Orange County NC Website
iq <br />4 4 ~ Y 5T}' 1 1 14 1 r l'J"L ~~ -II.J iI.' r { ttd ty ~ dl ~. i e' <br />I ~~ ~( 1 I rl ~ 4 4 1 Y tY5 y cL A~ ~l J <br />~~ J~i~ -ri~5'~t~t~~~.~- I'u a{ I i Jr 1 t 1 _ _ fd h ci. ,~ _~nIF <br />Reouired Attachments: Please make sure ONE copy of the following items is attached <br />The proposal will not be reviewed without these items <br />• IRS tax determination letter (Government entities need to submit a letter <br />attesting to their status. Details are provided in the Emergency Preparedness <br />Grant Program Frequently Asked Questions.) <br />A list of most current board of directors <br />Financial dorument as required based on the organization's size <br />- Certified public accounting audit for organizations with $500,000 or more in total <br />annual revenue <br />- Financial review by an independent certified public accountant for organizations with <br />at least $100,000, but less than $500,000 in tots( annual revenue <br />- Financial statement certified as accurate and complete by the organization's chief <br />executive officer for organizations with annual revenues less than $100,000 <br />- Government entities do not need to submit the full audit for their organization Given <br />the large size of the audits, these entities are required to submit the following four <br />components of the audit: <br />1) auditor's report (cover letter) <br />2) balance sheet <br />3) statement of revenues and expenditures <br />4) auditor's notes <br />Prior fiscal year financial statements showing actual expenses and sources of <br />income <br />Current fiscal year approved budget showing actual expenses and sources of <br />income year to date <br />Up to three letters of support (optional) <br />"., ._.~:,:,,,.-:_ ~ ~,.-:...:,;....,_~_: __-~.,.~,n"",. ;:1, ,.-:4 ,.I~.rye:_ei,Y=T~~vf~;rLS=,.I~.v Y.:-:J~:ir`~;110.'j~;"T. : _yyizc";r-~,3r1I~5,Y~.s='~c,vsR,E= <br />fl" 44-sk~~tCr~~?t~k_ ~li 4 1 L~~ Ilfiw If^ '~ ,~:,r"~~;v~~ir~~-`a ~.,.. _ ~6ri~!1 ~.,..yil 1~~~-~ I4-t~ ~~"ir- i ~..~`^~~`~~~'~,~ ~+ <br />We certify to the best of our knowledge that the information contained in this application <br />is accurate and complete. <br />Name of Organization's Chief Executive Officer: John M Link, Jr. <br />Title: County Manager <br />Signature: Date: <br />Name of Project Director: Jack Ball <br />Title: Director, Department of Emergency Management <br />Signature: Date: <br />