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Extension <br />Email Address <br />0 <br />jbrown@santa-ana.org <br />2. Reporting Period —All Recipients Complete <br />Program Year Start Date <br />Program Year End Date <br />07/01/2019 <br />06/30/2020 <br />3a. Subrecipient Form — Complete one form for each subrecipient <br />Subrecipient or Contractor Name: 2-1-1 Orange County <br />City: Santa Ana <br />State: CA <br />Zip Code: 92705 <br />DUNS Number: 884339003 <br />Is subrecipient a victim services provider: No <br />Subrecipient Organization Type: Nonprofit <br />ESG Subgrant or Contract Award Amount: $20,750 <br />Subrecipient or Contractor Name: Wise Place <br />City: Santa Ana <br />State: CA <br />Zip Code: 92706 <br />DUNS Number: 002322894 <br />Is subrecipient a victim services provider: No <br />Subrecipient Organization Type: Nonprofit <br />ESG Subgrant or Contract Award Amount: $31,128 <br />Subrecipient or Contractor Name: Interval House <br />City: Long Beach <br />State: CA <br />Zip Code: 90803 <br />DUNS Number: 113510176 <br />Is subrecipient a victim services provider: Yes <br />Subrecipient Organization Type: Nonprofit <br />ESG Subgrant or Contract Award Amount: 36,315 <br />[aIe1»t1 <br />PV <br />OMB Control No: 2506-0117(exp. 06/30/2018) 75A-32 <br />