APPENDIX C Page 1



### SMALL COMMUNITY AIR SERVICE DEVELOPMENT PROGRAM

DOCKET OST-2011-0119

SUMMARY INFORMATION

All applicants must submit this information with th eir proposal, along with a completed form SF424 on http://

www.grants.gov.



### A. APPLICANT INFORMATION: (CHECK ALL THAT APPLY)

⁭ X Not a Consortium Interstate Consortium Int rastate Consortium

⁭ Community now receives EAS subsidy

⁭ Community (or Consortium member) previously rece ived a Small Community Grant

If previous recipient: Date of Grant:

___________ Expiration date of grant:

__________



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

Public Private

1. Spokane Airport Board 1. Coeur d’Alene Re sort 2. Greater Spokane Incorporated 2._____

_________________________________ 3. Spokane Regional CVB 3.____________

__________________________ 4. Jobs Plus 4._____________________

_________________ 5.____________________________________ 5.__

____________________________________



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

⁭ X Marketing ⁭ Upgrade Aircraft ⁭ X New Route

⁭ Travel Bank ⁭ X Service Restoration Subsidy

⁭ Surface Transportation ⁭ Regional Service X Re venue Guarantee ⁭

X Launch New Carrier X Start Up Cost Offset Fir st Service

Study ⁭ X Secure Additional Carrier Other (expl ain below)

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

⁭ x Full ILS ⁭ Outer (x)/Middle (no)/Inner (x) Marker x Published Instrument Approach

⁭ x Localizer

⁭ Other (specify – GPS-RNAV)



### E. PROJECT COSTS: DO NOT ENTER TEXT IN SHADED AREA

LINE DESCRIPTION SUB TOTAL TOTAL AMOUNT

1 Federal amount requested $1,000,000

2 State cash financial contribution

Local cash financial contribution

3a Airport cash funds

3b Non-airport cash funds $200,000

3 Total local cash funds ( 3a +3b )

4 TOTAL CASH FUNDING ( 1+2+3 ) $1,200,000

In-Kind contribution

5a Airport In-Kind contribution** $50,000

5b Other In-Kind contribution** $35,000

5 TOTAL IN-KIND CONTRIBUTION ( 5a + 5b ) $85,000

6 TOTAL PROJECT COST (4+8) $1,285,000



### F. IN-KIND CONTRIBUTIONS**

For funds in lines 5a (Airport In-Kind contribution ) and 5b (Other In-Kind contribution), please descr ibe the source(s) of fund(s) for each. 5a, dedicated staff time and resources. 5b., Regio nal business organizations marketing materials, sta ff time, and membership /customer communications.APPENDIX C Page 3



### G. IS THIS APPLICATION SUBJECT TO REVIEW BY STATE UNDE R EXECUTIVE ORDER 12372 PROCESS?

⁭ a. This application was made available to the St ate under the Executive Order 12372 Process for rev iew on

(date)___________________.

⁭ b. Program is subject to E.O. 12372, but has no t 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? (I F “YES”, PROVIDE EXPLANATION)

⁭ x No ⁭ Yes (explain)

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