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A' l NNYe1A\IallNl_\INIP <br />DATE: March 8, <br />Applications must be submitted through Foundant NO LATER THAN 5 P.M., March 8.2017. <br />ABSOLUTELY NO LATE APPLICATIONS WILL BE ACCEPTED. <br />An email notifying receipt will be sent upon completion of application. If you do not receive an <br />email please contact City Staff at (714) 647-6561. <br />Do not add extra pages or attachments unless instructed to do so. Any supplemental material <br />such as letters of support, press clippings, etc., will not be accepted as part of this application <br />submittal. Limit responses to the space provided; any additional narrative beyond the provided <br />space will not be considered. <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 />2017-2018 Proposed Program Budget (Attachment 3) <br />2016-2017 Current Program Budget (Attachment <br />4) 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 <br />8) Conflict of Interest Questionnaire (Attachment 9) <br />Financial Statements & Single Audit (Attachment <br />10) Organization Chart (Attachment 11) <br />Memorandum of Understanding with the Santa Ana WORK Center (Attachment 12) <br />NOTES: <br />Failure to provide all required information will cause this application to become invalid and will <br />not be considered for funding. The City reserves the right to withdraw consideration of this <br />application if evidence of compliance is not provided or if compliance status changes during the <br />application process. The City reserves the right to waive a requirement if it is determined to be in <br />the best interest of the City. <br />19F-6 <br />