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Cover Page P a g e 6 o f 2 4 <br /> <br />COVER PAGE <br /> <br />Applicant Contact Information <br /> <br />Applicant Organization’s Legal Name: Orange County Disability Awareness Council <br /> <br />Applicant Organization’s Physical Address: 2510 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.traingledac.org <br /> <br />Executive Director: Timothy 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 2024 Human Services (HS) funding requested for all programs and the proposed <br />use of funds (please list program name only) <br />Program Carrboro - <br />HS <br />Chapel <br />Hill - HS <br />Orange <br />County-HS <br />Total <br />PAR (Program for Accessible Resources) <br />Operations <br />$26,000 <br />Operations <br />$29,000 <br />Personnel <br />$28,000 <br />Operations <br />$83,000 <br /> <br /> <br />Totals $26,000 <br /> <br />$29,000 <br /> <br />$28,000 <br /> <br />$83,000 <br /> <br />DocuSign Envelope ID: D33CE11B-4D47-490F-AD8B-A92F0A8ECFE9