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EXHIBIT VI-5 FS INCOME STANDARDS

Household Size Maximum Gross Monthly Income Eligibility Standard for Expanded Categorically Eligible Households (effective October 1, 2013) 200% FPL Maximum Gross Monthly Income Eligibility Standard (effective October 1, 2013) 130% FPL Maximum Net Monthly Income Eligibility Standard (effective October 1, 2013) 100% FPL Maximum Allotment (effective November 1, 2013) 1 $1,915 $1,245 $958 $189 2 $2,585 $1,681 $1,293 $347 3 $3,255 $2,116 $1,591 $497 4 $3,925 $2,552 $1,963 $632 5 $4,595 $2,987 $2,298 $750 6 $5,265 $3,423 $2,633 $900 7 $5,935 $3,858 $2,968 $995 8 $6,605 $4,294 $3,303 $1,137 Each Additional Member +$670 +$436 +$335 +$142