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