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Cover Page P a g e 6 o f 24 <br /> <br />COVER PAGE <br /> <br />Applicant Contact Information <br /> <br />Applicant Organization’s Legal Name: Orange County Disability Awareness Council <br />(OCDAC) <br /> <br />Applicant Organization’s Physical Address: 2501 Homestead Rd, #103, Chapel Hill, NC-27516 <br /> <br />Applicant Organization’s Mailing Address: PO Box 3513, Chapel Hill, NC-27515 <br /> <br />Applicant Organization’s Web Address: www.triangledac.org <br /> <br />Executive Director: Timoty Miles <br /> <br />Telephone Number: 919-245-4337 E-Mail: info@triangledac.org <br /> <br />Tax ID Number: 58-2062891 <br /> <br />Funding Request <br /> <br />Please list all Fiscal Year 2023 Human Services (HS) funding requested for all programs and <br />the proposed use of funds (please list program name only) <br />Program Carrboro - <br />HS <br />Chapel Hill <br />- HS <br />Orange <br />County-HS <br />Total <br />PAR (Program for Accessible Resources) <br />Operations <br />$27,000 <br />Operations <br />$28,000 <br />Operations <br />$30,000 <br />Operations <br />$85,000 <br /> <br /> <br />Totals $27,000 <br /> <br />$28,000 <br /> <br />$30,000 <br /> <br />$85,000 <br /> <br />DocuSign Envelope ID: 85C6B855-1F25-4EEC-B204-9380B8F79B70