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NC OpenBook Supplemental Information <br />Page 1 of 1NCDA&CS NC OpenBook Supplemental <br />Information Rev 07/14; 4/17; 5/22 <br />Instructions: Complete the information below and return it to the Contract Administrator identified in your <br />original contract. This information must be submitted as part of your contract. If you have questions, <br />please contact the Contract Administrator or the Alternate Contact as reflected in your contract. <br />Grantee Name: <br />County of Residence: District Number (MUST BE FILLED IN): <br />Tax Id Number: <br />UEI Number**: I have started the UEI process but not received a UEI number. <br />*Due to the SAM.gov migration from DU& Bradstreet, obtaining a UEI number has created unforeseen issues with the SAM.gov website search engines and portals. Due to the <br />massive backlog in validation ticket issues, we are not requiring the UEI numbers at this time; however, if you have started the process, please let us know OR if you UEI number <br />please provide it. <br />Fiscal Year End: <br />(MM/DD) Format <br /> Grantee’s Website: <br />Current project timeline: Begin date End Date <br />Attachment D <br />Expected outcomes and specific deliverables: Expected outcome is intended result of your grant <br />program. The specific deliverables are the accomplishments that will be achieved with the grant. EXAMPLE: Funding for the Farmers Produce Box <br />program will allow an additional 150 boxes to be created this year. This will allow approximately 37 additional families to receive these the boxes 4 <br />times a week to help resolve their food insecurity. MAX CHARACTERS: 300 <br />**If your answer is Regional, list all Counties that are receiving <br />benefit: <br />Project Location Benefit Information: (Location(s) in which funding will be spent and/or <br />food commodities will be received.) <br />Single County <br />Regional** <br /> Mountains <br /> Piedmont <br /> Inner Coastal Plain <br /> Tidewater <br />Statewide <br />GRANTEE INFORMATION: <br />PROJECT INFORMATION: <br />Brief Description and Background/History of your Organization: Be sure to include the number of years in existence, <br />number of employees, mission and goals of your organization. MAX CHARACTERS: 250 <br />Orange County <br />Orange County <br />566000327 <br />GFFMCW9XDA53 <br />06/30 https://www.orangecountync.gov/ <br />Lands Legacy Program of Orange County, 23 years. Two employees, one FT, one PT. A comprehensive program for the <br />acquisition of protection of highly important natural and cultural resource lands in Orange County. <br />This project will encourage the preservation of qualifying farmland and foster the growth, development, and <br />sustainability of family farms in North Carolina. <br />October 1, 2022 September 30, 2024 <br />4 <br />DocuSign Envelope ID: F8ACCDE8-686F-4083-B46D-486310D8A869