3-Form 3-Organization Information.docx
DOCX document 30 KB Posted
- Solicitation number
- OCC-2025-00028249
- Issued by
- Dallas County, Texas
About this file
This document is a Form 3 Organization Information form from the City of Dallas Office of Community Care and Empowerment, related to the Housing Opportunities for Persons with AIDS (HOPWA) Program. The form is part of an open application process seeking eligible organizations to serve as Subrecipients for providing housing assistance and related supportive services for low-income persons living with HIV and their families in the Dallas service area. The HOPWA grant program, funded by the U.S. Department of Housing and Urban Development (HUD), is soliciting applications for multiple service categories including Emergency/Tenant Based Rental Assistance, Facility Based Housing, Emergency Vouchers, Master Leasing, Housing Information Services, Supportive Services Only, and Facility Rehabilitation/Repair, New Construction, or Acquisition.
The form requires organizations to provide detailed information about their legal structure, with options for public agencies, non-profit or for-profit entities, partnerships, or joint ventures. Applicants must submit supporting documentation such as Articles of Incorporation, Bylaws, IRS tax-exempt status letter (for non-profits), and minutes from the last three Board of Directors meetings. The document emphasizes compliance with insurance and indemnification requirements, and requires an authorized individual to sign, certifying the accuracy of the submitted information. The issue date is February 28, 2019, with a revision date of January 1, 2025, indicating ongoing updates to the application process.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
City of Dallas Office of Community Care and Empowerment
Form 3 Organization Information
1. Legal Name of Organization:
Mailing Address (if different from physical address):
CONTACT PERSON: PHONE:
TITLE:
E-Mail: FAX:
2. PROJECT TITLE:
3. APPLICANT’S ORGANIZATIONAL STRUCTURE: (Check applicable box)
|_| Public Agency |_| Private, Non-profit |_| Private, For-profit |_| Partnership or Joint Venture |_| Other:
Organization Unique Entity Identifier (UEI) Number:
Organization Federal Tax ID Number:
4. AGENCY APPROVAL: By signing below, Organization certifies that Organization has read the entire NOFA and provided true and correct information in Organization’s Application submission. Additionally, Organization certifies that the agency will be able and willing to comply with the insurance and indemnification requirements set out in the NOFA, if selected. The signer of this form certifies that he/she is authorized to bind the Organization.
Signature of Authorized Individual
Typed Name and Title of Authorized Individual
Date
5. Attach copy of Articles of Incorporation, Bylaws
6. For non-profit organizations, attach copy of IRS letter of tax exempt status
7. Attach a copy of minutes from last three (3) most recent Board of Directors meetings
Issue Date: 2/28/2019 Revised: 1/1/2025
File details come from the government source that posted it. Updated .