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DocuSign Envelope ID:5AA6A454-5FE1-4D3D-BC86-92EE503AC9A3 <br /> COVER PAGE <br /> Applicant Contact Information <br /> Applicant Organization's Legal Name: Refugee Support Center <br /> Applicant Organization's Physical Address: 401 NC 54 Byp, E # 15, Carrboro, NC <br /> 27510 <br /> Applicant Organization's Mailing Address: PO Box 1025, Carrboro, NC 27510 <br /> Applicant Organization's Web Address www.refugeesupportcenter.org <br /> Executive Director: Flicka Bateman <br /> Telephone Number: 919-423-1478 E-Mail: fbatemanrsc(@gmail.com <br /> Tax ID Number: 46-3944698 <br /> Funding Request <br /> Please list all Fiscal Year 2021 Human Services (HS) funding requested for all <br /> ro rams and the proposed use of funds please list pro ram name only) <br /> Program Carrboro Chapel Orange Total <br /> - HS Hill - County-HS <br /> HS <br /> Centralized Location for Services $7,500.00 $7,500.00 <br /> Operational <br /> Totals $7,500.00 $7,500.00 <br /> Briefly explain your proposed use of funds: <br /> Funding will assist with rent for dedicated space to provide direct services to refugees,to store and <br /> distribute essential items and goods to refugees,to maximize opportunities for collaboration with <br /> other organizations and to serve as training site for volunteers. <br /> Craver Page Page 6 of � <br />