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o p0 <br />SF 424 <br />filaE The SF 424 is part of the CPMP <br />Annual Action Plan. SF 424 form fields are included in this document. Grantee information is <br />linked from the 1CPMP.xls document of the CPMP tool. <br />. . <br />Complete the fillable fields (blue cells) in the table below. The other items are pre - filled with values from the Grantee <br />Information Worksheet. <br />Date Submitted <br />05/11/2012 <br />Applicant Identifier <br />MC -06 -0017 <br />Type of Submission <br />Date Received by state <br />State Identifier 800 - 3859 -9 <br />Application <br />Pre - application <br />Date Received by HUD <br />Federal Identifier <br />❑ Construction <br />10 Construction <br />® Non Construction <br />10 Non Construction <br />App licant Information <br />J urisdiction: City of San Leandro <br />UOG Code CA63276 SAN LEANDRO <br />Street Address Line 1 835 East 14 Street <br />Organizational DUNS 83- 012 -7416 <br />Street Address Line 2 <br />Organizational Unit <br />City San Leandro <br />California <br />Department Community Development <br />Z IP 94577 <br />lCountry U.S.A. <br />Division Housing Services <br />Employer Identification Number (EIN): <br />County Alameda <br />4- 6000421 <br />Program Year Start Date 07101/11 <br />A pplicant Type: <br />Specify Other Type if necessary: <br />Local Government Township Municipal <br />Specify Other Type <br />Pro ram Fundinq <br />U.S. Department of <br />Housing and Urban Development <br />Catalogue of Federal Domestic Assistance Numbers; Descriptive Title of Applicant Project(s); Areas Affected by <br />Project(s) (cities, Counties, localities etc.); Estimated Funding <br />Community Development Block Grant <br />14.218 Entitlement Grant <br />CDBG Project Titles <br />FY 2012 -2013 Consolidated Annual Action Plan <br />Description of Areas Affected by CDBG Project(s) <br />City of San Leandro <br />CDBG Grant Amount <br />$560,739 <br />Describe <br />Additional Federal Funds Leveraged <br />Additional State Funds Leveraged <br />Locally Leveraged Funds <br />Grantee Funds Leveraged <br />Anticipated Program Income <br />0 <br />Other (Describe) <br />$69,192 unallocated balance from FY 2011 -2012 <br />Total Funds Leveraged for CDBG -based Project(s) <br />629,931 <br />DR 1FT Action Plain — FY 2012-2013 <br />City of San Leandro <br />Page 1 <br />