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Type of Organization: <br />•Government <br />✔Non-Profit <br />•For-Profit <br />•Local housing authority <br />•Tribe <br />PROJECT CONTACTS <br />Name of Organization Director:David Sturgell <br />Phone:(509)929-3258 <br />Email:seasparrow32@gmail.com <br />Project Contact Name:David Soltz <br />Title:OFLHP Board Member,Lodge 20 Noble Grand <br />Phone:(570)204-7893 <br />Email Address:dlsoltz@gmail.com <br />Fiscal Contact Name:Raven Harlin <br />Phone:(509)962-9768 <br />Email Address:cemeteryioof@fairpoint.net <br />AUTHORIZATION <br />Acceptance of this application may be subject to subsequent compliance reviews,including a review <br />of the latest audit of financial statement.Preparation of an application does not guarantee that <br />applicants will receive funds.By signing this grant application form the undersigned certifies that all <br />information is accurate to the best of his/her knowledge. <br />28 November 2023 <br />______________________________________________ <br />Signature of Authorized Representative Date <br />2 of 9