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Division: Community Services Division

Chinook Building
401 Fifth Ave., Suite 510
Seattle, WA 98104

Linda Peterson, Director
e-mail us
Phone: 206-263-9105
Fax: 206-296-0156
TTY: 711 Relay Service

Employee Directory

Department: Community and Human Services
Jackie MacLean, Director

2008 Annual Report Forms

Table 1, 1A, 2, & 3 are Due Saturday, January 31, 2009

Table 1 reports information about each unit (or bed) within your housing project, covering information on tenant households that resided in the housing during 2008. Tables 2, and 3 report aggregate information on all the units and tenant households served during 2008. Please pay special attention to the detailed instructions regarding each table. Contact the County staff listed below if you have any questions on how to complete the tables. Please complete a separate Excel Workbook for each project that received County funds, and indicate the housing project name on the table. Please use the Excel Workbook above.

E-mail your completed report forms to KCAPR@kingcounty.gov  no later than January 31, 2009. Earlier filing would be appreciated.
(see right)

Tables 4, 4A & 4B are Due Tuesday, JUNE 30, 2009

Tables 4, 4A and 4B report project income and expenses and project operating and maintenance reserve information. The *updated complete Excel Workbook (*workbook sent to us in January) . These tables must be emailed to us no later than June 30, 2009. For group home scattered site projects, it is permissible to combine operating statements and operating and replacement reserves for your submittal. If you intend to prepare a combined submittal, you must also be able to provide separate accounting for each physical location upon request.

In addition to Table 4, 4A and 4B the following submittals are also due no later than June 30, 2009.
  • Bank Statements or other documentation supporting reserve accounts
  • Current Board of Directors list
  • Program Assessment- please provide an Assessment of Program Effectiveness (a short write up about who was served by the housing, services provided and any major highlights or challenges related to the residents or the property)
  • Annual Agency Report (the annual Board report that goes out to donors describing the activities of the agency)
  • Insurance Certificate and Endorsements (if due) Please remember, agencies are required to provide a certificate of insurance naming King County Housing and Community Development as additional insured with all liability policies and loss payee with all property coverage policies. Both policies require endorsements from the respective underwriters
  • Audited Financial Statements and/or OMB Circular A-133 audit (when available)
  • Management plan change summary (submit only if changes in the past year)
  • Capital Needs Assessment (Submit only if not previously submitted or if updated)
  • Summary of tenant service changes (Submit only if changes in the past year)
  • Marketing materials or state explaining approach to affirmative marketing

HUD 2008 Income Guidelines for King County

View Guidelines.

Annual Report Utility Allowances

View the Puget Power and Seattle City Light Utility Allowances (pdf)

The tables show the utility allowance amounts for 2008, to help you accurately complete your 2008 Annual Report.
For more information:

To answer general questions about Tables 1 through 3 for HOF or CDBG funded projects contact: Wendy DeRobbio.

To answer general questions about Tables 1 through 3 for HOME funded projects contact: Eileen Bleeker.

To answer general questions about Tables 4 through 4b for all projects contact: Marquis Frank.

Office Contact Information:

Cheryl Markham, Program Manager King County Housing and Community Development 401 5th Ave, Suite 500 Seattle, WA 98104

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Staff Directory
206-263-9032
206-296-0229
(FAX) TTY Relay: 711

Report Forms