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12 , <br /> Date of Application -ch 28, 1996 <br /> NORTH CAROLINA HOUSING FINANCE AGENCY <br /> RENTAL HOUSING PROGRAMS APPLICATION FORM <br /> PART 1. PROGRAM FUNDS REQUESTED <br /> OC Low-income Housing Tax Credit o Rental Production Program (RPP) Loan Funds <br /> Requested Loan Amount: S <br /> (if applying for both Tax Credits and RPP Loan Funds, please submit two copies of this application) <br /> PART H. APPLICANTIOWNER INFORMATION <br /> A. Project Name and Address <br /> Project Name Carolina Spring <br /> Address_ 1600 West Poplar Avenue <br /> City Carrboro County Orange Zip 27514 <br /> Census Tract 0107.03 Block Group <br /> Is this project located in a Qualified High Cost area ? K Yes ❑ No <br /> Name of Political Jurisdiction in which project will be located Town of Carrboro <br /> Name of Jurisdiction's Chief Executive Officer Mayor Michael Nelson <br /> Address Town Hal 1 , 301 West- Main S rep-t- <br /> City Carrboro Zip Code 27514 Telephone No. (919) 968-7700 <br /> B. Applicant Information <br /> Applicant Name First Centrum Corporation <br /> Address 21400 Ridgett g Circle, Suite 250 <br /> City Sterling State Virginia Zip 20166 <br /> Contact Person Mark L Weshinskey <br /> Title President <br /> Telephone (703 ) 406-3471 FAX( 703 ) 406-3474 <br /> Applicant Entity is K For Profit o Nonprofit (See requirements at top of page 2) <br /> Is the applicant a Community Housing Development Organization (CHDO) which has been certified by the <br /> North Carolina Housing Finance Agency? o Yes Iii No <br /> C. Project Owner <br /> Ownership Entity Name Carolina Spring Limited Partnership <br /> Address 21400 Ridgetop Circle, Suite 250 <br /> City Sterling State Virginia Zip 20166 <br /> Federal Tax Identification Number(TID) 38-2318251 <br /> Is this TID assigned to o Project Owner? d(Applicant ? <br /> (if a federal tax ID number has not yet been assigned to the project's ownership entity, please use the applicant's <br /> TID.) <br /> D. Ownership Structure <br /> Owner is a X Limited Partnership o Limited Liability Co. o Individual o Corporation <br /> General Partners or Officers <br /> CP Carolina Suring, LLC <br /> Managing General Partner or Executive Officer Mark L. Weshinskey <br /> Ownership Entity o Exists K,ro Be Formed <br /> * Mr. Weshinskey is President of First Centrtmt of Virginia, Inc. , <br /> the Managing Member of CP Carolina Spring, LLC. <br /> (II) - Part A, Page 1 of 12 01/29/96 <br />