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1/31/24, 11:37 AM HSOA-24-41 <br />https://chapelhillnc.workflow.opengov.com/#/explore/records/63264/react-form-details/63264 1/14 <br />Town of Chapel Hill, NC 1/31/2024 <br />HSOA-24-41 <br />Human Services/Outside Agencies <br />Funding Application Fiscal Year 2025 <br />Status: Active <br />Submitted On: 1/12/2024 <br />Applicant <br />Debbie Everly <br />919-943-6432 <br />development@orangecountylivingwage.org <br />106 Cynthia Drive <br />Chapel Hill, NC 27514 <br />Agency Information <br />Agency's Legal Name <br />Orange County Living Wage <br />Agency's Mailing Address (Street, City, State & Zip <br />Code) <br />Post Office Box 1502 <br />Agency's Physical Address (Street, City, State & Zip <br />Code) <br />412 E Winmore Ave Chapel Hill, NC <br />27516 <br />Agency’s Web Address <br />https://orangecountylivingwage.org/ <br />Tax ID: <br />**-***5087 <br />Date of Incorporation (Month/Year) <br />July 2015 <br />Executive Director Name <br />Debbie Everly <br />E-Mail Address <br />debbie@orangecountylivingwage.org <br />Telephone Number <br />919-943-6432 <br />Exhibit ADocusign Envelope ID: 5C318706-42D9-4B0F-B8A6-43E915CB7F39