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CCDF Administrator First Name: Nicole

CCDF Administrator Last Name: Vint

Title of the CCDF Administrator: CCDF Administrator

Phone Number: 402-471-9208

Email Address: nicole.vint@nebraska.gov

Address for the CCDF Administrator (if different from the Lead Agency):

Street Address: PO Box 95026

City: Lincoln

State: Nebraska

ZIP Code: 68509

b) CCDF Co-Administrator Contact Information (if applicable):

CCDF Co-Administrator First Name: N/A

CCDF Co-Administrator Last Name: N/A

Title of the CCDF Co-Administrator: N/A

Description of the role of the Co-Administrator: N/A

Phone Number: N/A

Email Address: N/A

Address for the CCDF Co-Administrator (if different from the Lead Agency):

Street Address: N/A

City: N/A

State: N/A Nebraska Page 3 of 314