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DRAFTCAPER 33 <br />OMB Control No: 2506-0117 (exp. 09/30/2021) <br />ESG Secondary Contact <br />Prefix Mr <br />First Name David <br />Last Name Flores <br />Suffix <br />Title Senior Community Development Analyst <br />Phone Number 7146476561 <br />Extension <br />Email Address dflores@santa-ana.org <br />2. Reporting Period—All Recipients Complete <br />Program Year Start Date 07/01/2021 <br />Program Year End Date 06/30/2022 <br />3a. Subrecipient Form – Complete one form for each subrecipient <br />Subrecipient or Contractor Name: SANTA ANA <br />City: Santa Ana <br />State: CA <br />Zip Code: 92701, 4058 <br />DUNS Number: 083153247 <br />UEI: <br />Is subrecipient a victim services provider: N <br />Subrecipient Organization Type: Unit of Government <br />ESG Subgrant or Contract Award Amount: 366860 <br />Subrecipient or Contractor Name: INTERVAL HOUSE <br />City: Seal Beach <br />State: CA <br />Zip Code: 90740, 2356 <br />DUNS Number: 113510176 <br />UEI: <br />Is subrecipient a victim services provider: Y <br />Subrecipient Organization Type: Other Non-Profit Organization <br />ESG Subgrant or Contract Award Amount: 80000 <br /> <br />City Council 27 – 36 9/6/2022 <br />