**VALUE-ADDED PRODUCER GRANT PROGRAM, FISCAL YEAR 2005**

**FORM SF-424 TIPS**

**1. TYPE OF SUBMISSION:** *The VAPG program does not accept
pre-applications and is a non-construction program only. Thus, the
applicant should check the box marked, "Non-Construction" under the
"Application" heading.*

**2. DATE SUBMITTED:** *The applicant should write the date on which the
application is submitted to the Agency.*

**3. DATE RECEIVED BY STATE:** *The applicant should leave this space
blank.*

**4. DATE RECEIVED BY FEDERAL AGENCY:** *The applicant should leave this
space blank.*

**5. APPLICANT INFORMATION**

Legal Name: *The applicant should fill in the legal name of the entity
applying for the grant.*

Organizational DUNS: *The applicant must fill in the DUNS number of the
entity applying for the grant.*

**Organizational Unit:** *The applicant should leave this space blank.*

Department: *The applicant should leave this space blank.*

Division: *The applicant should leave this space blank.*

**Address:** *The applicant should leave this space blank.*

Street: *The applicant must fill in the mailing address at which they
can receive U.S. Postal Service-delivered mail.*

City: *The applicant must fill in the city at which they can receive
U.S. Postal Service-delivered mail.*

County: *The applicant should fill in the name of the county in which
the entity applying for the grant is located.*

State: *The applicant must fill in the state at which they can receive
U.S. Postal Service-delivered mail.*

Zip Code: *The applicant must fill in the zip code at which they can
receive U.S. Postal Service-delivered mail.*

Country: *The applicant must fill in the country at which they can
receive U.S. Postal Service-delivered mail. (Please note that foreign
entities and citizens are not eligible for assistance from the VAPG
program.)*

**Name and telephone number of person to be contacted on matters
involving this application (give area code)**

Prefix: *The applicant should fill in the prefix for the contact person
(e.g. Mr., Ms., Mrs., Dr.).*

First Name: *The applicant should fill in the first name of the contact
person.*

Middle Name: *The applicant should fill in the middle name of the
contact person.*

Last Name: *The applicant should fill in the last name of the contact
person.*

Suffix: *The applicant should fill in the suffix, if any, for the
contact person.*

Email: *The applicant should fill in the e-mail address, if any, for the
contact person.*

Phone Number (give area code): *The applicant should fill in the phone
number for the contact person.*

Fax Number (give area code): *The applicant should fill in the fax
number, if any, for the contact person.*

**6. EMPLOYER IDENTIFICATION NUMBER** (EIN): *The applicant must fill in
the EIN for the entity applying for the grant.*

**7. TYPE OF APPLICANT:** *The only types of eligible applicants for the
VAPG program are individuals, for-profit organizations, and
not-for-profit organizations. Please fill in an "L" if the applicant is
an individual, an "M" if the applicant is a for-profit organization, or
an "O" if the applicant is a not-for-profit organization.*

**8. TYPE OF APPLICATION:** *The only type of applications allowed for
the VAPG program is new applications. Please check the box marked
"New."*

**9. NAME OF FEDERAL AGENCY:** *The Rural Business-Cooperative Service
is the Agency administering the VAPG program.*

**10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:** *The CFDA Number
of the VAPG program is 10.352. The title is Value-Added Producer Grant.*

**11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:** *The applicant should
fill in a short title (75 characters or less) that meaningfully reflects
the proposed project. This title may be used in press releases or other
program promotional materials.*

**12. AREAS AFFECTED BY PROJECT:** *The applicant should list the area
or areas affected by the project. The areas may be cities, counties,
states, regions, or national or international areas. Examples include:
Portland, OR; Stark County, ND; all of MT; southwestern U.S.; all of the
U.S.; the U.S. and Central America.*

**13. PROPOSED PROJECT:** *The applicant should leave this space blank.*

Start Date: *The applicant should fill in the estimated date the project
will start. The date should include day, month, and year and must not be
earlier than the expected award announcement date given in the NOSA.*

Ending Date: *The applicant should fill in the estimated date the
project will end. The date should include day, month, and year and must
not be later than December 31, 2006.*

**14. CONGRESSIONAL DISTRICTS OF:** *The applicant should leave this
space blank.*

a\. Applicant: *The applicant should list the one congressional district
which is associated with the applicant's mailing address. Congressional
districts should be listed with the state abbreviation, followed by a
dash, followed by the number associated with the district (e.g. CA-27,
ND-At-Large, VT-1).*

b\. Project: *The applicant should list the congressional districts that
will be directly affected by the project. Congressional districts should
be listed with the state abbreviation, followed by a dash, followed by
the number associated with the district (e.g. CA-27, ND-At-Large,
VT-1).*

**15. ESTIMATED FUNDING:** *The applicant should leave this space
blank.*

a\. Federal: *The applicant must fill in the amount of VAPG program
dollars being requested.*

b\. Applicant: *The applicant should fill in the amount of matching
funds, if any, that will be provided by the applicant. Both cash and
in-kind funds should be included.*

c\. State: *The applicant should fill in the amount of matching funds,
if any, that will be provided by a state government agency or
department. Both cash and in-kind funds should be included.*

d\. Local: *The applicant should fill in the amount of matching funds,
if any, that will be provided by a local government organization. Both
cash and in-kind funds should be included.*

e\. Other: *The applicant should fill in the amount of matching funds,
if any, that will be provided by a third-party, other than a state or
local government organization.*

f\. Program Income: *The applicant should leave this space blank.
Expected program income may not be used to fulfill the matching funds
requirement at the time of application.*

g\. TOTAL: *The applicant should fill in the total of the amounts
entered in items 15a through 15e. This amount should match the total
project costs, which include the grant funds requested and the matching
funds to be provided.*

**16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372
PROCESS?** *The applicant should leave this section blank.*

**17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?** *The applicant
must check "Yes" or "No" to answer this question. If the answer is
"Yes," the applicant must attach an explanation.*

**18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS
APPLICATION/PREAPPLICAITON 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.**
*The applicant should leave this space blank.*

a\. Authorized Representative: *The applicant should leave this space
blank.*

Prefix: *The applicant should fill in the prefix of the authorized
representative (e.g. Mr., Ms., Mrs., Dr.).*

First Name: *The applicant must fill in the first name of the authorized
representative.*

Middle Name: *The applicant should fill in the middle name of the
authorized representative.*

Last Name: *The applicant must fill in the last name of the authorized
representative.*

Suffix: *The applicant should fill in the suffix, if any, of the
authorized representative.*

b\. Title: *The applicant should fill in the title of the authorized
representative.*

c\. Telephone Number (give area code): *The applicant must fill in the
telephone number for the authorized representative.*

d\. Signature of Authorized Representative: *The authorized
representative must sign in this space.*

e\. Date signed: *The authorized representative must fill in the date on
which the form was signed.*