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Copy of City of Santa Ana Community <br />Development Block Grant FY 2022- 2024 (Nonprofit Application) 9 <br />APPLICATION FOR SUBRECIPIENT PROPOSALS <br />DUE DATE: Monday, December 20, 2021 at 5:00PM <br />Hard Copy Applications must be submitted by mail or hand delivered to: <br />City of Santa Ana <br />Attention: David Flores, Sr. Community Development Analyst <br />20 Civic Center Plaza 6th Floor <br />Santa Ana, CA 92701 <br />NO LATER THAN 5 P.M., Monday, December 20, 2021. <br />ABSOLUTELY NO LATE APPLICATIONS WILL BE ACCEPTED. <br />Submit one complete application for each proposed program. <br />A complete application will include the following: <br />1.Organizational Cover Letter <br />2.Application Form <br />3.2022-2023 Proposed Program Budget (Attachment 1) <br />4.2023-2024 Proposed Program Budget (Attachment 2) <br />5.Certifications (Attachment 3) <br />6.Staff Listing (Attachment 4) <br />7.Organization Chart <br />8.Board of Directors, By-laws and Articles of Incorporation <br />9.Financial Statements & Single Audit, Form 990 (Single Audit required if organization <br />expended more than $750,000 of federal funds within a program year) <br />10.IRS Nonprofit Designation Letter <br />11.Logic Model <br />NOTES: <br />Failure to provide all required information will cause this application to become invalid and <br />will not be considered for funding. The City reserves the right to withdraw consideration of <br />this application if evidence of compliance is not provided or if compliance status changes <br />during the application process. The City reserves the right to waive a requirement if it is <br />determined to be in the best interest of the City. <br />EXHIBIT 1