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2. Reporting Period—All Recipients Complete <br />Program Year Start Date 07/01/2017 <br />Program Year End Date 06/30/2018 <br />3a. Subrecipient Form — Complete one form for each subrecipient <br />Subrecipient or Contractor Name: INTERVAL HOUSE <br />City: Long Beach <br />State: CA <br />Zip Code: 90803, 4221 <br />DUNS Number: 113510176 <br />Is subreciplent a victim services provider: Y <br />Subreciplent Organization Type: Other Non -Profit Or <br />ESG Subgrant or Contract Award Amount: 42,160.83 <br />Subreciplent or Contractor Name: MERCY HOUSE TR, <br />City: Santa Ana <br />State: CA =: <br />Zip Code: 92702, 1905 <br />DUNS Number: 879797165 y . <br />Is subrecipient a victim services provider: N <br />Subreciplent Organization Typo: 1 Non -Profit Ot <br />ESG Subgrant or Contract Award Ar 4A: 80,354.00 <br />Subreciplent or Contractor <br />City: Huntington Beach <br />State: CA --; <br />Zip Code, -99842, 2737 <br />075396882 <br />Issubrecipldt a <br />Subreciplent 0 r <br />ESG Subgrant or <br />OMB Control No: 2506-0117 (exp. 06/30/2018) <br />irovider: N <br />Other Non -Profit Organization <br />Amount: 22,154.00 <br />CAPER <br />75D-31 <br />25 <br />