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Grant Coversheet Form I. ENTER ~he legal name of the organizalJon: 12. a) ENTER the Autho~zed Official Information: ~ity of Pans r~e (Mr., Ms., Dr., Judge, etc.): ~Ir. Z. ENTER the t~e of the prqect: Name: ~lic~aet Red R~ver Valtey Drug Task Force ~osttion: 3.ity Manager 3. E NTE R the division or unit to administer the project: a~d ress: =.O. Box 9037 Pohce Department =itylStata/Zip: ~ads !Texas 734§1 4. ENTER the agency's _State P_ayee Identification Number: !Telephone: ~03 785-7511 x.201 Fax: 993 785-8519 1-7560006359000 E-mail: m matone~,ci, paris.tx u s b) ENTER the Project Director Information: State5' a) ISortheFederalapplicantdebt?organizatJon(SELECT One):delinquent on any No ~J Title (Mr., Ms., Dr,, Judge, etc.): Chief b) ENTER the date of the last audit: 11/07/2001 Name: <art Louis c) ENTER the agency fiscal yeaF Oct. 1-Sept. 30 Position: =hief of Police 6. SELECT the funding source: Address: IP.O. Box 9037 B~'rne Formula C~'ant Pr~Jram Ifederal GFDA-I§,~7~I ~1 C~I[;l~If]~! ,Pa~s 7- E N T E R the grant Pedad (ax: mm/dd/yY'JY): Telephone: 903 78§-7511 x 239 Fa, x: 9037374142 From: I 06/01/2004 I To: I 05/31/2005 E-mail: k Iouis~istx. us 8. ENTER the current grant number if a continuation project: c) ENTER the Financial Officer Information: 13854-05 T~Je (Mr., Ms., Dr., Judge, etc.): Mr. 9 Budge~ Information (figures t~lled in from Budget Form): Name: W.E. Andemon CJD Fun~l~ Caah Match In. KJn~l TeL~I P~iti~n~ B;~ o[ fi;haste $739,722 $31¶,434 $0 $1,05t,156 Address: P.O. Box 9037 10. a) Is this a local or regional project? (SELECT One): Yes ~ City/State/Zip: Pads Texas 75461 b) If you marked 'Yes', for Step fO. a); is this Telephone: 903 785-751 lx241 Fax: 903 785-8519 application subject to a regional COG pdoritizatJon No process? (SELECT One): E-mail: q anderson{'~,ci paris.b(.us c) If 'rio', Ior 3levi or t J: then 13. :SELECT oiJr on mo li l of glJ0il~lfl nl~l~li~n~ this application subject to the State's TRA¢S prcx:ess by fund sou~: lursuanl to 1 TAC. §§5.191-5.2537 (SELECT No One): City d) If you market ~¥~' for S~o~ ~0. a). SELECI the regional COG in which tths projent is ge~:~ra~hic~lly located: ~ 4. a) SEL£CT the headquarte~ county: Ark-le× Council Of Govemmonts - Region 0500 "8 b) LIST the ~ end ceunli~$ ~i~hin the ~orvico aroa: 1 a. a) Is this grant applicetion is response to a ~ili~. 0~ ~ari$. 8onham, $~ll~hur $~gn§s. ML Vernon. and Coo~r, and Request for Applications (RFA) as published in the No Texas Register? (SELECT One): b) If yen marked 'No', ENTER the name of the CJD Judy Switzer staff member that you contacted for submission: 15. FOR COG USE ONLY a) Is this application shared w~th another' COG? (ENTER "Yes" or b) CPTN #: d) COG Ap~medon ID: Page I of 1 Co versheet Form