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San Leandro Community Assistance Fundi <br />GRANT APPLICATION <br />ORGANIZATION: <br />PROGRAM TITLE: <br />PROGRAM TARGET POPULATION/CLIENT PROFILE <br />Please estimate the number and percentage of clients to be served per year by this aro4ram, according to the following classifications. These <br />estimates are to be completed only for the program for which you are requesting Community Assistance/CDBG funding. Because some clients <br />may represent more than one classification, numbers may be duplicated. <br />Geoctraphic location # <br />San Leandro <br />Oakland <br />Hayward <br />Unincorporated <br />Other <br />Total 100% <br />Race/Ethnicity # <br />American Indian or Alaskan Native <br />American Indian, Alaskan Native & White <br />American Indian or Alaskan Native and Black or <br />African American <br />Asian <br />Asian and White <br />Black or African American <br />Black or African American & White <br />Native Hawaiian or Other Pacific Islander <br />White <br />Other/ Multi-racial <br />Total 100% <br />Hispanic Ethnicity <br />Note: Above categories may vary depending on federal government regulation changes. Under OMB 1997, Hispanic is not a race category, but an ethnic <br />category that cuts across all races. Hispanic: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, <br />regardless of race. Participants must choose grace/ethnicity category and may also choose to identify as Hisaanic. <br />Gender # <br />Female <br />Male <br />Total 100% <br />Income <br />Persons in <br />Household Annual Income <br />Low 80% AMI Percentage <br />1 $46,350 <br />2 $53,000 <br />3 $59,600 <br />4 $66,250 <br />5 $71,550 <br />6 $76,850 <br />7 $82,150 <br />8 $87,450 <br />No Income <br />Income Unknown <br />ToT.4>. 100% <br />Total Number of UNDUPLICATED clients served by this program: # <br />17 <br />