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Page 2 <br />CDBG Request Form <br />City of R arn~cy <br />Name of Organization Community Emergency <br /> <br />Assistance Program, Inc. (CEAP) <br /> <br />Does your organization serve low to moderate income famUies or inddviduals? If you answer no, <br />your organization is not eligible to received CDBG funds. <br /> <br /> xxx Yes No <br /> <br />What percentage of persons served are low/moderate income individuals? <br /> <br /> 1oo % <br /> <br />What percentage of low/moderate income persons served are Ramsey residents? <br /> <br /> 7.6 <br /> <br />Will these funds be used for an expansion of an existing program? <br /> <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 />pt .~.ASE PROVIDE Tt~ FOLLOWIlqG INFORMATION WITH YOUR APPLICATION: <br /> 1991 organization budget 1997 <br /> Proposed budget for CDBG funds <br /> Schedule for expenditure of CDBG funds <br /> <br /> Name of individual(s) authorized to receive CDBG reimbursement checks. <br /> <br /> A copy of the organization's articles of incorporation <br /> <br /> <br />