| State or Territory | 
		NEU Recipient Number | 
		NEU Name | 
		NEU DUNS number | 
		NEU Taxpayer Identification Number (TIN) | 
		NEU Address 1 | 
		NEU Address 2 | 
		NEU Address 3 | 
		NEU City | 
		NEU State | 
		NEU Zip Code | 
		NEU Zip +4 | 
		NEU Email Address | 
		NEU Point of Contact Name | 
		NEU Point of Contact Phone Number | 
		NEU Point of Contact Email | 
		Authorized Representative Name | 
		Authorized Representative Email | 
		Status | 
		Total NEU Budget Reference (original) | 
		Total NEU Budget Reference (revised, if applicable) | 
		Total Allocation Across 1st and 2nd Tranches (before application of 75 percent budget cap) (original) | 
		Total Allocation Across 1st and 2nd Tranches (before application of 75 percent budget cap) (first revision, if applicable) | 
		Total Allocation Across 1st and 2nd Tranches (before application of 75 percent budget cap) (second revision, if applicable) | 
		Final Allocation Across 1st and 2nd Tranches after application of the 75 percent budget cap | 
		Final Allocation Across 1st and 2nd Tranches after application of the 75 percent budget cap (first revision, if applicable) | 
		Final Allocation Across 1st and 2nd Tranches after application of the 75 percent budget cap (second revision, if applicable) | 
		Additional Notes |