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<br />2007-2008 Funded Personnel <br /> <br />Name of Organization: SHARE OUR SELVES (SOS) <br />Name of Program SOS Free Medical and Dental Clinic <br />NOTE: Please remember that this is only a budget and that reimbursement should be based on actual service. <br />ADMINISTRATIVE STAFF <br /> <br />Position Title Annual Annual Total CDBG Funds Of this time Maximum <br /> Salary Benefits Compensation Requested for percent of Amount of <br /> this position time serving eligible <br /> Santa Ana Complensation <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> Total Amount Requested $ - <br /> <br />Must equal amount indicated on Exhbit B <br /> <br />PROGRAM STAFF <br /> <br />Position Title Annual Annual Total CDBG Funds Of this time Maximum <br /> Salary Benefits Compensation Requested for percent of Amount of <br /> this position time serving eligible <br /> Santa Ana Comolensation <br />Dental Director $ 135000 $ 18,322 $ 153 322 $ 5,000 20% $ 30,664.40 <br />Nurse Practitioner $ 75,000 $ 19,001 $ 94,001 $ 4,500 20% $ 18,800.20 <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> Total Amount Reauested $ 9,500 <br /> <br />Must equal amount indicated on Exhbit B <br /> <br />CONTRACTUAL/PROFESSIONAL SERVICES <br /> <br />Type of Service Annual Contract Amount Total CDBG Funds Of this time Maximum <br /> Compensation Requested for percent of Amount of <br /> this position time serving eligible <br /> Santa Ana Comolensation <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> Total Amount Reauested $ - <br /> <br />Must equal amount indicated on Exhbit B <br /> <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 /> <br />Exhibit B-l <br />Page 1 of 1 <br /> <br />#DlV/O! <br />#DlV/O! <br />#DlV/O! <br />#DlV/O! <br />#DlV/O! <br />#DlV/O! <br />#DlV/O! <br />#DlVlO! <br />#DlVlO! <br /> <br />#DlV/O! <br />#DlVlO! <br />#DlV /O! <br />#DlV /O! <br />#DlV/O! <br />#DlV /O! <br />#DlV/O! <br /> <br />#DlVlO! <br />#DlV/O! <br />#DlV/O! <br />#DlV/O! <br />#DlV /O! <br />#DlV/O! <br />#DlV/O! <br />#DlV/O! <br />#DlV/O! <br /> <br />