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20 <br /> EXHIBIT B.NCCARE360 Community Organization Health Equity Grant Financial Status <br /> Report <br /> GRANT PERIOD:March 31,2022 —May 21,2023 <br /> On or before thirty(30) days following the end of the Term, Grantee shall provide a final report <br /> summarizing all activities and expenditures using the Grant Funds in the format set forth in <br /> Exhibit B. <br /> fOUNCATION FOR.HEALTH LEADERSHIP&INNWATION RRANCIAL STATUS REPORT;FS 'I <br /> r2mi ion gun y rar, ZYT6-faTADdu'ffRi---ues—Wr sRe _` <br /> 2)AnEnc o Nei -d b�iNis reggest: <br /> Ctntaa Paacn: g4,212k:-- 7702411122 <br /> 4)tzrraw E <br /> Fi Orart Pa-nod: 1114,2022-6,VP202S <br /> A. B- C. 0. E. <br /> Approved Previoubly cuffen't Year-to-data Unaxpended <br /> ExpendAura cabagwise Budget Rep4rted pedad Expenditures Budget <br /> F-Kpandltma Exp9nd9tures jowumns-c) iccournn A-q) <br /> sola rgrvalse oon <br /> Equlrmeant <br /> ucs"qp 0.00 01.00 ODD 0.00 0.00 <br /> 0.00 0.00 ODD OW 0.00 <br /> Total Esulmn't 0.00 TOO —010 0.00 0.00 <br /> TOM-%11181we ReMureeimut 0 <br /> Cor AmeW Servlm 0.001 0.00 010 0.00 0.00 <br /> 01hDr <br /> 0.00 0.00 0.00 0.00 <br /> C—nml suppiyn 0.00 0,00 ODD O.OD 0.00 <br /> 0 0 <br /> ,-00 <br /> r�7-.,, n�0, <br /> 0.00 <br /> .00 bil 7 O.OD 0.00 <br /> Trataany,v�evrlcpal int 0.00 0.00 ODD O.OD Ho <br /> &bh1anar=kmnW1 fon V�r, I <br /> -- , <br /> ToW o6er F Ton0,00 0.00 <br /> I-owl Amamr Re2Uftmd <br /> COMPUTAT7014 OF CASH REQUIREMENTS <br /> rota[CUP)ReCeMacr SquaenW.V DaM <br /> 0.00 <br /> TOW Maar-w-Dace 5rPeAcklmires <br /> 0.00 <br /> Cash PayM en Z R"U MW 0.00 <br /> Ns O-W cocuLwoVa MFartne-17;aq5n,7.7555,4—]rdbv r-7tInn!ml dala.jc-ry, WKW,Nl,v DCO', N�rr��.Mf <br /> ,,,rn rr,wndrw-e We,awlra-v-To ha lupe knuMadipwd have wit'i zlF lans,mqa�,J"D-r,wd b>'My-k�j wai!�,mA Vl; ajcC ,:Aan 0 unduth& <br /> b se 1=f"11 trono Cw5v"s rly"ndjara,af,a%";A r—wrilmt4n, <br /> Authonzed Signature: Tide: <br /> FH Ll Signature App rvt,,:d. Tice: e: <br /> 15 <br />