Attachment A. 100, Administration (may not exceed 10% of line 21) 477, Audit

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1 Annual Statement/Performance and Evaluation Report Expires 8/31/2011 Part I: Summary PHA Name: Housing Authority City of Milwaukee Grant Type and Number Capital Fund Program Grant No: Replacement Housing Factor Grant No: Date of CFFP: FFY of Grant: 2015 FFY of Grant Approval: Type of Grant Original Annual Statement Reserve for Disasters/Emergencies Revised Annual Statement (revision no:1 ) Performance and Evaluation Report for Period Ending: Final Performance and Evaluation Report Line Summary by Development Account Total Estimated Cost Total Actual Cost 1 1 Total non-cfp Funds Original Revised 2 Obligated Expended Operations (may not exceed 20% of line 21) 3 955, Management Improvements 100, Administration (may not exceed 10% of line 21) 477, Audit 10, Liquidated Damages Fees and Costs 400, Site Acquisition Site Improvement 110, Dwelling Structures 2, Dwelling Equipment Nonexpendable Non-dwelling Structures 435, Non-dwelling Equipment Demolition Moving to Work Demonstration Relocation Costs 50, Development Activities 4 10,000 Attachment A 1 To be completed for the Performance and Evaluation Report. 2 To be completed for the Performance and Evaluation Report or a Revised Annual Statement. 3 PHAs with under 250 units in management may use 100% of CFP Grants for operations. 4 RHF funds shall be included here. Page1 form HUD (4/2008)

2 Annual Statement/Performance and Evaluation Report Part I: Summary PHA Name: Housing Authority City of Milwaukee Grant Type and Number Capital Fund Program Grant No: Replacement Housing Factor Grant No: Date of CFFP: FFY of Grant:2015 FFY of Grant Approval: Type of Grant Original Annual Statement Reserve for Disasters/Emergencies Revised Annual Statement (revision no: ) Performance and Evaluation Report for Period Ending: Final Performance and Evaluation Report Line Summary by Development Account Total Estimated Cost Total Actual Cost 1 Original Revised 2 Obligated Expended 18a 1501 Collateralization or Debt Service paid by the PHA 18ba 9000 Collateralization or Debt Service paid Via System of Direct 10,000 Payment Contingency (may not exceed 8% of line 20) 78, Amount of Annual Grant:: (sum of lines 2-19) 4,776, Amount of line 20 Related to LBP Activities 22 Amount of line 20 Related to Section 504 Activities 23 Amount of line 20 Related to Security - Soft Costs 24 Amount of line 20 Related to Security - Hard Costs 25 Amount of line 20 Related to Energy Conservation Measures Signature of Executive Director Date Signature of Public Housing Director Date 1 To be completed for the Performance and Evaluation Report. 2 To be completed for the Performance and Evaluation Report or a Revised Annual Statement. 3 PHAs with under 250 units in management may use 100% of CFP Grants for operations. 4 RHF funds shall be included here. Page2 form HUD (4/2008)

3 Annual Statement/Performance and Evaluation Report Part II: Supporting Pages PHA Name: Housing Authority City of Milwaukee Grant Type and Number Capital Fund Program Grant No: CFFP (Yes/ No): Replacement Housing Factor Grant No: Federal FFY of Grant: 2015 Development Number Name/PHA-Wide Activities General Description of Major Work Categories Development Account No. PHA Wide Operations ,250 PHA Wide Management Improvements ,000 PHA Wide Administration ,625 PHA Wide Audit ,000 PHA Wide Parklawn WI P Arlington Court WI P Becher Court WI P College Court WI P Architectural and Engineering, GPNA, RPCA Site improvements (including concrete and lannon stone) Apartment flooring (including asbestos Roofing, repairs, flashing, gutters/downspouts Apartment flooring(including asbestos Quantity Total Estimated Cost Total Actual Cost Status of Work , Original Revised 1 Funds Obligated 2 110,000 63, ,000 Funds Expended 2 Apartment flooring (including 100,000 Page3 form HUD (4/2008)

4 asbestos Hillside Terrace and Addition WI P Siding replacement Apartment flooring (including 200,000 asbestos Holton Terrace WI P HVAC improvments 50,000 asbestos Lincoln Court WI P 3,000 asbestos Locust Court WI P HVAC improvments 103,000 asbestos Merrill Park WI P asbestos Mitchell Court WI P Elevator modernization, elevator control room modifications 400,000 3,000 asbestos Riverview WI P 3,000 asbestos PHA Wide Mitigation of Environmental Hazards 50,000 Page4 form HUD (4/2008)

5 Westlawn WI P ADA/504 Accommodations Force Account Labor Vacant Unit Deferred Maintenance Maintenance/mgt building ,000 25, , ,000 Central Support West Parking deck modernization ,000 30,000 PHA Wide Relocation Costs ,000 PHA Wide Mixed-Finance development ,000 PHA Wide Collaterization or Debt Service ,000 PHA Wide Contingency ,383 1 To be completed for the Performance and Evaluation Report or a Revised Annual Statement. 2 To be completed for the Performance and Evaluation Report. Annual Statement/Performance and Evaluation Report Part II: Supporting Pages PHA Name: Housing Authority City of Milwaukee Grant Type and Number Capital Fund Program Grant No: CFFP (Yes/ No): Replacement Housing Factor Grant No: Federal FFY of Grant: 2015 Development Number Name/PHA-Wide Activities General Description of Major Work Categories Development Account No. Quantity Total Estimated Cost Total Actual Cost Status of Work Original Revised 1 Funds Obligated 2 Funds Expended 2 Page5 form HUD (4/2008)

6 1 To be completed for the Performance and Evaluation Report or a Revised Annual Statement. 2 To be completed for the Performance and Evaluation Report. Annual Statement/Performance and Evaluation Report Part III: Implementation Schedule for Capital Fund Financing Program PHA Name: Housing Authority City of Milwaukee Federal FFY of Grant: 2015 Development Number Name/PHA-Wide Activities All Fund Obligated (Quarter Ending Date) Original Obligation End Date Actual Obligation End Date Original Expenditure End Date All Funds Expended (Quarter Ending Date) PHA Wide Arlington Court WI P Becher Court WI P College Court WI P Hillside Terrace and Addition WI P Actual Expenditure End Date Reasons for Revised Target Dates 1 Page6 form HUD (4/2008)

7 Holton Terrace WI P Lincoln Court WI P Locust Court WI P Merrill Park WI P Mitchell Court WI P Parklawn WI P Riverview WI P Westlawn WI P Central Support West 1 Obligation and expenditure end dated can only be revised with HUD approval pursuant to Section 9j of the U.S. Housing Act of 1937, as amended. Page7 form HUD (4/2008)

8 Annual Statement/Performance and Evaluation Report Part III: Implementation Schedule for Capital Fund Financing Program PHA Name: Federal FFY of Grant: Development Number Name/PHA-Wide Activities All Fund Obligated (Quarter Ending Date) Original Obligation End Date Actual Obligation End Date Original Expenditure End Date All Funds Expended (Quarter Ending Date) Actual Expenditure End Date Reasons for Revised Target Dates 1 1 Obligation and expenditure end dated can only be revised with HUD approval pursuant to Section 9j of the U.S. Housing Act of 1937, as amended. Page8 form HUD (4/2008)