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FY2014 COMMUNITY TRANSPORTATION PROGRAM GRANT APPLICATION <br />NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />FEDERAL SECTION 5311 & STATE FUNDING <br />TRANSIT SYSTEM DESCRIPTION <br />GENERAL INFORMATION <br />APPLICANT'S LEGAL NAME: ILee Coun <br />APPLICANT'S CONGRESSIONAL DISTRICT: 0 If incorrect enter correct primary district. <br />If Applicant's city is included in more than one district, enter primary district only <br />MAILING ADDRESS: 1615 South Third Street, <br />PO Box or Street Address <br />Sanford N.C. 27330 <br />City, State Zip <br />PHYSICAL ADDRESS: 1615 South Third Street, <br />Street Address <br />Sanford N.C. 27330 <br />City, State <br />TAXPAYER IDENTIFICATION NUMBER: 56- 6000313 <br />DOING BUSINESS AS (DBA) NAME: I Lee Coun <br />Normally the transit system name, !f different than applicant name <br />APPLICANT DUNS NUMBER: 067439703 <br />Unique 9 -Digit number issued by Dun & Bradstreet. May be obtained free of charge at <br />htto: / /fedgov.dnb.com /webform <br />DUNS NUMBER OF PARENT AGENCY: N/A <br />Required only !( different than Applicant <br />CONTACT PERSON: Debbie Davidson <br />PHONE NUMBER: 919 - 776 -0501 Ext. 2216 <br />Area Code & Phone Number <br />FAX NUMBER: 919 - 774 -7593 <br />Area Code & Phone Number <br />EMAIL ADDRESS: Fdd <br />SERVICE AREA'S CONGRESSIONAL DISTRICT: 0 If incorrect enter correct primary district. 0 <br />If Service Area is included in more than one district, enter primary district only <br />SERVICE AREA: Lee — Coun ty <br />FEDERAL FINANCIAL ASSISTANCE <br />TRANSPARENCY ACT ( FFATA): FFATA mandates the disclosure of the names and total compensation of the five most <br />highly compensated officers of an entity if: <br />• The Applicant received 80% or more of its annual gross revenues in the preceding <br />fiscal year from the federal government (all federal sources, not just FTA); and <br />• Those revenues were greater than $25M; and <br />• The public does not have access to the information through Securities and Exchange <br />Commission or Internal Revenue Service filings as specified in FFATA. <br />Applicant should select "Yes" if they are subject to the reporting requirements of FFATA <br />and "No" if they are not subject to Executive Compensation Reporting. No <br />EXECUTIVE COMPENSATION REPORTING: If "Yes" is selected above, enter the Names and Compensation amounts for the <br />top five officers of the Applicant. <br />Enter full name <br />2. <br />Enter full name <br />3. <br />Enter full name <br />4. <br />Enter full name <br />5. <br />Enter full name <br />Total compensation <br />Total compensation <br />Total compensation <br />Total compensation <br />Total compensation <br />Page 1 <br />