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Orange County Arts Commission Powered by Submittable <br />Name of organization <br />or business Mandol i n Orange, LLC <br />by Jimmy Rhine in NC CARES for the Arts Grant <br />Program <br />1289 Fordham Blvd. <br />Suite 187 <br />Chapel Hill, North Carolina <br />27514 <br />United States <br />7044730739 <br />jimmy@fiveheadentertainment.com <br />10/31/2020 <br />id. 18071941 <br />Original application 10/31/2020 <br />ORGANIZATION/BUSINESS <br />INFORMATION <br />n/a <br />Date organization <br />was formed <br />08/05/2010 <br />Authorizing Official Jimmy Rhine, Manager <br />Authorizing Official - <br />phone number <br />7044730739 <br />Authorizing Official - <br />email <br />jimmy@fiv eheadentertainment.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 />1289 Fordham Blv d., Suite 187 <br />DocuSign Envelope ID: 667CFF5C-C6FA-47B3-A826-28FF912E5AAA