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Annual Performance Report U.S. Department of Housing OMB Approval No. 2506 -0171 <br />and Urban Development (exp. 05/31/2007) <br />HOME Program Office of Community Planning <br />and Development <br />Public reporting burden for this collection of information is estimated to average 2.5 hours per response, including the time for reviewing instructions, searching <br />existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct <br />or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number. <br />The HOME statute imposes a significant number of data collection and reporting requirements. This includes information on assisted properties, on the <br />owners or tenants of the properties, and on other programmatic areas. The information will be used: 1) to assist HOME participants in managing their <br />programs; 2) to track performance of participants in meeting fund commitment and expenditure deadlines; 3) to permit HUD to determine whether each <br />participant meets the HOME statutory income targeting and affordability requirements; and 4) to permit HUD to determine compliance with other statutory <br />and regulatory program requirements. This data collection is authorized under Title 11 of the Cranston - Gonzalez National Affordable Housing Act or related <br />authorities. Access to Federal grant funds is contingent on the reporting of certain project - specific data elements. Records of information collected will <br />be maintained by the recipients of the assistance. Information on activities and expenditures of grant funds is public information and is generally available <br />for disclosure. Recipients are responsible for ensuring confidentiality when public disclosure is not required. <br />This form is intended to collect numeric data to be aggregated nationally as a complement to data collected through the Cash and Management Information <br />(C /Ml) System. Participants should enter the reporting period in the first block. The reporting period is October 1 to September 30. Instructions are included <br />for each section if further explanation is needed. <br />Submit this form on or before December 31. <br />This report is for period (mm/dd/yyyy) <br />Date Submitted (mnvddiyyyy) <br />Send one copy to the appropriate HUD Reid Office and one copy to: Starting Ending <br />HOME Program, Rm 7176, 451 7th Street, S.W., Washington D.C. 20410 07/01/2003 06/30/2004 09/28/2004 <br />Part I Participant Identification <br />1. Participant Number 2. Participant Name <br />MCOW535 CITY OF SANTA ANA <br />3. Name of Person completing this report 4. Phone Number (include Area Code) <br />SHELLY LANDRY -BAYLE 714 667 -2287 <br />5. Address 6. City - 7. State 8. Zip Code <br />20 CIVIC CENTER PLAZA, M -37 SANTA ANA CA s ?701 <br />Part II Program Income <br />Enter the following program income amounts for the reporting period: in block 1, enter the balance on hand at the beginning; in block 2, enter the amount <br />generated; in block 3, enter the amount expended; and in block 4. enter the amount fnr Tennnt_PtnQgwf r M.l A. ; *s..,.e <br />1. Balance on hand at Beginning <br />of Reporting Period <br />2. Amount received during <br />Reporting Period <br />3. Total amount expended <br />during Reporting Period <br />4. Amount expended for Tenant v <br />Based Rental Assistance <br />5. Balance on hand at end of <br />Minority Business Enterprises (MBE) <br />Reporting Period (1 + 2 - 3) - 5 <br />$261,459.06 <br />$653,925.92 <br />$443,109.74 <br />$0 <br />$472,275.24 <br />rare ill minority ousiness Enterprises (MBE) and Women Business Enterprises (WBE) <br />In the table below, indicate the number and dollar value of nnntraM_ s fnr Wrik= nr^;n fe <br />page 1 of 2 form HUD -40107 (11/92) <br />19E -237 <br />nIc IWFIJI LOU to Ft511VV. <br />Minority Business Enterprises (MBE) <br />a. Total <br />b. Alaskan Native or <br />c. Asian or <br />d. Black <br />e. Hispanic <br />f. White <br />A. Contracts <br />American Indian <br />Pacific Islander <br />Non - Hispanic <br />Non - Hispanic <br />1. Number <br />21 <br />0 <br />0 <br />0 <br />3 <br />18 <br />2. Dollar Amount <br />$738,668.61 <br />0 <br />0 <br />0 <br />$19,687.50 <br />$718,981.11 <br />B. Sub - Contracts <br />1. Number <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />2. Dollar Amount <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />a. Total <br />b. Women Business <br />c. Male <br />Enterprises (WBE) <br />C. Contracts <br />1. Number <br />21 <br />1 <br />20 <br />2. Dollar Amount <br />$738,668.61 <br />$77 <br />$737,893.61 <br />D. Sub - Contracts <br />1. Number <br />0 <br />0 <br />0 <br />2. Dollar Amounts <br />0 <br />0 <br />0 <br />page 1 of 2 form HUD -40107 (11/92) <br />19E -237 <br />