=xPlratlon ate: 4 1

!Application for Federal Assistance SF -424 Version 02

*1. Type of Submission *2. Type of Application *If Revision, select appropriate letter(s):

D Preapplication [{] New

[{] Application D Continuation * Other (Specify)

D Changed/Corrected Application D Revision

*3. Date Received: 4. Application Identifier:

5a. Federal Entity Identifier: *5b. Federal Award Identifier:

State Use Only:

6. Date Received by State: 7. State Application Identifier:

8. APPLICANT INFORMATION:

* a. Legal Name: The Port Authoritv of New York and New Jersev

* b. Employer/Taxpayer Identification Number (EIN/TIN): *c. Organizational DUNS:

13-6400654 00-179-4205

d. Address:

*Street 1: 225 Park Avenue South

Street 2:

*City: New York

County:

*State: I\lew YOrK

Province:

Country: "Zip/ Postal Code: 10003

e. Orzamzational Unit:

Department Name: Division Name:

Aviation

f. Name and contact information of person to be contacted on matters involving this application:

Prefix: Mr. First Name: Derek

NHdIe N a Ire:

*Last Name: Martin

Suffix:

Title: Deputy General Manager, Stewart International Airport

Organizational Affiliation:

"Telephone Number: 845-564-7200 x616 Fax Number: 845-567-1321

*Email: drnartinrdioanvni.cov

OMS Number: 4040-0004

E· D 0 131/20 2
(plra Ion ate:

Application for Federal Assistance SF-424 Version 02

9. Type of Applicant 1: Select Applicant Type:

D. Special District Government

Type of Applicant 2: Select Applicant Type:

- Select One -

Type of Applicant 3: Select Applicant Type:

- Select One -

*Other (specify):

*10. Name of Federal Agency:

Department of Transportation

11. Catalog of Federal Domestic Assistance Number:

20.930

CFDA Title:

Payments for Small Community Air Service Development

*12. Funding Opportunity Number:

DOT-OST-2011-0119

*Title:

Small Community Air Service Development Program

13. Competition Identification Number:

Title:

14. Areas Affected by Project (Cities, Counties, 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. Descriptive Title of Applicant'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 agency instructions.

OMS Number: 4040-0004

Ex' r 0 04/31/2012
xoiration ate: 04 31/2012

l<\pplication for Federal Assistance SF-424 Version 02

16. Congressional Districts Of:

*a. Applicant *b. Program/Project:

NY-19 NY-17, NY-22, PA-10, NJ-05

Attach an additional list of Program/Project Congressional Districts if needed.

17. Proposed Project:

*a. Start Date: November 1,2011 *b. End Date: October 31,2012

18. Estimated 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. Is Application Subject to Review By State Under Executive Order 12372 Process?

D a. This application was made available to the State under the Executive Order 12372 Process for review on

Db. Program is subject to E.O. 12372 but has not been selected by the State for review.

[2] c. Program is not covered by E.O. 12372

*20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.)

DYes [2] No

~ 1. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements

herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply

with any resulting terms ifI accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject

me to criminal, civil, or administrative penalties. (U .S. Code, Title 218, Section 100 I)

[{] **1 AGREE

** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or

agency specific instructions.

Authorized Representative:

Prefix: Mr. *First Name: Ernesto

Midd Ie N ane: L

*Last Name: Butcher

Suffix:

*Title: Ch' f 0 ti Off re pera rng rcer

*Telephone Number: 212-435-7887 Fax Number:

*Email: ebutcherfaoanvnt.oov

*Signature of Authorized Representative: Date Signed: 8/1/11

OMB Number: 4040-0004

E D 1
OMB Number: 4040-0004

Expiration Date: 04/31/2012

Application for Federal Assistance SF-424 Version02

*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 of

space.