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COVER PAGE <br />Applicant Contact Information <br />Piedmont Wildlife Center <br />364 Leigh Farm Road, Durham, NC 27707 <br />364 Leigh Farm Road, Durham, NC 27707 <br />https://www.piedmontwildlifecenter.org/ <br />Executive Director: Karen McCall <br />Telephone Number: 919-489-0900 <br />E-Mail: admin@piedmontwildlifecenter.org <br />Tax ID Number: 47-0890261 <br />Funding Request <br />Please list all Fiscal Year 2024 Human Services (HS) funding requested for all <br />programs and the proposed use of funds (please list program name only) <br />Program Carrbor <br />o - HS <br />Chapel <br />Hill - <br />HS <br />Orange <br />County- <br />HS <br />Total <br />Earthkeepers Afterschool Program - <br />Personnel <br />2,800 11,685 14,485 <br />Earthkeepers Afterschool Program <br />Travel and Supplies <br />200 315 515 <br />Totals 3,000 12,000 15,000 <br />DocuSign Envelope ID: 59AE45FB-98E0-4087-8250-10D08A4AD3AD