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Proposal Reference Number: (For Department Use) <br /> Please answer the following questions: Yes No <br /> Is your organization registered as a nonprofit? ® ❑ <br /> Does your organization have a Board of Directors? ® ❑ <br /> Does your organization have a corporate seal? ❑ <br /> AUTHORIZED SIGNER(S) FOR AGREEMENT(organizational documents attached): <br /> Jay T. Kimura Executive Director <br /> Legal Name(type or print clearly) Title Date Term Ends <br /> Telephone (business) (residence) <br /> Second Signer(if applicable): <br /> Legal Name(type or print clearly) Title Date Term Ends <br /> Telephone (business) (residence) <br /> NOTE: PLEASE SUBMIT THIS DOCUMENT COMPLETED AND SIGNED,WITH YOUR PROPOSAL <br /> RD ED Contingency Funds Forms Word <br />