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* 5. Primary contact for grant 0 <br />FrcA Name Last Name <br />* G. Mailing address 0 <br />A�et Numberand Nance <br />iFty 5Sa[q�Hovinre/Regron <br />P-bV p Code <br />* 7. Email <br />* B. Phone <br />9. Website (if applicable) <br />If you are applying on behalf of an organization: <br />1O.Year founded <br />200 characters <br />11. Federal Tax ID # <br />207 characters <br />12. 5O1(c)(3) organization? <br />Q Yes <br />D No <br />* 13. Please disclose whether you are; <br />D A current member of a City of Louisville Board, Council, or Commission <br />D Related to a current member of a City of Louisville Board, Council, or Commission <br />Q A current City of Louisville employee <br />D Related to a current City of Louisville employee <br />0 None of the above <br />