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� �� � f ` - U <br /> 1 � <br /> ' • <br /> CITY OF DECATUR - �� <br /> r=--�----- - --- - <br /> COMNIUI�IITY DEVELOPMENT BLOCK GRANT PROGRANI � - i <br /> f 2002-2003 APPLICATION �� , � <br /> � �:��� 2, � ?_0�1 1 <br />' � A. GENERAL PROGRA,M INFORIVIATION '�� _ _ __ . � <br /> U. � _ _; <br /> 1. IYAME OF APPLICANT ` �` <br /> EMPLOYER IDENTIFICATIOIY NUMBER (EIl� - 3 7-1 1 6 6 0 5 r <br />�� i <br /> 2. NAME OFPROJECT Mnhi 1 i �i nq NPi qhb�nc�x�c3c for B H alth <br /> 1 <br /> 3. ANTICIPATED COMPLETIOH DATE Apri 1 2 2 , 2 0 0 3 <br />� 4. EXECUTIVE DIRECTOR/PRESIDENT: <br /> NAME ,Jarr= Anr�rawc� Rnarr� [`hairman <br /> fADDRESS 22�R Nor h o11eqP <br /> 1�Pratt�r' TT. 62526 <br />� TELEPHONE �1 7—F372-1 204 <br /> FAX 217-872-1 �20 <br /> 5.PROGRANI COORDINATOR/CONTACT PERSON: <br />� NAME Linda Kehart <br /> PROGRAb1 ADDRESS ���R Nc�r{-h C�O� � P[3P <br />+ T� .a �r� TL F,�S�Fi <br />� TELEPHONE �1 7—�7�-1 �(l4 <br /> FAX 217—f37?-132� <br />� 6. a) Does the agency have a board in place? (Attach list of names of the organization's officers and its <br /> Board ofDirectors) yes, Names are attached <br />( b) Does the board meet weekly,monthiy,or other? (Attach up-to-date by-laws,Charter and <br /> The board meets monthly Articles of Incorporation) <br /> c) Does the agency have 501 (c)3 stafus? (Attach copy) The agency works as a program <br />� under the 501 C 3 status of Decatur Memorial Foundation. ( see attached) <br /> 7. Have you received Block Grant funding in the last three years? May 1,2001 to April 30,2002��, <br /> May 1,2000 to April 30,2001 No , May 1, 1999 to Apri130,2000��,May 1, 1998 to Apri130, 1999 <br /> ��. Was that funding completely spent in the year in which the funding was awarded? May 1,2001 <br />� to Aprit 30, 2002 NO , May 1,2000 to April 30,2001 ntn , May 1, 1999 to Apri130, 2000 NO , <br /> May 1, 1998 to April 30, 1999 NO . <br /> 8. Identify all sources of funding for the agency. Decatur Community Partnership through <br /> grant� Pn ; t-1 _d �rnin� Point and Communit� ar N work (Kello�� <br /> - Foundation) , DecatLr Memorial Foundation� other national and state <br /> grants at any given time. -16- <br />