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LOUISIANA HOUSING CORPORATION 2415 Quail Drive, Baton Rouge, LA 70808 PHONE: (225) 763-8700 E-MAIL: e4@lhc.la.gov LIHEAP CLIENT EDUCATION ANNUAL PROPOSAL – PY20 1. DATE SUBMITTED: 2. DATE RECEIVED BY LHC: 3. AGENCY INFORMATION LEGAL NAME: ADDRESS: 4. NAME AND PHONE NUMBER OF PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS PROPOSAL: FIRST NAME: LAST NAME: PHONE: ( ) FAX: ( ) EMAIL: 5. PARISHES AFFECTED BY PROJECT 6. PROPOSED PROJECT 7. PROPOSED PROJECT START DATE: ENDING DATE: 8. FUNDING DETERMINED BY THE LIHEAP ALLOCATION FORMULA $ 9. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. AUTHORIZED REPRESENTATIVE FIRST NAME: LAST NAME: TITLE: TELEPHONE #: ( ) SIGNATURE: DATE SIGNED: APPENDIX A Effective: April 1, 2026