118
STATEMENT OF CASH ADVANCE - AA190 STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES CONTACTS: EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMS COUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016 PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Alameda SHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016 ASSISTANCE PROGRAM FEDERAL STATE TOTAL CALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES, NONFEDERAL & TANF TIMED OUT ADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 958,486.00 2,417,659.00 3,376,145.00 CWKS Safety Net Asst OCT-16 MO 1,114,400.00 1,114,400.00 CWKS TANF Timed-Out Asst OCT-16 MO 293,000.00 293,000.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 119,800.00 119,800.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 46,700.00 46,700.00 Total Advances 958,486.00 3,991,559.00 4,950,045.00 ADJUSTMENT FOR PRIOR PERIOD: Actual Expenditures CalWORKS Asst JUL-16 MO 811,259.00 2,871,393.00 3,682,652.00 CWKS Safety Net Asst JUL-16 MO 1,236,400.00 1,236,400.00 CWKS TANF Timed-Out Asst JUL-16 MO 324,125.00 324,125.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 120,238.00 120,238.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 52,621.00 52,621.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (535,344.00) (2,871,393.00) (3,406,737.00) CWKS Safety Net Asst JUL-16 MO (1,160,800.00) (1,160,800.00) CWKS TANF Timed-Out Asst JUL-16 MO (303,600.00) (303,600.00) CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (116,000.00) (116,000.00) CWKS Recent Non-Citizens Nonfederal JUL-16 MO (48,300.00) (48,300.00) Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 275,915.00 0.00 275,915.00 CWKS Safety Net Asst JUL-16 MO 75,600.00 75,600.00 CWKS TANF Timed-Out Asst JUL-16 MO 20,525.00 20,525.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 4,238.00 4,238.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 4,321.00 4,321.00 Total Net Adjustments 275,915.00 104,684.00 380,599.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 301,105.59 301,105.59 Total Prior Period Adjustment 275,915.00 405,789.59 681,704.59 MISC. ADJUSTMENT CWKS Monthly MOE Subaccount Est. OCT-16 MO (2,858,880.00) (2,858,880.00) CWKS Monthly MOE Subaccount Act. JUL-16 MO (2,420,829.12) (2,420,829.12) CWKS Monthly MOE Subaccount Est. JUL-16 MO 2,700,053.00 2,700,053.00 Family Support Subaccount AUG-16 MO (1,494,125.65) (1,494,125.65) Family Support Subaccount - Recoupment APR-16 MO (350,000.00) (350,000.00) 0.00 0.00 0.00 Child Poverty Subaccount Expenditure JUL-16 MO 584,294.00 584,294.00 Child Poverty Subaccount Recoup** JUL-16 MO (343,321.07) (343,321.07) Child Poverty Growth FY14-15** FY 2015-16 (240,972.93) (240,972.93) CWKS Recent Non-Citizens TANF Timed-Ou JUL-16 MO 1,702.00 1,702.00 CWKS Diversion Asst JUL-16 MO (197.00) 0.00 (197.00) CWKs ARC (MOE) JUL-16 MO 15,875.00 867.00 16,742.00 0.00 0.00 ARC Exp. JUL-16 MO 32,947.00 32,947.00 EBT FS GA/GR MAY-16 MO (9,082.82) (9,082.82) 0.00 0.00 Total Miscellaneous Adjustment 15,678.00 (4,397,348.59) (4,381,670.59) TOTAL 1,250,079.00 0.00 1,250,079.00 Sch No. 020540T COMMENTS: *Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal. ***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

€¦ · XLS file · Web view2016-09-23 · 128066.09. 9/30/2016. 5400 5400. 3500 3500. 5400 3500 8900. 0. 6109 6109. 3812 3812. 0-5400-5400-3400-3400. 709 709. 412 412. 709 412

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Page 1: €¦ · XLS file · Web view2016-09-23 · 128066.09. 9/30/2016. 5400 5400. 3500 3500. 5400 3500 8900. 0. 6109 6109. 3812 3812. 0-5400-5400-3400-3400. 709 709. 412 412. 709 412

STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: AlamedaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 958,486.00 2,417,659.00 3,376,145.00 CWKS Safety Net Asst OCT-16 MO 1,114,400.00 1,114,400.00 CWKS TANF Timed-Out Asst OCT-16 MO 293,000.00 293,000.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 119,800.00 119,800.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 46,700.00 46,700.00 Total Advances 958,486.00 3,991,559.00 4,950,045.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 811,259.00 2,871,393.00 3,682,652.00 CWKS Safety Net Asst JUL-16 MO 1,236,400.00 1,236,400.00 CWKS TANF Timed-Out Asst JUL-16 MO 324,125.00 324,125.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 120,238.00 120,238.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 52,621.00 52,621.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (535,344.00) (2,871,393.00) (3,406,737.00)CWKS Safety Net Asst JUL-16 MO (1,160,800.00) (1,160,800.00)CWKS TANF Timed-Out Asst JUL-16 MO (303,600.00) (303,600.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (116,000.00) (116,000.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (48,300.00) (48,300.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 275,915.00 0.00 275,915.00 CWKS Safety Net Asst JUL-16 MO 75,600.00 75,600.00 CWKS TANF Timed-Out Asst JUL-16 MO 20,525.00 20,525.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 4,238.00 4,238.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 4,321.00 4,321.00 Total Net Adjustments 275,915.00 104,684.00 380,599.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 301,105.59 301,105.59 Total Prior Period Adjustment 275,915.00 405,789.59 681,704.59

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (2,858,880.00) (2,858,880.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (2,420,829.12) (2,420,829.12)CWKS Monthly MOE Subaccount Est. JUL-16 MO 2,700,053.00 2,700,053.00 Family Support Subaccount AUG-16 MO (1,494,125.65) (1,494,125.65)Family Support Subaccount - Recoupment* APR-16 MO (350,000.00) (350,000.00)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 584,294.00 584,294.00 Child Poverty Subaccount Recoup** JUL-16 MO (343,321.07) (343,321.07)Child Poverty Growth FY14-15** FY 2015-16 (240,972.93) (240,972.93)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 1,702.00 1,702.00 CWKS Diversion Asst JUL-16 MO (197.00) 0.00 (197.00)CWKs ARC (MOE) JUL-16 MO 15,875.00 867.00 16,742.00

0.00 0.00 ARC Exp. JUL-16 MO 32,947.00 32,947.00 EBT FS GA/GR MAY-16 MO (9,082.82) (9,082.82)

0.00 0.00 Total Miscellaneous Adjustment 15,678.00 (4,397,348.59) (4,381,670.59)

TOTAL 1,250,079.00 0.00 1,250,079.00 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

Page 2: €¦ · XLS file · Web view2016-09-23 · 128066.09. 9/30/2016. 5400 5400. 3500 3500. 5400 3500 8900. 0. 6109 6109. 3812 3812. 0-5400-5400-3400-3400. 709 709. 412 412. 709 412

STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: AlamedaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 164,000.00 164,000.00 KinGAP Asst OCT-16 MO 63,600.00 63,600.00

Total Advances 164,000.00 63,600.00 227,600.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 184,678.00 184,678.00 KinGAP Asst JUL-16 MO 69,716.00 69,716.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (157,400.00) (157,400.00)KinGAP Asst JUL-16 MO (60,300.00) (60,300.00)Net AdjustmentsFedGAP Asst JUL-16 MO 27,278.00 27,278.00 KinGAP Asst JUL-16 MO 9,416.00 9,416.00 Total Net Adjustments 27,278.00 9,416.00 36,694.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 27,278.00 9,416.00 36,694.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 15,735.00 5,752.00 21,487.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 15,735.00 5,752.00 21,487.00

TOTAL 207,013.00 78,768.00 285,781.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 207,013.00 0.00 207,013.00 CALWORKS Asst 1,250,276.00 (1,704,150.18) (453,874.18)CWKS Safety Net Asst 1,190,000.00 1,190,000.00 CWKS TANF Timed-Out Asst 313,525.00 313,525.00 CWKS Diversion Asst (197.00) 0.00 (197.00)KinGAP Asst 78,768.00 78,768.00 CWKS Recent Non-Citizens Mixed Cases 124,038.00 124,038.00 CWKS Recent Non-Citizens TANF Timed-Out 1,702.00 1,702.00 CWKS Recent Non-Citizens NonFederal 51,021.00 51,021.00 EBT FS GA/GR (9,082.82) (9,082.82)

0.00 0.00 ARC 32,947.00 32,947.00

0.00 0.00 TOTAL REMITTANCE 1,457,092.00 78,768.00 1,535,860.00 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: AlpineSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 23.00 170.00 193.00 CWKS Safety Net Asst OCT-16 MO 400.00 400.00 CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 23.00 570.00 593.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO (4.00) (14.00) (18.00)CWKS Safety Net Asst JUL-16 MO 438.00 438.00 CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (63.00) (337.00) (400.00)CWKS Safety Net Asst JUL-16 MO (800.00) (800.00)CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO (67.00) (351.00) (418.00)CWKS Safety Net Asst JUL-16 MO (362.00) (362.00)CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments (67.00) (713.00) (780.00)Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 151.09 151.09 Total Prior Period Adjustment (67.00) (561.91) (628.91)

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. 0.00 0.00 CWKS Monthly MOE Subaccount Act. 0.00 0.00 CWKS Monthly MOE Subaccount Est. 0.00 0.00 Family Support Subaccount 0.00 0.00 Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 44.00 44.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (8.09) (8.09)0.00 0.00

Total Miscellaneous Adjustment 0.00 35.91 35.91

TOTAL (44.00) 44.00 0.00 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: AlpineSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00

Total Advances 0.00 0.00 0.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Less: Advances 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Net AdjustmentsFedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Total Net Adjustments 0.00 0.00 0.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 0.00 0.00 0.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 0.00 0.00

AS SHOWN ON REMITTANCE ADVICES0.00 0.00 0.00

CALWORKS Asst (44.00) 14.09 (29.91)CWKS Safety Net Asst 38.00 38.00

0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

EBT FS GA/GR (8.09) (8.09)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE (44.00) 44.00 0.00 Sch No. 020540TCOMMENTS:

Page 5: €¦ · XLS file · Web view2016-09-23 · 128066.09. 9/30/2016. 5400 5400. 3500 3500. 5400 3500 8900. 0. 6109 6109. 3812 3812. 0-5400-5400-3400-3400. 709 709. 412 412. 709 412

STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: AmadorSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 17,776.00 60,127.00 77,903.00 CWKS Safety Net Asst OCT-16 MO 13,500.00 13,500.00 CWKS TANF Timed-Out Asst OCT-16 MO 11,300.00 11,300.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 17,776.00 84,927.00 102,703.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 12,435.00 71,974.00 84,409.00 CWKS Safety Net Asst JUL-16 MO 15,043.00 15,043.00 CWKS TANF Timed-Out Asst JUL-16 MO 12,550.00 12,550.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (13,419.00) (71,974.00) (85,393.00)CWKS Safety Net Asst JUL-16 MO (15,400.00) (15,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (9,800.00) (9,800.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO (984.00) 0.00 (984.00)CWKS Safety Net Asst JUL-16 MO (357.00) (357.00)CWKS TANF Timed-Out Asst JUL-16 MO 2,750.00 2,750.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments (984.00) 2,393.00 1,409.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment (984.00) 2,393.00 1,409.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (52,324.00) (52,324.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (44,306.85) (44,306.85)CWKS Monthly MOE Subaccount Est. JUL-16 MO 49,417.00 49,417.00 Family Support Subaccount AUG-16 MO (27,346.01) (27,346.01)Family Support Subaccount - Recoupment* APR-16 MO (5,994.69) (5,994.69)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 12,468.00 12,468.00 Child Poverty Subaccount Recoup** JUL-16 MO (5,837.14) (5,837.14)Child Poverty Growth FY14-15** FY 2015-16 (4,963.08) (4,963.08)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 326.00 0.00 326.00 0.00 0.00

ARC Exp. JUL-16 MO 451.00 451.00 EBT FS GA/GR MAY-16 MO (164.51) (164.51)

0.00 0.00 Total Miscellaneous Adjustment 326.00 (78,600.28) (78,274.28)

TOTAL 17,118.00 8,719.72 25,837.72 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

Page 6: €¦ · XLS file · Web view2016-09-23 · 128066.09. 9/30/2016. 5400 5400. 3500 3500. 5400 3500 8900. 0. 6109 6109. 3812 3812. 0-5400-5400-3400-3400. 709 709. 412 412. 709 412

STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: AmadorSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 800.00 800.00 KinGAP Asst OCT-16 MO 4,600.00 4,600.00

Total Advances 800.00 4,600.00 5,400.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 726.00 726.00 KinGAP Asst JUL-16 MO 5,063.00 5,063.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (900.00) (900.00)KinGAP Asst JUL-16 MO (4,600.00) (4,600.00)Net AdjustmentsFedGAP Asst JUL-16 MO (174.00) (174.00)KinGAP Asst JUL-16 MO 463.00 463.00 Total Net Adjustments (174.00) 463.00 289.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment (174.00) 463.00 289.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 626.00 5,063.00 5,689.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 626.00 0.00 626.00 CALWORKS Asst 17,118.00 (18,759.77) (1,641.77)CWKS Safety Net Asst 13,143.00 13,143.00 CWKS TANF Timed-Out Asst 14,050.00 14,050.00

0.00 0.00 0.00 KinGAP Asst 5,063.00 5,063.00

0.00 0.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00

0.00 0.00 EBT FS GA/GR (164.51) (164.51)

0.00 0.00 ARC 451.00 451.00

0.00 0.00 TOTAL REMITTANCE 17,744.00 13,782.72 31,526.72 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ButteSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 242,665.00 664,486.00 907,151.00 CWKS Safety Net Asst OCT-16 MO 183,800.00 183,800.00 CWKS TANF Timed-Out Asst OCT-16 MO 124,700.00 124,700.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 5,100.00 5,100.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 242,665.00 978,086.00 1,220,751.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 232,097.00 808,230.00 1,040,327.00 CWKS Safety Net Asst JUL-16 MO 204,129.00 204,129.00 CWKS TANF Timed-Out Asst JUL-16 MO 138,017.00 138,017.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 5,084.00 5,084.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (150,687.00) (808,230.00) (958,917.00)CWKS Safety Net Asst JUL-16 MO (182,600.00) (182,600.00)CWKS TANF Timed-Out Asst JUL-16 MO (124,700.00) (124,700.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (5,700.00) (5,700.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 81,410.00 0.00 81,410.00 CWKS Safety Net Asst JUL-16 MO 21,529.00 21,529.00 CWKS TANF Timed-Out Asst JUL-16 MO 13,317.00 13,317.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (616.00) (616.00)CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 81,410.00 34,230.00 115,640.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 81,410.00 34,230.00 115,640.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (568,930.00) (568,930.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (481,755.61) (481,755.61)CWKS Monthly MOE Subaccount Est. JUL-16 MO 537,322.00 537,322.00 Family Support Subaccount AUG-16 MO (297,337.56) (297,337.56)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 150,086.00 150,086.00 Child Poverty Subaccount Recoup** JUL-16 MO (63,468.18) (63,468.18)Child Poverty Growth FY14-15** FY 2015-16 (51,130.99) (51,130.99)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 3,917.00 0.00 3,917.00 CWKs ARC (NON-MOE) JUL-16 MO 317.00 317.00 ARC Exp. JUL-16 MO 9,465.00 9,465.00 EBT FS GA/GR MAY-16 MO (1,589.48) (1,589.48)

0.00 0.00 Total Miscellaneous Adjustment 3,917.00 (767,021.82) (763,104.82)

TOTAL 327,992.00 245,294.18 573,286.18 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ButteSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 13,700.00 13,700.00 KinGAP Asst OCT-16 MO 26,800.00 26,800.00

Total Advances 13,700.00 26,800.00 40,500.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 15,463.00 15,463.00 KinGAP Asst JUL-16 MO 29,429.00 29,429.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (13,700.00) (13,700.00)KinGAP Asst JUL-16 MO (26,600.00) (26,600.00)Net AdjustmentsFedGAP Asst JUL-16 MO 1,763.00 1,763.00 KinGAP Asst JUL-16 MO 2,829.00 2,829.00 Total Net Adjustments 1,763.00 2,829.00 4,592.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 1,763.00 2,829.00 4,592.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 15,463.00 29,629.00 45,092.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 15,463.00 0.00 15,463.00 CALWORKS Asst 327,992.00 (110,411.34) 217,580.66 CWKS Safety Net Asst 205,329.00 205,329.00 CWKS TANF Timed-Out Asst 138,017.00 138,017.00

0.00 0.00 0.00 KinGAP Asst 29,629.00 29,629.00 CWKS Recent Non-Citizens Mixed Cases 4,484.00 4,484.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00

0.00 0.00 EBT FS GA/GR (1,589.48) (1,589.48)

0.00 0.00 ARC 9,465.00 9,465.00

0.00 0.00 TOTAL REMITTANCE 343,455.00 274,923.18 618,378.18 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: CalaverasSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 34,934.00 90,592.00 125,526.00 CWKS Safety Net Asst OCT-16 MO 26,600.00 26,600.00 CWKS TANF Timed-Out Asst OCT-16 MO 12,100.00 12,100.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 500.00 500.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 34,934.00 129,792.00 164,726.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 29,011.00 107,347.00 136,358.00 CWKS Safety Net Asst JUL-16 MO 29,488.00 29,488.00 CWKS TANF Timed-Out Asst JUL-16 MO 13,344.00 13,344.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 529.00 529.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (20,014.00) (107,347.00) (127,361.00)CWKS Safety Net Asst JUL-16 MO (24,100.00) (24,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (12,700.00) (12,700.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (500.00) (500.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 8,997.00 0.00 8,997.00 CWKS Safety Net Asst JUL-16 MO 5,388.00 5,388.00 CWKS TANF Timed-Out Asst JUL-16 MO 644.00 644.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 29.00 29.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 8,997.00 6,061.00 15,058.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 4,235.16 4,235.16 Total Prior Period Adjustment 8,997.00 10,296.16 19,293.16

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (84,309.00) (84,309.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (71,391.04) (71,391.04)CWKS Monthly MOE Subaccount Est. JUL-16 MO 79,625.00 79,625.00 Family Support Subaccount AUG-16 MO (44,062.26) (44,062.26)Family Support Subaccount - Recoupment* APR-16 MO (19,694.03) (19,694.03)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 19,057.00 19,057.00 Child Poverty Subaccount Recoup** JUL-16 MO (9,405.31) (9,405.31)Child Poverty Growth FY14-15** FY 2015-16 (9,651.69) (9,651.69)

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (256.83) (256.83)0.00 0.00

Total Miscellaneous Adjustment 0.00 (140,088.16) (140,088.16)

TOTAL 43,931.00 0.00 43,931.00 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: CalaverasSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 2,900.00 2,900.00 KinGAP Asst OCT-16 MO 1,100.00 1,100.00

Total Advances 2,900.00 1,100.00 4,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 3,265.00 3,265.00 KinGAP Asst JUL-16 MO 1,231.00 1,231.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (3,200.00) (3,200.00)KinGAP Asst JUL-16 MO (500.00) (500.00)Net AdjustmentsFedGAP Asst JUL-16 MO 65.00 65.00 KinGAP Asst JUL-16 MO 731.00 731.00 Total Net Adjustments 65.00 731.00 796.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 65.00 731.00 796.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO 30.00 30.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 30.00 0.00 30.00

TOTAL 2,995.00 1,831.00 4,826.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 2,995.00 0.00 2,995.00 CALWORKS Asst 43,931.00 (45,004.17) (1,073.17)CWKS Safety Net Asst 31,988.00 31,988.00 CWKS TANF Timed-Out Asst 12,744.00 12,744.00

0.00 0.00 0.00 KinGAP Asst 1,831.00 1,831.00 CWKS Recent Non-Citizens Mixed Cases 529.00 529.00

0.00 0.00 0.00 0.00

EBT FS GA/GR (256.83) (256.83)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE 46,926.00 1,831.00 48,757.00 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ColusaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 9,507.00 34,248.00 43,755.00 CWKS Safety Net Asst OCT-16 MO 9,100.00 9,100.00 CWKS TANF Timed-Out Asst OCT-16 MO 2,700.00 2,700.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 500.00 500.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 9,507.00 46,548.00 56,055.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 10,303.00 40,757.00 51,060.00 CWKS Safety Net Asst JUL-16 MO 10,128.00 10,128.00 CWKS TANF Timed-Out Asst JUL-16 MO 2,728.00 2,728.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 539.00 539.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (7,599.00) (40,757.00) (48,356.00)CWKS Safety Net Asst JUL-16 MO (11,100.00) (11,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (2,500.00) (2,500.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (400.00) (400.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 2,704.00 0.00 2,704.00 CWKS Safety Net Asst JUL-16 MO (972.00) (972.00)CWKS TANF Timed-Out Asst JUL-16 MO 228.00 228.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 139.00 139.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 2,704.00 (605.00) 2,099.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 2,704.00 (605.00) 2,099.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. 0.00 0.00 CWKS Monthly MOE Subaccount Act. 0.00 0.00 CWKS Monthly MOE Subaccount Est. 0.00 0.00 Family Support Subaccount 0.00 0.00 Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 6,868.00 6,868.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 867.00 0.00 867.00

0.00 0.00 ARC Exp. JUL-16 MO 738.00 738.00 EBT FS GA/GR MAY-16 MO (58.42) (58.42)

0.00 0.00 Total Miscellaneous Adjustment 867.00 7,547.58 8,414.58

TOTAL 13,078.00 53,490.58 66,568.58 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ColusaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 1,000.00 1,000.00 KinGAP Asst 0.00 0.00

Total Advances 1,000.00 0.00 1,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 1,173.00 1,173.00 KinGAP Asst 0.00 0.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (1,800.00) (1,800.00)KinGAP Asst 0.00 0.00 Net AdjustmentsFedGAP Asst JUL-16 MO (627.00) (627.00)KinGAP Asst 0.00 0.00 Total Net Adjustments (627.00) 0.00 (627.00)Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment (627.00) 0.00 (627.00)

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 373.00 0.00 373.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 373.00 0.00 373.00 CALWORKS Asst 13,078.00 41,116.00 54,194.00 CWKS Safety Net Asst 8,128.00 8,128.00 CWKS TANF Timed-Out Asst 2,928.00 2,928.00

0.00 0.00 0.00 0.00 0.00

CWKS Recent Non-Citizens Mixed Cases 639.00 639.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00

0.00 0.00 EBT FS GA/GR (58.42) (58.42)

0.00 0.00 ARC 738.00 738.00

0.00 0.00 TOTAL REMITTANCE 13,451.00 53,490.58 66,941.58 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Contra CostaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 664,267.00 1,605,702.00 2,269,969.00 CWKS Safety Net Asst OCT-16 MO 590,000.00 590,000.00 CWKS TANF Timed-Out Asst OCT-16 MO 247,600.00 247,600.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 41,700.00 41,700.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 24,200.00 24,200.00 Total Advances 664,267.00 2,509,202.00 3,173,469.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 623,459.00 1,906,154.00 2,529,613.00 CWKS Safety Net Asst JUL-16 MO 654,413.00 654,413.00 CWKS TANF Timed-Out Asst JUL-16 MO 273,923.00 273,923.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 41,898.00 41,898.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 27,207.00 27,207.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (355,385.00) (1,906,154.00) (2,261,539.00)CWKS Safety Net Asst JUL-16 MO (606,400.00) (606,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (253,900.00) (253,900.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (34,900.00) (34,900.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (23,300.00) (23,300.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 268,074.00 0.00 268,074.00 CWKS Safety Net Asst JUL-16 MO 48,013.00 48,013.00 CWKS TANF Timed-Out Asst JUL-16 MO 20,023.00 20,023.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 6,998.00 6,998.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 3,907.00 3,907.00 Total Net Adjustments 268,074.00 78,941.00 347,015.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 268,074.00 78,941.00 347,015.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (1,624,640.00) (1,624,640.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (1,375,705.59) (1,375,705.59)CWKS Monthly MOE Subaccount Est. JUL-16 MO 1,534,383.00 1,534,383.00 Family Support Subaccount AUG-16 MO (849,079.77) (849,079.77)Family Support Subaccount - Recoupment* APR-16 MO (76,363.90) (76,363.90)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 382,638.00 382,638.00 Child Poverty Subaccount Recoup** JUL-16 MO (181,240.30) (181,240.30)Child Poverty Growth FY14-15** FY 2015-16 (201,397.70) (201,397.70)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 2,050.00 2,050.00 CWKS Diversion Asst JUL-16 MO 1,732.00 0.00 1,732.00 CWKs ARC (MOE) JUL-16 MO 23,770.00 0.00 23,770.00

0.00 0.00 ARC Exp. JUL-16 MO 27,075.00 27,075.00 EBT FS GA/GR MAY-16 MO (3,791.65) (3,791.65)

0.00 0.00 Total Miscellaneous Adjustment 25,502.00 (2,366,072.91) (2,340,570.91)

TOTAL 957,843.00 222,070.09 1,179,913.09 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Contra CostaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 77,900.00 77,900.00 KinGAP Asst OCT-16 MO 39,700.00 39,700.00

Total Advances 77,900.00 39,700.00 117,600.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 87,750.00 87,750.00 KinGAP Asst JUL-16 MO 43,531.00 43,531.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (75,400.00) (75,400.00)KinGAP Asst JUL-16 MO (40,000.00) (40,000.00)Net AdjustmentsFedGAP Asst JUL-16 MO 12,350.00 12,350.00 KinGAP Asst JUL-16 MO 3,531.00 3,531.00 Total Net Adjustments 12,350.00 3,531.00 15,881.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 12,350.00 3,531.00 15,881.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 2,352.00 1,345.00 3,697.00 0.00 0.00 0.00 0.00 0.00 0.00

FedGAP ISR Supplement 0.00 0.00 245.00 245.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 2,352.00 1,590.00 3,942.00

TOTAL 92,602.00 44,821.00 137,423.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 92,602.00 245.00 92,847.00 CALWORKS Asst 956,111.00 (785,704.26) 170,406.74 CWKS Safety Net Asst 638,013.00 638,013.00 CWKS TANF Timed-Out Asst 267,623.00 267,623.00 CWKS Diversion Asst 1,732.00 0.00 1,732.00 KinGAP Asst 44,576.00 44,576.00 CWKS Recent Non-Citizens Mixed Cases 48,698.00 48,698.00 CWKS Recent Non-Citizens TANF Timed-Out 2,050.00 2,050.00 CWKS Recent Non-Citizens NonFederal 28,107.00 28,107.00 EBT FS GA/GR (3,791.65) (3,791.65)

0.00 0.00 ARC 27,075.00 27,075.00

0.00 0.00 TOTAL REMITTANCE 1,050,445.00 266,891.09 1,317,336.09 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Del NorteSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 50,935.00 159,848.00 210,783.00 CWKS Safety Net Asst OCT-16 MO 47,200.00 47,200.00 CWKS TANF Timed-Out Asst OCT-16 MO 23,400.00 23,400.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 300.00 300.00 Total Advances 50,935.00 230,748.00 281,683.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 40,895.00 191,929.00 232,824.00 CWKS Safety Net Asst JUL-16 MO 52,410.00 52,410.00 CWKS TANF Timed-Out Asst JUL-16 MO 25,858.00 25,858.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 318.00 318.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (35,783.00) (191,929.00) (227,712.00)CWKS Safety Net Asst JUL-16 MO (47,300.00) (47,300.00)CWKS TANF Timed-Out Asst JUL-16 MO (24,700.00) (24,700.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (300.00) (300.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 5,112.00 0.00 5,112.00 CWKS Safety Net Asst JUL-16 MO 5,110.00 5,110.00 CWKS TANF Timed-Out Asst JUL-16 MO 1,158.00 1,158.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 18.00 18.00 Total Net Adjustments 5,112.00 6,286.00 11,398.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 5,112.00 6,286.00 11,398.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (120,171.00) (120,171.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (101,757.60) (101,757.60)CWKS Monthly MOE Subaccount Est. JUL-16 MO 113,495.00 113,495.00 Family Support Subaccount AUG-16 MO (62,804.36) (62,804.36)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 33,446.00 33,446.00 Child Poverty Subaccount Recoup** JUL-16 MO (13,405.90) (13,405.90)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (243.45) (243.45)0.00 0.00

Total Miscellaneous Adjustment 0.00 (151,441.31) (151,441.31)

TOTAL 56,047.00 85,592.69 141,639.69 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Del NorteSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 300.00 300.00 KinGAP Asst OCT-16 MO 4,900.00 4,900.00

Total Advances 300.00 4,900.00 5,200.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 372.00 372.00 KinGAP Asst JUL-16 MO 5,421.00 5,421.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (300.00) (300.00)KinGAP Asst JUL-16 MO (4,900.00) (4,900.00)Net AdjustmentsFedGAP Asst JUL-16 MO 72.00 72.00 KinGAP Asst JUL-16 MO 521.00 521.00 Total Net Adjustments 72.00 521.00 593.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 72.00 521.00 593.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 372.00 5,421.00 5,793.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 372.00 0.00 372.00 CALWORKS Asst 56,047.00 8,650.14 64,697.14 CWKS Safety Net Asst 52,310.00 52,310.00 CWKS TANF Timed-Out Asst 24,558.00 24,558.00

0.00 0.00 0.00 KinGAP Asst 5,421.00 5,421.00

0.00 0.00 0.00 0.00

CWKS Recent Non-Citizens NonFederal 318.00 318.00 EBT FS GA/GR (243.45) (243.45)

0.00 0.00 0.00 0.00 0.00 0.00

TOTAL REMITTANCE 56,419.00 91,013.69 147,432.69 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: El DoradoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 99,509.00 215,173.00 314,682.00 CWKS Safety Net Asst OCT-16 MO 52,000.00 52,000.00 CWKS TANF Timed-Out Asst OCT-16 MO 14,300.00 14,300.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 1,100.00 1,100.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 99,509.00 282,573.00 382,082.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 94,702.00 254,859.00 349,561.00 CWKS Safety Net Asst JUL-16 MO 57,700.00 57,700.00 CWKS TANF Timed-Out Asst JUL-16 MO 15,799.00 15,799.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,060.00 1,060.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (47,516.00) (254,859.00) (302,375.00)CWKS Safety Net Asst JUL-16 MO (53,300.00) (53,300.00)CWKS TANF Timed-Out Asst JUL-16 MO (11,800.00) (11,800.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,100.00) (1,100.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 47,186.00 0.00 47,186.00 CWKS Safety Net Asst JUL-16 MO 4,400.00 4,400.00 CWKS TANF Timed-Out Asst JUL-16 MO 3,999.00 3,999.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (40.00) (40.00)CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 47,186.00 8,359.00 55,545.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 47,186.00 8,359.00 55,545.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (159,344.00) (159,344.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (134,928.67) (134,928.67)CWKS Monthly MOE Subaccount Est. JUL-16 MO 150,492.00 150,492.00 Family Support Subaccount AUG-16 MO (83,277.41) (83,277.41)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 45,856.00 45,856.00 Child Poverty Subaccount Recoup** JUL-16 MO (17,775.98) (17,775.98)

0.00 0.00 CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 466.00 466.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 7,012.00 0.00 7,012.00

0.00 0.00 ARC Exp. JUL-16 MO 8,118.00 8,118.00 EBT FS GA/GR MAY-16 MO (671.11) (671.11)

0.00 0.00 Total Miscellaneous Adjustment 7,012.00 (191,065.17) (184,053.17)

TOTAL 153,707.00 99,866.83 253,573.83 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: El DoradoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 6,800.00 6,800.00 KinGAP Asst OCT-16 MO 3,400.00 3,400.00

Total Advances 6,800.00 3,400.00 10,200.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 7,611.00 7,611.00 KinGAP Asst JUL-16 MO 3,679.00 3,679.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (4,800.00) (4,800.00)KinGAP Asst JUL-16 MO (3,300.00) (3,300.00)Net AdjustmentsFedGAP Asst JUL-16 MO 2,811.00 2,811.00 KinGAP Asst JUL-16 MO 379.00 379.00 Total Net Adjustments 2,811.00 379.00 3,190.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 2,811.00 379.00 3,190.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 9,611.00 3,779.00 13,390.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 9,611.00 0.00 9,611.00 CALWORKS Asst 153,707.00 16,194.94 169,901.94 CWKS Safety Net Asst 56,400.00 56,400.00 CWKS TANF Timed-Out Asst 18,299.00 18,299.00

0.00 0.00 0.00 KinGAP Asst 3,779.00 3,779.00 CWKS Recent Non-Citizens Mixed Cases 1,060.00 1,060.00 CWKS Recent Non-Citizens TANF Timed-Out 466.00 466.00

0.00 0.00 EBT FS GA/GR (671.11) (671.11)

0.00 0.00 ARC 8,118.00 8,118.00

0.00 0.00 TOTAL REMITTANCE 163,318.00 103,645.83 266,963.83 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: FresnoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 1,881,458.00 5,061,595.00 6,943,053.00 CWKS Safety Net Asst OCT-16 MO 2,087,100.00 2,087,100.00 CWKS TANF Timed-Out Asst OCT-16 MO 705,900.00 705,900.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 84,300.00 84,300.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 17,400.00 17,400.00 Total Advances 1,881,458.00 7,956,295.00 9,837,753.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 1,558,644.00 6,064,993.00 7,623,637.00 CWKS Safety Net Asst JUL-16 MO 2,316,277.00 2,316,277.00 CWKS TANF Timed-Out Asst JUL-16 MO 780,999.00 780,999.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 84,574.00 84,574.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 19,603.00 19,603.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (1,130,761.00) (6,064,993.00) (7,195,754.00)CWKS Safety Net Asst JUL-16 MO (2,124,500.00) (2,124,500.00)CWKS TANF Timed-Out Asst JUL-16 MO (715,500.00) (715,500.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (82,200.00) (82,200.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (14,900.00) (14,900.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 427,883.00 0.00 427,883.00 CWKS Safety Net Asst JUL-16 MO 191,777.00 191,777.00 CWKS TANF Timed-Out Asst JUL-16 MO 65,499.00 65,499.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 2,374.00 2,374.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 4,703.00 4,703.00 Total Net Adjustments 427,883.00 264,353.00 692,236.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 427,883.00 264,353.00 692,236.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (4,565,392.00) (4,565,392.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (3,865,862.00) (3,865,862.00)CWKS Monthly MOE Subaccount Est. JUL-16 MO 4,311,759.00 4,311,759.00 Family Support Subaccount AUG-16 MO (2,385,993.92) (2,385,993.92)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 1,178,375.00 1,178,375.00 Child Poverty Subaccount Recoup** JUL-16 MO (509,302.28) (509,302.28)Child Poverty Growth FY14-15** FY 2015-16 (60,227.42) (60,227.42)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 1,510.00 1,510.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 26,848.00 0.00 26,848.00

0.00 0.00 ARC Exp. JUL-16 MO 29,902.00 29,902.00 EBT FS GA/GR MAY-16 MO (11,079.40) (11,079.40)

0.00 0.00 Total Miscellaneous Adjustment 26,848.00 (5,876,311.02) (5,849,463.02)

TOTAL 2,336,189.00 2,344,336.98 4,680,525.98 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: FresnoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 63,700.00 63,700.00 KinGAP Asst OCT-16 MO 188,000.00 188,000.00

Total Advances 63,700.00 188,000.00 251,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 71,734.00 71,734.00 KinGAP Asst JUL-16 MO 206,272.00 206,272.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (59,100.00) (59,100.00)KinGAP Asst JUL-16 MO (179,500.00) (179,500.00)Net AdjustmentsFedGAP Asst JUL-16 MO 12,634.00 12,634.00 KinGAP Asst JUL-16 MO 26,772.00 26,772.00 Total Net Adjustments 12,634.00 26,772.00 39,406.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 12,634.00 26,772.00 39,406.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 811.00 2,093.00 2,904.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 811.00 2,093.00 2,904.00

TOTAL 77,145.00 216,865.00 294,010.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 77,145.00 0.00 77,145.00 CALWORKS Asst 2,336,189.00 (835,048.62) 1,501,140.38 CWKS Safety Net Asst 2,278,877.00 2,278,877.00 CWKS TANF Timed-Out Asst 771,399.00 771,399.00

0.00 0.00 0.00 KinGAP Asst 216,865.00 216,865.00 CWKS Recent Non-Citizens Mixed Cases 86,674.00 86,674.00 CWKS Recent Non-Citizens TANF Timed-Out 1,510.00 1,510.00 CWKS Recent Non-Citizens NonFederal 22,103.00 22,103.00 EBT FS GA/GR (11,079.40) (11,079.40)

0.00 0.00 ARC 29,902.00 29,902.00

0.00 0.00 TOTAL REMITTANCE 2,413,334.00 2,561,201.98 4,974,535.98 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: GlennSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 40,815.00 83,750.00 124,565.00 CWKS Safety Net Asst OCT-16 MO 14,900.00 14,900.00 CWKS TANF Timed-Out Asst OCT-16 MO 9,600.00 9,600.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 600.00 600.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 40,815.00 108,850.00 149,665.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 36,535.00 100,198.00 136,733.00 CWKS Safety Net Asst JUL-16 MO 16,562.00 16,562.00 CWKS TANF Timed-Out Asst JUL-16 MO 10,621.00 10,621.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 587.00 587.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (18,681.00) (100,198.00) (118,879.00)CWKS Safety Net Asst JUL-16 MO (15,800.00) (15,800.00)CWKS TANF Timed-Out Asst JUL-16 MO (10,500.00) (10,500.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (500.00) (500.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 17,854.00 0.00 17,854.00 CWKS Safety Net Asst JUL-16 MO 762.00 762.00 CWKS TANF Timed-Out Asst JUL-16 MO 121.00 121.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 87.00 87.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 17,854.00 970.00 18,824.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 17,854.00 970.00 18,824.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (65,327.00) (65,327.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (55,316.88) (55,316.88)CWKS Monthly MOE Subaccount Est. JUL-16 MO 61,697.00 61,697.00 Family Support Subaccount AUG-16 MO (34,141.34) (34,141.34)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 17,817.00 17,817.00 Child Poverty Subaccount Recoup** JUL-16 MO (7,287.64) (7,287.64)Child Poverty Growth FY14-15** FY 2015-16 (1,767.24) (1,767.24)

0.00 0.00 CWKS Diversion Asst JUL-16 MO 1,327.00 0.00 1,327.00 CWKs ARC (MOE) JUL-16 MO 652.00 0.00 652.00

0.00 0.00 ARC Exp. JUL-16 MO 809.00 809.00 EBT FS GA/GR MAY-16 MO (146.63) (146.63)

0.00 0.00 Total Miscellaneous Adjustment 1,979.00 (83,663.73) (81,684.73)

TOTAL 60,648.00 26,156.27 86,804.27 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: GlennSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 2,000.00 2,000.00 KinGAP Asst OCT-16 MO 2,200.00 2,200.00

Total Advances 2,000.00 2,200.00 4,200.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 2,286.00 2,286.00 KinGAP Asst JUL-16 MO 2,411.00 2,411.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (2,400.00) (2,400.00)KinGAP Asst JUL-16 MO (2,200.00) (2,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO (114.00) (114.00)KinGAP Asst JUL-16 MO 211.00 211.00 Total Net Adjustments (114.00) 211.00 97.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment (114.00) 211.00 97.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 1,886.00 2,411.00 4,297.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 1,886.00 0.00 1,886.00 CALWORKS Asst 59,321.00 (576.10) 58,744.90 CWKS Safety Net Asst 15,662.00 15,662.00 CWKS TANF Timed-Out Asst 9,721.00 9,721.00 CWKS Diversion Asst 1,327.00 0.00 1,327.00 KinGAP Asst 2,411.00 2,411.00 CWKS Recent Non-Citizens Mixed Cases 687.00 687.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00

0.00 0.00 EBT FS GA/GR (146.63) (146.63)

0.00 0.00 ARC 809.00 809.00

0.00 0.00 TOTAL REMITTANCE 62,534.00 28,567.27 91,101.27 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: HumboldtSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 157,789.00 347,492.00 505,281.00 CWKS Safety Net Asst OCT-16 MO 96,700.00 96,700.00 CWKS TANF Timed-Out Asst OCT-16 MO 38,100.00 38,100.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 157,789.00 482,292.00 640,081.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 129,713.00 416,499.00 546,212.00 CWKS Safety Net Asst JUL-16 MO 107,289.00 107,289.00 CWKS TANF Timed-Out Asst JUL-16 MO 42,170.00 42,170.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (77,652.00) (416,499.00) (494,151.00)CWKS Safety Net Asst JUL-16 MO (95,200.00) (95,200.00)CWKS TANF Timed-Out Asst JUL-16 MO (35,200.00) (35,200.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 52,061.00 0.00 52,061.00 CWKS Safety Net Asst JUL-16 MO 12,089.00 12,089.00 CWKS TANF Timed-Out Asst JUL-16 MO 6,970.00 6,970.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 52,061.00 19,059.00 71,120.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 52,061.00 19,059.00 71,120.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (268,160.00) (268,160.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (227,071.64) (227,071.64)CWKS Monthly MOE Subaccount Est. JUL-16 MO 253,263.00 253,263.00 Family Support Subaccount AUG-16 MO (140,147.67) (140,147.67)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 75,976.00 75,976.00 Child Poverty Subaccount Recoup** JUL-16 MO (29,915.22) (29,915.22)

0.00 0.00 0.00 0.00

CWKS Diversion Asst JUL-16 MO 1,839.00 1,034.00 2,873.00 CWKs ARC (MOE) JUL-16 MO 4,840.00 0.00 4,840.00

0.00 0.00 ARC Exp. JUL-16 MO 5,013.00 5,013.00 EBT FS GA/GR MAY-16 MO (1,174.17) (1,174.17)

0.00 0.00 Total Miscellaneous Adjustment 6,679.00 (331,182.70) (324,503.70)

TOTAL 216,529.00 170,168.30 386,697.30 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: HumboldtSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 13,500.00 13,500.00 KinGAP Asst OCT-16 MO 14,200.00 14,200.00

Total Advances 13,500.00 14,200.00 27,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 15,153.00 15,153.00 KinGAP Asst JUL-16 MO 15,569.00 15,569.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (11,600.00) (11,600.00)KinGAP Asst JUL-16 MO (13,200.00) (13,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO 3,553.00 3,553.00 KinGAP Asst JUL-16 MO 2,369.00 2,369.00 Total Net Adjustments 3,553.00 2,369.00 5,922.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 3,553.00 2,369.00 5,922.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 17,053.00 16,569.00 33,622.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 17,053.00 0.00 17,053.00 CALWORKS Asst 214,690.00 11,436.47 226,126.47 CWKS Safety Net Asst 108,789.00 108,789.00 CWKS TANF Timed-Out Asst 45,070.00 45,070.00 CWKS Diversion Asst 1,839.00 1,034.00 2,873.00 KinGAP Asst 16,569.00 16,569.00

0.00 0.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00

0.00 0.00 EBT FS GA/GR (1,174.17) (1,174.17)

0.00 0.00 ARC 5,013.00 5,013.00

0.00 0.00 TOTAL REMITTANCE 233,582.00 186,737.30 420,319.30 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ImperialSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 423,592.00 903,939.00 1,327,531.00 CWKS Safety Net Asst OCT-16 MO 397,200.00 397,200.00 CWKS TANF Timed-Out Asst OCT-16 MO 128,100.00 128,100.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 20,500.00 20,500.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 3,100.00 3,100.00 Total Advances 423,592.00 1,452,839.00 1,876,431.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 380,088.00 1,088,172.00 1,468,260.00 CWKS Safety Net Asst JUL-16 MO 440,386.00 440,386.00 CWKS TANF Timed-Out Asst JUL-16 MO 141,751.00 141,751.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 20,615.00 20,615.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 3,488.00 3,488.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (202,880.00) (1,088,172.00) (1,291,052.00)CWKS Safety Net Asst JUL-16 MO (409,400.00) (409,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (122,100.00) (122,100.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (19,400.00) (19,400.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (2,500.00) (2,500.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 177,208.00 0.00 177,208.00 CWKS Safety Net Asst JUL-16 MO 30,986.00 30,986.00 CWKS TANF Timed-Out Asst JUL-16 MO 19,651.00 19,651.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,215.00 1,215.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 988.00 988.00 Total Net Adjustments 177,208.00 52,840.00 230,048.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 177,208.00 52,840.00 230,048.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (734,440.00) (734,440.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (621,905.42) (621,905.42)CWKS Monthly MOE Subaccount Est. JUL-16 MO 693,637.00 693,637.00 Family Support Subaccount AUG-16 MO (383,837.43) (383,837.43)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 220,536.00 220,536.00 Child Poverty Subaccount Recoup** JUL-16 MO (81,932.01) (81,932.01)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (1,585.74) (1,585.74)0.00 0.00

Total Miscellaneous Adjustment 0.00 (909,527.60) (909,527.60)

TOTAL 600,800.00 596,151.40 1,196,951.40 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ImperialSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 18,100.00 18,100.00 KinGAP Asst OCT-16 MO 16,900.00 16,900.00

Total Advances 18,100.00 16,900.00 35,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 20,430.00 20,430.00 KinGAP Asst JUL-16 MO 18,496.00 18,496.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (14,800.00) (14,800.00)KinGAP Asst JUL-16 MO (17,500.00) (17,500.00)Net AdjustmentsFedGAP Asst JUL-16 MO 5,630.00 5,630.00 KinGAP Asst JUL-16 MO 996.00 996.00 Total Net Adjustments 5,630.00 996.00 6,626.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 5,630.00 996.00 6,626.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 23,730.00 17,896.00 41,626.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 23,730.00 0.00 23,730.00 CALWORKS Asst 600,800.00 (4,002.86) 596,797.14 CWKS Safety Net Asst 428,186.00 428,186.00 CWKS TANF Timed-Out Asst 147,751.00 147,751.00

0.00 0.00 0.00 KinGAP Asst 17,896.00 17,896.00 CWKS Recent Non-Citizens Mixed Cases 21,715.00 21,715.00

0.00 0.00 CWKS Recent Non-Citizens NonFederal 4,088.00 4,088.00 EBT FS GA/GR (1,585.74) (1,585.74)

0.00 0.00 0.00 0.00 0.00 0.00

TOTAL REMITTANCE 624,530.00 614,047.40 1,238,577.40 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: InyoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 10,248.00 22,279.00 32,527.00 CWKS Safety Net Asst OCT-16 MO 8,300.00 8,300.00 CWKS TANF Timed-Out Asst OCT-16 MO 2,700.00 2,700.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 600.00 600.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 10,248.00 33,879.00 44,127.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 8,521.00 25,983.00 34,504.00 CWKS Safety Net Asst JUL-16 MO 9,165.00 9,165.00 CWKS TANF Timed-Out Asst JUL-16 MO 4,166.00 4,166.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 577.00 577.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (4,844.00) (25,983.00) (30,827.00)CWKS Safety Net Asst JUL-16 MO (8,900.00) (8,900.00)CWKS TANF Timed-Out Asst JUL-16 MO (1,800.00) (1,800.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (500.00) (500.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 3,677.00 0.00 3,677.00 CWKS Safety Net Asst JUL-16 MO 265.00 265.00 CWKS TANF Timed-Out Asst JUL-16 MO 2,366.00 2,366.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 77.00 77.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 3,677.00 2,708.00 6,385.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 3,677.00 2,708.00 6,385.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. 0.00 0.00 CWKS Monthly MOE Subaccount Act. 0.00 0.00 CWKS Monthly MOE Subaccount Est. 0.00 0.00 Family Support Subaccount 0.00 0.00 Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 5,171.00 5,171.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (98.41) (98.41)0.00 0.00

Total Miscellaneous Adjustment 0.00 5,072.59 5,072.59

TOTAL 13,925.00 41,659.59 55,584.59 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: InyoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 2,600.00 2,600.00 KinGAP Asst OCT-16 MO 600.00 600.00

Total Advances 2,600.00 600.00 3,200.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 2,947.00 2,947.00 KinGAP Asst JUL-16 MO 616.00 616.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (3,600.00) (3,600.00)KinGAP Asst 0.00 0.00 Net AdjustmentsFedGAP Asst JUL-16 MO (653.00) (653.00)KinGAP Asst JUL-16 MO 616.00 616.00 Total Net Adjustments (653.00) 616.00 (37.00)Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment (653.00) 616.00 (37.00)

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 1,947.00 1,216.00 3,163.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 1,947.00 0.00 1,947.00 CALWORKS Asst 13,925.00 27,450.00 41,375.00 CWKS Safety Net Asst 8,565.00 8,565.00 CWKS TANF Timed-Out Asst 5,066.00 5,066.00

0.00 0.00 0.00 KinGAP Asst 1,216.00 1,216.00 CWKS Recent Non-Citizens Mixed Cases 677.00 677.00

0.00 0.00 0.00 0.00

EBT FS GA/GR (98.41) (98.41)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE 15,872.00 42,875.59 58,747.59 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: KernSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 1,620,156.00 3,985,610.00 5,605,766.00 CWKS Safety Net Asst OCT-16 MO 1,226,400.00 1,226,400.00 CWKS TANF Timed-Out Asst OCT-16 MO 527,900.00 527,900.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 44,900.00 44,900.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 5,800.00 5,800.00 Total Advances 1,620,156.00 5,790,610.00 7,410,766.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 1,411,884.00 4,787,091.00 6,198,975.00 CWKS Safety Net Asst JUL-16 MO 1,358,605.00 1,358,605.00 CWKS TANF Timed-Out Asst JUL-16 MO 584,042.00 584,042.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 45,088.00 45,088.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 6,501.00 6,501.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (892,509.00) (4,787,091.00) (5,679,600.00)CWKS Safety Net Asst JUL-16 MO (1,230,600.00) (1,230,600.00)CWKS TANF Timed-Out Asst JUL-16 MO (500,600.00) (500,600.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (45,200.00) (45,200.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (5,300.00) (5,300.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 519,375.00 0.00 519,375.00 CWKS Safety Net Asst JUL-16 MO 128,005.00 128,005.00 CWKS TANF Timed-Out Asst JUL-16 MO 83,442.00 83,442.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (112.00) (112.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,201.00 1,201.00 Total Net Adjustments 519,375.00 212,536.00 731,911.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 519,375.00 212,536.00 731,911.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (3,201,798.00) (3,201,798.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (2,711,203.66) (2,711,203.66)CWKS Monthly MOE Subaccount Est. JUL-16 MO 3,023,920.00 3,023,920.00 Family Support Subaccount AUG-16 MO (1,673,343.61) (1,673,343.61)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 877,256.00 877,256.00 Child Poverty Subaccount Recoup** JUL-16 MO (357,183.53) (357,183.53)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 49,110.00 0.00 49,110.00

0.00 0.00 ARC Exp. JUL-16 MO 63,884.00 63,884.00 EBT FS GA/GR MAY-16 MO (6,528.35) (6,528.35)

0.00 0.00 Total Miscellaneous Adjustment 49,110.00 (3,984,997.15) (3,935,887.15)

TOTAL 2,188,641.00 2,018,148.85 4,206,789.85 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: KernSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 123,300.00 123,300.00 KinGAP Asst OCT-16 MO 74,400.00 74,400.00

Total Advances 123,300.00 74,400.00 197,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 138,825.00 138,825.00 KinGAP Asst JUL-16 MO 81,564.00 81,564.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (121,900.00) (121,900.00)KinGAP Asst JUL-16 MO (74,900.00) (74,900.00)Net AdjustmentsFedGAP Asst JUL-16 MO 16,925.00 16,925.00 KinGAP Asst JUL-16 MO 6,664.00 6,664.00 Total Net Adjustments 16,925.00 6,664.00 23,589.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 16,925.00 6,664.00 23,589.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 682.00 1,357.00 2,039.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 682.00 1,357.00 2,039.00

TOTAL 140,907.00 82,421.00 223,328.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 140,907.00 0.00 140,907.00 CALWORKS Asst 2,188,641.00 (56,742.80) 2,131,898.20 CWKS Safety Net Asst 1,354,405.00 1,354,405.00 CWKS TANF Timed-Out Asst 611,342.00 611,342.00

0.00 0.00 0.00 KinGAP Asst 82,421.00 82,421.00 CWKS Recent Non-Citizens Mixed Cases 44,788.00 44,788.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 7,001.00 7,001.00 EBT FS GA/GR (6,528.35) (6,528.35)

0.00 0.00 ARC 63,884.00 63,884.00

0.00 0.00 TOTAL REMITTANCE 2,329,548.00 2,100,569.85 4,430,117.85 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: KingsSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 195,021.00 589,888.00 784,909.00 CWKS Safety Net Asst OCT-16 MO 171,100.00 171,100.00 CWKS TANF Timed-Out Asst OCT-16 MO 60,300.00 60,300.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 12,000.00 12,000.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 200.00 200.00 Total Advances 195,021.00 833,488.00 1,028,509.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 179,966.00 701,133.00 881,099.00 CWKS Safety Net Asst JUL-16 MO 276,675.00 276,675.00 CWKS TANF Timed-Out Asst JUL-16 MO 66,699.00 66,699.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 12,061.00 12,061.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 274.00 274.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (130,720.00) (701,133.00) (831,853.00)CWKS Safety Net Asst JUL-16 MO (193,100.00) (193,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (56,800.00) (56,800.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (11,300.00) (11,300.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 49,246.00 0.00 49,246.00 CWKS Safety Net Asst JUL-16 MO 83,575.00 83,575.00 CWKS TANF Timed-Out Asst JUL-16 MO 9,899.00 9,899.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 761.00 761.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 274.00 274.00 Total Net Adjustments 49,246.00 94,509.00 143,755.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 49,246.00 94,509.00 143,755.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (472,562.00) (472,562.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (400,153.98) (400,153.98)CWKS Monthly MOE Subaccount Est. JUL-16 MO 446,309.00 446,309.00 Family Support Subaccount AUG-16 MO (246,973.37) (246,973.37)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 133,093.00 133,093.00 Child Poverty Subaccount Recoup** JUL-16 MO (52,717.70) (52,717.70)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 3,263.00 0.00 3,263.00

0.00 0.00 ARC Exp. JUL-16 MO 5,065.00 5,065.00 EBT FS GA/GR MAY-16 MO (993.75) (993.75)

0.00 0.00 Total Miscellaneous Adjustment 3,263.00 (588,933.80) (585,670.80)

TOTAL 247,530.00 339,063.20 586,593.20 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: KingsSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 29,900.00 29,900.00 KinGAP Asst OCT-16 MO 18,900.00 18,900.00

Total Advances 29,900.00 18,900.00 48,800.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 33,658.00 33,658.00 KinGAP Asst JUL-16 MO 20,746.00 20,746.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (30,700.00) (30,700.00)KinGAP Asst JUL-16 MO (19,500.00) (19,500.00)Net AdjustmentsFedGAP Asst JUL-16 MO 2,958.00 2,958.00 KinGAP Asst JUL-16 MO 1,246.00 1,246.00 Total Net Adjustments 2,958.00 1,246.00 4,204.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 2,958.00 1,246.00 4,204.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 859.00 679.00 1,538.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 859.00 679.00 1,538.00

TOTAL 33,717.00 20,825.00 54,542.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 33,717.00 0.00 33,717.00 CALWORKS Asst 247,530.00 (3,117.05) 244,412.95 CWKS Safety Net Asst 254,675.00 254,675.00 CWKS TANF Timed-Out Asst 70,199.00 70,199.00

0.00 0.00 0.00 KinGAP Asst 20,825.00 20,825.00 CWKS Recent Non-Citizens Mixed Cases 12,761.00 12,761.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 474.00 474.00 EBT FS GA/GR (993.75) (993.75)

0.00 0.00 ARC 5,065.00 5,065.00

0.00 0.00 TOTAL REMITTANCE 281,247.00 359,888.20 641,135.20 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: LakeSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 90,956.00 229,821.00 320,777.00 CWKS Safety Net Asst OCT-16 MO 50,000.00 50,000.00 CWKS TANF Timed-Out Asst OCT-16 MO 39,500.00 39,500.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 2,000.00 2,000.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 90,956.00 321,321.00 412,277.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 84,707.00 275,695.00 360,402.00 CWKS Safety Net Asst JUL-16 MO 55,382.00 55,382.00 CWKS TANF Timed-Out Asst JUL-16 MO 43,675.00 43,675.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 3,074.00 3,074.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (51,401.00) (275,695.00) (327,096.00)CWKS Safety Net Asst JUL-16 MO (45,300.00) (45,300.00)CWKS TANF Timed-Out Asst JUL-16 MO (37,600.00) (37,600.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,000.00) (1,000.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (200.00) (200.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 33,306.00 0.00 33,306.00 CWKS Safety Net Asst JUL-16 MO 10,082.00 10,082.00 CWKS TANF Timed-Out Asst JUL-16 MO 6,075.00 6,075.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 2,074.00 2,074.00 CWKS Recent Non-Citizens Nonfederal (200.00) (200.00)Total Net Adjustments 33,306.00 18,031.00 51,337.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 33,306.00 18,031.00 51,337.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (179,351.00) (179,351.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (151,870.11) (151,870.11)CWKS Monthly MOE Subaccount Est. JUL-16 MO 169,387.00 169,387.00 Family Support Subaccount AUG-16 MO (93,733.60) (93,733.60)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 49,281.00 49,281.00 Child Poverty Subaccount Recoup** JUL-16 MO (20,007.90) (20,007.90)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 326.00 0.00 326.00

0.00 0.00 ARC Exp. JUL-16 MO 375.00 375.00 EBT FS GA/GR MAY-16 MO (616.28) (616.28)

0.00 0.00 Total Miscellaneous Adjustment 326.00 (226,535.89) (226,209.89)

TOTAL 124,588.00 112,816.11 237,404.11 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: LakeSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 1,500.00 1,500.00 KinGAP Asst OCT-16 MO 4,300.00 4,300.00

Total Advances 1,500.00 4,300.00 5,800.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 1,640.00 1,640.00 KinGAP Asst JUL-16 MO 4,720.00 4,720.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (1,400.00) (1,400.00)KinGAP Asst JUL-16 MO (3,800.00) (3,800.00)Net AdjustmentsFedGAP Asst JUL-16 MO 240.00 240.00 KinGAP Asst JUL-16 MO 920.00 920.00 Total Net Adjustments 240.00 920.00 1,160.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 240.00 920.00 1,160.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 1,740.00 5,220.00 6,960.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 1,740.00 0.00 1,740.00 CALWORKS Asst 124,588.00 3,526.39 128,114.39 CWKS Safety Net Asst 60,082.00 60,082.00 CWKS TANF Timed-Out Asst 45,575.00 45,575.00

0.00 0.00 0.00 KinGAP Asst 5,220.00 5,220.00 CWKS Recent Non-Citizens Mixed Cases 4,074.00 4,074.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal (200.00) (200.00)EBT FS GA/GR (616.28) (616.28)

0.00 0.00 ARC 375.00 375.00

0.00 0.00 TOTAL REMITTANCE 126,328.00 118,036.11 244,364.11 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: LassenSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 41,816.00 91,025.00 132,841.00 CWKS Safety Net Asst OCT-16 MO 34,400.00 34,400.00 CWKS TANF Timed-Out Asst OCT-16 MO 10,200.00 10,200.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 200.00 200.00 Total Advances 41,816.00 135,825.00 177,641.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 34,233.00 110,376.00 144,609.00 CWKS Safety Net Asst JUL-16 MO 38,193.00 38,193.00 CWKS TANF Timed-Out Asst JUL-16 MO 11,268.00 11,268.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 273.00 273.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (20,579.00) (110,376.00) (130,955.00)CWKS Safety Net Asst JUL-16 MO (29,300.00) (29,300.00)CWKS TANF Timed-Out Asst JUL-16 MO (13,400.00) (13,400.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (100.00) (100.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 13,654.00 0.00 13,654.00 CWKS Safety Net Asst JUL-16 MO 8,893.00 8,893.00 CWKS TANF Timed-Out Asst JUL-16 MO (2,132.00) (2,132.00)CWKS Recent Non-Citizens Mixed Cases (100.00) (100.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 273.00 273.00 Total Net Adjustments 13,654.00 6,934.00 20,588.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 13,654.00 6,934.00 20,588.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (82,112.00) (82,112.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (69,530.00) (69,530.00)CWKS Monthly MOE Subaccount Est. JUL-16 MO 77,550.00 77,550.00 Family Support Subaccount AUG-16 MO (42,913.62) (42,913.62)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 20,808.00 20,808.00 Child Poverty Subaccount Recoup** JUL-16 MO (9,160.13) (9,160.13)Child Poverty Growth FY14-15** FY 2015-16 (11,647.87) (11,647.87)

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (143.02) (143.02)0.00 0.00

Total Miscellaneous Adjustment 0.00 (117,148.64) (117,148.64)

TOTAL 55,470.00 25,610.36 81,080.36 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: LassenSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 3,900.00 3,900.00 KinGAP Asst OCT-16 MO 2,600.00 2,600.00

Total Advances 3,900.00 2,600.00 6,500.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 4,398.00 4,398.00 KinGAP Asst JUL-16 MO 2,887.00 2,887.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (3,500.00) (3,500.00)KinGAP Asst JUL-16 MO (2,600.00) (2,600.00)Net AdjustmentsFedGAP Asst JUL-16 MO 898.00 898.00 KinGAP Asst JUL-16 MO 287.00 287.00 Total Net Adjustments 898.00 287.00 1,185.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 898.00 287.00 1,185.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 4,798.00 2,887.00 7,685.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 4,798.00 0.00 4,798.00 CALWORKS Asst 55,470.00 (25,980.62) 29,489.38 CWKS Safety Net Asst 43,293.00 43,293.00 CWKS TANF Timed-Out Asst 8,068.00 8,068.00

0.00 0.00 0.00 KinGAP Asst 2,887.00 2,887.00 CWKS Recent Non-Citizens Mixed Cases (100.00) (100.00)

0.00 0.00 CWKS Recent Non-Citizens NonFederal 473.00 473.00 EBT FS GA/GR (143.02) (143.02)

0.00 0.00 0.00 0.00 0.00 0.00

TOTAL REMITTANCE 60,268.00 28,497.36 88,765.36 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Los AngelesSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 14,439,439.00 31,456,968.00 45,896,407.00 CWKS Safety Net Asst OCT-16 MO 9,478,200.00 9,478,200.00 CWKS TANF Timed-Out Asst OCT-16 MO 3,408,700.00 3,408,700.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 1,642,900.00 1,642,900.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 560,900.00 560,900.00 Total Advances 14,439,439.00 46,547,668.00 60,987,107.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 13,469,139.00 37,041,725.00 50,510,864.00 CWKS Safety Net Asst JUL-16 MO 10,525,511.00 10,525,511.00 CWKS TANF Timed-Out Asst JUL-16 MO 3,771,381.00 3,771,381.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,649,219.00 1,649,219.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 631,423.00 631,423.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (6,906,081.00) (37,041,725.00) (43,947,806.00)CWKS Safety Net Asst JUL-16 MO (8,534,800.00) (8,534,800.00)CWKS TANF Timed-Out Asst JUL-16 MO (3,156,200.00) (3,156,200.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,927,300.00) (1,927,300.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (603,000.00) (603,000.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 6,563,058.00 0.00 6,563,058.00 CWKS Safety Net Asst JUL-16 MO 1,990,711.00 1,990,711.00 CWKS TANF Timed-Out Asst JUL-16 MO 615,181.00 615,181.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (278,081.00) (278,081.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 28,423.00 28,423.00 Total Net Adjustments 6,563,058.00 2,356,234.00 8,919,292.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 6,563,058.00 2,356,234.00 8,919,292.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (28,509,012.00) (28,509,012.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (24,140,732.77) (24,140,732.77)CWKS Monthly MOE Subaccount Est. JUL-16 MO 26,925,180.00 26,925,180.00 Family Support Subaccount AUG-16 MO (14,899,559.74) (14,899,559.74)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 7,436,687.00 7,436,687.00 Child Poverty Subaccount Recoup** JUL-16 MO (3,180,385.19) (3,180,385.19)Child Poverty Growth FY14-15** FY 2015-16 (1,384,018.71) (1,384,018.71)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 11,157.00 11,157.00 CWKS Diversion Asst JUL-16 MO 1,767.00 0.00 1,767.00 CWKs ARC (MOE) JUL-16 MO 663,669.00 8,887.00 672,556.00 CWKs ARC (NON-MOE) JUL-16 MO 1,333.00 1,333.00 ARC Exp. JUL-16 MO 655,366.00 655,366.00 EBT FS GA/GR MAY-16 MO (93,908.95) (93,908.95)CalWORKS EBT Theft JUL-16 MO 405.00 405.00 Total Miscellaneous Adjustment 665,436.00 (37,168,602.36) (36,503,166.36)

TOTAL 21,667,933.00 11,735,299.64 33,403,232.64 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Los AngelesSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 1,234,400.00 1,234,400.00 KinGAP Asst OCT-16 MO 2,169,500.00 2,169,500.00

Total Advances 1,234,400.00 2,169,500.00 3,403,900.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 1,389,725.00 1,389,725.00 KinGAP Asst JUL-16 MO 2,379,959.00 2,379,959.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (1,154,400.00) (1,154,400.00)KinGAP Asst JUL-16 MO (2,200,500.00) (2,200,500.00)Net AdjustmentsFedGAP Asst JUL-16 MO 235,325.00 235,325.00 KinGAP Asst JUL-16 MO 179,459.00 179,459.00 Total Net Adjustments 235,325.00 179,459.00 414,784.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 235,325.00 179,459.00 414,784.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO 13.00 13.00 KinGAP 18 Plus JUL-16 MO 32,167.00 19,976.00 52,143.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 CWKS NMD 0.00 0.00 351.00 351.00

0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 32,180.00 20,327.00 52,507.00

TOTAL 1,501,905.00 2,369,286.00 3,871,191.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 1,501,905.00 0.00 1,501,905.00 CALWORKS Asst 21,666,166.00 (6,284,302.41) 15,381,863.59 CWKS Safety Net Asst 11,468,911.00 11,468,911.00 CWKS TANF Timed-Out Asst 4,023,881.00 4,023,881.00 CWKS Diversion Asst 1,767.00 0.00 1,767.00 KinGAP Asst 2,368,935.00 2,368,935.00 CWKS Recent Non-Citizens Mixed Cases 1,364,819.00 1,364,819.00 CWKS Recent Non-Citizens TANF Timed-Out 11,157.00 11,157.00 CWKS Recent Non-Citizens NonFederal 589,323.00 589,323.00 EBT FS GA/GR (93,908.95) (93,908.95)

0.00 0.00 ARC 655,366.00 655,366.00 CalWORKS EBT Theft 405.00 405.00

TOTAL REMITTANCE 23,169,838.00 14,104,585.64 37,274,423.64 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MaderaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 233,315.00 722,923.00 956,238.00 CWKS Safety Net Asst OCT-16 MO 193,500.00 193,500.00 CWKS TANF Timed-Out Asst OCT-16 MO 84,200.00 84,200.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 6,400.00 6,400.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 600.00 600.00 Total Advances 233,315.00 1,007,623.00 1,240,938.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 190,815.00 859,829.00 1,050,644.00 CWKS Safety Net Asst JUL-16 MO 214,827.00 214,827.00 CWKS TANF Timed-Out Asst JUL-16 MO 93,192.00 93,192.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 6,388.00 6,388.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 969.00 969.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (160,307.00) (859,829.00) (1,020,136.00)CWKS Safety Net Asst JUL-16 MO (194,300.00) (194,300.00)CWKS TANF Timed-Out Asst JUL-16 MO (83,900.00) (83,900.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (5,600.00) (5,600.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (800.00) (800.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 30,508.00 0.00 30,508.00 CWKS Safety Net Asst JUL-16 MO 20,527.00 20,527.00 CWKS TANF Timed-Out Asst JUL-16 MO 9,292.00 9,292.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 788.00 788.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 169.00 169.00 Total Net Adjustments 30,508.00 30,776.00 61,284.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 30,508.00 30,776.00 61,284.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (559,391.00) (559,391.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (473,678.90) (473,678.90)CWKS Monthly MOE Subaccount Est. JUL-16 MO 528,314.00 528,314.00 Family Support Subaccount AUG-16 MO (292,352.65) (292,352.65)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 145,077.00 145,077.00 Child Poverty Subaccount Recoup** JUL-16 MO (62,404.13) (62,404.13)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 ARC Exp. JUL-16 MO 15,619.00 15,619.00 EBT FS GA/GR MAY-16 MO (1,112.78) (1,112.78)

0.00 0.00 Total Miscellaneous Adjustment 0.00 (699,929.46) (699,929.46)

TOTAL 263,823.00 338,469.54 602,292.54 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MaderaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 15,800.00 15,800.00 KinGAP Asst OCT-16 MO 10,200.00 10,200.00

Total Advances 15,800.00 10,200.00 26,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 17,793.00 17,793.00 KinGAP Asst JUL-16 MO 11,141.00 11,141.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (15,200.00) (15,200.00)KinGAP Asst JUL-16 MO (9,200.00) (9,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO 2,593.00 2,593.00 KinGAP Asst JUL-16 MO 1,941.00 1,941.00 Total Net Adjustments 2,593.00 1,941.00 4,534.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 2,593.00 1,941.00 4,534.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO (50.00) (50.00)KinGAP 18 Plus JUL-16 MO 354.00 0.00 354.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 304.00 0.00 304.00

TOTAL 18,697.00 12,141.00 30,838.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 18,697.00 0.00 18,697.00 CALWORKS Asst 263,823.00 8,487.32 272,310.32 CWKS Safety Net Asst 214,027.00 214,027.00 CWKS TANF Timed-Out Asst 93,492.00 93,492.00

0.00 0.00 0.00 KinGAP Asst 12,141.00 12,141.00 CWKS Recent Non-Citizens Mixed Cases 7,188.00 7,188.00

0.00 0.00 CWKS Recent Non-Citizens NonFederal 769.00 769.00 EBT FS GA/GR (1,112.78) (1,112.78)

0.00 0.00 ARC 15,619.00 15,619.00

0.00 0.00 TOTAL REMITTANCE 282,520.00 350,610.54 633,130.54 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MarinSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 65,881.00 152,596.00 218,477.00 CWKS Safety Net Asst OCT-16 MO 25,600.00 25,600.00 CWKS TANF Timed-Out Asst OCT-16 MO 24,000.00 24,000.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 25,400.00 25,400.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,600.00 1,600.00 Total Advances 65,881.00 229,196.00 295,077.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 58,507.00 183,440.00 241,947.00 CWKS Safety Net Asst JUL-16 MO 28,433.00 28,433.00 CWKS TANF Timed-Out Asst JUL-16 MO 26,555.00 26,555.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 25,521.00 25,521.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,847.00 1,847.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (34,201.00) (183,440.00) (217,641.00)CWKS Safety Net Asst JUL-16 MO (24,200.00) (24,200.00)CWKS TANF Timed-Out Asst JUL-16 MO (23,100.00) (23,100.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (17,800.00) (17,800.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (2,000.00) (2,000.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 24,306.00 0.00 24,306.00 CWKS Safety Net Asst JUL-16 MO 4,233.00 4,233.00 CWKS TANF Timed-Out Asst JUL-16 MO 3,455.00 3,455.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 7,721.00 7,721.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (153.00) (153.00)Total Net Adjustments 24,306.00 15,256.00 39,562.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 24,306.00 15,256.00 39,562.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (147,522.00) (147,522.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (124,917.75) (124,917.75)CWKS Monthly MOE Subaccount Est. JUL-16 MO 139,326.00 139,326.00 Family Support Subaccount AUG-16 MO (77,098.71) (77,098.71)Family Support Subaccount - Recoupment* APR-16 MO (18,392.90) (18,392.90)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 34,787.00 34,787.00 Child Poverty Subaccount Recoup** JUL-16 MO (16,457.10) (16,457.10)Child Poverty Growth FY14-15** FY 2015-16 (18,329.90) (18,329.90)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 1,368.00 0.00 1,368.00 0.00 0.00

ARC Exp. JUL-16 MO 1,372.00 1,372.00 EBT FS GA/GR MAY-16 MO (574.49) (574.49)

0.00 0.00 Total Miscellaneous Adjustment 1,368.00 (227,807.85) (226,439.85)

TOTAL 91,555.00 16,644.15 108,199.15 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MarinSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst 0.00 0.00 KinGAP Asst OCT-16 MO 3,600.00 3,600.00

Total Advances 0.00 3,600.00 3,600.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO 3,964.00 3,964.00 Less: Advances 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO (3,600.00) (3,600.00)Net AdjustmentsFedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO 364.00 364.00 Total Net Adjustments 0.00 364.00 364.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 0.00 364.00 364.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 1,519.00 1,834.00 3,353.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 1,519.00 1,834.00 3,353.00

TOTAL 1,519.00 5,798.00 7,317.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 1,519.00 0.00 1,519.00 CALWORKS Asst 91,555.00 (76,009.36) 15,545.64 CWKS Safety Net Asst 29,833.00 29,833.00 CWKS TANF Timed-Out Asst 27,455.00 27,455.00

0.00 0.00 0.00 KinGAP Asst 5,798.00 5,798.00 CWKS Recent Non-Citizens Mixed Cases 33,121.00 33,121.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 1,447.00 1,447.00 EBT FS GA/GR (574.49) (574.49)

0.00 0.00 ARC 1,372.00 1,372.00

0.00 0.00 TOTAL REMITTANCE 93,074.00 22,442.15 115,516.15 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MariposaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 15,983.00 46,497.00 62,480.00 CWKS Safety Net Asst OCT-16 MO 12,800.00 12,800.00 CWKS TANF Timed-Out Asst OCT-16 MO 6,100.00 6,100.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 15,983.00 65,397.00 81,380.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 12,372.00 54,942.00 67,314.00 CWKS Safety Net Asst JUL-16 MO 14,239.00 14,239.00 CWKS TANF Timed-Out Asst JUL-16 MO 6,768.00 6,768.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (10,243.00) (54,942.00) (65,185.00)CWKS Safety Net Asst JUL-16 MO (14,400.00) (14,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (6,700.00) (6,700.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 2,129.00 0.00 2,129.00 CWKS Safety Net Asst JUL-16 MO (161.00) (161.00)CWKS TANF Timed-Out Asst JUL-16 MO 68.00 68.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 2,129.00 (93.00) 2,036.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 2,129.00 (93.00) 2,036.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (37,551.00) (37,551.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (31,797.01) (31,797.01)CWKS Monthly MOE Subaccount Est. JUL-16 MO 35,465.00 35,465.00 Family Support Subaccount AUG-16 MO (19,624.98) (19,624.98)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 9,775.00 9,775.00 Child Poverty Subaccount Recoup** JUL-16 MO (4,189.05) (4,189.05)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 433.00 0.00 433.00

0.00 0.00 ARC Exp. JUL-16 MO 369.00 369.00 EBT FS GA/GR MAY-16 MO (103.99) (103.99)

0.00 0.00 Total Miscellaneous Adjustment 433.00 (47,657.03) (47,224.03)

TOTAL 18,545.00 17,646.97 36,191.97 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MariposaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 700.00 700.00 KinGAP Asst OCT-16 MO 3,100.00 3,100.00

Total Advances 700.00 3,100.00 3,800.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 742.00 742.00 KinGAP Asst JUL-16 MO 3,415.00 3,415.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (600.00) (600.00)KinGAP Asst JUL-16 MO (2,700.00) (2,700.00)Net AdjustmentsFedGAP Asst JUL-16 MO 142.00 142.00 KinGAP Asst JUL-16 MO 715.00 715.00 Total Net Adjustments 142.00 715.00 857.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 142.00 715.00 857.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 842.00 3,815.00 4,657.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 842.00 0.00 842.00 CALWORKS Asst 18,545.00 (1,425.04) 17,119.96 CWKS Safety Net Asst 12,639.00 12,639.00 CWKS TANF Timed-Out Asst 6,168.00 6,168.00

0.00 0.00 0.00 KinGAP Asst 3,815.00 3,815.00

0.00 0.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00

0.00 0.00 EBT FS GA/GR (103.99) (103.99)

0.00 0.00 ARC 369.00 369.00

0.00 0.00 TOTAL REMITTANCE 19,387.00 21,461.97 40,848.97 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MendocinoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 82,963.00 224,335.00 307,298.00 CWKS Safety Net Asst OCT-16 MO 66,900.00 66,900.00 CWKS TANF Timed-Out Asst OCT-16 MO 26,600.00 26,600.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 700.00 700.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 82,963.00 318,535.00 401,498.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 66,507.00 273,777.00 340,284.00 CWKS Safety Net Asst JUL-16 MO 74,246.00 74,246.00 CWKS TANF Timed-Out Asst JUL-16 MO 29,397.00 29,397.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,806.00 1,806.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (51,043.00) (273,777.00) (324,820.00)CWKS Safety Net Asst JUL-16 MO (59,400.00) (59,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (25,700.00) (25,700.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 15,464.00 0.00 15,464.00 CWKS Safety Net Asst JUL-16 MO 14,846.00 14,846.00 CWKS TANF Timed-Out Asst JUL-16 MO 3,697.00 3,697.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,806.00 1,806.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 15,464.00 20,349.00 35,813.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 15,464.00 20,349.00 35,813.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (207,518.00) (207,518.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (175,720.72) (175,720.72)CWKS Monthly MOE Subaccount Est. JUL-16 MO 195,989.00 195,989.00 Family Support Subaccount AUG-16 MO (108,454.10) (108,454.10)Family Support Subaccount - Recoupment* APR-16 MO (39,285.83) (39,285.83)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 49,419.00 49,419.00 Child Poverty Subaccount Recoup** JUL-16 MO (23,150.07) (23,150.07)Child Poverty Growth FY14-15** FY 2015-16 (26,268.93) (26,268.93)

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 ARC Exp. JUL-16 MO 7,178.00 7,178.00 EBT FS GA/GR MAY-16 MO (624.79) (624.79)

0.00 0.00 Total Miscellaneous Adjustment 0.00 (328,436.44) (328,436.44)

TOTAL 98,427.00 10,447.56 108,874.56 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MendocinoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 7,300.00 7,300.00 KinGAP Asst OCT-16 MO 16,100.00 16,100.00

Total Advances 7,300.00 16,100.00 23,400.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 8,202.00 8,202.00 KinGAP Asst JUL-16 MO 17,711.00 17,711.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (6,900.00) (6,900.00)KinGAP Asst JUL-16 MO (15,900.00) (15,900.00)Net AdjustmentsFedGAP Asst JUL-16 MO 1,302.00 1,302.00 KinGAP Asst JUL-16 MO 1,811.00 1,811.00 Total Net Adjustments 1,302.00 1,811.00 3,113.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 1,302.00 1,811.00 3,113.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 442.00 0.00 442.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 442.00 0.00 442.00

TOTAL 9,044.00 17,911.00 26,955.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 9,044.00 0.00 9,044.00 CALWORKS Asst 98,427.00 (110,654.65) (12,227.65)CWKS Safety Net Asst 81,746.00 81,746.00 CWKS TANF Timed-Out Asst 30,297.00 30,297.00

0.00 0.00 0.00 KinGAP Asst 17,911.00 17,911.00 CWKS Recent Non-Citizens Mixed Cases 2,506.00 2,506.00

0.00 0.00 0.00 0.00

EBT FS GA/GR (624.79) (624.79)0.00 0.00

ARC 7,178.00 7,178.00 0.00 0.00

TOTAL REMITTANCE 107,471.00 28,358.56 135,829.56 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MercedSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 591,745.00 1,512,244.00 2,103,989.00 CWKS Safety Net Asst OCT-16 MO 548,100.00 548,100.00 CWKS TANF Timed-Out Asst OCT-16 MO 244,500.00 244,500.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 10,700.00 10,700.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 2,200.00 2,200.00 Total Advances 591,745.00 2,317,744.00 2,909,489.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 499,711.00 1,804,713.00 2,304,424.00 CWKS Safety Net Asst JUL-16 MO 607,968.00 607,968.00 CWKS TANF Timed-Out Asst JUL-16 MO 270,491.00 270,491.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 10,715.00 10,715.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 2,488.00 2,488.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (336,472.00) (1,804,713.00) (2,141,185.00)CWKS Safety Net Asst JUL-16 MO (543,800.00) (543,800.00)CWKS TANF Timed-Out Asst JUL-16 MO (236,500.00) (236,500.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (13,400.00) (13,400.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (1,900.00) (1,900.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 163,239.00 0.00 163,239.00 CWKS Safety Net Asst JUL-16 MO 64,168.00 64,168.00 CWKS TANF Timed-Out Asst JUL-16 MO 33,991.00 33,991.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (2,685.00) (2,685.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 588.00 588.00 Total Net Adjustments 163,239.00 96,062.00 259,301.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 163,239.00 96,062.00 259,301.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (1,349,689.00) (1,349,689.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (1,142,883.16) (1,142,883.16)CWKS Monthly MOE Subaccount Est. JUL-16 MO 1,274,706.00 1,274,706.00 Family Support Subaccount AUG-16 MO (705,382.73) (705,382.73)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 339,429.00 339,429.00 Child Poverty Subaccount Recoup** JUL-16 MO (150,567.46) (150,567.46)Child Poverty Growth FY14-15** FY 2015-16 (97,300.05) (97,300.05)

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (2,277.76) (2,277.76)0.00 0.00

Total Miscellaneous Adjustment 0.00 (1,833,965.16) (1,833,965.16)

TOTAL 754,984.00 579,840.84 1,334,824.84 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MercedSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 28,400.00 28,400.00 KinGAP Asst OCT-16 MO 23,800.00 23,800.00

Total Advances 28,400.00 23,800.00 52,200.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 38,684.00 38,684.00 KinGAP Asst JUL-16 MO 26,058.00 26,058.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (32,500.00) (32,500.00)KinGAP Asst JUL-16 MO (24,900.00) (24,900.00)Net AdjustmentsFedGAP Asst JUL-16 MO 6,184.00 6,184.00 KinGAP Asst JUL-16 MO 1,158.00 1,158.00 Total Net Adjustments 6,184.00 1,158.00 7,342.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 6,184.00 1,158.00 7,342.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 2,577.00 679.00 3,256.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 2,577.00 679.00 3,256.00

TOTAL 37,161.00 25,637.00 62,798.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 37,161.00 0.00 37,161.00 CALWORKS Asst 754,984.00 (319,443.40) 435,540.60 CWKS Safety Net Asst 612,268.00 612,268.00 CWKS TANF Timed-Out Asst 278,491.00 278,491.00

0.00 0.00 0.00 KinGAP Asst 25,637.00 25,637.00 CWKS Recent Non-Citizens Mixed Cases 8,015.00 8,015.00

0.00 0.00 CWKS Recent Non-Citizens NonFederal 2,788.00 2,788.00 EBT FS GA/GR (2,277.76) (2,277.76)

0.00 0.00 0.00 0.00 0.00 0.00

TOTAL REMITTANCE 792,145.00 605,477.84 1,397,622.84 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ModocSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 9,836.00 25,687.00 35,523.00 CWKS Safety Net Asst OCT-16 MO 10,400.00 10,400.00 CWKS TANF Timed-Out Asst OCT-16 MO 3,500.00 3,500.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 500.00 500.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 9,836.00 40,087.00 49,923.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 12,358.00 30,339.00 42,697.00 CWKS Safety Net Asst JUL-16 MO 11,601.00 11,601.00 CWKS TANF Timed-Out Asst JUL-16 MO 3,926.00 3,926.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 473.00 473.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (5,656.00) (30,339.00) (35,995.00)CWKS Safety Net Asst JUL-16 MO (8,100.00) (8,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (3,000.00) (3,000.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (100.00) (100.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 6,702.00 0.00 6,702.00 CWKS Safety Net Asst JUL-16 MO 3,501.00 3,501.00 CWKS TANF Timed-Out Asst JUL-16 MO 926.00 926.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 473.00 473.00 CWKS Recent Non-Citizens Nonfederal (100.00) (100.00)Total Net Adjustments 6,702.00 4,800.00 11,502.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 6,702.00 4,800.00 11,502.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. 0.00 0.00 CWKS Monthly MOE Subaccount Act. 0.00 0.00 CWKS Monthly MOE Subaccount Est. 0.00 0.00 Family Support Subaccount 0.00 0.00 Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 6,305.00 6,305.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (47.11) (47.11)0.00 0.00

Total Miscellaneous Adjustment 0.00 6,257.89 6,257.89

TOTAL 16,538.00 51,144.89 67,682.89 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ModocSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 1,100.00 1,100.00 KinGAP Asst OCT-16 MO 1,100.00 1,100.00

Total Advances 1,100.00 1,100.00 2,200.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 1,284.00 1,284.00 KinGAP Asst JUL-16 MO 1,023.00 1,023.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (1,100.00) (1,100.00)KinGAP Asst JUL-16 MO (900.00) (900.00)Net AdjustmentsFedGAP Asst JUL-16 MO 184.00 184.00 KinGAP Asst JUL-16 MO 123.00 123.00 Total Net Adjustments 184.00 123.00 307.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 184.00 123.00 307.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 1,284.00 1,223.00 2,507.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 1,284.00 0.00 1,284.00 CALWORKS Asst 16,538.00 31,992.00 48,530.00 CWKS Safety Net Asst 13,901.00 13,901.00 CWKS TANF Timed-Out Asst 4,426.00 4,426.00

0.00 0.00 0.00 KinGAP Asst 1,223.00 1,223.00 CWKS Recent Non-Citizens Mixed Cases 973.00 973.00

0.00 0.00 CWKS Recent Non-Citizens NonFederal (100.00) (100.00)EBT FS GA/GR (47.11) (47.11)

0.00 0.00 0.00 0.00 0.00 0.00

TOTAL REMITTANCE 17,822.00 52,367.89 70,189.89 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MonoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 4,678.00 4,755.00 9,433.00 CWKS Safety Net Asst OCT-16 MO 1,800.00 1,800.00 CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 4,678.00 6,555.00 11,233.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 3,915.00 5,920.00 9,835.00 CWKS Safety Net Asst JUL-16 MO 1,965.00 1,965.00 CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (1,104.00) (5,920.00) (7,024.00)CWKS Safety Net Asst JUL-16 MO (1,300.00) (1,300.00)CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 2,811.00 0.00 2,811.00 CWKS Safety Net Asst JUL-16 MO 665.00 665.00 CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 2,811.00 665.00 3,476.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 2,811.00 665.00 3,476.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. 0.00 0.00 CWKS Monthly MOE Subaccount Act. 0.00 0.00 CWKS Monthly MOE Subaccount Est. 0.00 0.00 Family Support Subaccount 0.00 0.00 Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 1,241.00 1,241.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (41.57) (41.57)0.00 0.00

Total Miscellaneous Adjustment 0.00 1,199.43 1,199.43

TOTAL 7,489.00 8,419.43 15,908.43 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MonoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00

Total Advances 0.00 0.00 0.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Less: Advances 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Net AdjustmentsFedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Total Net Adjustments 0.00 0.00 0.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 0.00 0.00 0.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 0.00 0.00

AS SHOWN ON REMITTANCE ADVICES0.00 0.00 0.00

CALWORKS Asst 7,489.00 5,996.00 13,485.00 CWKS Safety Net Asst 2,465.00 2,465.00

0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

EBT FS GA/GR (41.57) (41.57)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE 7,489.00 8,419.43 15,908.43 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MontereySHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 180,059.00 1,169,933.00 1,349,992.00 CWKS Safety Net Asst OCT-16 MO 168,300.00 168,300.00 CWKS TANF Timed-Out Asst OCT-16 MO 100,600.00 100,600.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 7,100.00 7,100.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,800.00 1,800.00 Total Advances 180,059.00 1,447,733.00 1,627,792.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 317,098.76 1,124,259.24 1,441,358.00 CWKS Safety Net Asst JUL-16 MO 186,844.00 186,844.00 CWKS TANF Timed-Out Asst JUL-16 MO 111,356.00 111,356.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 7,176.00 7,176.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,999.00 1,999.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (304,671.00) (1,634,146.00) (1,938,817.00)CWKS Safety Net Asst JUL-16 MO (173,500.00) (173,500.00)CWKS TANF Timed-Out Asst JUL-16 MO (106,400.00) (106,400.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (10,500.00) (10,500.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (2,000.00) (2,000.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 12,427.76 (509,886.76) (497,459.00)CWKS Safety Net Asst JUL-16 MO 13,344.00 13,344.00 CWKS TANF Timed-Out Asst JUL-16 MO 4,956.00 4,956.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (3,324.00) (3,324.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (1.00) (1.00)Total Net Adjustments 12,427.76 (494,911.76) (482,484.00)Calworks - Recoupment JUN-16 MO (200,000.00) (200,000.00)Calworks - Deferrment JUL-16 MO 374,961.13 374,961.13 Total Prior Period Adjustment (187,572.24) (119,950.63) (307,522.87)

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (935,920.00) (935,920.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (792,513.99) (792,513.99)CWKS Monthly MOE Subaccount Est. JUL-16 MO 883,924.00 883,924.00 Family Support Subaccount AUG-16 MO (489,136.33) (489,136.33)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 186,147.00 186,147.00 Child Poverty Subaccount Recoup** JUL-16 MO (104,408.59) (104,408.59)Child Poverty Growth FY14-15** FY 2015-16 (81,738.41) (81,738.41)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 302.00 302.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 5,221.00 0.00 5,221.00

0.00 0.00 ARC Exp. JUL-16 MO 7,765.00 7,765.00 EBT FS GA/GR MAY-16 MO (2,203.05) (2,203.05)

0.00 0.00 Total Miscellaneous Adjustment 5,221.00 (1,327,782.37) (1,322,561.37)

TOTAL (2,292.24) 0.00 (2,292.24)Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: MontereySHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 6,200.00 6,200.00 KinGAP Asst OCT-16 MO 11,900.00 11,900.00

Total Advances 6,200.00 11,900.00 18,100.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 6,926.00 6,926.00 KinGAP Asst JUL-16 MO 13,039.00 13,039.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (6,800.00) (6,800.00)KinGAP Asst JUL-16 MO (11,800.00) (11,800.00)Net AdjustmentsFedGAP Asst JUL-16 MO 126.00 126.00 KinGAP Asst JUL-16 MO 1,239.00 1,239.00 Total Net Adjustments 126.00 1,239.00 1,365.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 126.00 1,239.00 1,365.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus 0.00 667.00 667.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 0.00 667.00 667.00

TOTAL 6,326.00 13,806.00 20,132.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 6,326.00 0.00 6,326.00 CALWORKS Asst (2,292.24) (298,638.95) (300,931.19)CWKS Safety Net Asst 181,644.00 181,644.00 CWKS TANF Timed-Out Asst 105,556.00 105,556.00

0.00 0.00 0.00 KinGAP Asst 13,806.00 13,806.00 CWKS Recent Non-Citizens Mixed Cases 3,776.00 3,776.00 CWKS Recent Non-Citizens TANF Timed-Out 302.00 302.00 CWKS Recent Non-Citizens NonFederal 1,799.00 1,799.00 EBT FS GA/GR (2,203.05) (2,203.05)

0.00 0.00 ARC 7,765.00 7,765.00

0.00 0.00 TOTAL REMITTANCE 4,033.76 13,806.00 17,839.76 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: NapaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 43,817.00 118,004.00 161,821.00 CWKS Safety Net Asst OCT-16 MO 12,600.00 12,600.00 CWKS TANF Timed-Out Asst OCT-16 MO 19,100.00 19,100.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 3,600.00 3,600.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,200.00 1,200.00 Total Advances 43,817.00 154,504.00 198,321.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 40,306.00 139,727.00 180,033.00 CWKS Safety Net Asst JUL-16 MO 13,084.00 13,084.00 CWKS TANF Timed-Out Asst JUL-16 MO 21,151.00 21,151.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 3,578.00 3,578.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,084.00 1,084.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (26,051.00) (139,727.00) (165,778.00)CWKS Safety Net Asst JUL-16 MO (14,200.00) (14,200.00)CWKS TANF Timed-Out Asst JUL-16 MO (17,600.00) (17,600.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (3,700.00) (3,700.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (1,400.00) (1,400.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 14,255.00 0.00 14,255.00 CWKS Safety Net Asst JUL-16 MO (1,116.00) (1,116.00)CWKS TANF Timed-Out Asst JUL-16 MO 3,551.00 3,551.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (122.00) (122.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (316.00) (316.00)Total Net Adjustments 14,255.00 1,997.00 16,252.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 14,255.00 1,997.00 16,252.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (93,631.00) (93,631.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (79,284.09) (79,284.09)CWKS Monthly MOE Subaccount Est. JUL-16 MO 88,429.00 88,429.00 Family Support Subaccount AUG-16 MO (48,933.81) (48,933.81)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 24,295.00 24,295.00 Child Poverty Subaccount Recoup** JUL-16 MO (10,445.17) (10,445.17)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 5,368.00 0.00 5,368.00

0.00 0.00 ARC Exp. JUL-16 MO 7,877.00 7,877.00 EBT FS GA/GR MAY-16 MO (335.72) (335.72)

0.00 0.00 Total Miscellaneous Adjustment 5,368.00 (112,028.79) (106,660.79)

TOTAL 63,440.00 44,472.21 107,912.21 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: NapaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 400.00 400.00 KinGAP Asst OCT-16 MO 5,000.00 5,000.00

Total Advances 400.00 5,000.00 5,400.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 506.00 506.00 KinGAP Asst JUL-16 MO 5,442.00 5,442.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (400.00) (400.00)KinGAP Asst JUL-16 MO (4,900.00) (4,900.00)Net AdjustmentsFedGAP Asst JUL-16 MO 106.00 106.00 KinGAP Asst JUL-16 MO 542.00 542.00 Total Net Adjustments 106.00 542.00 648.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 106.00 542.00 648.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 506.00 5,542.00 6,048.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 506.00 0.00 506.00 CALWORKS Asst 63,440.00 (1,566.07) 61,873.93 CWKS Safety Net Asst 11,484.00 11,484.00 CWKS TANF Timed-Out Asst 22,651.00 22,651.00

0.00 0.00 0.00 KinGAP Asst 5,542.00 5,542.00 CWKS Recent Non-Citizens Mixed Cases 3,478.00 3,478.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 884.00 884.00 EBT FS GA/GR (335.72) (335.72)

0.00 0.00 ARC 7,877.00 7,877.00

0.00 0.00 TOTAL REMITTANCE 63,946.00 50,014.21 113,960.21 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: NevadaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 38,378.00 120,514.00 158,892.00 CWKS Safety Net Asst OCT-16 MO 25,300.00 25,300.00 CWKS TANF Timed-Out Asst OCT-16 MO 18,100.00 18,100.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 38,378.00 163,914.00 202,292.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 27,082.00 143,091.00 170,173.00 CWKS Safety Net Asst JUL-16 MO 28,110.00 28,110.00 CWKS TANF Timed-Out Asst JUL-16 MO 20,003.00 20,003.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (26,678.00) (143,091.00) (169,769.00)CWKS Safety Net Asst JUL-16 MO (27,600.00) (27,600.00)CWKS TANF Timed-Out Asst JUL-16 MO (22,600.00) (22,600.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 404.00 0.00 404.00 CWKS Safety Net Asst JUL-16 MO 510.00 510.00 CWKS TANF Timed-Out Asst JUL-16 MO (2,597.00) (2,597.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 404.00 (2,087.00) (1,683.00)Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 11,167.37 11,167.37 Total Prior Period Adjustment 404.00 9,080.37 9,484.37

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (115,855.00) (115,855.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (98,103.34) (98,103.34)CWKS Monthly MOE Subaccount Est. JUL-16 MO 109,419.00 109,419.00 Family Support Subaccount AUG-16 MO (60,548.97) (60,548.97)Family Support Subaccount - Recoupment* APR-16 MO (7,500.00) (7,500.00)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 23,250.00 23,250.00 Child Poverty Subaccount Recoup** JUL-16 MO (12,924.48) (12,924.48)Child Poverty Growth FY14-15** FY 2015-16 (10,325.52) (10,325.52)

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (406.06) (406.06)0.00 0.00

Total Miscellaneous Adjustment 0.00 (172,994.37) (172,994.37)

TOTAL 38,782.00 0.00 38,782.00 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: NevadaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 4,000.00 4,000.00 KinGAP Asst OCT-16 MO 2,100.00 2,100.00

Total Advances 4,000.00 2,100.00 6,100.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 4,540.00 4,540.00 KinGAP Asst JUL-16 MO 2,310.00 2,310.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (4,000.00) (4,000.00)KinGAP Asst JUL-16 MO (2,100.00) (2,100.00)Net AdjustmentsFedGAP Asst JUL-16 MO 540.00 540.00 KinGAP Asst JUL-16 MO 210.00 210.00 Total Net Adjustments 540.00 210.00 750.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 540.00 210.00 750.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 430.00 0.00 430.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 430.00 0.00 430.00

TOTAL 4,970.00 2,310.00 7,280.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 4,970.00 0.00 4,970.00 CALWORKS Asst 38,782.00 (40,906.94) (2,124.94)CWKS Safety Net Asst 25,810.00 25,810.00 CWKS TANF Timed-Out Asst 15,503.00 15,503.00

0.00 0.00 0.00 KinGAP Asst 2,310.00 2,310.00

0.00 0.00 0.00 0.00 0.00 0.00

EBT FS GA/GR (406.06) (406.06)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE 43,752.00 2,310.00 46,062.00 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: OrangeSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 1,766,088.00 4,497,461.00 6,263,549.00 CWKS Safety Net Asst OCT-16 MO 598,700.00 598,700.00 CWKS TANF Timed-Out Asst OCT-16 MO 431,700.00 431,700.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 133,100.00 133,100.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 53,400.00 53,400.00 Total Advances 1,766,088.00 5,714,361.00 7,480,449.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 1,504,583.00 5,363,808.00 6,868,391.00 CWKS Safety Net Asst JUL-16 MO 664,331.00 664,331.00 CWKS TANF Timed-Out Asst JUL-16 MO 477,608.00 477,608.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 133,609.00 133,609.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 60,068.00 60,068.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (1,000,032.00) (5,363,808.00) (6,363,840.00)CWKS Safety Net Asst JUL-16 MO (636,100.00) (636,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (403,900.00) (403,900.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (123,100.00) (123,100.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (52,100.00) (52,100.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 504,551.00 0.00 504,551.00 CWKS Safety Net Asst JUL-16 MO 28,231.00 28,231.00 CWKS TANF Timed-Out Asst JUL-16 MO 73,708.00 73,708.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 10,509.00 10,509.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 7,968.00 7,968.00 Total Net Adjustments 504,551.00 120,416.00 624,967.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 504,551.00 120,416.00 624,967.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (3,596,428.00) (3,596,428.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (3,045,366.82) (3,045,366.82)CWKS Monthly MOE Subaccount Est. JUL-16 MO 3,396,626.00 3,396,626.00 Family Support Subaccount AUG-16 MO (1,879,587.73) (1,879,587.73)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 890,152.00 890,152.00 Child Poverty Subaccount Recoup** JUL-16 MO (401,207.36) (401,207.36)Child Poverty Growth FY14-15** FY 2015-16 (304,583.26) (304,583.26)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 2,524.00 2,524.00 CWKS Diversion Asst JUL-16 MO 15,792.00 2,028.00 17,820.00 CWKs ARC (MOE) JUL-16 MO 59,739.00 1,333.00 61,072.00

0.00 0.00 ARC Exp. JUL-16 MO 66,052.00 66,052.00 EBT FS GA/GR MAY-16 MO (12,697.04) (12,697.04)

0.00 0.00 Total Miscellaneous Adjustment 75,531.00 (4,881,155.21) (4,805,624.21)

TOTAL 2,346,170.00 953,621.79 3,299,791.79 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: OrangeSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 32,600.00 32,600.00 KinGAP Asst OCT-16 MO 128,400.00 128,400.00

Total Advances 32,600.00 128,400.00 161,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 36,741.00 36,741.00 KinGAP Asst JUL-16 MO 140,844.00 140,844.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (28,900.00) (28,900.00)KinGAP Asst JUL-16 MO (131,000.00) (131,000.00)Net AdjustmentsFedGAP Asst JUL-16 MO 7,841.00 7,841.00 KinGAP Asst JUL-16 MO 9,844.00 9,844.00 Total Net Adjustments 7,841.00 9,844.00 17,685.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 7,841.00 9,844.00 17,685.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO 10.00 10.00 KinGAP 18 Plus 0.00 4,051.00 4,051.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 10.00 4,051.00 4,061.00

TOTAL 40,451.00 142,295.00 182,746.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 40,451.00 0.00 40,451.00 CALWORKS Asst 2,330,378.00 (441,601.17) 1,888,776.83 CWKS Safety Net Asst 626,931.00 626,931.00 CWKS TANF Timed-Out Asst 505,408.00 505,408.00 CWKS Diversion Asst 15,792.00 2,028.00 17,820.00 KinGAP Asst 142,295.00 142,295.00 CWKS Recent Non-Citizens Mixed Cases 143,609.00 143,609.00 CWKS Recent Non-Citizens TANF Timed-Out 2,524.00 2,524.00 CWKS Recent Non-Citizens NonFederal 61,368.00 61,368.00 EBT FS GA/GR (12,697.04) (12,697.04)

0.00 0.00 ARC 66,052.00 66,052.00

0.00 0.00 TOTAL REMITTANCE 2,386,621.00 1,095,916.79 3,482,537.79 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: PlacerSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 114,413.00 283,304.00 397,717.00 CWKS Safety Net Asst OCT-16 MO 55,300.00 55,300.00 CWKS TANF Timed-Out Asst OCT-16 MO 26,500.00 26,500.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 5,100.00 5,100.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 3,200.00 3,200.00 Total Advances 114,413.00 373,404.00 487,817.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 90,902.00 336,363.00 427,265.00 CWKS Safety Net Asst JUL-16 MO 61,361.00 61,361.00 CWKS TANF Timed-Out Asst JUL-16 MO 29,299.00 29,299.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 5,137.00 5,137.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 3,658.00 3,658.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (62,712.00) (336,363.00) (399,075.00)CWKS Safety Net Asst JUL-16 MO (60,300.00) (60,300.00)CWKS TANF Timed-Out Asst JUL-16 MO (28,400.00) (28,400.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (3,800.00) (3,800.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (3,100.00) (3,100.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 28,190.00 0.00 28,190.00 CWKS Safety Net Asst JUL-16 MO 1,061.00 1,061.00 CWKS TANF Timed-Out Asst JUL-16 MO 899.00 899.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,337.00 1,337.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 558.00 558.00 Total Net Adjustments 28,190.00 3,855.00 32,045.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 28,190.00 3,855.00 32,045.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (264,112.00) (264,112.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (223,643.72) (223,643.72)CWKS Monthly MOE Subaccount Est. JUL-16 MO 249,439.00 249,439.00 Family Support Subaccount AUG-16 MO (138,031.98) (138,031.98)Family Support Subaccount - Recoupment* APR-16 MO (6,583.20) (6,583.20)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 57,286.00 57,286.00 Child Poverty Subaccount Recoup** JUL-16 MO (29,463.61) (29,463.61)Child Poverty Growth FY14-15** FY 2015-16 (27,822.39) (27,822.39)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 7,505.00 0.00 7,505.00 0.00 0.00

ARC Exp. JUL-16 MO 10,787.00 10,787.00 EBT FS GA/GR MAY-16 MO (1,091.17) (1,091.17)

0.00 0.00 Total Miscellaneous Adjustment 7,505.00 (373,236.07) (365,731.07)

TOTAL 150,108.00 4,022.93 154,130.93 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: PlacerSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 5,400.00 5,400.00 KinGAP Asst OCT-16 MO 6,900.00 6,900.00

Total Advances 5,400.00 6,900.00 12,300.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 6,036.00 6,036.00 KinGAP Asst JUL-16 MO 8,121.00 8,121.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (5,100.00) (5,100.00)KinGAP Asst JUL-16 MO (7,000.00) (7,000.00)Net AdjustmentsFedGAP Asst JUL-16 MO 936.00 936.00 KinGAP Asst JUL-16 MO 1,121.00 1,121.00 Total Net Adjustments 936.00 1,121.00 2,057.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 936.00 1,121.00 2,057.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus 0.00 1,395.00 1,395.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 0.00 1,395.00 1,395.00

TOTAL 6,336.00 9,416.00 15,752.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 6,336.00 0.00 6,336.00 CALWORKS Asst 150,108.00 (99,627.90) 50,480.10 CWKS Safety Net Asst 56,361.00 56,361.00 CWKS TANF Timed-Out Asst 27,399.00 27,399.00

0.00 0.00 0.00 KinGAP Asst 9,416.00 9,416.00 CWKS Recent Non-Citizens Mixed Cases 6,437.00 6,437.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 3,758.00 3,758.00 EBT FS GA/GR (1,091.17) (1,091.17)

0.00 0.00 ARC 10,787.00 10,787.00

0.00 0.00 TOTAL REMITTANCE 156,444.00 13,438.93 169,882.93 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: PlumasSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 8,184.00 37,089.00 45,273.00 CWKS Safety Net Asst OCT-16 MO 9,000.00 9,000.00 CWKS TANF Timed-Out Asst OCT-16 MO 5,200.00 5,200.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 8,184.00 51,289.00 59,473.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 10,361.34 36,735.66 47,097.00 CWKS Safety Net Asst JUL-16 MO 9,966.00 9,966.00 CWKS TANF Timed-Out Asst JUL-16 MO 5,493.00 5,493.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (9,302.00) (49,892.00) (59,194.00)CWKS Safety Net Asst JUL-16 MO (10,400.00) (10,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (7,000.00) (7,000.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 1,059.34 (13,156.34) (12,097.00)CWKS Safety Net Asst JUL-16 MO (434.00) (434.00)CWKS TANF Timed-Out Asst JUL-16 MO (1,507.00) (1,507.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 1,059.34 (15,097.34) (14,038.00)Calworks - Recoupment JUN-16 MO (2,393.00) (2,393.00)Calworks - Deferrment JUL-16 MO 6,152.82 6,152.82 Total Prior Period Adjustment (1,333.66) (8,944.52) (10,278.18)

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (32,324.00) (32,324.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (27,371.51) (27,371.51)CWKS Monthly MOE Subaccount Est. JUL-16 MO 30,529.00 30,529.00 Family Support Subaccount AUG-16 MO (16,893.58) (16,893.58)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 6,674.00 6,674.00 Child Poverty Subaccount Recoup** JUL-16 MO (3,606.02) (3,606.02)Child Poverty Growth FY14-15** FY 2015-16 (343.30) (343.30)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 936.00 0.00 936.00 0.00 0.00

ARC Exp. JUL-16 MO 1,099.00 1,099.00 EBT FS GA/GR MAY-16 MO (108.07) (108.07)

0.00 0.00 Total Miscellaneous Adjustment 936.00 (42,344.48) (41,408.48)

TOTAL 7,786.34 0.00 7,786.34 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: PlumasSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 2,600.00 2,600.00 KinGAP Asst 0.00 0.00

Total Advances 2,600.00 0.00 2,600.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 2,924.00 2,924.00 KinGAP Asst 0.00 0.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (2,300.00) (2,300.00)KinGAP Asst 0.00 0.00 Net AdjustmentsFedGAP Asst JUL-16 MO 624.00 624.00 KinGAP Asst 0.00 0.00 Total Net Adjustments 624.00 0.00 624.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 624.00 0.00 624.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 859.00 0.00 859.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 859.00 0.00 859.00

TOTAL 4,083.00 0.00 4,083.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 4,083.00 0.00 4,083.00 CALWORKS Asst 7,786.34 (13,249.93) (5,463.59)CWKS Safety Net Asst 8,566.00 8,566.00 CWKS TANF Timed-Out Asst 3,693.00 3,693.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00

CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 0.00 0.00

EBT FS GA/GR (108.07) (108.07)0.00 0.00

ARC 1,099.00 1,099.00 0.00 0.00

TOTAL REMITTANCE 11,869.34 (0.00) 11,869.34 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: RiversideSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 2,455,761.00 5,999,676.00 8,455,437.00 CWKS Safety Net Asst OCT-16 MO 1,562,400.00 1,562,400.00 CWKS TANF Timed-Out Asst OCT-16 MO 764,800.00 764,800.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 66,000.00 66,000.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 11,200.00 11,200.00 Total Advances 2,455,761.00 8,404,076.00 10,859,837.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 2,217,939.00 7,147,221.00 9,365,160.00 CWKS Safety Net Asst JUL-16 MO 1,732,992.00 1,732,992.00 CWKS TANF Timed-Out Asst JUL-16 MO 846,182.00 846,182.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 66,253.00 66,253.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 12,656.00 12,656.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (1,332,533.00) (7,147,221.00) (8,479,754.00)CWKS Safety Net Asst JUL-16 MO (1,553,100.00) (1,553,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (736,100.00) (736,100.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (56,100.00) (56,100.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (12,900.00) (12,900.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 885,406.00 0.00 885,406.00 CWKS Safety Net Asst JUL-16 MO 179,892.00 179,892.00 CWKS TANF Timed-Out Asst JUL-16 MO 110,082.00 110,082.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 10,153.00 10,153.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (244.00) (244.00)Total Net Adjustments 885,406.00 299,883.00 1,185,289.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 885,406.00 299,883.00 1,185,289.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (5,414,992.00) (5,414,992.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (4,585,282.41) (4,585,282.41)CWKS Monthly MOE Subaccount Est. JUL-16 MO 5,114,159.00 5,114,159.00 Family Support Subaccount AUG-16 MO (2,830,017.21) (2,830,017.21)Family Support Subaccount - Recoupment* APR-16 MO (329,454.61) (329,454.61)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 1,303,623.00 1,303,623.00 Child Poverty Subaccount Recoup** JUL-16 MO (604,081.26) (604,081.26)Child Poverty Growth FY14-15** FY 2015-16 (699,541.74) (699,541.74)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO (27.00) (27.00)

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 61,940.00 0.00 61,940.00

0.00 0.00 ARC Exp. JUL-16 MO 98,609.00 98,609.00 EBT FS GA/GR MAY-16 MO (11,853.09) (11,853.09)

0.00 0.00 Total Miscellaneous Adjustment 61,940.00 (7,958,858.32) (7,896,918.32)

TOTAL 3,403,107.00 745,100.68 4,148,207.68 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: RiversideSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 175,100.00 175,100.00 KinGAP Asst OCT-16 MO 234,300.00 234,300.00

Total Advances 175,100.00 234,300.00 409,400.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 197,171.00 197,171.00 KinGAP Asst JUL-16 MO 256,982.00 256,982.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (148,200.00) (148,200.00)KinGAP Asst JUL-16 MO (270,600.00) (270,600.00)Net AdjustmentsFedGAP Asst JUL-16 MO 48,971.00 48,971.00 KinGAP Asst JUL-16 MO (13,618.00) (13,618.00)Total Net Adjustments 48,971.00 (13,618.00) 35,353.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 48,971.00 (13,618.00) 35,353.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 3,787.00 7,807.00 11,594.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 3,787.00 7,807.00 11,594.00

TOTAL 227,858.00 228,489.00 456,347.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 227,858.00 0.00 227,858.00 CALWORKS Asst 3,403,107.00 (2,045,911.23) 1,357,195.77 CWKS Safety Net Asst 1,742,292.00 1,742,292.00 CWKS TANF Timed-Out Asst 874,882.00 874,882.00

0.00 0.00 0.00 KinGAP Asst 228,489.00 228,489.00 CWKS Recent Non-Citizens Mixed Cases 76,153.00 76,153.00 CWKS Recent Non-Citizens TANF Timed-Out (27.00) (27.00)CWKS Recent Non-Citizens NonFederal 10,956.00 10,956.00 EBT FS GA/GR (11,853.09) (11,853.09)

0.00 0.00 ARC 98,609.00 98,609.00

0.00 0.00 TOTAL REMITTANCE 3,630,965.00 973,589.68 4,604,554.68 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SacramentoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 2,190,377.00 5,114,143.00 7,304,520.00 CWKS Safety Net Asst OCT-16 MO 2,368,200.00 2,368,200.00 CWKS TANF Timed-Out Asst OCT-16 MO 738,800.00 738,800.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 259,200.00 259,200.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 166,700.00 166,700.00 Total Advances 2,190,377.00 8,647,043.00 10,837,420.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 1,906,400.00 6,126,730.00 8,033,130.00 CWKS Safety Net Asst JUL-16 MO 2,627,037.00 2,627,037.00 CWKS TANF Timed-Out Asst JUL-16 MO 817,437.00 817,437.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 260,179.00 260,179.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 187,693.00 187,693.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (1,142,272.00) (6,126,730.00) (7,269,002.00)CWKS Safety Net Asst JUL-16 MO (2,360,400.00) (2,360,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (742,000.00) (742,000.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (217,700.00) (217,700.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (168,900.00) (168,900.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 764,128.00 0.00 764,128.00 CWKS Safety Net Asst JUL-16 MO 266,637.00 266,637.00 CWKS TANF Timed-Out Asst JUL-16 MO 75,437.00 75,437.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 42,479.00 42,479.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 18,793.00 18,793.00 Total Net Adjustments 764,128.00 403,346.00 1,167,474.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 764,128.00 403,346.00 1,167,474.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (5,063,671.00) (5,063,671.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (4,287,792.16) (4,287,792.16)CWKS Monthly MOE Subaccount Est. JUL-16 MO 4,782,356.00 4,782,356.00 Family Support Subaccount AUG-16 MO (2,646,407.47) (2,646,407.47)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 1,266,902.00 1,266,902.00 Child Poverty Subaccount Recoup** JUL-16 MO (564,888.85) (564,888.85)Child Poverty Growth FY14-15** FY 2015-16 (695,309.93) (695,309.93)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 1,673.00 1,673.00 CWKS Diversion Asst JUL-16 MO 1,924.00 0.00 1,924.00 CWKs ARC (MOE) JUL-16 MO 49,859.00 0.00 49,859.00

0.00 0.00 ARC Exp. JUL-16 MO 60,674.00 60,674.00 EBT FS GA/GR MAY-16 MO (12,848.81) (12,848.81)

0.00 0.00 Total Miscellaneous Adjustment 51,783.00 (7,159,313.22) (7,107,530.22)

TOTAL 3,006,288.00 1,891,075.78 4,897,363.78 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SacramentoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 230,300.00 230,300.00 KinGAP Asst OCT-16 MO 39,100.00 39,100.00

Total Advances 230,300.00 39,100.00 269,400.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 259,290.00 259,290.00 KinGAP Asst JUL-16 MO 42,906.00 42,906.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (227,000.00) (227,000.00)KinGAP Asst JUL-16 MO (38,200.00) (38,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO 32,290.00 32,290.00 KinGAP Asst JUL-16 MO 4,706.00 4,706.00 Total Net Adjustments 32,290.00 4,706.00 36,996.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 32,290.00 4,706.00 36,996.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 15,387.00 2,093.00 17,480.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 15,387.00 2,093.00 17,480.00

TOTAL 277,977.00 45,899.00 323,876.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 277,977.00 0.00 277,977.00 CALWORKS Asst 3,004,364.00 (2,094,668.41) 909,695.59 CWKS Safety Net Asst 2,634,837.00 2,634,837.00 CWKS TANF Timed-Out Asst 814,237.00 814,237.00 CWKS Diversion Asst 1,924.00 0.00 1,924.00 KinGAP Asst 45,899.00 45,899.00 CWKS Recent Non-Citizens Mixed Cases 301,679.00 301,679.00 CWKS Recent Non-Citizens TANF Timed-Out 1,673.00 1,673.00 CWKS Recent Non-Citizens NonFederal 185,493.00 185,493.00 EBT FS GA/GR (12,848.81) (12,848.81)

0.00 0.00 ARC 60,674.00 60,674.00

0.00 0.00 TOTAL REMITTANCE 3,284,265.00 1,936,974.78 5,221,239.78 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San BenitoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 31,034.00 112,265.00 143,299.00 CWKS Safety Net Asst OCT-16 MO 23,200.00 23,200.00 CWKS TANF Timed-Out Asst OCT-16 MO 12,200.00 12,200.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 1,500.00 1,500.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 31,034.00 149,165.00 180,199.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 18,520.00 136,829.00 155,349.00 CWKS Safety Net Asst JUL-16 MO 25,705.00 25,705.00 CWKS TANF Timed-Out Asst JUL-16 MO 13,532.00 13,532.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,181.00 1,181.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (25,511.00) (136,829.00) (162,340.00)CWKS Safety Net Asst JUL-16 MO (24,500.00) (24,500.00)CWKS TANF Timed-Out Asst JUL-16 MO (13,100.00) (13,100.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,800.00) (1,800.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO (6,991.00) 0.00 (6,991.00)CWKS Safety Net Asst JUL-16 MO 1,205.00 1,205.00 CWKS TANF Timed-Out Asst JUL-16 MO 432.00 432.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (619.00) (619.00)CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments (6,991.00) 1,018.00 (5,973.00)Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 11,372.07 11,372.07 Total Prior Period Adjustment (6,991.00) 12,390.07 5,399.07

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (108,102.00) (108,102.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (91,537.86) (91,537.86)CWKS Monthly MOE Subaccount Est. JUL-16 MO 102,096.00 102,096.00 Family Support Subaccount AUG-16 MO (56,496.79) (56,496.79)Family Support Subaccount - Recoupment* APR-16 MO (8,000.00) (8,000.00)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 21,045.00 21,045.00 Child Poverty Subaccount Recoup** JUL-16 MO (12,554.08) (12,554.08)Child Poverty Growth FY14-15** FY 2015-16 (8,490.92) (8,490.92)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 744.00 0.00 744.00 0.00 0.00

ARC Exp. JUL-16 MO 728.00 728.00 EBT FS GA/GR MAY-16 MO (242.42) (242.42)

0.00 0.00 Total Miscellaneous Adjustment 744.00 (161,555.07) (160,811.07)

TOTAL 24,787.00 0.00 24,787.00 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San BenitoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst 0.00 0.00 KinGAP Asst OCT-16 MO 2,700.00 2,700.00

Total Advances 0.00 2,700.00 2,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO 2,951.00 2,951.00 Less: Advances 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO (2,600.00) (2,600.00)Net AdjustmentsFedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO 351.00 351.00 Total Net Adjustments 0.00 351.00 351.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 0.00 351.00 351.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus 0.00 698.00 698.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 0.00 698.00 698.00

TOTAL 0.00 3,749.00 3,749.00

AS SHOWN ON REMITTANCE ADVICES0.00 0.00 0.00

CALWORKS Asst 24,787.00 (38,403.58) (13,616.58)CWKS Safety Net Asst 24,405.00 24,405.00 CWKS TANF Timed-Out Asst 12,632.00 12,632.00

0.00 0.00 0.00 KinGAP Asst 3,749.00 3,749.00 CWKS Recent Non-Citizens Mixed Cases 881.00 881.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00

0.00 0.00 EBT FS GA/GR (242.42) (242.42)

0.00 0.00 ARC 728.00 728.00

0.00 0.00 TOTAL REMITTANCE 24,787.00 3,749.00 28,536.00 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San BernardinoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 3,887,888.00 8,924,505.00 12,812,393.00 CWKS Safety Net Asst OCT-16 MO 3,351,800.00 3,351,800.00 CWKS TANF Timed-Out Asst OCT-16 MO 1,571,300.00 1,571,300.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 95,700.00 95,700.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 20,200.00 20,200.00 Total Advances 3,887,888.00 13,963,505.00 17,851,393.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 3,422,531.00 10,725,370.00 14,147,901.00 CWKS Safety Net Asst JUL-16 MO 3,720,612.00 3,720,612.00 CWKS TANF Timed-Out Asst JUL-16 MO 1,738,432.00 1,738,432.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 96,096.00 96,096.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 22,756.00 22,756.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (1,999,645.00) (10,725,370.00) (12,725,015.00)CWKS Safety Net Asst JUL-16 MO (3,321,600.00) (3,321,600.00)CWKS TANF Timed-Out Asst JUL-16 MO (1,560,400.00) (1,560,400.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (86,200.00) (86,200.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (21,100.00) (21,100.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 1,422,886.00 0.00 1,422,886.00 CWKS Safety Net Asst JUL-16 MO 399,012.00 399,012.00 CWKS TANF Timed-Out Asst JUL-16 MO 178,032.00 178,032.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 9,896.00 9,896.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,656.00 1,656.00 Total Net Adjustments 1,422,886.00 588,596.00 2,011,482.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 1,422,886.00 588,596.00 2,011,482.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (8,179,331.00) (8,179,331.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (6,926,056.96) (6,926,056.96)CWKS Monthly MOE Subaccount Est. JUL-16 MO 7,724,924.00 7,724,924.00 Family Support Subaccount AUG-16 MO (4,274,733.51) (4,274,733.51)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 2,095,942.00 2,095,942.00 Child Poverty Subaccount Recoup** JUL-16 MO (912,463.15) (912,463.15)Child Poverty Growth FY14-15** FY 2015-16 (665,129.56) (665,129.56)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 108.00 108.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (16,469.32) (16,469.32)0.00 0.00

Total Miscellaneous Adjustment 0.00 (11,153,209.50) (11,153,209.50)

TOTAL 5,310,774.00 3,398,891.50 8,709,665.50 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San BernardinoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 331,600.00 331,600.00 KinGAP Asst OCT-16 MO 157,700.00 157,700.00

Total Advances 331,600.00 157,700.00 489,300.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 373,302.00 373,302.00 KinGAP Asst JUL-16 MO 172,962.00 172,962.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (307,900.00) (307,900.00)KinGAP Asst JUL-16 MO (132,000.00) (132,000.00)Net AdjustmentsFedGAP Asst JUL-16 MO 65,402.00 65,402.00 KinGAP Asst JUL-16 MO 40,962.00 40,962.00 Total Net Adjustments 65,402.00 40,962.00 106,364.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 65,402.00 40,962.00 106,364.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 6,044.00 4,516.00 10,560.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 6,044.00 4,516.00 10,560.00

TOTAL 403,046.00 203,178.00 606,224.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 403,046.00 0.00 403,046.00 CALWORKS Asst 5,310,774.00 (2,212,343.18) 3,098,430.82 CWKS Safety Net Asst 3,750,812.00 3,750,812.00 CWKS TANF Timed-Out Asst 1,749,332.00 1,749,332.00

0.00 0.00 0.00 KinGAP Asst 203,178.00 203,178.00 CWKS Recent Non-Citizens Mixed Cases 105,596.00 105,596.00

108.00 108.00 CWKS Recent Non-Citizens NonFederal 21,856.00 21,856.00 EBT FS GA/GR (16,469.32) (16,469.32)

0.00 0.00 0.00 0.00 0.00 0.00

TOTAL REMITTANCE 5,713,820.00 3,602,069.50 9,315,889.50 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San DiegoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 2,118,878.00 5,333,105.00 7,451,983.00 CWKS Safety Net Asst OCT-16 MO 1,534,900.00 1,534,900.00 CWKS TANF Timed-Out Asst OCT-16 MO 888,100.00 888,100.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 201,900.00 201,900.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 51,900.00 51,900.00 Total Advances 2,118,878.00 8,009,905.00 10,128,783.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 1,845,405.00 6,343,213.00 8,188,618.00 CWKS Safety Net Asst JUL-16 MO 1,673,386.00 1,673,386.00 CWKS TANF Timed-Out Asst JUL-16 MO 982,618.00 982,618.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 202,708.00 202,708.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 58,460.00 58,460.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (1,182,633.00) (6,343,213.00) (7,525,846.00)CWKS Safety Net Asst JUL-16 MO (1,499,800.00) (1,499,800.00)CWKS TANF Timed-Out Asst JUL-16 MO (871,600.00) (871,600.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (197,700.00) (197,700.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (58,100.00) (58,100.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 662,772.00 0.00 662,772.00 CWKS Safety Net Asst JUL-16 MO 173,586.00 173,586.00 CWKS TANF Timed-Out Asst JUL-16 MO 111,018.00 111,018.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 5,008.00 5,008.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 360.00 360.00 Total Net Adjustments 662,772.00 289,972.00 952,744.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 662,772.00 289,972.00 952,744.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (4,979,555.00) (4,979,555.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (4,216,564.97) (4,216,564.97)CWKS Monthly MOE Subaccount Est. JUL-16 MO 4,702,913.00 4,702,913.00 Family Support Subaccount AUG-16 MO (2,602,446.34) (2,602,446.34)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 1,206,898.00 1,206,898.00 Child Poverty Subaccount Recoup** JUL-16 MO (555,505.13) (555,505.13)Child Poverty Growth FY14-15** FY 2015-16 (651,392.87) (651,392.87)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 23,398.00 23,398.00 CWKS Diversion Asst JUL-16 MO 3,994.00 0.00 3,994.00 CWKs ARC (MOE) JUL-16 MO 105,969.00 0.00 105,969.00

0.00 0.00 ARC Exp. JUL-16 MO 111,897.00 111,897.00 EBT FS GA/GR MAY-16 MO (14,343.33) (14,343.33)

0.00 0.00 Total Miscellaneous Adjustment 109,963.00 (6,974,701.64) (6,864,738.64)

TOTAL 2,891,613.00 1,325,175.36 4,216,788.36 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San DiegoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 96,100.00 96,100.00 KinGAP Asst OCT-16 MO 125,400.00 125,400.00

Total Advances 96,100.00 125,400.00 221,500.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 108,205.00 108,205.00 KinGAP Asst JUL-16 MO 137,554.00 137,554.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (89,300.00) (89,300.00)KinGAP Asst JUL-16 MO (122,700.00) (122,700.00)Net AdjustmentsFedGAP Asst JUL-16 MO 18,905.00 18,905.00 KinGAP Asst JUL-16 MO 14,854.00 14,854.00 Total Net Adjustments 18,905.00 14,854.00 33,759.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 18,905.00 14,854.00 33,759.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO 35.00 35.00 KinGAP 18 Plus JUL-16 MO 5,326.00 (213.00) 5,113.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 5,361.00 (213.00) 5,148.00

TOTAL 120,366.00 140,041.00 260,407.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 120,366.00 0.00 120,366.00 CALWORKS Asst 2,887,619.00 (1,762,548.31) 1,125,070.69 CWKS Safety Net Asst 1,708,486.00 1,708,486.00 CWKS TANF Timed-Out Asst 999,118.00 999,118.00 CWKS Diversion Asst 3,994.00 0.00 3,994.00 KinGAP Asst 140,041.00 140,041.00 CWKS Recent Non-Citizens Mixed Cases 206,908.00 206,908.00 CWKS Recent Non-Citizens TANF Timed-Out 23,398.00 23,398.00 CWKS Recent Non-Citizens NonFederal 52,260.00 52,260.00 EBT FS GA/GR (14,343.33) (14,343.33)

0.00 0.00 ARC 111,897.00 111,897.00

0.00 0.00 TOTAL REMITTANCE 3,011,979.00 1,465,216.36 4,477,195.36 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San FranciscoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 276,645.00 717,685.00 994,330.00 CWKS Safety Net Asst OCT-16 MO 206,700.00 206,700.00 CWKS TANF Timed-Out Asst OCT-16 MO 141,700.00 141,700.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 44,000.00 44,000.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 15,000.00 15,000.00 Total Advances 276,645.00 1,125,085.00 1,401,730.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 240,808.00 860,301.00 1,101,109.00 CWKS Safety Net Asst JUL-16 MO 229,386.00 229,386.00 CWKS TANF Timed-Out Asst JUL-16 MO 156,729.00 156,729.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 44,141.00 44,141.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 16,863.00 16,863.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (160,395.00) (860,301.00) (1,020,696.00)CWKS Safety Net Asst JUL-16 MO (219,600.00) (219,600.00)CWKS TANF Timed-Out Asst JUL-16 MO (150,000.00) (150,000.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (60,700.00) (60,700.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (12,300.00) (12,300.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 80,413.00 0.00 80,413.00 CWKS Safety Net Asst JUL-16 MO 9,786.00 9,786.00 CWKS TANF Timed-Out Asst JUL-16 MO 6,729.00 6,729.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (16,559.00) (16,559.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 4,563.00 4,563.00 Total Net Adjustments 80,413.00 4,519.00 84,932.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 80,413.00 4,519.00 84,932.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (676,914.00) (676,914.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (573,194.41) (573,194.41)CWKS Monthly MOE Subaccount Est. JUL-16 MO 639,308.00 639,308.00 Family Support Subaccount AUG-16 MO (353,773.20) (353,773.20)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 171,392.00 171,392.00 Child Poverty Subaccount Recoup** JUL-16 MO (75,514.65) (75,514.65)Child Poverty Growth FY14-15** FY 2015-16 (36,143.51) (36,143.51)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 1,775.00 1,775.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 2,615.00 666.00 3,281.00

0.00 0.00 ARC Exp. JUL-16 MO 4,037.00 4,037.00 EBT FS GA/GR MAY-16 MO (4,931.58) (4,931.58)

0.00 0.00 Total Miscellaneous Adjustment 2,615.00 (903,293.35) (900,678.35)

TOTAL 359,673.00 226,310.65 585,983.65 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San FranciscoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 136,500.00 136,500.00 KinGAP Asst OCT-16 MO 19,900.00 19,900.00

Total Advances 136,500.00 19,900.00 156,400.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 153,677.00 153,677.00 KinGAP Asst JUL-16 MO 21,845.00 21,845.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (132,000.00) (132,000.00)KinGAP Asst JUL-16 MO (20,200.00) (20,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO 21,677.00 21,677.00 KinGAP Asst JUL-16 MO 1,645.00 1,645.00 Total Net Adjustments 21,677.00 1,645.00 23,322.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 21,677.00 1,645.00 23,322.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO (119.00) (119.00)KinGAP 18 Plus JUL-16 MO 8,671.00 2,578.00 11,249.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 8,552.00 2,578.00 11,130.00

TOTAL 166,729.00 24,123.00 190,852.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 166,729.00 0.00 166,729.00 CALWORKS Asst 359,673.00 (186,488.77) 173,184.23 CWKS Safety Net Asst 216,486.00 216,486.00 CWKS TANF Timed-Out Asst 148,429.00 148,429.00

0.00 0.00 0.00 KinGAP Asst 24,123.00 24,123.00 CWKS Recent Non-Citizens Mixed Cases 27,441.00 27,441.00 CWKS Recent Non-Citizens TANF Timed-Out 1,775.00 1,775.00 CWKS Recent Non-Citizens NonFederal 19,563.00 19,563.00 EBT FS GA/GR (4,931.58) (4,931.58)

0.00 0.00 ARC 4,037.00 4,037.00

0.00 0.00 TOTAL REMITTANCE 526,402.00 250,433.65 776,835.65 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San JoaquinSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 1,035,889.00 2,625,041.00 3,660,930.00 CWKS Safety Net Asst OCT-16 MO 1,207,400.00 1,207,400.00 CWKS TANF Timed-Out Asst OCT-16 MO 344,000.00 344,000.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 43,100.00 43,100.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 6,800.00 6,800.00 Total Advances 1,035,889.00 4,226,341.00 5,262,230.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 873,436.00 3,150,374.00 4,023,810.00 CWKS Safety Net Asst JUL-16 MO 1,340,582.00 1,340,582.00 CWKS TANF Timed-Out Asst JUL-16 MO 380,638.00 380,638.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 43,312.00 43,312.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 7,710.00 7,710.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (587,358.00) (3,150,374.00) (3,737,732.00)CWKS Safety Net Asst JUL-16 MO (1,199,400.00) (1,199,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (349,300.00) (349,300.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (44,600.00) (44,600.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (8,500.00) (8,500.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 286,078.00 0.00 286,078.00 CWKS Safety Net Asst JUL-16 MO 141,182.00 141,182.00 CWKS TANF Timed-Out Asst JUL-16 MO 31,338.00 31,338.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,288.00) (1,288.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (790.00) (790.00)Total Net Adjustments 286,078.00 170,442.00 456,520.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 286,078.00 170,442.00 456,520.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (2,640,334.00) (2,640,334.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (2,235,769.65) (2,235,769.65)CWKS Monthly MOE Subaccount Est. JUL-16 MO 2,493,648.00 2,493,648.00 Family Support Subaccount AUG-16 MO (1,379,907.72) (1,379,907.72)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 618,270.00 618,270.00 Child Poverty Subaccount Recoup** JUL-16 MO (294,548.17) (294,548.17)Child Poverty Growth FY14-15** FY 2015-16 (323,721.83) (323,721.83)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 29,918.00 0.00 29,918.00 0.00 0.00

ARC Exp. JUL-16 MO 37,376.00 37,376.00 EBT FS GA/GR MAY-16 MO (4,788.12) (4,788.12)

0.00 0.00 Total Miscellaneous Adjustment 29,918.00 (3,729,775.49) (3,699,857.49)

TOTAL 1,351,885.00 667,007.51 2,018,892.51 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San JoaquinSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 36,100.00 36,100.00 KinGAP Asst OCT-16 MO 39,800.00 39,800.00

Total Advances 36,100.00 39,800.00 75,900.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 40,606.00 40,606.00 KinGAP Asst JUL-16 MO 43,699.00 43,699.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (30,900.00) (30,900.00)KinGAP Asst JUL-16 MO (36,200.00) (36,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO 9,706.00 9,706.00 KinGAP Asst JUL-16 MO 7,499.00 7,499.00 Total Net Adjustments 9,706.00 7,499.00 17,205.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 9,706.00 7,499.00 17,205.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 45,806.00 47,299.00 93,105.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 45,806.00 0.00 45,806.00 CALWORKS Asst 1,351,885.00 (1,137,322.37) 214,562.63 CWKS Safety Net Asst 1,348,582.00 1,348,582.00 CWKS TANF Timed-Out Asst 375,338.00 375,338.00

0.00 0.00 0.00 KinGAP Asst 47,299.00 47,299.00 CWKS Recent Non-Citizens Mixed Cases 41,812.00 41,812.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 6,010.00 6,010.00 EBT FS GA/GR (4,788.12) (4,788.12)

0.00 0.00 ARC 37,376.00 37,376.00

0.00 0.00 TOTAL REMITTANCE 1,397,691.00 714,306.51 2,111,997.51 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San Luis ObispoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 134,295.00 384,659.00 518,954.00 CWKS Safety Net Asst OCT-16 MO 68,800.00 68,800.00 CWKS TANF Timed-Out Asst OCT-16 MO 60,200.00 60,200.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 3,300.00 3,300.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,000.00 1,000.00 Total Advances 134,295.00 517,959.00 652,254.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 103,388.00 458,777.00 562,165.00 CWKS Safety Net Asst JUL-16 MO 76,314.00 76,314.00 CWKS TANF Timed-Out Asst JUL-16 MO 66,625.00 66,625.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 3,622.00 3,622.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,106.00 1,106.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (85,535.00) (458,777.00) (544,312.00)CWKS Safety Net Asst JUL-16 MO (66,600.00) (66,600.00)CWKS TANF Timed-Out Asst JUL-16 MO (56,800.00) (56,800.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (4,500.00) (4,500.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (1,000.00) (1,000.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 17,853.00 0.00 17,853.00 CWKS Safety Net Asst JUL-16 MO 9,714.00 9,714.00 CWKS TANF Timed-Out Asst JUL-16 MO 9,825.00 9,825.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (878.00) (878.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 106.00 106.00 Total Net Adjustments 17,853.00 18,767.00 36,620.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 17,853.00 18,767.00 36,620.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (308,924.00) (308,924.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (261,589.34) (261,589.34)CWKS Monthly MOE Subaccount Est. JUL-16 MO 291,762.00 291,762.00 Family Support Subaccount AUG-16 MO (161,451.85) (161,451.85)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 77,045.00 77,045.00 Child Poverty Subaccount Recoup** JUL-16 MO (34,462.70) (34,462.70)Child Poverty Growth FY14-15** FY 2015-16 (3,880.84) (3,880.84)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 6,194.00 0.00 6,194.00 0.00 0.00

ARC Exp. JUL-16 MO 11,013.00 11,013.00 EBT FS GA/GR MAY-16 MO (1,065.44) (1,065.44)

0.00 0.00 Total Miscellaneous Adjustment 6,194.00 (391,554.17) (385,360.17)

TOTAL 158,342.00 145,171.83 303,513.83 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San Luis ObispoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 21,500.00 21,500.00 KinGAP Asst OCT-16 MO 12,300.00 12,300.00

Total Advances 21,500.00 12,300.00 33,800.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 24,210.00 24,210.00 KinGAP Asst JUL-16 MO 13,528.00 13,528.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (17,500.00) (17,500.00)KinGAP Asst JUL-16 MO (12,600.00) (12,600.00)Net AdjustmentsFedGAP Asst JUL-16 MO 6,710.00 6,710.00 KinGAP Asst JUL-16 MO 928.00 928.00 Total Net Adjustments 6,710.00 928.00 7,638.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 6,710.00 928.00 7,638.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus 0.00 1,395.00 1,395.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 0.00 1,395.00 1,395.00

TOTAL 28,210.00 14,623.00 42,833.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 28,210.00 0.00 28,210.00 CALWORKS Asst 158,342.00 (16,842.73) 141,499.27 CWKS Safety Net Asst 78,514.00 78,514.00 CWKS TANF Timed-Out Asst 70,025.00 70,025.00

0.00 0.00 0.00 KinGAP Asst 14,623.00 14,623.00 CWKS Recent Non-Citizens Mixed Cases 2,422.00 2,422.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 1,106.00 1,106.00 EBT FS GA/GR (1,065.44) (1,065.44)

0.00 0.00 ARC 11,013.00 11,013.00

0.00 0.00 TOTAL REMITTANCE 186,552.00 159,794.83 346,346.83 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San MateoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 125,075.00 344,728.00 469,803.00 CWKS Safety Net Asst OCT-16 MO 56,600.00 56,600.00 CWKS TANF Timed-Out Asst OCT-16 MO 46,600.00 46,600.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 28,200.00 28,200.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,700.00 1,700.00 Total Advances 125,075.00 477,828.00 602,903.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 106,100.00 412,299.00 518,399.00 CWKS Safety Net Asst JUL-16 MO 62,908.00 62,908.00 CWKS TANF Timed-Out Asst JUL-16 MO 51,525.00 51,525.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 28,308.00 28,308.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,486.00 1,486.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (76,869.00) (412,299.00) (489,168.00)CWKS Safety Net Asst JUL-16 MO (61,800.00) (61,800.00)CWKS TANF Timed-Out Asst JUL-16 MO (47,200.00) (47,200.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (23,000.00) (23,000.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (2,400.00) (2,400.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 29,231.00 0.00 29,231.00 CWKS Safety Net Asst JUL-16 MO 1,108.00 1,108.00 CWKS TANF Timed-Out Asst JUL-16 MO 4,325.00 4,325.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 5,308.00 5,308.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (914.00) (914.00)Total Net Adjustments 29,231.00 9,827.00 39,058.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 108,158.41 108,158.41 Total Prior Period Adjustment 29,231.00 117,985.41 147,216.41

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (389,960.00) (389,960.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (330,208.64) (330,208.64)CWKS Monthly MOE Subaccount Est. JUL-16 MO 368,296.00 368,296.00 Family Support Subaccount AUG-16 MO (203,803.39) (203,803.39)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 70,902.00 70,902.00 Child Poverty Subaccount Recoup** JUL-16 MO (70,902.00) (70,902.00)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 3,052.00 0.00 3,052.00

0.00 0.00 ARC Exp. JUL-16 MO 2,745.00 2,745.00 EBT FS GA/GR MAY-16 MO (1,589.73) (1,589.73)

0.00 0.00 Total Miscellaneous Adjustment 3,052.00 (554,520.76) (551,468.76)

TOTAL 157,358.00 41,292.65 198,650.65 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: San MateoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 18,400.00 18,400.00 KinGAP Asst OCT-16 MO 5,300.00 5,300.00

Total Advances 18,400.00 5,300.00 23,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 20,749.00 20,749.00 KinGAP Asst JUL-16 MO 5,868.00 5,868.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (17,400.00) (17,400.00)KinGAP Asst JUL-16 MO (3,500.00) (3,500.00)Net AdjustmentsFedGAP Asst JUL-16 MO 3,349.00 3,349.00 KinGAP Asst JUL-16 MO 2,368.00 2,368.00 Total Net Adjustments 3,349.00 2,368.00 5,717.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 3,349.00 2,368.00 5,717.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 442.00 0.00 442.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 442.00 0.00 442.00

TOTAL 22,191.00 7,668.00 29,859.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 22,191.00 0.00 22,191.00 CALWORKS Asst 157,358.00 (102,789.62) 54,568.38 CWKS Safety Net Asst 57,708.00 57,708.00 CWKS TANF Timed-Out Asst 50,925.00 50,925.00

0.00 0.00 0.00 KinGAP Asst 7,668.00 7,668.00 CWKS Recent Non-Citizens Mixed Cases 33,508.00 33,508.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 786.00 786.00 EBT FS GA/GR (1,589.73) (1,589.73)

0.00 0.00 ARC 2,745.00 2,745.00

0.00 0.00 TOTAL REMITTANCE 179,549.00 48,960.65 228,509.65 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Santa BarbaraSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 161,007.00 963,119.00 1,124,126.00 CWKS Safety Net Asst OCT-16 MO 145,900.00 145,900.00 CWKS TANF Timed-Out Asst OCT-16 MO 97,200.00 97,200.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 7,900.00 7,900.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,800.00 1,800.00 Total Advances 161,007.00 1,215,919.00 1,376,926.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 93,565.00 1,137,116.00 1,230,681.00 CWKS Safety Net Asst JUL-16 MO 161,768.00 161,768.00 CWKS TANF Timed-Out Asst JUL-16 MO 107,528.00 107,528.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 7,955.00 7,955.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 2,008.00 2,008.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (212,005.00) (1,137,116.00) (1,349,121.00)CWKS Safety Net Asst JUL-16 MO (152,500.00) (152,500.00)CWKS TANF Timed-Out Asst JUL-16 MO (96,400.00) (96,400.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (6,800.00) (6,800.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (2,400.00) (2,400.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO (118,440.00) 0.00 (118,440.00)CWKS Safety Net Asst JUL-16 MO 9,268.00 9,268.00 CWKS TANF Timed-Out Asst JUL-16 MO 11,128.00 11,128.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,155.00 1,155.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (392.00) (392.00)Total Net Adjustments (118,440.00) 21,159.00 (97,281.00)Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment (118,440.00) 21,159.00 (97,281.00)

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (684,851.00) (684,851.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (579,914.58) (579,914.58)CWKS Monthly MOE Subaccount Est. JUL-16 MO 646,803.00 646,803.00 Family Support Subaccount AUG-16 MO (357,920.86) (357,920.86)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 162,165.00 162,165.00 Child Poverty Subaccount Recoup** JUL-16 MO (76,399.99) (76,399.99)Child Poverty Growth FY14-15** FY 2015-16 (12,060.97) (12,060.97)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 302.00 302.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 10,267.00 0.00 10,267.00

0.00 0.00 ARC Exp. JUL-16 MO 14,669.00 14,669.00 EBT FS GA/GR MAY-16 MO (1,921.37) (1,921.37)

0.00 0.00 Total Miscellaneous Adjustment 10,267.00 (889,129.77) (878,862.77)

TOTAL 52,834.00 347,948.23 400,782.23 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Santa BarbaraSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 12,200.00 12,200.00 KinGAP Asst OCT-16 MO 14,300.00 14,300.00

Total Advances 12,200.00 14,300.00 26,500.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 13,732.00 13,732.00 KinGAP Asst JUL-16 MO 15,709.00 15,709.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (9,800.00) (9,800.00)KinGAP Asst JUL-16 MO (14,200.00) (14,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO 3,932.00 3,932.00 KinGAP Asst JUL-16 MO 1,509.00 1,509.00 Total Net Adjustments 3,932.00 1,509.00 5,441.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 3,932.00 1,509.00 5,441.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 442.00 2,295.00 2,737.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 442.00 2,295.00 2,737.00

TOTAL 16,574.00 18,104.00 34,678.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 16,574.00 0.00 16,574.00 CALWORKS Asst 52,834.00 60,939.60 113,773.60 CWKS Safety Net Asst 155,168.00 155,168.00 CWKS TANF Timed-Out Asst 108,328.00 108,328.00

0.00 0.00 0.00 KinGAP Asst 18,104.00 18,104.00 CWKS Recent Non-Citizens Mixed Cases 9,055.00 9,055.00 CWKS Recent Non-Citizens TANF Timed-Out 302.00 302.00 CWKS Recent Non-Citizens NonFederal 1,408.00 1,408.00 EBT FS GA/GR (1,921.37) (1,921.37)

0.00 0.00 ARC 14,669.00 14,669.00

0.00 0.00 TOTAL REMITTANCE 69,408.00 366,052.23 435,460.23 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Santa ClaraSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 662,325.00 1,614,015.00 2,276,340.00 CWKS Safety Net Asst OCT-16 MO 450,700.00 450,700.00 CWKS TANF Timed-Out Asst OCT-16 MO 210,200.00 210,200.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 38,700.00 38,700.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 14,200.00 14,200.00 Total Advances 662,325.00 2,327,815.00 2,990,140.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 591,754.00 1,922,662.00 2,514,416.00 CWKS Safety Net Asst JUL-16 MO 499,766.00 499,766.00 CWKS TANF Timed-Out Asst JUL-16 MO 232,551.00 232,551.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 38,877.00 38,877.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 14,291.00 14,291.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (358,462.00) (1,922,662.00) (2,281,124.00)CWKS Safety Net Asst JUL-16 MO (457,100.00) (457,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (215,300.00) (215,300.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (37,400.00) (37,400.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (13,300.00) (13,300.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 233,292.00 0.00 233,292.00 CWKS Safety Net Asst JUL-16 MO 42,666.00 42,666.00 CWKS TANF Timed-Out Asst JUL-16 MO 17,251.00 17,251.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,477.00 1,477.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 991.00 991.00 Total Net Adjustments 233,292.00 62,385.00 295,677.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 392,900.26 392,900.26 Total Prior Period Adjustment 233,292.00 455,285.26 688,577.26

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (1,829,213.00) (1,829,213.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (1,548,932.73) (1,548,932.73)CWKS Monthly MOE Subaccount Est. JUL-16 MO 1,727,590.00 1,727,590.00 Family Support Subaccount AUG-16 MO (955,994.83) (955,994.83)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 366,228.00 366,228.00 Child Poverty Subaccount Recoup** JUL-16 MO (274,828.85) (274,828.85)Child Poverty Growth FY14-15** FY 2015-16 (91,399.15) (91,399.15)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 611.00 611.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 20,540.00 333.00 20,873.00

0.00 0.00 ARC Exp. JUL-16 MO 22,886.00 22,886.00 EBT FS GA/GR MAY-16 MO (6,682.63) (6,682.63)

0.00 0.00 Total Miscellaneous Adjustment 20,540.00 (2,589,403.19) (2,568,863.19)

TOTAL 916,157.00 193,697.07 1,109,854.07 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Santa ClaraSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 38,400.00 38,400.00 KinGAP Asst OCT-16 MO 108,800.00 108,800.00

Total Advances 38,400.00 108,800.00 147,200.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 43,256.00 43,256.00 KinGAP Asst JUL-16 MO 119,394.00 119,394.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (35,300.00) (35,300.00)KinGAP Asst JUL-16 MO (100,300.00) (100,300.00)Net AdjustmentsFedGAP Asst JUL-16 MO 7,956.00 7,956.00 KinGAP Asst JUL-16 MO 19,094.00 19,094.00 Total Net Adjustments 7,956.00 19,094.00 27,050.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 7,956.00 19,094.00 27,050.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 2,264.00 3,689.00 5,953.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 2,264.00 3,689.00 5,953.00

TOTAL 48,620.00 131,583.00 180,203.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 48,620.00 0.00 48,620.00 CALWORKS Asst 916,157.00 (599,302.30) 316,854.70 CWKS Safety Net Asst 493,366.00 493,366.00 CWKS TANF Timed-Out Asst 227,451.00 227,451.00

0.00 0.00 0.00 KinGAP Asst 131,583.00 131,583.00 CWKS Recent Non-Citizens Mixed Cases 40,177.00 40,177.00 CWKS Recent Non-Citizens TANF Timed-Out 611.00 611.00 CWKS Recent Non-Citizens NonFederal 15,191.00 15,191.00 EBT FS GA/GR (6,682.63) (6,682.63)

0.00 0.00 ARC 22,886.00 22,886.00

0.00 0.00 TOTAL REMITTANCE 964,777.00 325,280.07 1,290,057.07 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Santa CruzSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 113,459.00 370,823.00 484,282.00 CWKS Safety Net Asst OCT-16 MO 70,600.00 70,600.00 CWKS TANF Timed-Out Asst OCT-16 MO 77,900.00 77,900.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 2,200.00 2,200.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 113,459.00 521,523.00 634,982.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 104,471.00 439,130.00 543,601.00 CWKS Safety Net Asst JUL-16 MO 78,433.00 78,433.00 CWKS TANF Timed-Out Asst JUL-16 MO 86,182.00 86,182.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,893.00 1,893.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (81,872.00) (439,130.00) (521,002.00)CWKS Safety Net Asst JUL-16 MO (71,100.00) (71,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (87,400.00) (87,400.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (900.00) (900.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 22,599.00 0.00 22,599.00 CWKS Safety Net Asst JUL-16 MO 7,333.00 7,333.00 CWKS TANF Timed-Out Asst JUL-16 MO (1,218.00) (1,218.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 993.00 993.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 22,599.00 7,108.00 29,707.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 22,599.00 7,108.00 29,707.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (321,078.00) (321,078.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (271,880.71) (271,880.71)CWKS Monthly MOE Subaccount Est. JUL-16 MO 303,240.00 303,240.00 Family Support Subaccount AUG-16 MO (167,803.64) (167,803.64)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 76,124.00 76,124.00 Child Poverty Subaccount Recoup** JUL-16 MO (35,818.52) (35,818.52)Child Poverty Growth FY14-15** FY 2015-16 (40,305.48) (40,305.48)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 6,479.00 0.00 6,479.00 0.00 0.00

ARC Exp. JUL-16 MO 6,273.00 6,273.00 EBT FS GA/GR MAY-16 MO (1,439.09) (1,439.09)

0.00 0.00 Total Miscellaneous Adjustment 6,479.00 (452,688.44) (446,209.44)

TOTAL 142,537.00 75,942.56 218,479.56 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: Santa CruzSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 14,300.00 14,300.00 KinGAP Asst OCT-16 MO 5,300.00 5,300.00

Total Advances 14,300.00 5,300.00 19,600.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 16,075.00 16,075.00 KinGAP Asst JUL-16 MO 5,866.00 5,866.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (12,800.00) (12,800.00)KinGAP Asst JUL-16 MO (5,200.00) (5,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO 3,275.00 3,275.00 KinGAP Asst JUL-16 MO 666.00 666.00 Total Net Adjustments 3,275.00 666.00 3,941.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 3,275.00 666.00 3,941.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 442.00 1,222.00 1,664.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 442.00 1,222.00 1,664.00

TOTAL 18,017.00 7,188.00 25,205.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 18,017.00 0.00 18,017.00 CALWORKS Asst 142,537.00 (86,699.35) 55,837.65 CWKS Safety Net Asst 77,933.00 77,933.00 CWKS TANF Timed-Out Asst 76,682.00 76,682.00

0.00 0.00 0.00 KinGAP Asst 7,188.00 7,188.00 CWKS Recent Non-Citizens Mixed Cases 3,193.00 3,193.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00

0.00 0.00 EBT FS GA/GR (1,439.09) (1,439.09)

0.00 0.00 ARC 6,273.00 6,273.00

0.00 0.00 TOTAL REMITTANCE 160,554.00 83,130.56 243,684.56 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ShastaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 237,383.00 486,975.00 724,358.00 CWKS Safety Net Asst OCT-16 MO 138,800.00 138,800.00 CWKS TANF Timed-Out Asst OCT-16 MO 71,000.00 71,000.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 2,000.00 2,000.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 100.00 100.00 Total Advances 237,383.00 698,875.00 936,258.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 220,888.00 582,081.00 802,969.00 CWKS Safety Net Asst JUL-16 MO 154,063.00 154,063.00 CWKS TANF Timed-Out Asst JUL-16 MO 78,501.00 78,501.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,977.00 1,977.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 126.00 126.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (108,524.00) (582,081.00) (690,605.00)CWKS Safety Net Asst JUL-16 MO (141,300.00) (141,300.00)CWKS TANF Timed-Out Asst JUL-16 MO (69,600.00) (69,600.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (2,400.00) (2,400.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 112,364.00 0.00 112,364.00 CWKS Safety Net Asst JUL-16 MO 12,763.00 12,763.00 CWKS TANF Timed-Out Asst JUL-16 MO 8,901.00 8,901.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (423.00) (423.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 126.00 126.00 Total Net Adjustments 112,364.00 21,367.00 133,731.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 112,364.00 21,367.00 133,731.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (456,782.00) (456,782.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (386,791.36) (386,791.36)CWKS Monthly MOE Subaccount Est. JUL-16 MO 431,405.00 431,405.00 Family Support Subaccount AUG-16 MO (238,726.01) (238,726.01)Family Support Subaccount - Recoupment* APR-16 MO (46,955.55) (46,955.55)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 112,413.00 112,413.00 Child Poverty Subaccount Recoup** JUL-16 MO (50,957.26) (50,957.26)Child Poverty Growth FY14-15** FY 2015-16 (61,455.74) (61,455.74)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 6,957.00 0.00 6,957.00 0.00 0.00

ARC Exp. JUL-16 MO 8,118.00 8,118.00 EBT FS GA/GR MAY-16 MO (1,201.18) (1,201.18)

0.00 0.00 Total Miscellaneous Adjustment 6,957.00 (690,933.10) (683,976.10)

TOTAL 356,704.00 29,308.90 386,012.90 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ShastaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 19,500.00 19,500.00 KinGAP Asst OCT-16 MO 18,200.00 18,200.00

Total Advances 19,500.00 18,200.00 37,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 21,915.00 21,915.00 KinGAP Asst JUL-16 MO 19,920.00 19,920.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (18,800.00) (18,800.00)KinGAP Asst JUL-16 MO (18,100.00) (18,100.00)Net AdjustmentsFedGAP Asst JUL-16 MO 3,115.00 3,115.00 KinGAP Asst JUL-16 MO 1,820.00 1,820.00 Total Net Adjustments 3,115.00 1,820.00 4,935.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 3,115.00 1,820.00 4,935.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus 0.00 679.00 679.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 0.00 679.00 679.00

TOTAL 22,615.00 20,699.00 43,314.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 22,615.00 0.00 22,615.00 CALWORKS Asst 356,704.00 (210,874.92) 145,829.08 CWKS Safety Net Asst 151,563.00 151,563.00 CWKS TANF Timed-Out Asst 79,901.00 79,901.00

0.00 0.00 0.00 KinGAP Asst 20,699.00 20,699.00 CWKS Recent Non-Citizens Mixed Cases 1,577.00 1,577.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 226.00 226.00 EBT FS GA/GR (1,201.18) (1,201.18)

0.00 0.00 ARC 8,118.00 8,118.00

0.00 0.00 TOTAL REMITTANCE 379,319.00 50,007.90 429,326.90 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SierraSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 1,209.00 5,640.00 6,849.00 CWKS Safety Net Asst OCT-16 MO 500.00 500.00 CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 600.00 600.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 1,209.00 6,740.00 7,949.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 983.00 6,952.00 7,935.00 CWKS Safety Net Asst JUL-16 MO 518.00 518.00 CWKS TANF Timed-Out Asst 0.00 0.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 577.00 577.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (1,296.00) (6,952.00) (8,248.00)CWKS Safety Net Asst JUL-16 MO (500.00) (500.00)CWKS TANF Timed-Out Asst JUL-16 MO (300.00) (300.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO (313.00) 0.00 (313.00)CWKS Safety Net Asst JUL-16 MO 18.00 18.00 CWKS TANF Timed-Out Asst (300.00) (300.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 577.00 577.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments (313.00) 295.00 (18.00)Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment (313.00) 295.00 (18.00)

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. 0.00 0.00 CWKS Monthly MOE Subaccount Act. 0.00 0.00 CWKS Monthly MOE Subaccount Est. 0.00 0.00 Family Support Subaccount 0.00 0.00 Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 950.00 950.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (14.83) (14.83)0.00 0.00

Total Miscellaneous Adjustment 0.00 935.17 935.17

TOTAL 896.00 7,970.17 8,866.17 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SierraSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00

Total Advances 0.00 0.00 0.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Less: Advances 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Net AdjustmentsFedGAP Asst 0.00 0.00 KinGAP Asst 0.00 0.00 Total Net Adjustments 0.00 0.00 0.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 0.00 0.00 0.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 0.00 0.00

AS SHOWN ON REMITTANCE ADVICES0.00 0.00 0.00

CALWORKS Asst 896.00 6,590.00 7,486.00 CWKS Safety Net Asst 518.00 518.00 CWKS TANF Timed-Out Asst (300.00) (300.00)

0.00 0.00 0.00 0.00 0.00

CWKS Recent Non-Citizens Mixed Cases 1,177.00 1,177.00 0.00 0.00 0.00 0.00

EBT FS GA/GR (14.83) (14.83)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE 896.00 7,970.17 8,866.17 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SiskiyouSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 46,505.00 156,695.00 203,200.00 CWKS Safety Net Asst OCT-16 MO 42,700.00 42,700.00 CWKS TANF Timed-Out Asst OCT-16 MO 28,300.00 28,300.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 700.00 700.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 46,505.00 228,395.00 274,900.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 42,709.00 185,142.00 227,851.00 CWKS Safety Net Asst JUL-16 MO 47,373.00 47,373.00 CWKS TANF Timed-Out Asst JUL-16 MO 31,335.00 31,335.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,166.00 1,166.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (34,518.00) (185,142.00) (219,660.00)CWKS Safety Net Asst JUL-16 MO (41,400.00) (41,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (31,400.00) (31,400.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (500.00) (500.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 8,191.00 0.00 8,191.00 CWKS Safety Net Asst JUL-16 MO 5,973.00 5,973.00 CWKS TANF Timed-Out Asst JUL-16 MO (65.00) (65.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 666.00 666.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 8,191.00 6,574.00 14,765.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 8,191.00 6,574.00 14,765.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (126,358.00) (126,358.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (106,997.02) (106,997.02)CWKS Monthly MOE Subaccount Est. JUL-16 MO 119,338.00 119,338.00 Family Support Subaccount AUG-16 MO (66,038.11) (66,038.11)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 32,850.00 32,850.00 Child Poverty Subaccount Recoup** JUL-16 MO (14,096.16) (14,096.16)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (297.62) (297.62)0.00 0.00

Total Miscellaneous Adjustment 0.00 (161,598.91) (161,598.91)

TOTAL 54,696.00 73,370.09 128,066.09 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SiskiyouSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 5,400.00 5,400.00 KinGAP Asst OCT-16 MO 3,500.00 3,500.00

Total Advances 5,400.00 3,500.00 8,900.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 6,109.00 6,109.00 KinGAP Asst JUL-16 MO 3,812.00 3,812.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (5,400.00) (5,400.00)KinGAP Asst JUL-16 MO (3,400.00) (3,400.00)Net AdjustmentsFedGAP Asst JUL-16 MO 709.00 709.00 KinGAP Asst JUL-16 MO 412.00 412.00 Total Net Adjustments 709.00 412.00 1,121.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 709.00 412.00 1,121.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus 0.00 679.00 679.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 0.00 679.00 679.00

TOTAL 6,109.00 4,591.00 10,700.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 6,109.00 0.00 6,109.00 CALWORKS Asst 54,696.00 (4,606.29) 50,089.71 CWKS Safety Net Asst 48,673.00 48,673.00 CWKS TANF Timed-Out Asst 28,235.00 28,235.00

0.00 0.00 0.00 KinGAP Asst 4,591.00 4,591.00 CWKS Recent Non-Citizens Mixed Cases 1,366.00 1,366.00

0.00 0.00 0.00 0.00

EBT FS GA/GR (297.62) (297.62)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE 60,805.00 77,961.09 138,766.09 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SolanoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 400,517.00 994,534.00 1,395,051.00 CWKS Safety Net Asst OCT-16 MO 412,600.00 412,600.00 CWKS TANF Timed-Out Asst OCT-16 MO 91,100.00 91,100.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 11,000.00 11,000.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,700.00 1,700.00 Total Advances 400,517.00 1,510,934.00 1,911,451.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 325,497.00 1,202,023.00 1,527,520.00 CWKS Safety Net Asst JUL-16 MO 456,577.00 456,577.00 CWKS TANF Timed-Out Asst JUL-16 MO 100,758.00 100,758.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 9,484.00 9,484.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,868.00 1,868.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (224,106.00) (1,202,023.00) (1,426,129.00)CWKS Safety Net Asst JUL-16 MO (416,600.00) (416,600.00)CWKS TANF Timed-Out Asst JUL-16 MO (91,400.00) (91,400.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (15,600.00) (15,600.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (900.00) (900.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 101,391.00 0.00 101,391.00 CWKS Safety Net Asst JUL-16 MO 39,977.00 39,977.00 CWKS TANF Timed-Out Asst JUL-16 MO 9,358.00 9,358.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (6,116.00) (6,116.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 968.00 968.00 Total Net Adjustments 101,391.00 44,187.00 145,578.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 101,391.00 44,187.00 145,578.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (956,498.00) (956,498.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (809,939.36) (809,939.36)CWKS Monthly MOE Subaccount Est. JUL-16 MO 903,360.00 903,360.00 Family Support Subaccount AUG-16 MO (499,891.20) (499,891.20)Family Support Subaccount - Recoupment* APR-16 MO (20,679.19) (20,679.19)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 223,061.00 223,061.00 Child Poverty Subaccount Recoup** JUL-16 MO (106,704.27) (106,704.27)Child Poverty Growth FY14-15** FY 2015-16 (116,356.73) (116,356.73)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 10,448.00 0.00 10,448.00 0.00 0.00

ARC Exp. JUL-16 MO 13,272.00 13,272.00 EBT FS GA/GR MAY-16 MO (2,409.45) (2,409.45)

0.00 0.00 Total Miscellaneous Adjustment 10,448.00 (1,372,785.20) (1,362,337.20)

TOTAL 512,356.00 182,335.80 694,691.80 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SolanoSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 16,400.00 16,400.00 KinGAP Asst OCT-16 MO 6,000.00 6,000.00

Total Advances 16,400.00 6,000.00 22,400.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 18,442.00 18,442.00 KinGAP Asst JUL-16 MO 6,602.00 6,602.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (15,400.00) (15,400.00)KinGAP Asst JUL-16 MO (4,400.00) (4,400.00)Net AdjustmentsFedGAP Asst JUL-16 MO 3,042.00 3,042.00 KinGAP Asst JUL-16 MO 2,202.00 2,202.00 Total Net Adjustments 3,042.00 2,202.00 5,244.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 3,042.00 2,202.00 5,244.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 883.00 698.00 1,581.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 883.00 698.00 1,581.00

TOTAL 20,325.00 8,900.00 29,225.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 20,325.00 0.00 20,325.00 CALWORKS Asst 512,356.00 (389,113.75) 123,242.25 CWKS Safety Net Asst 452,577.00 452,577.00 CWKS TANF Timed-Out Asst 100,458.00 100,458.00

0.00 0.00 0.00 KinGAP Asst 8,900.00 8,900.00 CWKS Recent Non-Citizens Mixed Cases 4,884.00 4,884.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 2,668.00 2,668.00 EBT FS GA/GR (2,409.45) (2,409.45)

0.00 0.00 ARC 13,272.00 13,272.00

0.00 0.00 TOTAL REMITTANCE 532,681.00 191,235.80 723,916.80 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SonomaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 184,811.00 504,266.00 689,077.00 CWKS Safety Net Asst OCT-16 MO 79,500.00 79,500.00 CWKS TANF Timed-Out Asst OCT-16 MO 98,900.00 98,900.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 28,400.00 28,400.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 2,500.00 2,500.00 Total Advances 184,811.00 713,566.00 898,377.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 147,955.00 603,118.00 751,073.00 CWKS Safety Net Asst JUL-16 MO 88,305.00 88,305.00 CWKS TANF Timed-Out Asst JUL-16 MO 109,368.00 109,368.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 28,510.00 28,510.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 2,802.00 2,802.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (112,446.00) (603,118.00) (715,564.00)CWKS Safety Net Asst JUL-16 MO (77,100.00) (77,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (99,500.00) (99,500.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (22,300.00) (22,300.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (3,400.00) (3,400.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 35,509.00 0.00 35,509.00 CWKS Safety Net Asst JUL-16 MO 11,205.00 11,205.00 CWKS TANF Timed-Out Asst JUL-16 MO 9,868.00 9,868.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 6,210.00 6,210.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (598.00) (598.00)Total Net Adjustments 35,509.00 26,685.00 62,194.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 35,509.00 26,685.00 62,194.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (476,105.00) (476,105.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (403,154.36) (403,154.36)CWKS Monthly MOE Subaccount Est. JUL-16 MO 449,655.00 449,655.00 Family Support Subaccount AUG-16 MO (248,825.19) (248,825.19)Family Support Subaccount - Recoupment* APR-16 MO (51,612.29) (51,612.29)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 107,225.00 107,225.00 Child Poverty Subaccount Recoup** JUL-16 MO (53,112.98) (53,112.98)Child Poverty Growth FY14-15** FY 2015-16 (54,112.02) (54,112.02)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 724.00 724.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 17,077.00 0.00 17,077.00 CWKs ARC (NON-MOE) JUL-16 MO 666.00 666.00 ARC Exp. JUL-16 MO 20,421.00 20,421.00 EBT FS GA/GR MAY-16 MO (1,902.94) (1,902.94)

0.00 0.00 Total Miscellaneous Adjustment 17,077.00 (710,133.78) (693,056.78)

TOTAL 237,397.00 30,117.22 267,514.22 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SonomaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 17,000.00 17,000.00 KinGAP Asst OCT-16 MO 14,700.00 14,700.00

Total Advances 17,000.00 14,700.00 31,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 19,165.00 19,165.00 KinGAP Asst JUL-16 MO 16,180.00 16,180.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (18,200.00) (18,200.00)KinGAP Asst JUL-16 MO (14,900.00) (14,900.00)Net AdjustmentsFedGAP Asst JUL-16 MO 965.00 965.00 KinGAP Asst JUL-16 MO 1,280.00 1,280.00 Total Net Adjustments 965.00 1,280.00 2,245.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 965.00 1,280.00 2,245.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus 0.00 698.00 698.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 0.00 698.00 698.00

TOTAL 17,965.00 16,678.00 34,643.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 17,965.00 0.00 17,965.00 CALWORKS Asst 237,397.00 (225,109.84) 12,287.16 CWKS Safety Net Asst 90,705.00 90,705.00 CWKS TANF Timed-Out Asst 108,768.00 108,768.00

0.00 0.00 0.00 KinGAP Asst 16,678.00 16,678.00 CWKS Recent Non-Citizens Mixed Cases 34,610.00 34,610.00 CWKS Recent Non-Citizens TANF Timed-Out 724.00 724.00 CWKS Recent Non-Citizens NonFederal 1,902.00 1,902.00 EBT FS GA/GR (1,902.94) (1,902.94)

0.00 0.00 ARC 20,421.00 20,421.00

0.00 0.00 TOTAL REMITTANCE 255,362.00 46,795.22 302,157.22 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: StanislausSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 825,679.00 1,996,431.00 2,822,110.00 CWKS Safety Net Asst OCT-16 MO 654,600.00 654,600.00 CWKS TANF Timed-Out Asst OCT-16 MO 371,200.00 371,200.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 16,700.00 16,700.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 900.00 900.00 Total Advances 825,679.00 3,039,831.00 3,865,510.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 764,871.00 2,355,481.00 3,120,352.00 CWKS Safety Net Asst JUL-16 MO 726,692.00 726,692.00 CWKS TANF Timed-Out Asst JUL-16 MO 410,666.00 410,666.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 16,745.00 16,745.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 466.00 466.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (439,157.00) (2,355,481.00) (2,794,638.00)CWKS Safety Net Asst JUL-16 MO (633,100.00) (633,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (377,000.00) (377,000.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (13,300.00) (13,300.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (1,100.00) (1,100.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 325,714.00 0.00 325,714.00 CWKS Safety Net Asst JUL-16 MO 93,592.00 93,592.00 CWKS TANF Timed-Out Asst JUL-16 MO 33,666.00 33,666.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 3,445.00 3,445.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (634.00) (634.00)Total Net Adjustments 325,714.00 130,069.00 455,783.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 325,714.00 130,069.00 455,783.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (1,868,333.00) (1,868,333.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (1,582,058.84) (1,582,058.84)CWKS Monthly MOE Subaccount Est. JUL-16 MO 1,764,537.00 1,764,537.00 Family Support Subaccount AUG-16 MO (976,440.13) (976,440.13)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 453,519.00 453,519.00 Child Poverty Subaccount Recoup** JUL-16 MO (208,426.01) (208,426.01)Child Poverty Growth FY14-15** FY 2015-16 (245,092.99) (245,092.99)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 10,812.00 0.00 10,812.00 0.00 0.00

ARC Exp. JUL-16 MO 14,309.00 14,309.00 EBT FS GA/GR MAY-16 MO (3,900.75) (3,900.75)

0.00 0.00 Total Miscellaneous Adjustment 10,812.00 (2,651,886.72) (2,641,074.72)

TOTAL 1,162,205.00 518,013.28 1,680,218.28 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: StanislausSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 10,400.00 10,400.00 KinGAP Asst OCT-16 MO 14,300.00 14,300.00

Total Advances 10,400.00 14,300.00 24,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 11,708.00 11,708.00 KinGAP Asst JUL-16 MO 15,729.00 15,729.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (11,200.00) (11,200.00)KinGAP Asst JUL-16 MO (12,000.00) (12,000.00)Net AdjustmentsFedGAP Asst JUL-16 MO 508.00 508.00 KinGAP Asst JUL-16 MO 3,729.00 3,729.00 Total Net Adjustments 508.00 3,729.00 4,237.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 508.00 3,729.00 4,237.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO (2,478.00) (2,478.00)

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment (2,478.00) 0.00 (2,478.00)

TOTAL 8,430.00 18,029.00 26,459.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 8,430.00 0.00 8,430.00 CALWORKS Asst 1,162,205.00 (665,863.97) 496,341.03 CWKS Safety Net Asst 748,192.00 748,192.00 CWKS TANF Timed-Out Asst 404,866.00 404,866.00

0.00 0.00 0.00 KinGAP Asst 18,029.00 18,029.00 CWKS Recent Non-Citizens Mixed Cases 20,145.00 20,145.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 266.00 266.00 EBT FS GA/GR (3,900.75) (3,900.75)

0.00 0.00 ARC 14,309.00 14,309.00

0.00 0.00 TOTAL REMITTANCE 1,170,635.00 536,042.28 1,706,677.28 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SutterSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 116,142.00 307,036.00 423,178.00 CWKS Safety Net Asst OCT-16 MO 102,900.00 102,900.00 CWKS TANF Timed-Out Asst OCT-16 MO 38,100.00 38,100.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 7,400.00 7,400.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,900.00 1,900.00 Total Advances 116,142.00 457,336.00 573,478.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 93,012.00 369,834.00 462,846.00 CWKS Safety Net Asst JUL-16 MO 114,286.00 114,286.00 CWKS TANF Timed-Out Asst JUL-16 MO 42,151.00 42,151.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 7,432.00 7,432.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 2,161.00 2,161.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (68,952.00) (369,834.00) (438,786.00)CWKS Safety Net Asst JUL-16 MO (112,200.00) (112,200.00)CWKS TANF Timed-Out Asst JUL-16 MO (34,500.00) (34,500.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (7,500.00) (7,500.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (2,600.00) (2,600.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 24,060.00 0.00 24,060.00 CWKS Safety Net Asst JUL-16 MO 2,086.00 2,086.00 CWKS TANF Timed-Out Asst JUL-16 MO 7,651.00 7,651.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (68.00) (68.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (439.00) (439.00)Total Net Adjustments 24,060.00 9,230.00 33,290.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 24,060.00 9,230.00 33,290.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (251,264.00) (251,264.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (212,764.02) (212,764.02)CWKS Monthly MOE Subaccount Est. JUL-16 MO 237,305.00 237,305.00 Family Support Subaccount AUG-16 MO (131,317.07) (131,317.07)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 66,389.00 66,389.00 Child Poverty Subaccount Recoup** JUL-16 MO (28,030.28) (28,030.28)

0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (539.16) (539.16)0.00 0.00

Total Miscellaneous Adjustment 0.00 (320,220.53) (320,220.53)

TOTAL 140,202.00 146,345.47 286,547.47 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: SutterSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 1,000.00 1,000.00 KinGAP Asst OCT-16 MO 1,800.00 1,800.00

Total Advances 1,000.00 1,800.00 2,800.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 1,088.00 1,088.00 KinGAP Asst JUL-16 MO 1,941.00 1,941.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (1,000.00) (1,000.00)KinGAP Asst JUL-16 MO (1,700.00) (1,700.00)Net AdjustmentsFedGAP Asst JUL-16 MO 88.00 88.00 KinGAP Asst JUL-16 MO 241.00 241.00 Total Net Adjustments 88.00 241.00 329.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 88.00 241.00 329.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 1,088.00 2,041.00 3,129.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 1,088.00 0.00 1,088.00 CALWORKS Asst 140,202.00 (12,645.37) 127,556.63 CWKS Safety Net Asst 104,986.00 104,986.00 CWKS TANF Timed-Out Asst 45,751.00 45,751.00

0.00 0.00 0.00 KinGAP Asst 2,041.00 2,041.00 CWKS Recent Non-Citizens Mixed Cases 7,332.00 7,332.00

0.00 0.00 CWKS Recent Non-Citizens NonFederal 1,461.00 1,461.00 EBT FS GA/GR (539.16) (539.16)

0.00 0.00 0.00 0.00 0.00 0.00

TOTAL REMITTANCE 141,290.00 148,386.47 289,676.47 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: TehamaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 93,973.00 234,433.00 328,406.00 CWKS Safety Net Asst OCT-16 MO 49,700.00 49,700.00 CWKS TANF Timed-Out Asst OCT-16 MO 35,200.00 35,200.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 2,000.00 2,000.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,500.00 1,500.00 Total Advances 93,973.00 322,833.00 416,806.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 79,275.00 279,448.00 358,723.00 CWKS Safety Net Asst JUL-16 MO 55,206.00 55,206.00 CWKS TANF Timed-Out Asst JUL-16 MO 38,906.00 38,906.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 2,011.00 2,011.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,662.00 1,662.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (52,101.00) (279,448.00) (331,549.00)CWKS Safety Net Asst JUL-16 MO (53,800.00) (53,800.00)CWKS TANF Timed-Out Asst JUL-16 MO (37,200.00) (37,200.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,300.00) (1,300.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (1,800.00) (1,800.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 27,174.00 0.00 27,174.00 CWKS Safety Net Asst JUL-16 MO 1,406.00 1,406.00 CWKS TANF Timed-Out Asst JUL-16 MO 1,706.00 1,706.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 711.00 711.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (138.00) (138.00)Total Net Adjustments 27,174.00 3,685.00 30,859.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 3,836.16 3,836.16 Total Prior Period Adjustment 27,174.00 7,521.16 34,695.16

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (216,577.00) (216,577.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (183,392.00) (183,392.00)CWKS Monthly MOE Subaccount Est. JUL-16 MO 204,545.00 204,545.00 Family Support Subaccount AUG-16 MO (113,188.78) (113,188.78)Family Support Subaccount - Recoupment* APR-16 MO (20,971.45) (20,971.45)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 48,217.00 48,217.00 Child Poverty Subaccount Recoup** JUL-16 MO (24,160.71) (24,160.71)Child Poverty Growth FY14-15** FY 2015-16 (24,056.29) (24,056.29)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 1,305.00 0.00 1,305.00 0.00 0.00

ARC Exp. JUL-16 MO 1,579.00 1,579.00 EBT FS GA/GR MAY-16 MO (430.85) (430.85)

0.00 0.00 Total Miscellaneous Adjustment 1,305.00 (328,436.08) (327,131.08)

TOTAL 122,452.00 1,918.08 124,370.08 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: TehamaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst 0.00 0.00 KinGAP Asst OCT-16 MO 500.00 500.00

Total Advances 0.00 500.00 500.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO 588.00 588.00 Less: Advances 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO (500.00) (500.00)Net AdjustmentsFedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO 88.00 88.00 Total Net Adjustments 0.00 88.00 88.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 0.00 88.00 88.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 588.00 588.00

AS SHOWN ON REMITTANCE ADVICES0.00 0.00 0.00

CALWORKS Asst 122,452.00 (91,315.07) 31,136.93 CWKS Safety Net Asst 51,106.00 51,106.00 CWKS TANF Timed-Out Asst 36,906.00 36,906.00

0.00 0.00 0.00 KinGAP Asst 588.00 588.00 CWKS Recent Non-Citizens Mixed Cases 2,711.00 2,711.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 1,362.00 1,362.00 EBT FS GA/GR (430.85) (430.85)

0.00 0.00 ARC 1,579.00 1,579.00

0.00 0.00 TOTAL REMITTANCE 122,452.00 2,506.08 124,958.08 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: TrinitySHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 7,514.00 24,940.00 32,454.00 CWKS Safety Net Asst OCT-16 MO 4,300.00 4,300.00 CWKS TANF Timed-Out Asst OCT-16 MO 2,800.00 2,800.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 7,514.00 32,040.00 39,554.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 5,207.00 29,777.00 34,984.00 CWKS Safety Net Asst JUL-16 MO 4,813.00 4,813.00 CWKS TANF Timed-Out Asst JUL-16 MO 3,148.00 3,148.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (5,552.00) (29,777.00) (35,329.00)CWKS Safety Net Asst JUL-16 MO (4,700.00) (4,700.00)CWKS TANF Timed-Out Asst JUL-16 MO (3,800.00) (3,800.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO (345.00) 0.00 (345.00)CWKS Safety Net Asst JUL-16 MO 113.00 113.00 CWKS TANF Timed-Out Asst JUL-16 MO (652.00) (652.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments (345.00) (539.00) (884.00)Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment (345.00) (539.00) (884.00)

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. 0.00 0.00 CWKS Monthly MOE Subaccount Act. 0.00 0.00 CWKS Monthly MOE Subaccount Est. 0.00 0.00 Family Support Subaccount 0.00 0.00 Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 4,595.00 4,595.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (92.84) (92.84)0.00 0.00

Total Miscellaneous Adjustment 0.00 4,502.16 4,502.16

TOTAL 7,169.00 36,003.16 43,172.16 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: TrinitySHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst 0.00 0.00 KinGAP Asst OCT-16 MO 600.00 600.00

Total Advances 0.00 600.00 600.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO 616.00 616.00 Less: Advances 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO (600.00) (600.00)Net AdjustmentsFedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO 16.00 16.00 Total Net Adjustments 0.00 16.00 16.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 0.00 16.00 16.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus 0.00 679.00 679.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 0.00 679.00 679.00

TOTAL 0.00 1,295.00 1,295.00

AS SHOWN ON REMITTANCE ADVICES0.00 0.00 0.00

CALWORKS Asst 7,169.00 29,535.00 36,704.00 CWKS Safety Net Asst 4,413.00 4,413.00 CWKS TANF Timed-Out Asst 2,148.00 2,148.00

0.00 0.00 0.00 KinGAP Asst 1,295.00 1,295.00

0.00 0.00 0.00 0.00 0.00 0.00

EBT FS GA/GR (92.84) (92.84)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE 7,169.00 37,298.16 44,467.16 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: TulareSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 1,024,942.00 2,902,233.00 3,927,175.00 CWKS Safety Net Asst OCT-16 MO 961,300.00 961,300.00 CWKS TANF Timed-Out Asst OCT-16 MO 375,000.00 375,000.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 40,500.00 40,500.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 6,500.00 6,500.00 Total Advances 1,024,942.00 4,285,533.00 5,310,475.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 855,732.00 3,471,019.00 4,326,751.00 CWKS Safety Net Asst JUL-16 MO 1,058,826.00 1,058,826.00 CWKS TANF Timed-Out Asst JUL-16 MO 414,947.00 414,947.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 40,690.00 40,690.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 7,308.00 7,308.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (647,139.00) (3,471,019.00) (4,118,158.00)CWKS Safety Net Asst JUL-16 MO (991,200.00) (991,200.00)CWKS TANF Timed-Out Asst JUL-16 MO (366,500.00) (366,500.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (42,500.00) (42,500.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (6,500.00) (6,500.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 208,593.00 0.00 208,593.00 CWKS Safety Net Asst JUL-16 MO 67,626.00 67,626.00 CWKS TANF Timed-Out Asst JUL-16 MO 48,447.00 48,447.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,810.00) (1,810.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 808.00 808.00 Total Net Adjustments 208,593.00 115,071.00 323,664.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 208,593.00 115,071.00 323,664.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (2,465,418.00) (2,465,418.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (2,087,655.16) (2,087,655.16)CWKS Monthly MOE Subaccount Est. JUL-16 MO 2,328,450.00 2,328,450.00 Family Support Subaccount AUG-16 MO (1,288,492.07) (1,288,492.07)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 628,749.00 628,749.00 Child Poverty Subaccount Recoup** JUL-16 MO (275,035.05) (275,035.05)Child Poverty Growth FY14-15** FY 2015-16 (53,713.39) (53,713.39)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO (172.00) (172.00)

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 10,670.00 635.00 11,305.00

0.00 0.00 ARC Exp. JUL-16 MO (15,158.00) (15,158.00)EBT FS GA/GR MAY-16 MO (4,818.86) (4,818.86)

0.00 0.00 Total Miscellaneous Adjustment 10,670.00 (3,232,628.53) (3,221,958.53)

TOTAL 1,244,205.00 1,167,975.47 2,412,180.47 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: TulareSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 53,300.00 53,300.00 KinGAP Asst OCT-16 MO 70,200.00 70,200.00

Total Advances 53,300.00 70,200.00 123,500.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 69,784.00 69,784.00 KinGAP Asst JUL-16 MO 93,806.00 93,806.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (46,600.00) (46,600.00)KinGAP Asst JUL-16 MO (66,500.00) (66,500.00)Net AdjustmentsFedGAP Asst JUL-16 MO 23,184.00 23,184.00 KinGAP Asst JUL-16 MO 27,306.00 27,306.00 Total Net Adjustments 23,184.00 27,306.00 50,490.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 23,184.00 27,306.00 50,490.00

MISC. ADJUSTMENT0.00 0.00

KinGAP 18 Plus JUL-16 MO 1,944.00 4,932.00 6,876.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 1,944.00 4,932.00 6,876.00

TOTAL 78,428.00 102,438.00 180,866.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 78,428.00 0.00 78,428.00 CALWORKS Asst 1,244,205.00 (310,246.67) 933,958.33 CWKS Safety Net Asst 1,028,926.00 1,028,926.00 CWKS TANF Timed-Out Asst 423,447.00 423,447.00

0.00 0.00 0.00 KinGAP Asst 102,438.00 102,438.00 CWKS Recent Non-Citizens Mixed Cases 38,690.00 38,690.00 CWKS Recent Non-Citizens TANF Timed-Out (172.00) (172.00)CWKS Recent Non-Citizens NonFederal 7,308.00 7,308.00 EBT FS GA/GR (4,818.86) (4,818.86)

0.00 0.00 ARC (15,158.00) (15,158.00)

0.00 0.00 TOTAL REMITTANCE 1,322,633.00 1,270,413.47 2,593,046.47 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: TuolumneSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 36,723.00 111,138.00 147,861.00 CWKS Safety Net Asst OCT-16 MO 17,400.00 17,400.00 CWKS TANF Timed-Out Asst OCT-16 MO 15,800.00 15,800.00 CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Advances 36,723.00 144,338.00 181,061.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 30,584.00 133,689.00 164,273.00 CWKS Safety Net Asst JUL-16 MO 19,317.00 19,317.00 CWKS TANF Timed-Out Asst JUL-16 MO 17,522.00 17,522.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (43.00) (43.00)CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (24,925.00) (133,689.00) (158,614.00)CWKS Safety Net Asst JUL-16 MO (16,200.00) (16,200.00)CWKS TANF Timed-Out Asst JUL-16 MO (20,000.00) (20,000.00)CWKS Recent Non-Citizens Mixed Cases 0.00 0.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 0.00 0.00 Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 5,659.00 0.00 5,659.00 CWKS Safety Net Asst JUL-16 MO 3,117.00 3,117.00 CWKS TANF Timed-Out Asst JUL-16 MO (2,478.00) (2,478.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (43.00) (43.00)CWKS Recent Non-Citizens Nonfederal 0.00 0.00 Total Net Adjustments 5,659.00 596.00 6,255.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment JUL-16 MO 20,158.66 20,158.66 Total Prior Period Adjustment 5,659.00 20,754.66 26,413.66

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (102,964.00) (102,964.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (87,187.05) (87,187.05)CWKS Monthly MOE Subaccount Est. JUL-16 MO 97,243.00 97,243.00 Family Support Subaccount AUG-16 MO (53,811.48) (53,811.48)Family Support Subaccount - Recoupment* APR-16 MO (8,000.00) (8,000.00)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 21,439.00 21,439.00 Child Poverty Subaccount Recoup** JUL-16 MO (11,486.33) (11,486.33)Child Poverty Growth FY14-15** FY 2015-16 (9,952.67) (9,952.67)

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

EBT FS GA/GR MAY-16 MO (293.80) (293.80)0.00 0.00

Total Miscellaneous Adjustment 0.00 (155,013.33) (155,013.33)

TOTAL 42,382.00 10,079.33 52,461.33 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: TuolumneSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 1,300.00 1,300.00 KinGAP Asst OCT-16 MO 2,100.00 2,100.00

Total Advances 1,300.00 2,100.00 3,400.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 1,499.00 1,499.00 KinGAP Asst JUL-16 MO 2,303.00 2,303.00 Less: Advances 0.00 FedGAP Asst 0.00 0.00 KinGAP Asst JUL-16 MO (2,100.00) (2,100.00)Net AdjustmentsFedGAP Asst JUL-16 MO 1,499.00 1,499.00 KinGAP Asst JUL-16 MO 203.00 203.00 Total Net Adjustments 1,499.00 203.00 1,702.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 1,499.00 203.00 1,702.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 2,799.00 2,303.00 5,102.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 2,799.00 0.00 2,799.00 CALWORKS Asst 42,382.00 (23,422.87) 18,959.13 CWKS Safety Net Asst 20,517.00 20,517.00 CWKS TANF Timed-Out Asst 13,322.00 13,322.00

0.00 0.00 0.00 KinGAP Asst 2,303.00 2,303.00 CWKS Recent Non-Citizens Mixed Cases (43.00) (43.00)

0.00 0.00 0.00 0.00

EBT FS GA/GR (293.80) (293.80)0.00 0.00

0.00 0.00 0.00 0.00

TOTAL REMITTANCE 45,181.00 12,382.33 57,563.33 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: VenturaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 447,471.00 1,198,936.00 1,646,407.00 CWKS Safety Net Asst OCT-16 MO 211,300.00 211,300.00 CWKS TANF Timed-Out Asst OCT-16 MO 171,200.00 171,200.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 11,600.00 11,600.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 6,000.00 6,000.00 Total Advances 447,471.00 1,599,036.00 2,046,507.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 379,693.00 1,424,902.00 1,804,595.00 CWKS Safety Net Asst JUL-16 MO 234,683.00 234,683.00 CWKS TANF Timed-Out Asst JUL-16 MO 189,376.00 189,376.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 11,666.00 11,666.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 6,724.00 6,724.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (265,660.00) (1,424,902.00) (1,690,562.00)CWKS Safety Net Asst JUL-16 MO (221,100.00) (221,100.00)CWKS TANF Timed-Out Asst JUL-16 MO (178,300.00) (178,300.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (13,400.00) (13,400.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (3,900.00) (3,900.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 114,033.00 0.00 114,033.00 CWKS Safety Net Asst JUL-16 MO 13,583.00 13,583.00 CWKS TANF Timed-Out Asst JUL-16 MO 11,076.00 11,076.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,734.00) (1,734.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 2,824.00 2,824.00 Total Net Adjustments 114,033.00 25,749.00 139,782.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 114,033.00 25,749.00 139,782.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (1,015,350.00) (1,015,350.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (859,773.70) (859,773.70)CWKS Monthly MOE Subaccount Est. JUL-16 MO 958,942.00 958,942.00 Family Support Subaccount AUG-16 MO (530,648.75) (530,648.75)Family Support Subaccount - Recoupment* APR-16 MO (58,192.63) (58,192.63)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 246,227.00 246,227.00 Child Poverty Subaccount Recoup** JUL-16 MO (113,269.62) (113,269.62)Child Poverty Growth FY14-15** FY 2015-16 (111,049.06) (111,049.06)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 652.00 652.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 22,930.00 0.00 22,930.00

0.00 0.00 ARC Exp. JUL-16 MO 49,701.00 49,701.00 EBT FS GA/GR MAY-16 MO (3,455.32) (3,455.32)

0.00 0.00 Total Miscellaneous Adjustment 22,930.00 (1,436,217.08) (1,413,287.08)

TOTAL 584,434.00 188,567.92 773,001.92 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: VenturaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 96,200.00 96,200.00 KinGAP Asst OCT-16 MO 52,800.00 52,800.00

Total Advances 96,200.00 52,800.00 149,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 108,363.00 108,363.00 KinGAP Asst JUL-16 MO 57,974.00 57,974.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (86,000.00) (86,000.00)KinGAP Asst JUL-16 MO (48,200.00) (48,200.00)Net AdjustmentsFedGAP Asst JUL-16 MO 22,363.00 22,363.00 KinGAP Asst JUL-16 MO 9,774.00 9,774.00 Total Net Adjustments 22,363.00 9,774.00 32,137.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 22,363.00 9,774.00 32,137.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO 109.00 109.00 KinGAP 18 Plus JUL-16 MO 1,146.00 3,925.00 5,071.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 1,255.00 3,925.00 5,180.00

TOTAL 119,818.00 66,499.00 186,317.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 119,818.00 0.00 119,818.00 CALWORKS Asst 584,434.00 (284,178.76) 300,255.24 CWKS Safety Net Asst 224,883.00 224,883.00 CWKS TANF Timed-Out Asst 182,276.00 182,276.00

0.00 0.00 0.00 KinGAP Asst 66,499.00 66,499.00 CWKS Recent Non-Citizens Mixed Cases 9,866.00 9,866.00 CWKS Recent Non-Citizens TANF Timed-Out 652.00 652.00 CWKS Recent Non-Citizens NonFederal 8,824.00 8,824.00 EBT FS GA/GR (3,455.32) (3,455.32)

0.00 0.00 ARC 49,701.00 49,701.00

0.00 0.00 TOTAL REMITTANCE 704,252.00 255,066.92 959,318.92 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: YoloSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 141,307.00 343,957.00 485,264.00 CWKS Safety Net Asst OCT-16 MO 118,600.00 118,600.00 CWKS TANF Timed-Out Asst OCT-16 MO 41,300.00 41,300.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 16,900.00 16,900.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 13,300.00 13,300.00 Total Advances 141,307.00 534,057.00 675,364.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 143,074.00 404,803.00 547,877.00 CWKS Safety Net Asst JUL-16 MO 131,658.00 131,658.00 CWKS TANF Timed-Out Asst JUL-16 MO 45,711.00 45,711.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 19,113.00 19,113.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 14,470.00 14,470.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (75,472.00) (404,803.00) (480,275.00)CWKS Safety Net Asst JUL-16 MO (122,400.00) (122,400.00)CWKS TANF Timed-Out Asst JUL-16 MO (45,200.00) (45,200.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (18,600.00) (18,600.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (15,500.00) (15,500.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 67,602.00 0.00 67,602.00 CWKS Safety Net Asst JUL-16 MO 9,258.00 9,258.00 CWKS TANF Timed-Out Asst JUL-16 MO 511.00 511.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 513.00 513.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO (1,030.00) (1,030.00)Total Net Adjustments 67,602.00 9,252.00 76,854.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 67,602.00 9,252.00 76,854.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (293,384.00) (293,384.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (248,430.20) (248,430.20)CWKS Monthly MOE Subaccount Est. JUL-16 MO 277,085.00 277,085.00 Family Support Subaccount AUG-16 MO (153,330.08) (153,330.08)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 80,616.00 80,616.00 Child Poverty Subaccount Recoup** JUL-16 MO (32,729.07) (32,729.07)

0.00 0.00 CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 577.00 577.00

0.00 0.00 0.00 CWKs ARC (MOE) JUL-16 MO 4,703.00 0.00 4,703.00

0.00 0.00 ARC Exp. JUL-16 MO 6,479.90 6,479.90 EBT FS GA/GR MAY-16 MO (987.25) (987.25)

0.00 0.00 Total Miscellaneous Adjustment 4,703.00 (364,102.70) (359,399.70)

TOTAL 213,612.00 179,206.30 392,818.30 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: YoloSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 3,500.00 3,500.00 KinGAP Asst OCT-16 MO 1,500.00 1,500.00

Total Advances 3,500.00 1,500.00 5,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 3,885.00 3,885.00 KinGAP Asst JUL-16 MO 1,630.00 1,630.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (3,900.00) (3,900.00)KinGAP Asst JUL-16 MO (1,400.00) (1,400.00)Net AdjustmentsFedGAP Asst JUL-16 MO (15.00) (15.00)KinGAP Asst JUL-16 MO 230.00 230.00 Total Net Adjustments (15.00) 230.00 215.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment (15.00) 230.00 215.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 3,485.00 1,730.00 5,215.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 3,485.00 0.00 3,485.00 CALWORKS Asst 213,612.00 (26,215.35) 187,396.65 CWKS Safety Net Asst 127,858.00 127,858.00 CWKS TANF Timed-Out Asst 41,811.00 41,811.00

0.00 0.00 0.00 KinGAP Asst 1,730.00 1,730.00 CWKS Recent Non-Citizens Mixed Cases 17,413.00 17,413.00 CWKS Recent Non-Citizens TANF Timed-Out 577.00 577.00 CWKS Recent Non-Citizens NonFederal 12,270.00 12,270.00 EBT FS GA/GR (987.25) (987.25)

0.00 0.00 ARC 6,479.90 6,479.90

0.00 0.00 TOTAL REMITTANCE 217,097.00 180,936.30 398,033.30 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: YubaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 108,459.00 293,308.00 401,767.00 CWKS Safety Net Asst OCT-16 MO 129,000.00 129,000.00 CWKS TANF Timed-Out Asst OCT-16 MO 56,900.00 56,900.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 1,400.00 1,400.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 2,300.00 2,300.00 Total Advances 108,459.00 482,908.00 591,367.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 88,005.00 346,877.00 434,882.00 CWKS Safety Net Asst JUL-16 MO 143,231.00 143,231.00 CWKS TANF Timed-Out Asst JUL-16 MO 62,901.00 62,901.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 1,282.00 1,282.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 2,533.00 2,533.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (64,672.00) (346,877.00) (411,549.00)CWKS Safety Net Asst JUL-16 MO (124,600.00) (124,600.00)CWKS TANF Timed-Out Asst JUL-16 MO (61,500.00) (61,500.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (1,200.00) (1,200.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (2,200.00) (2,200.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 23,333.00 0.00 23,333.00 CWKS Safety Net Asst JUL-16 MO 18,631.00 18,631.00 CWKS TANF Timed-Out Asst JUL-16 MO 1,401.00 1,401.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 82.00 82.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 333.00 333.00 Total Net Adjustments 23,333.00 20,447.00 43,780.00 Calworks - Recoupment 0.00 0.00 Calworks - Deferrment 0.00 0.00 Total Prior Period Adjustment 23,333.00 20,447.00 43,780.00

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (287,349.00) (287,349.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (243,320.33) (243,320.33)CWKS Monthly MOE Subaccount Est. JUL-16 MO 271,385.00 271,385.00 Family Support Subaccount AUG-16 MO (150,176.30) (150,176.30)Family Support Subaccount - Recoupment* 0.00 0.00

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 68,267.00 68,267.00 Child Poverty Subaccount Recoup** JUL-16 MO (32,055.88) (32,055.88)Child Poverty Growth FY14-15** FY 2015-16 (36,211.12) (36,211.12)

0.00 0.00 0.00 0.00 0.00

CWKs ARC (MOE) JUL-16 MO 3,090.00 0.00 3,090.00 0.00 0.00

ARC Exp. JUL-16 MO 3,105.00 3,105.00 EBT FS GA/GR MAY-16 MO (576.49) (576.49)

0.00 0.00 Total Miscellaneous Adjustment 3,090.00 (406,932.12) (403,842.12)

TOTAL 134,882.00 96,422.88 231,304.88 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: YubaSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 700.00 700.00 KinGAP Asst OCT-16 MO 1,000.00 1,000.00

Total Advances 700.00 1,000.00 1,700.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 744.00 744.00 KinGAP Asst JUL-16 MO 1,094.00 1,094.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (700.00) (700.00)KinGAP Asst 0.00 0.00 Net AdjustmentsFedGAP Asst JUL-16 MO 44.00 44.00 KinGAP Asst JUL-16 MO 1,094.00 1,094.00 Total Net Adjustments 44.00 1,094.00 1,138.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 44.00 1,094.00 1,138.00

MISC. ADJUSTMENT0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 744.00 2,094.00 2,838.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 744.00 0.00 744.00 CALWORKS Asst 134,882.00 (116,152.63) 18,729.37 CWKS Safety Net Asst 147,631.00 147,631.00 CWKS TANF Timed-Out Asst 58,301.00 58,301.00

0.00 0.00 0.00 KinGAP Asst 2,094.00 2,094.00 CWKS Recent Non-Citizens Mixed Cases 1,482.00 1,482.00 CWKS Recent Non-Citizens TANF Timed-Out 0.00 0.00 CWKS Recent Non-Citizens NonFederal 2,633.00 2,633.00 EBT FS GA/GR (576.49) (576.49)

0.00 0.00 ARC 3,105.00 3,105.00

0.00 0.00 TOTAL REMITTANCE 135,626.00 98,516.88 234,142.88 Sch No. 020540TCOMMENTS:

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STATEMENT OF CASH ADVANCE - AA190STATE OF CALIFORNIA

HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ControlSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALCALWORKS ASST, CALWORKS RECENT NON-CITIZENS MIXED CASES,

NONFEDERAL & TANF TIMED OUTADVANCES (100%) (CFDA #93.558) 0.00 CalWORKS Asst OCT-16 MO 41,000,000.00 99,000,000.00 140,000,000.00 CWKS Safety Net Asst OCT-16 MO 31,300,000.00 31,300,000.00 CWKS TANF Timed-Out Asst OCT-16 MO 13,000,000.00 13,000,000.00 CWKS Recent Non-Citizens Mixed Cases OCT-16 MO 3,100,000.00 3,100,000.00 CWKS Recent Non-Citizens Nonfederal OCT-16 MO 1,050,000.00 1,050,000.00 Total Advances 41,000,000.00 147,450,000.00 188,450,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual ExpendituresCalWORKS Asst JUL-16 MO 36,683,907.10 117,476,605.90 154,160,513.00 CWKS Safety Net Asst JUL-16 MO 34,785,606.00 34,785,606.00 CWKS TANF Timed-Out Asst JUL-16 MO 14,383,624.00 14,383,624.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO 3,114,681.00 3,114,681.00 CWKS Recent Non-Citizens Nonfederal JUL-16 MO 1,178,970.00 1,178,970.00 Less: Advances 0.00 CalWORKS Asst JUL-16 MO (22,000,000.00) (118,000,000.00) (140,000,000.00)CWKS Safety Net Asst JUL-16 MO (30,500,000.00) (30,500,000.00)CWKS TANF Timed-Out Asst JUL-16 MO (12,700,000.00) (12,700,000.00)CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (3,300,000.00) (3,300,000.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO (1,100,000.00) (1,100,000.00)Net Adjustments 0.00 CalWORKS Asst JUL-16 MO 14,683,907.10 (523,394.10) 14,160,513.00 CWKS Safety Net Asst JUL-16 MO 4,285,606.00 4,285,606.00 CWKS TANF Timed-Out Asst JUL-16 MO 1,683,624.00 1,683,624.00 CWKS Recent Non-Citizens Mixed Cases JUL-16 MO (185,319.00) (185,319.00)CWKS Recent Non-Citizens Nonfederal JUL-16 MO 78,970.00 78,970.00 Total Net Adjustments 14,683,907.10 5,339,486.90 20,023,394.00 Calworks - Recoupment JUN-16 MO (202,393.00) (202,393.00)Calworks - Deferrment JUL-16 MO 1,234,198.72 1,234,198.72 Total Prior Period Adjustment 14,481,514.10 6,573,685.62 21,055,199.72

MISC. ADJUSTMENTCWKS Monthly MOE Subaccount Est. OCT-16 MO (90,000,000.00) (90,000,000.00)CWKS Monthly MOE Subaccount Act. JUL-16 MO (76,209,789.77) (76,209,789.77)CWKS Monthly MOE Subaccount Est. JUL-16 MO 85,000,000.00 85,000,000.00 Family Support Subaccount AUG-16 MO (47,036,364.87) (47,036,364.87)Family Support Subaccount - Recoupment* APR-16 MO (1,067,680.27) (1,067,680.27)

0.00 0.00 0.00

Child Poverty Subaccount Expenditure JUL-16 MO 22,554,647.00 22,554,647.00 Child Poverty Subaccount Recoup** JUL-16 MO (10,163,199.49) (10,163,199.49)Child Poverty Growth FY14-15** FY 2015-16 (6,471,866.20) (6,471,866.20)CWKS Recent Non-Citizens TANF Timed-Out Exp JUL-16 MO 49,332.00 49,332.00 CWKS Diversion Asst JUL-16 MO 28,178.00 3,062.00 31,240.00 CWKs ARC (MOE) JUL-16 MO 1,266,614.00 12,721.00 1,279,335.00 CWKs ARC (NON-MOE) JUL-16 MO 2,316.00 2,316.00 ARC Exp. JUL-16 MO 1,430,059.90 1,430,059.90 EBT FS GA/GR MAY-16 MO (252,860.93) (252,860.93)CalWORKS EBT Theft JUL-16 MO 405.00 405.00 Total Miscellaneous Adjustment 1,294,792.00 (122,149,218.63) (120,854,426.63)

TOTAL 56,776,306.10 31,874,466.99 88,650,773.09 Sch No. 020540TCOMMENTS:

*Family Support Subaccount Recoupment **Child Poverty Subaccount recoupment for this month not purely from SCO distribution, some counties has leftover bal.***Due to overmatch of county's ARC allocation, amount is deferred until close-out.

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STATEMENT OF CASH ADVANCE - AA190

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY - DEPARTMENT OF SOCIAL SERVICES

CONTACTS:EBT INQUIRES: Bob Ficenec @ (916) 654 - 1749 FISCAL SYSTEMSCOUNTY ASSISTANCE PAYMENT UNIT ADVANCE MONTH: October 2016PAYMENT PROBLEMS: AA190 AND CLAIM LETTER INQUIRIES COUNTY: ControlSHOULD BE ADDRESSED VIA [email protected] Warrant Release Date: September 30, 2016

ASSISTANCE PROGRAM FEDERAL STATE TOTALFEDGAP ASST & KINGAP ASST

ADVANCES (100%) (CFDA #93.090)FedGAP Asst OCT-16 MO 3,200,000.00 3,200,000.00 KinGAP Asst OCT-16 MO 3,800,000.00 3,800,000.00

Total Advances 3,200,000.00 3,800,000.00 7,000,000.00

ADJUSTMENT FOR PRIOR PERIOD:Actual Expenditures 0.00 FedGAP Asst JUL-16 MO 3,619,187.00 3,619,187.00 KinGAP Asst JUL-16 MO 4,185,837.00 4,185,837.00 Less: Advances 0.00 FedGAP Asst JUL-16 MO (3,000,000.00) (3,000,000.00)KinGAP Asst JUL-16 MO (3,800,000.00) (3,800,000.00)Net AdjustmentsFedGAP Asst JUL-16 MO 619,187.00 619,187.00 KinGAP Asst JUL-16 MO 385,837.00 385,837.00 Total Net Adjustments 619,187.00 385,837.00 1,005,024.00 Net Adjustment - Deferred Payment 0.00 Net Adjustment - Deferred Recoupment 0.00 0.00 Total Prior Period Adjustment 619,187.00 385,837.00 1,005,024.00

MISC. ADJUSTMENTFedGAP OP BEG 07/01/12 JUL-16 MO (2,450.00) (2,450.00)KinGAP 18 Plus JUL-16 MO 105,565.00 78,198.00 183,763.00

0.00 0.00 0.00 0.00 0.00 0.00

FedGAP ISR Supplement 0.00 0.00 245.00 245.00 CWKS NMD 0.00 0.00 351.00 351.00

0.00 0.00 0.00 0.00 0.00 0.00

Total Miscellaneous Adjustment 103,115.00 78,794.00 181,909.00

TOTAL 3,922,302.00 4,264,631.00 8,186,933.00

AS SHOWN ON REMITTANCE ADVICESFedGAP Asst 3,922,302.00 245.00 3,922,547.00 CALWORKS Asst 56,748,128.10 (23,668,060.98) 33,080,067.12 CWKS Safety Net Asst 35,585,606.00 35,585,606.00 CWKS TANF Timed-Out Asst 14,683,624.00 14,683,624.00 CWKS Diversion Asst 28,178.00 3,062.00 31,240.00 KinGAP Asst 4,264,035.00 4,264,035.00 CWKS Recent Non-Citizens Mixed Cases 2,914,681.00 2,914,681.00 CWKS Recent Non-Citizens TANF Timed-Out 49,332.00 49,332.00 CWKS Recent Non-Citizens NonFederal 1,128,970.00 1,128,970.00 EBT FS GA/GR (252,860.93) (252,860.93)

0.00 0.00 ARC 1,430,059.90 1,430,059.90 CalWORKS EBT Theft 405.00 405.00

TOTAL REMITTANCE 60,698,608.10 36,139,097.99 96,837,706.09 Sch No. 020540TCOMMENTS: