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OMB Number: 4040-0004 <br />Expiration Date: 10/31/2019 <br />* 1. Type of Submission:* 2. Type of Application: <br />* 3. Date Received: 4. Applicant Identifier: <br />5a. Federal Entity Identifier: 5b. Federal Award Identifier: <br />6. Date Received by State: 7. State Application Identifier: <br />* a. Legal Name: <br />* b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: <br />* Street1: <br />Street2: <br />* City: <br />County/Parish: <br />* State: <br />Province: <br />* Country: <br />* Zip / Postal Code: <br />Department Name: Division Name: <br />Prefix: * First Name: <br />Middle Name: <br />* Last Name: <br />Suffix: <br />Title: <br />Organizational Affiliation: <br />* Telephone Number: Fax Number: <br />* Email: <br />* If Revision, select appropriate letter(s): <br />* Other (Specify): <br />State Use Only: <br />8. APPLICANT INFORMATION: <br />d. Address: <br />e. Organizational Unit: <br />f. Name and contact information of person to be contacted on matters involving this application: <br />Application for Federal Assistance SF-424 <br />Preapplication <br />Application <br />Changed/Corrected Application <br />New <br />Continuation <br />Revision <br />MC-06-0017 <br />MC-06-0017 <br />City of San Leandro <br />94-6000421 8301274160000 <br />835 East 14th Street <br />San Leandro <br />CA: California <br />USA: UNITED STATES <br />94577-3767 <br />Community Development Housing <br />Ms.Maryann <br />Sargent <br />Senior Housing Specialist <br />510-577-6005 510-577-6007 <br />msargent@sanleandro.org <br />50