Orange County NC Website
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1 <br /> V ..0 . <br /> 2.APPLI- a.NUMBER 3.STATE a,NUMBER <br /> • FEDERAL ASSISTANCE CANTS <br /> Anna. NONE CATION • <br /> 1.TYPE CATION IDENTI• ' <br /> OF ci NOTICE OF INTENT IDENTI- b.DATE "..)).DATE <br /> FIER Yeor owook dor NOTE.TO ax ASSIGNED Yrar ...Nth 4uy <br /> „ ASSIGNED <br /> SUBMISSION ' (OPTIONAL) <br /> illiart Op■ 11 PREAPPLICATION 0 89-02-v0 BY STATE • 0 8902 <br /> p,..p..4. <br /> • <br /> box I 1 APPLICATION - ....; <br /> 1....... <br /> sorer . <br /> _...... . <br /> 4.LEGAL APPLICANT/RECIPIENT 5.EMPLOYER IDENTIFICATION NUMBER(SIN) <br /> a.Applicant Name : Orange County 56-6000327 <br /> b.Organization Unit : County Goverment 6. a.NUMBER <br /> PRO- . <br /> c.Street/P.O.Box : P.O. Box 8181 GRAM 17121 10P 121 <br /> d.City : 'Hillsborough a•County Orange <br /> cm..., • <br /> C. State ' NC g.ZIP Code. 27278 sp. MULTIPLE 0 <br /> c • <br /> tz' h.Contact Person(Nome ' Jerry M. Passmore, Aging Director b.TITLE Retired Senior <br /> 0 • <br /> , &Trirphawr Nut : (919) 968-4470 Volunteer Program <br /> E <br /> La 7. TITLE OF APPLICANTS PROJECT(Use section IV of this form to provide a summary B.TYPE OF APPLICANT/RECIPIENT <br /> 9,.. description of the project.) Orange County-Chapel Hill Retired A--E4m. • G-Speriel Purpose Diann <br /> 0 13-..lostenotsto R..Gomtnumty Arum Amory <br /> 11 Senior Volunteer Program. The project provides the C.-Same IwHigher E4uesumnal teahouses <br /> ... Organisation .1-Indisn Tribe <br /> means by -which an irrlividual aged 60 or older may . D-c.mg . K-Other Mani& <br /> 0 E-City <br /> • 2 serve the ccxrmunity as a volunteer to the best of F-5.1.1 District <br /> . V his or her abilitv. Enter appropriate letter E3 <br /> 2. 9.AREA OF PROJECT IMPACT mew.oral...newer..1.4..ffe.1 10.ESTIMATED NO.OF 11.TYPE OF ASSISTANCE <br /> PERSONS_BENEFITING A-Ettose Glee ti-hterefee <br /> ti• Orange County, North Carolina 475 B-Supplenwoual Groot D-Other <br /> C-Loso Ester appoorscor Irttrew DE <br /> ta <br /> -.. 12. PROPOSED FUNDING 13. CONGRESSIONAL DISTRICT OF: 14.TYPE OF APPLICATION <br /> A.-New C.-Revision E.-Augment/mon <br /> a.FEDERAL S 26,010 .00 a.APPLICANT b.PROJECT . . ftwIleuesull D-Caminustloo <br /> Ester appropnor hae5:1 <br /> . ! b.APPLICANT 28,104.00 Fourth Fourth 17. TYPE OF CHANGE lir l4r or 146 <br /> - . c.STATE -0- .00 15.PROJECT START 16.PROJECT A..Incresse Dentin P-Other fSpaxfyl <br /> i DATE yen. reer. dry DURATION BwDecrease Wins <br /> d.LOCAL 11 077." C-lbabbie Duration <br /> DwDeeretue Dursuse <br /> e.OTHER _0_ MO 19 89 07 01 12 mmths E-Gainaallstioo <br /> Ar, 18.DATE DUE TO • Year moth du RRliraPple <br /> f• Tt481 $ 67,191- FEDERAL AGENCY o• 19 - 13.1!-II 11--• molt!tows) 1:0-12 <br /> 19.FEDERAL AGENCY TO RECEIVE REQuEsT ACTION . 20.EXISTING FEDERAL <br /> .GRANT DENT.NO. <br /> - a...ORGANIZATIONAL UNIT(1Y APPROPRIATE) - b.AD1VLINISTRATIVE CONTACT(IF KNOWN) . <br /> • ±Region IV 440.4768/06 <br /> e.ADDRESS • <br /> 0 21.REMARKS ADDED <br /> • 10 1 Marietta Street, N.W. . -• • Y es 1:allo <br /> Atlanta, GA. 30303 .. . -• • . <br /> 0 22. To the ter.ar my knowledge•=4 belie,&tit a.YES.THIS NOTICE OF INTENT/PREAPPLICATION/APPLICATION WAS MADE AVAILABL <br /> I: THE m thi.t..pok.ppi.ti...,we TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: <br /> cl APPLICANT gad ewe°.the&eummt hat bean duty <br /> . . . <br /> s CERTIFIES !,"hwizrd,k!is the tragembilLbuir a the 44- <br /> g, THAT a P. z e;,ju'e•P 0 1 0 g a ek f Will:614=t h <br /> trc..a. <br /> • 41 mi b.NO.PROGRAM IS NOT COVE:RED BY E.O.12372 0 . " -" - • • <br /> 4..) OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVTEW 0 <br /> ; 23. - : TYPED NAME AND TITLE b.:'t •TURF <br /> . 0 CERTIFYIN Moses Carey, Chair_ OF <br /> g REPRE- <br /> ' N SENTATIVE Orange County Commissioners (414'#. • ' AC( <br /> 24.APPLICA• -Year wood day 25.FEDERAL APPLICATION!DENT. ;. 26.FEDERAL GRANT I1krr""7" CATION <br /> TION . f <br /> RECEIVED 19 <br /> 27.ACTION TAKEN 26. FUNDING Yeor moth day 30. . Year womb do <br /> ..: STARTING <br /> • t.::grat . - 29.ACTION DATEr. 19 DATE 19 <br /> .. <br /> gg, ::,e. RETURNED son a.FEDERAL $ .00 31.CONTACT FOR ADDITIONAL 32. Year month dc <br /> EtAmr.tanatrr INFORMATION iNOW.Wad ttieph...numbeel ENDING <br /> I I el.RETURNED Kw b.APPLICAN'T .00 DATE 19 <br /> ES. E.O.1E02 SUBMISSION c.ran <br /> z tA BY APPLICANT TO ..00 33.REMARKS ADDED <br /> OW STATE d.LOCAL • .00 <br /> 6,i•c' !I e. DEFERRED <br /> • " • <br /> hi •r f. WITHDRAWN e.OTHER .00 <br /> • cr. 0 Yes 0 No <br /> E Total $ .00 <br /> , . <br /> 1 . <br /> PAGE 1 <br /> Prescribed by ora omit.-A-RO <br /> . . <br /> . . <br /> ,.. <br /> . . <br />