REMITTANCE ADVICE VENDOR MOUNTAIN EMPIRE OLDER … Documents/AUGUST... · 2019-08-26 · remittance...

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REMITTANCE ADVICE VENDOR 046408 FFY 2019 ID # 0000072602 551 RMT 1 08/31/19 PAID PRIOR PREVIOUSLY THIS GRANT TO DATE CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 60,017.00 60,017.00 60,017.00 T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 19,226.00 19,226.00 19,226.00 T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 34,360.00 34,360.00 34,360.00 T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 10,411.00 10,411.00 10,411.00 T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 23,565.00 23,565.00 23,565.00 T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 332.00 332.00 332.00 T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 6,881.00 6,881.00 6,881.00 T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 294,914.00 262,551.00 29,578.00 292,129.00 2,785.00 T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 160,468.00 128,963.00 14,975.00 143,938.00 16,530.00 T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 190,220.00 154,300.00 18,715.00 173,015.00 17,205.00 T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 14,551.00 6,701.00 1,539.00 8,240.00 6,311.00 T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 104,991.00 93,107.00 10,713.00 103,820.00 1,171.00 T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,867.00 2,403.00 267.00 2,670.00 197.00 T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 10,645.00 8,583.00 1,461.00 10,044.00 601.00 NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 4,891.00 4,891.00 4,891.00 NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 61,386.00 49,626.00 5,523.00 55,149.00 6,237.00 DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 1,580.00 1,185.00 132.00 1,317.00 263.00 DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 135,124.00 20,446.00 119,063.00 119,063.00 16,061.00 DOL 17235 0000115740 7/1/19 - 6/30/20 98,526.00 12,344.00 12,344.00 86,182.00 VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,954.00 20,954.00 20,954.00 20,954.00 VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,373.00 1,754.00 21,373.00 21,373.00 VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,384.00 21,384.00 MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 8,637.00 8,637.00 8,637.00 MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 MOUNTAIN EMPIRE OLDER CITIZENS INC. 1501 3rd. Ave East - P. O Box 888 Big Stone Gap, VA 24219 Page 1 PSA 1

Transcript of REMITTANCE ADVICE VENDOR MOUNTAIN EMPIRE OLDER … Documents/AUGUST... · 2019-08-26 · remittance...

REMITTANCE ADVICE VENDOR 046408 FFY 2019ID # 0000072602 551

RMT 1 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 60,017.00 60,017.00 60,017.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 19,226.00 19,226.00 19,226.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 34,360.00 34,360.00 34,360.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 10,411.00 10,411.00 10,411.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 23,565.00 23,565.00 23,565.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 332.00 332.00 332.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 6,881.00 6,881.00 6,881.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 294,914.00 262,551.00 29,578.00 292,129.00 2,785.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 160,468.00 128,963.00 14,975.00 143,938.00 16,530.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 190,220.00 154,300.00 18,715.00 173,015.00 17,205.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 14,551.00 6,701.00 1,539.00 8,240.00 6,311.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 104,991.00 93,107.00 10,713.00 103,820.00 1,171.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,867.00 2,403.00 267.00 2,670.00 197.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 10,645.00 8,583.00 1,461.00 10,044.00 601.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 4,891.00 4,891.00 4,891.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 61,386.00 49,626.00 5,523.00 55,149.00 6,237.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 1,580.00 1,185.00 132.00 1,317.00 263.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 135,124.00 20,446.00 119,063.00 119,063.00 16,061.00DOL 17235 0000115740 7/1/19 - 6/30/20 98,526.00 12,344.00 12,344.00 86,182.00

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,954.00 20,954.00 20,954.00 20,954.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,373.00 1,754.00 21,373.00 21,373.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,384.00 21,384.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 8,637.00 8,637.00 8,637.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19

MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888

Big Stone Gap, VA 24219

Page 1 PSA 1

REMITTANCE ADVICE VENDOR 046408 FFY 2019ID # 0000072602 551

RMT 1 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888

Big Stone Gap, VA 24219

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 52,394.00 52,394.00 52,394.0075082 SFY'19 - 10/01/18 81,197.00 81,197.00 81,197.0075081 SFY'19 - 10/01/18 29,314.00 29,314.00 29,314.0075084 SFY'19 - 10/01/18 103,233.00 103,233.00 103,233.0075875 SFY'19 - 10/01/18 62,470.00 62,470.00 62,470.0075200 SFY'19 - 10/01/18 41,250.00 41,250.00 41,250.0075083 SFY'19 - 10/01/18 7,561.00 7,561.00 7,561.0075086 SFY'19 - 10/01/18 22,538.00 22,538.00 22,538.00

75080 SFY'20 - 07/01/19 17,465.00 5,738.00 5,738.00 11,476.00 5,989.0075082 SFY'20 - 07/01/19 27,072.00 9,022.00 9,022.00 18,044.00 9,028.0075081 SFY'20 - 07/01/19 9,771.00 3,257.00 3,257.00 6,514.00 3,257.0075084 SFY'20 - 07/01/19 34,411.00 11,470.00 11,470.00 22,940.00 11,471.0075875 SFY'20 - 07/01/19 20,823.00 6,858.00 6,858.00 13,716.00 7,107.0075200 SFY'20 - 07/01/19 13,750.00 4,583.00 4,583.00 9,166.00 4,584.0075083 SFY'20 - 07/01/19 2,520.00 840.00 840.00 1,680.00 840.0075086 SFY'20 - 07/01/19 7,513.00 2,504.00 2,504.00 5,008.00 2,505.00

75097 SFY'19 (7/1/18-6/30/19) 156,970.00 156,970.00 156,970.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19) 250,000.00 250,000.00 250,000.0075150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 152,726.00 25,454.00 25,454.00 127,272.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

SUPPLEMENTAL NUTR T-III C1&2 (GF)

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF OMBUDSMAN

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

OAA GENERAL

GF COM BASE

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

Page 2 PSA 1

REMITTANCE ADVICE VENDOR 046408 FFY 2019ID # 0000072602 551

RMT 1 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

MOUNTAIN EMPIRE OLDER CITIZENS INC.1501 3rd. Ave East - P. O Box 888

Big Stone Gap, VA 24219

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 19,862.50 19,862.50 19,862.50 (19,862.50)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 6,300.00 6,300.00 6,300.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,000.00 3,000.00 3,000.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 7,680.00 1,920.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 26,950.00 23,100.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 7,600.00 7,600.00 7,600.00 7,600.00SENIOR COOL CARE (FAN CARE) 71001 2019 7,500.00 7,500.00 7,500.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 420.00 420.00 420.00 420.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 500.00 500.00 500.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 5,686.81 580.00 580.00 580.00 5,106.81SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 2,476,437.81 98,216.50 1,978,037.50 161,076.00 2,139,113.50 337,324.31

79.87% 86.38%

Page 3 PSA 1

REMITTANCE ADVICE VENDOR 047350 FFY 2019ID # 0000036162 552

RMT 2 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 41,066.00 41,066.00 41,066.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 20,000.00 20,000.00 20,000.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 32,021.00 32,021.00 32,021.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 7,930.00 7,930.00 7,930.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 28,900.00 28,900.00 28,900.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 661.00 661.00 661.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 7,088.00 7,088.00 7,088.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 349,069.00 299,972.00 16,400.00 316,372.00 32,697.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 189,680.00 154,241.00 16,819.00 171,060.00 18,620.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 224,572.00 180,665.00 20,909.00 201,574.00 22,998.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 17,461.00 13,187.00 1,892.00 15,079.00 2,382.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 124,676.00 103,217.00 8,329.00 111,546.00 13,130.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,362.00 2,662.00 305.00 2,967.00 395.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 10,651.00 6,867.00 1,065.00 7,932.00 2,719.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 12,912.00 12,912.00 12,912.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 79,015.00 47,635.00 12,400.00 60,035.00 18,980.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,054.00 1,302.00 115.00 1,417.00 1,637.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19

DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 21,809.00 21,809.00 21,809.00 21,809.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,347.00 5,127.00 22,347.00 22,347.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 22,327.00 6,155.00 4,163.00 10,318.00 12,009.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 11,079.00 11,079.00 11,079.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19

MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765

Cedar Bluff, VA 24609

Page 4 PSA 2

REMITTANCE ADVICE VENDOR 047350 FFY 2019ID # 0000036162 552

RMT 2 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765

Cedar Bluff, VA 24609

75080 SFY'19 - 07/01/18 7,617.00 7,617.00 7,617.0075082 SFY'19 - 07/01/18 7,496.00 7,496.00 7,496.0075081 SFY'19 - 07/01/18 2,591.00 2,591.00 2,591.0075084 SFY'19 - 07/01/18 6,765.00 6,765.00 6,765.0075875 SFY'19 - 07/01/18 3,000.00 3,000.00 3,000.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18 842.00 842.00 842.0075086 SFY'19 - 07/01/18 6,904.00 6,904.00 6,904.00

75080 SFY'19 - 10/01/18 63,747.00 63,747.00 63,747.0075082 SFY'19 - 10/01/18 95,812.00 95,812.00 95,812.0075081 SFY'19 - 10/01/18 34,636.00 34,636.00 34,636.0075084 SFY'19 - 10/01/18 122,024.00 122,024.00 122,024.0075875 SFY'19 - 10/01/18 93,658.00 93,658.00 93,658.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 7,566.00 7,566.00 7,566.0075086 SFY'19 - 10/01/18 27,763.00 27,763.00 27,763.00

75080 SFY'20 - 07/01/19 21,249.00 7,080.00 5,669.00 12,749.00 8,500.0075082 SFY'20 - 07/01/19 31,946.00 10,207.00 8,964.00 19,171.00 12,775.0075081 SFY'20 - 07/01/19 11,546.00 3,680.00 3,248.00 6,928.00 4,618.0075084 SFY'20 - 07/01/19 40,675.00 12,764.00 9,042.00 21,806.00 18,869.0075875 SFY'20 - 07/01/19 31,219.00 10,407.00 11,811.00 22,218.00 9,001.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 2,522.00 823.00 402.00 1,225.00 1,297.0075086 SFY'20 - 07/01/19 9,254.00 3,352.00 296.00 3,648.00 5,606.00

75097 SFY'19 (7/1/18-6/30/19) 119,868.00 119,868.00 119,868.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 115,624.00 19,270.00 19,270.00 96,354.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

PHARMACY CONNECT

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

OAA GENERAL

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

Page 5 PSA 2

REMITTANCE ADVICE VENDOR 047350 FFY 2019ID # 0000036162 552

RMT 2 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

APPALACHIAN AGENCY FOR SENIOR CITIZENSBox 765

Cedar Bluff, VA 24609

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15

DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16

DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16

DEMENTIA ADI SSS 93763 45918 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18

NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17

ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18

FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)

FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 4,800.00 4,800.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 270.00 270.00 (270.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 27,186.79 25,850.00 26,950.00 236.79 27,186.79CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 5,900.00 5,796.00 5,796.00 5,796.00 104.00SENIOR COOL CARE (FAN CARE) 71001 2019 5,700.00 5,661.00 5,661.00 39.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 300.00 300.00 300.00 300.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 400.00 400.00 400.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 22,672.00 22,672.00SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 19,825.80 19,825.80

TOTAL 2,185,888.59 58,882.00 1,727,704.00 128,126.79 1,855,830.79 330,057.8079.05% 84.90%

Page 6 PSA 2

REMITTANCE ADVICE VENDOR 244435 FFY 2019ID # 0000111301 553

RMT 3 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 115,743.00 115,743.00 115,743.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 55,623.00 55,623.00 55,623.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 84,478.00 84,478.00 84,478.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8,970.00 8,970.00 8,970.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 55,832.00 55,832.00 55,832.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 3,236.00 3,236.00 3,236.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 9,779.00 9,779.00 9,779.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 531,092.00 400,517.00 71,137.00 471,654.00 59,438.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 288,490.00 225,478.00 30,851.00 256,329.00 32,161.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 341,453.00 192,366.00 20,806.00 213,172.00 128,281.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 25,756.00 18,378.00 2,478.00 20,856.00 4,900.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 189,844.00 85,931.00 37,850.00 123,781.00 66,063.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 5,103.00 2,550.00 347.00 2,897.00 2,206.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 16,378.00 2,468.00 4,855.00 7,323.00 9,055.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 459.00 459.00 459.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 114,407.00 66,858.00 23,352.00 90,210.00 24,197.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 4,660.00 4,660.00 4,660.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 156,213.00 42,612.00 152,604.00 (2,299.00) 150,305.00 5,908.00DOL 17235 0000115740 7/1/19 - 6/30/20 170,181.00 24,290.00 24,290.00 145,891.00

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 24,162.00 24,162.00 24,162.00 24,162.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 25,088.00 13,772.00 25,088.00 25,088.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 25,158.00 10,382.00 1,194.00 11,576.00 13,582.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 18,256.00 18,256.00 18,256.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway

Marion VA 24354-4270

Page 7 PSA 3

REMITTANCE ADVICE VENDOR 244435 FFY 2019ID # 0000111301 553

RMT 3 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway

Marion VA 24354-4270

75080 SFY'19 - 07/01/18 26,932.00 26,932.00 26,932.0075082 SFY'19 - 07/01/18 48,723.00 48,723.00 48,723.0075081 SFY'19 - 07/01/18 17,616.00 17,616.00 17,616.0075084 SFY'19 - 07/01/18 62,073.00 62,073.00 62,073.0075875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18 4,021.00 4,021.00 4,021.0075086 SFY'19 - 07/01/18 14,321.00 14,321.00 14,321.00

75080 SFY'19 - 10/01/18 97,656.00 97,656.00 97,656.0075082 SFY'19 - 10/01/18 145,660.00 145,660.00 145,660.0075081 SFY'19 - 10/01/18 52,673.00 52,673.00 52,673.0075084 SFY'19 - 10/01/18 185,590.00 185,590.00 185,590.0075875 SFY'19 - 10/01/18 78,068.00 78,068.00 78,068.0075200 SFY'19 - 10/01/18 33,750.00 33,750.00 33,750.0075083 SFY'19 - 10/01/18 11,633.00 11,633.00 11,633.0075086 SFY'19 - 10/01/18 42,659.00 42,659.00 42,659.00

75080 SFY'20 - 07/01/19 32,552.00 32,552.0075082 SFY'20 - 07/01/19 48,566.00 48,566.0075081 SFY'20 - 07/01/19 17,558.00 17,558.0075084 SFY'20 - 07/01/19 61,863.00 61,863.0075875 SFY'20 - 07/01/19 26,023.00 12,475.00 12,475.00 13,548.0075200 SFY'20 - 07/01/19 11,250.00 9,899.00 9,899.00 1,351.0075083 SFY'20 - 07/01/19 3,878.00 3,878.0075086 SFY'20 - 07/01/19 14,220.00 14,220.00

75097 SFY'19 (7/1/18-6/30/19) 246,330.00 246,330.00 246,330.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19) 118,000.00 118,000.00 118,000.0075094 (0000109732) SFY'19 (7/1/18-6/30/19) 177,000.00 177,000.00 177,000.00

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 242,086.00 40,348.00 40,348.00 201,738.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20) 118,000.00 19,666.00 19,666.00 98,334.0075094 (0000109732) SFY'20 (7/1/19-6/30/20) 177,000.00 29,500.00 29,500.00 147,500.00

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF COM BASE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

CARE COORDINATION

GF RESPITE CARE

GF TRANSPORTATION

GF H D MEALS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

OAA GENERAL

GF COM BASE

GF H D MEALS

CARE COORDINATION

GF TRANSPORTATION

GF H D MEALS

GUARDIANSHIP

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

CARE COORDINATION

GF RESPITE CARE

GF TRANSPORTATION

GF RESPITE CARE

OAA GENERAL

GF COM BASE

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 8 PSA 3

REMITTANCE ADVICE VENDOR 244435 FFY 2019ID # 0000111301 553

RMT 3 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

DISTRICT III GOVERNMENTAL COOPERATIVE4453 Lee Highway

Marion VA 24354-4270

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 950.00 950.00 950.00 (950.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 3,450.00 3,450.00 3,450.00 3,450.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 2,080.00 2,080.00 7,520.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 1,585.00 2,330.00 2,330.00 (2,330.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 26,950.00 26,950.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 20,000.00 20,000.00 20,000.00 20,000.00

SENIOR COOL CARE (FAN CARE) 71001 2018 12,000.00 12,000.00 12,000.00 12,000.00SENIOR COOL CARE (FAN CARE) 71001 2019 11,900.00 11,900.00 11,900.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 3,820.00 3,820.00 3,820.00 3,820.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 4,000.00 4,000.00 4,000.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 35,862.82 1,697.00 1,926.00 1,926.00 33,936.82SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 36,214.12 1,424.00 134.00 1,558.00 34,656.12

TOTAL 4,558,458.94 154,498.00 3,110,367.00 237,369.00 3,347,736.00 1,210,722.9468.23% 73.44%

DOL 43519 Closeout Refund Rec'd

DC 82621231 8/19/19 - $ 2,299

Page 9 PSA 3

REMITTANCE ADVICE VENDOR 218017 FFY 2019ID # 0000111209 554

RMT 4 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 73,236.00 73,236.00 73,236.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 12,214.00 12,214.00 12,214.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 36,259.00 36,259.00 36,259.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 5,397.00 5,397.00 5,397.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 17,439.00 17,439.00 17,439.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 394.00 394.00 394.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 8,081.00 8,081.00 8,081.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 242,495.00 164,363.00 10,920.00 175,283.00 67,212.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 131,722.00 128,313.00 128,313.00 3,409.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 155,901.00 118,565.00 24,586.00 143,151.00 12,750.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 12,852.00 4,541.00 1,162.00 5,703.00 7,149.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 86,686.00 32,529.00 9,007.00 41,536.00 45,150.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,330.00 1,848.00 126.00 1,974.00 356.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 12,044.00 3,181.00 2,039.00 5,220.00 6,824.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 1,437.00 1,437.00 1,437.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 25,478.00 24,041.00 24,041.00 1,437.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 2,332.00 2,332.00 2,332.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 21,906.00 21,906.00 21,906.00 21,906.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,529.00 17,322.00 22,529.00 22,529.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 22,606.00 9,417.00 2,300.00 11,717.00 10,889.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 11,730.00 11,730.00 11,730.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

NEW RIVER VALLEY AGENCY ON AGING141 E Main Street Suite 500

Pulaski VA 24301

Page 10 PSA 4

REMITTANCE ADVICE VENDOR 218017 FFY 2019ID # 0000111209 554

RMT 4 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

NEW RIVER VALLEY AGENCY ON AGING141 E Main Street Suite 500

Pulaski VA 24301

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18 7,770.00 7,770.00 7,770.0075081 SFY'19 - 07/01/18 2,702.00 2,702.00 2,702.0075084 SFY'19 - 07/01/18 6,616.00 6,616.00 6,616.0075875 SFY'19 - 07/01/18 4,853.00 4,853.00 4,853.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18 1,055.00 1,055.00 1,055.0075086 SFY'19 - 07/01/18 4,431.00 4,431.00 4,431.00

75080 SFY'19 - 10/01/18 80,906.00 80,906.00 80,906.0075082 SFY'19 - 10/01/18 66,506.00 66,506.00 66,506.0075081 SFY'19 - 10/01/18 24,050.00 24,050.00 24,050.0075084 SFY'19 - 10/01/18 84,739.00 84,739.00 84,739.0075875 SFY'19 - 10/01/18 47,738.00 47,738.00 47,738.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 8,555.00 8,555.00 8,555.0075086 SFY'19 - 10/01/18 19,487.00 19,487.00 19,487.00

75080 SFY'20 - 07/01/19 14,869.00 7,981.00 1,454.00 9,435.00 5,434.0075082 SFY'20 - 07/01/19 22,175.00 7,390.00 3,911.00 11,301.00 10,874.0075081 SFY'20 - 07/01/19 8,017.00 2,672.00 2,672.00 5,344.00 2,673.0075084 SFY'20 - 07/01/19 28,246.00 9,415.00 9,381.00 18,796.00 9,450.0075875 SFY'20 - 07/01/19 15,913.00 5,304.00 4,546.00 9,850.00 6,063.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 2,852.00 951.00 951.00 1,902.00 950.0075086 SFY'20 - 07/01/19 6,496.00 2,165.00 2,461.00 4,626.00 1,870.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

CARE COORDINATION

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

GF TRANSPORTATION

GF H D MEALS

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

BIRMINGHAM GREEN-RESIDENTIAL SERV

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

OAA GENERAL

GF COM BASE

OAA GENERAL

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF OMBUDSMAN

GF RESPITE CARE

GF OMBUDSMAN

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP

Page 11 PSA 4

REMITTANCE ADVICE VENDOR 218017 FFY 2019ID # 0000111209 554

RMT 4 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

NEW RIVER VALLEY AGENCY ON AGING141 E Main Street Suite 500

Pulaski VA 24301

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 1,350.00 1,350.00 1,350.00 (1,350.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 350.00 350.00 350.00 (350.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 25,025.00 23,650.00 25,025.00 25,025.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 20,000.00 20,000.00 20,000.00

SENIOR COOL CARE (FAN CARE) 71001 2018 6,400.00 6,360.00 6,360.00 6,360.00 40.00SENIOR COOL CARE (FAN CARE) 71001 2019 6,200.00 5,340.00 5,340.00 860.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,420,669.00 70,938.00 1,153,463.00 75,516.00 1,228,979.00 191,690.0081.08% 86.51%

Page 12 PSA 4

REMITTANCE ADVICE VENDOR 217418 FFY 2019ID # 0000087691 555

RMT 5 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 88,145.00 88,145.00 88,145.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 22,930.00 22,930.00 22,930.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 46,874.00 46,874.00 46,874.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8,319.00 8,319.00 8,319.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 34,234.00 34,234.00 34,234.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 391.00 391.00 391.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 20,423.00 5,605.00 5,605.00 14,818.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 507,325.00 451,402.00 33,579.00 484,981.00 22,344.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 213,432.00 193,029.00 193,029.00 20,403.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 299,505.00 275,303.00 275,303.00 24,202.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 23,899.00 853.00 8,882.00 9,735.00 14,164.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 167,717.00 132,442.00 12,184.00 144,626.00 23,091.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 4,439.00 657.00 657.00 3,782.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 22,066.00 22,066.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,940.00) (1,940.00) (1,940.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 100,876.00 100,876.00 100,876.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 8,349.00 6,450.00 6,450.00 1,899.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 25,816.00 25,816.00 25,816.00 25,816.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 27,108.00 20,946.00 27,108.00 27,108.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 27,333.00 8,788.00 1,949.00 10,737.00 16,596.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 23,725.00 23,725.00 23,725.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

LOCAL OFFICE ON AGINGP. O. Box 14205

Roanoke VA 24038

Page 13 PSA 5

REMITTANCE ADVICE VENDOR 217418 FFY 2019ID # 0000087691 555

RMT 5 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

LOCAL OFFICE ON AGINGP. O. Box 14205

Roanoke VA 24038

75080 SFY'19 - 07/01/18 24,013.00 24,013.00 24,013.0075082 SFY'19 - 07/01/18 42,314.00 42,314.00 42,314.0075081 SFY'19 - 07/01/18 15,319.00 15,319.00 15,319.0075084 SFY'19 - 07/01/18 53,998.00 53,998.00 53,998.0075875 SFY'19 - 07/01/18 15,358.00 15,358.00 15,358.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18 4,969.00 4,969.00 4,969.0075086 SFY'19 - 07/01/18 12,940.00 12,940.00 12,940.00

75080 SFY'19 - 10/01/18 88,778.00 88,778.00 88,778.0075082 SFY'19 - 10/01/18 127,686.00 127,686.00 127,686.0075081 SFY'19 - 10/01/18 46,248.00 46,248.00 46,248.0075084 SFY'19 - 10/01/18 163,035.00 163,035.00 163,035.0075875 SFY'19 - 10/01/18 46,074.00 46,074.00 46,074.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 15,673.00 15,673.00 15,673.0075086 SFY'19 - 10/01/18 39,323.00 39,323.00 39,323.00

75080 SFY'20 - 07/01/19 29,592.00 29,592.0075082 SFY'20 - 07/01/19 42,573.00 42,573.0075081 SFY'20 - 07/01/19 15,416.00 15,416.0075084 SFY'20 - 07/01/19 54,345.00 54,345.0075875 SFY'20 - 07/01/19 15,358.00 15,358.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 5,224.00 5,224.0075086 SFY'20 - 07/01/19 13,108.00 13,108.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

OAA GENERAL

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBHDS ID/DDS

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 14 PSA 5

REMITTANCE ADVICE VENDOR 217418 FFY 2019ID # 0000087691 555

RMT 5 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

LOCAL OFFICE ON AGINGP. O. Box 14205

Roanoke VA 24038

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 2,238.00 2,238.00 2,238.00 (2,238.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 2,400.00 2,400.00 2,400.00 2,400.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 4,640.00 2,880.00 7,520.00 2,080.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 1,050.00 1,050.00 1,050.00 (1,050.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 27,259.65 26,950.00 26,950.00 26,950.00 309.65CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 1,900.00 1,900.00 1,900.00 1,900.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,900.00 1,875.00 1,875.00 25.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 2,593,969.65 84,800.00 2,191,288.00 59,474.00 2,250,762.00 343,207.6584.49% 86.77%

Note: NSIP - Obligation Adj FY'18

Inv SFY 2019-06Check #060850 rec'd/deposited 11/20/18

Page 15 PSA 5

REMITTANCE ADVICE VENDOR 211665 FFY 2019ID # 0000111302 556

RMT 6 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 74,302.00 74,302.00 74,302.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 20,280.00 20,280.00 20,280.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 42,713.00 42,713.00 42,713.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 5,313.00 5,313.00 5,313.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 31,510.00 31,510.00 31,510.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 406.00 406.00 406.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 9,761.00 9,761.00 9,761.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 482,741.00 338,005.00 42,197.00 380,202.00 102,539.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 262,520.00 217,124.00 21,599.00 238,723.00 23,797.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 311,033.00 238,271.00 25,471.00 263,742.00 47,291.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 22,896.00 17,425.00 2,309.00 19,734.00 3,162.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 172,093.00 53,838.00 12,157.00 65,995.00 106,098.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 4,674.00 3,775.00 378.00 4,153.00 521.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 17,837.00 3,257.00 3,584.00 6,841.00 10,996.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,572.00) (1,572.00) (1,572.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 90,097.00 80,562.00 7,283.00 87,845.00 2,252.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 5,444.00 4,083.00 454.00 4,537.00 907.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 25,296.00 25,296.00 25,296.00 25,296.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 26,535.00 26,535.00 26,535.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 26,785.00 4,377.00 4,377.00 22,408.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 22,277.00 22,277.00 22,277.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817

Waynesboro VA 22980-0603

Page 16 PSA 6

REMITTANCE ADVICE VENDOR 211665 FFY 2019ID # 0000111302 556

RMT 6 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817

Waynesboro VA 22980-0603

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18 1,810.00 1,810.00 1,810.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 86,770.00 86,770.00 86,770.0075082 SFY'19 - 10/01/18 132,738.00 132,738.00 132,738.0075081 SFY'19 - 10/01/18 47,948.00 47,948.00 47,948.0075084 SFY'19 - 10/01/18 168,885.00 168,885.00 168,885.0075875 SFY'19 - 10/01/18 49,478.00 49,478.00 49,478.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 12,670.00 12,670.00 12,670.0075086 SFY'19 - 10/01/18 37,523.00 37,523.00 37,523.00

75080 SFY'20 - 07/01/19 28,923.00 9,641.00 6,749.00 16,390.00 12,533.0075082 SFY'20 - 07/01/19 44,257.00 10,767.00 3,983.00 14,750.00 29,507.0075081 SFY'20 - 07/01/19 15,982.00 5,328.00 3,729.00 9,057.00 6,925.0075084 SFY'20 - 07/01/19 56,295.00 18,765.00 13,136.00 31,901.00 24,394.0075875 SFY'20 - 07/01/19 16,493.00 5,498.00 2,615.00 8,113.00 8,380.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 4,223.00 1,408.00 1,408.00 2,815.0075086 SFY'20 - 07/01/19 12,508.00 4,169.00 6,962.00 11,131.00 1,377.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

OAA GENERAL

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBHDS ID/DDS

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 17 PSA 6

REMITTANCE ADVICE VENDOR 211665 FFY 2019ID # 0000111302 556

RMT 6 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

VALLEY PROGRAM FOR AGING SERVICES, INCP. O. Box 817

Waynesboro VA 22980-0603

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 5,550.00 5,550.00 5,550.00 5,550.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,700.00 3,700.00 3,700.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 4,175.00 4,625.00 4,625.00 (4,625.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 38,288.65 26,950.00 26,950.00 11,338.65 38,288.65CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 7,000.00 7,000.00 7,000.00 7,000.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 2,000.00 1,867.00 1,867.00 1,867.00 133.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,800.00 919.00 867.00 1,786.00 14.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 160.00 160.00 160.00 160.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 175.00 175.00 175.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 2,442,817.65 70,998.00 1,867,105.00 169,188.65 2,036,293.65 406,524.0076.79% 83.36%

Note: NSIP - Obligation Adj FY'18

Inv SFY 2019-07Check #001347 rec'd/deposited 12/05/18

Page 18 PSA 6

REMITTANCE ADVICE VENDOR 211661 FFY 2019ID # 0000060506 557

RMT 7 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 110,397.00 110,397.00 110,397.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 50,000.00 50,000.00 50,000.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 60,000.00 60,000.00 60,000.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 69.00 69.00 69.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 11,569.00 11,569.00 11,569.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 7,027.00 7,027.00 7,027.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 341,157.00 200,157.00 35,000.00 235,157.00 106,000.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 184,877.00 120,877.00 21,000.00 141,877.00 43,000.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 218,341.00 193,341.00 193,341.00 25,000.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 18,305.00 11,605.00 2,700.00 14,305.00 4,000.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 122,651.00 55,651.00 32,000.00 87,651.00 35,000.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,224.00 3,224.00 3,224.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 14,972.00 3,572.00 1,800.00 5,372.00 9,600.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (806.00) (806.00) (806.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 41,849.00 10,849.00 10,849.00 31,000.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,905.00 3,905.00 3,905.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 23,544.00 23,544.00 23,544.00 23,544.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 24,562.00 24,562.00 24,562.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 24,805.00 24,805.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 17,198.00 9,198.00 1,900.00 11,098.00 6,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane

Front Royal VA 22630-2611

Page 19 PSA 7

REMITTANCE ADVICE VENDOR 211661 FFY 2019ID # 0000060506 557

RMT 7 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane

Front Royal VA 22630-2611

75080 SFY'19 - 07/01/18 12,903.00 12,903.00 12,903.0075082 SFY'19 - 07/01/18 31,008.00 31,008.00 31,008.0075081 SFY'19 - 07/01/18 11,236.00 11,236.00 11,236.0075084 SFY'19 - 07/01/18 4,362.00 4,362.00 4,362.0075875 SFY'19 - 07/01/18 7,527.00 7,527.00 7,527.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18 3,698.00 3,698.00 3,698.0075086 SFY'19 - 07/01/18 9,747.00 9,747.00 9,747.00

75080 SFY'19 - 10/01/18 65,721.00 65,721.00 65,721.0075082 SFY'19 - 10/01/18 93,058.00 93,058.00 93,058.0075081 SFY'19 - 10/01/18 33,730.00 33,730.00 33,730.0075084 SFY'19 - 10/01/18 118,935.00 118,935.00 118,935.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 10,635.00 10,635.00 10,635.0075086 SFY'19 - 10/01/18 29,278.00 29,278.00 29,278.00

75080 SFY'20 - 07/01/19 21,907.00 1,930.00 1,930.00 19,977.0075082 SFY'20 - 07/01/19 31,028.00 977.00 977.00 30,051.0075081 SFY'20 - 07/01/19 11,243.00 10,543.00 10,543.00 700.0075084 SFY'20 - 07/01/19 39,645.00 23,692.00 23,692.00 15,953.0075875 SFY'20 - 07/01/19 14,456.00 272.00 272.00 14,184.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 3,545.00 29.00 29.00 3,516.0075086 SFY'20 - 07/01/19 9,759.00 9,759.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF COM BASE

GF H D MEALS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF RESPITE CARE

GF COM BASE

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

CARE COORDINATION

GUARDIANSHIP

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GF OMBUDSMAN

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

Page 20 PSA 7

REMITTANCE ADVICE VENDOR 211661 FFY 2019ID # 0000060506 557

RMT 7 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

SHENANDOAH AREA AGENCY ON AGING207 Mosby Lane

Front Royal VA 22630-2611

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 4,800.00 4,800.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 2,415.00 2,445.00 2,445.00 (2,445.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 26,950.00 22,825.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 18,764.00 925.00 3,506.00 3,506.00 15,258.00

SENIOR COOL CARE (FAN CARE) 71001 2018 1,000.00 833.00 833.00 833.00 167.00SENIOR COOL CARE (FAN CARE) 71001 2019 700.00 700.00 700.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,945,248.00 54,042.00 1,405,131.00 143,392.00 1,548,523.00 396,725.0072.23% 79.61%

Note: NSIP - Obligation Adj FY'18

Inv SFY 2019-08Check #013193 rec'd/deposited 12/12/18

Page 21 PSA 7

REMITTANCE ADVICE VENDOR 211664 FFY 2019ID # 0000054945 562

RMT 8A 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 16,716.00 16,716.00 16,716.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18

T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 9,335.00 9,335.00 9,335.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,503.00 990.00 990.00 1,513.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 3,438.00 3,438.00 3,438.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18

T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 135,631.00 108,625.00 14,181.00 122,806.00 12,825.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 73,667.00 73,667.00 73,667.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 87,183.00 87,183.00 87,183.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 2,000.00 2,000.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 48,495.00 48,495.00 48,495.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 1,303.00 1,303.00 1,303.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (517.00) (517.00) (517.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 32,928.00 32,928.00 32,928.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19

DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,041.00 20,041.00 20,041.00 20,041.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 20,456.00 18,779.00 20,456.00 20,456.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 20,608.00 20,608.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 6,545.00 6,545.00 6,545.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19

MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103

Alexandria, VA 22302

Page 22 PSA 8A

REMITTANCE ADVICE VENDOR 211664 FFY 2019ID # 0000054945 562

RMT 8A 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103

Alexandria, VA 22302

75080 SFY'19 - 07/01/18 6,823.00 6,823.00 6,823.0075082 SFY'19 - 07/01/18 12,370.00 12,370.00 12,370.0075081 SFY'19 - 07/01/18 4,473.00 4,473.00 4,473.0075084 SFY'19 - 07/01/18 15,795.00 15,795.00 15,795.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18 3,623.00 3,623.00 3,623.00

75080 SFY'19 - 10/01/18 24,993.00 24,993.00 24,993.0075082 SFY'19 - 10/01/18 37,190.00 37,190.00 37,190.0075081 SFY'19 - 10/01/18 13,450.00 13,450.00 13,450.0075084 SFY'19 - 10/01/18 47,503.00 47,503.00 47,503.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18 10,927.00 10,927.00 10,927.00

75080 SFY'20 - 07/01/19 8,331.00 8,331.00 8,331.0075082 SFY'20 - 07/01/19 12,399.00 12,399.00 12,399.0075081 SFY'20 - 07/01/19 4,484.00 4,484.00 4,484.0075084 SFY'20 - 07/01/19 15,834.00 15,834.00 15,834.0075875 SFY'20 - 07/01/19 14,456.00 14,456.00 14,456.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19 3,642.00 3,642.00 3,642.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

CARE COORDINATION

OAA GENERAL

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

CARE COORDINATION

GF RESPITE CARE

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

Page 23 PSA 8A

REMITTANCE ADVICE VENDOR 211664 FFY 2019ID # 0000054945 562

RMT 8A 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

CITY OF ALEXANDRIA - Office on Aging4401 Ford Ave., Suite 103

Alexandria, VA 22302

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15

DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16

DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16

DEMENTIA ADI SSS 93763 45918 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18

NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17

ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 275.00 275.00 275.00 (275.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18

FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)

FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19

FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18

CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 1,000.00 613.00 613.00 613.00 387.00SENIOR COOL CARE (FAN CARE) 71001 2019 600.00 600.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 776,048.00 39,708.00 724,209.00 14,181.00 738,390.00 37,658.0093.32% 95.15%

Note: NSIP - Obligation Adj FY'18

Inv SFY 2019-03Check #00736820 rec'd/deposited 10/23/18

Page 24 PSA 8A

REMITTANCE ADVICE VENDOR 219370 FFY 2019ID # 0000055179 558

RMT 8B 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 64,818.00 64,818.00 64,818.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 45,218.00 31,083.00 31,083.00 14,135.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 110,720.00 110,720.00 110,720.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,443.00 1,429.00 374.00 1,803.00 640.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 14,028.00 14,028.00 14,028.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 222.00 222.00 222.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 218,254.00 150,831.00 970.00 151,801.00 66,453.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 83,871.00 83,871.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 93,320.00 45,182.00 45,182.00 48,138.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 2,000.00 2,000.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 65,160.00 27,003.00 27,003.00 38,157.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 1,713.00 1,491.00 1,491.00 222.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 6,588.00 6,588.00 6,588.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 38,342.00 18,943.00 1,030.00 19,973.00 18,369.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,768.00 20,768.00 20,768.00 20,768.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,280.00 11,144.00 20,552.00 20,552.00 728.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,440.00 2,803.00 2,803.00 18,637.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 8,667.00 8,667.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor

Arlington VA 22201

Page 25 PSA 8B

REMITTANCE ADVICE VENDOR 219370 FFY 2019ID # 0000055179 558

RMT 8B 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor

Arlington VA 22201

75080 SFY'19 - 07/01/18 10,030.00 10,030.00 10,030.0075082 SFY'19 - 07/01/18 16,984.00 16,984.00 16,984.0075081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18 21,730.00 21,730.00 21,730.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18 5,510.00 5,510.00 5,510.00

75080 SFY'19 - 10/01/18 34,923.00 34,923.00 34,923.0075082 SFY'19 - 10/01/18 49,436.00 49,436.00 49,436.0075081 SFY'19 - 10/01/18 17,919.00 17,919.00 17,919.0075084 SFY'19 - 10/01/18 63,181.00 63,181.00 63,181.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18 15,559.00 15,559.00 15,559.00

75080 SFY'20 - 07/01/19 11,641.00 11,641.0075082 SFY'20 - 07/01/19 16,483.00 16,483.0075081 SFY'20 - 07/01/19 5,973.00 2,311.00 2,311.00 3,662.0075084 SFY'20 - 07/01/19 21,060.00 3,390.00 3,390.00 17,670.0075875 SFY'20 - 07/01/19 14,456.00 14,456.00 14,456.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19 5,186.00 5,186.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GF COM BASE

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF TRANSPORTATION

CARE COORDINATION

GF RESPITE CARE

GF H D MEALS

GF TRANSPORTATION

GUARDIANSHIP-DBHDS ID/DDS

GF RESPITE CARE

GF OMBUDSMAN

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF OMBUDSMAN

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF H D MEALS

CARE COORDINATION

OAA GENERAL

GF TRANSPORTATION

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

Page 26 PSA 8B

REMITTANCE ADVICE VENDOR 219370 FFY 2019ID # 0000055179 558

RMT 8B 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

ARLINGTON AREA AGENCY ON AGING2100 Washington Blvd. 4th Floor

Arlington VA 22201

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 640.00 640.00 640.00 640.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 1,020.00 1,020.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,188,406.00 32,552.00 810,196.00 22,531.00 832,727.00 355,679.0068.18% 70.07%

Page 27 PSA 8B

REMITTANCE ADVICE VENDOR 209964 FFY 2019ID # 0000056645 559

RMT 8C 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 137,694.00 137,694.00 137,694.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 41,389.00 41,389.00 41,389.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 77,938.00 77,938.00 77,938.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 487.00 487.00 487.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 56,974.00 56,974.00 56,974.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 643.00 643.00 643.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 22,910.00 22,910.00 22,910.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 793,164.00 635,167.00 72,106.00 707,273.00 85,891.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 427,274.00 349,587.00 38,843.00 388,430.00 38,844.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 501,849.00 410,607.00 45,623.00 456,230.00 45,619.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 2,000.00 1,636.00 182.00 1,818.00 182.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 289,208.00 236,628.00 26,292.00 262,920.00 26,288.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 7,184.00 5,877.00 653.00 6,530.00 654.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 46,968.00 38,430.00 4,270.00 42,700.00 4,268.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 311,227.00 254,637.00 28,293.00 282,930.00 28,297.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 18,335.00 15,003.00 1,667.00 16,670.00 1,665.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 35,590.00 35,590.00 35,590.00 35,590.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 43,928.00 43,928.00 43,928.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 55,266.00 55,266.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708

Fairfax, VA 22035-1104

Page 28 PSA 8C

REMITTANCE ADVICE VENDOR 209964 FFY 2019ID # 0000056645 559

RMT 8C 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708

Fairfax, VA 22035-1104

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 170,104.00 170,104.00 170,104.0075082 SFY'19 - 10/01/18 213,408.00 213,408.00 213,408.0075081 SFY'19 - 10/01/18 77,808.00 77,808.00 77,808.0075084 SFY'19 - 10/01/18 274,852.00 274,852.00 274,852.0075875 SFY'19 - 10/01/18 208,642.00 208,642.00 208,642.0075200 SFY'19 - 10/01/18 22,500.00 22,500.00 22,500.0075083 SFY'19 - 10/01/18 33,361.00 33,361.00 33,361.0075086 SFY'19 - 10/01/18 78,926.00 78,926.00 78,926.00

75080 SFY'20 - 07/01/19 56,701.00 18,898.00 18,898.00 37,803.0075082 SFY'20 - 07/01/19 71,159.00 23,719.00 23,719.00 47,440.0075081 SFY'20 - 07/01/19 25,936.00 8,645.00 8,645.00 17,291.0075084 SFY'20 - 07/01/19 91,618.00 30,539.00 30,539.00 61,079.0075875 SFY'20 - 07/01/19 69,547.00 23,182.00 23,182.00 46,365.0075200 SFY'20 - 07/01/19 7,500.00 7,500.0075083 SFY'20 - 07/01/19 11,121.00 3,708.00 3,708.00 7,413.0075086 SFY'20 - 07/01/19 26,309.00 8,770.00 8,770.00 17,539.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF COM BASE

GF H D MEALS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF RESPITE CARE

GF COM BASE

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

CARE COORDINATION

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GF OMBUDSMAN

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP

Page 29 PSA 8C

REMITTANCE ADVICE VENDOR 209964 FFY 2019ID # 0000056645 559

RMT 8C 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

FAIRFAX CO DEPT. OF FAMILY SERIVCES - Agency on Aging12011 Government Center Parkway - Suite 708

Fairfax, VA 22035-1104

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 28,480.03 26,950.00 26,950.00 26,950.00 1,530.03CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 7,000.00 7,000.00 7,000.00 7,000.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019 1,000.00 1,000.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 4,346,000.03 69,540.00 3,478,676.00 335,390.00 3,814,066.00 531,934.0380.07% 87.76%

Page 30 PSA 8C

REMITTANCE ADVICE VENDOR 220346 FFY 2019ID # 0000053614 560

RMT 8D 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 21,083.00 21,083.00 21,083.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 6,347.00 6,347.00 6,347.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 12,068.00 12,068.00 12,068.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,332.00 2,332.00 2,332.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 8,828.00 8,828.00 8,828.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 99.00 99.00 99.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 130,348.00 115,481.00 115,481.00 14,867.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 69,782.00 69,782.00 69,782.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 81,486.00 81,486.00 81,486.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 10,257.00 10,257.00 10,257.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 48,222.00 43,024.00 43,024.00 5,198.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 1,127.00 1,127.00 1,127.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,593.00) (1,593.00) (1,593.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 96,137.00 96,137.00 96,137.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 21,942.00 21,942.00 21,942.00 21,942.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,845.00 22,845.00 22,845.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 23,234.00 23,234.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 13,083.00 13,083.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

LOUDOUN COUNTY AREA AGENCY ON AGING

Leesburg, VA 20177P. O. Box 7000

Page 31 PSA 8D

REMITTANCE ADVICE VENDOR 220346 FFY 2019ID # 0000053614 560

RMT 8D 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

LOUDOUN COUNTY AREA AGENCY ON AGING

Leesburg, VA 20177P. O. Box 7000

75080 SFY'19 - 07/01/18 7,622.00 7,622.00 7,622.0075082 SFY'19 - 07/01/18 10,844.00 10,844.00 10,844.0075081 SFY'19 - 07/01/18 3,971.00 3,971.00 3,971.0075084 SFY'19 - 07/01/18 14,049.00 14,049.00 14,049.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18 4,501.00 4,501.00 4,501.00

75080 SFY'19 - 10/01/18 30,914.00 30,914.00 30,914.0075082 SFY'19 - 10/01/18 34,568.00 34,568.00 34,568.0075081 SFY'19 - 10/01/18 12,682.00 12,682.00 12,682.0075084 SFY'19 - 10/01/18 44,886.00 44,886.00 44,886.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18 14,827.00 14,827.00 14,827.00

75080 SFY'20 - 07/01/19 10,305.00 10,305.0075082 SFY'20 - 07/01/19 11,527.00 11,527.0075081 SFY'20 - 07/01/19 4,227.00 4,227.0075084 SFY'20 - 07/01/19 14,962.00 14,962.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19 4,942.00 4,942.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GF RESPITE CARE

GF OMBUDSMAN

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

OAA GENERAL

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF RESPITE CARE

GF RESPITE CARE

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

GUARDIANSHIP

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GF COM BASE

GF TRANSPORTATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF H D MEALS

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF TRANSPORTATION

CARE COORDINATION

GF COM BASE

OAA GENERAL

GF OMBUDSMAN

Page 32 PSA 8D

REMITTANCE ADVICE VENDOR 220346 FFY 2019ID # 0000053614 560

RMT 8D 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

LOUDOUN COUNTY AREA AGENCY ON AGING

Leesburg, VA 20177P. O. Box 7000

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 400.00 400.00 400.00 (400.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 640.00 820.00 820.00 (820.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 22,073.00 20,350.00 20,350.00 1,723.00 22,073.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019 1,000.00 1,000.00 1,000.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 887,806.00 43,332.00 770,502.00 1,723.00 772,225.00 115,581.0086.79% 86.98%

Note: NSIP - Obligation Adj FY'18

Inv SFY 2019-05Check #41835356 rec'd/deposited 2/20/19

Page 33 PSA 8D

REMITTANCE ADVICE VENDOR 217939 FFY 2019ID # 0000055571 5 County Complex Ct.# 240 1 County Complex Ct. #220 561

RMT 8E 08/31/19 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 (364.00) (364.00) (364.00)T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 25,114.00 25,114.00 25,114.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 7,134.00 7,134.00 7,134.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8.00 8.00 8.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 21,162.00 21,162.00 21,162.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 462.00 462.00 462.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 227,682.00 180,679.00 11,119.00 191,798.00 35,884.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 106,166.00 54,473.00 8,843.00 63,316.00 42,850.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 94,341.00 63,624.00 7,862.00 71,486.00 22,855.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 2,000.00 2,000.00 2,000.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 72,597.00 45,182.00 1,283.00 46,465.00 26,132.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 1,751.00 1,751.00 1,751.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 13,736.00 13,736.00 13,736.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (606.00) (606.00) (606.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 36,440.00 26,727.00 3,643.00 30,370.00 6,070.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,241.00 3,241.00 3,241.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 23,943.00 23,943.00 23,943.00 23,943.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 25,247.00 10,211.00 25,247.00 25,247.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 25,749.00 6,438.00 2,146.00 8,584.00 17,165.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 19,447.00 14,589.00 1,621.00 16,210.00 3,237.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

PRINCE WILLIAM CO AREA AGENCY ON AGING

Page 34 PSA 8E

REMITTANCE ADVICE VENDOR 217939 FFY 2019ID # 0000055571 5 County Complex Ct.# 240 1 County Complex Ct. #220 561

RMT 8E 08/31/19 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

PRINCE WILLIAM CO AREA AGENCY ON AGING

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18 4,874.00 4,874.00 4,874.0075084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18 9,592.00 9,592.00 9,592.0075200 SFY'19 - 07/01/18 11,250.00 11,250.00 11,250.0075083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18 6,698.00 6,698.00 6,698.00

75080 SFY'19 - 10/01/18 44,602.00 44,602.00 44,602.0075082 SFY'19 - 10/01/18 52,813.00 52,813.00 52,813.0075081 SFY'19 - 10/01/18 19,315.00 19,315.00 19,315.0075084 SFY'19 - 10/01/18 68,291.00 68,291.00 68,291.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18 33,750.00 33,750.00 33,750.0075083 SFY'19 - 10/01/18 9,757.00 9,757.00 9,757.0075086 SFY'19 - 10/01/18 21,055.00 21,055.00 21,055.00

75080 SFY'20 - 07/01/19 14,867.00 4,958.00 4,958.00 9,909.0075082 SFY'20 - 07/01/19 17,611.00 5,877.00 5,877.00 11,734.0075081 SFY'20 - 07/01/19 6,439.00 3,074.00 3,074.00 3,365.0075084 SFY'20 - 07/01/19 22,764.00 7,589.00 7,589.00 15,175.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19 11,250.00 11,250.0075083 SFY'20 - 07/01/19 3,252.00 3,252.00 3,252.0075086 SFY'20 - 07/01/19 7,018.00 7,018.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

LOW INCOME SENIORS - TRAUMA

GF RESPITE CARE

GF OMBUDSMAN

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 35 PSA 8E

REMITTANCE ADVICE VENDOR 217939 FFY 2019ID # 0000055571 5 County Complex Ct.# 240 1 County Complex Ct. #220 561

RMT 8E 08/31/19 Woodbridge, VA 22192 Prince William, VA 22192PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

PRINCE WILLIAM CO AREA AGENCY ON AGING

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 19,627.50 19,627.50 19,627.50 (19,627.50)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 4,800.00 4,800.00 4,800.00 4,800.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,000.00 3,000.00 3,000.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 4,160.00 1,760.00 5,920.00 3,680.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 545.00 605.00 605.00 (605.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 27,523.76 26,950.00 26,950.00 26,950.00 573.76CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 1,500.00 1,500.00 1,500.00 1,500.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,500.00 1,500.00 1,500.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,184,794.76 91,076.50 904,120.50 64,453.00 968,573.50 216,221.2676.35% 81.75%

Note: NSIP & T-III B - Obligation Adj

Inv SFY 2019-09Check #708531 rec'd/deposited 12/26/18

Page 36 PSA 8E

REMITTANCE ADVICE VENDOR 217942 FFY 2019ID # 0000054837 563

RMT 9 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 45,961.00 45,961.00 45,961.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 13,792.00 13,792.00 13,792.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 15,968.00 15,968.00 15,968.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 3,402.00 3,402.00 3,402.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 214.00 214.00 214.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 7,364.00 7,364.00 7,364.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 256,475.00 221,791.00 31,255.00 253,046.00 3,429.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 199,063.00 199,063.00 199,063.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 104,318.00 104,318.00 104,318.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 14,076.00 10,732.00 1,248.00 11,980.00 2,096.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 92,084.00 84,411.00 7,673.00 92,084.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,434.00 2,419.00 15.00 2,434.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 12,054.00 12,054.00 12,054.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 36,754.00 36,754.00 36,754.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 2,337.00 2,123.00 214.00 2,337.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 22,025.00 22,025.00 22,025.00 22,025.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,771.00 15,611.00 22,771.00 22,771.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 22,967.00 14,223.00 8,322.00 22,545.00 422.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 2,836.00 2,836.00 2,836.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 9,726.00 9,726.00 9,726.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568

Culpeper VA 22701

Page 37 PSA 9

REMITTANCE ADVICE VENDOR 217942 FFY 2019ID # 0000054837 563

RMT 9 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568

Culpeper VA 22701

75080 SFY'19 - 07/01/18 13,181.00 13,181.00 13,181.0075082 SFY'19 - 07/01/18 13,175.00 13,175.00 13,175.0075081 SFY'19 - 07/01/18 11,391.00 11,391.00 11,391.0075084 SFY'19 - 07/01/18 36,578.00 36,578.00 36,578.0075875 SFY'19 - 07/01/18 16,353.00 16,353.00 16,353.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18 3,201.00 3,201.00 3,201.0075086 SFY'19 - 07/01/18 7,111.00 7,111.00 7,111.00

75080 SFY'19 - 10/01/18 48,888.00 48,888.00 48,888.0075082 SFY'19 - 10/01/18 42,348.00 42,348.00 42,348.0075081 SFY'19 - 10/01/18 35,376.00 35,376.00 35,376.0075084 SFY'19 - 10/01/18 107,160.00 107,160.00 107,160.0075875 SFY'19 - 10/01/18 49,058.00 49,058.00 49,058.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 8,562.00 8,562.00 8,562.0075086 SFY'19 - 10/01/18 21,684.00 21,684.00 21,684.00

75080 SFY'20 - 07/01/19 16,296.00 16,296.0075082 SFY'20 - 07/01/19 14,056.00 14,056.0075081 SFY'20 - 07/01/19 11,459.00 11,459.0075084 SFY'20 - 07/01/19 36,120.00 36,120.0075875 SFY'20 - 07/01/19 16,353.00 16,353.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 2,854.00 2,854.0075086 SFY'20 - 07/01/19 7,228.00 7,228.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

OAA GENERAL

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

Page 38 PSA 9

REMITTANCE ADVICE VENDOR 217942 FFY 2019ID # 0000054837 563

RMT 9 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

RAPPAHANNOCK-RAPIDAN AREA AGENCY ON AGING15361 Bradford Rd - P. O. Box 1568

Culpeper VA 22701

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 4,100.00 4,100.00 4,100.00 (4,100.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 470.00 1,055.00 1,055.00 (1,055.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 19,277.32 17,875.00 19,250.00 27.32 19,277.32CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 5,100.00 5,100.00 5,100.00 5,100.00SENIOR COOL CARE (FAN CARE) 71001 2019 5,000.00 5,000.00 5,000.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,434,430.32 65,181.00 1,275,518.00 53,754.32 1,329,272.32 105,158.0088.92% 92.67%

Page 39 PSA 9

REMITTANCE ADVICE VENDOR 003808 FFY 2019ID # 0000086816 564

RMT 10 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 31,623.00 31,623.00 31,623.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 7,867.00 7,867.00 7,867.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 22,405.00 22,405.00 22,405.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,191.00 2,191.00 2,191.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 11,511.00 11,511.00 11,511.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 1,677.00 1,677.00 1,677.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 313,453.00 254,806.00 27,000.00 281,806.00 31,647.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 169,273.00 159,283.00 159,283.00 9,990.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 199,271.00 162,375.00 12,288.00 174,663.00 24,608.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 18,383.00 15,170.00 1,700.00 16,870.00 1,513.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 113,631.00 93,093.00 10,000.00 103,093.00 10,538.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,890.00 2,253.00 225.00 2,478.00 412.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 14,988.00 12,292.00 1,200.00 13,492.00 1,496.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 33,646.00 28,036.00 2,500.00 30,536.00 3,110.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,914.00 2,935.00 500.00 3,435.00 479.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 23,526.00 23,526.00 23,526.00 23,526.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 24,575.00 24,575.00 24,575.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 24,875.00 6,129.00 6,129.00 18,746.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 17,376.00 17,376.00 17,376.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

JEFFERSON AREA BOARD FOR AGING

Charlottesville VA 22901674 Hillsdale Drive, Suite 9

Page 40 PSA 10

REMITTANCE ADVICE VENDOR 003808 FFY 2019ID # 0000086816 564

RMT 10 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

JEFFERSON AREA BOARD FOR AGING

Charlottesville VA 22901674 Hillsdale Drive, Suite 9

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18 4,129.00 4,129.00 4,129.0075083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 64,398.00 64,398.00 64,398.0075082 SFY'19 - 10/01/18 84,819.00 84,819.00 84,819.0075081 SFY'19 - 10/01/18 30,849.00 30,849.00 30,849.0075084 SFY'19 - 10/01/18 108,890.00 108,890.00 108,890.0075875 SFY'19 - 10/01/18 46,661.00 46,661.00 46,661.0075200 SFY'19 - 10/01/18 37,500.00 37,500.00 37,500.0075083 SFY'19 - 10/01/18 10,646.00 10,646.00 10,646.0075086 SFY'19 - 10/01/18 29,419.00 29,419.00 29,419.00

75080 SFY'20 - 07/01/19 21,466.00 7,155.00 7,142.00 14,297.00 7,169.0075082 SFY'20 - 07/01/19 28,281.00 9,425.00 9,425.00 18,850.00 9,431.0075081 SFY'20 - 07/01/19 10,283.00 3,428.00 3,428.00 6,856.00 3,427.0075084 SFY'20 - 07/01/19 36,297.00 12,099.00 12,099.00 24,198.00 12,099.0075875 SFY'20 - 07/01/19 15,554.00 5,185.00 5,185.00 10,370.00 5,184.0075200 SFY'20 - 07/01/19 12,500.00 12,500.0075083 SFY'20 - 07/01/19 3,549.00 1,183.00 1,183.00 2,366.00 1,183.0075086 SFY'20 - 07/01/19 9,806.00 3,269.00 3,269.00 6,538.00 3,268.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF COM BASE

GF H D MEALS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF RESPITE CARE

GF COM BASE

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

CARE COORDINATION

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GF OMBUDSMAN

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP

Page 41 PSA 10

REMITTANCE ADVICE VENDOR 003808 FFY 2019ID # 0000086816 564

RMT 10 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

JEFFERSON AREA BOARD FOR AGING

Charlottesville VA 22901674 Hillsdale Drive, Suite 9

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16 54,288.58 54,565.41 54,565.41 54,565.41 (276.83)DEMENTIA ADI SSS 93763 45918 09/16 - 08/17 137,219.42 141,957.03 141,957.03 141,957.03 (4,737.61)DEMENTIA ADI SSS 93763 45918 09/17 - 08/18 98,456.00 93,441.56 93,441.56 93,441.56 5,014.44

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 28,637.50 28,637.50 28,637.50 (28,637.50)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 355.00 1,040.00 1,040.00 (1,040.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 26,950.00 26,400.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 2,500.00 2,500.00 2,500.00 2,500.00SENIOR COOL CARE (FAN CARE) 71001 2019 2,400.00 2,400.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 17,998.49 4,855.00 4,855.00 4,855.00 13,143.49SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 10,315.71 10,315.71

TOTAL 1,945,750.20 379,737.50 1,695,624.50 97,144.00 1,792,768.50 152,981.7087.15% 92.14%

Page 42 PSA 10

REMITTANCE ADVICE VENDOR 217419 FFY 2019ID # 0000111210 565

RMT 11 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 81,630.00 81,630.00 81,630.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 2,903.00 2,903.00 2,903.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 122,778.00 122,778.00 122,778.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 82.00 82.00 82.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 64,058.00 64,058.00 64,058.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 646.00 646.00 646.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 16,466.00 16,466.00 16,466.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 431,557.00 286,051.00 48,695.00 334,746.00 96,811.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 234,527.00 194,854.00 16,956.00 211,810.00 22,717.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 277,695.00 155,950.00 59,271.00 215,221.00 62,474.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 21,058.00 17,659.00 1,040.00 18,699.00 2,359.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 154,099.00 17,678.00 13,387.00 31,065.00 123,034.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 4,159.00 225.00 393.00 618.00 3,541.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 20,845.00 12,053.00 5,119.00 17,172.00 3,673.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 10,178.00 10,178.00 10,178.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 64,005.00 53,126.00 53,126.00 10,879.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 7,060.00 7,060.00 7,060.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 24,903.00 24,903.00 24,903.00 24,903.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 26,014.00 26,014.00 26,014.00 26,014.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 26,204.00 19,451.00 5,016.00 24,467.00 1,737.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 20,855.00 20,855.00 20,855.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390

Lynchburg, VA 24505

Page 43 PSA 11

REMITTANCE ADVICE VENDOR 217419 FFY 2019ID # 0000111210 565

RMT 11 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390

Lynchburg, VA 24505

75080 SFY'19 - 07/01/18 22,045.00 22,045.00 22,045.0075082 SFY'19 - 07/01/18 39,971.00 39,971.00 39,971.0075081 SFY'19 - 07/01/18 14,450.00 14,450.00 14,450.0075084 SFY'19 - 07/01/18 50,916.00 50,916.00 50,916.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18 2,816.00 2,816.00 2,816.0075086 SFY'19 - 07/01/18 11,708.00 11,708.00 11,708.00

75080 SFY'19 - 10/01/18 78,648.00 78,648.00 78,648.0075082 SFY'19 - 10/01/18 73,482.00 73,482.00 73,482.0075081 SFY'19 - 10/01/18 87,826.00 87,826.00 87,826.0075084 SFY'19 - 10/01/18 150,875.00 150,875.00 150,875.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 14,806.00 14,806.00 14,806.0075086 SFY'19 - 10/01/18 34,221.00 34,221.00 34,221.00

75080 SFY'20 - 07/01/19 26,216.00 10,577.00 10,577.00 15,639.0075082 SFY'20 - 07/01/19 39,504.00 17,248.00 17,248.00 22,256.0075081 SFY'20 - 07/01/19 14,275.00 9,857.00 9,857.00 4,418.0075084 SFY'20 - 07/01/19 50,291.00 18,443.00 18,443.00 31,848.0075875 SFY'20 - 07/01/19 14,456.00 11,678.00 11,678.00 2,778.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 4,936.00 2,047.00 2,047.00 2,889.0075086 SFY'20 - 07/01/19 11,407.00 4,763.00 4,763.00 6,644.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF COM BASE

GF TRANSPORTATION

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

PHARMACY CONNECT

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBDHS MENTAL ILLNESS

CARE COORDINATION

GF RESPITE CARE

GF TRANSPORTATION

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP

GF H D MEALS

GF OMBUDSMAN

GF RESPITE CARE

GF OMBUDSMAN

GF COM BASE

GF H D MEALS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

Page 44 PSA 11

REMITTANCE ADVICE VENDOR 217419 FFY 2019ID # 0000111210 565

RMT 11 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING501 12th Street - P O Box 1390

Lynchburg, VA 24505

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18 25,000.00 25,000.00 25,000.00 25,000.00NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17 25,000.00 25,000.00 25,000.00 25,000.00ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 53,687.50 53,687.50 53,687.50 (53,687.50)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 4,800.00 4,800.00 4,800.00 4,800.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,000.00 3,000.00 3,000.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 765.00 1,705.00 1,705.00 (1,705.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 27,141.25 23,100.00 26,950.00 26,950.00 191.25CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 19,000.00 19,000.00 19,000.00 19,000.00

SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019 1,000.00 1,000.00 1,000.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 2,536,135.25 202,269.50 1,947,049.50 225,490.00 2,172,539.50 363,595.7576.78% 85.66%

Page 45 PSA 11

REMITTANCE ADVICE VENDOR 217950 FFY 2019ID # 0000111311 566

RMT 12 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 141,884.00 141,884.00 141,884.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 43,487.00 43,487.00 43,487.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 97,823.00 97,823.00 97,823.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8,774.00 8,774.00 8,774.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 72,984.00 72,984.00 72,984.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 596.00 596.00 596.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 9,165.00 9,165.00 9,165.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 699,421.00 494,895.00 43,159.00 538,054.00 161,367.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 304,249.00 224,889.00 7,401.00 232,290.00 71,959.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 523,140.00 417,181.00 417,181.00 105,959.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 34,893.00 34,893.00 34,893.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 251,092.00 168,842.00 10,406.00 179,248.00 71,844.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 6,637.00 6,637.00 6,637.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 16,585.00 11,379.00 11,379.00 5,206.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 98,166.00 58,964.00 26,464.00 85,428.00 12,738.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 4,771.00 4,771.00 4,771.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 237,291.00 40,356.00 237,291.00 237,291.00DOL 17235 0000115740 7/1/19 - 6/30/20 232,879.00 31,167.00 31,167.00 201,712.00

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 25,825.00 25,825.00 25,825.00 25,825.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 26,965.00 6,177.00 26,965.00 26,965.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 27,038.00 4,494.00 4,494.00 22,544.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 23,035.00 18,268.00 4,767.00 23,035.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112

Page 46 PSA 12

REMITTANCE ADVICE VENDOR 217950 FFY 2019ID # 0000111311 566

RMT 12 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112

75080 SFY'19 - 07/01/18 12,583.00 12,583.00 12,583.0075082 SFY'19 - 07/01/18 64,513.00 64,513.00 64,513.0075081 SFY'19 - 07/01/18 23,373.00 23,373.00 23,373.0075084 SFY'19 - 07/01/18 82,413.00 82,413.00 82,413.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18 4,332.00 4,332.00 4,332.0075083 SFY'19 - 07/01/18 3,987.00 3,987.00 3,987.0075086 SFY'19 - 07/01/18 20,213.00 20,213.00 20,213.00

75080 SFY'19 - 10/01/18 133,208.00 133,208.00 133,208.0075082 SFY'19 - 10/01/18 131,043.00 131,043.00 131,043.0075081 SFY'19 - 10/01/18 119,204.00 119,204.00 119,204.0075084 SFY'19 - 10/01/18 253,973.00 253,973.00 253,973.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18 12,996.00 12,996.00 12,996.0075083 SFY'19 - 10/01/18 11,780.00 11,780.00 11,780.0075086 SFY'19 - 10/01/18 59,065.00 59,065.00 59,065.00

75080 SFY'20 - 07/01/19 44,402.00 44,402.0075082 SFY'20 - 07/01/19 63,699.00 63,699.0075081 SFY'20 - 07/01/19 23,068.00 23,068.0075084 SFY'20 - 07/01/19 81,325.00 81,325.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19 4,332.00 4,332.0075083 SFY'20 - 07/01/19 3,927.00 3,927.0075086 SFY'20 - 07/01/19 19,688.00 19,688.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF COM BASE

GF TRANSPORTATION

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

PHARMACY CONNECT

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBDHS MENTAL ILLNESS

CARE COORDINATION

GF RESPITE CARE

GF TRANSPORTATION

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP

GF H D MEALS

GF OMBUDSMAN

GF RESPITE CARE

GF OMBUDSMAN

GF COM BASE

GF H D MEALS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

Page 47 PSA 12

REMITTANCE ADVICE VENDOR 217950 FFY 2019ID # 0000111311 566

RMT 12 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

SOUTHERN AREA AGENCY ON AGING204 Cleveland AvenueMartinsville VA 24112

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 1,315.00 1,560.00 1,560.00 (1,560.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 22,000.00 18,425.00 22,000.00 22,000.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 7,300.00 7,300.00 7,300.00 7,300.00SENIOR COOL CARE (FAN CARE) 71001 2019 7,200.00 7,200.00 7,200.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 1,915.00 1,915.00 1,915.00 1,915.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 2,100.00 2,100.00 2,100.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 4,187,318.00 101,313.00 3,147,694.00 127,858.00 3,275,552.00 911,766.0074.78% 78.23%

Page 48 PSA 12

REMITTANCE ADVICE VENDOR 074176 FFY 2019ID # 0000111375 567

RMT 13 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 4,412.00 4,412.00 4,412.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 45,339.00 45,339.00 45,339.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 1,019.00 1,019.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 25,116.00 25,116.00 25,116.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 350,335.00 313,866.00 30,047.00 343,913.00 6,422.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 190,498.00 151,695.00 13,589.00 165,284.00 25,214.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 225,682.00 86,499.00 41,124.00 127,623.00 98,059.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 17,208.00 17,208.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 124,920.00 67,189.00 8,069.00 75,258.00 49,662.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,390.00 3,390.00 3,390.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 5,112.00 5,112.00 5,112.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 61,346.00 32,315.00 6,870.00 39,185.00 22,161.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,678.00 20,678.00 20,678.00 20,678.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,054.00 11,207.00 21,054.00 21,054.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,073.00 7,403.00 1,258.00 8,661.00 12,412.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 7,850.00 3,776.00 930.00 4,706.00 3,144.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

LAKE COUNTRY AREA AGENCY ON AGING1105 W. Danville Street

South Hill VA 23970-3501

Page 49 PSA 13

REMITTANCE ADVICE VENDOR 074176 FFY 2019ID # 0000111375 567

RMT 13 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

LAKE COUNTRY AREA AGENCY ON AGING1105 W. Danville Street

South Hill VA 23970-3501

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18 7,839.00 7,839.00 7,839.0075084 SFY'19 - 07/01/18 26,024.00 26,024.00 26,024.0075875 SFY'19 - 07/01/18 8,433.00 8,433.00 8,433.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18 5,471.00 5,471.00 5,471.00

75080 SFY'19 - 10/01/18 63,093.00 63,093.00 63,093.0075082 SFY'19 - 10/01/18 96,310.00 96,310.00 96,310.0075081 SFY'19 - 10/01/18 34,792.00 34,792.00 34,792.0075084 SFY'19 - 10/01/18 122,551.00 122,551.00 122,551.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18 27,308.00 27,308.00 27,308.00

75080 SFY'20 - 07/01/19 21,031.00 7,010.00 1,687.00 8,697.00 12,334.0075082 SFY'20 - 07/01/19 32,111.00 10,702.00 8,764.00 19,466.00 12,645.0075081 SFY'20 - 07/01/19 11,597.00 4,075.00 7,430.00 11,505.00 92.0075084 SFY'20 - 07/01/19 40,850.00 17,069.00 17,069.00 23,781.0075875 SFY'20 - 07/01/19 14,456.00 6,023.00 6,023.00 8,433.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19 9,103.00 3,816.00 3,816.00 5,287.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF COM BASE

GF H D MEALS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF RESPITE CARE

GF COM BASE

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

CARE COORDINATION

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GF OMBUDSMAN

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP

Page 50 PSA 13

REMITTANCE ADVICE VENDOR 074176 FFY 2019ID # 0000111375 567

RMT 13 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

LAKE COUNTRY AREA AGENCY ON AGING1105 W. Danville Street

South Hill VA 23970-3501

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 4,200.00 4,200.00 4,200.00 4,200.00SENIOR COOL CARE (FAN CARE) 71001 2019 4,200.00 2,205.00 2,205.00 1,995.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 415.00 415.00 415.00 415.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 450.00 450.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,698,633.00 36,500.00 1,276,342.00 121,973.00 1,398,315.00 300,318.0074.57% 82.32%

Page 51 PSA 13

REMITTANCE ADVICE VENDOR 217948 FFY 2019ID # 0000140956 568

RMT 14 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 90,721.00 90,721.00 90,721.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 6,535.00 6,535.00 6,535.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 61,584.00 61,584.00 61,584.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 65.00 65.00 65.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 57,683.00 57,683.00 57,683.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 6,053.00 6,053.00 6,053.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 354,848.00 332,033.00 332,033.00 22,815.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 176,009.00 159,717.00 159,717.00 16,292.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 245,461.00 138,937.00 32,982.00 171,919.00 73,542.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 17,455.00 13,981.00 110.00 14,091.00 3,364.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 126,564.00 65,661.00 23,665.00 89,326.00 37,238.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,431.00 3,258.00 3,258.00 173.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 11,298.00 6,231.00 1,938.00 8,169.00 3,129.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 48,153.00 45,750.00 238.00 45,988.00 2,165.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 1,955.00 1,466.00 1,466.00 489.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 20,801.00 20,801.00 20,801.00 20,801.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 21,230.00 6,996.00 21,230.00 21,230.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 21,262.00 8,387.00 8,387.00 12,875.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 434.00 434.00 3,666.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 8,321.00 8,321.00 8,321.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

PIEDMONT SENIOR RESOURCESP. O. Box 398

Burkeville VA 23922-0398

Page 52 PSA 14

REMITTANCE ADVICE VENDOR 217948 FFY 2019ID # 0000140956 568

RMT 14 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

PIEDMONT SENIOR RESOURCESP. O. Box 398

Burkeville VA 23922-0398

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 64,054.00 64,054.00 64,054.0075082 SFY'19 - 10/01/18 97,525.00 97,525.00 97,525.0075081 SFY'19 - 10/01/18 35,235.00 35,235.00 35,235.0075084 SFY'19 - 10/01/18 124,116.00 124,116.00 124,116.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 8,025.00 8,025.00 8,025.0075086 SFY'19 - 10/01/18 27,753.00 27,753.00 27,753.00

75080 SFY'20 - 07/01/19 21,351.00 14,235.00 14,235.00 7,116.0075082 SFY'20 - 07/01/19 32,517.00 21,680.00 21,680.00 10,837.0075081 SFY'20 - 07/01/19 11,745.00 11,745.00 11,745.0075084 SFY'20 - 07/01/19 41,372.00 27,582.00 27,582.00 13,790.0075875 SFY'20 - 07/01/19 14,456.00 11,243.00 11,243.00 3,213.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 2,675.00 1,088.00 1,088.00 1,587.0075086 SFY'20 - 07/01/19 9,251.00 6,333.00 6,333.00 2,918.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF COM BASE

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF H D MEALS

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF H D MEALS

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

OAA GENERAL

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 53 PSA 14

REMITTANCE ADVICE VENDOR 217948 FFY 2019ID # 0000140956 568

RMT 14 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

PIEDMONT SENIOR RESOURCESP. O. Box 398

Burkeville VA 23922-0398

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18 7,500.00 7,500.00 7,500.00 7,500.00NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17 13,125.00 13,125.00 13,125.00 13,125.00ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 1,300.00 1,300.00 1,300.00 (1,300.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 1,120.00 1,760.00 2,880.00 1,920.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 4,700.00 4,693.00 4,693.00 4,693.00 7.00SENIOR COOL CARE (FAN CARE) 71001 2019 4,500.00 4,500.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 290.00 290.00 290.00 290.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 300.00 300.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,857,286.00 54,705.00 1,476,951.00 154,599.00 1,631,550.00 225,736.0079.52% 87.85%

Page 54 PSA 14

REMITTANCE ADVICE VENDOR 171200 FFY 2019ID # 0000086798 569

RMT 15 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 70,905.00 70,905.00 70,905.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 56,545.00 56,545.00 56,545.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 170,516.00 170,516.00 170,516.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 11,800.00 11,800.00 11,800.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 37,375.00 37,375.00 37,375.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 480.00 480.00 480.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 6,426.00 6,426.00 6,426.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 1,329,834.00 898,981.00 30,000.00 928,981.00 400,853.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 611,531.00 501,800.00 32,500.00 534,300.00 77,231.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 521,420.00 236,226.00 236,226.00 285,194.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 57,749.00 42,139.00 6,000.00 48,139.00 9,610.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 407,364.00 273,645.00 18,000.00 291,645.00 115,719.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 10,586.00 8,726.00 8,726.00 1,860.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 41,673.00 29,084.00 4,000.00 33,084.00 8,589.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,874.00) (1,874.00) (1,874.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 116,413.00 111,000.00 111,000.00 5,413.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 19,810.00 10,060.00 3,500.00 13,560.00 6,250.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 355,427.00 89,200.00 354,627.00 354,627.00 800.00DOL 17235 0000115740 7/1/19 - 6/30/20 349,318.00 63,200.00 63,200.00 286,118.00

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 39,257.00 39,257.00 39,257.00 39,257.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 43,245.00 43,245.00 43,245.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 44,315.00 44,315.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 66,454.00 53,700.00 10,900.00 64,600.00 1,854.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street

Richmond VA 23219-1496

Page 55 PSA 15

REMITTANCE ADVICE VENDOR 171200 FFY 2019ID # 0000086798 569

RMT 15 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street

Richmond VA 23219-1496

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 222,668.00 222,668.00 222,668.0075082 SFY'19 - 10/01/18 237,335.00 237,335.00 237,335.0075081 SFY'19 - 10/01/18 261,528.00 261,528.00 261,528.0075084 SFY'19 - 10/01/18 313,395.00 313,395.00 313,395.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18 36,661.00 36,661.00 36,661.0075083 SFY'19 - 10/01/18 29,600.00 29,600.00 29,600.0075086 SFY'19 - 10/01/18 100,108.00 100,108.00 100,108.00

75080 SFY'20 - 07/01/19 74,223.00 24,000.00 50,223.00 74,223.0075082 SFY'20 - 07/01/19 92,474.00 22,000.00 28,000.00 50,000.00 42,474.0075081 SFY'20 - 07/01/19 92,176.00 29,000.00 33,600.00 62,600.00 29,576.0075084 SFY'20 - 07/01/19 86,131.00 33,000.00 53,131.00 86,131.0075875 SFY'20 - 07/01/19 14,456.00 4,000.00 5,600.00 9,600.00 4,856.0075200 SFY'20 - 07/01/19 12,220.00 4,000.00 3,200.00 7,200.00 5,020.0075083 SFY'20 - 07/01/19 9,867.00 3,000.00 3,000.00 6,000.00 3,867.0075086 SFY'20 - 07/01/19 33,369.00 11,000.00 22,369.00 33,369.00

75097 SFY'19 (7/1/18-6/30/19) 54,244.00 54,244.00 54,244.0075090 SFY'19 (7/1/18-6/30/19) 57,521.00 57,521.00 57,521.0075095 SFY'19 (7/1/18-6/30/19) 50,000.00 50,000.00 50,000.00

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 50,000.00 8,334.00 8,334.00 41,666.0075090 SFY'20 (7/1/19-6/30/20) 57,521.00 9,586.00 9,586.00 47,935.0075095 SFY'20 (7/1/19-6/30/20) 50,000.00 8,334.00 8,334.00 41,666.00

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

OAA GENERAL

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GUARDIANSHIP-DBDHS MENTAL ILLNESS

SENIORNAVIGATOR (GF)

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

OAA GENERAL

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBHDS ID/DDS

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

PHARMACY CONNECT

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 56 PSA 15

REMITTANCE ADVICE VENDOR 171200 FFY 2019ID # 0000086798 569

RMT 15 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

SENIOR CONNECTIONS - CAPITAL AAA24 E. Cary Street

Richmond VA 23219-1496

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15

DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16

DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16

DEMENTIA ADI SSS 93763 45918 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 02/28/19 - 08/31/19 25,000.00 25,000.00 25,000.00NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18

NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17

ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 1,100.00 1,100.00 1,100.00 (1,100.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19 10,000.00 10,000.00

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 4,000.00 4,000.00 4,000.00 4,000.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)

FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 7,705.00 8,925.00 8,925.00 (8,925.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 84,074.00 46,475.00 80,850.00 80,850.00 3,224.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 7,000.00 7,000.00 7,000.00 7,000.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 13,000.00 12,992.00 12,992.00 12,992.00 8.00SENIOR COOL CARE (FAN CARE) 71001 2019 12,800.00 1,460.00 11,340.00 12,800.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018

SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 5,220.55 5,220.55 5,220.55 5,220.55SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 5,206.48 5,206.48

TOTAL 6,530,534.03 212,949.55 4,673,491.55 378,563.00 5,052,054.55 1,478,479.4871.60% 77.36%

Inv SFY 2019-10

Title V Closeout Payment $590 (Check #064226 rec'd 8/23/18)

Note: NSIP - Obligation Adj FY'18Check #064981 rec'd/deposited 12/05/18

CDSME: PSA 15 26,950; Piedmont 3,575; Crater 15,950

Page 57 PSA 15

REMITTANCE ADVICE VENDOR 199615 FFY 2019ID # 0000085640 570

RMT 16 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 14,399.00 14,399.00 14,399.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 4,345.00 4,345.00 4,345.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 12,247.00 12,247.00 12,247.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 2,203.00 2,203.00 2,203.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 12,175.00 12,175.00 12,175.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 175.00 175.00 175.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 2,569.00 2,569.00 2,569.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 286,558.00 234,869.00 10,000.00 244,869.00 41,689.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 192,006.00 160,193.00 10,000.00 170,193.00 21,813.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 105,679.00 88,948.00 10,000.00 98,948.00 6,731.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 16,089.00 14,682.00 1,407.00 16,089.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 97,391.00 91,831.00 91,831.00 5,560.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,474.00 2,474.00 2,474.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 13,844.00 13,844.00 13,844.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (77.00) (77.00) (77.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 18,950.00 18,950.00 18,950.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,299.00 3,299.00 3,299.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 190,225.00 43,083.00 190,225.00 190,225.00DOL 17235 0000115740 7/1/19 - 6/30/20 179,138.00 14,928.00 14,928.00 164,210.00

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 23,629.00 23,629.00 23,629.00 23,629.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 24,821.00 24,821.00 24,821.00 24,821.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 25,296.00 4,216.00 5,870.00 10,086.00 15,210.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19 16,273.00 16,273.00 16,273.00MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 2,018.00 2,018.00 2,018.00

RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane

Fredericksburg VA 22405

Page 58 PSA 16

REMITTANCE ADVICE VENDOR 199615 FFY 2019ID # 0000085640 570

RMT 16 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane

Fredericksburg VA 22405

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 55,324.00 55,324.00 55,324.0075082 SFY'19 - 10/01/18 72,645.00 72,645.00 72,645.0075081 SFY'19 - 10/01/18 26,425.00 26,425.00 26,425.0075084 SFY'19 - 10/01/18 93,280.00 93,280.00 93,280.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 9,834.00 9,834.00 9,834.0075086 SFY'19 - 10/01/18 25,299.00 25,299.00 25,299.00

75080 SFY'20 - 07/01/19 18,441.00 3,725.00 3,725.00 14,716.0075082 SFY'20 - 07/01/19 24,223.00 4,850.00 4,850.00 19,373.0075081 SFY'20 - 07/01/19 8,808.00 1,750.00 1,750.00 7,058.0075084 SFY'20 - 07/01/19 31,094.00 6,200.00 6,200.00 24,894.0075875 SFY'20 - 07/01/19 14,456.00 2,885.00 2,885.00 11,571.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 3,278.00 660.00 660.00 2,618.0075086 SFY'20 - 07/01/19 8,433.00 1,700.00 1,700.00 6,733.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF OMBUDSMAN

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF TRANSPORTATION

OAA GENERAL

GF COM BASE

GF RESPITE CARE

GF OMBUDSMAN

GF H D MEALS

GUARDIANSHIP-DBHDS ID/DDS

GF RESPITE CARE

GF TRANSPORTATION

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBDHS MENTAL ILLNESS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP

PHARMACY CONNECT

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

GF H D MEALS

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

CARE COORDINATION

GF OMBUDSMAN

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 59 PSA 16

REMITTANCE ADVICE VENDOR 199615 FFY 2019ID # 0000085640 570

RMT 16 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2017 PAID PAYMENT PAYMENT BALANCE

RAPPAHANNOCK AREA AGENCY ON AGING460 Lendall Lane

Fredericksburg VA 22405

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 585.00 585.00 585.00 (585.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 20,625.00 20,625.00 20,625.00 20,625.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 1,600.00 795.00 795.00 805.00SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,706,958.00 112,743.00 1,290,587.00 73,975.00 1,364,562.00 342,396.0075.61% 79.94%

Note: NSIP - Obligation Adj FY'18

Inv SFY 2019-11Check #31448 rec'd/deposited 02/05/19

Page 60 PSA 16

REMITTANCE ADVICE VENDOR 128946 FFY 2019ID # 0000111324 571

RMT 17/18 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 60,671.00 60,671.00 60,671.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 48,263.00 48,263.00 48,263.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 77,929.00 77,929.00 77,929.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 8,120.00 8,120.00 8,120.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 (7,424.00) (7,424.00) (7,424.00)T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 30,155.00 30,155.00 30,155.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 404,309.00 336,182.00 27,152.00 363,334.00 40,975.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 210,778.00 150,564.00 26,657.00 177,221.00 33,557.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 233,112.00 163,893.00 1,508.00 165,401.00 67,711.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 19,098.00 19,098.00 19,098.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 138,468.00 138,468.00 138,468.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,739.00 463.00 1,000.00 1,463.00 2,276.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 64,257.00 16,884.00 12,073.00 28,957.00 35,300.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 9,786.00 9,786.00 9,786.00NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 105,930.00 86,149.00 8,932.00 95,081.00 10,849.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 25,114.00 15,129.00 15,129.00 9,985.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 148,259.00 37,781.00 145,343.00 145,343.00 2,916.00DOL 17235 0000115740 7/1/19 - 6/30/20 206,008.00 32,586.00 32,586.00 173,422.00

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 50,826.00 50,826.00 50,826.00 50,826.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 53,424.00 21,834.00 53,424.00 53,424.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 54,073.00 9,012.00 2,700.00 11,712.00 42,361.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 45,706.00 45,706.00 45,706.00

BAY AGINGP. O. Box 610

Urbanna VA 23175-0610

Page 61 PSA 17-18

REMITTANCE ADVICE VENDOR 128946 FFY 2019ID # 0000111324 571

RMT 17/18 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

BAY AGINGP. O. Box 610

Urbanna VA 23175-0610

75080 SFY'19 - 07/01/18 19,712.00 19,712.00 19,712.0075082 SFY'19 - 07/01/18 35,845.00 35,845.00 35,845.0075081 SFY'19 - 07/01/18 12,958.00 12,958.00 12,958.0075084 SFY'19 - 07/01/18 45,653.00 45,653.00 45,653.0075875 SFY'19 - 07/01/18 30,800.00 30,800.00 30,800.0075200 SFY'19 - 07/01/18 13,750.00 13,750.00 13,750.0075083 SFY'19 - 07/01/18 14,075.00 14,075.00 14,075.0075086 SFY'19 - 07/01/18 10,453.00 10,453.00 10,453.00

75080 SFY'19 - 10/01/18 70,598.00 70,598.00 70,598.0075082 SFY'19 - 10/01/18 106,491.00 106,491.00 106,491.0075081 SFY'19 - 10/01/18 38,490.00 38,490.00 38,490.0075084 SFY'19 - 10/01/18 135,598.00 135,598.00 135,598.0075875 SFY'19 - 10/01/18 92,399.00 92,399.00 92,399.0075200 SFY'19 - 10/01/18 41,250.00 41,250.00 41,250.0075083 SFY'19 - 10/01/18 45,642.00 45,642.00 45,642.0075086 SFY'19 - 10/01/18 30,703.00 30,703.00 30,703.00

75080 SFY'20 - 07/01/19 23,533.00 23,533.0075082 SFY'20 - 07/01/19 35,506.00 35,506.0075081 SFY'20 - 07/01/19 12,830.00 12,830.0075084 SFY'20 - 07/01/19 45,200.00 45,200.0075875 SFY'20 - 07/01/19 30,800.00 30,800.0075200 SFY'20 - 07/01/19 13,750.00 13,750.0075083 SFY'20 - 07/01/19 15,214.00 15,214.0075086 SFY'20 - 07/01/19 10,234.00 10,234.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

GUARDIANSHIP

CARE COORDINATION

GUARDIANSHIP-DBHDS ID/DDS

GF TRANSPORTATION

GF H D MEALS

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

CARE COORDINATION

OAA GENERAL

GF COM BASE

Page 62 PSA 17-18

REMITTANCE ADVICE VENDOR 128946 FFY 2019ID # 0000111324 571

RMT 17/18 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

BAY AGINGP. O. Box 610

Urbanna VA 23175-0610

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 3,360.00 3,360.00 1,440.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019 1,000.00 1,000.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 2,937,085.00 110,441.00 2,207,158.00 115,968.00 2,323,126.00 613,959.0075.15% 79.10%

Note: T-III E - Obligation Adj FY'18

Inv SFY 2019-12

CDSME: PSA 21 26,950; Bay Aging 4,675

Check #128219 rec'd/deposited 11/19/18

Page 63 PSA 17-18

REMITTANCE ADVICE VENDOR 169520 FFY 2019ID # 0000140950 572

RMT 19 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 92,431.00 92,431.00 92,431.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 47,213.00 47,213.00 47,213.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 75,934.00 75,934.00 75,934.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 29,257.00 17,249.00 462.00 17,711.00 11,546.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 135,796.00 127,561.00 8,235.00 135,796.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 2,094.00 2,094.00 2,094.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 552.00 552.00 552.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 378,523.00 267,368.00 19,429.00 286,797.00 91,726.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 205,480.00 158,257.00 15,355.00 173,612.00 31,868.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 243,058.00 151,864.00 15,519.00 167,383.00 75,675.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 19,250.00 19,250.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 135,520.00 3,471.00 3,471.00 132,049.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 3,621.00 1,898.00 148.00 2,046.00 1,575.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 13,816.00 13,343.00 473.00 13,816.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 46,040.00 42,191.00 3,849.00 46,040.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 3,284.00 2,735.00 275.00 3,010.00 274.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 22,166.00 9,655.00 9,655.00 9,655.00 12,511.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 22,840.00 12,121.00 22,840.00 22,840.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 23,003.00 7,080.00 1,523.00 8,603.00 14,400.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 12,661.00 9,255.00 1,576.00 10,831.00 1,830.00

CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr

Petersburg VA 23806-9243

Page 64 PSA 19

REMITTANCE ADVICE VENDOR 169520 FFY 2019ID # 0000140950 572

RMT 19 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr

Petersburg VA 23806-9243

75080 SFY'19 - 07/01/18 9,759.00 9,759.00 9,759.0075082 SFY'19 - 07/01/18 28,092.00 28,092.00 28,092.0075081 SFY'19 - 07/01/18 420.00 420.00 420.0075084 SFY'19 - 07/01/18 43,179.00 43,179.00 43,179.0075875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18 5,254.00 5,254.00 5,254.00

75080 SFY'19 - 10/01/18 70,513.00 70,513.00 70,513.0075082 SFY'19 - 10/01/18 103,660.00 103,660.00 103,660.0075081 SFY'19 - 10/01/18 37,509.00 37,509.00 37,509.0075084 SFY'19 - 10/01/18 132,188.00 132,188.00 132,188.0075875 SFY'19 - 10/01/18 43,367.00 43,367.00 43,367.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 9,813.00 9,813.00 9,813.0075086 SFY'19 - 10/01/18 30,976.00 30,976.00 30,976.00

75080 SFY'20 - 07/01/19 23,504.00 18,221.00 18,221.00 5,283.0075082 SFY'20 - 07/01/19 34,562.00 34,562.0075081 SFY'20 - 07/01/19 12,503.00 12,410.00 12,410.00 93.0075084 SFY'20 - 07/01/19 44,063.00 44,063.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 3,271.00 3,271.00 3,271.0075086 SFY'20 - 07/01/19 10,325.00 5,290.00 5,290.00 5,035.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GUARDIANSHIP-DBHDS ID/DDS

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP

BIRMINGHAM GREEN-RESIDENTIAL SERV

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF COM BASE

OAA GENERAL

GF TRANSPORTATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

GF OMBUDSMAN

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF H D MEALS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GF COM BASE

GF TRANSPORTATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF H D MEALS

GF OMBUDSMAN

OAA GENERAL

GF RESPITE CARE

CARE COORDINATION

GF H D MEALS

CARE COORDINATION

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

PHARMACY CONNECT

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 65 PSA 19

REMITTANCE ADVICE VENDOR 169520 FFY 2019ID # 0000140950 572

RMT 19 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

CRATER DISTRICT AREA AGENCY ON AGING23 Seyler Dr

Petersburg VA 23806-9243

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 1,900.00 1,900.00 1,900.00 1,900.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,700.00 1,700.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18 8,795.00 3,871.00 4,781.00 4,781.00 4,014.00SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19 9,929.33 3,815.00 525.00 4,340.00 5,589.33

TOTAL 2,206,733.33 27,547.00 1,589,202.00 110,032.00 1,699,234.00 507,499.3372.02% 77.00%

Title V Closeout - $2,112 refunded (Ck #161478 rec'd 8/29)

Page 66 PSA 19

REMITTANCE ADVICE VENDOR 185906 FFY 2019ID # 0000086038 573

RMT 20 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 332,406.00 332,406.00 332,406.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 143,927.00 143,927.00 143,927.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 273,514.00 273,514.00 273,514.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 22,245.00 22,245.00 22,245.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 101,263.00 101,263.00 101,263.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 1,158.00 1,158.00 1,158.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 1,459,105.00 1,057,089.00 250,161.00 1,307,250.00 151,855.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 961,027.00 702,554.00 182,077.00 884,631.00 76,396.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 571,240.00 215,385.00 118,618.00 334,003.00 237,237.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 64,912.00 64,912.00 64,912.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 490,612.00 357,286.00 30,382.00 387,668.00 102,944.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 13,072.00 11,805.00 1,267.00 13,072.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (2,201.00) (2,201.00) (2,201.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 124,214.00 124,214.00 124,214.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 39,447.00 39,447.00 39,447.00 39,447.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 43,411.00 43,411.00 43,411.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 44,448.00 44,448.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19 4,100.00 4,100.00MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 66,830.00 66,830.00 66,830.00

SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101

Norfolk VA 23502

Page 67 PSA 20

REMITTANCE ADVICE VENDOR 185906 FFY 2019ID # 0000086038 573

RMT 20 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101

Norfolk VA 23502

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18 19,999.00 19,999.00 19,999.0075081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18 9,369.00 9,369.00 9,369.0075875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18 7,500.00 7,500.00 7,500.0075083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 256,545.00 256,545.00 256,545.0075082 SFY'19 - 10/01/18 224,860.00 224,860.00 224,860.0075081 SFY'19 - 10/01/18 476,784.00 476,784.00 476,784.0075084 SFY'19 - 10/01/18 286,847.00 286,847.00 286,847.0075875 SFY'19 - 10/01/18 90,634.00 90,634.00 90,634.0075200 SFY'19 - 10/01/18 22,500.00 22,500.00 22,500.0075083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18 112,970.00 112,970.00 112,970.00

75080 SFY'20 - 07/01/19 85,515.00 85,515.00 85,515.0075082 SFY'20 - 07/01/19 74,974.00 74,974.0075081 SFY'20 - 07/01/19 158,941.00 68,121.00 68,121.00 90,820.0075084 SFY'20 - 07/01/19 95,615.00 76,838.00 18,777.00 95,615.0075875 SFY'20 - 07/01/19 30,211.00 25,927.00 4,284.00 30,211.0075200 SFY'20 - 07/01/19 7,500.00 7,500.0075083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19 37,657.00 37,657.00 37,657.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 68 PSA 20

REMITTANCE ADVICE VENDOR 185906 FFY 2019ID # 0000086038 573

RMT 20 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

SENIOR SERVICES of SOUTHEASTERN VIRGINIA 6350 Center Drive, Suite 101

Norfolk VA 23502

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion Eff) 93048 44418 5/30/18 - 06/30/19 25,000.00 4,845.00 25,000.00 25,000.00NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 13,252.50 13,252.50 13,252.50 (13,252.50)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19 10,000.00 7,457.00 7,457.00 2,543.00

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 5,300.00 5,300.00 5,300.00 5,300.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,700.00 3,700.00 3,700.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 20,215.00 24,800.00 24,800.00 (24,800.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 30,747.76 26,950.00 26,950.00 26,950.00 3,797.76CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 7,000.00 7,000.00 7,000.00 7,000.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19 20,000.00 4,085.00 20,000.00 20,000.00

SENIOR COOL CARE (FAN CARE) 71001 2018 1,200.00 1,200.00 1,200.00 1,200.00SENIOR COOL CARE (FAN CARE) 71001 2019 1,200.00 1,200.00 1,200.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 840.00 840.00 840.00 840.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 900.00 900.00 900.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 6,873,738.76 123,134.50 5,502,410.50 607,666.00 6,110,076.50 763,662.2680.09% 88.89%

De-obligation TIII-B (-5,162)

Inv SFY 2019-13

Note: NSIP - Obligation Adj FY'18

Check #145603 rec'd/deposited 12/05/18

Page 69 PSA 20

REMITTANCE ADVICE VENDOR 217949 FFY 2019ID # 0000111208 574

RMT 21 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18 32,638.00 32,638.00 32,638.00T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 49,625.00 49,625.00 49,625.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 11,798.00 11,798.00 11,798.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 1,039.00 1,039.00 1,039.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 39,105.00 39,105.00 39,105.00T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18 4,840.00 4,840.00 4,840.00T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 602,730.00 409,163.00 75,885.00 485,048.00 117,682.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 228,309.00 167,171.00 25,912.00 193,083.00 35,226.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 393,531.00 307,664.00 13,292.00 320,956.00 72,575.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 28,720.00 22,511.00 3,339.00 25,850.00 2,870.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 201,683.00 133,530.00 18,044.00 151,574.00 50,109.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 5,309.00 1,802.00 359.00 2,161.00 3,148.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (1,959.00) (1,959.00) (1,959.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 96,607.00 71,728.00 4,723.00 76,451.00 20,156.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006

Newport News VA 23606-3562

Page 70 PSA 21

REMITTANCE ADVICE VENDOR 217949 FFY 2019ID # 0000111208 574

RMT 21 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006

Newport News VA 23606-3562

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18 24,991.00 24,991.00 24,991.0075875 SFY'19 - 07/01/18 25,688.00 25,688.00 25,688.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 107,820.00 107,820.00 107,820.0075082 SFY'19 - 10/01/18 153,122.00 153,122.00 153,122.0075081 SFY'19 - 10/01/18 55,493.00 55,493.00 55,493.0075084 SFY'19 - 10/01/18 195,659.00 195,659.00 195,659.0075875 SFY'19 - 10/01/18 77,063.00 77,063.00 77,063.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18 47,981.00 47,981.00 47,981.00

75080 SFY'20 - 07/01/19 35,940.00 10,132.00 16,218.00 26,350.00 9,590.0075082 SFY'20 - 07/01/19 51,054.00 14,076.00 23,187.00 37,263.00 13,791.0075081 SFY'20 - 07/01/19 18,498.00 582.00 582.00 17,916.0075084 SFY'20 - 07/01/19 65,220.00 21,740.00 21,740.00 43,480.0075875 SFY'20 - 07/01/19 25,688.00 3,464.00 3,464.00 22,224.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19 15,994.00 561.00 8,041.00 8,602.00 7,392.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF COM BASE

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF H D MEALS

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF H D MEALS

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

OAA GENERAL

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 71 PSA 21

REMITTANCE ADVICE VENDOR 217949 FFY 2019ID # 0000111208 574

RMT 21 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

PENINSULA AREA AGENCY ON AGING739 Thimble Shoals Boulevard, Suite 1006

Newport News VA 23606-3562

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 06/03/19 - 08/31/19 5,000.00 5,000.00 5,000.00NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18 6,300.00 6,300.00 6,300.00 6,300.00FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274) 3,700.00 3,700.00 3,700.00FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 9,600.00 9,600.00 9,600.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 6,030.00 8,280.00 8,280.00 (8,280.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/19 55,029.31 41,525.00 53,900.00 53,900.00 1,129.31CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18 3,500.00 3,500.00 3,500.00 3,500.00

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018 4,200.00 3,953.00 4,200.00 4,200.00SENIOR COOL CARE (FAN CARE) 71001 2019 4,200.00 3,734.00 3,734.00 466.00

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 2,690,815.31 61,308.00 2,058,303.00 217,938.00 2,276,241.00 414,574.3176.53% 84.59%

Note: NSIP - Obligation Adj FY'18

Inv SFY 2019-04Check #025327 rec'd/deposited 11/02/18

CDSME: PSA 21 26,950; Bay Aging 14,575

Page 72 PSA 21

REMITTANCE ADVICE VENDOR 211687 FFY 2019ID # 0000140944 575

RMT 22 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18

T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18 660.00 660.00 660.00T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18 55,138.00 55,138.00 55,138.00T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18 12,045.00 12,045.00 12,045.00T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18 (4,116.00) (4,116.00) (4,116.00)T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18

T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18 360.00 360.00 360.00

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19 206,959.00 199,395.00 7,564.00 206,959.00T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19 112,567.00 103,814.00 6,000.00 109,814.00 2,753.00T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19 133,391.00 30,587.00 24,839.00 55,426.00 77,965.00T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19 10,911.00 2,011.00 8,311.00 10,322.00 589.00T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19 73,747.00 73,747.00 73,747.00T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19 2,007.00 1,808.00 199.00 2,007.00T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19 9,284.00 9,284.00 9,284.00

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18 (410.00) (410.00) (410.00)NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19 21,594.00 21,594.00 21,594.00

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY19 849.00 700.00 149.00 849.00

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 153,168.00 31,974.00 153,168.00 153,168.00DOL 17235 0000115740 7/1/19 - 6/30/20 134,353.00 25,672.00 25,672.00 108,681.00

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18 19,436.00 19,436.00 19,436.00 19,436.00VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19 19,668.00 13,066.00 19,668.00 19,668.00VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20 19,693.00 6,886.00 2,202.00 9,088.00 10,605.00

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19

MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19

MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19 4,303.00 2,179.00 633.00 2,812.00 1,491.00

EASTERN SHORE AREA AGENCY ON AGINGP. O. Box 415 5432 Bayside Rd. Belle Haven, VA 23306 Exmore, VA 23350 B

Page 73 PSA 22

REMITTANCE ADVICE VENDOR 211687 FFY 2019ID # 0000140944 575

RMT 22 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

EASTERN SHORE AREA AGENCY ON AGINGP. O. Box 415 5432 Bayside Rd. Belle Haven, VA 23306 Exmore, VA 23350 B

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18 14,456.00 14,456.00 14,456.0075200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18 37,062.00 37,062.00 37,062.0075082 SFY'19 - 10/01/18 56,930.00 56,930.00 56,930.0075081 SFY'19 - 10/01/18 20,561.00 20,561.00 20,561.0075084 SFY'19 - 10/01/18 72,417.00 72,417.00 72,417.0075875 SFY'19 - 10/01/18 43,369.00 43,369.00 43,369.0075200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18 6,595.00 6,595.00 6,595.0075086 SFY'19 - 10/01/18 16,001.00 16,001.00 16,001.00

75080 SFY'20 - 07/01/19 12,354.00 4,118.00 4,118.00 8,236.00 4,118.0075082 SFY'20 - 07/01/19 18,981.00 5,825.00 6,326.00 12,151.00 6,830.0075081 SFY'20 - 07/01/19 6,854.00 2,034.00 2,285.00 4,319.00 2,535.0075084 SFY'20 - 07/01/19 24,139.00 7,359.00 7,359.00 16,780.0075875 SFY'20 - 07/01/19 14,456.00 14,456.0075200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19 2,198.00 500.00 500.00 1,698.0075086 SFY'20 - 07/01/19 5,334.00 1,179.00 1,179.00 4,155.00

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

CARE COORDINATION

GF H D MEALS

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GF COM BASE

GF TRANSPORTATION

OAA GENERAL

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP

GF COM BASE

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

LOW INCOME SENIORS - TRAUMA

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

PHARMACY CONNECT

GUARDIANSHIP MENTAL HEALTH

GF H D MEALS

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

SENIORNAVIGATOR (GF)

Page 74 PSA 22

REMITTANCE ADVICE VENDOR 211687 FFY 2019ID # 0000140944 575

RMT 22 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

EASTERN SHORE AREA AGENCY ON AGINGP. O. Box 415 5432 Bayside Rd. Belle Haven, VA 23306 Exmore, VA 23350 B

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15

DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16

DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16

DEMENTIA ADI SSS 93763 45918 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/17 - 09/30/18

NO WRONG DOOR (Expansion Eff) 93048 44418 10/01/16 - 09/30/17

ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 45,050.00 45,050.00 45,050.00 (45,050.00)

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18

FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)

FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19 4,800.00 3,040.00 3,040.00 1,760.00FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20 5,100.00 5,100.00

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19 2,530.00 2,785.00 2,785.00 (2,785.00)

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18 26,950.00 26,950.00 26,950.00 26,950.00CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018 820.00 820.00 820.00 820.00SR. FARMER'S MARKET 10576 44019 (0000114562) 2019 820.00 820.00

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,375,804.00 139,826.00 1,074,505.00 88,798.00 1,163,303.00 212,501.0078.10% 84.55%

Inv SFY 2019-14Check #154788 rec'd/deposited 12/04/18

Note: NSIP & T-III E - Obligation Adj FY'18

Page 75 PSA 22

REMITTANCE ADVICE VENDOR 217162 FFY 2019ID # 0000172506 539

RMT ADULT CARE SHEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100

Winchester, VA 22601

Page 76 ADULT CARE SHENANDOAH

REMITTANCE ADVICE VENDOR 217162 FFY 2019ID # 0000172506 539

RMT ADULT CARE SHEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100

Winchester, VA 22601

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18 11,250.00 9,422.00 11,250.00 11,250.0075083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18 33,750.00 33,750.00 33,750.0075083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19 11,250.00 1,117.00 1,117.00 10,133.0075083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

OAA GENERAL

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

SENIORNAVIGATOR (GF)

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GF OMBUDSMAN

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

Page 77 ADULT CARE SHENANDOAH

REMITTANCE ADVICE VENDOR 217162 FFY 2019ID # 0000172506 539

RMT ADULT CARE SHEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

ADULT CARE CENTER OF THE NO SHENANDOAH VALLEY411 North Cameron St., Ste. 100

Winchester, VA 22601

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 56,250.00 9,422.00 45,000.00 1,117.00 46,117.00 10,133.0080.00% 81.99%

Page 78 ADULT CARE SHENANDOAH

REMITTANCE ADVICE VENDOR 237905 FFY 2019ID # 0000216979 582

RMT ADULT CARE 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568

Lynchburg, VA 24505

Page 79 ADULT CARE CTR OF CENTRAL VA

REMITTANCE ADVICE VENDOR 237905 FFY 2019ID # 0000216979 582

RMT ADULT CARE 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568

Lynchburg, VA 24505

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18 8,750.00 8,277.00 8,750.00 8,750.0075083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18 26,250.00 26,250.00 26,250.0075083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19 8,750.00 2,008.00 2,646.00 4,654.00 4,096.0075083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

CARE COORDINATION

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF H D MEALS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

Page 80 ADULT CARE CTR OF CENTRAL VA

REMITTANCE ADVICE VENDOR 237905 FFY 2019ID # 0000216979 582

RMT ADULT CARE 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

ADULT CARE CENTER OF CENTRAL VIRGINIAP O Box 568

Lynchburg, VA 24505

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 43,750.00 8,277.00 37,008.00 2,646.00 39,654.00 4,096.0084.59% 90.64%

Page 81 ADULT CARE CTR OF CENTRAL VA

REMITTANCE ADVICE VENDOR 226287 FFY 2019ID # 0000028977 532

RMT Alleghany 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street

Covington ,VA 24426

Page 82 ALLEGHANY HIGHLANDS

REMITTANCE ADVICE VENDOR 226287 FFY 2019ID # 0000028977 532

RMT Alleghany 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street

Covington ,VA 24426

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 61,511.00 61,511.00 61,511.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 57,267.00 4,772.00 4,772.00 9,544.00 47,723.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

SUPPLEMENTAL NUTR T-III C1&2 (GF)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

CARE COORDINATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF COM BASE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

GF OMBUDSMAN

OAA GENERAL

GUARDIANSHIP

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF TRANSPORTATION

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF OMBUDSMAN

GF OMBUDSMAN

GF COM BASE

GF TRANSPORTATION

OAA GENERAL

GUARDIANSHIP

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

Page 83 ALLEGHANY HIGHLANDS

REMITTANCE ADVICE VENDOR 226287 FFY 2019ID # 0000028977 532

RMT Alleghany 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

ALLEGHANY HIGHLAND COMMUNITY SERVICES205 E. Hawthorne Street

Covington ,VA 24426

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 118,778.00 66,283.00 4,772.00 71,055.00 47,723.0055.80% 59.82%

Page 84 ALLEGHANY HIGHLANDS

REMITTANCE ADVICE VENDOR 178018 FFY 2019ID # 0000170366 584

RMT ARC 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200

Falls Church, VA 22043

Page 85 ARC NORTH VA

REMITTANCE ADVICE VENDOR 178018 FFY 2019ID # 0000170366 584

RMT ARC 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200

Falls Church, VA 22043

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 84,583.00 84,583.00 84,583.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19) 167,500.00 167,500.00 167,500.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 80,339.00 6,695.00 6,695.00 13,390.00 66,949.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20) 167,500.00 13,958.00 13,958.00 27,916.00 139,584.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP

GF RESPITE CARE

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF TRANSPORTATION

GF RESPITE CARE

OAA GENERAL

GF COM BASE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GUARDIANSHIP

CARE COORDINATION

GF H D MEALS

CARE COORDINATION

GF COM BASE

GF TRANSPORTATION

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

GF H D MEALS

OAA GENERAL

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

Page 86 ARC NORTH VA

REMITTANCE ADVICE VENDOR 178018 FFY 2019ID # 0000170366 584

RMT ARC 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

THE ARC OF NORTHERN VA2755 Hartland Road - Suite 200

Falls Church, VA 22043

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 499,922.00 272,736.00 20,653.00 293,389.00 206,533.0054.56% 58.69%

Page 87 ARC NORTH VA

REMITTANCE ADVICE VENDOR 217940 FFY 2019ID # 0000160803 550

RMT AUTUMN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

AUTUMN VALLEY GUARDIANSHIP INCP O Box 1201

Harrisonburg, VA 22803

Page 88 Autumn Valley

REMITTANCE ADVICE VENDOR 217940 FFY 2019ID # 0000160803 550

RMT AUTUMN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

AUTUMN VALLEY GUARDIANSHIP INCP O Box 1201

Harrisonburg, VA 22803

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 36,244.00 36,244.00 36,244.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19) 63,888.00 63,888.00 63,888.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 32,000.00 2,667.00 2,667.00 5,334.00 26,666.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20) 63,888.00 5,324.00 5,324.00 10,648.00 53,240.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

CARE COORDINATION

GF TRANSPORTATION

GF OMBUDSMAN

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF RESPITE CARE

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF OMBUDSMAN

CARE COORDINATION

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF H D MEALS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP-DBHDS ID/DDS

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 89 Autumn Valley

REMITTANCE ADVICE VENDOR 217940 FFY 2019ID # 0000160803 550

RMT AUTUMN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

AUTUMN VALLEY GUARDIANSHIP INCP O Box 1201

Harrisonburg, VA 22803

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 196,020.00 108,123.00 7,991.00 116,114.00 79,906.0055.16% 59.24%

Page 90 Autumn Valley

REMITTANCE ADVICE VENDOR 238196 FFY 2019ID # 0000014436 548

RMT BIRMINGHAM GREEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110

Page 91 BIRMINGHAM GREEN

REMITTANCE ADVICE VENDOR 238196 FFY 2019ID # 0000014436 548

RMT BIRMINGHAM GREEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19) 250,000.00 250,000.00 250,000.00

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

OAA GENERAL

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

PHARMACY CONNECT

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GF RESPITE CARE

GF H D MEALS

CARE COORDINATION

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBDHS MENTAL ILLNESS

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP

SUPPLEMENTAL NUTR T-III C1&2 (GF)

CARE COORDINATION

GF COM BASE

GUARDIANSHIP

GF TRANSPORTATION

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF RESPITE CARE

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

CARE COORDINATION

GF OMBUDSMAN

Page 92 BIRMINGHAM GREEN

REMITTANCE ADVICE VENDOR 238196 FFY 2019ID # 0000014436 548

RMT BIRMINGHAM GREEN 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

BIRMINGHAM GREEN ADULT CARE RESIDENCE8605 Centreville RoadManassas, VA 20110

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 250,000.00 250,000.00 250,000.00100.00% 100.00%

Page 93 BIRMINGHAM GREEN

REMITTANCE ADVICE VENDOR 211666 FFY 2019ID # 0000141218 580

RMT BRIDGES 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310

Fredericksburg VA 22402

Page 94 BRIDGES-SR CARE

REMITTANCE ADVICE VENDOR 211666 FFY 2019ID # 0000141218 580

RMT BRIDGES 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310

Fredericksburg VA 22402

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 260,684.00 260,684.00 260,684.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19) 447,843.00 447,843.00 447,843.0075094 (0000109732) SFY'19 (7/1/18-6/30/19) 247,000.00 247,000.00 247,000.00

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 256,440.00 21,370.00 21,370.00 42,740.00 213,700.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20) 447,843.00 37,320.00 37,320.00 74,640.00 373,203.0075094 (0000109732) SFY'20 (7/1/19-6/30/20) 247,000.00 20,584.00 20,584.00 41,168.00 205,832.00

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

CARE COORDINATION

GF RESPITE CARE

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

OAA GENERAL

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

CARE COORDINATION

GF COM BASE

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

GF COM BASE

GF TRANSPORTATION

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GF OMBUDSMAN

GF H D MEALS

PHARMACY CONNECT

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GUARDIANSHIP

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 95 BRIDGES-SR CARE

REMITTANCE ADVICE VENDOR 211666 FFY 2019ID # 0000141218 580

RMT BRIDGES 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

BRIDGES SENIOR CARE SOLUTIONS INCP O Box 1310

Fredericksburg VA 22402

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,906,810.00 1,034,801.00 79,274.00 1,114,075.00 792,735.0054.27% 58.43%

Page 96 BRIDGES-SR CARE

REMITTANCE ADVICE VENDOR 084019 FFY 2019ID # 0000036881 583

RMT CATHOLIC RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.

Richmond, VA 23229

Page 97 CATHOLIC RICH

REMITTANCE ADVICE VENDOR 084019 FFY 2019ID # 0000036881 583

RMT CATHOLIC RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.

Richmond, VA 23229

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 87,244.00 87,244.00 87,244.0075090 SFY'19 (7/1/18-6/30/19) 67,979.00 67,979.00 67,979.0075095 SFY'19 (7/1/18-6/30/19) 392,268.00 392,268.00 392,268.00

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 83,000.00 6,917.00 6,917.00 13,834.00 69,166.0075090 SFY'20 (7/1/19-6/30/20) 67,979.00 5,665.00 5,665.00 11,330.00 56,649.0075095 SFY'20 (7/1/19-6/30/20) 392,268.00 32,689.00 32,689.00 65,378.00 326,890.00

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF TRANSPORTATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GUARDIANSHIP-DBHDS ID/DDS

GF H D MEALS

CARE COORDINATION

GF OMBUDSMAN

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

PHARMACY CONNECT

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

Page 98 CATHOLIC RICH

REMITTANCE ADVICE VENDOR 084019 FFY 2019ID # 0000036881 583

RMT CATHOLIC RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

COMMONWEALTH CATHOLIC CHARITIES OF GREATER RICH1601 Rolling Hills Dr.

Richmond, VA 23229

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,090,738.00 592,762.00 45,271.00 638,033.00 452,705.0054.35% 58.50%

Page 99 CATHOLIC RICH

REMITTANCE ADVICE VENDOR 219444 FFY 2019ID # 0000036882 543

RMT CATHOLIC EASTERN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361-A Virginia Beach BlvdVirginia Beach, VA 23462

Page 100 CATHOLIC EASTERN

REMITTANCE ADVICE VENDOR 219444 FFY 2019ID # 0000036882 543

RMT CATHOLIC EASTERN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361-A Virginia Beach BlvdVirginia Beach, VA 23462

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 209,631.00 209,631.00 209,631.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19) 138,500.00 138,500.00 138,500.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 205,387.00 17,115.00 17,115.00 34,230.00 171,157.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20) 138,500.00 11,542.00 11,542.00 23,084.00 115,416.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GF H D MEALS

GUARDIANSHIP-DBHDS ID/DDS

GF RESPITE CARE

GF TRANSPORTATION

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

OAA GENERAL

GF COM BASE

OAA GENERAL

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

CARE COORDINATION

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF COM BASE

OAA GENERAL

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

CARE COORDINATION

GF OMBUDSMAN

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF TRANSPORTATION

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 101 CATHOLIC EASTERN

REMITTANCE ADVICE VENDOR 219444 FFY 2019ID # 0000036882 543

RMT CATHOLIC EASTERN 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

CATHOLIC CHARITIES OF EASTERN VIRGINIA INC5361-A Virginia Beach BlvdVirginia Beach, VA 23462

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 692,018.00 376,788.00 28,657.00 405,445.00 286,573.0054.45% 58.59%

Page 102 CATHOLIC EASTERN

REMITTANCE ADVICE VENDOR 017522 FFY 2019ID # 0000086638 500

RMT FAMILY SER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave, SWRoanoke, VA 24016

Page 103 FAMILY SER ROANOKE VALLEY

REMITTANCE ADVICE VENDOR 017522 FFY 2019ID # 0000086638 500

RMT FAMILY SER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave, SWRoanoke, VA 24016

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 101,790.00 101,790.00 101,790.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19) 173,192.00 173,192.00 173,192.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 97,546.00 8,129.00 8,129.00 16,258.00 81,288.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20) 173,192.00 14,433.00 14,433.00 28,866.00 144,326.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF RESPITE CARE

GF H D MEALS

CARE COORDINATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF OMBUDSMAN

GF COM BASE

GF TRANSPORTATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

GF H D MEALS

CARE COORDINATION

GUARDIANSHIP

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 104 FAMILY SER ROANOKE VALLEY

REMITTANCE ADVICE VENDOR 017522 FFY 2019ID # 0000086638 500

RMT FAMILY SER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

FAMILY SERVICES OF ROANOKE VALLEY360 Campbell Ave, SWRoanoke, VA 24016

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 545,720.00 297,544.00 22,562.00 320,106.00 225,614.0054.52% 58.66%

Page 105 FAMILY SER ROANOKE VALLEY

REMITTANCE ADVICE VENDOR 044563 FFY 2019ID # 0000036915 542

RMT JEWISH RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

JEWISH FAMILY SERVICES - RICHMOND6718 Patterson AvenueRichmond, VA 23226

Page 106 JEWISH FAMILY - RICH

REMITTANCE ADVICE VENDOR 044563 FFY 2019ID # 0000036915 542

RMT JEWISH RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

JEWISH FAMILY SERVICES - RICHMOND6718 Patterson AvenueRichmond, VA 23226

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 97,080.00 97,080.00 97,080.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19) 85,659.00 85,659.00 85,659.0075094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 92,836.00 7,737.00 7,737.00 15,474.00 77,362.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20) 85,659.00 7,138.00 7,138.00 14,276.00 71,383.0075094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP-DBHDS ID/DDS

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

BIRMINGHAM GREEN-RESIDENTIAL SERV

GF H D MEALS

GF RESPITE CARE

GF OMBUDSMAN

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

GF H D MEALS

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP MENTAL HEALTH

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

Page 107 JEWISH FAMILY - RICH

REMITTANCE ADVICE VENDOR 044563 FFY 2019ID # 0000036915 542

RMT JEWISH RICH 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

JEWISH FAMILY SERVICES - RICHMOND6718 Patterson AvenueRichmond, VA 23226

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 361,234.00 197,614.00 14,875.00 212,489.00 148,745.0054.71% 58.82%

Page 108 JEWISH FAMILY - RICH

REMITTANCE ADVICE VENDOR 121774 FFY 2019ID # 0000140924 581

RMT JEWISH TIDEWATER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd

Virginia Beach VA 23462

Page 109 JEWISH FAMILY - TIDEWATER

REMITTANCE ADVICE VENDOR 121774 FFY 2019ID # 0000140924 581

RMT JEWISH TIDEWATER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd

Virginia Beach VA 23462

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19) 222,162.00 222,162.00 222,162.0075090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19) 333,750.00 333,750.00 333,750.0075094 (0000109732) SFY'19 (7/1/18-6/30/19) 250,000.00 250,000.00 250,000.00

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20) 217,918.00 18,160.00 18,160.00 36,320.00 181,598.0075090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20) 333,750.00 27,813.00 27,813.00 55,626.00 278,124.0075094 (0000109732) SFY'20 (7/1/19-6/30/20) 250,000.00 20,833.00 20,833.00 41,666.00 208,334.00

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

GF OMBUDSMAN

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF RESPITE CARE

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

CARE COORDINATION

OAA GENERAL

GF TRANSPORTATION

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

Page 110 JEWISH FAMILY - TIDEWATER

REMITTANCE ADVICE VENDOR 121774 FFY 2019ID # 0000140924 581

RMT JEWISH TIDEWATER 08/01/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

JEWISH FAMILY SERVICES OF TIDEWATER260 Grayson Rd

Virginia Beach VA 23462

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 1,607,580.00 872,718.00 66,806.00 939,524.00 668,056.0054.29% 58.44%

Page 111 JEWISH FAMILY - TIDEWATER

REMITTANCE ADVICE VENDOR 236260 FFY 2019ID # 0000170084 593

RMT JEWISH SOCIAL SERV 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18

T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18

T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18

T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18

T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18

T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18

T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19

T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19

T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19

T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19

T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19

T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19

T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18

NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19

DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18

VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19

VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19

MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19

MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852

Page 112 JEWISH SOCIAL SERVICE AGENCY

REMITTANCE ADVICE VENDOR 236260 FFY 2019ID # 0000170084 593

RMT JEWISH SOCIAL SERV 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19) 100,000.00 100,000.00 100,000.0075810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20) 100,000.00 15,849.00 15,849.00 84,151.0075810 (0000110116) SFY'20 (7/1/19-6/30/20)

CARE COORDINATION

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF RESPITE CARE

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

CARE COORDINATION

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP MENTAL HEALTH

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

Page 113 JEWISH SOCIAL SERVICE AGENCY

REMITTANCE ADVICE VENDOR 236260 FFY 2019ID # 0000170084 593

RMT JEWISH SOCIAL SERV 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

JEWISH SOCIAL SERVICE AGENCY6123 Montrose RoadRockville, MD 20852

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15

DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16

DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16

DEMENTIA ADI SSS 93763 45918 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19

NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18

NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17

ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 200,000.00 100,000.00 15,849.00 115,849.00 84,151.00100.00% 57.92%

Deobligated Funds

Page 114 JEWISH SOCIAL SERVICE AGENCY

REMITTANCE ADVICE VENDOR 191478 FFY 2019ID # 0000046565 511

RMT SENIOR NAVIG 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19DOL 17235 0000115740 7/1/19 - 6/30/20

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

VIRGINIANAVIGATOR (formerly known as Senior Navigator)7501 Boulders View Dr - Suite 201

Richmond VA 23225

Page 115 SENIORNAVIGATOR

REMITTANCE ADVICE VENDOR 191478 FFY 2019ID # 0000046565 511

RMT SENIOR NAVIG 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

VIRGINIANAVIGATOR (formerly known as Senior Navigator)7501 Boulders View Dr - Suite 201

Richmond VA 23225

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19) 201,875.00 201,875.00 201,875.0075120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20) 201,875.00 50,468.00 50,468.00 151,407.0075120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

GUARDIANSHIP

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

GF COM BASE

GF TRANSPORTATION

CARE COORDINATION

OAA GENERAL

GF COM BASE

PHARMACY CONNECT

GF RESPITE CARE

GF OMBUDSMAN

GF TRANSPORTATION

SUPPLEMENTAL NUTR T-III C1&2 (GF)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP MENTAL HEALTH

GF H D MEALS

CARE COORDINATION

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

OAA GENERAL

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GF OMBUDSMAN

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

Page 116 SENIORNAVIGATOR

REMITTANCE ADVICE VENDOR 191478 FFY 2019ID # 0000046565 511

RMT SENIOR NAVIG 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

VIRGINIANAVIGATOR (formerly known as Senior Navigator)7501 Boulders View Dr - Suite 201

Richmond VA 23225

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18 50,000.00 50,000.00 50,000.00 50,000.00

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 453,750.00 50,000.00 251,875.00 50,468.00 302,343.00 151,407.0055.51% 66.63%

Sr. Navigator - $50,000 DBHDS - To be paid fund 0200

Page 117 SENIORNAVIGATOR

REMITTANCE ADVICE VENDOR 004433 FFY 2019ID # 0000028915 590

RMT STEPS 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

T-III B AP & SS 93044 42018 (0000112123) FY'18 10/17 - 09/18T-III C1 CON MEAL 93045 42218 (0000112124) FY'18 10/17 - 09/18T-III C2 - H D MEALS 93045 42318 (0000112125) FY'18 10/17 - 09/18T-III D PREV HEAL 93043 42418 (0000112126) FY'18 10/17 - 09/18T-III E NFCSP 93052 42518 (0000112127) FY'18 10/17 - 09/18T-VII G ELDER ABUSE 93041 43718 (0000112129) FY'18 10/17 - 09/18T-VII OMBUDSMAN 93042 43618 (0000112327) FY'18 10/17 - 09/18

T-III B AP & SS 93044 42019 (0000114551) FY'19 10/18 - 09/19T-III C1 CON MEAL 93045 42219 (0000114550) FY'19 10/18 - 09/19T-III C2 - H D MEALS 93045 42319 (0000114540) FY'19 10/18 - 09/19T-III D PREV HEAL 93043 42419 (0000114543) FY'19 10/18 - 09/19T-III E NFCSP 93052 42519 (0000114541) FY'19 10/18 - 09/19T-VII G ELDER ABUSE 93041 43719 (0000114549) FY'19 10/18 - 09/19T-VII OMBUDSMAN 93042 43619 (0000114471) FY'19 10/18 - 09/19

NSIP 93053 42718 (0000112121) FY'18 10/17 - 09/18NSIP 93053 42719 (0000114544) FY'19 10/18 - 09/19

DMAS OMBUDSMAN 93778 46200 (ARS46200) FY18

DOL 17235 43519 (0000114040) 7/1/18 - 6/30/19 219,281.00 11,104.00 203,517.00 203,517.00 15,764.00DOL 17235 0000115740 7/1/19 - 6/30/20 223,923.00 18,257.00 18,257.00 205,666.00

VICAP FFY '17 93324 44118 (ARS44118) 04/17 - 03/18VICAP FFY '18 93324 44118 (ARS44118) 04/18 - 03/19VICAP FFY '19 93324 44118 (ARS44118) 04/19 - 03/20

MIPPA Priority # 1 93071 44820 (0000114546) 9/30/18 - 9/29/19MIPPA Priority # 2 93071 44980 (0000114547) 9/30/18 - 9/29/19MIPPA Priority # 3 93071 44920 (0000114548) 9/30/18 - 9/29/19

SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road

Farmville, VA 23901

Page 118 STEPS

REMITTANCE ADVICE VENDOR 004433 FFY 2019ID # 0000028915 590

RMT STEPS 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road

Farmville, VA 23901

75080 SFY'19 - 07/01/18

75082 SFY'19 - 07/01/18

75081 SFY'19 - 07/01/18

75084 SFY'19 - 07/01/18

75875 SFY'19 - 07/01/18

75200 SFY'19 - 07/01/18

75083 SFY'19 - 07/01/18

75086 SFY'19 - 07/01/18

75080 SFY'19 - 10/01/18

75082 SFY'19 - 10/01/18

75081 SFY'19 - 10/01/18

75084 SFY'19 - 10/01/18

75875 SFY'19 - 10/01/18

75200 SFY'19 - 10/01/18

75083 SFY'19 - 10/01/18

75086 SFY'19 - 10/01/18

75080 SFY'20 - 07/01/19

75082 SFY'20 - 07/01/19

75081 SFY'20 - 07/01/19

75084 SFY'20 - 07/01/19

75875 SFY'20 - 07/01/19

75200 SFY'20 - 07/01/19

75083 SFY'20 - 07/01/19

75086 SFY'20 - 07/01/19

75097 SFY'19 (7/1/18-6/30/19)

75090 SFY'19 (7/1/18-6/30/19)

75095 SFY'19 (7/1/18-6/30/19)

75094 (0000109732) SFY'19 (7/1/18-6/30/19)

75800 SFY'19 (7/1/18-6/30/19)

75150 SFY'19 (7/1/18-6/30/19)

75120 (0000109734) SFY'19 (7/1/18-6/30/19)

75810 (0000110116) SFY'19 (7/1/18-6/30/19)

75097 SFY'20 (7/1/19-6/30/20)

75090 SFY'20 (7/1/19-6/30/20)

75095 SFY'20 (7/1/19-6/30/20)

75094 (0000109732) SFY'20 (7/1/19-6/30/20)

75800 SFY'20 (7/1/19-6/30/20)

75150 SFY'20 (7/1/19-6/30/20)

75120 (0000109734) SFY'20 (7/1/19-6/30/20)

75810 (0000110116) SFY'20 (7/1/19-6/30/20)

SUPPLEMENTAL NUTR T-III C1&2 (GF)

BIRMINGHAM GREEN-RESIDENTIAL SERV

GUARDIANSHIP-DBHDS ID/DDS

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

CARE COORDINATION

GF H D MEALS

CARE COORDINATION

GF RESPITE CARE

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

GF RESPITE CARE

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

OAA GENERAL

OAA GENERAL

GF OMBUDSMAN

SUPPLEMENTAL NUTR T-III C1&2 (GF)

OAA GENERAL

GF COM BASE

GF TRANSPORTATION

GF COM BASE

GF TRANSPORTATION

GF H D MEALS

GF OMBUDSMAN

CARE COORDINATION

GF RESPITE CARE

GUARDIANSHIP-DBHDS ID/DDS

GUARDIANSHIP-DBDHS MENTAL ILLNESS

GUARDIANSHIP

GUARDIANSHIP MENTAL HEALTH

PHARMACY CONNECT

SENIORNAVIGATOR (GF)

LOW INCOME SENIORS - TRAUMA

BIRMINGHAM GREEN-RESIDENTIAL SERV

Page 119 STEPS

REMITTANCE ADVICE VENDOR 004433 FFY 2019ID # 0000028915 590

RMT STEPS 08/31/19PAID PRIOR PREVIOUSLY THIS GRANT TO DATE

CFDA# PROJECT # PERIOD OBLIGATION 10/1/2018 PAID PAYMENT PAYMENT BALANCE

SOUTHSIDE TRAINING EMPLOYMENT & PLACEMENT SERVICES INC225 Industrial Park Road

Farmville, VA 23901

Dementia Capable-Expanding Fam 93051 45118 (0000110254) 09/16 - 02/18

DEMENTIA SERVICES - ADSSP 93051 45917 09/14 - 08/15DEMENTIA SERVICES - ADSSP 93051 45917 09/15 - 08/16DEMENTIA SERVICES - ADSSP 93051 45917 09/16 - 08/17

DEMENTIA ADI SSS 93763 45918 09/15 - 08/16DEMENTIA ADI SSS 93763 45918 09/16 - 08/17DEMENTIA ADI SSS 93763 45918 09/17 - 08/18

NO WRONG DOOR (Expansion Eff) 93048 44418 12/15/18 - 09/30/19NO WRONG DOOR (Expansion 93048 44418 12/15/17 - 09/30/18NO WRONG DOOR (Expansion 93048 44418 10/01/16 - 09/30/17ADRC-State LTSS Access NWD 93048 44418 09/30/15 - 09/29/18

NO WRONG DOOR (BCD) 93048 0000114556 6/17/19 - 11/30/19

Model Approaches to Legal Assist 93048 45019 (0000109818) 12/1/16-7/31/19

FALLS PREVENTION-MOB (YR 1) 93761 45620 (0000112274) 8/1/17 - 7/31/18FALLS PREVENTION-MOB (BONUS) 93761 45620 (0000112274)FALLS PREVENTION-MOB (YR 2) 93761 45620 (0000112274) 8/1/18 - 7/31/19FALLS PREVENTION-MOB (YR 3) 93761 45620 (0000112274) 8/1/18 - 7/31/20

VHQC - Diabetes Self Mgmt Prog 93773 46119 (0000108488) 2/1/16 - 7/30/19

CDSME-Chronic Disease Self-Mgmt 93734 45818 (0000109996) 08/01/16 - 07/31/18CDSME - Bonus 93734 45818 (0000109996) 08/01/16 - 07/31/18

TRANSPORTATION F / T ELDERLY 71002 11/01/17-06/30/19

SENIOR COOL CARE (FAN CARE) 71001 2018

SENIOR COOL CARE (FAN CARE) 71001 2019

SR. FARMER'S MARKET 10576 44018 (0000112350) 2018SR. FARMER'S MARKET 10576 44019 (0000114562) 2019

SUPP NUTRITION ASSIST (SNAP) 10561 46318 (0000112349) 10/17 - 9/18

SUPP NUTRITION ASSIST (SNAP) 10561 46319 (0000114539) 10/18 - 9/19

TOTAL 443,204.00 11,104.00 203,517.00 18,257.00 221,774.00 221,430.0045.92% 50.04%

Page 120 STEPS