Orange County NC Website
DocuSign Envelope ID:80528E57-64B2-4BCE-A558-776533408604 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 4. Attachments a. ❑ Audit: Organizations receiving $300,000 or more in <br /> Federal financial assistance, and/or organizations with <br /> more than $500,000 of receipts and expenditures in a <br /> fiscal year, must secure an audit. <br /> b. x IRS Federal Form 990 <br /> c. x NC Solicitation License <br /> d. x IRS Federal Tax-Exemption Letter <br /> e. x Certificate of Insurance <br /> f. x List of Board of Directors <br /> Application Submittal Checklist 2/9/2017 1:10:02 PM M:.:: i C 6 (:: 0 <br />