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Copy of City of Santa Ana Community <br />Development Block Grant FY 2022- 2024 (Nonprofit Application) <br /> <br /> 10 <br /> <br /> <br />PUBLIC SERVICE APPLICATION <br />DUE DATE: 5:00 p.m., Monday, December 20, 2021. <br /> <br />Legal Name of Organization* <br /> <br />DUNS umber* <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 allocated. DUNS number lookup <br />or registration. <br /> <br />Name of second organization if doing a collaboration <br /> <br />DUNS number of second organization if doing a collaboration <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 /> <br />Date Organization Founded* <br /> <br />Date of Nonprofit Incorporation* <br /> <br />SERVICE AND FUNDING <br />Q1. Total number of unduplicated individuals to be served during FY2022- <br />2023 and FY 2023-2024 by program* <br /> <br />2022-2023 _______________ 2023-2024 _______________ <br /> <br />a. Percentage that are estimated to be low-income* <br /> <br />2022-2023 _______________ 2023-2024 _______________ <br /> <br /> <br />Q2. Estimated yearly units of service* <br />(number of unduplicated individuals multiplied by service visits – i.e. 200 youth X 25 tutoring <br />sessions = 5,000 units of service) <br /> <br />2022-2023 _______________ 2023-2024 _______________ <br /> <br />Q3. Total CDBG funds requested for FY 2022-2023 and FY 2023-2024* <br />($30,000 minimum) <br /> <br />2022-2023 _______________ 2023-2024 _______________ <br />EXHIBIT 1