SF429-V1.0.pdf

Standard Form PDF 49 KB Posted Mar 25, 2021

Attached to: Cooperative Endangered Species Conservation Fund: Recovery Land Acquisition Grants
Opportunity number: F21AS00172
Issued by: Department of the Interior Fish and Wildlife Service

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From the source

SF429-V1.0.pdf

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Other versions and copies of SF 429

5 government files on GovTribe name SF 429. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File	Revision	Posted	Attached to
SF-429 Cover Page and Attachment B.pdf	Revision not stated	Jun 14, 2023	LWCF State Assistance Formula Grants - Acquisition & Construction - FY23 Cycle 3
SF-429 Cover Page and Attachment B.pdf	Revision not stated	Jul 13, 2022	LWCF State Assistance Formula Grants - Construction - FY22 Cycle 2
SF-429 Cover Page and Attach-ment B.pdf	Revision not stated	Jun 2, 2021	LWCF State Assistance Formula Grants - Construction - FY21 Cycle 2
SF429-V1.0.pdf Same revision and size as this file	Revision not stated	Mar 25, 2021	Cooperative Endangered Species Conservation Fund: Habitat Conservation Plan Land Acquisition Grants

Who attaches SF 429

Agency	Files
Department of the Interior National Park Service	3
Department of the Interior Fish and Wildlife Service	2

Other files

File	Type	Posted
SF424D-V1.1.pdf	PDF	Mar 25, 2021
SF424C_2_0-V2.0.pdf	PDF	Mar 25, 2021
SF424_3_0-V3.0.pdf	PDF	Mar 25, 2021
SF429B-V1.0.pdf	PDF	Mar 25, 2021
FY21 RLA FAQs .pdf	PDF	Jan 8, 2021
RLA Foa_Content_of_F21AS00172.FINAL.pdf	PDF	Jan 8, 2021

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SF-429 Real Property Status Report (Cover Page) Information Analysis, Inc.

D:20061211100100- 05'00' D:20061211100100- 05'00'

REAL PROPERTY STATUS REPORT SF-429

(COVER PAGE)

OMB Number: 4040-0016 Expiration Date: 02/28/2022

1. Federal Agency and Organizational Element to Which Report is Submitted:

4a. DUNS Number:

Recipient Organization Name:

Street1:

Street2:

City:

State:

ZIP / Postal Code:

Country:

County:

Province:

2. Federal Grant(s) or Other Identifying Number(s) Assigned by Federal Agency(ies):

3. Recipient Organization (name and complete address including zip code):

4b. EIN:

5. Recipient Account or Identifying Number:

7. Report End Date:(MM/DD/YYYY) First Name:

Middle Name:

Last Name:

Suffix:

Prefix:

6. Contact Person for this Report:

Phone:

Email:

Fax:

8. Real Property Status Report – Attachments: [check the applicable block(s)]:

9. Comments:

10. Certification: I certify to the best of my knowledge and belief that all information presented in this report is true, correct and complete and constitutes a material representation of fact upon which the Federal government may rely.

11a. Typed or Printed Name and Title of Authorized Certifying Official:

Prefix:

First Name:

Middle Name:

Last Name:

Suffix:

Title:

11b. Signature of Authorized Certifying Official:

11c. Telephone (area code, number, extension):

11d. Email Address:

11e. Date Report Submitted (MM/DD/YYYY):

12. Agency use only

Mandatory:

Report End Date: Enter the end date of the period for which the report is submitted as mm/dd/yyyy. This block only applies when completing Attachment A.:

Federal Grant or Other Identifying Number: Enter the related Federal grant, cooperative agreement or other Federal financial assistance award instrument number(s), or other identifying number(s) assigned to the Federal financial assistance award. This field is required.:

DUNS Number: Enter the recipient organization’s Data Universal Numbering System (DUNS) number or Central Contract Registry extended DUNS number. This field is required.:

Organization Name: Enter the Recipient Organization Name. This field is required.:

Street 1: Enter the first line of the Street Address. This field is required.:

Street 2: Enter the second line of the Street Address.:

City: Enter the City. This field is required.:

County: Enter the County.:

State: Select the state, US possession or military code from the provided list.:

Province: Enter the Province. :

Country: Select the Country from the provided list. This field is required.:

Zip / Postal Code: Enter the Postal Code (e.g., ZIP code). :

EIN: Enter the recipient organization’s Employer Identification Number (EIN) as assigned by the Internal Revenue Service. This field is required.:

Federal Agency and Organizational Element: Enter the name of the Federal agency and the agency organization element identified in the award document or as otherwise instructed by the agency. This field is required.:

Recipient Account Number or Identifying Number: Enter the account number or any other identifying number assigned by the recipient to the award. This field is required.:

Prefix: Select the Prefix from the provided list or enter a new Prefix not provided on the list.:

First Name: Enter the First Name. This field is required.:

Middle Name: Enter the Middle Name.:

Last Name: Enter the Last Name. This field is required.:

Suffix: Select the Suffix from the provided list or enter a new Suffix not provided on the list.:

Phone: Enter the Phone Number. This field is required.:

Email: Enter a valid Email Address. This field is required.:

Fax: Enter the Fax Number.:

Attachment C (Disposition Request): Check to select.:

Attachment B (Request to Acquire, Improve or Furnish): Check to select.:

Attachment A (General Reporting): Check to select.:

FileName:

MimeType:

href:

hashAlgorithm:

HashValue_data:

Comments: Provide any special notes or comments regarding the real property being reported or the report itself.:

Comments - Add Attachment:

Provide any special notes or comments regarding the real property being reported or the report itself.:

Comments - Delete Attachment:

Comments - View Attachment:

Title: Enter the title of the authorized certifying official. This field is required.:

Signature: The authorized certifying official must sign here certifying to the facts presented in the report. This field is required.:

Telephone: Enter the telephone number (including area code and extension) of the individual listed in section 11a. This field is required.:

Email: Enter a valid Email Address. This field is required.:

Date Report Submitted: Enter the date the report is submitted to the Federal agency as mm/dd/yyyy. This field is required.:

File details come from the government source that posted it. Updated Mar 26, 2021.