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Cover Page P a g e 3 o f 21 <br /> <br />COVER PAGE <br /> <br />Applicant Contact Information <br /> Applicant Organization’s Legal Name: Bridge II Sports <br /> <br />Applicant Organization’s Physical Address: 3729 Murphy School Rd, Durham, NC 27705 <br /> <br />Applicant Organization’s Mailing Address: 3729 Murphy School Rd, Durham, NC 27705 <br /> <br />Applicant Organization’s Web Address: www.bridge2sports.org <br /> <br />Executive Director: Ashley Thomas <br /> <br />Telephone Number: 866 880-2742 E-Mail: ashley@bridge2sports.org <br /> <br />Tax ID Number: 20-8577055 <br /> <br />Funding Request <br />Please list all Fiscal Year 2024 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 />Ex. Youth Afterschool Program <br />Operations or Personnel <br /> <br />Operations <br /> <br />Operations <br /> <br />Operations <br /> <br />EveryBODYPlaysNC – in school <br />adapted sports program <br />5,000 <br />Operations <br />30,000 <br />Operations <br />30,000 <br />Operations <br />65,000 <br /> <br />Totals 65,000 <br /> <br />Briefly explain your proposed use of funds: <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 /> <br /> <br />Signature: <br /> Executive Director Date <br /> <br /> <br />Signature: <br /> Board Chairperson Date <br /> <br />These funds will be used to deliver the EveryBODYPlaysNC program to 13 schools. <br />This is a mobile interactive adapted sports program allowing student s with physical <br />disabilities to learn and play alongside their able-bodied peers. Funds are spent on <br />transportation, adapted sports equipment, equipment maintenance, curriculum and <br />staffing expenses directly related to the delivery of programming. <br />DocuSign Envelope ID: 5B0A0BDD-DA6D-48E7-A65E-A0859BD61F52 <br />8/22/2023