Orange County NC Website
FY2013 COMMUNITY TRANSPORTATION PROGRAM GRANT APPLICATION <br />NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />FEDERAL SECTION 5311 & STATE FUNDING <br />TRANSIT SYSTEM DESCRIPTION <br />1. GENERAL INFORMATION <br />APPLICANT'S LEGAL NAME: Oran a Coun <br />APPLICANT'S CONGRESSIONAL DISTRICT: ® Ifincorrect enter correctprfmarydistrict: <br />IfApplicant's city is included in more than one district, enter primary district only <br />MAILING ADDRESS: 600 Hi hwa 86 North <br />PO Box or Street Address <br />Hillsborou h, N.C. 27278 <br />City, State Zip <br />PHYSICAL ADDRESS: 600 Hi hwa 86 North <br />Street Address <br />Hillsborou h, N.C. 27278 <br />City, State <br />TAXPAYER IDENTIFICATION NUMBER: <br />DOING BUSINESS AS (DBA) NAME: Oran a Public Transportaion/Oran a Bus <br />Normally the transit system name, if different than applicant name <br />APPLICANT DUNS NUMBER: <br />Unique 9-Digit numberissued by Dun & Bradstreet Maybe obtained free of charge at: <br />h tto: //fedo ov. d n b. com/webfo rm <br />DUNS NUMBER OF PARENT AGENCY: <br />Required only if different than Applicant <br />CONTACT PERSON: AI Ter <br />PHONE NUMBER: 919-245-2008 <br />Area Code 8 Phone Number <br />FAX NUMBER: 919-732-2137 <br />Area Code & Phone Number <br />EMAIL ADDRESS: ater co.oran e.nc.us <br />SERVICE AREA'S CONGRESSIONAL DISTRICT: ® If incorrect, enfercorrectprimarydistrict: <br />If Service Area is included in more than one district, enter primary district only <br />SERVICE AREA: Oran a Coun <br />FEDERAL FINANCIAL ASSISTANCE <br />TRANSPARENCY ACT (FFATA): FFATA mandates the disclosure of the names and total compensation of the five most <br />highly compensated officers of an entity if: <br />• The Applicant received 80% or more of its annual gross revenues in the preceding <br />fiscal year from the federal government (all federal sources, not just FTA); and <br />• Those revenues were greater than $25M; and <br />• The public does not have access to the information through Securities and Exchange <br />Commission or Internal Revenue Service filings as specified in FFATA. <br />Applicant should select "Yes" if they are subject to the reporting requirements of FFATA <br />and "No" if they are not subject to Executive Compensation Reporting. No <br />EXECUTIVE COMPENSATION REPORTING: If "Yes" is selected above, enter the Names and Compensation amounts for the <br />top five officers of the Applicant. <br />1. $ _ <br /> Enter full name Total compensation <br />2. $ - <br /> Enterfull name Total compensation <br />3. $ _ <br /> Enterfull name Total compensation <br />4. $ - <br /> Enterfull name Total compensation <br />5. $ - <br /> Enter full name Total compensation <br />Page 1 <br />