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Economic Development Retail Sales Tax Board <br />6801 Delmar Boulevard University City, Missouri 63130 314-505-8500 Fax: 314-862-3168 <br />APPLICATION FOR ECONOMIC DEVELOPMENT RETAIL SALES TAX FUNDS <br />FISCAL YEAR 2018 (JULY 1, 2017 –JUNE 30, 2018) <br />Please complete all sections of the application. If a question does not apply to a project, please indicate <br />“n/a” for not applicable.Please refer to “Economic Development Retail Sales Tax Board Funding Priority <br />Guidelines” for guidance. If you are unsure if your project qualifies, please schedule a meeting with the <br />Department of Community Development before the application deadline by contacting Jodie Lloyd, 314- <br />Friday, <br />505-8522. Applications should be submitted by February 3, 2017to Jodie Lloyd, Manager of <br />Economic Development, City of University City, 6801 Delmar Boulevard, University City, MO 63130 or <br />jlloyd@ucitymo.org.Applications submitted after the deadline will not be considered for funding. <br />Application Date: <br />Project Title: <br />SECTION 1: APPLICANT/ORGANIZATION INFORMATION <br />1. <br />Applicant/OrganizationalInformation <br />Name of Applicant/Organization: <br />Contact Person and Title: <br />Mailing Address: <br />Phone Number: <br />E-mail Address: <br />Website: <br />Organizational Officers (Provide Name, Address, Phone and e-mail of at least three. Provide Articles <br />of incorporationand letter or status): <br />a. <br />b. <br />c. <br />Type of Entity: <br />Sole-Proprietorship <br />Corporation/Partnership/Limited Liability Company <br />Not for Profit Organization <br />Public/Government <br /> <br />