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):
08/09/13
2b. APPLICATION ID:
13VG153992
3. DATE RECEIVED BY STATE:
STATE APPLICATION IDENTIFIER:
946001347
4. DATE RECEIVED BY FEDERAL AGENCY:
08/09/13
FEDERAL IDENTIFIER:
13VGHCA001
5. APPLICATION INFORMATION
LEGAL NAME: California Volunteers
DUNS NUMBER: 138330852
ADDRESS (give street address, city, state, zip code and county):
770 L Street
Suite 1160
Sacramento CA 95814 - 1234
County: Sacramento
NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION (give area codes):
NAME: Anthony Chavez
TELEPHONE NUMBER: (916) 324-4786
FAX NUMBER:
INTERNET E-MAIL ADDRESS: anthony.chavez@cv.ca.gov
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
946001347
7. TYPE OF APPLICANT:
7a. State Commission
7b. State Commission/Alternative Administrative Entity
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: 94.021
10b. TITLE: Volunteer Generation Fund
11.a. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
VGF - CaliforniaVolunteers
11.b. CNCS PROGRAM INITIATIVE (IF ANY):
None
12. AREAS AFFECTED BY PROJECT (List Cities, Counties, States, etc):
California,
13. PROPOSED PROJECT: START DATE: 10/01/13 END DATE: 09/30/14
14. CONGRESSIONAL DISTRICT OF:   a.Applicant CA 06   b.Program CA 06
15. ESTIMATED FUNDING: Year #: 1
a. FEDERAL
$ 322,837.00
b. APPLICANT
$ 323,133.00
c. STATE
$ 0.00
d. LOCAL
$ 0.00
e. OTHER
$ 0.00
f. PROGRAM INCOME
$ 0.00
g. TOTAL
$ 645,970.00
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:
Anthony Chavez
b. TITLE:
c. TELEPHONE NUMBER:
(916) 324-4786
d. SIGNATURE OF AUTHORIZED REPRESENTATIVE:
e. DATE SIGNED:
09/06/13