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<br />P.O. Box 8181 * Hillsborough, North Carolina 27278 <br />Telephone: 919 245-2626 <br />Applicant Organization & Collaborator Information <br /> <br />Please provide the following information about the primary applicant organization: <br /> <br />Contact Information for Primary Contact, Chief Executive Officer / Executive Director, and Chief Financial <br />Officer <br /> <br />Primary Contact <br />Name Daniel Sargent <br />Title Executive Director <br />Preferred phone number 919-996-0999 <br />Email address dsargent@rttriangle.org <br />Fax number (if applicable) 919-651-0034 <br /> <br />Chief Executive Officer / Executive <br />Director <br />Name Daniel Sargent <br />Title Executive Director <br />Preferred phone number 919-996-0999 <br />Email address dsargent@rttriangle.org <br />Fax number (if applicable) 919-651-0034 <br /> <br />Chief Financial Officer <br />Name Dan Crosley <br />Title Board Treasurer <br />Preferred phone number 803.369.1811 <br />Email address dcrosley13@gmail.com <br />Fax number (if applicable) <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: E86DD11C-7C3F-4DD6-97F0-CADB5D52D35A