Five-Star Restoration Challenge Grants Application Form

APPLICANT INFORMATION:

Organization (to be named as Grantee): Muwekma Ohlone Sanctuary

Street: 1884 Illinois Street

City, State, Zip: San Francisco, Ca, 94124

Tax Status: 501C3 Tax ID#: 94-2921814 FiscalYear: 2001 To: 2002

Project Contacts: http://www.islaiscreek.org

Project Officer: David Erickson Financial Officer: Cory Calandra

SLUG Director

Tele: 415-821-9300 Tel:: 415-285-7584

Fax: 415-821-9300 Fax: 415-285-7586

E-Mail: zabudam@pacbell.net E-Mail NA

PROJECT INFORMATION:

Project Name: Muwekma Ohlone Sanctuary-Habitat Restoration and Environmental Education

Ecosystem Restoration: X wetland X riparian X coastal

Project Location(s): City: Islais Creek, San Francisco

State: California

Congressional District: Ca-8(Pelosi) Longitude/Latitude (if known):_________

Project Start Date: Immediately on selection, May,2001 Project End Date: April 2002

Application Submission Date: March 2, 2001

GRANT REQUEST:

Five-Star Funds Requested: $ 19,000.00

Partner Contributions (total): $ 28,000.00

Total Project Cost: $ 47,000.00

PARTNER CONTRIBUTIONS: Please list the names of project partner organizations, the value of their contribution, and indicate whether the contribution is cash or in-kind.

Project Partner

Amount

Cash/In-Kind

1. Port of San Francisco

$5750.00

In Kind

2. Muwekma Ohlone Tribe

$4500.00

In Kind

3. San Francisco Parks & Recreation

$5500.00

In Kind

4. RMC Pacific Lonestar

$6750.00

In Kind

5. SF Neighborhood Parks Council

$5500.00

In Kind

Note: Muwekma Ohlone Sanctuary has received $30,000 master planning grant for year

2001 from the USDA URP Program.

Can we circulate your application to other potential funding sources? X (yes) ____(no)

 

APPLICANT SIGNATURE: David Erickson 003/01/2001

Name of Project Officer Signature Date