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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 />0 Attach evidence of your registration with the Central Contractor Registration (CCR) <br />(i.e., a printout of the results page from a CCR search on your entity's name or DUNS number). <br />Entity's Legal Name: Salisbury Rowan Community Action Agency, Inc. <br />DUNS Number 170667315 <br />of Entity <br />Location of Entity: <br />1300 West Bank Street <br />Salisbury, NC 28144 <br />12 Congressional District <br />Rowan County <br />Street Address: 1300 West Bank Street <br />City /State /Zip: Salisbury, North Carolina 28144 <br />Congressional District/ County: 12 Congressional District Rowan County <br />Contract Number Associated with Performance Locations 0027069 <br />Locations of Performance Under the Award (add additional pages if necessary) <br />address <br />city / state / zip <br />congressional district/ county <br />address <br />city / state / zip <br />congressional district / county <br />address <br />city / state / zip <br />congressional district/ county <br />DUNS Number of Entity's <br />Parent (if applicable) <br />address 1413 Sedan Avenue <br />city / state / zip Kannapolis, NC 28083 <br />congressional district 1 county 8t Congressional District <br />Cabarus County <br />address <br />city / state / zip <br />congressional district / county <br />address <br />city / state / zip <br />congressional district 1 county <br />Entities Required to Provide Executive Compensation Data <br />List Executive Compensation for the five most highly compensated Officers: <br />Provide signature below of person completing the above information. <br />Entity: Salisbury Rowan Community Action Agency, Inc. <br />Name: Stan Wilson Title: Executiv Director <br />Signature <br />Questions and Submission - Please Contact: <br />(FFATA) <br />Rev: 11/19/12 <br />Date: <br />Glenda Pearce, NC Grants Manager <br />DHHS- Social Services <br />2401 Mail Service, Center, Raleigh, NC 27699 -2401 <br />Telephone Number: 919 -527 -6425 <br />Email: glenda.uearce(i�dli,hs.nc.1?ov <br />Federal Funding Accountability and traitit4R9lt number 2 <br />Subaward Data reporting Requirements <br />G -2 Page 326 <br />Title <br />Name <br />Total Compensation <br />1. <br />Executive Director <br />Stan Wilson <br />$80,000 <br />2. <br />Head Start Director <br />Lucinda Barbour <br />$74,400 <br />3. <br />Contract Manager <br />Joann Diggs <br />$71,600 <br />4. <br />Director of Youth & Family <br />Jean Harvey <br />$67,000 <br />5. <br />Provide signature below of person completing the above information. <br />Entity: Salisbury Rowan Community Action Agency, Inc. <br />Name: Stan Wilson Title: Executiv Director <br />Signature <br />Questions and Submission - Please Contact: <br />(FFATA) <br />Rev: 11/19/12 <br />Date: <br />Glenda Pearce, NC Grants Manager <br />DHHS- Social Services <br />2401 Mail Service, Center, Raleigh, NC 27699 -2401 <br />Telephone Number: 919 -527 -6425 <br />Email: glenda.uearce(i�dli,hs.nc.1?ov <br />Federal Funding Accountability and traitit4R9lt number 2 <br />Subaward Data reporting Requirements <br />G -2 Page 326 <br />