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Orange County Arts Commission Powered by Submittable <br />Name of organization <br />or business BASEMENT Art Space <br />by CHIEKO MURASUGI in Restart the Arts Grant <br />Application <br />605 Caswell Rd <br />Chapel Hill, North Carolina <br />27514 <br />NC <br />United States <br />4152540927 <br />chieko.murasugi@gmail.com <br />09/01/2021 <br />id. 21119675 <br />Original application 09/01/2021 <br />ORGANIZATION/BUSINESS <br />INFORMATION <br />n/a <br />Date organization <br />was formed <br />07/01/2019 <br />Authorizing Official Chieko Murasugi <br />Authorizing Official - <br />phone number <br />4152540927 <br />Authorizing Official - <br />email <br />cmurasugiart@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 />605 Caswell Rd. <br />DocuSign Envelope ID: B028461D-0E0E-4A6F-813C-EBF4CEE2496B