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ATTACHMENT B <br /> <br />Minnesota Common Report. Form <br /> Cover Sheet <br /> <br />Date of Report: <br /> <br />Report Submi <br /> <br />tted to: <br /> <br />Name of organiZation <br /> <br />Legal name, if different <br /> <br />Address <br /> <br />Employer Identification Number (E1N) <br /> <br />City, State, Zip ' <br /> <br />Phone ~ Fax Web site <br />Contact person Phone E-mail <br /> <br />Grant ID, if applicable: <br /> <br />Amount and support type: <br /> <br />2-3 sentence d~criPtion of grant: <br /> <br />Date grant issued: <br /> <br />Check one: <br />Interim Report <br /> <br />Final Report <br /> <br />Predevelopment iGrant Program <br /> <br />Page 8 of 8 Pages <br /> <br /> <br />