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Application <br />City of Santa Ana- CDBG <br />Submit one complete application for each proposed program. <br />Financial Statements & Single Audits <br />(Single Audit required if organization expended more than $750,000 of federal funds within a <br />program year) <br />Choices <br />Application Form <br />Staff Listing (Attachment 1) <br />Certifications (Attachment 2) <br />2018-2019 Proposed Program Budget (Attachment 3) <br />2017-2018 Current Program Budget (Attachment 4) <br />IRS Nonprofit Designation Letter (Attachment 5) <br />Form 990 (Attachment 6) <br />Current/Proposed Client Eligibility Intake Form (Attachment 7) <br />Board of Directors, By-laws and Articles of Incorporation (Attachment 8) <br />Conflict of Interest Questionnaire (Attachment 9) <br />Financial Statements & Single Audit (Attachment 10) <br />Organization Chart (Attachment 11) <br />Memorandum of Understanding with the Santa Ana WORK C��('Attachment 12) <br />n <br />NOTES: <br />Failure to provide all required information <br />not be considered for funding. The City rest <br />application if evidence of compliance is not <br />application process. The City rt <br />in the best interest of the City. <br />PUBLIC SERVIeE'A <br />Legal Organization <br />Character Limit: 100 <br />DUNS Number* <br />to become invalid and will <br />v consideration of this <br />: status changes during the <br />a requirement if it is determined to be <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 reeistration. <br />Character Limit: 15 <br />Name of second organization if doing a collaboration <br />Character Limit: 100 <br />City of Santa Ana Community <br />Development Block Grant FY 2018- <br />2019 (Nonprofit Application) <br />101 <br />