APPENDIX C

Page 1

SMALL COMMUNITY AIR SERVICE DEVELOPMENT PROGRAM

DOCKET DOT

- OST

- 2011 01 119

SUMMARY INFORMATION



### All applicants must submit this information with their proposal, along with a completed form

SF424 on http://www.grants.gov.

A. APPLICANT I NFORMATION: (CHECK ALL THAT APPLY)

 Not a Consortium  Interstate Consortium  Intrastate Consortium

XX Community now receives EAS subsidy

XX Community (or Consortium member) previously received a Small Community Grant



### If previo us recipient: Date of grant: 9/13/2005 Expiration date of grant: 9/12/2009

B. PUBLIC/PRIVATE PARTNERSHIPS: (LIST ORGANIZATION NAMES)

PUBLIC PRIVATE

1. Town of Massena 1. Bus. Dev. Corp. for a Greater Massena

2. Village of Massena 2. St. Lawrence County IDA

3. City of Cornwall (Ontario, Canada) 3. Clarkson University

4

. 4. St. Lawrence University

5. 5. SUNY Canton

6. SUNY Potsdam

7. Greater Massena Chamber of Commerce

8. St. Lawrence County Chamber of Commerce

9. Malone Chamber of Commerce

10. Cornwall (Canada) Chamber of Commerce

11. American Chamber of Commerce in Ca nada

12

. Cape Air/Nantucket Airlines

C. PROJECT PROPOSAL: (CHECK ALL THAT APPLY)

XX Marketing  Upgrade Aircraft  New Route

 Travel Bank  Service Restoration  Subsidy

 Surface Transportation  Regional Serv ice  Revenue Guarantee

 Launch New Carrier  Start Up Cost Offset  First Service

 Study  Secure Additional Service  Other (explain below)

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____________________________________________________________________________________APPENDIX C

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D. EXISTING LANDING AIDS AT LOCAL AIRPORT:

XX Full ILS XX Outer/Middle Marker XX Published Instrument Approach

XX Localizer  O ther (specify)

E. PROJECT COST: DO NO T ENTER TEXT IN SHAD ED AREA

LINE DESCRIPTION SUB TOTAL TOTAL AMOUNT

1 Federal amount requested $300,000

2 State cash financial contribution

Lo cal cash financial contribution

3a Airport cash funds

3b Non

- airport cash funds $10 0,000

3 Total local cash funds (3a+3b) $40 0,000

4 TOTAL CASH FUNDING (1+2+3) $40 0,000

In

- K ind contribution

5a Airport In

- Kind contribution**

5b Other In

- Kind contribution** $ 100 ,000

5 TOTAL IN

- KIND CONTRIBUTION

( 5a + 5b) $ 100 ,000

6 TOTAL PROJECT COST (4+5 ) $500,000

F

. IN

- KIND CONTRIBUTIONS**

For funds in lines 5 a (Air port In

- Kind contribution) and 5 b (Other contribution) , please

d escribe the source(s) of fund(s) for each.

5b: Other In

- Kind, represents $25, 00 0 from the value of additional, “bonus” advertising under 2

for 1 ad packages and other incentive programs offered by radio, TV, web and print media ; $50,000 in time and materials from the 13 grant partners, and $25,000 in in

- kind time,

giveaways, and ev ent support from Cape Air from their involvement in Fly Massena marketing

activities

.APPENDIX C

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G. IS THIS APPLICATION SUBJECT TO REVIEW BY S TATE UNDER EXEC UTIVE

ORDER 12372 PROCESS ?

 a. T his application was made available to the Sta te under the Executive Order 12372

Process for review on (date) ________________.

 b

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

XX c

. Program is not covered by E. O. 12372.

H. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? (IF "YES", PROVIDE

EXPLA N ATION )

XX No  Yes (explain)

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