DEPARTMENT OF PUBLIC WELFARE Income Limits and Copayments for the Subsidized Child Day Care Program [34 Pa.B. 3794] The purpose of this notice is to increase the income limits codified at 55 Pa. Code Chapter 3040, Appendix B (relating to subsidized child day care eligibility) under 55 Pa. Code § 3040.62(b) (relating to availability and use of the Federal Poverty Income Guidelines (FPIG)). This increase is effective May 1, 2004.
Section 3040.62(b) of 55 Pa. Code requires the Department of Public Welfare to update the copayment schedule in 55 Pa. Code Chapter 3040, Appendix B to reflect changes in the FPIG. Effective May 1, 2004, the income guidelines for the subsidized child day care program are increased due to increases in the FPIG. The copayment schedule is adjusted to reflect the increases. Chapter 3040, Appendix B of 55 Pa. Code also establishes the family copayment levels according to the family's computed annual income and lists the weekly family copayment based on the annual family income.
ESTELLE B. RICHMAN,
SecretaryFiscal Note: 14-NOT-392. No fiscal impact; (8) recommends adoption.
APPENDIX B COPAYMENT CHART FAMILY COPAYMENT SCALE (BASED ON THE 2004 FEDERAL POVERTY INCOME GUIDELINES) Weekly Family Size: 1 Family Size: 2 Family Size: 3 Copay Annual Income Annual Income Annual Income $5.00 Less than: $7,310 Less than: $10,490 Less than: $11,670 $10.00 $7,310.01 $9,310 $10,490.01 $12,490 $11,670.01 $13,670 $15.00 $9,310.01 $11,310 $12,490.01 $14,490 $13,670.01 $15,670 $20.00 $11,310.01 $13,310 $14,490.01 $16,490 $15,670.01 $17,670 $25.00 $13,310.01 $15,310 $16,490.01 $18,490 $17,670.01 $19,670 $30.00 $15,310.01 $17,310 $18,490.01 $20,490 $19,670.01 $21,670 $35.00 $17,310.01 $19,310 $20,490.01 $22,490 $21,670.01 $23,670 $40.00 $19,310.01 $21,310 $22,490.01 $24,490 $23,670.01 $25,670 $45.00 $21,310.01 $21,879 $24,490.01 $26,490 $25,670.01 $27,670 $50.00 $26,490.01 $28,490 $27,670.01 $29,670 $55.00 $28,490.01 $29,352 $29,670.01 $31,670 $60.00 $31,670.01 $33,670 $65.00 $33,670.01 $35,670 $70.00 $35,670.01 $36,825 200% FPIG $18,620 200% FPIG $24,980 200% FPIG $31,340 Weekly Family Size: 4 Family Size: 5 Family Size: 6 Copay Annual Income Annual Income Annual Income $5.00 Less than: $12,850 Less than: $14,030 Less than: $15,210 $10.00 $12,850.01 $14,850 $14,030.01 $16,030 $15,210.01 $17,210 $15.00 $14,850.01 $16,850 $16,030.01 $18,030 $17,210.01 $19,210 $20.00 $16,850.01 $18,850 $18,030.01 $20,030 $19,210.01 $21,210 $25.00 $18,850.01 $20,850 $20,030.01 $22,030 $21,210.01 $23,210 $30.00 $20,850.01 $22,850 $22,030.01 $24,030 $23,210.01 $25,210 $35.00 $22,850.01 $24,850 $24,030.01 $26,030 $25,210.01 $27,210 $40.00 $24,850.01 $26,850 $26,030.01 $28,030 $27,210.01 $29,210 $45.00 $26,850.01 $28,850 $28,030.01 $30,030 $29,210.01 $31,210 $50.00 $28,850.01 $30,850 $30,030.01 $32,030 $31,210.01 $33,210 $55.00 $30,850.01 $32,850 $32,030.01 $34,030 $33,210.01 $35,210 $60.00 $32,850.01 $34,850 $34,030.01 $36,030 $35,210.01 $37,210 $65.00 $34,850.01 $36,850 $36,030.01 $38,030 $37,210.01 $39,210 $70.00 $36,850.01 $38,850 $38,080.01 $40,030 $39,210.01 $41,210 $75.00 $38,850.01 $40,850 $40,030.01 $42,030 $41,210.01 $43,210 $80.00 $40,850.01 $42,850 $42,030.01 $44,030 $43,210.01 $45,210 $85.00 $42,850.01 $44,298 $44,030.01 $46,030 $45,210.01 $47,210 $90.00 $46,030.01 $48,030 $47,210.01 $49,210 $95.00 $48,030.01 $50,030 $49,210.01 $51,210 $100.00 $50,030.01 $51,771 $51,210.01 $53,210 $105.00 $53,210.01 $55,210 $110.00 $55,210.01 $57,210 $115.00 $57,210.01 $59,210 $120.00 $59,210.01 $59,244 200% FPIG $37,700 200% FPIG $44,060 200% FPIG $50,420 Weekly Family Size: 7 Family Size: 8 Family Size: 9 Copay Annual Income Annual Income Annual Income $5.00 Less than: $16,390 Less than: $17,570 Less than: $18,750 $10.00 $16,390.01 $18,390 $17,570.01 $19,570 $18,750.01 $20,750 $15.00 $18,390.01 $20,390 $19,570.01 $21,570 $20,750.01 $22,750 $20.00 $20,390.01 $22,390 $21,570.01 $23,570 $22,750.01 $24,750 $25.00 $22,390.01 $24,390 $23,570.01 $25,570 $24,750.01 $26,750 $30.00 $24,390.01 $26,390 $25,570.01 $27,570 $26,750.01 $28,750 $35.00 $26,390.01 $28,390 $27,570.01 $29,570 $28,750.01 $30,750 $40.00 $28,390.01 $30,390 $29,570.01 $31,570 $30,750.01 $32,750 $45.00 $30,390.01 $32,390 $31,570.01 $33,570 $32,750.01 $34,750 $50.00 $32,390.01 $34,390 $33,570.01 $35,570 $34,750.01 $36,750 $55.00 $34,390.01 $36,390 $35,570.01 $37,570 $36,750.01 $38,750 $60.00 $36,390.01 $38,390 $37,570.01 $39,570 $38,750.01 $40,750 $65.00 $38,390.01 $40,390 $39,570.01 $41,570 $40,750.01 $42,750 $70.00 $40,390.01 $42,390 $41,570.01 $43,570 $42,750.01 $44,750 $75.00 $42,390.01 $44,390 $43,570.01 $45,570 $44,750.01 $46,750 $80.00 $44,390.01 $46,390 $45,570.01 $47,570 $46,750.01 $48,750 $85.00 $46,390.01 $48,390 $47,570.01 $49,570 $48,750.01 $50,750 $90.00 $48,390.01 $50,390 $49,570.01 $51,570 $50,750.01 $52,750 $95.00 $50,390.01 $52,390 $51,570.01 $53,570 $52,750.01 $54,750 $100.00 $52,390.01 $54,390 $53,570.01 $55,570 $54,750.01 $56,750 $105.00 $54,390.01 $56,390 $55,570.01 $57,570 $56,750.01 $58,750 $110.00 $56,390.01 $58,390 $57,570.01 $59,570 $58,750.01 $60,750 $115.00 $58,390.01 $60,390 $59,570.01 $61,570 $60,750.01 $62,750 $120.00 $60,390.01 $62,390 $61,570.01 $63,570 $62,750.01 $64,750 $125.00 $62,390.01 $64,390 $63,570.01 $65,570 $64,750.01 $66,750 $130.00 $64,390.01 $66,390 $65,570.01 $67,570 $66,750.01 $68,750 $135.00 $66,390.01 $66,717 $67,570.01 $69,570 $68,750.01 $70,750 $140.00 $69,570.01 $71,570 $70,750.01 $72,750 $145.00 $71,570.01 $73,570 $72,750.01 $74,750 $150.00 $73,570.01 $74,190 $74,750.01 $76,750 $155.00 $76,750.01 $78,750 $160.00 $78,750.01 $80,750 $165.00 $80,750.01 $81,663 200% FPIG $56,780 200% FPIG $63,140 200% FPIG $69,500 Weekly Family Size: 10 Family Size: 11 Family Size: 12 Copay Annual Income Annual Income Annual Income $5.00 Less than: $19,930 Less than: $21,110 Less than: $22,290 $10.00 $19,930.01 $21,930 $21,110.01 $23,110 $22,290.01 $24,290 $15.00 $21,930.01 $23,930 $23,110.01 $25,110 $24,290.01 $26,290 $20.00 $23,930.01 $25,930 $25,110.01 $27,110 $26,290.01 $28,290 $25.00 $25,930.01 $27,930 $27,110.01 $29,110 $28,290.01 $30,290 $30.00 $27,930.01 $29,930 $29,110.01 $31,110 $30,290.01 $32,290 $35.00 $29,930.01 $31,930 $31,110.01 $33,110 $32,290.01 $34,290 $40.00 $31,930.01 $33,930 $33,110.01 $35,110 $34,290.01 $36,290 $45.00 $33,930.01 $35,930 $35,110.01 $37,110 $36,290.01 $38,290 $50.00 $35,930.01 $37,930 $37,110.01 $39,110 $38,290.01 $40,290 $55.00 $37,930.01 $39,930 $39,110.01 $41,110 $40,290.01 $42,290 $60.00 $39,930.01 $41,930 $41,110.01 $43,110 $42,290.01 $44,290 $65.00 $41,930.01 $43,930 $43,110.01 $45,110 $44,290.01 $46,290 $70.00 $43,930.01 $45,930 $45,110.01 $47,110 $46,290.01 $48,290 $75.00 $45,930.01 $47,930 $47,110.01 $49,110 $48,290.01 $50,290 $80.00 $47,930.01 $49,930 $49,110.01 $51,110 $50,290.01 $52,290 $85.00 $49,930.01 $51,930 $51,110.01 $53,110 $52,290.01 $54,290 $90.00 $51,930.01 $53,930 $53,110.01 $55,110 $54,290.01 $56,290 $95.00 $53,930.01 $55,930 $55,110.01 $57,110 $56,290.01 $58,290 $100.00 $55,930.01 $57,930 $57,110.01 $59,110 $58,290.01 $60,290 $105.00 $57,930.01 $59,930 $59,110.01 $61,110 $60,290.01 $62,290 $110.00 $59,930.01 $61,930 $61,110.01 $63,110 $62,290.01 $64,290 $115.00 $61,930.01 $63,930 $63,110.01 $65,110 $64,290.01 $66,290 $120.00 $63,930.01 $65,930 $65,110.01 $67,110 $66,290.01 $68,290 $125.00 $65,930.01 $67,930 $67,110.01 $69,110 $68,290.01 $70,290 $130.00 $67,930.01 $69,930 $69,110.01 $71,110 $70,290.01 $72,290 $135.00 $69,930.01 $71,930 $71,110.01 $73,110 $72,290.01 $74,290 $140.00 $71,930.01 $73,930 $73,110.01 $75,110 $74,290.01 $76,290 $145.00 $73,930.01 $75,930 $75,110.01 $77,110 $76,290.01 $78,290 $150.00 $75,930.01 $77,930 $77,110.01 $79,110 $78,290.01 $80,290 $155.00 $77,930.01 $79,930 $79,110.01 $81,110 $80,290.01 $82,290 $160.00 $79,930.01 $81,930 $81,110.01 $83,110 $82,290.01 $84,290 $165.00 $81,930.01 $83,930 $83,110.01 $85,110 $84,290.01 $86,290 $170.00 $83,930.01 $85,930 $85,110.01 $87,110 $86,290.01 $88,290 $175.00 $85,930.01 $87,930 $87,110.01 $89,110 $88,290.01 $90,290 $180.00 $87,930.01 $89,136 $89,110.01 $91,110 $90,290.01 $92,290 $185.00 $91,110.01 $93,110 $92,290.01 $94,290 $190.00 $93,110.01 $95,110 $94,290.01 $96,290 $195.00 $95,110.01 $96,609 $96,290.01 $98,290 $200.00 $98,290.01 $100,290 $205.00 $100,290.01 $102,290 $210.00 $102,290.01 $104,082 200% FPIG $75,860 200% FPIG $82,220 200% FPIG $88,580 Weekly Family Size: 13 Family Size: 14 Family Size: 15 Copay Annual Income Annual Income Annual Income $5.00 Less than: $23,470 Less than: $24,650 Less than: $25,830 $10.00 $23,470.01 $25,470 $ 24,650.01 $26,650 $25,830.01 $27,830 $15.00 $25,470.01 $27,470 $26,650.01 $28,650 $27,830.01 $29,830 $20.00 $27,470.01 $29,470 $28,650.01 $30,650 $29,830.01 $31,830 $25.00 $29,470.01 $31,470 $30,650.01 $32,650 $31,830.01 $33,830 $30.00 $31,470.01 $33,470 $32,650.01 $34,650 $33,830.01 $35,830 $35.00 $33,470.01 $35,470 $34,650.01 $36,650 $35,830.01 $37,830 $40.00 $35,470.01 $37,470 $36,650.01 $38,650 $37,830.01 $39,830 $45.00 $37,470.01 $39,470 $38,650.01 $40,650 $39,830.01 $41,830 $50.00 $39,470.01 $41,470 $40,650.01 $42,650 $41,830.01 $43,830 $55.00 $41,470.01 $43,470 $42,650.01 $44,650 $43,830.01 $45,830 $60.00 $43,470.01 $45,470 $44,650.01 $46,650 $45,830.01 $47,830 $65.00 $45,470.01 $47,470 $46,650.01 $48,650 $47,830.01 $49,830 $70.00 $47,470.01 $49,470 $48,650.01 $50,650 $49,830.01 $51,830 $75.00 $49,470.01 $51,470 $50,650.01 $52,650 $51,830.01 $53,830 $80.00 $51,470.01 $53,470 $52,650.01 $54,650 $53,830.01 $55,830 $85.00 $53,470.01 $55,470 $54,650.01 $56,650 $55,830.01 $57,830 $90.00 $55,470.01 $57,470 $56,650.01 $58,650 $57,830.01 $59,830 $95.00 $57,470.01 $59,470 $58,650.01 $60,650 $59,830.01 $61,830 $100.00 $59,470.01 $61,470 $60,650.01 $62,650 $61,830.01 $63,830 $105.00 $61,470.01 $63,470 $62,650.01 $64,650 $63,830.01 $65,830 $110.00 $63,470.01 $65,470 $64,650.01 $66,650 $65,830.01 $67,830 $115.00 $65,470.01 $67,470 $66,650.01 $68,650 $67,830.01 $69,830 $120.00 $67,470.01 $69,470 $68,650.01 $70,650 $69,830.01 $71,830 $125.00 $69,470.01 $71,470 $70,650.01 $72,650 $71,830.01 $73,830 $130.00 $71,470.01 $73,470 $72,650.01 $74,650 $73,830.01 $75,830 $135.00 $73,470.01 $75,470 $74,650.01 $76,650 $75,830.01 $77,830 $140.00 $75,470.01 $77,470 $76,650.01 $78,650 $77,830.01 $79,830 $145.00 $77,470.01 $79,470 $78,650.01 $80,650 $79,830.01 $81,830 $150.00 $79,470.01 $81,470 $80,650.01 $82,650 $81,830.01 83,830 $155.00 $81,470.01 $83,470 $82,650.01 $84,650 $83,830.01 $85,830 $160.00 $83,470.01 $85,470 $84,650.01 $86,650 $85,830.01 $87,830 $165.00 $85,470.01 $87,470 $86,650.01 $88,650 $87,830.01 $89,830 $170.00 $87,470.01 $89,470 $88,650.01 $90,650 $89,830.01 $91,830 $175.00 $89,470.01 $91,470 $90,650.01 $92,650 $91,830.01 $93,830 $180.00 $91,470.01 $93,470 $92,650.01 $94,650 $93,830.01 $95,830 $185.00 $93,470.01 $95,470 $94,650.01 $96,650 $95,830.01 $97,830 $190.00 $95,470.01 $97,470 $96,650.01 $98,650 $97,830.01 $99,830 $195.00 $97,470.01 $99,470 $98,650.01 $100,650 $99,830.01 $101,830 $200.00 $99,470.01 $101,470 $100,650.01 $102,650 $101,830.01 $103,830 $205.00 $101,470.01 $103,470 $102,650.01 $104,650 $103,830.01 $105,830 $210.00 $103,470.01 $105,470 $104,650.01 $106,650 $105,830.01 $107,830 $215.00 $105,470.01 $107,470 $106,650.01 $108,650 $107,830.01 $109,830 $220.00 $107,470.01 $109,470 $108,650.01 $110,650 $109,830.01 $111,830 $225.00 $109,470.01 $111,470 $110,650.01 $112,650 $111,830.01 $113,830 $230.00 $111,470.01 $111,555 $112,650.01 $114,650 $113,830.01 $115,830 $235.00 $114,650.01 $116,650 $115,830.01 $117,830 $240.00 $116,650.01 $118,650 $117,830.01 $119,830 $245.00 $118,650.01 $119,028 $119,830.01 $121,830 $250.00 $121,830.01 $123,830 $255.00 $123,830.01 $125,830 $260.00 $125,830.01 $126,501 200% FPIG $94,940 200% FPIG $101,300 200% FPIG $107,660 Weekly Family Size: 16 Family Size: 17 Family Size: 18 Copay Annual Income Annual Income Annual Income $5.00 Less than: $29,010 Less than: $30,190 Less than: $31,370 $10.00 $29,010.01 $31,010 $30,190.01 $32,190 $31,370.01 $33,370 $15.00 $31,010.01 $33,010 $32,190.01 $34,190 $33,370.01 $35,370 $20.00 $33,010.01 $35,010 $34,190.01 $36,190 $35,370.01 $37,370 $25.00 $35,010.01 $37,010 $36,190.01 $38,190 $37,370.01 $39,370 $30.00 $37,010.01 $39,010 $38,190.01 $40,190 $39,370.01 $41,370 $35.00 $39,010.01 $41,010 $40,190.01 $42,190 $41,370.01 $43,370 $40.00 $41,010.01 $43,010 $42,190.01 $44,190 $43,370.01 $45,370 $45.00 $43,010.01 $45,010 $44,190.01 $46,190 $45,370.01 $47,370 $50.00 $45,010.01 $47,010 $46,190.01 $48,190 $47,370.01 $49,370 $55.00 $47,010.01 $49,010 $48,190.01 $50,190 $49,370.01 $51,370 $60.00 $49,010.01 $51,010 $50,190.01 $52,190 $51,370.01 $53,370 $65.00 $51,010.01 $53,010 $52,190.01 $54,190 $53,370.01 $55,370 $70.00 $53,010.01 $55,010 $54,190.01 $56,190 $55,370.01 $57,370 $75.00 $55,010.01 $57,010 $56,190.01 $58,190 $57,370.01 $59,370 $80.00 $57,010.01 $59,010 $58,190.01 $60,190 $59,370.01 $61,370 $85.00 $59,010.01 $61,010 $60,190.01 $62,190 $61,370.01 $63,370 $90.00 $61,010.01 $63,010 $62,190.01 $64,190 $63,370.01 $65,370 $95.00 $63,010.01 $65,010 $64,190.01 $66,190 $65,370.01 $67,370 $100.00 $65,010.01 $67,010 $66,190.01 $68,190 $67,370.01 $69,370 $105.00 $67,010.01 $69,010 $68,190.01 $70,190 $69,370.01 $71,370 $110.00 $69,010.01 $71,010 $70,190.01 $72,190 $71,370.01 $73,370 $115.00 $71,010.01 $73,010 $72,190.01 $74,190 $73,370.01 $75,370 $120.00 $73,010.01 $75,010 $74,190.01 $76,190 $75,370.01 $77,370 $125.00 $75,010.01 $77,010 $76,190.01 $78,190 $77,370.01 $79,370 $130.00 $77,010.01 $79,010 $78,190.01 $80,190 $79,370.01 $81,370 $135.00 $79,010.01 $81,010 $80,190.01 $82,190 $81,370.01 $83,370 $140.00 $81,010.01 $83,010 $82,190.01 $84,190 $83,370.01 $85,370 $145.00 $83,010.01 $85,010 $84,190.01 $86,190 $85,370.01 $87,370 $150.00 $85,010.01 $87,010 $86,190.01 $88,190 $87,370.01 $89,370 $155.00 $87,010.01 $89,010 $88,190.01 $90,190 $89,370.01 $91,370 $160.00 $89,010.01 $91,010 $90,190.01 $92,190 $91,370.01 $93,370 $165.00 $91,010.01 $93,010 $92,190.01 $94,190 $93,370.01 $95,370 $170.00 $93,010.01 $95,010 $94,190.01 $96,190 $95,370.01 $97,370 $175.00 $95,010.01 $97,010 $96,190.01 $98,190 $97,370.01 $99,370 $180.00 $97,010.01 $99,010 $98,190.01 $100,190 $99,370.01 $101,370 $185.00 $99,010.01 $101,010 $100,190.01 $102,190 $101,370.01 $103,370 $190.00 $101,010.01 $103,010 $102,190.01 $104,190 $103,370.01 $105,370 $195.00 $103,010.01 $105,010 $104,190.01 $106,190 $105,370.01 $107,370 $200.00 $105,010.01 $107,010 $106,190.01 $108,190 $107,370.01 $109,370 $205.00 $107,010.01 $109,010 $108,190.01 $110,190 $109,370.01 $111,370 $210.00 $109,010.01 $111,010 $110,190.01 $112,190 $111,370.01 $113,370 $215.00 $111,010.01 $113,010 $112,190.01 $114,190 $113,370.01 $115,370 $220.00 $113,010.01 $115,010 $114,190.01 $116,190 $115,370.01 $117,370 $225.00 $115,010.01 $117,010 $116,190.01 $118,190 $117,370.01 $119,370 $230.00 $117,010.01 $119,010 $118,190.01 $120,190 $119,370.01 $121,370 $235.00 $119,010.01 $121,010 $120,190.01 $122,190 $121,370.01 $123,370 $240.00 $121,010.01 $123,010 $122,190.01 $124,190 $123,370.01 $125,370 $245.00 $123,010.01 $125,010 $124,190.01 $126,190 $125,370.01 $127,370 $250.00 $125,010.01 $127,010 $126,190.01 $128,190 $127,370.01 $129,370 $255.00 $127,010.01 $129,010 $128,190.01 $130,190 $129,370.01 $131,370 $260.00 $129,010.01 $131,010 $130,190.01 $132,190 $131,370.01 $133,370 $265.00 $131,010.01 $133,010 $132,190.01 $134,190 $133,370.01 $135,370 $270.00 $133,010.01 $133,974 $134,190.01 $136,190 $135,370.01 $137,370 $275.00 $136,190.01 $138,190 $137,370.01 $139,370 $280.00 $138,190.01 $140,190 $139,370.01 $141,370 $285.00 $140,190.01 $141,447 $141,370.01 $143,370 $290.00 $143,370.01 $145,370 $295.00 $145,370.01 $147,370 $300.00 $147,370.01 $148,920 200% FPIG $114,020 200% FPIG $120,380 200% FPIG $126,740 Weekly Family Size: 19 Family Size: 20 Family Size: 21 Copay Annual Income Annual Income Annual Income $5.00 Less than: $32,550 Less than: $33,730 Less than: $34,910 $10.00 $32,550.01 $34,550 $33,730.01 $35,730 $34,910.01 $36,910 $15.00 $34,550.01 $36,550 $35,730.01 $37,730 $36,910.01 $38,910 $20.00 $36,550.01 $38,550 $37,730.01 $39,730 $38,910.01 $40,910 $25.00 $38,550.01 $40,550 $39,730.01 $41,730 $40,910.01 $42,910 $30.00 $40,550.01 $42,550 $41,730.01 $43,730 $42,910.01 $44,910 $35.00 $42,550.01 $44,550 $43,730.01 $45,730 $44,910.01 $46,910 $40.00 $44,550.01 $46,550 $45,730.01 $47,730 $46,910.01 $48,910 $45.00 $46,550.01 $48,550 $47,730.01 $49,730 $48,910.01 $50,910 $50.00 $48,550.01 $50,550 $49,730.01 $51,730 $50,910.01 $52,910 $55.00 $50,550.01 $52,550 $51,730.01 $53,730 $52,910.01 $54,910 $60.00 $52,550.01 $54,550 $53,730.01 $55,730 $54,910.01 $56,910 $65.00 $54,550.01 $56,550 $55,730.01 $57,730 $56,910.01 $58,910 $70.00 $56,550.01 $58,550 $57,730.01 $59,730 $58,910.01 $60,910 $75.00 $58,550.01 $60,550 $59,730.01 $61,730 $60,910.01 $62,910 $80.00 $60,550.01 $62,550 $61,730.01 $63,730 $62,910.01 $64,910 $85.00 $62,550.01 $64,550 $63,730.01 $65,730 $64,910.01 $66,910 $90.00 $64,550.01 $66,550 $65,730.01 $67,730 $66,910.01 $68,910 $95.00 $66,550.01 $68,550 $67,730.01 $69,730 $68,910.01 $70,910 $100.00 $68,550.01 $70,550 $69,730.01 $71,730 $70,910.01 $72,910 $105.00 $70,550.01 $72,550 $71,730.01 $73,730 $72,910.01 $74,910 $110.00 $72,550.01 $74,550 $73,730.01 $75,730 $74,910.01 $76,910 $115.00 $74,550.01 $76,550 $75,730.01 $77,730 $76,910.01 $78,910 $120.00 $76,550.01 $78,550 $77,730.01 $79,730 $78,910.01 $80,910 $125.00 $78,550.01 $80,550 $79,730.01 $81,730 $80,910.01 $82,910 $130.00 $80,550.01 $82,550 $81,730.01 $83,730 $82,910.01 $84,910 $135.00 $82,550.01 $84,550 $83,730.01 $85,730 $84,910.01 $86,910 $140.00 $84,550.01 $86,550 $85,730.01 $87,730 $86,910.01 $88,910 $145.00 $86,550.01 $88,550 $87,730.01 $89,730 $88,910.01 $90,910 $150.00 $88,550.01 $90,550 $89,730.01 $91,730 $90,910.01 $92,910 $155.00 $90,550.01 $92,550 $91,730.01 $93,730 $92,910.01 $94,910 $160.00 $92,550.01 $94,550 $93,730.01 $95,730 $94,910.01 $96,910 $165.00 $94,550.01 $96,550 $95,730.01 $97,730 $96,910.01 $98,910 $170.00 $96,550.01 $98,550 $97,730.01 $99,730 $98,910.01 $100,910 $175.00 $98,550.01 $100,550 $99,730.01 $101,730 $100,910.01 $102,910 $180.00 $100,550.01 $102,550 $101,730.01 $103,730 $102,910.01 $104,910 $185.00 $102,550.01 $104,550 $103,730.01 $105,730 $104,910.01 $106,910 $190.00 $104,550.01 $106,550 $105,730.01 $107,730 $106,910.01 $108,910 $195.00 $106,550.01 $108,550 $107,730.01 $109,730 $108,910.01 $110,910 $200.00 $108,550.01 $110,550 $109,730.01 $111,730 $110,910.01 $112,910 $205.00 $110,550.01 $112,550 $111,730.01 $113,730 $112,910.01 $114,910 $210.00 $112,550.01 $114,550 $113,730.01 $115,730 $114,910.01 $116,910 $215.00 $114,550.01 $116,550 $115,730.01 $117,730 $116,910.01 $118,910 $220.00 $116,550.01 $118,550 $117,730.01 $119,730 $118,910.01 $120,910 $225.00 $118,550.01 $120,550 $119,730.01 $121,730 $120,910.01 $122,910 $230.00 $120,550.01 $122,550 $121,730.01 $123,730 $122,910.01 $124,910 $235.00 $122,550.01 $124,550 $123,730.01 $125,730 $124,910.01 $126,910 $240.00 $124,550.01 $126,550 $125,730.01 $127,730 $126,910.01 $128,910 $245.00 $126,550.01 $128,550 $127,730.01 $129,730 $128,910.01 $130,910 $250.00 $128,550.01 $130,550 $129,730.01 $131,730 $130,910.01 $132,910 $255.00 $130,550.01 $132,550 $131,730.01 $133,730 $132,910.01 $134,910 $260.00 $132,550.01 $134,550 $133,730.01 $135,730 $134,910.01 $136,910 $265.00 $134,550.01 $136,550 $135,730.01 $137,730 $136,910.01 $138,910 $270.00 $136,550.01 $138,550 $137,730.01 $139,730 $138,910.01 $140,910 $275.00 $138,550.01 $140,550 $139,730.01 $141,730 $140,910.01 $142,910 $280.00 $140,550.01 $142,550 $141,730.01 $143,730 142,910.01 $144,910 $285.00 $142,550.01 $144,550 $143,730.01 $145,730 $144,910.01 $146,910 $290.00 $144,550.01 $146,550 $145,730.01 $147,730 $146,910.01 $148,910 $295.00 $146,550.01 $148,550 $147,730.01 $149,730 $148,910.01 $150,910 $300.00 $148,550.01 $150,550 $149,730.01 $151,730 $150,910.01 $152,910 $305.00 $150,550.01 $152,550 $151,730.01 $153,730 $152,910.01 $154,910 $310.00 $152,550.01 $154,550 $153,730.01 $155,730 $154,910.01 $156,910 $315.00 $154,550.01 $156,393 $155,730.01 $157,730 $156,910.01 $158,910 $320.00 $157,730.01 $159,730 $158,910.01 $160,910 $325.00 $159,730.01 $161,730 $160,910.01 $162,910 $330.00 $161,730.01 $163,730 $162,910.01 $164,910 $335.00 $163,730.01 $163,866 $164,910.01 $166,910 $340.00 $166,910.01 $168,910 $345.00 $168,910.01 $170,910 $350.00 $170,910.01 $171,339 200% FPIG $133,100 200% FPIG $139,460 200% FPIG $145,820 [Pa.B. Doc. No. 04-1311. Filed for public inspection July 16, 2004, 9:00 a.m.]
