Laserfiche WebLink
FI�CAL INFORMATION SHEET <br /> The following information is required to ensure that the Authority and its implementing agencies <br /> meet the financial and program reporting requirements of various federal grant programs. This <br /> information is required prior to the release of funds. The Implementing Agency is the state or local <br /> unit of government or not-for-profit agency accepting funds under the interagency agreement. The <br /> Program Agency is the organization responsible for performing the daily activities. An organization <br /> can be both the Implementing Agency and the Program Agency. <br /> Please return this form to the attention of your program monitor at the Illinois Criminal Justice <br /> Information Authority, Federal and State Grants Unit, 120 S. Riverside Plaza, Chicago, IL <br /> 60606. If you have any questions, please call your monitor at (312) 793-8550. <br /> Implementing Agency: r� nf i)Pr`atnr (ilec�tu� �o��cg �g���t,ment) <br /> Implementing Agency's FEIN #: 37-6001308 Agreement#: 106026 <br /> Program Agency: Decatur Poli ce nP=artmPnt , <br /> Program Title: Project Safe Neighborhoods — Anti Crime Team �� <br /> 1. Who will be responsible for preparing and submitting quarterly fiscal reports? <br /> Name: James R. Chervinko <br /> Title: De�ut� ('hi ef of pol i c-P <br /> Agency: Decatur Police Department <br /> Address: 333 S Franklin Street, D�catur, T1 _ 6 S � <br /> Phone: (217) 424-2768 Fax: (217) 424-2766 <br /> 2. Who will be responsible for preparing and submitting quarterly data/progress reports? <br /> � Name: James R. Chervinko <br /> Title: Deputy Chief of Police <br /> AgeriCY� T�Pratnr Pnl i rn �gP�����}� <br /> Address: 333 S. Franklin Street, Decatur, I1 62523 <br /> Phone: (217) 424-2768 Fax: (217) 424-2766 <br /> P:�FORMSUnitiation�Fiscal lnformation Sheet 04.03.doc <br />