Full Name: Chris Clark


Address: 16325 SE Yurok Rd, Prineville, OR 97754


Email: cadc145@gmail.com (UNVERIFIED)


Date Of Birth: 03/19/1963


Phone: (541) 362-1211


Requested Funding Range: Less than $3,000


Approved Funding Amount: $2,700


Assigned Grant Officer: Nathaniel Robertson


Assigned Grant Officer Number: (618) 794-8442


Grant Disbursement Date: PENDING IDENTITY VERIFICATION


Linked Financial Institution: NONE


Identity Verification: INCOMPLETE