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Page 2 <br />33.Approved Budget(Excludes Direct Assistance) <br />I.Financial Assistance from the Federal Awarding Agency Only <br />II.Total project costs including grant funds and all other financial participation <br />a.Salaries and Wages <br />b.Fringe Benefits <br />c. Total Personnel Costs <br />d.Equipment <br />e.Supplies <br />f.Travel <br />g.Construction <br />h.Other <br />i.Contractual <br />j. TOTAL DIRECT COSTS <br />INDIRECT COSTS <br />TOTAL APPROVED BUDGET <br />m.Federal Share <br />n.Non-Federal Share <br />34. Accounting Classification Codes <br />k. <br />l. <br />Not Available <br />31.Assistance Type <br />32.Type of Award <br />Notice of Award <br />Award# <br />FAIN# <br />Federal Award Date: <br />Recipient Information <br />Recipient Name <br />Congressional District of Recipient <br />Payment Account Number and Type <br />Employer Identification Number (EIN) Data <br />Universal Numbering System (DUNS) <br />Recipient’s Unique Entity Identifier <br />$289,750.00 <br />$57,950.00 <br />$347,700.00 <br />$0.00 <br />$11,114.00 <br />$5,000.00 <br />$0.00 <br />$0.00 <br />$3,849,804.00 <br />$4,213,618.00$4,213,618.00 <br />$36,382.00$36,382.00 <br />$4,250,000.00$4,250,000.00 <br />$4,000,000.00$4,000,000.00 <br />$250,000.00$250,000.00 <br />06/18/2021 <br />1 CPIMP211286-01-00 <br />CPIMP211286 <br />DEPARTMENT OF HEALTH AND HUMAN SERVICES <br />Office of the Secretary <br />SANTA ANA, CITY OF <br />20 Civic Center Plz Fl 8 <br />Santa Ana, CA 92701-4058 <br />Project Grant <br />46 <br />083153247 <br />956000785 <br />1956000785A3 <br />Other <br />FY-ACCOUNT NO.DOCUMENT NO.ADMINISTRATIVE CODE OBJECT CLASS AMT ACTION FINANCIAL ASSISTANCE APPROPRIATION <br />1-199CVBE CPIMP1286C5 MPD-52 41.51 $4,000,000.00 75-2122-0140