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Name of Organization: <br />Name of Program <br />ADMINISTRATIVE STAFF <br />Funded Personnel <br />Laura's House <br />Domestic Violence Emergency Shelter Program <br />Position Title <br />(only list funded positions) <br />Annual <br />Salary <br />Annual <br />Benefits <br />Total <br />Compensation <br />Funds Requested <br />for this position <br />Percent of <br />time serving <br />Santa Ana <br />Maximum <br />Amount of <br />eligible <br />Compensation <br />No Funding Allowed Under ESG <br />$ <br />$ <br />$ <br />S <br />$ - <br />$ <br />S <br />$ <br />S <br />$ <br />S <br />I <br />$ <br />$ <br />$ <br />Total Amount Requested <br />$ <br />PROGRAM STAFF <br />Position Title <br />(only list funded positions) <br />Annual <br />Salary <br />Annual <br />Benefits <br />Total <br />Compensation <br />Funds Requested <br />for this position <br />Percent of <br />time serving <br />Santa Ana <br />Maximum <br />Amount of <br />eligible <br />Compensation <br />N/A <br />$ _ <br />$ _ <br />$ - <br />$ <br />$ <br />$ _ <br />Total Amount Requested, <br />$ - <br />CONTRACTUAL/PROFESSIONAL SERVICRS <br />Type of Service <br />(only list funded services) <br />Annual Contract Amount <br />Total <br />Compensation <br />Funds Requested <br />for this position <br />Percent of <br />time serving <br />Santa Ana <br />Maximum <br />Amount of <br />eligible <br />N/A <br />$ <br />—Compensation <br />$ <br />$ - <br />$ <br />$ <br />$ <br />$ - <br />S <br />_ Total Amount Re uested <br />$ <br />Exhibit B- l <br />Page I of 1 <br />