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97 <br /> 3. Letters of Commitment and/or Support(Up to 5 letters) <br /> • Carolina Nursing <br /> • Campus and Community Coalition (for High-Risk Alcohol Consumption) <br /> • Environment, Health,&Safety(UNC-CH) <br /> • Student Government and HRC@UNC <br /> 4. Latest Audited Financial Statements <br /> i. Despite the size of the University's overall budget,the majority of funds are already <br /> dedicated to other commitments, and the University is not currently positioned to <br /> dedicate funds specifically to Narcan distribution. Grant funding allows us to <br /> continue this important service. <br /> 5. Documentation of Tax Identification Number <br /> 6. Certificate of Insurance <br /> 7. For non-profit agencies only: <br /> A. IRS Determination Letter <br /> B. Verification of 501(c)(3) Status Form <br /> C. Copy of Form 990 Federal Tax return filed for latest fiscal year. <br /> D. Agency organizational chart <br /> E. Current Board of Directors Roster with names, addresses, office terms (with dates), and <br /> professional and/or community affiliations. <br /> • No Board of Directors—confirmed with Tonya Stancil that Dean Blackburn would <br /> suffice for this list. <br /> • Dean Blackburn <br /> Director of Student Wellness <br /> Associate Dean of Students <br /> 450 Ridge Road <br /> SASB North,Suite 0103 <br /> Chapel Hill, NC 27599 <br /> 1 <br />