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P" i3 <br />ORANGE COUNTY <br />NORTH CAROLII\A <br />Contact lnformation for Primary Contact, Chief Executive Officer / Executive Director, and Chief Financial <br />Officer <br />Primary Contact <br />Name Dan Sargent <br />Title Executive Director <br />Preferred phone number 919-996-0999 <br />Email address dsa rge nt@ rttria ngl e. org <br />Fax number (if applicable)N/A <br />Chief Executive Officer / Executive <br />Director <br />Name Dan Sargent <br />Title Executive Director <br />Preferred phone number 919-996-0999 <br />Email address Dsa rsent@ rttria nsle.org <br />Fax number (if applicable)N/A <br />Chief Financial Officer <br />Name Joel Groce <br />Title Director of Finance and Operations <br />Preferred phone number 919-862-4554 <br />Email address igroce @ rttria ngle.org <br />Fax number (if applicable)N/A <br />Applic ant O r gantzatio n & C ollab o rator Info rmation <br />Please provide the following information about the primary applicant organization: <br />P.O. Box 8181 x Hillsborough, North Carolin a 27278 <br />Telephone : 9L9 245-2626 <br />DocuSign Envelope ID: 3B3ED7CA-61F5-4E47-87CD-95256B532A12