= x P l ratlon ate : 4 1 

### ! Application for Federal Assistance SF -424 Version 02 * 1 . Type of Submission * 2. T y pe of Application * If Revision , select appropriate letter ( s ): 

## D Preapplication [ { ] Ne w 

### [{ ] Application 

## D Continuation * Other (Specif y) 

## D Changed/Corrected Application 

## D R evision *3 . D ate Received : 4 . Application Identifier : 5a. Federal Entity Identifier : * 5b . Feder al Award Identifi er : S tate U se Onl y : 6 . D ate R ece i ve d b y S t ate : 7 . S t ate Ap p lication Ide ntifier : 8. APPLICANT INFORMATION: * a. Leg al Name : 

### The Port Authoritv of New York and New Jersev * b . Employer

/Taxpayer Identi f

i cati on Number ( EIN/TIN) : *c. Organ izati onal DUNS: 

### 1 3-6400654 00 - 179-4205 d . A ddress : * Street 1 : 

### 225 Park Aven u e South Street 2: *City : 

### New York Co u nty : *State : 

### I\lew YOrK Province : Country: "Zip/ Postal Code : 

### 10003 e. Orzamzational U nit: Department Name : Divi s ion Name : 

### Avia ti o n f. Name and contact information of person to be contacted on matter s in v ol v ing thi s application: Prefix : 

### Mr . First Name : 

### Derek N H d Ie N a Ire: * Last Name : 

### Martin Suffix : Title : 

### Deputy General Manager , Stewart International Airport Organizational Affiliation :

" Telephone Nu mber: 

### 845 - 564-7200 x616 Fax Number : 

### 845-567-1321 * Email : 

### drnartinrdioanvni.cov OM S N um ber : 4040 - 000 4 E · D 0 1 3 1/ 20 2( p l ra I o n a t e : 

## Application for Federal Assistance SF -424 Ver sio n 0 2 9 . T y p e of Appl icant 1 : Select App l icant T y pe : 

### D. Special District Government Ty p e of Appli cant 2 : S e l ect Appli cant T y p e :



### - Select One - Ty pe o f App licant 3 : Select Ap p l i cant T y pe :



### - Select One - * Other ( spe c i fy): * 10 . Name o f Fe d eral A g enc y : 

### Department of Transportation 11. Cat alo g of Fe d er al Domesti c Assistan ce Numb er : 

### 20.930 CFD A T itle : 

### Payments for Small Community Air Service Development

* 12. Fundin g Oppo rtun ity Number : 

### DOT-OST-2011-0119 * Title : 

### Small Community Air Service Development Program

1 3 . Competi tion I d e ntification Numb er: Ti tl e:

14 . Areas Affected b y Project ( C i ties , Co unties , States , etc .): 

### Counties of Orange , Rockland , Putnam , Dutchess , Sullivan and Ulster in New York State Counties of Pike , Wayne in the Commonwealth of Pennsylvania Counties of Passaic , Sussex in the State of New Jersey

* 15 . D escri p ti ve Title of App l icant 's Project : 

### This is a request for funds to (1) install passenger processing equipment at Stewart International Airport and (2) provide cost offsets and marketing support to new destination air service . Attach supporting documents as specified in agenc y instructions. OM S N um be r : 4 040-00 04 E x ' 

### r 0 04

/ 31/ 20 12x o i rat i on ate : 04 31/2012 

### l < \pplication for Federal 

## Assistance SF-424 Vers i on 02 16. Cong ress i o n al Di stri cts Of : *a . Applicant *b . Program/Project :



### NY-19 NY-17 , NY-22 , PA-10 , NJ-05 Attach an additional list of Program /Project Congressional D istrict s if needed . 17 . Pro po se d Project : * a . Start D ate : 

### November 1 , 2011 *b . End D ate : 

### October 31 , 2012 18. E s timated Fundins ( $) : *a . Federal 

### $450 , 000 . 00 *b . Applicant 

### $583 , 250.00 *c. State 

### $0.00 *d. Local *e . Other 

### $175 , 000 . 00 *f. Program Income 

### $0 . 00 * g . TOTAL 

### $1 208250 . 00 * 19 . I s Application Subj e ct to Re v iew B y State U nder E x ecuti ve Order 12372 Proce ss ? D a . This appl icatio n was m ad e avail ab le to th e State un d er th e Exec u ti ve O rd er 1 23 7 2 Process for rev i ew on D b . Program is sub

je c t to E.O . 123 7 2 but h as not been se l ected b y the State for review . [ 2 ] c . Program is not covered by E . O . 12372 *20 . Is the Applicant D e l inquent On Any Federal D ebt ? ( If " Yes ", provide e xplanation. ) DYe s [ 2 ] No

~ 1 . * B y sig n i n g this appli c ati on, I certify (1) to the statements co ntained in the list of certificati o n s** an d (2) that th e statements h erein are tru e , complete and acc ur ate to th e b est of my know l e d ge . I al so p rov id e th e re quire d as sur an ces** and ag ree to co mply with any res ul ti n g term s ifI accep t an award . I am aware that an y fal se , fictitio u s , or f r audule nt statement s o r c l aims may subject me to crimi n al , civil , or administrative pe n altie s. ( U . S . Code , Title 218 , Section 100 I) [ { ] **1 AG REE

** Th e list of certificati o n s an d ass ur ances , or an internet site where you may o b tai n th i s lis t , i s contain ed in th e ann o un cement or agency s p ec i f

i c in s tru c ti o n s . Authorized Repre s e n tati v e : Prefix: 

### Mr . *Fir s t Name : 

### Ernesto Midd Ie N ane : 

### L *Last Name: 

### Butcher S u ff i x : *Title : 

### Ch' f 0 ti Off

re per a rng rc e r *Telephone Number : 

### 212 - 4 3 5-7887 Fax Number : *Email: 

### eb ut c h e rfaoa nvnt . oo v *Signature of Authori ze d R epre se ntative : D ate S i g n e d : 

### 8/1/11 OMB N umber : 4040 - 0004 E D 1OMB Number : 4040-0004 E x p i ration Date : 04/31/20 1 2 

### Application for Federal Assistance SF -424 Version 02 

## * Applicant Federal Debt Delinquency Explanation The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt . Maximum number of characters that can be entered is 4 , 000 . Try and avoid extra spaces and carriage returns to maximize the availability o f space .