Orange County NC Website
58 <br /> OMB Number:4040-0004 <br /> Expiration Date:8/31/2016 <br /> Application for Federal Assistance SF-424 <br /> *1.Type of Submission: "2.Type of Application: *If Revision,select appropriate letter(s): <br /> Preapplication ®New <br /> ®Application Continuation *Other(Specify): <br /> ❑ Changed/Corrected Application fl Revision <br /> *3.Date Received. 4.Applicant Identifier: <br /> I I <br /> 5a.Federal Entity Identifier: 5b.Federal Award Identifier. <br /> I I <br /> State Use Only: <br /> 6.Date Received by State: 7.State Application Identifier. I <br /> 8.APPLICANT INFORMATION: <br /> *a.Legal Name: 'Orange County <br /> •b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organ' al DUO: <br /> 156-60000327 [0440417960000 <br /> d.Address: <br /> *Streetl: 300 West Tryon Street <br /> Street2: <br /> *City: 'Hillsborough <br /> County/Parish: Orange County <br /> •State: : North Carolina <br /> Province: <br /> "Country: I USA: UNITED STATES <br /> *Zip/Postal Code: 27278-2438 <br /> e.Organizational Unit: <br /> Department Name: Division Name: <br /> IHsg, Human Rights, Com Dev 1 'Community Development <br /> f.Name and contact information of person to be contacted on matters involving this application: <br /> Prefix: Ms I *First Name: Audrey <br /> Middle Name: 1 <br /> Last Name: (Spencer-Horsley <br /> Suffix: <br /> Title: Director <br /> Organizational Affiliation: <br /> 'Orange County <br /> *Telephone Number. 19192452490 Fax Number. 19196443056 <br /> *Email: 'aspencerhorsley @orangecountync.gov <br />