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Program Year Start Date 07/01/2016 <br />Program Year End Date 06/30/2017 <br />3a. Subrecipient Form —Complete one form for each subrecipient <br />Subrecipient or Contractor Name: INTERVAL HOUSE <br />City: Long Beach <br />State: CA <br />Zip Code: 90803, 4221 <br />DUNS Number: 113510176 <br />Is subrecipient a victim services provider: Y <br />Subrecipient Organization Type: Other Non -Profit Organization <br />ESG Subgrant or Contract Award Amount: 42160.83 <br />Subrecipient or Contractor Name: MERCY HOUSE <br />City: Santa Ana <br />State: CA <br />Zip Code: 92702, 1905 <br />DUNS Number: 879797165 <br />Is subrecipient a victim services provider: N \\\\\ <br />Subrecipient Organization Type: Other Non -Prof il <br />ESG Subgrant or Contract Award Amount:x80354i <br />Subrecipient or Contractor Name ,THO(MKS-HOUSETEMPORARY SHELTER <br />City: Garden Grove <br />State: CA <br />Zip Code: 92842, 2737 <br />DUNS Number: 07539 82` <br />Is subrecipient a victim services provider: N <br />Subrecipient Organization Type: Other Non -Profit Organization <br />ESG Subgrant or Contract Award Amount: 12000 <br />Subrecipient or Contractor Name: WISEPLACE <br />City: Santa Ana <br />State: CA <br />Zip Code: 92706, 3904 <br />DUNS Number: 002322894 <br />Is subrecipient a victim services provider: N <br />Subrecipient Organization Type: Other Non -Profit Organization <br />ESG Subgrant or Contract Award Amount: 23654 <br />OMB Control No: 2506-0117 (exp. 06/30/2018) <br />CAPER <br />19D-34 <br />