Resolution 2009-49 STATE OF ILLINOIS )
i
)ss
COUNTY OF KENDALL )
RESOLUTION NO. 2009- y�1
I
RESOLUTION OF AUTHORIZATION TO PARTICIPATE IN
USDA RURAL BUSINESS ENTERPRISE GRANT APPLICATION
WHEREAS, the United States Department of Agriculture (USDA), Rural Development
makes grants to public bodies and private nonprofit corporations to finance and facilitate
development of private business enterprises; and
WHEREAS, there is a need for funding to acquire property to accommodate a parking
facility to serve businesses that are in the vicinity of South Bridge Street generally between Van
Emmon Street and Hydraulic Street; and
WHEREAS, the City Council has considered submitting a USDA Rural Business
Enterprise Grant Application attached hereto as Exhibit "A" to the United States Department of
Agriculture (USDA), Rural Development to obtain a portion of the funding, and
WHEREAS, the City Council has learned that the funding from said program would not
require a local match or share.
NOW THEREFORE BE IT RESOLVED, by the Mayor and City Council of the United
City of Yorkville, Kendall County, Illinois, that the United City of Yorkville hereby authorizes
City Staff to make appropriate application to the USDA, Rural Development for a Rural
Business Enterprise Grant in an amount not to exceed $99,000 to provide partial funding for a
property to be utilized for a municipal parking facility.
Passed by the City Council of the United City of Yorkville, Kendall County, Illinois this
p day of �ov� , A.D. 2009.
C1 LERK
ROBYN SUTCLIFF DIANE TEELING
GARY GOLINSKI ARDEN JOSEPH PLOCHER
WALTER WERDERICH MARTY MUNNS
ROSE ANN SPEARS YN GEORGE GILSON, JR.
Approved by me, as Mayor of the United City of Yorkville, Kendall County, Illinois, this
�(p day of A.D. 2009.
-Z0 AA llJ
MAYOR
�X -A
APPLICATION FOR Version 7/03
FEDERAL ASSISTANCE I2. DATE SUBMITTED (Applicant Identifier
1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier 1
Application Pre - application
1 10 Construction Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier
0 Non- Construction h Non - Construction
5. APPLICANT INFORMATION
Legal Name: Organizational Unit:
Department:
Organizational DUNS: Division:
Address: Name and telephone number of person to be contacted on matters
Street: involving this application (give area code) J
Prefix: First Name:
City: Middle Name
County: Last Name I
State: Zip Code Suffix:
Country: Email:
6. EMPLOYER IDENTIFICATION NUMBER (EIN): I Phone Number (give area code) I Fax Number (give area code)
8. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Application Types)
IF New IT Continuation fFi Revision
If Revision, enter appropriate letter(s) in box(es)
(See back of form for description of letters.) ❑ ❑ Other (specify)
Other (specify) 9. NAME OF FEDERAL AGENCY:
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
TITLE (Name of Program):
12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.):
113. PROPOSED PROJECT 114. CONGRESSIONAL DISTRICTS OF: f
Start Date: I Ending Date: I a. Applicant I b. Project
15. ESTIMATED FUNDING: I16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
(ORDER 12372 PROCESS?
l a. Federal $ l a. Yes. IU T HIS PREAPPLICATION /APPLICATION WAS MADE
AVAILABLE TO THE STATE EXECUTIVE ORDER 12372
b. Applicant $ W I PROCESS FOR REVIEW ON
c. State $ 00 I DATE:
d. Local $ W b. No. f f l PROGRAM IS NOT COVERED BY E. 0. 12372
e. Other $ OR PROGRAM HAS NOT BEEN SELECTED BY STATE
FOR REVIEW
f. Program Income $ 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
g. TOTAL $ W I ❑ Yes If "Yes" attach an explanation. ID No
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION / PREAPPLICATION ARE TRUE AND CORRECT. THE
DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE
TTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
I a. Authorized Representative f
Prefix I First Name (Middle Name
Last Name Suffix
�b. Title I r. Telephone Number (give area code)
1. Signature of Authorized Representative I le. Date Signed
Previous Edition Usable I Standard Form 424 (Rev.9 -2003)
Authorized for Local Reoroduction Prescribed by OMB Circular A -102
INSTRUCTIONS FOR THE SF -424
Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348- 0043), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE
ADDRESS PROVIDED BY THE SPONSORING AGENCY.
This is a standard form used by applicants as a required face sheet for pre - applications and applications submitted for Federal
assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment
procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an
opportunity to review the applicant's submission.
Item: Entry: Item: Entry:
1. Select Type of Submission. 11. Enter a brief descriptive title of the project. If more than one
program is involved, you should append an explanation on a
separate sheet. If appropriate (e.g., construction or real
property projects), attach a map showing project location. For
preapplications, use a separate sheet to provide a summary
description of this project.
2. Date application submitted to Federal agency (or State if applicable) 12. List only the largest political entities affected (e.g., State,
and applicant's control number (if applicable). counties, cities).
3. State use only (if applicable). 13 Enter the proposed start date and end date of the project.
4. Enter Date Received by Federal Agency 14. List the applicant's Congressional District and any District(s)
Federal identifier number: If this application is a continuation or affected by the program or project
revision to an existing award, enter the present Federal Identifier
number. If for a new project, leave blank.
5. Enter legal name of applicant, name of primary organizational unit 15 Amount requested or to be contributed during the first
(including division, if applicable), which will undertake the funding /budget period by each contributor. Value of in kind
assistance activity, enter the organization's DUNS number contributions should be included on appropriate lines as
(received from Dun and Bradstreet), enter the complete address of applicable. If the action will result in a dollar change to an
the applicant (including country), and name, telephone number, e- existing award, indicate only the amount of the change. For
mail and fax of the person to contact on matters related to this decreases, enclose the amounts in parentheses. If both basic
application. and supplemental amounts are included, show breakdown on
an attached sheet. For multiple program funding, use totals
and show breakdown using same categories as item 15.
6. Enter Employer Identification Number (EIN) as assigned by the 16. Applicants should contact the State Single Point of Contact
Internal Revenue Service. (SPOC) for Federal Executive Order 12372 to determine
whether the application is subject to the State
intergovernmental review process.
7. Select the appropriate letter in 17. This question applies to the applicant organization, not the
the space provided. I. State Controlled person who signs as the authorized representative. Categories
A. State Institution of Higher of debt include delinquent audit disallowances, loans and
B. County Learning taxes.
C. Municipal J. Private University
D. Township K. Indian Tribe
E. Interstate L. Individual
F. Intermunicipal M. Profit Organization
G. Special District N. Other (Specify)
H. Independent School O. Not for Profit
District Organization
8. Select the type from the following list: 18 To be signed by the authorized representative of the applicant.
• "New" means a new assistance award. A copy of the governing body's authorization for you to sign
• "Continuation" means an extension for an additional this application as official representative must be on file in the
funding /budget period for a project with a projected completion applicant's office. (Certain Federal agencies may require that
date. this authorization be submitted as part of the application.)
• "Revision" means any change in the Federal Government's
financial obligation or contingent liability from an existing
obligation. If a revision enter the appropriate letter:
A. Increase Award B. Decrease Award
C. Increase Duration D. Decrease Duration
9. Name of Federal agency from which assistance is being requested
with this application.
10. Use the Catalog of Federal Domestic Assistance number and title of
the program under which assistance is requested.
SF -424 (Rev. 7 -97) Back
Budget Information — Non - Construction Programs
OMB Approval No. 0348 -0044
Section A - Budget Summary
Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget
Function Domestic Assistance
or Activity Number Federal Non - Federal Federal Non - Federal Total
(a) (b) (c) (d) (e) (f) (g)
1. $ $ $ $ $
2.
3.
4.
5. Totals $ $ $ $ $
Section B - Budget Categories
Grant Program, Function or Activity Total
6. Object Class Categories (t) (2) (3) (4) (5)
a. Personnel $ $ $ $ $
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
L Total Direct Charges (sum of 6a -6h)
j. Indirect Charges
k. Totals (sum of 6i and 6j)
7. Program Income $ $ $ $ $
Page 1 of 4 SF -424A (Rev. 4 -92)
Previous Edition Usable Authori for kcal Reproduction Prescribed by OMB CircularA -102
Section C - Non - Federal Resources
(a) Grant Program (b) Applicant (c) State (d) Other Sources (e) Totals
8. $ $ $ $
9.
10.
11.
12. Total (sum of lines 8 -11) $ $ $ $
Section D - Forcasted Ca Needs
Total for 1 st Year 1 st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal $ $ $ $ $
14. Non - Federal
15. Total (sum of lines 13 and 14) $ $ $ $ $
Section E - Budget Estimates of Federal Funds Needed for Balance of the Project
Future Funding Periods (Years)
(a) Grant Program (b) First (c) Second (d) Third (e) Fourth
16. $ $ $ $
17.
18.
19.
20. Total (sum of lines 16 -19) $ $ $ $
Section F - Other Budget Information
21. Direct Charges 22. Indirect Charges
23. Remarks
Page 2 of 4 SF -424A (Rev. 4 -92)
Previous Edition Usable Authorized for Local Pjepxo an Prescribed by OMB Circular A -102
Instructions for the SF -424A
Public Reporting Burden for this collection of information is estimated to average 3.0 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the collection of information. Please do not return your completed form to the Office of Management and Budget; send it to the address provided by the sponsoring
agency.
General Instructions For continuing grant program applications, submit these forms before the end
This form is designed so that application can be made for funds from one or more of each funding period as required by the grantor agency. Enter in Columns (c) and
grant programs. In preparing the budget, adhere to any existing Federal grantor (d) the estimated amounts of funds which will remain unobligated at the end of the
agency guidelines which prescribe how and whether budgeted amounts should be grant funding period only if the Federal grantor agency instructions provide for this.
separately shown for different functions or activities within the program. For some Otherwise, leave these columns blank. Enter in columns (e) and (f) the amounts of
programs, grantor agencies may require budgets to be separately shown by funds needed for the upcoming period. The amount(s) in Column (g) should be the
function or activity. For other programs, grantor agencies may require a breakdown sum of amounts in Columns (e) and (f).
by function or activity. Sections A, B, C, and D should include budget estimates for For supplemental grants and changes to existing grants, do not use Columns (c)
the whole project except when applying for assistance which requires Federal and (d). Enter in Column (e) the amount of the increase ordecrease of Federal funds
authorization in annual or other funding period increments. In the later case, and enter in Column (f) the amount of the increase or decrease of non - Federal
Sections A, B, C, and D should provide the budgetforthe first budget period (usually funds. In Column (g) enter the new total budgeted amount (Federal and non -
a year) and Section E should present the need for Federal assistance in the Federal) which includes the total previous authorized budgeted amounts plus or
subsequent budget periods. All applications should contain a breakdown by the minus, as appropriate, the amounts shown in Columns (e) and (f). The amount(s)
object class categories shown in Lines a -k of Section B. in Column (g) should not equal the sum of amounts in Columns (e) and (f).
Section A. Budget Summary Lines 1 -4 Columns (a) and (b) Line 5 —Show the totals for all columns used.
For applications pertaining to a single Federal grant program (Federal Domestic Section B. Budget Categories
Assistance Catalog number) and not requiring a functional or activity breakdown,
enter on Line 1 under Column (a) the catalog program title and the catalog number In the column headings (a) through (4), enter the titles of the same programs,
, Section A. When
functions, and activities shown on Lines 1-4, Column a
in Column (b). ( )
additional sheets are prepared for Section A, provide similar column headings on
For applications pertaining to a single program requiring budget amounts by each sheet. For each program, function or activity, fill in the total requirements for
multiple functions or activities, enter the name of each activity or function on each funds (both Federal and non - Federal) by object class categories.
line in Column (a), and enter the catalog number in Column (b). For applications
pertaining to multiple programs where none of the programs require a breakdown Lines 6a -i —Show the totals of Lines 6a to 6h in each column.
by function or activity, enterthe catalog program title on each line in Column (a) and Line 6j —Show the amount of indirect cost.
the respective catalog number on each line in Column (b).
Line 6k —Enter the total of amounts on Lines 6i and 6j. For all applications for new
For applications pertaining to multiple programs where one or more programs grants and continuation grants the total amount in column (5), Line 6k, should be
require a breakdown by function or activity, prepare a separate sheet for each the same as the total amount shown in Section A, Column (g), Line 5. For
program requiring the breakdown. Additional sheets should be used when one form supplemental grants and changes to grants, the total amount of the increase or
does not provide adequate space for all breakdown of data required. However, decrease as shown in Columns (1) -(4), Line 6k should be the same as the sum of
when more than one sheet is used, the first page should provide the summarytotals the amounts in Section A, Columns (e) and (f) on Line 5.
by programs.
Line 7 —Enter the estimated amount of income, if any, expected to be generated
Lines 1-4, Columns (c) through (g) from this project. Do not add or subtract this amount from the total project amount.
For new applications, leave Columns (c) and (d) blank. For each line entry in Show under the program narrative statement the nature and source of income. The
Columns (a) and (b), enter in Columns (e), (f), and (g) the appropriate amounts of estimated amount of program income may be considered by the federal grantor
funds needed to support the project for the first funding period (usually a year). agency in determining the total amount of the grant.
Page 3 of 4 SF -424A (Rev. 4 -92)
Previous Edition Usable Authorized for rccal ReprccIxt; Prescribed by OMB Circular A -102
Section C. Non - Federal Resources Section E. Budget Estimates of Federal Funds Needed for Balance of the
Lines 8 -11 —Enter amounts of non - Federal resources that will be used on the grant. Project
If in -kind contributions are included, provide a brief explanation on a separate sheet. Lines 16 -19 —Enter in Column (a) the same grant program titles shown in Column
(a), Section A. A breakdown by function or activity is not necessary. For new
Column (a) —Enter the program titles identical to Column (a), Section A. A applications and continuation grant applications, enter in the proper columns
breakdown by function or activity is not necessary. amounts of Federal funds which will be needed to complete the program or project
Column (b) —Enter the contribution to be made by the applicant. over the succeeding funding periods (usually in years). This section need not be
completed for revisions (amendments, changes, or supplements) to funds for the
Column (c) —Enter the amount of the State's cash and in -kind contribution if current year of existing grants.
the applicant is not a State or State agency. Applicants which are a State or
State agencies should leave this column blank. If more than four lines are needed to list the program titles, submit additional
schedules as necessary.
Column (d) —Enter the amount of cash and in -kind contributions to be made
from all other sources. Line 20— Enterthe total foreach of the Columns (b) -(e). When additional schedules
are prepared for this Section, annotate accordingly and show the overall totals on
Column (e) —Enter totals of Columns (b), (c), and (d). this line.
Line 12 —Enter the total for each of Columns (b) -(e). The amount in Column (e) Section F. Other Budget Information
should be equal to the amount on Line 5, Column (f) Section A.
Line 21 —Use this space to explain amounts for individual direct object -class cost
Section D. Forecasted Cash Needs categories that may appear to be out of the ordinary or to explain the details as
Line 13 —Enter the amount of cash needed by quarter from the grantor agency required by the Federal grantor agency.
during the first year. Line 22 —Enter the type of indirect rate (provisional, predetermined, final or fixed)
Line 14— Enterthe amount of cash from all other sources needed by quarter during that will be in effect during the funding period, the estimated amount of the base to
the first year. which the rate is applied, and the total indirect expense.
Line 15 —Enter the totals of amounts on Lines 13 and 14. Line 23— Provide any other explanations or comments deemed necessary.
Page 4 of 4 SF -424A (Rev. 4 -92)
Previous Edition Usable Authorized for focal Reprcductim Prescribed by OMB Circular A -102
OMB Approval No. 0348 -0040
ASSURANCES - NON - CONSTRUCTION PROGRAMS
'ublic reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348- 0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such
is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance Act of 1973, as amended (29 U.S.C. §794), which
and the institutional, managerial and financial capability prohibits discrimination on the basis of handicaps; (d)
(including funds sufficient to pay the non - Federal share the Age Discrimination Act of 1975, as amended (42
of project cost) to ensure proper planning, management U.S.C. § §6101- 6107), which prohibits discrimination
and completion of the project described in this on the basis of age; (e) the Drug Abuse Office and
application. Treatment Act of 1972 (P.L. 92 -255), as amended,
relating to nondiscrimination on the basis of drug
2. Will give the awarding agency, the Comptroller General abuse; (f) the Comprehensive Alcohol Abuse and
of the United States and, if appropriate, the State, Alcoholism Prevention, Treatment and Rehabilitation
through any authorized representative, access to and Act of 1970 (P.L. 91 -616), as amended, relating to
the right to examine all records, books, papers, or nondiscrimination on the basis of alcohol abuse or
documents related to the award; and will establish a alcoholism; (g) § §523 and 527 of the Public Health
proper accounting system in accordance with generally Service Act of 1912 (42 U.S.C. § §290 dd -3 and 290 ee
accepted accounting standards or agency directives. 3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the
3. Will establish safeguards to prohibit employees from Civil Rights Act of 1968 (42 U.S.C. § §3601 et seq.), as
using their positions for a purpose that constitutes or amended, relating to nondiscrimination in the sale,
presents the appearance of personal or organizational rental or financing of housing; (i) any other
conflict of interest, or personal gain. nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
4. Will initiate and complete the work within the applicable made; and, (j) the requirements of any other
time frame after receipt of approval of the awarding nondiscrimination statute(s) which may apply to the
agency. application.
5. Will comply with the Intergovernmental Personnel Act of 7. Will comply, or has already complied, with the
1970 (42 U.S.C. § §4728 -4763) relating to prescribed requirements of Titles II and III of the Uniform
standards for merit systems for programs funded under Relocation Assistance and Real Property Acquisition
one of the 19 statutes or regulations specified in Policies Act of 1970 (P.L. 91 -646) which provide for
Appendix A of OPM's Standards for a Merit System of fair and equitable treatment of persons displaced or
Personnel Administration (5 C.F.R. 900, Subpart F), whose property is acquired as a result of Federal or
federally- assisted programs. These requirements apply
6. Will comply with all Federal statutes relating to to all interests in real property acquired for project
nondiscrimination. These include but are not limited to: purposes regardless of Federal participation in
(a) Title VI of the Civil Rights Act of 1964 (P.L. 88 -352) purchases.
which prohibits discrimination on the basis of race, color
or national origin; (b) Title IX of the Education 8• Will comply, as applicable, with provisions of the
Amendments of 1972, as amended (20 U.S.C. § §1681- Hatch Act (5 U.S.C. § §1501 -1508 and 7324 -7328)
1683, and 1685 - 1686), which prohibits discrimination on which limit the political activities of employees whose
the basis of sex; (c) Section 504 of the Rehabilitation principal employment activities are funded in whole or
in part with Federal funds.
Previous Edition Usable Standard Form 424B (Rev. 7 -97)
Authorized for Local Reproduction Prescribed by OMB Circular A -1 02
9. Will comply, as applicable, with the provisions of the Davis- 12. Will comply with the Wild and Scenic Rivers Act of
Bacon Act (40 U.S.C. § §276a to 276a -7), the Copeland Act 1968 (16 U.S.C. § §1271 et seq.) related to protecting
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract components or potential components of the national
Work Hours and Safety Standards Act (40 U.S.C. § §327- wild and scenic rivers system.
333), regarding labor standards for federally- assisted
construction subagreements. 13. Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
10. Will comply, if applicable, with flood insurance purchase Act of 1966, as amended (16 U.S.C. §470), EO 11593
requirements of Section 102(a) of the Flood Disaster (identification and protection of historic properties), and
Protection Act of 1973 (P.L. 93 -234) which requires the Archaeological and Historic Preservation Act of
recipients in a special flood hazard area to participate in the 1974 (16 U.S.C. § §469a -1 et seq.).
program and to purchase flood insurance if the total cost of
insurable construction and acquisition is $10,000 or more. 14. Will comply with P.L. 93 -348 regarding the protection of
human subjects involved in research, development, and
11. Will comply with environmental standards which may be related activities supported by this award of assistance.
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National 15. Will comply with the Laboratory Animal Welfare Act of
Environmental Policy Act of 1969 (P.L. 91 -190) and 1966 (P.L. 89 -544, as amended, 7 U.S.C. § §2131 et
Executive Order (EO) 11514; (b) notification of violating seq.) pertaining to the care, handling, and treatment of
facilities pursuant to EO 11738; (c) protection of wetlands warm blooded animals held for research, teaching, or
pursuant to EO 11990; (d) evaluation of flood hazards in other activities supported by this award of assistance.
floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management 16. Will comply with the Lead -Based Paint Poisoning
program developed under the Coastal Zone Management Prevention Act (42 U.S.C. § §4801 et seq.) which
Act of 1972 (16 U.S.C. § §1451 et seq.); (f) conformity of prohibits the use of lead -based paint in construction or
Federal actions to State (Clean Air) Implementation Plans rehabilitation of residence structures.
under Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. § §7401 et seq.); (g) protection of 17. Will cause to be performed the required financial and
underground sources of drinking water under the Safe compliance audits in accordance with the Single Audit
Drinking Water Act of 1974, as amended (P.L. 93 -523); Act Amendments of 1996 and OMB Circular No. A -133,
and, (h) protection of endangered species under the "Audits of States, Local Governments, and Non - Profit
Endangered Species Act of 1973, as amended (P.L. 93- Organizations."
205).
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
APPLICANT ORGANIZATION DATE SUBMITTED
Standard Form 424B (Rev. 7 -97) Back