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Name of Organization: <br />Name of Program <br />Example <br />Funded Personnel <br />Interval House <br />Domestic Violence Shelter Services <br />Position Title <br />(only list funded positions) <br />Budget <br />Category <br />Annual <br />Salary <br />Annual <br />Benefits <br />Total <br />Compensation <br />Funds <br />Requested for <br />this position <br />Percent of <br />time serving <br />Santa Ana <br />Maximum <br />Amount of <br />eligible <br />Compensation <br />Case Manager <br />Case M mt <br />$ 30,000 <br />$ 2,000 <br />$ 32,000 <br />$ 6,000 <br />40% <br />$ 12,800.00 <br />Outreach Worker <br />Engagement <br />$ 25,000 <br />$ 2,000 <br />$ 27,000 <br />$ 5,400 <br />20% <br />$ 5,400.00 <br />Total Amount Requested <br />$ <br />Total Amount Requested <br />$ 11,400 <br />PROGRAM STAFF <br />Position Title <br />(only list funded positions) <br />Budget <br />Category <br />Annual <br />Salary <br />Annual <br />Benefits <br />Total <br />Compensation <br />Funds <br />Requested for <br />this position <br />Percent of <br />time serving <br />Santa Ana <br />Maximum <br />Amount of <br />eligible <br />Com ensation <br />DV Advocate <br />Essential Servic <br />$ 45,000 <br />$ 9,000 <br />$ 54,000 <br />$ 27,000 <br />50% <br />$ 27,000.00 <br />Total Amount Requested <br />$ <br />Total Amount Requested Requestedl <br />27.000 <br />CONTRALTI' AL /PROFESSIONAL SERVICES <br />Type of Service <br />(only list funded services) <br />Budget <br />Category <br />Annual Contract Amount <br />Total <br />Compensation <br />Funds <br />Requested for <br />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 />Total Amount Requested <br />$ <br />Exhibit B -1 <br />Page 1 of 1 <br />