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Grant Coversheet Form 1. ENTER the legal name of the organizaifo~: 12. a) ENTER the Authorized Official In fon'~,~n: City of Paris Title (Mr,, Ms., Dr., Judge, etc.): Mr. '. ENTER ~ title of the project: Name: Mic~aef MalO~le ~egional Controlled Substance Apprehension Program Position: City Manager ~. ENT ER the division or unif to edminister the projent: Address: p.o. BOx 9037 Pads Texas 903 785~519 Police Department City/State/Zip: ~03 785-7511 x,201 Fax: 75461 ~.. E NTE R the ogency's State Payee_ldenfif'maf~on N_umber: Telephone: 1-7560006359000 E-mail: m malone~ci.paris.tx us 5. a) Is the applicant organization delinquent on eny No ..~ b) ENTER the Pr~ Director Information: State or Federal debt? (SELECT One): Ti~e (Mr.. Ms., Dr., Judge, etc.): ~Chid b) ENTER the dat~ of the last audit: 1157/2001 Name: KadIL°als c) ENTER the agency fiscal year: Oct. 1-SepL 30 Position: Chief of P~lice B. SELECT the funding source: Address: P.O. Box 9037 Byme Fomlu[a C~ant Program (federal CFDA,-16.579) J City/State/Zip: Pads T~ 75461 7. ENTER the grant period (ex: mm/dd/yyyy): reL~phone: 903 765-7511 x23g Fax: 903 737~.142 I 0 ,0,, 004 I To: I 05t31t2005 kIouis~,,ci.paris.tx. us 8. ENTER the current grant number if a osr~tinuation p~oject; :} ENTER the Financial Officer Info~na~on: 13854-05 ritis (Mr., Ms., Dr., Judge, etc.): IMf. 9. Budget information (figures filled in from Budget Form): ~lame: N.E.]Anderson CJOFeedsI CashMatch I In-Kind Total Position: Oirect~ofFinance $388,47g $210,587 ~ $599,~'7 a~:lreas: 3.0. Box 9037 10. a) Is this a local or regional project? (SELECT Yea ~ ;ity/State/Zip: =ads rexas 75461 One): b) If you ma~ed 'Yes', for Step 10. a); is this l'elephone: )03 765-7511 x241 Fa~c 903 785~519 applica~on subject to a regional COG primitJzatJon No ~.~ process? (SELECT One): E-mail: ;I anderson~,ci.paris.tx, us c) If you marked 'No'. for Step 10. e) or b); then is 13. SELECT your orgeni~abon type based on the list of eligible appiicents this ap~n subject to the State's TRACS pmces~ W fund source: ~ursuant to 1 T.AC. §§5.191-5.2537 (SELECT NO ~ Unit of Local Government One): j d) If you marked ~es' for Step 10. a), SELECT the regional COG in which this project is geographically !ocated: 14. a) SELECT the hesdquartara county: I Lamar 3 A~k-Tex Council Of Governments - Region 05CO "l 0) LIST the cities and c~Jnlies within the s~,~ice ama: 11. a) Is this grant application is response to a C~es of Paris, and Bonham, and counties of Lamar, and Fannin =,equest for Applications (RFA) as published in the No , texas Register? (S E L ECT One): ~) If ysu marked 'No', ENTER the name of the CJD Judy Switzer staff ~ that you conlaclecl for subrmasion: 15. FOR COG USE ONLY a) Is this applicef~on shared ~ em3ther ~ (ENTER "Yes" or'~lo"): I I ~) CPTN fk [ ] d) COG Appl'maf~ee ID: :) Priority #:[ ] I EXHIBIT