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<br />P.O. Box 8181 * Hillsborough, North Carolina 27278 <br />Telephone: 919 245-2626 <br />Applicant Organization Information <br /> <br />Please provide the following information about the primary applicant organization: <br /> <br />Contact Information for Primary Contact, Chief Executive Officer / Executive <br />Director, and Chief Financial Officer <br />Primary Contact <br />Name Michael G. Dupree <br />Title Founder and Chair <br />Preferred phone <br />number (336)-266-4841 <br />Email address MichaelGDupree@gmail.com <br />Fax number (if <br />applicable) N/A <br />Chief Executive Officer / <br />Executive Director <br />Name Michael G. Dupree <br />Title Founder and Chair <br />Preferred phone <br />number (336)-266-4841 <br />Email address MichaelGDupree@gmail.com <br />Fax number (if <br />applicable) N/A <br />Chief Financial Officer <br />Name Michael M. Rooney <br />Title Treasurer <br />Preferred phone <br />number (919)-208-8448 <br />Email address mmr30101971@gmail.com <br />Fax number (if N/A <br />Docusign Envelope ID: 7E7D300B-F83F-4917-A8A3-638B79C7D566