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<tbody>
<tr class="odd">
<td colspan="19" rowspan="2"><p><strong>APPLICATION FOR</strong></p>
<p><strong>FEDERAL ASSISTANCE</strong></p></td>
<td colspan="9"></td>
<td colspan="3">Version 9/03</td>
</tr>
<tr class="even">
<td colspan="9"><p><strong>2. DATE SUBMITTED</strong></p>
<p><strong>     </strong></p></td>
<td colspan="3"><p>Applicant Identifier</p>
<p><strong>     </strong></p></td>
</tr>
<tr class="odd">
<td colspan="11" rowspan="2"><p><strong>1. TYPE OF
SUBMISSION:</strong></p>
<p>Application</p>
<p> <strong>Construction</strong></p>
<p> <strong>Non-construction</strong></p></td>
<td colspan="8" rowspan="2"><p>Pre-application</p>
<p> <strong>Construction</strong></p>
<p> <strong>Non-Construction</strong></p></td>
<td colspan="9"><p><strong>3. DATE RECEIVED BY STATE</strong></p>
<p><strong>     </strong></p></td>
<td colspan="3"><p>State Application Identifier</p>
<p><strong>     </strong></p></td>
</tr>
<tr class="even">
<td colspan="9"><p><strong>4. DATE RECEIVED BY FEDERAL
AGENCY</strong></p>
<p><strong>     </strong></p></td>
<td colspan="3"><p>Federal Identifier</p>
<p><strong>     </strong></p></td>
</tr>
<tr class="odd">
<td colspan="31"><ol start="5" type="1">
<li><p><strong>APPLICANT INFORMATION</strong></p></li>
</ol></td>
</tr>
<tr class="even">
<td colspan="25" rowspan="2">Legal Name: <strong>     </strong></td>
<td colspan="6"><strong>Organizational Unit:</strong></td>
</tr>
<tr class="odd">
<td colspan="6">Department: <strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="25">Organizational DUNS: <strong>     </strong></td>
<td colspan="6">Division: <strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="25"><strong>Address:</strong></td>
<td colspan="6" rowspan="2"><strong>Name and telephone number of person
to be contacted on matters involving this application (<em>give area
code</em>)</strong></td>
</tr>
<tr class="even">
<td colspan="25" rowspan="2"><p>Street: <strong>     </strong></p>
<p><strong>     </strong></p></td>
</tr>
<tr class="odd">
<td colspan="2">Prefix: <strong>     </strong></td>
<td colspan="4">First Name: <strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="25">City: <strong>     </strong></td>
<td colspan="6">Middle Name: <strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="25">County: <strong>     </strong></td>
<td colspan="6">Last Name: <strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="11">State: <strong>     </strong></td>
<td colspan="14">Zip Code: <strong>     </strong></td>
<td colspan="6">Suffix: <strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="25">Country: <strong>     </strong></td>
<td colspan="6">Email: <strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="25"><ol start="6" type="1">
<li><p><strong>EMPLOYER IDENTIFICATION NUMBER (EIN):</strong></p></li>
</ol></td>
<td colspan="5" rowspan="3"><p>Phone Number (give area code)</p>
<p><strong>     </strong></p></td>
<td rowspan="3"><p>FAX Number (give area code)</p>
<p><strong>     </strong></p></td>
</tr>
<tr class="odd">
<td></td>
<td><strong> </strong></td>
<td><strong> </strong></td>
<td><strong>-</strong></td>
<td colspan="2"><strong> </strong></td>
<td><strong> </strong></td>
<td><strong> </strong></td>
<td colspan="2"><strong> </strong></td>
<td colspan="2"><strong> </strong></td>
<td><strong> </strong></td>
<td><strong> </strong></td>
<td colspan="11"></td>
</tr>
<tr class="even">
<td colspan="25"></td>
</tr>
<tr class="odd">
<td colspan="25"><ol start="8" type="1">
<li><p><strong>TYPE OF APPLICATION:</strong></p></li>
</ol>
<p> <strong>New</strong> <strong>Continuation</strong>
<strong>Revision</strong></p>
<p>If Revision, enter appropriate letter(s) in box(es)</p>
<p>(See back of form for description of letters.)</p></td>
<td colspan="6" rowspan="2"><ol start="7" type="1">
<li><p><strong>TYPE OF APPLICANT:</strong> (See back of form for
Application Types)</p></li>
</ol>
<p>Other (specify) <strong>     </strong></p></td>
</tr>
<tr class="even">
<td colspan="15"></td>
<td></td>
<td colspan="5"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="25">Other (specify) <strong>     </strong></td>
<td colspan="6"><ol start="9" type="1">
<li><p><strong>NAME OF FEDERAL AGENCY:</strong></p></li>
</ol>
<p><strong>National Park Service</strong></p></td>
</tr>
<tr class="even">
<td colspan="25"><ol start="10" type="1">
<li><p><strong>CATALOG OF FEDERAL DOMESTIC ASSISTANCE
NUMBER:</strong></p></li>
</ol></td>
<td colspan="6" rowspan="4"><ol start="11" type="1">
<li><p><strong>DESCRIPTIVE TITLE OF APPLICANTS
PROJECT:</strong></p></li>
</ol>
<p><strong>     </strong></p></td>
</tr>
<tr class="odd">
<td colspan="15"></td>
<td><strong>1</strong></td>
<td><strong>5</strong></td>
<td><strong>-</strong></td>
<td colspan="2"><strong>9</strong></td>
<td colspan="2"><strong>2</strong></td>
<td colspan="2"><strong>6</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="25">TITLE (Name of Program) <strong>American Battlefield
Protection Program</strong></td>
</tr>
<tr class="odd">
<td colspan="25"><ol start="12" type="1">
<li><p><strong>AREAS AFFECTED BY PROJECT</strong> <em>(Cities,
Countries, States, etc.)</em></p></li>
</ol>
<p><strong>     </strong></p></td>
</tr>
<tr class="even">
<td colspan="25"><ol start="13" type="1">
<li><p><strong>PROPOSED PROJECT</strong></p></li>
</ol></td>
<td colspan="6"><ol start="14" type="1">
<li><p><strong>CONGRESSIONAL DISTRICTS OF:</strong></p></li>
</ol></td>
</tr>
<tr class="odd">
<td colspan="5"><h1 id="start-date">Start Date</h1>
<p><strong>     </strong></p></td>
<td colspan="20"><h1 id="ending-date">Ending Date</h1>
<p><strong>     </strong></p></td>
<td colspan="4"><p>a. Applicant</p>
<p><strong>     </strong></p></td>
<td colspan="2"><p>b. Project</p>
<p><strong>     </strong></p></td>
</tr>
<tr class="even">
<td colspan="25"><ol start="15" type="1">
<li><p><strong>ESTIMATED FUNDING:</strong></p></li>
</ol></td>
<td colspan="6"><ol start="16" type="1">
<li><p>IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372
PROCESS?</p></li>
</ol></td>
</tr>
<tr class="odd">
<td colspan="9">a. Federal</td>
<td colspan="3"><strong>$</strong></td>
<td colspan="13"><strong>     .00</strong></td>
<td colspan="6" rowspan="5"><p>a. YES. THIS PREAPPLICATION/APPLICATION
WAS MADE</p>
<blockquote>
<p>AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW
ON</p>
</blockquote>
<p>DATE: <strong>     </strong></p>
<p>b. NO. PROGRAM IS NOT COVERED BY E.O. 12372</p>
<p> OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW</p></td>
</tr>
<tr class="even">
<td colspan="9">b. Applicant</td>
<td colspan="3"><strong>$</strong></td>
<td colspan="13"><strong>     .00</strong></td>
</tr>
<tr class="odd">
<td colspan="9">c. State</td>
<td colspan="3"><strong>$</strong></td>
<td colspan="13"><strong>     .00</strong></td>
</tr>
<tr class="even">
<td colspan="9">d. Local</td>
<td colspan="3"><strong>$</strong></td>
<td colspan="13"><strong>     .00</strong></td>
</tr>
<tr class="odd">
<td colspan="9">e. Other</td>
<td colspan="3"><strong>$</strong></td>
<td colspan="13"><strong>     .00</strong></td>
</tr>
<tr class="even">
<td colspan="9">f. Program Income</td>
<td colspan="3"><strong>$</strong></td>
<td colspan="13"><strong>     .00</strong></td>
<td colspan="6"><ol start="17" type="1">
<li><p><strong>IS THE APPLICANT DELINQUENT ON ANY FEDERAL
DEBT?</strong></p></li>
</ol></td>
</tr>
<tr class="odd">
<td colspan="9">g. TOTAL</td>
<td colspan="3"><strong>$</strong></td>
<td colspan="13"><strong>     .00</strong></td>
<td colspan="6"> Yes If “Yes,” attach an explanation. No</td>
</tr>
<tr class="even">
<td colspan="31"><ol start="18" type="1">
<li><p><strong>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.</strong></p></li>
</ol></td>
</tr>
<tr class="odd">
<td colspan="31">a. Authorized Representative</td>
</tr>
<tr class="even">
<td colspan="9">Prefix <strong>     </strong></td>
<td colspan="17">First Name <strong>     </strong></td>
<td colspan="5">Middle Name <strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="26">Last Name <strong>     </strong></td>
<td colspan="5">Suffix <strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="26">b. Title <strong>     </strong></td>
<td colspan="5"><p>c. Telephone Number (give area code)</p>
<p><strong>     </strong></p></td>
</tr>
<tr class="odd">
<td colspan="26">Email: <strong>     </strong></td>
<td colspan="5"><p>Fax Number (give area code)</p>
<p><strong>     </strong></p></td>
</tr>
<tr class="even">
<td colspan="26"><p>d. Signature of Authorized Representative</p>
<p><strong>     </strong></p></td>
<td colspan="5"><p>e. Date Signed</p>
<p><strong>     </strong></p></td>
</tr>
<tr class="odd">
<td colspan="26"><p>Previous Editions Usable</p>
<p>Authorized for Local Reproduction</p></td>
<td colspan="5"><p>Standard Form 424 (Rev 09/2003)</p>
<p>Prescribed by OMB Circular A-102</p></td>
</tr>
</tbody>
</table>