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About the applicant... <br /> <br /> All information on this page pertains to the organization which is applying for the grant and which <br /> will act as the responsible fiscal agent for any funds received. <br /> <br />Organizstion applying for grant <br /> <br /> Name Cabarrus County Health Department <br /> <br />Address P.O. Box 1149~ 715 Cabarrus Avenue~ W. <br /> <br />Telephone 704- 786-8121 <br /> <br />Concord, N. C. 28026-1149 <br /> <br />Chief administrative officer Wi1 1.'lam F. Pilk.~.ngton <br /> <br />Fiscal Intormatlon <br /> <br /> Beginning and endinq dates of_i/our fiscal year <br /> <br /> Total current assets (market valueI oi organization <br /> <br /> Total current endowment (market value) <br /> <br /> Total current fund balance <br /> <br />July i to June 30 <br /> <br />$ N/A <br />$ N/A <br /> <br />$ N/A <br /> <br />Date of incorporation <br /> <br />N/A <br /> <br />Total expenditures for last three years <br />~9 93 ~9 92 <br /> <br />19 9] <br /> <br />$__j,874,428___~ <br /> <br />$ 4.517,22] <br /> <br />$5,451=741 <br /> <br />Has this orqanization received an outside audit opinion within the last year? yes <br /> <br />Tax-exempl status <br /> <br />Have you attached a copy of your IRS determination letter(si? <br />Note: This does not apply to governmental agencies. <br /> <br />N/A <br /> <br />Signalure <br /> <br /> p~ovat of I~a~rd'~hairman or execuhve'of'~cer-' <br /> <br />Local Health Director <br /> <br />04-10-95 <br /> <br />Title Date <br /> <br /> <br />