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I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Page 2 <br />CDBG Request Form <br />City of Ramscy <br />Name of Organization <br /> <br />Community Emergency Assistance Program, Inc. (CEAP) <br /> <br />Does your organization serve Iow to moderate income families or individuals? If you answer no, <br />your organization is not eligible to receive CDBG funds. <br /> <br /> xxx Yes No <br /> <br />What percentage of persons served are low/moderate income individuals? <br /> ~007o % <br /> <br />What percentage of low/moderate income persons served are Ramsey residents? <br /> <br /> 7.7 .% <br /> <br />Will these funds be used for an expansion of an existing program? <br /> Yes xxx No <br /> <br />Will these funds be used for the creation of a new program? <br /> <br /> Yes xxx No <br /> <br />PLEASE PROVIDE THE FOLLOWING INFORMATION WITH YOUR APPLICATION: <br /> t..-"" .11997 organization budget (FY 98) <br /> <br /> fProposed budget for CDBG funds <br /> <br /> [..Schedule for expenditure of CDBG funds <br /> <br /> '..-/ N~?~.e of individual(s) authorized, to receive CDBG reimbursement checks <br /> t//' A copy of the orgajfiz_,,gtion's articles of incorporati~)n <br /> <br /> <br />