RSA-15 Services for the Blind, Vocational Rehabilitation Program - FY2016

I. Earnings and Employment

1. Gross Sales5,666,478
2. Merchandise Purchases2,747,293
3. Gross Profit2,919,185
4. Payroll Expenses1,514,710
5. Other Operating Expenses470,226
6. Expenses1,984,936
7. Operating Profit934,249
8. Vending Machine and Other Income86,610
9. Retirement and Other Benefits Paid225,694
10. Net Proceeds1,246,553
11. Levied Set Aside Funds0
12. Net Profit to Vendors1,246,553
13. Fair Minimum Return to Vendors58,293
14. Vendors Earnings1,304,846
15. Vendor Person Years of Employment33.30
16. Average Vendor Earnings39,185
17. The Median of Net Vendor Earnings in the State24,976
18. Number of Other Persons with Visual Disabilities Employed1
19. Number of Other Persons with Disabilities Employed1
20. Number of Persons Having No Disability Employed78
21. Total Number Employed in the Program80

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 0
2. U.S. Postal Service 2
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 Identified
10. Total 2

C. Contracts for Operation of Cafeterias and Military Dining Facilities

New Military Dining Facility
Agency or Branch of Military Awarding Contract0
Name of Military Installation (if applicable)
Beginning Date of Contract (mm/dd/yyyy)
Anticipated Termination of Contract (mm/dd/yyyy)
Gross Sales (Value) of Contract for the Most Recently Completed Option Year

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 36
2. Number Established during Year 2
3. Number Closed during Year 4
4. Number at End of Year34
a. Vending Facilities on State Property (end of year)33
b. Vending Facilities on County Property (end of year)0
c. Vending Facilities on Municipal Property (end of year)1

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

Vendors on Public Property (State, County, Municipal)
1. Number at Beginning of Year 32
2. Number Entering during Year 2
3. Number Leaving during Year 3
4. Number at End of Year31

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 31 788,465
3. Number of Vendors Employed in Highway Program 0 n/a
4. Total Number of Vending Locations 31 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 49,847 0 0 313,916 0 363,763
2. Maintenance of Equipment 0 8,159 0 0 146,096 0 154,255
3. Replacement of Equipment 0 2,755 0 0 21,041 0 23,796
4. Refurbish Facilities 0 0 0 0 0 0 0
5. Management Services 0 1,287,638 0 0 0 0 1,287,638
6. Fair Minimum Return 0 58,293 0 0 n/a 0 58,293
7. Retirement / Pension Programs 0 19,847 0 0 n/a 0 19,847
8. Health Insurance Programs 24,234 263,381 0 0 n/a 0 287,615
9. Paid Sick Leave / Vacation Time 0 0 0 0 n/a 0 0
10. Initial Stock and Supplies n/a 17,409 n/a 0 4,605 0 22,014
11. All Other Expenditures n/a 147,881 n/a 0 n/a 0 147,881
12. Total 24,234 1,855,210 0 0 485,658 0 2,365,102

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 12606 1014068 0 1026674
2. Funds Added during Year 16,791 1,804,766 0 1,821,557
3. Total Funds Available 29,397 2,818,834 0 2,848,231
4. Funds Distributed to Vendors 0 0 n/a 0
5. Other Funds Expended 24,234 1,855,210 0 1,879,444
6. Total Funds Distributed and Expended (Lines 4+5) 24,234 1,855,210 0 1,879,444
7. Amount at the End of the Year (Line 3 minus Line 6) 5,163 963,624 0 968,787

VI. Number of Sites Surveyed

Category Federal Property Total Non-Federal Property Total
1. Number of Sites Surveyed During the Reporting Year 2 13 15
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 2 13 15
3a. Due to Infeasibility of Site 2 13 15
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)2
a. Number Licensed and Placed as Vendors2
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)19
4. Number of Vendors Provided Upward Mobility Training (including on-line training)1
5. Number of Vendors Participating in National Consumer-Driven Conferences1
6. Number of Vendors Who Received Certification or Re-Certification in Food Safety Through a Nationally Recognized or State Recognized Program1

VIII. State and Nominee Agency Personel

A. Agency Personnel

Agency Personnel State Agency Personnel Nominee Agency Personnel Total
1. Vending Facility Program Staff 8.00 0.00 8
a. Number of Business Consultants/Counselor Staff (FTE). 5.00 0.00 5

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 8 0 8
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.

Section I line 9 is less than Section IV 8 as the co-payments received from the managers are deducted in Section I as it is not income to the manager. The full amount is listed is Section IV 8 as it is an expenditure of the program.

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 Brian Sigman

Title of Authorized Official Director of Education and Rehabilitation

Date Certified(mm/dd/yyyy) 12/22/2016

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 Edward Owens

Telephone Number 860-602-4198

Email Address edward.owens@ct.gov

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