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DocuSign Envelope ID:6FC15AFD-730D-4F91-B5F4-979F6AB5737C <br /> Exhibit A <br /> COVER PAGE <br /> Applicant Contact Information <br /> Applicant Organization's Legal Name:The ArtsCenter <br /> Applicant Organization's Physical Address: 300-G East Main Street <br /> Applicant Organization's Mailing Address: 300-G East Main Street <br /> Applicant Organization's Web Address:www.artscenterlive.org <br /> Executive Director: Daniel Y. Myer <br /> Telephone Number: 919-929-2787 E-Mail:dmayer@artscenterlive.org <br /> Tax ID Number: 51-0198497 <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 Hill Orange Total <br /> HS -HS County-HS <br /> General Support Arts Programs'Education $20,000 $15,000 $35,000 <br /> Operations Operations <br /> ArtsCenter Youth Education Programming $15,000 $15,000 <br /> Operations <br /> Totals $50,000 <br /> Briefly explain your proposed use of funds: <br /> Funds granted from the Town of Carrboro,the Town of Chapel Hill and Orange County will be used <br /> to support the creative engagements offered at The ArtsCenter to the public. This much needed <br /> operational support sustains the programming that multi-generational patrons enjoy year-round to <br /> maintain cultural fluency between diverse communities and a cultural home to creative people <br /> throughout Orange, Durham, and Wake Counties. <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 /> Signat <br /> sfii,'_ ��Oy/ If--IN I �14 to710 <br /> Exec ive Director Date <br /> Signature: �'!r-� y _ ( / l If Z D 0 - <br /> Board Chairperson Date <br />