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Proposal Reference Number: <br />(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 />Chief Executive <br />Richard Taffe Officer December, 2014 <br />Legal Name (type or print clearly) Title Date Term Ends <br />Telephone (business) (residence) 326 -3878 <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 />