form 269a short form

FINANCIAL STATUS REPORT (Short Form) (Follow instructions on the back) 1. Federal Agency and Organizational Element to Which Report is Submitted 2. Federal Grant or Other Identifying Number Assigned By Federal Agency OMB Approval No. 0348-0038 pages 3. Recipient Organization (Name and complete address, including ZIP code) Page of 4. Employer Identification Number 5. Recipient Account Number or Identifying Number...
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form 269a short form
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