Geer ass Usbty ne Seer ‘recone. 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Si30m000 ‘tee Sa0%0 200 7 sco sooo 300000 0000 ‘Beco Soom Sener Sea 9 Sanne ‘90090 ‘Sonn Som00 Sones Ssom000 Sisorao $0000 Besse iso ooo waa retro 00 200 Sco S00 60000, ost ord ‘3300.00, 3H ‘$296.08 S00 38 Sees si7s00 e530 Sse Em009 ee Siosee2 st30%00 sree sais $ioome sors eis “505000 Taso eo 20000 ‘32000 xd 00 soon. $1000 “1080009 sor7000 ert sien S2so0000 S2s00000 SERGE ae REBT 200000 szooma0 ss0000 178 ‘ames ss pe Pad mawsmo = sams sess 37000 3700080 sésom00 sSso0000 ean mon ait assent 200000 : 200000 ‘0000 = ‘000 5000 S000 s1S0000 sin suse 18 4600000, soar Steen 1 “0000 Sear Sosees 575000 mae ‘stats i200 ea suierse S000 Ss Hours Faz wis waa sano aon sou.08s0 soon 0 Sera S008 27 Real Alternatives ‘Actual Administrative Expenses Indiana: Fiscal Year 2015-16 [cost Category Budgeted Dollars | Actual Expenses] _ Remaining Cost Personnel octas | Nov-2015 to Sep-2016 President & CEO 358,000.00 ssaiso[§ 52,458.41 [vP of Administration $13,000.00 259.88 12,740.16 [assistant Director of Finance $0.00 - = [Senior Accountant $3,000.00 = 3,000.00 Dunior Accountant $2,000.00 = 2,000.00 Bookkeeper $3,000.00 EEE] 297187 Professional Development $2,000.00 2,000.00 Payrol Taxes $6,500.00 5a 6,404.39 [Workers Compensation Insurance $300.00 3351 286.09, Pension $3,750.00 766.10 3583.90 [Employee Group insurance $13,000.00 876.85 72,123.15 lob Advertising $500.00 - $00.00 [New Employee Screening $250.00 5 250.00 Total Personnel 05,300.00 | $6,982.03 | $ 38,317.97 [Operating Budgeted Dollars [Accounting//Leqal Consulting $20,000.00 | $ = [5 20,000.00 Postage/Shipping $15,000.00 at 34,947.19 [auditing $3,500.00 170.76 3.32924 [Trave/Lodging $500.00 = 500.00 [Rent $46,000.00 3.87 25,480.13 Frelephone Senice $3,500.00 146.07 3,353.93 [General Business Uabilty insurance 3750.00 25.46, T2a58 linsurance-Directors & Officers 1,250.00 62.04 7187.96 ltfice Expense $81,700.00 29.83, 91,670.17 [computer Resources $25,000.00 = 25,000.00 Total Operating 3 207,200.00 |$ 100684 | $ 206,193.16 [Equipment Dollars [Equipment Service Contracts $500.00[§ 2223] $ a7 Total Administrative! 323,000.00 rT Real Alternatives ‘Actual Services Expenses Indiana: Fiscal Year 2015-16 (Cost Category, Budgeted Dollars | Actual Expenses| Remaining Cost (Personnel Oct-15 _ | Nov-2015 to Sep-2016 Vice President of Operations $aso0000[$ — 2a1487|s 22,885.13, Indiana Services Director $40,000.00 z 40,000.00 services Coordinator $4,000.00 EE] 3,647.71 Bling Coordinator $5,000.00, 63.00 4937.00 services Assistance 3,000.00 30.14 2,969.86 [service Provider Approval $5,000.00, 18.00 4982.00 [service Provider Monitoring — $5,000.00, 5,000.00 Hotline Counselor 4,000.00 56 3.95494 Payot Taxes $9,000.00, $6.47 3.903 53 Workers Compensation Insurance $500.00 1138 429.62 Pension $2,000.00, 6118 7,938.82 Employee Group Insurance 0,000.00, 398.75, 3{601.25 Total Personnel 3 is7s0000|$ —3isiia| 3 29 348.86 (Operating Budgeted Dollars [Ghent Eeveation Materials $120,000.00 |S = [$170,900.00 [services Advertising $485,000.00 5 485,000.00 [Mestings/Seminars/Conference 57,000.00 5 7,000.00 Hrave/Lodging To Service Provders| $10,000.00 = 70,000.00 Isrves Database Consulting & Dev $15,000.00 Be 1446875 [cient Service Providers 712,500.00 | 87,020.15 725,479 85 Fol fre Referral Systom $5,000.00 35.25 4968.75 [contract Closeout Cost $0.00 z : [Total Operating $__3,054,500.00|$ 87,586.65. 966,913.35. $2,966 913.35 Equipment ae [Pregnancy Test Kits $0.00 | $ — I$ = Total Services| 187,000.00 |$ 90,737.79 622.