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CA,9 0 North Carolina ARTS Grants Online (AGO)- Grassroots Arts <br /> 1� Program – Designated County Partners – Update Application/ <br /> 0 Report 2012-13 <br /> Z > Orange County Arts Commission <br /> Final Report#DCP0021 <br /> Primary Contact: Ms. Martha Shannon <br /> ` Phone: (919)968-2011 <br /> Email: mshannon@orangecountync.gov <br /> Document Generated:Monday,July 8th 2013, 1:59 pm <br /> Certification <br /> We certify that the accompanying Report represents all financial activity related to the receipt, <br /> use and expenditure of funds granted by the State of North Carolina for this particular grant <br /> during the fiscal year 2012-13 and that the expenditures reported were for the purposes <br /> appropriated by the General Assembly and in compliance with the applicable laws, <br /> regulations, and terms and conditions of the grant documents. <br /> This report is presented on the cash basis of accounting and is supported by our financial <br /> records. Should a year-end audit of our agency show discrepancies with this report,we will <br /> file an amended report. <br /> By receiving funds from the State of North Carolina, including state or federal funds from any <br /> source including those received from the North Carolina Arts Council, we will also submit for <br /> the fiscal year shown above any reports required by the Local Government Commission under <br /> General Statute 159-33 or the Office of State Budget and Management under General Statute <br /> 143C-6 and the North Carolina Administrative Code, Section 9, subchapter 03M, as well as <br /> Form 990 or 990-N required by the Internal Revenue Service depending on our annual <br /> organizational income and tax exempt status. <br /> Treasurer) i ancial Officer cal ,-�� <br /> Agent_ tiL. t.� ,/J y� _2L—oz 1 -3 <br /> Authorizing Official/Fiscal <br /> Agent <br />