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FEDERAL ASSISri r�NCE �' c Nr s NUMBER . <br />APPLI• N021e . <br />1. TYPE CATION <br />OF 0 NOTICE OF INVENT IDENTI- b. DATE . <br />SUBMISSION (OPTIONAL) FIER r... nt..tA <br />!MW* er 0 PREAPPLICATTON 19 91-03' <br />0 APPLICATION <br />ATE <br />a- NUMBER <br />APPLI- <br />b. APPLICANT <br />CATION <br />c. SATE <br />IDENTI• <br />15. PROJECT START <br />DATE rt mo.rA d" <br />1°91 - 07--01 <br />FIER <br />b. DATE <br />NOT& TO BE <br />ASSIGNED <br />ASSIGNED <br />f. Total <br />BY STATE <br />19. FEDERAL AGENCY TO RECEIVE REQUEST <br />L+r..r .. <br />M&PA <br />4. LEGAL APPLICANTIRECIPIENT ge County a. Applicant Name <br />b. Organization Unit . County Government <br />r. Street/P.O. Box P. 0. Box, 8181 <br />d. City . Hillsborough e. County <br />Orange <br />f. State ; N- C. ZIP Code, 27278 <br />e h. Contact Person wa~ Terri Tyson, R � Director <br />& TrlpAat. Nnr (919) 968 -6060 <br />7. TITLE OF APPLICANTS PROJECT (Use section IV of this form to provide a summary <br />description of the project.) <br />Orange County - Chapel Hill Retired Senior Volunteer <br />Program. The project provides the means by which an <br />. ind:Lvidual aged 60 or older may sex-ve the a=11 m ty as <br />a volunteer to the best of his/he -r ability - <br />e 9. AREA OF PROJECT IMPACT than of �t twd ores ­mm rte, 10. ESTIMATED NO. OF <br />2 PERSONS BENE=G, <br />C. <br />Orange County, North Carol.±na a8Q <br />12. PROPOSED FUNDING 1 13. CONGRESSIONAL DISTRICT OF: <br />a. FEDERAL <br />I S 00 <br />a. APPLICANT <br />Fourth <br />b. APPLICANT <br />3 6 5 9 400 <br />c. SATE <br />- -00 <br />15. PROJECT START <br />DATE rt mo.rA d" <br />1°91 - 07--01 <br />d. LOCAL <br />13.177 .00 <br />e. OTHER <br />_0_ -00 <br />1$. DATE DUr. TO <br />FEDERAL AGENCY <br />f. Total <br />$ 79 264 .00 <br />19. FEDERAL AGENCY TO RECEIVE REQUEST <br />a. ORGANIZATIONAL UNIT (IF APPROPRL3TE) I b. <br />Region 111V <br />c. ,ADDRESS <br />101 Marietta Street, N -TrT -. <br />Atlanta, Ga . 30 30 3 <br />b. PROJECT <br />Fourth <br />16. PROJECT <br />DURATION <br />12 Knadt. <br />5. EMPLOYER IDENTIFICATiUN N u=ZA ELLIN ) <br />56- 6000327 <br />6. a. NUMBER <br />PRO- 2 0 7 <br />GRAM <br />IFr CFDA, MULTIPLE ❑ <br />Sr. Volunteer Prc: <br />8. TYPE OF a APPLICANT/RECIPIENT <br />A -se.cr <br />G-Som" Rurpn. Orurim <br />B- .inrAr ce <br />H -Ceeun inrty Actin Akent7 <br />C- Suatituv <br />1-tsagh.r Edtaatiaml lmutwuu <br />organstation <br />.Wadian Tribe <br />D _Cptanty <br />K- )d" ISpeaPyk <br />&-cay <br />FICL t Lt A11rr rSSroN <br />BY APPlJC7tArr7U <br />F- Schaal Diarrtat <br />Enter appropriate letter El <br />11. TYPE OF ASSISTANCE <br />A -8am Gram D- InNAMM <br />B- Stappiu nul Grant E -Other <br />C -La" Era.► apffl t a r !wrens! <br />14. TYPE OF APPLICATION <br />A-.4t- C- Rannsion E_Augnwnmu*n <br />B- dZerte..al D -49nc, a Lion � <br />a <br />gfii appmpeiarr !rare t <br />17. TYPE OF CHANGE rFw roe w tar <br />A- Ina..a. Dallam F -Ochs dptairl <br />8- 0eeresar LWI.n <br />C- mart... ouraaan <br />0- 0eerrax Duraa.e <br />E- C.Imnlat n <br />Gone qmp I L Y <br />srtan here& -] <br />iIF .4 OWN) <br />20. EXISTUNG FEDERAL <br />GRANT MENT.:fO. <br />440_4768/09 <br />21. REMARKS ADDED <br />Yes - No <br />C� 23 <br />Toth. b..ateny r<n wkdw.aewif: d-m <br />a_ YES. THIS NOTICE OF INTENT /P.REAPPLICATION /APPLICATION WAS MADE AVAILASL:: <br />!= THE <br />in this pre.apiimwrv.ppiiauon aft era. <br />TO THE F F�CUTIVE ORDER 12372 PROCESS FOR REVIMV ON: <br />APPLICANT <br />ands -` d0V7'""'t h.. �'" aalr <br />DATE <br />m CERTg'IES <br />authonzm by aw ga..rmng bWrathe so- <br />FICL t Lt A11rr rSSroN <br />BY APPlJC7tArr7U <br />THAT >• <br />plicma .rd the appim -nt .,,n a m my nth <br />.00 <br />33. REMARKS ADDED <br />eh..rtaelsed --F mnt if th. wo. nw a <br />b. NO. PROGRAM IS NOT COVERED BY E.O. 12372 ❑ <br />STATE <br />' I ., tlEFF�tRED <br />appA <br />OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW ❑ <br />Z 23. <br />a. TYPED NAME AND TITLE <br />b. SIGNA <br />CERTIFYING <br />REPRE- <br />Moses Carey, Chair <br />C Total <br />SENTATTVE <br />PAGE 1 <br />Proati sd by OMB Ckmk r A-10 <br />24. Year .tomb day <br />125. FEDERAL APPLICATION IDENT. NO. <br />126. FEDERAL GRANT ID TION <br />,APONICA- <br />27. ACTION TAKEN <br />i : . AWARDm <br />t ; b. REJECT= <br />28. FUNDING <br />Year ftw ch day <br />29. ACTION DATEr 19 <br />30. Yto. -ow &h da . <br />DAA 19 <br />a. FEDERAL, <br />S .00 <br />31. CONTACT FOR ADDITIONAL <br />INFORMATION /Now.. ad.d reGptra.. aa.en.,r <br />32. Yea. a dh loos <br />DATE 19 <br />r ! RETLMNF.D FOR <br />r 1 d. AREA�R"Im FOR <br />b APPLIC <br />.00 <br />FICL t Lt A11rr rSSroN <br />BY APPlJC7tArr7U <br />c. STATE <br />.00 <br />33. REMARKS ADDED <br />d. LOCAL <br />.00 <br />STATE <br />' I ., tlEFF�tRED <br />e. OTHER <br />.00 <br />t C WrrHORAWN <br />❑ Yd No <br />❑ <br />C Total <br />3 .00 <br />PAGE 1 <br />Proati sd by OMB Ckmk r A-10 <br />lr <br />