APPENDIX C

Page 1

SMALL COMMUNITY AIR SERVICE DEVELOPMENT PROGRAM

DOCKET OST

- 2010

- 0119

SUMMARY INFORMATION

All applicants mus t submit this information along with their proposal. In addition, applicants must also fill

out form SF424 on http:// www.g rants.gov. (See Appendix C for the SF424 filing process)

A. APPLICANT INFORMATION: (CHECK ALL THAT APPLY)

□ Not a Consortium ⁭ □ Interstate Consortium ⁭ □ Intrastate Consortium

□ Community now receives EAS subsidy

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

If previous recipient, expiration date of grant: September 30, 200 8

B. P UBLIC /P RIVATE P ARTNERSHIPS : (L IST ORGANIZATION NAMES )

Public Private

1. __ Greenbrier County Airport Authority 1.____ The Greenbrier

______________________ 2.___ WV Aeronautics Commission

__________ 2.____ BF Goodrich, Union WV

______________ 3.___ Greenbrier County Commission ________ 3.___ ABB, Lewisburg, WV

______________ 4.__ Pocahontas County Commission ________ 4.___ Snowshoe Mountain Resort

_________ 5.__ Rockbridge County Commission ________ 5.___ Gr eenbrier Chamber Commerce

_____

C. P ROJECT P ROPOSAL : (CHECK ALL THAT APPLY)

□ X Marketing ⁭ □ Upgrade Aircraft □ New Route

□ ⁭ Personnel ⁭ □ Increase Frequency □ ⁭ Low Fare Service

□ ⁭ Travel Bank ⁭ □ Service Restoration □ ⁭ Subsidy

⁭ □ X Surface Transportation ⁭ □ Regional Service □ ⁭ Other (specify)

_________________

□ ⁭ Revenue Guarantee □ Launch New Carrier

_________________

_________________APPENDIX C

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⁭ □ Start Up Cost Offset ⁭ □ Firs t Service

⁭□ Study ⁭ □ Secure Additional Carrier

D. E XISTING L ANDING A IDS AT L OCAL A IRPORT:

□ X Full ILS □ X Outer/Middle Marker □ X Published Instrument Approach

□ X Localizer □ X Other (specify ) GPS

E. PROJECT COSTS:

1 Federal Amount Requested:

___ $ 300,000

__________________

2 State Cash financial contribution

___ $ 75,000

___________________

Local cash financial contribution

3a Airport cash funds:

___ $ 0

________________________

3b Non

- Airport cash funds:

___ $ 75,000

____________________

3 Total loc al cash funds (3a+3b)

___ $75,000

___________________

4 TOTAL CASH FUNDING (1+2+3)

___ $375,000

___________________

In Kind contribution

5a Airport In

- Kind contribution **

____ $0

_____________________

5b Other In

- Kind contribution**

____ $0

_________________________

5 TOTAL IN KIND CONTRIBTION

____ $0

_________________________

(5a+5b)

6 T OTAL PROJECT COST (4+8)

____ $375,000

_________________

F. IN

- KIND CONTRIBUTIONS**

For funds in line 5a (Airport In

- Kind contribution) and 7b (other In

- Kind con tribution), please

describe the source(s) of funds for each.APPENDIX C

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G. IS THIS APPLICATION SUBJECT TO REVIEW BY STATE UNDER EXECUTIVE ORDER 12372

PROCESS?

⁭ □ a

. This application was made available to the State 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.

⁭ □ X c. Program is not covered by E.O. 12372.

H. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? (IF “YES”, PROVIDE EXPLANATION)

□ X No □⁭ Yes (explain)