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JAN-07-1997 i0:40 CITY OF RAMSEY 612 42? 5543 P.04/07 <br /> <br />Page 2 <br />CDBG Request Form <br />City of Rarnsey <br />Name of Organization <br /> <br />Opportunity Services <br /> <br />Does your .organization serve low to m.oderate income families or individuals? If you answer no, <br />your orgamzation is not eligible to reemve CDBG funds. <br /> <br /> X Yes No <br /> <br />What percentage of persons served are low/moderate income individuals? <br /> <br /> I00 % <br /> <br />What percentage of low/moderate income persons served are Ramsey residents? <br /> <br /> - 4 <br /> <br />Will these funds be used for an expan~on of an existing program? <br /> <br /> X ,Yes No <br /> <br />Will these funds be used for the creation of a new program? <br /> <br /> Yes No .No <br /> <br />pI.I~.,~SE PROVIDE THE FOLLOWING INFORMATION WITH YOUR APPLICATION: <br /> <br /> I997 organization budget <br /> <br />$1. o00.00,O _ 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 />