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FULL PACKET_2018-12-18
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FULL PACKET_2018-12-18
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1/14/2019 10:02:13 AM
Creation date
12/17/2018 3:17:05 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
12/18/2018
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EXHIBIT 1 <br />Application City of Santa Ana- CDBG <br />2018-2019 Current Program Budget (Attachment 4) <br />IRS Nonprofit Designation Letter (Attachment 5) <br />Form 990 (Attachment 6) <br />Board of Directors, By-laws and Articles of Incorporation (Attachment 7) <br />Conflict of Interest Questionnaire (Attachment 8) <br />Financial Statements & Single Audit (Attachment 9) <br />Organization Chart (Attachment 10) <br />Memorandum of Understanding with the Santa Ana WORK Center (Attachment 11) <br />Logic Model (Attachment 12) <br />NOTES: <br />Failure to provide all required information will cause this application to be considered <br />incomplete and the application will not be considered for funding. The City reserves the right to <br />withdraw consideration of this application if evidence of compliance is not provided or if <br />compliance status changes during the application process. The City reserves the right to waive a <br />requirement if it is determined to be in the best interest of the City. <br />PUBLIC SERVICE APPLICATION <br />DUE DATE: 5:00 p.m.. Monday. February 4, 2019. <br />Legal Organization Name* <br />Character Limit., 100 <br />DUNS Number* <br />A DUNS number is a unique nine -character number used to identify your organization. The City <br />uses the DUNS number to report how federal grant money is allocations. DUNS number lookup <br />or registration. <br />Character Limit., 15 <br />Legal Name of Second Organization (if submitting a joint application) <br />Character Limit: 100 <br />DUNS Number of Second Organization (if submitting a joint application) <br />A DUNS number is a unique nine -character number used to identify your organization. The City <br />uses the DUNS number to report how federal grant money is allocations. DUNS number lookup <br />or registration. <br />Character Limit: 100 <br />Is this for a Summer Night Lights Program* <br />A Summer Night Lights program will require a letter of commitment to use a facility from the <br />City of Santa Ana Parks, Recreation, and Services Agency for a City facility (e.g. a Recreation <br />City of Santa Ana Community <br />Development Block Grant FY 2019 - <br />Printed On: 29 November 2018 2020 (Nonprofit Application) <br />19D-10 <br />
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