Appendix A (Co-applicants): Consult the Who is Eligible section of the RED Program Guidelines to ensure the co-applicant is eligible to

apply under the RED program.

Primary Project Contact for Co-applicant

Preferred Language English French

Full Legal Name / Corporate Name of Organization Primary/Business Phone

Operating Name (if different from Legal Name)

Same as above or:

Secondary/Mobile Phone

Street

Address

City/Town Municipality Province Postal Code

Organization Type: Municipality Not-for-profit

Indigenous Community or

Organization Local Services Board

First Name Initial Last Name Job Title

Email Primary/Business Phone Secondary/Mobile Phone

Street address (if different from Operating)

Same as above or:

City/Town Province Postal Code Municipality

Rural Economic Development Program

CO-APPLICANT FORM

RED5 - CO (EN) 1.1

OR

I confirm the co-applicant does not have a Business Number

Please describe your organization. Include a brief history, strategic overview, services offered, clients

served, and the part of your organization to which the application relates. (Maximum 200 words)

Each co-applicant confirms, accepts, and agrees with section 4.1, 4.2, and 4.3 of the Application form.

I confirm the accuracy of the materials submitted, the co-applicant has read and acknowledges the

above.

Legal Name of Co-applicant

Signatory Name (First Name and Last Name)

Title (if applicable)

Signature Date (YYYY/MM/DD)

Business Number - Canada Revenue Agency Client Number The Business Number is a 9-digit business identifier used in Canada to which clients can register

program accounts with the Canada Revenue Agency (CRA). The program account number consists of

three parts: business number, two letter program identifier, and a four-digit reference number.

www.cra-arc.gc.ca/tx/bsnss/tpcs/bn-ne/wrks-eng.html

RED5 - CO (EN)

Co-Applicant Form Page 2 of 2

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