PART I - FACE SHEET

APPLICATION FOR FEDERAL ASSISTANCE
Modified Standard Form424 (Rev.02/07 to confirm to the Corporation's eGrants System)
1. TYPE OF SUBMISSION:
Application X Non-construction
2a. DATE SUBMITTED TO CORPORATION FOR NATIONAL AND COMMUNITY SERVICE (CNCS):
03/12/12
2b. APPLICATION ID:
12BI138160
3. DATE RECEIVED BY STATE:
STATE APPLICATION IDENTIFIER:
N/A
4. DATE RECEIVED BY FEDERAL AGENCY:
03/12/12
FEDERAL IDENTIFIER:
12BIHCA001
5. APPLICATION INFORMATION
LEGAL NAME: My Good Deed Inc.
DUNS NUMBER: 020001692
ADDRESS (give street address, city, state, zip code and county):
503 32nd St
Ste 120
Newport Beach CA 92663 - 3833
County: Orange
NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION (give area codes):
NAME: David Paine
TELEPHONE NUMBER: (949) 233-0050
FAX NUMBER:
INTERNET E-MAIL ADDRESS: david.paine@911day.org
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
450491886
7. TYPE OF APPLICANT:
7a. Non-Profit
7b. Community Action Agency/Community Action Program
8. TYPE OF APPLICATION (Check appropriate box).
XNEW NEW/PREVIOUS GRANTEE
CONTINUATION AMENDMENT
If Amendment, enter appropriate letter(s) in box(es):
A. AUGMENTATION B. BUDGET REVISION
C. NOCOST EXTENSION D. OTHER (specify below):
9. NAME OF FEDERAL AGENCY:
Corporation for National and Community Service
10a. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 94.007
10b. TITLE: Basic Innovative Programs
11.a. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
9/11 Day Promotes Military Veteran Leadership Skills
11.b. CNCS PROGRAM INITIATIVE (IF ANY):
ISSOPP
12. AREAS AFFECTED BY PROJECT (List Cities, Counties, States, etc):
Projects will impact New York City, Minneapolis, Chicago, Los Angeles, and Washington DC.
13. PROPOSED PROJECT: START DATE: 06/01/12 END DATE: 11/30/12
14. CONGRESSIONAL DISTRICT OF:   a.Applicant CA 48   b.Program CA 48
15. ESTIMATED FUNDING: Year #: 1
a. FEDERAL
$ 75,000.00
b. APPLICANT
$ 71,739.00
c. STATE
$ 0.00
d. LOCAL
$ 0.00
e. OTHER
$ 0.00
f. PROGRAM INCOME
$ 0.00
g. TOTAL
$ 146,739.00
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
DATE:
XNO. PROGRAM IS NOT COVERED BY E.O. 12372
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
YES if "Yes," attach an explanation. XNO
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. TYPED NAME OF AUTHORIZED REPRESENTATIVE:
David Paine
b. TITLE:
c. TELEPHONE NUMBER:
(949) 233-0050
d. SIGNATURE OF AUTHORIZED REPRESENTATIVE:
e. DATE SIGNED:
07/23/12