Grantee/Project Owner/Developer/Sponsor/Builder Agency Location (City, State, Zip) 3a. Name of Contact Person 3b. Phone Number (Including Area Code) Reporting Period Grant/Project Number or Amount of Type of Contractor or Women Prime Sec. Subcontractor Sec. Contractor/Subcontractor Name and Address HUD Case Number or Contract or Trade Subcontractor Owned Contractor 3 ID Number 3 5j. Other identification of Subcontract Code Business Business ID (Yes (Yes Property, dwelling unit, etc. (See Racial/Ethnic (Yes or Number or or Name Street City State Zip Code Below) Code No) No) No) (See below) 5a. 5b. 5c. 5d. 5e. 5f. 5g. 5h. 5i. 5c: Type of Trade Code 5d: Racial/Ethnic Codes New Construction 6. Professional White American Substantial Rehab. 7. Tenant Services Black American Repair 8. Education/Training Native American Service 9. Arch./Engrn.Appraisal Hispanic American Project Mangt. 0. Other Asian/Pacific American Hasidic Jew
Grantee/Project Owner/Developer/Sponsor/Builder Agency Location (City, State, Zip) 3a. Name of Contact Person 3b. Phone Number (Including Area Code) Reporting Period Grant/Project Number or HUD Case Number or Other identification of Property, dwelling unit, etc. 5a. Amount of Contract or Subcontract 5b. Type of Trade Code (See Below) 5c. Contractor or Subcontractor Business Racial/Ethnic Code (See below) 5d. Women Owned Business (Yes or No) 5e. Prime Contractor ID Number 5f. Sec. 3 (Yes or No) 5g. Subcontractor ID Number 5h. Sec. 3 (Yes or No) 5i. Contractor/Subcontractor Name and Address 5j. Name Street City State Zip Code 5c: Type of Trade Code New Construction 6. Professional Substantial Rehab. 7. Tenant Services Repair 8. Education/Training Service 9. Arch./Engrn.Appraisal Project Mangt. 0. Other 5d: Racial/Ethnic Codes White American Black American Native American Hispanic American Asian/Pacific American Hasidic Jew
ExhibitDAnnualContractActivityReport.docx