Laserfiche WebLink
$Additional Federal Funds Leveraged <br />Additional State Funds Leveraged <br />$Locally Leveraged Funds <br />EE$ <br />$Grantee Funds Leveraged <br />$Anticipated Program Income - $25,000.00 <br />Other (Describe) <br />Total Funds Leveraged for HOME -based Project(s) - $25,000.00 <br />7HOPWA Opportunities for People with AIDS <br />14.241 HOPWA <br />Project Titles <br />Description of Areas Affected by HOPWA Projects) <br />$ HOPWA 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 />$Anticipated Program Income <br />Other (Describe) <br />Total Funds Leveraged for HOPWA -based Project(s) <br />Emergency Shelter Grants Program <br />14.231 ESG <br />ESG Project Titles <br />Description of Areas Affected by ESG Project(s) <br />$ESG Grant Amount <br />$Additional HUD Grants) Leveraged <br />Describe <br />$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 ESG -based Project(s) <br />Congressional Districts of: <br />Is application subject to review by state Executive Order <br />12372 Process? <br />Applicant Districts — 2nd <br />Project Districts — <br />2nd <br />Is the applicant delinquent on any federal debt? If <br />"Yes" please include an additional document <br />explainin the situation. <br />❑ Yes X No <br />❑ Yes <br />This application was made available to the <br />state EO 12372 process for review on DATE <br />X No <br />[I N/A <br />Program is not covered by EO 12372 <br />Program has not been selected by the state <br />for review <br />Person to be contacted regarding this application <br />Susan <br />K. <br />kiyama <br />Housing Administrator <br />808/961 -8379 <br />08/961 -8685 <br />ohcdcdbg @hawaiicounty.gov <br />Signature of Authorized Representative <br />Date Signed <br />SF 424 Page 2 Version 2.0 <br />