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North Carolina Department of Health and Human Services <br />Division of Social Services <br />OFFICE of <br />ECONOMIC OPPORTUNITY <br />Community Services Block Grant Program <br />Fiscal Year 2018-19 Application for Funding <br />Project Period July 1, 2018 — June 30, 2019 <br />Application Due Date: February 12, 2018 <br />Agency Information <br />Agency: <br />Salisbury -Rowan Community Action Agency, Inc. <br />Federal I.D. <br />560840196 <br />DUNS Number: <br />170667316 <br />Administrative Office Address: <br />1300 West Bank Street Salisbury, NC 28144-3910 <br />Mailing Address (include the 4 -digit zip <br />code extension): <br />1300 West Bank Street Salisbury, NC 28144-3910 <br />Telephone Number: <br />704-633-6633 <br />Fax Number: <br />704-633-5570 <br />Board Chairperson: <br />Donna White -Cook <br />Board Chairperson's Address: <br />where communications should be sent <br />1300 West Bank Street Salisbury, NC 28144-3910 <br />Board Chairperson's Term of Office (enter <br />beginning and end dates)7 <br />Date Initially Seated - June, 2004 <br />Current Term Expiration - December, 2017 <br />Executive Director: <br />Rocky Cabagnot <br />Executive Director Email Address: <br />rockvcabagnot0srcaa.com <br />Agency Fiscal Officer: <br />Tanya Branch <br />Fiscal Officer Email Address: <br />tanyabranch(@,srcaacom <br />CSBG Program Director: <br />Done Adkins -Tate <br />CSBG Program Director Email Address: <br />dioneadkins@smaa.corn <br />Counties Served with CSBG funds: <br />Rowan County Cabarrus County <br />Agency Operational Fiscal Year: <br />2018-2019 <br />North Carolina Department of Health and Human Services <br />Once of Economic Opportunity — Melvin L. Williams, Jr., Director <br />2420 Mail Service Center I Raleigh, North Carolina 27699-2420 <br />Fiscal Year 2018-19 Community Services Block Grant Application <br />Page 1 of 37 <br />Aftchmenl number 2 \n <br />F-6 Page 94 <br />