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STATE OF NEW YORK CONTRACT FOR GRANTS FACE PAGE STATE AGENCY (Name & Address): BUSINESS UNIT/DEPT ID: DOS01/3800000 NYS Department of State One Commerce Plaza CONTRACT NUMBER: 1002654 99 Washington Avenue — Suite 1010 Albany, NY 12231 CONTRACT TYPE (select one) O Multi-Year Agreement O) Simplified Renewal Agreement Fixed Term Agreement CONTRACTOR NAME: TRANSACTION TYPE: O New GOWANDA VILLAGE OF CO Renewal Amendment CONTRACTOR IDENTIFICATION NUMBERS: PROJECT NAME: Village of Gowanda BOA Predevelopment NYS VENDOR ID Number: 1000004251 oe Activities Federal Tax ID Number: 16-6002472 | AGENCY IDENTIFIER: 23-BOA-2 ASSISTANCE LISTINGS (formerly CFDA) NUMBER (ALN) (Federally Funded Grants Only): CONTRACTOR PRIMARY MAILING ADDRESS: | CONTRACTOR STATUS: Village of Gowanda 0) For Profit 27 East Main Street Municipality, Code: Gowanda, NY 14070 C Tribal Nation O Individual O Not-for-Profit CONTRACTOR PAYMENT ADDRESS: Check if same as primary mailing address Charities Registration Number: D/a CONTRACTOR MAILING ADDRESS Exemption Status/Code: 3A/02 Check if same as primary mailing address O Sectarian Entity CONTRACTOR PRIMARY E-MAIL ADDRESS: mdnephi [email protected] Contract Number: C1002654 Page | of 2, Contract for Grants - Face Page