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c <br />$HOME Grant Amount $451,221.00 <br />$Additional HUD Grant(s) Leveraged <br />Describe <br />$Additional Federal Funds Leveraged <br />$Additional State Funds Leveraged <br />$Locally Leveraged Funds <br />$Grantee Funds Leveraged <br />$Anticipated Program Income <br />Other (Describe) <br />Total Funds Leveraged for HOME -based Project(s) <br />National Housing Trust Fund 14.275 HTF <br />Description of Areas Affected by HTF Projects <br />$HTF Grant Amount <br />$Additional HUD Grant(s) Leveraged <br />Describe <br />$Additional Federal Funds Leveraged <br />Additional State Funds Leveraged <br />$Locally Leveraged Funds <br />Grantee Funds Leveraged <br />$Anticipated Program Income <br />ther (Describe) <br />Total Funds Leveraged for HTF Project(s) <br />Emergency Shelter Grants Program <br />14.231 ESG <br />ESG Project Titles <br />Description of Areas Affected by ESG Project(s) <br />$ESG Grant Amount <br />$Additional HUD Grant(s) <br />Leveraged <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 />ther (Describe) <br />Total Funds Leveraged for ESG-based Project(s) <br />Congressional Districts of: <br />Is application subject to review by state Executive Order <br />12372 Process? <br />Applicant Districts Project Districts <br />Is the applicant delinquent on any federal debt? If <br />"Yes" please indude an additional document <br />explaining the situation. <br />• Yes <br />This application was made available to the <br />state EO 12372 process for review on DATE <br />0 No <br />Program is not covered by EO 12372 <br />• Yes <br />Lfor <br />►2 <br />No <br />• N/A <br />Program has not been selected by the state <br />review <br />Person to be contacted regarding this application <br />Neil <br />S. <br />Gyotoku <br />Housing Administrator <br />808/961-8379 <br />808/961-8685 <br />ohcdcdbg@co.hawaii.hi.us <br />2019 <br />Sig ure Authorized Representative <br />W4- t✓ --\ <br />bate Signed <br />APR 2 6 <br />Kim, or unty of Hawaii <br />SF 424 <br />Page 2 <br />Version 2.0 <br />