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U.S. Dept. of Health and Human Services 7/24/2025
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U.S. Dept. of Health and Human Services 7/24/2025
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Last modified
7/24/2025 11:41:38 AM
Creation date
7/24/2025 11:41:22 AM
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Contracts
Contractor's Name
U.S. Dept. of Health and Human Services
Approval Date
7/24/2025
End Date
9/30/2025
Department
Community Development
Department Project Manager
Kembra Landry
Subject / Project Title
SAMHSA No Cost Extension Application
Tracking Number
0004921
Total Compensation
$4,500,000.00
Contract Type
Agreement
Contract Subtype
Grant Agreement (City as Grantee)
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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OMB Number: 4040-0004 <br />Expiration Date: 11/30/2025 <br />* 1. Type of Submission: * 2. Type of Application: <br />* 3. Date Received: 4. Applicant Identifier: <br />5a. Federal Entity Identifier: 5b. Federal Award Identifier: <br />6. Date Received by State: 7. State Application Identifier: <br />* a. Legal Name: <br />* b. Employer/Taxpayer Identification Number (EIN/TIN): * c. UEI: <br />* Street1: <br />Street2: <br />* City: <br />County/Parish: <br />* State: <br />Province: <br />* Country: <br />* Zip / Postal Code: <br />Department Name: Division Name: <br />Prefix: * First Name: <br />Middle Name: <br />* Last Name: <br />Suffix: <br />Title: <br />Organizational Affiliation: <br />* Telephone Number: Fax Number: <br />* Email: <br />* If Revision, select appropriate letter(s): <br />* Other (Specify): <br />State Use Only: <br />8. APPLICANT INFORMATION: <br />d. Address: <br />e. Organizational Unit: <br />f. Name and contact information of person to be contacted on matters involving this application: <br />Application for Federal Assistance SF-424 <br />Preapplication <br />Application <br />Changed/Corrected Application <br />New <br />Continuation <br />Revision <br />07/21/2025 JULIEWILLIE <br />H79FG001343 <br />City of Everett <br />91-6001248 LVPSLN4A2LF6 <br />2930 Wetmore Avenue <br />8A <br />Everett <br />WA: Washington <br />USA: UNITED STATES <br />98273-4067 <br />Comm, Planning, and Ec. Dev. Community Development <br />Julie <br />Willie <br />Community Development Director <br />425-257-7120 <br />jwillie@everettwa.gov
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