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Annual Performance Report U.S. Department of Housing OMB Approval No. 2WB-0171 <br />and Urban Development (exp. 8t31/200) <br />HOME Program Office of Community Planning <br />and Development <br />Public reporting burdenfor this coliociton of information is estimated to average 2.5 hours per response, including the time for reviewing instructions, searching <br />existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of Information. This agency may not conduct <br />or sponsor, and a porson is not required to respond to, a collection of lnformatiotn unless that collection displays a valid OMB control number. <br />The HOME statute imposas a significant number of data collection and reporting requirements. This includes information on assisted propeities, on the <br />owners or tenants of the propertles, and on other progrommalfo areas. The information will be used: 1) to assist HOME parifcipanis In managing their <br />programs; 2) to track performance of participants In meeting fund commitment and expenditure deadlines; 3) to permit HUD to determine whether each <br />participant meats the HOME statutory Income targeting and atfordablIn requirements; and 4) to permit HUD to determine compliance with other statutory <br />and regulatory program requirements, Thla data collection Is attthorized uncle rTtdb II of the Cranston - Gonzalez National Affordable Housing Actor related <br />authorities. Access to Federal grant funds is contingent on the reporting of certain project- spccifio data elements. Records of Information collected will <br />be maintained by the recipients al the assistance. Information on activities and expenditures of grant funds Is public Information and Is gonerally available <br />for disclosure. Recipients are responsible for ensuring confidentiality when public disclosure Is not required. <br />This form Is Intondod to colloct numeric data to be aggregated natlonally as a complement to data collected through the Cash and Management Information <br />(C/MI)Systom. Participants should enter the reporting porlodin the firsfblock. The reporting period isOctoborItoftlomber80. Instructions are Included <br />for each section if further explanation Is needed. <br />Submit this form on or boforo Decombor 31. This report is for period (mrWdd/yyyy) Date Submitted (rnwdd W4 <br />Band one copy to the appropdals HUD Piefd Office and one copy to: Starting Ending <br />1-101011 Program, Rm 7176, 451 71h Street, S.W., Washington D.C. 20410 07101/2008 06/30/2009 09/30/2009 <br />Part I Participant Identification <br />1. Panidpant Number 2 PartfcipaRt Name <br />MC 06 0530 — - _ City of Santa Ana <br />3. NamoofPomonoompletingthtsroporl - 4. Phw*Number(IndudeAmaCode) <br />Terry Gilbreth 714 667-2221 <br />5. Address 0, City 17. State Is. Zip Code <br />Part 11 Program income <br />Enter thoioltowing program Income amounts for the reportng period: In black 1, enter the balance an hand at the beginning; in block 2, enter the amount <br />generated; in block 3, enter the amount expended; and in block 4, enter the amount for Tenant -Based rental Assistance. <br />t. Balanceon?wwdst -r <br />otRepo►tktg Period �m� 2 RMetountracehaaddudng 3. TWalsmouatexpended t 4. AmouMexpendadfor7enant -Ib. tiaWnceonharxiatandot <br />port' ng Period during Reporting Partod I Based Rental Assistance Rsporting Period (1 + 2.3) = ti <br />108,165.38 320,830.1/9 86,618.56 0 332.379.52 <br />Part IiI Minority Business Enterprises (MBE) and Women Business Enterprises (WBE) <br />In the table below, indicate the number and dollar valuo of contracts for HOME nrntncta rmmntntMt [iurFn thn ., n^rn..., —IM <br />8/6/09 <br />page I of 2 form HUD -40107 (11192) <br />19F -293 <br />_ no. <br />b Ataaken N8tNo or <br />O. Asian or <br />d Black <br />e- tf9ap fio <br />Total <br />:� <br />Amedoar)TWian <br />PecittCletmWar <br />NowHispanto <br />Non•H$yrrni¢ <br />A. ContractFW�3 <br />1. Ntxnber <br />12 <br />3 <br />12 <br />2. Dollar Amount <br />$384,510.00 <br />$31,570.00 <br />$352,940.00 <br />B. Sub - Contracts <br />1. Nun*or <br />2. Dollar Amount <br />?msµ ME 107-11.1 <br />o. Total <br />b. WMm Business <br />Ertiarpdsea(4YBE) <br />a Msla <br />, <br />._. ._�_ <br />--- -•--- ----- -----� <br />C. Contracts <br />1. Number <br />12 <br />0 <br />12 <br />2. Dollar Amount <br />$384,510.00 <br />$384,510.00 <br />D. Sub - Contracts <br />1. Number <br />2. Dollar Amounts <br />8/6/09 <br />page I of 2 form HUD -40107 (11192) <br />19F -293 <br />