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| 1.Federal Agency and Organization Element to Which Report is Submitted 
 | 2. Federal Grant or Other Identifying Number Assigned by Federal Agency 
 | 3a. DUNS | 
			 | 4. Reporting Period End Date (Month, Day, Year) | ||
| 3b. EIN | 
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| E. Activity Based Expenditures | ||||||
| (1) Activity Number or Label | (2) Activity Description | (3) Total Estimated Expenditures 
 | (4) Funding Expended | |||
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Preferred User | 
| File Modified | 0000-00-00 | 
| File Created | 2021-02-01 |