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Organization Name
<br />Program Name
<br />Program Year 2008-2009
<br />Final Budget
<br />SHARE OUR SELVES
<br />SOS Free Medical and Dental Clinic
<br />Expenditures
<br />Category
<br />Expenses Funded by
<br />Santa Ana CDBG
<br />Expenses Funded
<br />by Other Sources
<br />Hoag Hospital
<br />Total Program
<br />Budget
<br />Total Organizational
<br />Budget
<br />Administrative Staff
<br />Salaries & Benefits
<br />$ -
<br />$
<br />198,900
<br />$
<br />198,900
<br />$
<br />331,500
<br />Program Staff Salaries &
<br />Benefits
<br />$ 10,000
<br />$
<br />1,210,453
<br />$
<br />1,220,453
<br />$
<br />1,451,228
<br />Contractual/Professional
<br />Services
<br />$ -
<br />$
<br />92,310
<br />$
<br />92,310
<br />$
<br />106,590
<br />Office Supplies
<br />$
<br />16,830
<br />$
<br />16,830
<br />$
<br />25,806
<br />Rent
<br />$
<br />41,677
<br />$
<br />41,677
<br />$
<br />67,626
<br />Communications
<br />$
<br />24,786
<br />$
<br />24,786
<br />$
<br />41,310
<br />Utilities
<br />$
<br />14,688
<br />$
<br />14,688
<br />$
<br />24,480
<br />Insurance
<br />$
<br />198,900
<br />$
<br />198,900
<br />$
<br />265,200
<br />Other:List below
<br />1 Pharm/Lab/Pt. Supply
<br />$
<br />315,588
<br />$
<br />315,588
<br />$
<br />315,588
<br />2 Payroll Taxes
<br />$
<br />106,080
<br />$
<br />106,080
<br />$
<br />122,400
<br />3 Equipment
<br />$
<br />20,400
<br />$
<br />20,400
<br />$
<br />26,112
<br />4 Operational/Facility
<br />$
<br />85,921
<br />$
<br />85,921
<br />$
<br />136,095
<br />5 Misc./other
<br />$
<br />612
<br />$
<br />612
<br />$
<br />729,708
<br />Total
<br />$ 10,000
<br />$
<br />2,327,145 1
<br />$
<br />2,337,145
<br />$
<br />3,643,643
<br />LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED FOR 08-09
<br />(Total Funds for Program must equal Total Program Budget above)
<br />Source Amount
<br />Santa Ana CDBG
<br />$
<br />10,000
<br />Hoag Hospital
<br />$
<br />950,000
<br />Grants
<br />$
<br />520,000
<br />Donations
<br />$
<br />581,500
<br />County MSI Revenue
<br />$
<br />100,000
<br />Interest/Reimbursement/Investments
<br />$
<br />175,645
<br />Total Funds for the Program
<br />$
<br />2,337,145
<br />Exhibit B
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