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SUBGRANTEE TAX IDENTIFICATION <br />DATA UNIVERSAL NUMBERING SYSTEM (DUNS) <br />INFORMATION FORM <br />Tb be completed for each subgrantee. <br />Return to: <br />Attention: Contracts Analyst .. <br />Financial Management Unit <br />Workforce Services Division <br />P.O. Box 826880, MIC 69 <br />Sacramento, CA 94280 -0001 <br />Subgrantee Name <br />Subgrantee Address <br />Subgrantee JTA Code (3 letters) <br />Employer Identification Number (EIN)/Federal Tax Identification Number <br />(Refer to wwww.irs.eov) <br />Data Universal Numbering System (DUNS) <br />(Refer to WSD12 -1 t) <br />Person to contact regarding this form <br />Phone Number ( ) Date <br />55B -22 <br />