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Apptication for Federal Assistance SF-424 <br />16. Congresslonal Districfs Of: <br />` a. Applicanl TX-o4 b. Program/Projecl TX-oa <br />Attach an addilional lisl of ProgramlProject Congressional Districts ii needed. <br />docx =1 AddAttachment DefeteAttachment ViewAttachment <br />ressio <br />dist addtl <br />a] <br />. <br />n <br />, <br />cong <br />17. Proposed PraJect: <br />' a. Slart Qate: p6/04/2012 ' b. End Date: 06J36/2015 <br />18. Estimated Funding (E): <br />` a. Federal 715,000.001 <br />' b. App}icanl 11047,143.001 <br />` c. State 0.00 <br />' d. Locel 0. 00 <br />` e. Olher 0.00 <br />" i. Program Income 0.00 <br />'g.TOTAL 1,762,243.00 <br />• 19. Is Appifcation Subject to Review By State Under Executive Order 12372 Process7 <br />~ a. This application was made available to Ihe State under the Executive Order 12372 Process for review on <br />~ b. Program is subject to E.O. 12372 but has not been selected by the State tor review. <br />Q c. Program is not oovered by E.O. 12372. <br />" 20. Is the Appticant Delinquent On Any Federal Debt? (If 'Yes," provide expfanatlon [n attachment.) <br />71 Yes Q No <br />If "Yes", provide explanalion and attach <br />Add Attachment Deiete Attachment View qttaC3iment <br />21. "By signing tbis application, ! certify (9) to the statemenls contafned in the list of cerdficaUons"" and (Z) that the statements <br />herein are true, comptete and accurate to lhe best of my knowledge. I alsa provide the requtred assurances" and agree !a <br />comp[y wtth any resulting terms i4 i accept an award. I am aware that any false, fictitious, or fraudttlent statements or claims may <br />subject me to criminaf, ciWl, or administrative penalties. (U.S. Code, Title 218, Section 1001) <br />Q " ! AGREE <br />" The list of certificalions and assurances, or an inlemet sile where you may obtain this lisi, is conlained in the announcemenl or agency <br />specific inslrucUons. <br />Authortzed Representadve: <br />Prefix: Mr. . ' First Name: St eve <br />Middle Name: <br />' last Name: Gilbert <br />Suffix: <br />• Tihe: <br />Executive Director <br />' Tetephone Number: 903-784-5964 Fax Number. 903-784-2503 <br />'Email; parisedc0paristexasusa.com <br />FSignature of Aulhorized Representalive: comPietea by Grants.gov apon subrmasbn. ' DBte SignBd: Completed by Grenls.gov upon submission. <br />180 <br />