NAMES OF CACFP PRINCIPLES - Rhode Island



|NAMES OF CACFP PRINCIPALS |MAILING ADDRESS |DATE OF BIRTH |END OF TERM DATE, if| |

| | | |applicable |SIGNATURE OF CACFP PRINCIPAL |

|CHAIRPERSON, BOARD OF DIRECTORS: | | | | |

|EXECUTIVE DIRECTOR/OWNER: | | | | |

|DIRECTOR or RESPONSIBLE INDIVIDUAL: | | | | |

|OTHER (specify title) | | | | |

|OTHER (specify title) | | | | |

|OTHER (specify title) | | | | |

|OTHER (specify title) | | | | |

|NAME OF CACFP PRINCIPALS |MAILING ADDRESS |DATE OF BIRTH |END OF TERM DATE |SIGNATURE OF CACFP PRINCIPAL |

|OTHER (specify title) | | | | |

|OTHER (specify title) | | | | |

|OTHER (specify title) | | | | |

|OTHER (specify title) | | | | |

|OTHER (specify title) | | | | |

|OTHER (specify title) | | | | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download