2016-587-E Finance - Chapel Hill-Carrboro Meals on Wheels - Outside Agency Performance Agreement

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DocuSign Envelope ID:24839407-DB2D-47A2-B399-3BEA061662C1 t A - continued Provider's Outside Agency Application To Whom it May Concern: To be in compliance with the following condition of applying for Town Funding: MEALS WH E LS a) Designation of Authorized Official Documentation must be submitted of the governing body's action authorizing the representative of the agency to negotiate for and contractually bind the agency. Delivering more than Documentation of this requirement consists of a signed letter from the Chairperson of the meals since 1976 governing body providing the name,title, address and telephone number of each authorized individual. Board of Directors: The following individuals are designated as authorized officials. Patricia Bergey,Chair Stacey Yusko, Executive Director 2121 N Lakeshore Drive Chapel Hill NC 27514 919-942-2948 Madeline Blobe Patricia Bergey, Board Chair 1003 Gloucester Court Chapel Hill NC 27516 919-636-1360 Sharon Bushnell Alex Castro Madeline Blobe,Treasurer 200 Manor Ridge Drive Carrboro NC 27517 919-932-4411 Tina Cunningham Lisa Finegan Sincerely, Alyson Grine Dennis Horstman Amy McEntee P tricia Bergey, Board air Jenna Meints Chapel Hill-Carrboro eals on Wheels Yvette Missri Lee Strange Joyce Waterbury Chapel Hill-Carrboro Meals on Wheels is a 501(c)(3)non profit organization.Your contribution is tax deductible to the extent allowed by law,No goods or services were provided in exchange for your Stacey Yusko, donation. Executive Director Financial information about this organization and a copy of its license are available from the Charitable WWW.chcmow.org Solicitation Licensing Section at 888-830-4989.This license is not an endorsement by the State. Physical Address:Binkley Baptist Church 1712 Willow Drive Chapel Hill NC 27514 Mailing Address:PO Box 2102 Chapel Hill NC 27515 Partner Agency