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Cover Page Page 6 of 25 <br /> <br />COVER PAGE <br /> <br />Applicant Contact Information <br /> <br />Applicant Organization’s Legal Name: Chapel Hill Carrboro Meals on Wheels DBA Meals on <br />Wheels Orange County, NC <br /> <br />Applicant Organization’s Physical Address: 632 Laurel Hill Road, Chapel Hill, NC 27514 <br /> <br />Applicant Organization’s Mailing Address: PO Box 2102 Chapel Hill, NC 27515 <br /> <br />Applicant Organization’s Web Address: www.mowocnc.org <br /> <br />Executive Director: Rachel Sobel Bearman <br /> <br />Telephone Number: 919-942-2948 E-Mail: execdirector@mowocnc.org <br /> <br />Tax ID Number: 59-1721954 <br /> <br />Funding Request <br />Please list all Fiscal Year 2023 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 <br />- HS <br />Orange <br />County-HS <br />Total <br />Meal Delivery: Food + Check-in $14,000 <br />Operations + <br />Personnel <br />$45,000 <br />Operations <br />+ Personnel <br />$60,000 <br />Operations <br />+ Personnel <br />$119,000 <br />Totals $14,000 (1,545 <br />meals <br />delivered) <br />$45,000 <br />(4,966 <br />meals <br />delivered) <br />$56,000 <br />(6,622 <br />meals <br />delivered) <br />$119,000 <br />13,133 meals <br />delivered (~ <br />20% of meals in <br />22-23) <br /> <br />Briefly explain your proposed use of funds: <br /> <br />To the best of my knowledge and belief all information and data in this application is true and <br />current. The document has been duly authorized by the governing board of the applicant. <br />Signature: 11-29-21 <br /> Executive Director Date <br /> <br />To alleviate hunger and reduce social isolation and loneliness among older adults <br />living in Chapel Hill, Carrboro and rural Orange County through the delivery of <br />balanced meals and check-ins. <br />DocuSign Envelope ID: 3E214CCE-9F32-46C0-9591-DFA25EDE6B6C