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1/24/24, 3:53 PM HSOA-24-21 <br />https://chapelhillnc.workflow.opengov.com/#/explore/records/63302/react-form-details/63302 1/14 <br />Town of Chapel Hill, NC 1/24/2024 <br />HSOA-24-21 <br />Human Services/Outside Agencies <br />Funding Application Fiscal Year 2025 <br />Status: Active <br />Submitted On: 1/11/2024 <br />Applicant <br />Timothy Miles <br />919-245-4337 <br />info@triangledac.org <br />2501 Homestead Road OCDAC Suite 103 <br />Chapel Hill, NC 27516 <br />Agency Information <br />Agency's Legal Name <br />Orange County Disability Awareness <br />Council <br />Agency's Mailing Address (Street, City, State & Zip <br />Code) <br />PO Box 3513, Chapel Hill, NC-27515 <br />Agency's Physical Address (Street, City, State & Zip <br />Code) <br />2501 Homestead Road, OCDAC Suite <br />103,Chapel Hill, NC 27516 <br />Agency’s Web Address <br />https://www.triangledac.org <br />Tax ID: <br />**-***2891 <br />Date of Incorporation (Month/Year) <br />02/1999 <br />Executive Director Name <br />Timothy Miles <br />E-Mail Address <br />info@triangledac.org <br />Telephone Number <br />(919) 245-4337 <br />Exhibit ADocusign Envelope ID: 445D3246-51E8-4212-AB07-F1D18E18D7C6