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County of Hawaii <br /> 201H Application Package <br /> County of Hawaii <br /> Office of Housing and Community Deweloment <br /> 201H Application Form <br /> Summary Sheet <br /> I. INFORMATION: <br /> APPLICANT NAME: KUAKINI IilGHWAY 75-6099 CORP. <br /> PROJECT NAME: KUAKINI SENIOR LIVING <br /> H. Income and Rent Restrictions <br /> Applicant commits to set-aside units based on the following income and rent restrictions. <br /> Complete the chart below. <br /> SEE A TTA CHMENT"SUMAL4R Y SHEET SECTION H" <br /> Affordable Units <br /> Restricted at%of AMG]* Number of units Percent of total units <br /> %of AMGI units % <br /> %of AMGI units % <br /> %of AMGI units % <br /> Total Affordable Units units <br /> Market Rate Units units % <br /> Total Number of Units units % <br /> *AMGI =Average Median Gross Income <br /> Ali III. Length of Affordability Commitment <br /> How long will your project commit to affordability restrictions and program compliance? <br /> I <br /> 20 Years <br /> IV. Occupancy Type <br /> Indicate the number of units allotted for each of the following: <br /> Family 0 Elderly* 101 + 155=256' Homeless 0 <br /> I <br />;j <br /> 1 The Project consists of:(i)Phase I:an Assisted Living/Memory Care Facility("AL/MCF")with accommodations for approximately <br /> II 101 residents(+1-201/6);(ii)Phase Il:a Skilled Nursing Facility("SNF"')with accommodations for approximately 155 residents(+I- <br /> Form 201H-001 Page ] <br /> n' <br />