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Page 2 <br />CDBG Request Form <br />City of Ramsey <br />Name of Organization, <br /> <br />Rise, Incorporated <br /> <br />Does your organization serve low to moderate income families or individuals? <br />your organization is not eligible to receive CDBG funds. <br /> <br /> , X Yes No <br /> <br />What percentage of persons served are low/moderate income individuals? <br /> <br /> 100 % <br /> <br />What percentage of Iow/moderate income persons served are Ramsey residents? <br /> <br /> . .5 .% <br /> <br />Will these funds be used for an expansion of an existing program? <br /> <br /> ,Yes x No, this is a <br /> gram. <br />Will these funds be used for the creation of a new program? <br /> <br /> x Yes No <br /> <br />PLEASE PROVIDE THE FOLLOWING INFORMATION WITH YOUR APPLICATION: <br /> <br /> × <br /> <br />NtA <br /> <br /> X <br /> <br />X <br /> <br />1997 organization budget <br /> <br />Proposed budget for CDBG funds <br /> <br />Schedule for expenditure of CDBG funds <br /> <br />Name of individual(s) authorized to receive CDBG reimbursement checks <br />A copy of the organization's articles of incorporation <br /> <br />If you answer no, <br /> <br /> <br />