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Application for Federal Assistance SF-424
• 1. Type of Submission: • 2. Type of Application: • If Revision, select appropriate letter(s):
D Preapplication 1:8:!New I
1:8:1 Application D Continuation • Other (Specify):
D Changed/Corrected Application D Revision I
• 3. Date Received: 4. Applicant Identifier:
!Completed by Grants.gov upon submission.
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5a. Federal Entity Identifier: 5b. Federal Award Identifier:
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State Use Only:
6. Date Received by State: I I 17. State Application Identifier: I
8. APPLICANT INFORMATION:
• a. legal Name: lcrn OF CHULA VISTA
• b. Employer/Taxpayer Identification Number (EIN/TIN):
1956000690
d. Address:
• Street1: 276 4TH AVE
Street2:
• City: lcmJLA VISTA
County/Parish: lsAN DIEGO
• State:
Province:
• Country: I UNITED STATES
• Zip/ Postal Code:
e. Organizational Unit:
Department Name:
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• c. UEI:
IKVBYLRZMAGJ9
Division Name:
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f. Name and contact information of person to be contacted on matters involving this application:
Prefix: I I • First Name: 'JONATHAN
Middle Name: I I
• Last Name: !ALEGRE
Suffix: I I
Title: I
Organizational Affiliation:
• Telephone Number: 16194762570 I
Fax Number: I
• Email: [email protected]
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0MB Number: 4040-0004
Expiration Date: 11/30/2025
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