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Name of Organization: <br />Name of Program <br />F,xamnle <br />Funded Personnel <br />Mercy House Living Centers <br />Santa Ana ESG Transitional Shelters <br />Position Title <br />(roily 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 />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />Total Amount Requested <br />$ 11,400 <br />PROGRAM STAFF <br />Position Title Budget Annual Annual Total Funds Percent of Maximum <br />(only list funded positions) Category Salary Benefits Compensation Requested for time serving Amount of <br />this position Santa Ana eligible <br />1 <br />CONTRACTUAL /PROFESSIONAL SERVICES <br />700.00 <br />Type of Service Budget Annual Contract Amount Total Funds Percent of Maximum <br />(only list funded services) Category Compensation Requested for time serving Amount of <br />this position Santa Ana eligible <br />Total <br />Exhibit B -1 <br />Page 1 of I <br />