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DocuSign Envelope ID: 124C6798-3E02-41 F0-AOB2-48070A27BF55 <br /> I / # INCOMPLETE APPLICATIONS WILL NOT BE FUNDED <br /> '� •"� <br /> 919/968-2011-P.O. Box 1177, 131 West Margaret Lane, Hillsborough, NC 27278— <br /> ewww.artsorange.org <br /> ORANGE COUNTY ARTS 2015-16 Artist Project Application — Page Two <br /> COMMISSION <br /> Financial Information <br /> Please provide a projected budget for your proposed project utilizing the format below. <br /> Project Expenses Cash — Grant Amount + Applicant <br /> Expenses Requested Cash Match <br /> A Personnel <br /> Administrative staff <br /> Artistic staff 2,675.00 1.000.00 1.675.00 <br /> Technical/Production staff <br /> B Outside Fees and Services <br /> Artistic contracts <br /> Other contracts: <br /> C Space Rental <br /> D Travel 262.50 262.50 <br /> E Marketing _ 150,00 150.00 <br /> F Remaining Project Expenses 1,640.00 1,640.00 <br /> G Total Cash Expenses 4,727.50 = 1,000.00 + 3.727.50 <br /> Project Income Cash Income <br /> A Admissions <br /> B Contracted Services Revenue <br /> C Other Revenue(specify) <br /> D Private Support <br /> Corporate support <br /> Foundation support <br /> Other private support 3.727.50 <br /> E Government Support <br /> Federal <br /> State/regional(not including this request) <br /> Local(not including this request) <br /> F Applicant Cash <br /> G Grant Amount Requested 1,000.00 <br /> in this application <br /> H Total Cash Income , 4.727.50 <br /> (must equal Total Cash Expenses, <br /> Item G above) <br /> 1 items A-G must equal or exceed the Total Cash Expenses of the project. <br />