telephone campaign / library services / law enforcement / to children’s services / /
Organization
State legislature / Notary Public My Commission / General Assembly / C. No Board / Department of Health and Human Services office of Rural Health and Community Care Certification for Contracts / Grants / Loans and Cooperative Agreements Public Law / Congress / No Board / Board of Directors/Trustees / North Carolina Department of Health and Human Services / Federal Government / A. The Board / Department of Health and Human Services office of Rural Health / Organization mission / Any / The Board / An / office of State Budget and Management / Medicare / / /
Position
Chairman / Executive Director / supervisor / Contractor / counsel / duly authorized representative / Board member / officer / director / Chairman / ineligible Contractor / Organization Official / Executive / Certification Regarding Lobbying The Contractor / Government official / D. Executive / Second Authorizing Official / Official Seal / Certification Contractor / Board Chair / officer / employee or agent / Authorized Official / General / Organization Chairman / Executive Director / officer / Agency Head and Chief Fiscal Officer / /
SFY 2015 Rural Hospital Flexibility – Financial Improvement/CAH Conversion ORGANIZATIONAL INFORMATION & SIGNATURE SHEET