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<br />Table C: Other Law Enforcement Expenses <br />Description of Expense <br /> <br />Justice Funds <br /> <br />Treasury Funds <br /> <br />Table D: Equitable Sharing Funds Transferred to Other Agencies <br />Receiving Agency Name, City, and State <br />Agency Name <br /> <br />Justice Funds <br /> <br />Treasury Funds <br /> <br />Agency Address <br /> <br />Table E: 15% Expenditures in Support of Community-based Programs <br />Recipient <br /> <br />Justice Funds <br /> <br /> <br />Table F: 25% Windfall Transfers to Other Government Agencies <br />Recipient <br /> <br />Justice Funds <br /> <br />Treasury Funds <br /> <br />Table G: Matching Grants <br />Matching Grant Name <br />I <br /> <br />Justice Funds <br /> <br />Treasury Funds <br /> <br />Table H: Civil Rights Cases <br />Name of Case <br /> <br />Type of Discrimination Alleged <br /> <br />Status <br /> <br />D Race D Color D National D Gender <br /> Origin o Settled <br />D Disability D Age D Other o Pending <br /> <br />Paperwork Reduction Act Notice <br /> <br />Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it <br />displays a valid OMB control number. We try to create accurate and easily understood forms that impose the least <br />possible burden on you to complete. The estimated average time to complete this form is 30 minutes. If you have <br />comments regarding the accuracy of this estimate, or suggestions for making this form simpler, please write to the <br />Asset Forfeiture and Money Laundering Section, Program Unit, 1400 New Y ork Avenue, N.W., Second Floor, <br />Washington, DC 20005. <br /> <br />Page 3 of 5 <br /> <br />January 2009 <br />Version 1.5 <br />