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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 Director, and Chief Financial <br />Officer <br />Primary Contact <br />Name Nora Dennis <br />Title President/Founder <br />Preferred phone number 919-597-8963 <br />Email address nora@jubileehealingfarm.org <br />Fax number (if applicable) <br />Chief Executive Officer / Executive <br />Director <br />Name Nora Dennis <br />Title President/Founder <br />Preferred phone number 919-597-8963 <br />Email address nora@jubileehealingfarm.org <br />Fax number (if applicable) <br />Chief Financial Officer <br />Name <br />Title <br />Preferred phone number <br />Email address <br />Fax number (if applicable) <br /> <br /> <br /> <br /> <br />Docusign Envelope ID: 61C3903E-05FE-49FE-A6AF-E50B7D61917E