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FEI)EI�AI. ASSISTANCE 2.APNrs a.NUMBER 3-STATE a.NUMBER
<br /> APP1.1. CTI.1 A 3
<br /> I.TYPE CA
<br /> �J
<br /> CATION
<br /> OF (1 NOTICE OF INTENT DATE FIF.R
<br /> SUBMISSION IOPTII1NAId MENU- `b,DATE FIF.R
<br /> ,oar,op FIER v... ..,rA .My Nu1I. to a[ b.IIATE
<br /> I PItEAPI I.ICATION AS•':N:NEU AS4IGNED Tear .„„a•y ,1/J
<br /> ••.nn I I APPLICATION 19 8,8 02 18 RI'STATR Appiled
<br /> Awe Lear far on Ig 8R 02 18
<br /> Rl•nt
<br /> 4.LEGAL APPLICANT/RECIPIENT _
<br /> a.Applicant Name 5.EMPLOYER IDENTIFICATION NUMBER(EIN)
<br /> Orange County 56-6000327
<br /> b.Organization Unit County Government
<br /> 8.
<br /> c- Street/P.O. Box a.NUMBER I ( ( I
<br /> P. Or Box 8181
<br /> PRO. 7 2 0 0 2I
<br /> d,City Hillsborough
<br /> County Orange GRAM
<br /> f. Slate � .I-r„.,CFUA!
<br /> NC /.ZIP Code. 27278 MULTIPLE U
<br /> O h.Contact Person tNm.e Ica Huey
<br /> I nL••""„.N.•l 91 -942Y74E b.TITLE Retired Senior
<br /> t 7. TITLE OF APPLICANT'S PROJECT(Use section IV of this form to provide a summary 8.TYPE OF APP(I ANT/RECIP EQNgrraffl
<br /> G description of the project-) Orange County-Chapel Hill Retired A State 0 Special I'ut1.•„e U..trtn
<br /> Senior Volunteer Program. The project provides the B Insteeetale H Cwnmun.ty Active,Agency
<br /> t means by which C Suriilutt 1--Indian Educational Institution
<br /> Y an individual aged 60 or older Inay serve ora••I..tl•. J-Ind.•n Tribe
<br /> the community as a volunteer to the best of his or her c-c1„nt' X-Otht"s'""h`
<br /> ability. . F-8cl..oI DiMrtel
<br /> 9.AREA OF PROJECT IMPACT.N•mn r Enter appropriate letter D
<br /> f.irir.,t•n.nrrrr, .car••..err, 10.FS1'IMATEI) NO. OF '11.TYPE OF ASSISTANCE
<br /> E�C Orange County, North. Carolina PERSONS BENEFITING
<br /> `, A-B....Grant P-In.uranee
<br /> 475 R Supplemental Grant E.-Other ■A
<br /> 12. PROPOSED FUNDING r l'°.n Lair'vppny„'air n,trA.l
<br /> 13. CONGRESSIONAL.DISTRICT OF: 14.TYPE OF APPLICATION
<br /> a.FEDERAL '= 24,775 .00 a.APPLICANT A-New C Rert.wn
<br /> b.PRO.IECT R-Renewal [-Aupmrn4lbn
<br /> D-Cnntinunion
<br /> b.APPLICANT 26, 861 .00 Fourth Fourth t nrrr•pprvp,w,,,left"�_
<br /> C.STATE -0- .00 15.PROJECT START
<br /> 17. TYPE OF CHANGE OW ct,or 14r•
<br /> 16.PROJECT lot-mow Donor* F-(Phu rsp.i/yT
<br /> d-LOCAL
<br /> 13.077 •� DATE V.., ,„,6,A ,n., DURATION B Mamas..udl.,,.
<br /> c:.Inn.•..'Ih.ratton
<br /> e.OILIER -0- 00 1988 07 01 12 ,,.„,A,
<br /> n-thetwow Durototo
<br /> --
<br /> f Two! 64 r 713 .00 18.DATE DUE TO ,J A
<br /> FEDEItAJ. AGENCY ■ 19 tf� O1'
<br /> Eng.'„,.,.,.. .©A
<br /> 19.FEDERAL• AGENCY TO RECEIVE REQUEST ACTION 20. ►rr "�
<br /> a.ORGANIZATIONAL UNIT(IF AI'I'ROI'RIA'IE) 1b. 20.EXISTING FEDERAL
<br /> Region IV ADMINISTRATIVE CONTACT(IF KNOWNI GRANT(DENT, NO.
<br /> c.ADURESS
<br /> 440-4768/06
<br /> 101 Marietta Street, N. W. 21.REMARKS ADDED
<br /> Atlanta, Georgia 30303 ❑Yea ® No
<br /> ct 22. .r.the M.!dmr knn.6dt,•e and!whet data a.YES,THIS NOTICE OF INTENT/PREAPPL.ICATION/APPLICATION WAS MADE AVAILABLE
<br /> � i'11E in this preapplM•.,ti6rtapplir•IL•n are Use
<br /> < + • 7'(1 711E TE EXECII 'LVEp Q1 ( 12172 PROCESS FOR REVIEW ON:
<br /> 1 APPLICANT LIC r1NT •I carrel.the tkc„ment Iwo 11...n r dole DATE �r j L� A
<br /> k CERTIFIES 01,1116.4rd by the so.e•n:na bdy rd the op
<br /> �t1a �..�_
<br /> E THAT► plw.nt and the•polka...nu tanpty rtth
<br /> the•tt•eh,J...un.Me•It the a�mar.te Is
<br /> Y ap•'•••d b.NO, PROGRAM IS NOT COVERED BY E 0. 12372 0
<br /> OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW❑
<br /> 23. n.TYPED NAME AND TITLE
<br /> CERTIFYING b.SIGNATURE
<br /> EREI'RE• John M. Link, Jr. County Manager
<br /> SENTATIVE
<br /> 24.AI'PLIt•A- 1•,,,, ,,,,,•+e ANy 125.FEDERAL APPLICATION IDENT. NO. FEDERAL GRANT TION 126.RECEIVED 19
<br /> 27.ACTION TAKEN 28. FUNDING
<br /> t • AR'ANltf:ll 1'01r 'm. o. An STARTING
<br /> Year .wnrA J.,r
<br /> hz b RFIItlt:u 29.ACTION DATE.- 19 STARTING
<br /> a` a RETItIINF.Ir F1Nt a.FEDF.ItAI. 1)A I'F. 19
<br /> AMENDMENT rllm $ .00 31.CONTACT FOR ADDITIONAL 32,
<br /> i< ••d NI.•111NNFn VON b-APPLICANT INFUItAIA'TION rain•„,.„„,►,,.,r r••• •••.nr, dote
<br /> [n 12172MIIIML' iS(PN 00 /r.a.n.,„h•er ENDING
<br /> z i Br apl1.a:ANT To C.STATE .00 DATE 19
<br /> srATF d.LOCAL
<br /> E a AI:II:RNEU 33.REMARKS ADDED
<br /> ig C WITHDRAWN e-OTHER
<br /> ()0
<br /> f. Total $ .00 0 Yea ❑ No
<br /> PAGE I
<br /> Prem.-tibia ey ow Great..kw:
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