PART I - FACE SHEET

APPLICATION FOR FEDERAL ASSISTANCE
Modified Standard Form424 (Rev.02/07 to confirm to the Corporation's eGrants System)
1. TYPE OF SUBMISSION:
Application X Non-construction
2a. DATE SUBMITTED TO CORPORATION FOR NATIONAL AND COMMUNITY SERVICE (CNCS):
2b. APPLICATION ID:
14AC156338
3. DATE RECEIVED BY STATE:
12/10/13
STATE APPLICATION IDENTIFIER:
4. DATE RECEIVED BY FEDERAL AGENCY:
FEDERAL IDENTIFIER:
12ACHNY0010021
5. APPLICATION INFORMATION
LEGAL NAME: American Red Cross of Northeastern New York
DUNS NUMBER: 78856861
ADDRESS (give street address, city, state, zip code and county):
33 Everett Rd
Albany NY 12205 - 1437
County: Albany
NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION (give area codes):
NAME: Lauren Putney
TELEPHONE NUMBER: (518) 292-2358
FAX NUMBER:
INTERNET E-MAIL ADDRESS: lauren.putney@redcross.org
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
530196605
7. TYPE OF APPLICANT:
7a. Non-Profit
7b. National Non-Profit (Multi-State)
8. TYPE OF APPLICATION (Check appropriate box).
NEW XNEW/PREVIOUS GRANTEE
CONTINUATION AMENDMENT
If Amendment, enter appropriate letter(s) in box(es):
A. AUGMENTATION B. BUDGET REVISION
C. NOCOST EXTENSION D. OTHER (specify below):
9. NAME OF FEDERAL AGENCY:
Corporation for National and Community Service
10a. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 94.006
10b. TITLE: AmeriCorps State
11.a. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
Red Cross Disaster Resiliency Corps
11.b. CNCS PROGRAM INITIATIVE (IF ANY):
12. AREAS AFFECTED BY PROJECT (List Cities, Counties, States, etc):
The Red Cross Disaster Resiliency Corps will affect all ten New York State AmeriCorps Regions of Service. Members will serve in the following American Red Cross Regions: Greater New York (Sullivan, Orange, Putnam, Rockland, Westchester, Bronx, New York, Queens, Kings, Richmond, Nassau and Suffolk Counties); Northeastern New York (Franklin, Clinton...
13. PROPOSED PROJECT: START DATE: 10/01/14 END DATE: 09/30/15
14. CONGRESSIONAL DISTRICT OF:   a.Applicant NY 20   b.Program NY 20
15. ESTIMATED FUNDING: Year #: 1
a. FEDERAL
$ 346,417.00
b. APPLICANT
$ 214,582.00
c. STATE
$ 0.00
d. LOCAL
$ 0.00
e. OTHER
$ 0.00
f. PROGRAM INCOME
$ 0.00
g. TOTAL
$ 560,999.00
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
DATE:
XNO. PROGRAM IS NOT COVERED BY E.O. 12372
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
YES if "Yes," attach an explanation. XNO
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 ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. TYPED NAME OF AUTHORIZED REPRESENTATIVE:
Thomas Lindberg
b. TITLE:
c. TELEPHONE NUMBER:
(518) 694-5119
d. SIGNATURE OF AUTHORIZED REPRESENTATIVE:
e. DATE SIGNED:
12/10/13