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DocuSign Envelope ID:74211493-D876-4700-813D-OA9F75861508 <br /> Applicant Contact Information. <br /> Applicant Organization's Legal Name: Inter+aith Council for Social Service <br /> Applicant Organizabon's Physical Address; 100 West Rosemary Street, Chapel Hill NC 27516 <br /> Applicant Organization's Mailing Address: 110 West:Main Street, Carrboro, NC 2751:.0 <br /> Applicant Organization's Web Address:www.ifcweb.ora. <br /> Executive Director:.Jackie Jenks <br /> Telephone Number:(91:9)929-6380 x14 E-Mail:ijenksaifcmailbox.org <br /> Tax ID Number:59-1224041 <br /> Funding,Recluest <br /> Please list all Fiscal Year 2021 Human Services(HS)funding requested for all programs and the proposed <br /> ..use of funds(please list program name only) <br /> Program Carrboro- Chapel Hill.. Oranae Total <br /> Hs Hs bounty-H5. <br /> Residential Services: $44,000 $40,000 $80,000 $155,000 <br /> HomeStart(shelter for women and families).& Personnel Personnel Personnel <br /> Community House (shelter for men) $1'000 $10,000. $20,00.0 <br /> Operations Operations Operations <br /> Food Security Programs: $17,000: $43,000 $21;000 $96,000 <br /> Food Pantry&Community Kitchen Personnel Personnel Personnel <br /> $3,000 $7,000 $44,000 <br /> Operations Operations Operations <br /> Totals $25,000 $100;000 $14000 $250,000 <br /> Briefly explain your proposed.use.of funds: <br /> IFC continues to.be the primary non-profit provider of food pantry services; daily hot meats, <br /> and emergency financial assistance in Chapel Hill'and Carrboro and is the only provider of <br /> shelter in Orange County for people experiencing homelessness. Funds will enablee us to <br /> continue providing these vitae services for people living and working in our community; <br /> To the best:of my knowledge and belief all information and data in this application.,is true and <br /> current. The document has been duly authorized by the governing board of the applicant, <br /> Signature: ''' <br /> Executive Director Date <br /> Signature: w -4� � /, -, <br /> Board Chairperson Date <br /> cover Page P a g.9 6 c f 2 9 <br /> .... _........._ .. ....... . _ <br />