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IRS Tax Exemption Verification Form (Annual) <br />We, the undersigned entity, hereby testify that the 501 (c) (3) status is on file with <br />the North Carolina Department of Health and Human Services and is still in effect. <br />Nara of Agency §eiisbuiy Rowan Community Action Agency, Inc <br />Stanle ilson <br />Chairman, Executive Director, or other Authorized Official <br />Sworn to and subscribed before me, this day of "1NQ- r `�,'31� _ <br />Notary Public <br />My Commission expires: <br />SHARON S HAIL <br />NOTARY PUBLIC <br />ROWAN COUNTY,N.C. <br />MY CQMMI5SiON ExPII{ES:L L� 1 <br />Attachment number 1 <br />F -13 Page 279 <br />