Laserfiche WebLink
OMB Number: 4040-0004 <br />Expiration Date: 12/31/2022 <br />Application for Federal Assistance SF -424 <br />1. Type of Submission: <br />Preapplication <br />® Application <br />Changed/Corrected Application <br />' 2. Type of Application: ' If Revision, select appropriate letter(s): <br />F—] New E: Other (specify) <br />F—] Continuation ' Other (Specify): <br />® Revision CDBG-Cvl, CV2 and CV3 <br />3. Date Received: 4. Applicant Identifier: <br />5a. Federal Entity Identifier: <br />5b. Federal Award Identifier: <br />B -20 -EW -15-0002 <br />State Use Only: <br />6. Date Received by State: <br />7. State Application Identifier: <br />8. APPLICANT INFORMATION: <br />• a. Legal Name: County of Hawaii <br />• b. Employer/Taxpayer Identification Number (EIN/TIN): <br />' c. Organizational DUNS: <br />0000000000000 <br />XX-XXXXXXX <br />d. Address: <br />• Street1: 1990 Kinoole Street <br />Street2: Suite 102 <br />• City: Hilo <br />County/Parish: <br />• State: HI: Hawaii <br />Province: <br />'Country: USA: UNITED STATES <br />• Zip / Postal Code: 96720-5293 <br />e. Organizational Unit: <br />Department Name: <br />Division Name: <br />Grants Management <br />OHCD <br />f. Name and contact information of person to be contacted on matters involving this application: <br />Prefix: Mr. ' First Name: <br />Middle Name: <br />Duane <br />Last Name: Hosaka <br />Suffix: <br />Title: Housing Administrator <br />Organizational Affiliation: <br />County of Hawaii Office of Housing and Community Development <br />Telephone Number: 808-961-8379 <br />Fax Number: 808-961-8685 <br />'Email: duane.hosaka@hawaiicounty.gov <br />