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Page 2 <br />CDBG Request Form <br />City of Ramsey <br />Arc of Anoka & Ramsey Counties <br /> <br />Does your organization serve low to moderate income families <br />or individuals? If you answer no, your organization is not <br />eligible to receive CDBG funds. <br /> <br />Yes <br /> <br />What percentage of persons served are low/moderate income <br />individuals? <br /> <br />100% of adults with developmental disabilities are low <br /> <br />income and underemployed. Approximately 30% of families <br />using the Toy and Adaptive Equipment Lendinq Library are low <br />income. <br /> <br />What percentage of low/moderate income persons served are <br />Ramsey residents? <br /> <br />Estimated at 20-40% <br /> <br />Will these funds be used for an expansion of an existing <br />program? <br /> <br /> Yes X No <br /> <br />Will these funds be used for the creation of a new program? <br /> <br /> YES x NO <br /> <br />PLEASE PROVIDE THE FOLLOWING INFORMATION WITH YOUR <br />APPLICATION= <br /> <br /> X 1998 Organization Budget <br /> <br /> X Proposed Budget for CDBG Funds <br /> <br /> X Schedule for Expenditure of CDBG Funds <br /> <br /> X Name of Individual(s) authorized to receive CDBG <br /> Reimbursement checks <br /> Marianne Reich <br /> <br /> x A copy of the organization,s articles of incorporation <br /> <br /> PRELIMINARY PROJECT REQUEST FORM <br /> <br />I. Project Name: Arc Individual Advocacy and Toy and <br /> <br /> <br />