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SF 424 <br />The SF 424 is part of the CPMP Annual Action Plan. SF 424 form <br />fields are included in this document. Grantee information is linked <br />from the I CPMP.xls document of the CPMP tool. <br />Complete the fillable fields (blue cells) in the table below. The other items are pre -filled with values from the <br />Grantee Information Worksheet. <br />Date Submitted kpplicant Identifier <br />Type of Submission <br />Date Received by state State_Id_entifier <br />implication <br />re-application <br />Construction <br />Date Received by HUD ederal Identifier <br />X Construction <br />X Non Construction <br />Non Construction <br />Applicant Information <br />County of Hawai' i <br />H1159999 HAWAII STATE PROGRAM _ <br />50 Wailuku Drive <br />9-463-6073 <br />— <br />Office of Housing & Community Development <br />_ <br />Hilo <br />Hawaii <br />Office of Management <br />_ _ <br />6720 <br />U.S.A. <br />—Housing <br />Em toyer Identification Number (EIN): <br />Hawaii County <br />9-6000567 <br />Applicant Type: <br />Specify Other Type if necessary: <br />Local Government: County <br />Specify Other Type <br />U.S. Department of <br />Prom Funding <br />Housing and Urban Development <br />Catalogue of Federal Domestic Assistance Numbers; Descriptive <br />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: Kaloko Employment Training Facility, <br />Description of Areas Affected by CDBG Project(s) 1. <br />- <br />Removal of Architectural Barriers -- Various County <br />County of Hawaii <br />Facilities; Residential Emergency Repair Program; Yano <br />Hall Re -Roofing Project; Pahoa Fire Station -- Fire Truck <br />Ac guisitions and Administration, Planning & Fair Housing. _ - -. <br />CDBG Grant Amount - $2,983 865.00 Additional HUD Grant(s) Leveragedp`scribe - <br />Additional Federal Funds Leveraged <br />Additional State Funds Leveraged v <br />Locally Leveraged Funds - $1,276,298.65 <br />Grantee Funds Leveraged <br />-Anticipated Program Income - $216,285.37 <br />Other (Describe) Private - $.00 <br />Total Funds Leveraged for CDBG-based Project(s) - $1,492,584.02 <br />Home Investment Partnerships Program <br />14.239 HOME <br />HOME Project Titles: Mohouli Heights Senior <br />Description of Areas Affected by HOME Project(s) - <br />Neighborhood 1; Tenant Based Rental Assistance; <br />aunty of Hawaii <br />Hawaiian Paradise Park Self -Help, Phase land <br />Administration, Planning and Fair Housing. _ <br />HOME Grant Amount - $996,793Additional HUD Grant(s) leveraged ribe <br />SF 424 Page 1 Version 2.0 <br />