RSA-15 North Dakota Division of Vocational Rehabilitation - FY2015

I. Earnings and Employment

1. Gross Sales74,689
2. Merchandise Purchases47,571
3. Gross Profit27,118
4. Payroll Expenses0
5. Other Operating Expenses9,170
6. Expenses9,170
7. Operating Profit17,948
8. Vending Machine and Other Income84,267
9. Retirement and Other Benefits Paid0
10. Net Proceeds102,215
11. Levied Set Aside Funds0
12. Net Profit to Vendors102,215
13. Fair Minimum Return to Vendors0
14. Vendors Earnings102,215
15. Vendor Person Years of Employment2.00
16. Average Vendor Earnings51,108
17. The Median of Net Vendor Earnings in the State51,108
18. Number of Other Persons with Visual Disabilities Employed0
19. Number of Other Persons with Disabilities Employed0
20. Number of Persons Having No Disability Employed0
21. Total Number Employed in the Program0

II. Vending Facilities and Vendors

A. Facilities on Federal Property

1. Number at Beginning of Year2
2. Number Established during Year0
3. Number Closed during Year0
4. Number at End of Year2

B. Vending Facilities Loacted on Federal Property, End Of Year

1. General Services Administration 2
2. U.S. Postal Service 0
3. Department of Defense 0
a) Military Dining Facility Contracts 0
b) Other DOD Vending Facilities 0
4. Department of Homeland Security 0
5. Department of Health and Human Services 0
6. Veterans Administration 0
7. Department of the Interior 0
8. Vending Routes on Multiple Federal Locations 0
9. All Other Federal Agencies 0
Other Federal Agencies Identified0
10. Total 2

C. Contracts for Operation of Cafeterias and Military Dining Facilities

(No contracted cafeteria and military dining hall operations have been entered.)

D. Vendors on Federal Property

Vendors on Federal Property
1. Number at Beginning of Year 2
2. Number Entering during Year 0
3. Number Leaving during Year 0
4. Number at End of Year2

E. Facilities on Public Property (State, County, Municipal)

Facilities on Public Property (State, County, Municipal)
1. Number at Beginning of Year 0
2. Number Established during Year 0
3. Number Closed during Year 0
4. Number at End of Year0
a. Vending Facilities on State Property (end of year)0
b. Vending Facilities on County Property (end of year)0
c. Vending Facilities on Municipal Property (end of year)0

F. Vendors on Public Property (State, County, Municipal)

Vendors on Public Property (State, County, Municipal)
1. Number at Beginning of Year 0
2. Number Entering during Year 0
3. Number Leaving during Year 0
4. Number at End of Year0

G. Facilities on Private Property

Facilities on Private Property
1. Number at Beginning of Year 0
2. Number Established during Year 0
3. Number Closed during Year 0
4. Number at End of Year0

H. Vendors on Private Property

Vendors on Private Property
1. Number at Beginning of Year 0
2. Number Entering during Year 0
3. Number Leaving during Year 0
4. Number at End of Year0

III. Vending Locations under the Interstate Highway Program

Category Total Number Total Vending Machine Receipts
1. Number of Locations Operated by Vendors 0 0
2. Number of Locations Operated by Third-Party Contractors 19 64,733
3. Number of Vendors Employed in Highway Program 0 n/a
4. Total Number of Vending Locations 19 n/a

IV. Program Expenditures by Source of Funds

Category Vending Machine Income - Federal Vending Machine Income - Non-Federal Set-Aside State Appropriated Fund Federal Funds Other Total
1. Purchase of New Equipment 0 266 0 0 0 0 266
2. Maintenance of Equipment 0 0 0 0 0 0 0
3. Replacement of Equipment 0 0 0 0 0 0 0
4. Refurbish Facilities 0 0 0 0 0 0 0
5. Management Services 0 7,451 0 6,178 4,519 0 18,148
6. Fair Minimum Return 0 0 0 0 n/a 0 0
7. Retirement / Pension Programs 0 0 0 0 n/a 0 0
8. Health Insurance Programs 0 0 0 0 n/a 0 0
9. Paid Sick Leave / Vacation Time 0 0 0 0 n/a 0 0
10. Initial Stock and Supplies n/a 0 n/a 0 0 0 0
11. All Other Expenditures n/a 0 n/a 0 n/a 0 0
12. Total 0 7,717 0 6,178 4,519 0 18,414

V. Distribution and Expenditure of Program Funds from Vending Machine Income and Levied Set-Aside

Category Vending Machine Income - Federal Vending Machine Income - Non-Federal Levied Set-Aside Total
1. Amount on Hand at Beginning of Year 0 35088 0 35088
2. Funds Added during Year 0 64,733 0 64,733
3. Total Funds Available 0 99,821 0 99,821
4. Funds Distributed to Vendors 0 63,266 n/a 63,266
5. Other Funds Expended 0 7,717 0 7,717
6. Total Funds Distributed and Expended (Lines 4+5) 0 70,983 0 70,983
7. Amount at the End of the Year (Line 3 minus Line 6) 0 28,838 0 28,838

VI. Number of Sites Surveyed

Category Federal Property Total Non-Federal Property Total
1. Number of Sites Surveyed During the Reporting Year 0 0 0
2. Number of Sites Accepted by the SLA 0 0 0
2a. Number of Accepted Sites Added to Existing Vending Facilities 0 0 0
2b. Number of Accepted Sites Used to Create New Vending Facilities 0 0 0
2c. Number of Accepted Sites Pending Assignment to a Blind Vendor 0 0 0
2d. Number of Accepted Sites Contracted to a Third-Party 0 0 0
3. Number of Sites Not Accepted by the SLA 0 0 0
3a. Due to Infeasibility of Site 0 0 0
3b. Due to Lack of Available SLA Funds 0 0 0
3c. Due to Lack of Qualified Vendors 0 0 0
4. Number of Sites Denied to the SLA by Property Management Officials 0 0 0
5. Number of Surveyed Sites with a Decision Pending 0 0 0

VII. Vendor Training

1. Number of Individuals Completing Training in the Reporting Year to Become Vendors: (sum of 1a through 1d)0
a. Number Licensed and Placed as Vendors0
b. Number Certified Awaiting Placement as Vendors0
c. Number Placed as Employees in the Vending Facility Program0
d. Number Employed in Allied Food Service Occupations0
2. Total Number of Certified/Qualified Individuals Awaiting Placement as Vendors0
3. Number of Vendors Provided In-Service Training (including on-line training)0
4. Number of Vendors Provided Upward Mobility Training (including on-line training)2
5. Number of Vendors Participating in National Consumer-Driven Conferences2
6. Number of Vendors Who Received Certification or Re-Certification in Food Safety Through a Nationally Recognized or State Recognized Program0

VIII. State and Nominee Agency Personel

A. Agency Personnel

Agency Personnel State Agency Personnel Nominee Agency Personnel Total
1. Vending Facility Program Staff 1.00 0.00 1
a. Number of Business Consultants/Counselor Staff (FTE). 0.00 0.00 0

B. Training

Training State Agency Personnel Nominee Agency Personnel Total
1. Number Who Received Training Related to Blindness, Business Management, or Aspects of the Randolph-Sheppard Vending Facility Program 1 0 1
2. Number Who Participated in National Consumer-Driven Conferences 1 0 1
3. The Number Who Received Certification or Re-Certification in Food Safety Through a Nationally Recognized or State Recognized Program 0 0 0

Notes or Explanations

Add any notes or explanations that will assist in clarifying your data.

Certification

Certification I do hereby certify that, to the best of my knowledge, the information given in this report is complete and accurate.

Name of Authorized Official Russell Cusack

Title of Authorized Official Division Director

Date Certified(mm/dd/yyyy) 12/09/2015

Also, please be sure to add an agency contact, telephone number and email address for follow-up questions that RSA may need to resolve.

Contact

Person Patty Wanner

Telephone Number 701-328-8957

Email Address pwanner@nd.gov

This form has been approved for use by OMB through Nov 30, 2020.