Report Period: From: ___ To: ___

I. General Information on Use of HPG Funds During Period:

A. Use of Administrative Funds:

• Budgeted Amount $___
• Expended Thru Last Quarter ___

Direct Cost:

• Personnel $___
• Supplies & Equip ___
• Travel ___

Indirect Costs:

• (___% Rate) ___
•          This Quarter Total ___

B. Use of Program Funds:

• Budgeted Amount ___
• Expended Thru Last Quarter ___
• Loans No. ___ $___
• Grants No. ___ ___

Other subsidies

•    (describe briefly) No. ___ ___
•          This Quarter Total    ___

II. Description of recipients provided assistance during report period: (Attach breakdown for each HPG recipient on separate page including name, address, income, size, race, housing preservation activities, and type of assistance received):

• Number of low-income homeowners assisted   ___
• Number of very low-income homeowners assisted   ___
•          Total number of homeowners      assisted   ___

Racial composition:

•       White   ___
•       Black   ___
•       Hispanic   ___
•       Am. Indian   ___
•       Other   ___

III. Description of types of housing preservation provided:

IV. Objectives for next period:

• LoansNo. ___ $___
• GrantsNo. ___ $___
• Other subsidyNo. ___ $___
•          TotalsNo. ___ $___

V. Project summary:

VI. Narrative:

A. Significant accomplishments.

B. Problem areas.

C. Proposed changes/assistance needed, etc.

D. Status of implementing environmental and historic preservation requirements. Include number of historic properties assisted.