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4w AUTOMOBILE BURGLARY Sc THEFT PREVENTION AUTHORITY FormABTPA-104 <br />W_ artclE You,~_Car (01112) <br />Application for State Assistance <br />1. For ABTPA Use Only <br />3. a. Date Submitted <br />b. Applicant Identifier <br />2. State Program Classification (For ABTPA Use Only) <br />4. a. Date Received by State <br />b. State Application Identifier <br />5. Applicant Information <br />a. Legal Name: <br />c. Organizational Unit: <br />Northeast Texas Auto Theft Task Force <br />b. Address (give street or P. 0. Box, City, County, State, and Zip Code) <br />d. Name and telephone number of person to be contacted on matters <br />2910 Clarksville St. <br />involving this application (give area code) <br />Paris, Texas 75460 <br />Det. Shane Stone 903-249-2784 <br />6. State Payee Identification Number: <br />7. T e of A licant enter the a <br />YP pp ( ppropriate letter in box)C <br />A. State H. Independent School District <br />B. County i. State Controlled Institution of Higher Learning <br />1-7560006359000 <br />C. Municipal J. Private University <br />D. Township K. Indian Tribe <br />E. Interstate L. Individual <br />F. Intermunicipal M. Nonprofit Organization <br />G. Special District N. Other (specify): <br />8. Type of Application: <br />9. Name of Grantor Agency: <br />~ New ~ Continuation ~ Revision <br />Texas Automobile Burglary & Theft Prevention Authority <br />If Revision, check appropriate box(es). <br />4000 JaCkson Avenue <br />~ Increase Award E] Decrease Award ~ Other (specify) <br />Austin, Texas 78731 <br />Phone: (512) 374-5101 <br />~ Increase Duration R Decrease Duration <br />Fax: (512) 374-5110 <br />Website: www.txwatchyourcar.com <br />10. Title of Project: <br />11. Areas of Project Activities (Cities, Counties, States, etc.) <br />Northeast Texas Auto Theft Task Force <br />Lamar, Delta, Hopkins, Hunt, Grayson, Red River, Bowie, Fannin, <br />Titus, Franklin <br />12. Proposed Project <br />13. Is application subject to review by state executive order 12372 process? <br />Start Date: 09/01/12 <br />~ YES, this application was made available to the Texas Review and <br />Ending Date: 08/31 /13 <br />Comment System (TRACS) for review on <br />D <br />t <br />14. Funding Summary: <br />a <br />e: <br />~ Program is not covered by E. O. 12372 <br />Total of a, b, & c must agree with d. <br />Note: Please enter whole dollars for the amounts requested. <br />~ Program haS not been SeleCted by state for review <br />a. Total State Grant Funds $ 235,281 <br />~ NO <br />Requested (ABTPA) <br />15. Is the applicant delinquent on any federal debt? <br />b. Cash Match $ 74,042 <br />c. In-Kind Match $ 0 <br />~ YES If "Yes" attach an explanation Z NO <br />d. TOTAL(s) $ 309,323 <br />16. To the best of my knowledge and belief, all data in this application is true and correct. The document has been duly authorized by the governing body <br />of the applicant and the applicant will comply with the attached assurances if the assistance is awarded. <br />a. Typed name of Authorized Official Gene Anderson b. Title Interim City Manager c. Telephone Number 903-784-9201 <br />d. Signature of Authorized Official e. Date Signed <br />ABTPA-1 of 31 <br />