Orange County NC Website
Schedule B (Form <br />Name of organization <br />REBUILD OF THE TRIANGLE <br />Employer identification number <br />s6-195s629 <br />tF tI Contributors (see instruciions). Use duplicate copies of part I if additionat space is needed. <br />(a) <br />No. <br />(b) <br />Name, address, and ZIP + 4 <br />(c) <br />Total contributions <br />(d) <br />of contribution <br />7 DURHAM SSCF <br />101 CITY HALL PLAZA -ANNEX <br />DURHAM, NC 2770]. <br />$ 58,l-69. <br />EEEPayroll <br />Noncash <br />(Complete Parl ll for <br />noncash contributions.) <br />(a) <br />No, <br />(b) <br />Name, address, and ZIP + 4 <br />(c) <br />Total contributions <br />(d) <br />of contribution <br />B <br />USDA RURAL DEVLOPMENT RURAL HOUSING <br />SERVICE <br />1400 INDEPENDENCE AVENUE sw RM 501-4 <br />WASHINGTON DC 202s0 <br />62 502. <br />Person E <br />Payroll t] <br />Noncash t] <br />(Complete Part ll for <br />noncash contributions.) <br />(a) <br />No. <br />(b) <br />Name, ?ddress, and ZIP + 4 <br />(c) <br />Total contributions <br />(d) <br />of contribution <br />9 <br />(a) <br />No. <br />MOEN INC <br />25300 AL MOEN DRTVE <br />NORTH OLMSTED oH 44070 <br />L26 503. <br />Person <br />Payroll <br />Noncash <br />tlEE <br />(Complete Part ll for <br />noncash contributions.) <br />(b) <br />Name, address, and ZIP + 4 <br />(c) <br />Total contributions <br />(d) <br />of contribution <br />Person EPayroll t] <br />Noncash E <br />(Complete Part ll for <br />noncash contributions.) <br />(a) <br />No. <br />(b) <br />Name, address, and ZIP + 4 <br />(c) <br />Total contributions <br />(d) <br />of contribution <br />Person f] <br />Payroll E <br />Noncash t] <br />(Complete Part ll for <br />noncash contributions.) <br />(a) <br />No. <br />(b) <br />Name, address, and ZIP + 4 <br />(c) <br />Total contributions <br />(d) <br />Person f] <br />Payroll t] <br />Noncash E <br />(Complete Part ll for <br />noncash contributions.) <br />Schedule B (Form 99O) (2021) <br />of <br />123452 11-11-21 <br />DocuSign Envelope ID: 3B3ED7CA-61F5-4E47-87CD-95256B532A12