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E}~HIBIT A <br />HOUSING OPPORTUNITY FOR PEOPLE WITH AIDS <br />ACCOMPLISHMENT REPORT <br />HOPWA Recipient Name: <br />HOPWA Funded Activity: <br />Location of Activity: <br />1. Select the one category that best describes service provided with HOPWA Funds: <br />^ Facility Based Housing: (e.g., Construction, Rehab) ..............Submit Repor#-Form A 8~ Supplemen#al <br />^ Facility Based Non-Housing ..................................................Submit Report Form B & Supplemental <br />^ Scattered Site Only: (e.g., Tenant Based Rental Assistance) ..Submit Report Form C 8~ Supplemental <br />^ dousing Information/Resource ID1Admin ..............................Submit Report Form D <br />^ Supportive Services Only ......................................................Submit Report Form E <br />2. Check Box Indicating Report Period: <br />^ 1St Quarter <br />^ 2"d Quarter <br />^ 3`d Quarter <br />^ 4ei Quarter <br />(711 - 9130) <br />(1011-12131) <br />(111 - 3/31) <br />(4/1 - 6130) <br />3. Amount of HOPWA Expended During This Report Period: <br />4. Number of Unduplicated Persons Assisted During the Report Period: <br />' Must equal Total Number o/Persons Receivi--a Assistance listed in Report Form <br />5. Number of Units Completed During the Report Period (;f applicable): <br />For constnrcfion Pro/ects o»ly <br />Name: <br />Signature: <br />Telephone No: <br />Fax No: <br />Title: <br />Date: <br />email: <br />1 of 7 <br />certify that the information within this quarterly report is true and correct. <br />