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Assistance Award /Amendment <br />U.S. Department of Housing <br />and Urban Development <br />Office of Administration <br />EXHIBIT A <br />1. Assistance Instrument <br />2. Type of Action <br />® Cooperative Agreement ❑ Grant <br />❑ Award ❑ Amendment <br />3. Instrument Number <br />4. Amendment Number <br />5. Effective Date of this Action <br />6. Control Number <br />FF205KO45031 <br />34- 600 -2048 <br />7. Name and Address of Recipient <br />8. HUD Administering Office <br />NORTH OLMSTED <br />MIDWEST HUB <br />26777 LORAIN ROAD, SUITE 416 <br />77 W. JACKSON BLVD., ROOM 2101 <br />NORTH OLMSTED, OH 44070 <br />CHICAGO, IL 60604 -3507 <br />8a. Name of Administrator <br />8b. Telephone Number <br />BARBARA M. KNOX <br />(312) 353 -7776 <br />10. Recipient Project Manager <br />9. HUD Government Technical Representative <br />JAMES M. DUBELKO, DIRECTOR OF LAW <br />CLAUDIA M. NICHOLS <br />11. Assistance Arrangement <br />12. Payment Method <br />13. HUD Payment Office <br />❑ Cost Reimbursement <br />❑ Treasury Check Reimbursement <br />U.S. DEPT. OF HUD - FIELD ACCOUNTING CENTER <br />❑ Cost Sharing <br />❑ Advance Check <br />❑ Fixed Price <br />❑ Automated Clearinghouse <br />P.O. BOX 2905, FT. WORTH, TX 76113 -290 <br />14. Assistance Amount <br />15. HUD Accounting and Appropriation Data <br />Previous HUD Amount $ <br />15a. Appropriation Number 15b. Reservation number <br />HUD Amount this action $120,000 <br />864/50144 05 -04 -31 <br />Amount Previously Obliaated $ <br />................................................ ............................... <br />Total HUD Amount $120.000 <br />Recipient Amount $ <br />.................. _ ................................................................................... ....................._._9...... <br />Obli ation b this action <br />......!.. .......................- ....... _.._..................._$120: 000.................... ............................... <br />Total Instrument Amount $120,000 <br />Total Obligation $120,000 <br />15. Description <br />COOPERATIVE AGREEMENT FOR FAIR HOUSING ASSISTANCE PROGRAM COMPREHENSIVE FUNDING <br />CONTRIBUTIONS. <br />This Agreement consists of the following, which is incorporated herein and made a part of: <br />Cooperative Agreement to cover Cases and Cause Cases covering the period April 1, 2005 to March 31, 2005. <br />Cover Page, (HUD 1044) <br />Cooperative Agreement breakdown of Fiscal Year 2005 <br />Capacity Building $120,000 <br />17. ® Recipient is required to sign and return three (3) copies 18. ❑ Recipient is not required to sign this document. <br />of this document to the HUD Administering Office <br />19. Recipient (By Name) 20. HUD (By Name) <br />THOMAS E. O'GRADY, MAYOR BARBARA M. KNOX, FH &EO REGION V DIRECTOR <br />Signature & Title I Date (mm /dd /yyyy) I Signature & Title I Date (mm /dd /yyyy) <br />form HUD -1044 (8/90) <br />ref. Handbook 2210.17 <br />