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ATTACHMENT G <br /> PROPOSER'S APPLICATION <br /> Organization Legal Name StandUp for Kids <br /> Organization DBA <br /> Program Name StandUp for Kids Youth Service Providers <br /> Program Address P.O.Box 14398 Irvine, CA 92623 <br /> Corporate Office Address 200 Nelson Ferry Road Suite B,Decatur, GA 30030 <br /> Contact Person&Title Justine Palmore Regional Executive Director <br /> Email justines@standupforkids.org <br /> Telephone## 714-356-5437 <br /> ax N <br /> ederal ID Number 33-0414855 <br /> ORGANIZATION STATUS <br /> ublic Non-Profit Corporation ivate Non-Profit Years m 35 <br /> Private for Profit Govemment I 10ther 10peration <br /> PRIMARY FUNDING SOURCES <br /> unding Source Governmental rivate usiness Foundation/CivicIn-kind/Events/Other <br /> mount $614,657.10 1$153,66428 1$167,761.92 1$210,054.84 $263,625.87 <br /> DAYS&HOURS OF OPERATION <br /> Days onday rruesday ednesday Thursday riday Saturday Sunday <br /> Fours P4 hours r4 hours P4 hours P4 hours 24 hours 24 haurs 4 haurs <br /> TARGET POPULATION <br /> umber of Out-of-School 0 Number of In-School 0 <br /> Youth <br /> of Youth to be Served in 2025-2026 20 otal W10A Funds $200,000.00 <br /> e uested <br /> In compliance with the RFP noted above, and subject to the conditions thereof,the undersigned <br /> offers to ftmiish the services stipulated and certifies he has read, understands, and agrees to all <br /> terms, conditions, and requirements of this RFP and is authorized to contract on behalf of the <br /> organization named above. <br /> Regional Executive Director 5-13-2025 <br /> Signature Title Date <br />