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- a � <br /> • � ' � �` ", � � <br /> ► <br /> ♦ <br /> CITY OF DECATUR <br /> COMMUNITY DEVELOPMENT BLOCK GRANT PR�GRAM <br /> 2002-2003 APPLICATION <br /> A. GENERAL PROGRAM INFORMATION <br /> 1. NAME OF APPLICANT <br /> EMPLOYER IDENTIFICATION NUMBER(EIN) 3?-1169605 <br /> 2. NAME OF PROJECT America Reads <br /> 3. ANTICIPATED COMPLETION DATE Apri122,2003 <br /> 4. EXECUTIVE DIRECTOR � <br /> NAME Terry Myers <br /> ADDRESS 2300 North Edward Street <br /> Decatur,IL 62526 <br /> TELEPHONE 217.8?6.2105 <br /> FAX 21?.8?6.2125 EMAIL tem cr.dmhhs.org <br /> 5. PROGRAM COORDINATOR/CONTACT PERSON <br /> NAME Cindy Deadrick <br /> PROGRAM ADDRESS 403 N.Main <br /> Decatur,IL 62522 <br /> TELEPHONE 217.233.3391 <br /> FAX 217.422.26?4 EMAIL cvndcreate a,aol.com <br /> 6. a) Does the agency have a board in place? Yes,list of names afitached <br /> b) Does the board meet weekly, monthty or other? Quarterly <br /> c) Does the agency have 501c3 status? Yes, copy attached <br /> 7. Have you received Block Grant fund'rng in the last three years? NO <br /> 8. Identify atl sources of funding for the agency. Funded by philantropic <br /> corrtrib�xtions received from annual campaign,planned gifts,farm management and <br /> special events _ - <br /> 9. Amount of CDBG Funding Requested. $15,600 <br /> 10. Describe how the agency will report financial egpenditures monthly. <br /> The hospital bookkeeping department will provide the Board of Directors with a <br /> state:nent of assets,liabilities and net assets and the related statemer�t of revenues <br /> and expenses on a quarterly basis. <br />