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T. <br />FEDERAL ASSISTANCE <br />1, TYPE O NOTICE OF INTENT <br />SUBMISSION (OPTIONAL) <br />1'wa * G PREAPPLICATION <br />a.. WAPPLICATION <br />2. A ?PLI- a- NUMBER 3. STATE a. NUbI?E.? <br />CANT'S APPLI- <br />APPLI. NCNE <br />CATION ID TNTI• <br />IDE +`!TI- FIER <br />b. DATE b. DATE <br />FTER A "'c ro ar ASSIGNED <br />ASSIGNED <br />1991-03-25 HY STAT'E <br />L. - <br />Bra..i <br />19 <br />r~ ."4 J.y <br />4. LEGAL APPLICANTIRECIPIENT <br />5. EMPLOYER IDENTIFICATION NUMHER(EIN) <br />a. Applicant Name ORANGE COUNTY <br />qA -6 1 ? <br />6. <br />� NUMBER <br />b. Organization Unit County Government <br />c. Street/P.O. Sox P : 0 . $ o X 8181 <br />GRAbt PRO- <br />( 1/2 t - I d O ti <br />I l <br />d. City Hillsborough- Ca -nty Orange <br />.00 <br />REPRE- <br />f. State N.C. g. ZIP Code. 2 7 2 7 8 <br />rF. CrnAr <br />?dTJLTIPL : O <br />b. TITLE Retired Senior <br />s h- Contact Person (N.- Terri Tyson, RSVP Director <br />TrrernaneNnr / p I o OF _ <br />Volunteer Pr oCram <br />7. TITLE OF APPLICANT'S PROJECT (Use section IV, of this form to provide a. summary <br />8. TYPE OF APPLICANT /RECIPIENT <br />G description of the project. <br />orange County-Chapel 'Hill-Retired <br />A .� C�.I pun- Oirvla <br />B -I, rmaw H-Zan ,,,�yAO� A.1­7 <br />Senior Volunteer Program-The project provides <br />c-'"'"` "" '-'L�'"' """""n"""'""' <br />the means by which an individual aged 60 or •. :. <br />0--C---y �aa K orIsp� <br />v <br />t or older may serve the community as a voluntee <br />E-C:h <br />r�hw0i "n <br />t ti p h c t <br />Enter appropriate letter <br />9. AREA OF PROJECT lbu'ACT )Name. a/.inm r oA <br />10. ESTI\2ATED NO. OF <br />11. TYPE OF ASSISTANCE <br />z <br />a. <br />PERSONS BENEFITING <br />A -s..K Cmnt 0--;__ <br />Orange County, North Carol <br />480 <br />B- SuypwnanWl(1r.N E- 07th, <br />:a <br />C -Lars E....r pacr..w,.,r <br />' 12- PROPOSED FUNDING <br />113. CONGRESSIONAL DISTRICT OF: 114. <br />TYPE OF APPLICATION <br />A.. Vow c a.+ A <br />a. FEDERAL 15 <br />.00 <br />b. APPLICANT I <br />DO <br />c. STATE I <br />.00 <br />d. LOCAL I <br />.00 <br />e. OTHER I <br />.00 <br />f. Total Is <br />.00 <br />a_ APPLICANT <br />b. PROJEC: <br />Fourth I <br />Fourth <br />15. PROJECT START 116. <br />PROJECT <br />DATE YOar man,, ear I <br />DURATION <br />19 9 1­07-011 <br />12 Nrnr6. <br />La. 1JA1 `. 1)U1:: -1U Y.- 0_"' Jp, <br />FEDERAL AGENCY Y 190 1 -0 <br />Lnr.r aop.ovpar. 4r.,. rE l <br />17. TYPE OF CHANGE tier r-rra, un <br />A -Inems Doilan F -01h.r JSPn& <br />O-- Deer...., LMll- <br />c -I..r Opr.upn <br />E- GK.d.uon <br />Snar aop•a. TEE <br />- .1 I <br />x+arr Lrr.n u <br />19. FEDERAL AGENCY TO RECEIVE REQUEST 120. EXISTING FEDERAL <br />a. ORGANIZATIONAL UNIT (IF APPROPRIATE) b. ADMINISTRATIVE CONTACT (IF KNOWN) I GRANT MINT. NO. <br />ar- i = Tyr 440- 4768/09 <br />c. �uuttr.:a 21. REMARKS ADDED <br />101 Marietta Street, N.W. Yes CLNo <br />Atlanta, Ga. 30303 <br />22 :'au.. �xw mykwW,e.nd beii.a. d.� I a- YES. THIS NOTICZ OF INTENTlPREAPPLICATION /APPLICATION WAS `LADE AVAILABLE <br />P THE in Ih4 pr..ppiipupn.pptcaiwn are tr„r TO THE SPATE EXECUTIVE ORDER 12372 PROCESS FOR REVIZW ON: <br />v APPLICANT - a-ft - ww dar"m.nt hr. he.n duly DATE -- . <br />C CERTIFIES <br />r "-'-by cnr r.r,,,nrn dy.: th..p <br />THAT a <br />vl;a.n..,,d �x .ppiiont ­11 <br />tn..uACrtid .+wnnm J 1h. <br />y <br />.PPro•ed. <br />! ^3 <br />. TYPED NAME AND TITTLE <br />2 CERTIFYING <br />REPRE- <br />Moses Carev, <br />La ( SENTATIVE <br />24, APPLICA. <br />.an,A b -A day " a� <br />Yrar Ja, <br />27. ACT ION TAKEN <br />AWAROFO <br />' ' c H }TURNkO FOR <br />�J AMh:NOMe NT <br />s 1 I d. ILY.- rUHNCO FOR <br />=� E.4. 1XM SURMtMION <br />^' BY APpucANr <br />zz <br />O �+ STATE <br />tfIy <br />DEF•ERRE13 <br />I • , L W177it)RAWH <br />yr I <br />b. N0. PROGRAM IS NOT COVERED BY E.O. 12372 ❑ ' <br />OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW ❑ <br />I b. SIGN,47 JRE <br />Chair <br />=5. F <br />29. FUNDING <br />a. FEDERAL I S <br />b. APPLICAN -q <br />717T-ATE I <br />d. LOCAL <br />e. OTHER <br />f. Total S <br />PPUCA,I_IN IDENT. NO. 26. FEDERAL GRANT IDENTIF .TI <br />Yrar man,,. Jar 30. Yw .....A d. <br />129. ACTION DATErr 19 D T TI 19 <br />�,DO 131. CONTACT FOR ADDITIONAL 32. rr.. �wrA Jar <br />W I INFOfL ATION rv. ,r aAr ur p.... n...a.n ENDING <br />---� DATE 19 <br />070 133. REMARKS ADDED <br />q00 Yea Yo <br />PAGE I <br />Pre -,-.r by OUS 0rr.:.r A.IGS <br />