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North Carolina Department of Health and Human Services <br />Division of Social Services /Economic and Family Services <br />OFFICE of,-- <br />ECONOMIC OPPORTUNITY <br />Community Services Block Grant Program <br />Fiscal Year 2016 -17 Application for Funding <br />Project Period July 1, 2016 — June 30, 2017 <br />Application Due Date: February 12, 2016 <br />Agency Information <br />Agency: <br />Salisbury Rowan Community Action Agency, Inc. <br />Federal I.D. <br />560840196 <br />DUNS Number: <br />170667315 <br />Administrative Office Address: <br />1300 W. Bank Street Salisbury, NC 28144 -3910 <br />Mailing Address (include the 4 -digit zip <br />code extension): <br />1300 W. Bank Street Salisbury, NC 28144 -3910 <br />Telephone Number: <br />704 633 -6633 <br />Fax Number: <br />704 633 -5570 <br />Board Chairperson: <br />William R. Kennedy <br />Board Chairperson's Address: <br />where communications should be sent <br />1300 W. Bank Street Salisbury, NC 28144 -3910 <br />Board Chairperson's Term of Office (enter <br />beginning and end dates): <br />NA — (elected official) <br />Executive Director: <br />Stan Wilson <br />Executive Director Email Address: <br />stanwilson@srcaa.com <br />Agency Fiscal Officer: <br />Michael Curtis <br />Fiscal Officer Email Address: <br />michaelcurtis(@srcaa.com <br />CSBG Program Director: <br />Dione Adkins -Tate <br />CSBG Program Director Email Address: <br />d ion eadkins a(�.srcaa.com <br />Counties Served with CSBG funds: <br />Rowan and Cabarrus <br />North Carolina Department of Health and Human Services <br />Office of Economic Opportunity - Verna P. Best, Director <br />2420 Mail Service Center/ Raleigh, North Carolina 27699 -2420 <br />http://www.ncdhhs.gov/oeo/ <br />Fiscal Year 2016 -17 Community Services Block Grant Application <br />Page 1 of 28 <br />Attachment number 2 \n <br />F -11 Page 287 <br />