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TCDP APPI.ICANTIRECIPIENT DISCLOSUREIUPDATE REPORT <br />PART I APPLICANTIRECIPIENT INFORMATION <br />Indicate whether this is an initial report X Or an update report <br />1. Applicant/Recipient Name, Address, and Phone Number (include area code) <br />TCDP Application Identifier OR <br />TCDP Contract Number <br />2. Project assistedlto be assisted (projecUactivity description and its location by city and county) <br />3. Amount Requested <br />OR Received <br />S <br />PART II OTHER GOVERNMENT ASSISTANCE PROVIDED/REQUESTED <br />No Other Government Assistance to Disclose ' <br />1. DepartmentlState/Local Agency Name <br />Address (City, State and Zip Code) <br />Program <br />Type of Assistance <br />Amount RequestedlProvided <br />$ <br />2. Department/State/Local Agency Name <br />Address (City, State, and Zip Code) <br />Program <br />Type of Assistance <br />Amount Requested/Provided <br />$ <br />3. DepartmentlStatelLocal Agency Name <br />Address (City, State and Zip Code) <br />Program <br />Type of Assistance <br />Amount Requested/Provided <br />S <br />4. Department/StatelLocal Agency Name <br />Address (City, State and Zip Code) <br />Program <br />Type of Assistance <br />Amount Requested/Provided <br />$ <br />2010 Main Street Application Page 20 of 30 2-5-10 <br />Vn13 <br />