Orange County NC Website
Aid, 0-2v-TO <br /> FEDERAL ASSISTANCE 2.APPLI- NUMBER 3.APPTE a.NUMBER <br /> APPLI- CATION <br /> 1 TYPE 0 NOTICE OF INTENT CATION NCB IDENTI• <br /> SUBMISSION (OPTIONAL) FIER 1 b.DATE Year .nnnrh day NOM TO BE,b.DATE Year mrrfh lay <br /> "M°r''°� 0 PREAPPLICATION ASSIGNED ASSIGNED <br /> b •l�r <br /> 0 1 APPLICATION 19 90-02-20 aY SPATE 19 <br /> Leaue . <br /> Blank <br /> 4.LEGAL APPLICANT/RECIPIENT 5.EMPLOYER IDENTIFICATION NUMBER(EIN) <br /> a.Applicant Name : ORANGE COUNTY 56-6000327 <br /> b.Organization Unit : County Government 6' a.NUMBER <br /> c. Street/P.O.Box : P.O. Box 8181 RAM 17121 -1010121 <br /> d.City : Hillsborough e.County Orange <br /> f. State N.C. g.ZIP Code. 27278 ems" Diel MULTIPLE <br /> h.Contact Person(Name <br /> a Terri Tyson, RSVP Director b.TITLE® SENIOR.4 &Telephone Na! <br /> 4 7. TITLE OF APPLICANTS PROJECT(Use section IV of this form to provide a summary 8.TYPE OF APPLICANT/RECIPIENT <br /> E. description of the project.) <br /> U Orange County-Chapel Hill Retired "- � ( District <br /> a Senior Volunteer Program. The project provides the C-S � 1-lidter du ti Action t� <br /> C�uetitute 1-FB�ter Educational I..a:.•..:... <br /> Ontanization 2 means by which an individual aged 60 or older may <br /> 0-County K Other(Spiel& <br /> a serve the community as a volunteer to the best of FF-City I District <br /> e_his/her ability_ <br /> Enter appropriate letter D <br /> 9.AREA OF PROJECT IMPACT(Natnae undo.motive,amaa,.teat . 10.ESTIMATED NO. OF 11..TYPE OF ASSISTANCE <br /> PERSONS BENEFITING A Orange County, North Carolina <br /> W � at Grant o <br /> C-Lan Em.,appropriate lntr J ■A <br /> y <br /> 12. PROPOSED FUNDING 13. CONGRESSIONAL DISTRICT OF: 14.TYPE OF APPLICATION <br /> A-New C-Reviion E-Augmentation <br /> a.FEDERAL $26,010 .00 a.APPLICANT b.PROJECT B- D-Continuation <br /> Soar appropriate knee D <br /> b.APPLICANT 32,437 .00 + Fourth Fourth 17. TYPE OF CHANGE IA,tt r or 140 <br /> ' <br /> c.STATE -a-_ .00 15.PROJECT START 16.PROJECT A-Inc ease Dollar, F-aher esprei. <br /> DATE y� ,,,ci„dc day DURATION C-Decrease Duration <br /> d.LOCAL 13.077 ,00 C-Inae,.Dureuon <br /> e.OTHER . . .00 19 07-01 W 12 oadu 1ie Duration <br /> f. Total +$ 71 524 .00 ,18.DATE DUE TO ,y �ro rn dpr Eta.opprr •FEDERAL AGENCY► 19 `JtJ-(�4-01 pricier ucrMy �©A <br /> 19.FEDERAL AGENCY TO RECEIVE REQUEST 20.EXISTING FEDERAL <br /> a.ORGANIZATIONAL U.I'VIT(IF APPROPRIATE) b.ADMINISTRATIVE CONTACT(IF KNOWN) GRANT WENT. NO. <br /> Region TV 440-4768/08 - <br /> c.ADDRESS 101 Marietta Street, N.W. 21.REMARKS ADDED <br /> Atlanta, GA 30303 Yes Eil_No <br /> 6-22.THE Thule beater ovsmmetedge end belief.dare a.YES,THIS NOTICE OF INTENT/PREAPPLICATION/APPLICATION WAS MADE AVAILABLE <br /> in this rect.t e dbcumen ceeion are true TO THE AA r EXEC r E ER 12372 PROCESS FOR REVIEW ON: <br /> � APPLICANT eat correct.�dotumynt has been duly DATE <br /> C CERTIFIES attehortad h'tteeBnermng bad,'nr the eP <br /> F THAT t' ptuant and thtegtlieant will comply with <br /> m theeeeachyd asa.trwi if Lhe asaistana u b.NO,PROGRAM IS NOT COVERED BY E.O. 12372 0 <br /> armed OR PROGRAM HAS NOT BEEN S .ECTED BY STATE FOR REVIEW❑ <br /> ? <br /> 0. 23. a.TYPED NAME AND TITLE b.SIGN•TURE <br /> 0. CERTIFYING Moses Carey, Chair <br /> N SENTATIVE Orange County C oinrni s3sioners 7 - �� / <br /> •24.APPLICA- ya,. acid,./. day 25.FEDERAL APPLICATION IDENT.NO. . 26.FEDERAL GRANT r r I CATION <br /> RICN <br /> RECEIVED 19 <br /> 27.ACTION TAKEN FUNDING. Year month day 31 DRYING Year moth dory <br /> e I:R.AWARDED <br /> Lcz I: b.REJECTED 29.ACTION DATE: 19 <br /> E-2 1,e. RETURNED FOR 'a.i'EDERAL $ .00 31.CONTACT FOR ADDITIONAL 32 19 Year meth date <br /> u+ RETURN AMENDMENT <br /> INFORMATION MName and <br /> `'.4 I I it RETURNED FOR b.APPLICA .00 telephone number) ENDING <br /> �U 5.0.12272 SVeafis9aty DATE 19 <br /> .2?.. BY APPLICANT TO c.STATE .00 33.REMARKS ADDED <br /> OW STATE - <br /> E� :: r. DEFERRED LOCAL .00 <br /> r. WITHDRAWN e.OTHER .00 <br /> f. Total $ .00 D Yes D No <br /> PAGE 1 <br /> Pencilled by OMB circular A-102 <br /> • <br />