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3 <br /> i <br /> s <br /> 11. Other sources of funds for this oroiect only (please indicate if any item listed is in-kind): <br /> (Should be the difference between Item#9 and Item#10) <br /> Funding Source Total Amount Amount Already Notification Date <br /> Requested Committed <br /> Orange County $ 1,539 $ 1,539 N/A <br /> Town of Carrboro $ 284 $ 284 N/A <br /> Town of Chapel Hill $ 878 $ 878 N/A 1 <br /> TOTALS: $ 2,700 $ 2,700 <br /> 12. Timetable for the project: February, 1998 to April, 1998 <br /> Month/Year Month/Year <br /> 13. Proposed timetable for payment of funds requested from Triangle Community Foundation: (grants submitted for the <br /> August deadline available January 15 or later and grants submitted for the February I deadline available July 15 or <br /> later): <br /> Date Amount <br /> Feb. 1, 1998 $5,670 <br /> 14. Percentage of this project to agency's overall annual operating budget: 12 % <br /> 15. Applicant agency's overall annual operating budget: $67,373 for year 1997/1998 <br /> (You may current year's bu ge r next year's projected budget; please indicate your choice.) <br /> Overall Operating Budget Breakdown-please complete on this t3age (you may get these figures from your most <br /> recent IRS Form 990; if you are not required to submit a 990, you may simply use your overall operating budget): <br /> Total <br /> Income $ from Individuals $ from Corporations <br /> $ from Foundations $ 67,373 from Local Government <br /> $ from State Government $ from Federal Government <br /> S from Earned Income S from Other(e.g., S67,373 <br /> Expense $29,851 for Program Services S for Fundraising <br /> S37,182 for Management/General S for Payments to Affiliates S67,373 <br /> Difference: S 0 <br /> These figures are taken from IRS Form 99 current year budget vrjected budget(circle one) for year 1997/1998. <br /> Triangle Community Foundation Page 2 of 3 Grant Application <br />