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finding of fault with either a monetary fine or penalty greater than $5,000 or reimbursement, restitution, or damages greater than $100,000, or other <br />acknowledgment of fault? <br />Not Selected <br />ISAM Search Authorization <br />I authorize my entity's non -sensitive information to be displayed in SAM public search results: <br />Yes <br />Entity Types <br />Business Types <br />Entity Structure Entity Type Organization Factors <br />Corporate Entity (Tax Exempt) Business or Organization (blank) <br />Profit Structure <br />Non -Profit Organization <br />Other Entity Qualifiers <br />Minority Institution <br />Hispanic Servicing Institution <br />Educational Institution <br />Financial Information <br />Accepts Credit Card Payments <br />Debt Subject To Offset <br />Department Code <br />Yes <br />No <br />(blank) <br />EFT Indicator <br />CAGE Code <br />0000 <br />4GYB1 <br />Electronic Funds Transfer <br />Account Type <br />Routing Number <br />Lock Box Number <br />Checking <br />" 0247 <br />(blank) <br />Financial Institution <br />Account Number <br />WELLS FARGO BANK NA <br />* 10154 <br />Automated Clearing House <br />Phone (U.S.) <br />Email <br />Phone (non-U.S.) <br />7144819600 <br />patrisia@delhicenter.org <br />(blank) <br />Fax <br />(blank) <br />Remittance Address <br />DELHICENTER <br />505 E. Central AVE <br />Santa Ana, California 92707 <br />United States <br />Taxpayer Information <br />EIN <br />• 0952 <br />Tax Year (Most Recent Tax Year) <br />2019 <br />Address <br />505 E Central AVE <br />Santa Ana, California 92707 <br />(Points of Contact <br />Accounts Receivable POC <br />9 <br />PATRISIA GONZALEZ, Director of Operations <br />petrlsia@delhicenter.org <br />7144819600 <br />Type of Tax <br />Applicable Federal Tax <br />NamelTitle of Individual Executing Consent <br />Director Of Operations <br />Signature <br />PATRISIA GONZALEZ <br />Taxpayer Name <br />DELHICENTER <br />TIN Consent Date <br />Jan 27, 2021 <br />M <br />