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- 1967 – The Federal Appalachian Regional Commission (ARC) identifies regional local development districts (LDDs)
- Late 1970’s – Vocational Technical Schools in the regional were established and received funding for specialized training as well as the schools and their construction
- Early 80’s – Primary Health Care Centers were a regional and federal priority
- Mid 1990’s – Multi-tenant centers, industrial incubators, industrial parks, and NCPRPDC Revolving Loan Fund established to assist new and businesses
- Mid 2000’s – Access roads to support economic growth, basic infrastructure, airport development (PA Wilds, Elk Visitor Center), education, and job training projects
- 2011 – Creation of the Partnerships for Regional Economic Performance
- 2019 – New Strategic Plan completed
- 2020 – Board restructured to align with and support strategic plan implementation