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DocuSign Envelope ID: F807B28A-EF75-498C-9EC8-5863109A5978
<br /> DocuSign Envelope ID:77BA4C86-BD60470C-B497-E18909F8A7A4
<br /> C IM PAGE ,
<br /> Applicant Contact Information
<br /> Applicant Organization's Legal Name:The Women's Center, Inc. dba Compass Center for Women and
<br /> Families
<br /> Applicant Organization's Physical Address: 210 Henderson Street, Chapel Hill, NC 27514
<br /> Applicant Organization's Mailing Address: P.O. Box 1057 Chapel Hill, NC 27514
<br /> Applicant Organization's Web Address:www.compassctr.org
<br /> Executive Director: Cordelia Heaney
<br /> Telephone Number: 919-968-4610 E-Mail:director@compassctr.org
<br /> Tax ID Number: 56-1271474
<br /> Funding Request
<br /> Please list all Fiscal Year 2022 Human Services(HS)funding requested for all programs and the proposed
<br /> use of funds(please list program name only)
<br /> Program Carrboro-HS Chapel Hill- Orange Total
<br /> HS County-HS
<br /> Ex. Youth Afterschool Program $10,000 $15,000 $5,000 $30,000
<br /> Operations or Personnel Operations Personnel Operations
<br /> Domestic Violence Services $3,300.00 $11,733.00 $26,424.00 $41,457.00
<br /> Personnel, Personnel, Personnel, Personnel,
<br /> programmatic, programmatic, programmatic, programmatic,
<br /> overhead overhead overhead overhead
<br /> Self-Sufficiency Services $3,300.00 $11,733.00 $43,393.00 $58,426.00
<br /> Personnel, Personnel, Personnel, Personnel,
<br /> programmatic, programmatic, programmatic, programmatic,
<br /> overhead overhead overhead overhead
<br /> Community Education and Civic Engagement $3,300.00 $11,734.00 $24,264.00 $39,298.00
<br /> Services Personnel, Personnel, Personnel, Personnel,
<br /> programmatic, programmatic, programmatic, programmatic,
<br /> overhead overhead overhead overhead
<br /> Totals $9,900.00 $35,200.00 $94,081.00 $139,181.00
<br /> Over Page P a g e 6 o f 3 4_
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