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FFATA REPORTING SECTION FOR PRIOR FISCAL YEAR <br />Entities Required to Provide FFATA Data: <br />All entities which receive federal funding are required to provide the following information per the reporting <br />requirements of the Federal Funding Accountability and Transparency Act (FFATA). <br />❑ Attach evidence of your SAM'S Registration (i.e., a printout of the results page fi•om SAM'S by searching <br />on your entity's name or DUNS number). <br />❑ Please snake sure all zip codes on this report contain Zip Codes plus 4. <br />Entity's Legal Name: Salisbury Rowan Community Action Agency, Inc. <br />DUNS Number 170667315 DUNS Number of Entity's <br />of Entity Parent (if applicable) <br />Location of Entity: <br />Street Address: 1300 West Banlc Street <br />City /State /Zip: Salisbury, NC 28144 -3910 <br />Congressional District/ County: 12 Congressional District Rowan County <br />Contract Number Associated with Performance Locations 0027069 <br />Locations of Performance Under the Award (acid additional pages if necessary) <br />address <br />1300 West Bank Street <br />address <br />1.413 Sedan Avenue <br />city 1 state / zip <br />Salisbury, NC 28144 -3910 <br />city / state / zip <br />Kannapolis, NC 28083 <br />congressional district / county <br />12 Congressional District <br />congressional district / county <br />8th District <br />4. Director of Family Services <br />Rowan County <br />567 ,000 <br />Cabarrus County <br />address <br />$75,000 <br />address <br />city / state 1 zip <br />city / state 1 zip <br />congressional district / county <br />congressional district / county <br />address <br />address <br />city / state / zip <br />city / state 1 zip <br />congressional district / county <br />congressional district / county <br />Entities Required to Provide Executive Compensation Data <br />List Executive Compensation for the five most highly compensated Officers: <br />Title <br />Name <br />Total Compensation <br />1. Executive Director <br />Stan Wilson <br />$80,000 <br />2. Interim Head Start Director <br />Lesha Herbin <br />$65,000 <br />3. Contract Manager <br />Joann Diggs <br />$71,600 <br />4. Director of Family Services <br />Jean Harvey <br />567 ,000 <br />5. Fiscal Director <br />Michael Curtis <br />$75,000 <br />Provide signature below of person completing the above information. <br />Entity: <br />Name: <br />Signature <br />Commt"ity Action Agency, Inc. <br />Questions and Submission - <br />Rev: 011081 I ii <br />(FFATA) <br />Title: 1! xecutive Director <br />Date: fit �9 11)-t - <br />Contact: Carlotta Dixon, Section Chief of Program Compliance <br />DHHS- Social Services <br />240I Mail Service, Center, Raleigh, NC 27699 -240I <br />Telephone Number: 919 -527- 6421 —Fax Number: 919 -331 -1198 <br />Email: carlottn.dixonWdhhs.nc.gov <br />Attachment number 1 <br />Funding Accountability and transparenc Act <br />F - Subaward Data reporl em1ments <br />