{"text_format":"1","workbook":"xlsx","n_sheets":1,"sheets":["1. FWHG Request For Funds"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":0,"defined_names":1,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"1. FWHG Request For Funds","index":0,"n_rows":49,"n_cols":28,"rows_kept":49,"cut":false,"hidden":false,"merged":[[37,11,37,12],[36,11,36,12],[35,11,35,12],[30,11,30,12],[36,1,36,4],[35,1,35,4],[34,1,34,4],[27,5,27,8],[37,5,37,8],[36,5,36,8],[35,5,35,8],[34,5,34,8],[33,5,33,8],[32,5,32,8],[31,5,31,8],[30,5,30,8],[29,5,29,8],[28,5,28,8],[30,1,30,4],[27,9,27,10],[37,9,37,10],[36,9,36,10],[35,9,35,10],[34,9,34,10],[33,9,33,10],[32,9,32,10],[31,9,31,10],[30,9,30,10],[29,9,29,10],[28,9,28,10],[15,7,15,9],[15,10,15,15],[15,1,15,6],[50,13,50,15],[40,0,40,15],[39,0,39,15],[25,0,25,15],[26,0,26,15],[27,13,27,14],[37,13,37,14],[36,13,36,14],[35,13,35,14],[34,13,34,14],[49,13,49,15],[48,13,48,15],[34,11,34,12],[38,13,38,14],[38,0,38,12],[46,13,46,15],[33,13,33,14],[32,13,32,14],[33,1,33,4],[32,1,32,4],[33,11,33,12],[21,0,21,1],[21,2,21,3],[21,4,21,5],[21,6,21,7],[21,8,21,9],[43,9,43,15],[24,0,24,1],[24,2,24,3],[24,4,24,5],[29,13,29,14],[29,1,29,4],[29,11,29,12],[23,12,23,13],[23,0,23,1],[23,2,23,3],[23,4,23,5],[23,6,23,7],[23,8,23,9],[24,12,24,13],[24,10,24,11],[22,0,22,1],[32,11,32,12],[27,1,27,4],[37,1,37,4],[20,2,20,3],[19,0,19,1],[19,2,19,3],[19,4,19,5],[19,6,19,7],[17,14,17,15],[19,12,19,13],[19,10,19,11],[19,8,19,9],[17,12,18,13],[17,10,18,11],[17,8,18,9],[17,0,18,1],[17,4,18,5],[17,6,18,7],[17,2,18,3],[0,0,0,5],[2,0,2,1],[3,0,3,1],[5,0,5,1],[13,1,13,6],[6,0,7,15],[1,0,1,3],[9,1,9,6],[9,10,9,15],[9,7,9,9],[11,7,11,9],[12,7,12,9],[11,1,11,6],[12,1,12,6],[11,10,11,15],[12,10,12,15],[10,0,10,15],[16,0,16,15],[13,10,13,15],[14,10,14,15],[13,7,13,9],[14,7,14,9],[14,1,14,6],[42,0,42,8],[42,9,42,15],[43,0,43,8],[22,2,22,3],[22,4,22,5],[22,6,22,7],[22,8,22,9],[22,10,22,11],[22,12,22,13],[23,10,23,11],[20,4,20,5],[20,6,20,7],[20,8,20,9],[20,12,20,13],[21,12,21,13],[21,10,21,11],[20,0,20,1],[20,10,20,11],[49,0,49,5],[49,6,49,12],[46,0,46,5],[24,6,24,7],[24,8,24,9],[48,0,48,5],[47,0,47,5],[46,6,46,12],[47,6,47,12],[41,9,41,15],[41,0,41,8],[48,6,48,12],[31,13,31,14],[31,1,31,4],[31,11,31,12],[28,13,28,14],[28,1,28,4],[28,11,28,12],[44,0,44,8],[44,9,44,15],[45,0,45,15],[47,13,47,15],[30,13,30,14],[27,11,27,12]]}
["DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT"]
["DIVISION OF STATE FINANCIAL ASSISTANCE"]
["STATE GRANT MANAGEMENT "]
["2020 West El Camino, 4th Floor "]
["Sacramento, CA  95833"]
["Sernasfsgm@hcd.ca.gov"]
["Joe Serna, Jr., Farmworker Housing Grant (FWHG) Program\nRequest for Funds\n"]
[]
["Last Revised:  05/24/2021"]
["HCD Contract Number:",null,null,null,null,null,null,"Total FWHG Award:"]
["Sponsor Contact Information"]
["Contractor Name:",null,null,null,null,null,null," Preparer  Name:",null,null,null,null,null,null,null,null,null,null,1,2,3,4,5,6,7,8,9,10]
["Street Address:",null,null,null,null,null,null," Preparer Title:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(K10=1, K21>0, K21<100),\"TRUE\",\"FALSE\")","v":"FALSE"}]
["City:",null,null,null,null,null,null," Preparer E-mail:"]
["County:",null,null,null,null,null,null," Preparer Phone #:"]
["State and Zip:",null,null,null,null,null,null," Remit Address:"]
["EXPENDITURE BREAKDOWN"]
["Activity Name",null,"Approved Budget Amount",null,"Total Previously Drawn",null,"Draw Amount Requested This Period",null,"Total Drawn To Date ",null,"Percent of Activity Requested This Period",null,"Budget Remaining",null,"HCD Approved Draw Amount This Period"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Amount","Approval"]
["Acquisition",null,null,null,null,null,null,null,{"$f":"SUM(E20+G20)","v":0},null,{"$f":"IF(C20,G20/C20,0)","v":0},null,{"$f":"SUM(C20-I20)","v":0},null,null,"Select One"]
["Rehabilitation",null,null,null,null,null,null,null,{"$f":"SUM(E21+G21)","v":0},null,{"$f":"IF(C21,G21/C21,0)","v":0},null,{"$f":"SUM(C21-I21)","v":0},null,null,"Select One"]
["Mobilehome Rehabilitation",null,null,null,null,null,null,null,{"$f":"SUM(E22+G22)","v":0},null,{"$f":"IF(C22,G22/C22,0)","v":0},null,{"$f":"SUM(C22-I22)","v":0},null,null,"Select One"]
["Mobilehome Replacement",null,null,null,null,null,null,null,{"$f":"SUM(E23+G23)","v":0},null,{"$f":"IF(C23,G23/C23,0)","v":0},null,{"$f":"SUM(C23-I23)","v":0},null,null,"Select One"]
["Land Acquisition ",null,null,null,null,null,null,null,{"$f":"SUM(E24+G24)","v":0},null,{"$f":"IF(C24,G24/C24,0)","v":0},null,{"$f":"SUM(C24-I24)","v":0},null,null,"Select One"]
["TOTAL:",null,{"$f":"SUM(C20:C24)","v":0},null,{"$f":"SUM(E20:E24)","v":0},null,{"$f":"SUM(G20:G24)","v":0},null,{"$f":"SUM(I20:I24)","v":0},null,{"$f":"IF(C25,G25/C25,0)","v":0},null,{"$f":"SUM(M20:M24)","v":0},null,{"$f":"SUM(O20:P24)","v":0}]
["Grantee Information "]
["Instructions: Please provide grantee information below. "]
["First Name","Last Name",null,null,null,"Property Street Address",null,null,null,"City",null,"Zip",null,"Projected Closing Date",null,"Grant Amount"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Total:",null,{"$f":"SUM(P29:P38)","v":0}]
["CERTIFICATION"]
["***By signing this request, I certify to the best of my knowledge and belief that the request is true, complete, and accurate, and the expenditures, disbursements and cash receipts will be for the purposes and objectives set forth in the terms and conditions of the State award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812)"]
["Name of Authorized Representative",null,null,null,null,null,null,null,null,"Title of Authorized Representative"]
[]
["Signature of Authorized Representative",null,null,null,null,null,null,null,null,"Date"]
[]
["HCD USE ONLY"]
["SGM Representative Printed Name",null,null,null,null,null,"Representative Signature",null,null,null,null,null,null,"Date"]
[]
["SGM Manager Printed Name",null,null,null,null,null,"Manager Signature ",null,null,null,null,null,null,"Date"]