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Cover Page Page 1 of 10 <br />COVER PAGE <br />Applicant Contact Information <br />Applicant Organization’s Legal Name: EMPOWERment, INC <br />Applicant Organization’s Physical Address: 109 N. Graham Street, Chapel Hill, NC 27516 <br />Applicant Organization’s Mailing Address: 109 N. Graham Street, Chapel Hill, NC 27516 <br />Applicant Organization’s Web Address: www.empowermentinc-nc.org <br />Executive Director: Delores Bailey <br />Telephone Number: (919)-967-8779 E-Mail: empowermentinc@gmail.com <br />Tax ID Number: 56-1969772 <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 - <br />HS <br />Chapel <br />Hill - HS <br />Orange <br />County-HS <br />Total <br />Ex. Youth Afterschool Program <br />Operations or Personnel <br />$10,000 <br />Operations <br />$15,000 <br />Personnel <br />$5,000 <br />Operations <br />$30,000 <br />Affordable Rental Program $30,000 $25,000 $60,000 $115,000 <br />Totals $30,000 $25,000 $60,000 $115,0000 <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 />EMPOWERment, Inc’s Rental Program consist of acquisitions, maintenance, and <br />counseling. This program addresses the affordable housing shortage in Orange <br />County by providing various levels of support to the most vulnerable populations. <br />The Program funding will be used for services such as: ongoing maintenance issues, <br />turnovers for rental units, legal fees, counseling to prepare families to use tools like <br />the Emergency Housing Assistance and to avoid evictions, and foreclosures. <br />DocuSign Envelope ID: 8E979ED6-1D8F-4C24-8DEC-03C92D7020EE