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DocuSign Envelope ID:74211493-D876-4700-813D-OA9F75861508 <br /> COVER PAGE <br /> Applicant Contact Information <br /> Applicant Organization's Legal Name: Inter-Faith Council for Social Service <br /> Applicant Organization's Physical Address: 100 W Rosemary,St,Chapel Hill NC 27516 <br /> Applicant Organization's Mailing Address: 110 W Main St,Carrboro,NC 27510 <br /> Applicant Organization's Web Address:www.ifcweb.org <br /> Executive Director:Jackie Jenks <br /> Telephone Number:919-929-6380,x14 E-Mail:Henks@)ifcmailbox.org <br /> Tax ID Number:59-1224041 <br /> Funding Request <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 Orange Total <br /> HS Hill-HS County-HS <br /> Food for the Summer $2,000 $2,000 $2,000 $6,000 <br /> Personnel Personnel Personnel <br /> Totals $2,000 $2,000 $2,000 $6,000 <br /> Briefly explain your proposed use of funds: <br /> The funds will be used to provide compensation to 2 part-time Program Co-Directors. <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: c L,,y_m� i; 2,1 Z.�, <br /> Executive Director Date <br /> Signature; <br /> Board Chairperson �- Date <br /> Cover Page Page 5 of 2,0 <br />