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? Self-Certification Checklist for Prospective Grantees Executive Director/CEO/President Name of Organization/Agency Address City Phone Fax State Contact Name Zip Code Email Grant Amount Requested

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Executive director, CEO, or President is the top leadership position in a company or organization.

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The person holding the executive director, CEO, or President position is required to file.

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The form for filing executive director, CEO, or President typically requires information such as name, title, and responsibilities.

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The purpose of filing executive director, CEO, or President is to provide transparency and accountability in the organization's leadership.

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Information such as the individual's name, contact details, qualifications, and any potential conflicts of interest must be reported.

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