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2006-2007 Funded Personnel <br />Name of Organization: <br />Name of Program <br />OUR SEL <br />ADMINISTRATIVE STAFF <br />Position Title Annual <br />Salary Annual <br />Benefits Total <br />Compensation CDBG Funds <br />Requested for <br />this position % of time <br />spent on <br />funded <br />ro ram Of this time <br />percent of <br />time serving <br />Santa Ana % of Total <br />Compensation <br />Eligible <br /> $ - 0% <br /> $ - 0% <br /> $ - 0% <br /> $ - 0% <br /> $ 0% <br /> $ 0% <br /> $ 0% <br /> $ - 0% <br /> $ - 0% <br />Total Amount Re ueste $ - <br />must equal amount indicated on Exhbit B <br />PROGRAM STAFF <br />Position Title Annual <br />Salary Annual <br />Benefits Total <br />Compensation CDBG Funds <br />Requested for <br />this position % of fime <br />spent on <br />funded <br />ro ram Of this time <br />percent of <br />time serving <br />Santa Ana % of Total <br />Compensation <br />Eligible <br />Dental Director <br />Nurse Pracatitioner $ 135 000 <br />$ 87 360 $ 17 670 <br />$ 14 159 $ 152 670 <br />$ 101 519 $ 5 000 <br />$ 5,000 100% <br />100% 30% <br />30% 30% <br />30% <br /> $ 0% <br /> $ 0% <br /> $ 0% <br /> $ 0% <br /> $ 0% <br /> $ 0% <br /> $ 0% <br />Tota] Amount Re uested $ 10 000 <br />rvcusc equal amount md~ca[ed on Exhbit B <br />CONTRACTUAL/PROFESSIONAL SERVICES <br />Position Title Annual Annual Tota] CDBG Funds % of time Of this time % of Total <br /> Contract Benefits Compensation Requested for spent on percent of Compensation <br /> Amount this position funded time serving Eligible <br /> ro ram Santa Ana <br /> $ - 0% <br /> $ - 0% <br /> $ - 0°/a <br /> $ - 0% <br /> $ - 0% <br /> $ - 0% <br /> $ - 0% <br /> $ 0% <br /> $ 0% <br />To[a] Amount Re uested $ <br />must equal amount md[ca[ed on Exhbit B <br />***Please note for personnel whose time is not directly traced to serving Santa Ana and instead a percentage is used please <br />confirm the percentage is accurate prior to requesting reimbursement. <br />Exhibit B-1 <br />Page 1 of 1 <br />