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Organization Name <br />Program Name <br />Program Year 2015 -2016 <br />Final Budget <br />e for Irvine Communitv Health DBA 2 -1 -1 <br />HM <br />Expenditures <br />Category <br />Expenses Funded <br />by Santa Ana ESG <br />Expenses Funded <br />by Other Sources <br />Total Program <br />Budget <br />Total <br />Organizational <br />Program Staff Salaries & <br />Benefits* <br />$ 30,000 <br />$ 754,452 <br />$ 784,452 <br />HMIS Dues <br />Contractual /Professional <br />Services <br />29,250 <br />City Garden Grove <br />$ - <br />8,090 <br />OTHER: please indicate) <br />$ 97,403 <br />$ 97,403 <br />Total Funds for the Program <br />$ <br />957,300 <br />TOTAL DIRECT COSTS <br />$ 30,000 <br />$ 851,855 <br />$ 881,855 <br />$ <br />(_10_ %)* <br />75,445.20 <br />$ 75,445 <br />Total <br />$ 30,000 <br />$ 927,300 <br />$ 957,300 <br />$ <br />Indirect cost rate: 10% Non - Federal entity without federally recognized negotiated <br />indirect cost rate, will charge a de minimis rate of 10% of <br />modified total direct costs <br />* Benefits: Holiday, sick and vacation time can be invoiced for staff working 100% in the ESG program. <br />LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED FOR 15 -16 <br />(Total Funds for Program must equal Total Program Budget above) <br />Source Amount <br />Santa Ana ESG <br />$ <br />30,000 <br />Federal <br />$ <br />499,646 <br />County of Orange <br />$ <br />390,314 <br />HMIS Dues <br />$ <br />29,250 <br />City Garden Grove <br />$ <br />8,090 <br />Total Funds for the Program <br />$ <br />957,300 <br />Exhibit B <br />Page 1 of 2 <br />please confirm that Frog <br />