(a) The application shall be in a form prescribed by the Department, in accordance with this subchapter.
(b) The application submitted to the Department in accordance with §1.954 of this title (relating to Eligibility for Grant), shall:
(1) be notarized and signed by the Organization's executive director and board chair, if applicable;
(2) be postmarked not later than November 1;
(3) include the following information:
(A) the Organization's name and address;
(B) the names and titles of the Organization's executive director and board chair, if applicable;
(C) the name of the county in relation to which the Organization is applying;
(D) the number of residents at least 60 years of age who reside in that county, according to the most recent federal decennial census;
(E) the amount of the grant awarded by that county, as required by §1.954 of this title;
(F) the total number of meals the Organization delivered to Elderly persons or persons with a Disability in that county during the preceding State Fiscal Year including those that were not Fully Funded;
(G) the Organization's most recent financial statement or audited financial report;
(H) a list of the Organization's board and officers;
(I) appropriate documentation demonstrating that the Organization:
(i) is a qualifying governmental agency or nonprofit private organization;
(ii) has been awarded a grant by the county for the provision of home-delivered meals to the homebound elderly and disabled in that county; and
(iii) has delivered the number of meals reported under subsection (a)(3)(F) of this section; and
(J) any other information the Department determines necessary.
(c) An Organization that applies for a grant for meals delivered in more than one county must submit a separate application for each county in which the Organization delivers meals.
Source Note: The provisions of this §1.955 adopted to be effective September 11, 2007, 32 TexReg 6127; amended to be effective November 22, 2011, 36 TexReg 7861
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