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TREASURE COAST HOMELESS SERVICES COUNCIL INC. CONTINUUM Or CARE Section I: Project Summary Information Part A: General Project Information All Projects) 1. Project Priority Number 2. El New Project 3. If renewal, list previous Precious Gram Number: Priority Project Pri (From Proj ® Renewal Project grant number project FL29C 109001 Chart in Extubitl): N/A identifier number (PIN) PIN Number: 4. HUD -Defined CoC Name: 5. CoC Number: Ft. Pierce/St. Lucie. Indian Ricer. Martin Counties CoC FL -509 6. Applicant's Organization Name (Legal Name from SF -124) 8. Applicant's DUNS Number Indian Ricer County Board of Counh Commissioners (From SF -424): 079-208-989 7. Check box if Applicant is a Faith -Based Organization ® Check box if Applicant has ever received a federal grant, either directly- from a federal agency or through a state/local agency 9. Project Applicant's Address (From SF -124) 10. Applicant's Employer Street: 1840 25h Street Identification Number (EIN) (From Cit: Vero Beach State: FL Zip: 32960 SF -424):59-6000674 11- Contact person of Project Applicant: (From SF -424) 12. ❑Check box if Project Name: Jason Brown Phone number: 772-567-8000 Applicant is the same as Project Title: Budget Director Fac number: 722-567-5991 Sponsor Email Address: jbrowmiirc. oc 13. Project Name: Indian Ricer County Shelter Plus Care TRA 14. Project's location 6 -,digit Geographic Code: 129061 15. Project Address (S+C SRAs. if multiple sites list all addresses including): 18. ❑ Check box if Energy Star is Street: used in this project City: State: Zip: 19. Project Congressional District: 16. ❑ Check box if project is located in a Rural Area 15-16 17. If project contains housing units. are these units: ❑ Leased:' ❑ Owned? 20. Project Sponsor's Organization Name (If different from Applicant) 22. Sponsor's DUNS Number: 21. Check box if Project Sponsor is a Faith -Based Organization ❑ Check box if Project Sponsor has ever received a federal grant, either directly from a federal agency or through a statellocal agency 23. Project Sponsor's Address (if different from Applicant) 24. Sponsor's Employer Street: Identification Niniber (FIN): Citv: State: Zip: 25. Contact person of Project Sponsor (if different from Applicant) n/a Name: Phone number: Title: Fax number: Email Address: