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Orange County Arts Commission Powered by Submittable <br />Name of organization <br />or business CARLOS GONZALEZ GARCIA <br />by carlos gonzalez in NC CARES for the Arts <br />Grant Program <br />311 BARTLETT CIRCLE <br />HILLSBOROUGH, North Carolina <br />27278 <br />NORTH CAROLINA <br />United States <br />919 5372176 <br />ncmosaics@gmail.com <br />10/27/2020 <br />id. 18032149 <br />Original application 10/27/2020 <br />ORGANIZATION/BUSINESS <br />INFORMATION <br />n/a <br />Date organization <br />was formed <br />02/10/2005 <br />Authorizing Official CARLOS GONZALEZ GARCIA <br />Authorizing Official - <br />phone number <br />9195372176 <br />Authorizing Official - <br />email <br />NCMOSAICS@GMAIL.COM <br />Grant Manager - <br />name (if different <br />from Authorizing <br />Official) <br />n/a <br />Grant Manager - <br />phone (if different <br />from Authorizing <br />Official) <br />n/a <br />Grant Manager - <br />email (if different <br />from Authorizing <br />Official) <br />n/a <br />Is your organization <br />physically located in <br />Orange County, NC? <br />Yes <br />Organization street <br />or PO Box address <br />437 Dimmocks Mill Rd, Hillsborough, NC 27278 <br />DocuSign Envelope ID: 034D93D3-1D63-48D8-9EB9-370A5AA217C9