Draft — dollar figures below are illustrative placeholders built to a clean percentage split. Replace bracketed items with your real numbers before submitting; the structure and justification language are ready as-is.
Same staffing model across all three, scaled to each award, per your direction: Facilitator, Coordinator (EDMHS/CEO), Admin, at minimum.
| Line Item | % of Award | All In Play ($57,000) | Confidence in Action ($53,000) | UPWARD for Youth ($50,000) |
|---|---|---|---|---|
| Personnel & Fringe | 65% | $37,050 | $34,450 | $32,500 |
| Program Supplies/Materials | 12% | $6,840 | $6,360 | $6,000 |
| Technology (KATA platform) | 8% | $4,560 | $4,240 | $4,000 |
| Facility/Space (cash portion) | 5% | $2,850 | $2,650 | $2,500 |
| Indirect (10% de minimis)* | 10% | $5,700 | $5,300 | $5,000 |
| Total (award) | 100% | $57,000 | $53,000 | $50,000 |
*A 10% de minimis indirect rate is allowable under 2 CFR 200.414(f) for organizations without a Negotiated Indirect Cost Rate Agreement (NICRA) — standard and defensible for a first-time federal-flow grantee. Confirm EDMHS doesn’t already have a NICRA on file before using this.
| Role | Approx. split of personnel line | Responsibility |
|---|---|---|
| Facilitator | 45% | Direct instruction, all sessions |
| Coordinator (EDMHS/CEO, Dr. Hall) | 30% | Program oversight, curriculum design, clinical/behavioral integration, funder reporting |
| Administrative Support | 25% | Scheduling, family communication, KATA data entry support, compliance paperwork |
[Insert your actual FTE % and hourly/annual rate for each role — this is the one section a reviewer will scrutinize most closely, since it has to tie to your actual pay practices, not just a clean percentage split.]
Personnel & Fringe: Directly funds the staff delivering and overseeing the program described in our Activities section — facilitator time is the core service; Coordinator time ensures clinical/behavioral integrity and KATA-based outcome tracking; Administrative time keeps families engaged and data current, both required for the Data and Inclusion sections of this application.
Program Supplies/Materials: Uniforms, mats, and protective equipment appropriately sized and adapted for participants with physical or sensory needs — directly supports the inclusive, individually-paced delivery described in Activities. (UPWARD only: also covers printing/production of the plain-language self-advocacy guide.)
Technology (KATA platform): Hosting, maintenance, and facilitator-side data entry support for the tracking system that underlies our entire Data and evaluation plan — without it, we cannot produce the longitudinal outcome data this application commits to.
Facility/Space (cash portion): Covers the cash-funded share of space costs at [Combat Arts Center / partner school], with the balance of space value contributed as in-kind match (see Part 2).
Indirect (10% de minimis): Covers organizational overhead not separately itemized above (insurance, basic administrative infrastructure) at the allowable de minimis rate.
Costs covered by match, not award funds: facility/space value beyond the cash portion above, and Coordinator (CEO) hours beyond what is charged to the award — see Part 2 for dollar apportionment per grant.
Adapted from your prior in-kind letter’s categories and rate structure, projected forward for the new grant period instead of the closed July 2025–June 2026 period. This is a full replacement letter, not an edit to the old one — the old one should stay as historical documentation, not be resubmitted for this cycle.
[EDMHS Letterhead]
Re: In-Kind Contribution Commitment, July 2026 – January 2028
Empowered Disease Management (EDM) Health Services, LLC (EDMHS) commits the following in-kind contributions toward the Inner Combat Training and KATA program suite for the period of July 2026 through January 2028, in support of match requirements for Ohio Developmental Disabilities Council grant awards.
| Category | Basis | Estimated 18-Month Value |
|---|---|---|
| Physician/Clinical Subject-Matter Expertise (Dr. Darrell Hall) | [hours/month] x [rate — use a defensible market rate for physician consulting time] | $[TBD] |
| Software Development & Maintenance (KATA platform) | Continued engineering, hosting, and data infrastructure support | $[TBD] |
| Facility/Space (Combat Arts Center, 801 Junction Ave) | Fair rental value of space donated for program delivery | $[TBD] |
| Administrative/Program Support | Uncompensated coordination time beyond award-funded hours | \([TBD] | | **Total Estimated In-Kind Value** | | **\)[TBD — target comfortably above $53,333 combined match need]** |
Apportionment across the three FY2027 applications (to avoid claiming identical dollars as match for more than one award): - All In Play ($57,000 award): $19,000 match drawn from [Facility + Admin Support] - Confidence in Action ($53,000 award): $17,666.67 match drawn from [Facility + Clinical SME] - UPWARD for Youth ($50,000 award): $16,666.67 match drawn from [Admin Support + Software Development]
This apportionment ensures each dollar of in-kind contribution is counted toward only one award’s match requirement.
Signed: _____________________ Dr. Darrell A. Hall, MD, MSCIS — Founder, CEO, CMIO, EDM Health Services, LLC