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APPLICATION FOR OMB Approval No. 0348-0043 <br /> <br />FEDERAL ASSISTANCE 2. DATE SUBMIT'rED Applicant Identifier <br /> February 7, 2003 <br />1, TYPE OF SUBMISSION: 3, DATE RECEIVED BY STATE State Application Identifier <br /> <br />jplication Preapplication <br />Construction [] Construction 14, DATE RECEIVED BY FEDERAL AGENCY Federal Identifier <br />[] Non-Construction [] Non-Construction <br />5. APPLICANT INFORMATION <br />Legal Name: Organizational Unit: <br />Prairie Public Broadcasting, Inc. <br />Address (give city, county, State, and zip code): Name and telephone number of person to be contacted on matters involvin, <br /> this application (give area code) <br />207 North 5th Street, P.O. Box 3240 Mark Lande, Controller <br />Fargo, North Dakota 58108-3240 Cass County (701) 241-6900 <br />6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in box) <br /> A. State H. Independent School Dist. <br />8. TYPE OF APPLICATION: B. County I. State Controlled Institution of Higher Learning <br />[] New [] Continuation [] Revision C. Municipal J. Private University <br /> D. Township K. Indian Tribe <br />If Revision, enter appropriate letter(s) in box(es) ~ ~ E. Interstate L. Individual <br /> F. Intermunicipal M. Profit Organization <br />A. Increase Award B. Decrease Award C. Increase Duration G. Special District N. Other (Spec/fl/) nor1 profit erg <br />D. Decrease Duration Other(specify): <br /> 9. NAME OF FEDERAL AGENCY: <br /> U.S. Department of Agriculture, Rural Development <br />lO. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: <br />~--~ Building Our Future <br />T~TLE: Rural Business Enterprise & TV Demonstration Grants North To The Mandan Nation <br /> Market To Market <br />12. AREAS AFFECTED BY PROJECT (C/ties, Counties, States, etc.): <br />State of North Dakota <br /> <br />13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF: <br />Start Date Ending Date a. Applicant !b. Project <br />10/1/03 9/30/04 North Dakota North Dakota <br /> <br />15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br /> ORDER 12372 PROCESS? <br /> 00 <br />a. Federal $ 400,000' a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE <br /> <br />b. Applicant $ .oo AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 <br /> PROCESS FOR REVIEW ON: <br />c. State $ oo <br /> 02/07/03 <br /> DATE <br />d. Local $ ~o <br /> b. No. [-} PROGRAM IS NOT COVERED BY E. O. 12372 <br />e. Other $ oo [] OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br /> FOR REVIEW <br />f. Program Income $ oo <br /> 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br /> 00 <br />g. TOTAL $ 400,000' [] Yes If "Yes," attach an explanation. [] No <br /> <br />18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE <br />DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE <br />ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. <br />a. Type Name of Authorized Representative b. Title c. Telephone Number <br />Mark Lande Controller (701) 241-6900 <br />d. Signature of Authorized Representativ. e e. Date Signed <br /> <br />Previous Edition Usable <br />Authorized for Local Reproduction <br /> <br />Standard Form 424 (Rev. 7-97) <br />Prescribed by OMB Circular A-102 <br /> <br /> <br />