FY27 MH/ID/AG Payroll Tax Application
| Location: | Kentucky |
|---|---|
| Posted: | Dec 1, 2025 |
| Due: | Jan 30, 2026 |
| Agency: | Campbell County |
| Type of Government: | State & Local |
| Category: |
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| Publication URL: | To access bid details, please log in. |
Mental Health, Intellectual Disability, and Aging Tax Information
Requests for proposals are released to the public each December in coordination with Boone and Kenton County Human Services to provide a cohesive application for all three counties. The Human Services representatives from all three counties work closely together throughout the year to fully assess the needs of Boone, Campbell, and Kenton County residents by developing the request for proposal, analyzing submitted proposals, reviewing monthly reimbursement summary requests and quarterly narrative reports, monitoring funded agencies, and serving on various community boards and committees.
The FY27 Mental Health, Intellectual Disabilities, and Aging Payroll Tax application for the time period July 1, 2026 – June 30, 2027 is due no later than 4:00 PM on January 30, 2026.
Current Grantees
Attachment Preview
Revised November 2025
Request for Applications for
Mental Health, Intellectual Disability, and Aging Payroll Tax Funds
FY2027
Boone, Campbell, and Kenton Counties Human Services Departments
The Human Services Departments of Boone, Campbell, and Kenton Counties oversee the
distribution of Payroll Tax funds that support mental health, intellectual disability, and aging
services in their respective counties.
Subject to the availability of tax funds, each county’s Fiscal Court will independently allocate
funds each year to organizations that provide programs addressing the needs of residents.
Mental health and intellectual disability funds support programs for all residents in each
county, while aging tax funds support services for citizens aged 60 and older.
This application covers one fiscal year: July 1–June 30 for Boone and Campbell Counties, and
June 1–May 31 for Kenton County. Applications must be completed in Microsoft Excel format
and submitted via email to all three counties (Boone, Campbell, and Kenton) by 4:00 p.m. on
Friday, January 30, 2026.
All inquiries regarding the application must be submitted via email to the county
representatives listed below by 4:00 p.m. on Friday, January 23, 2026.
BOONE COUNTY
Laura Pleiman
Boone Co. Fiscal Court
PO Box 296
Burlington, KY 41005-0296
lpleiman@boonecountyky.org
CAMPBELL COUNTY
Allyn Reinecke
Campbell Co. Fiscal Court
1098 Monmouth Street
Newport, KY 41071
areinecke@campbellcountyky.gov
KENTON COUNTY
Bryan Norton
Kenton Co. Fiscal Court
PO Box 792
Covington, KY 41012-0792
bryan.norton@kentoncounty.org
Table of Contents
Required Software......................................................................................................................... 2
Application Directions………………. ..................................................................................................2
To Print Application…………………………............................................................................................ 2
Submission……. ............................................................................................................................. 3
Glossary ……………..…………………………………………………………………………………………………………………… 4
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Revised November 2025
Please print this page before beginning your application.
Required Software
Microsoft Excel version 2010 or newer.
Application Directions
“Application” tab:
This protected page allows data entry only in white and yellow cells (columns B through F).
Do not change any formatting of the Excel document. Altered applications will be rejected.
Printing Instructions (Excel 2013 or newer):
1. Go to the File menu and select Print.
2. Do not adjust Custom Margins or Custom Scaling settings.
3. In the Print dialog box, select the number of pages needed:
• 1 program → pages 1–4
• 2 programs → pages 1–6
• Continue in this pattern for additional programs
4. Print on both sides of the paper.
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Revised November 2025
5. If Your Application Does Not Print Correctly:
• In the Print dialog box, click the Page Setup link.
• Go to the Sheet tab.
• Under Page Order, select “Over, then down” (as shown below)
Submission
1. Applications must be emailed by the organizational leader to the three county
representatives listed below.
• Boone County lpleiman@boonecountyky.org
• Campbell County areinecke@campbellcountyky.gov
• Kenton County bryan.norton@kentoncounty.org
2. Please request a read receipt with your email to confirm that your submission was
successfully delivered.
3. Excel file name
• Name your application file: FY27 App [Agency Name]
• Example: FY27 App Smith Foods
4. IRS 990 PDF name (if applicable)
• Name the PDF file: 990 [Agency Name]
• Example: 990 Smith Foods
5. Email subject line
• Use: FY27 Application from [Agency Name]
• Example: FY27 Application from Smith Foods
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Revised November 2025
GLOSSARY
• Agency Unit Cost = Total Program Expenses ÷ Total Program Units
• Boone, Campbell, & Kenton Payroll Tax Funds: While the three counties share an application,
their funds are administered separately. Boone County funds can only be used for Boone County
residents; Campbell County funds for Campbell County residents; and Kenton County funds for
Kenton County residents.
• County Funding Request = Total Program Units for County x County Unit Cost
• County Unit Cost = Total Program Loss ÷ Total Program Units
• Expenses: The total costs associated with operating the program, including Program
Management and Program Development (fundraising) expenses.
• Fiscal Years
• Previous Fiscal Year: July 1, 2024 – June 30, 2025
• Current Fiscal Year: July 1, 2025 – June 30, 2026
• Application Fiscal Year: July 1, 2026 – June 30, 2027
• Funding Source: One of three categories—Mental Health, Intellectual Disability, or Aging
(individuals age 60 or older).
• In-Kind Revenues/Expenses: Goods or services provided instead of cash. Reflect the estimated
dollar value of all in-kind revenues and expenses in your application.
• See the Ford Family Foundation’s Guide to In-Kind Contributions for more information.
• Net Gain or Loss = Total Revenues – Total Expenses
• A positive number indicates a net gain; a negative number indicates a net loss.
• The Fiscal Courts do not fund programs operating at a net gain.
• Program Description: A 1–2 paragraph summary describing the program and how it serves the
community.
• Program Hours: When the service is available (hours of operation)
• Program Location: Where the service is delivered (Indicate if the program is virtual).
• Program Staff: Staff allocated to operate the program
• Revenues: All money available for program operation, including state, federal, and foundation
grants; fundraising dollars; and program-generated income.
• SMART Goals: Goals that are Specific, Measurable, Attainable, Relevant, and Time-bound.
• Service Format:
• Delivery Method: In-person, Virtual, or Both (Hybrid = Both).
• Client Setting: Individual, Group, or Both.
• Service Location: Site-based, Community-based, or Home-based.
• Target Client: The population served by the program (e.g. adults, children, seniors, families, or
groups).
• Total Program Units: The total number of service units delivered during a given fiscal year. For
fiscal years not yet ended, provide an estimate.
• Unit of Service: The metric used to measure service delivery—typically a unit of time, but may
also be a product or service (e.g., a meal or dental visit).
• Waitlist: The number of individuals waiting for services and the average length of wait time.
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This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.
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