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DocuSign Envelope ID: 59E57F53-A0B6-4CC1-AF71-8317BFA38938 <br /> 2017-18 <br /> co, <br /> TS GRASSROOTS ARTS PROGRAM <br /> ORANGE COUNTY AN <br /> COMMISSION Www.nearts.org APPLICATION FORM , <br /> , <br /> PART 1: APPLICATION ORGANIZATION INFORMATION <br /> Orgenizat on Name; One Song Productions <br /> Street Address: 800 Mt, Carmel ChUrch Rd <br /> City: Chapel Hill <br /> Phone: 11:919)619,-2517 <br /> Authorizing Official Name: Camille iNitt State: Nallil Carolinal <br /> Authorizing Official Title: Board Member <br /> Authorizing Official Phone:()19)381-0444 <br /> Applicant Race; AfricernAmericen <br /> Lip: 27517 <br /> ‘Afebsite: lsongproductions.arg ' <br /> Authorizing, Official Email: onesongproductions@ornall,corn <br /> Organization DR / <br /> ORGANIZATIONAL FINANCES <br /> Please attach a complete income and expense statement(an audit may be substituted)for your last fiscal year and <br /> complete operating budgets for the current fiscal year and next fiscal year Public schools and other large governmental or <br /> community agencies should attach arts program financial information only Please copy'the totals from these attachments <br /> in the spaces below: <br /> 1,,a:,st Year,Actiret:,rtiljOtr '-- tin:rent Year ErILJ6-17 ------- NeitYO4:FY17.18 --- , <br /> Actual Income' $11,481,89, Projected income: $12,975,46 Projected Income:: $13,e60,00 <br /> Actual Expenses: $8,745,84 Projected Expense: $11„562,6B Projected Expense: $12„667,00 <br /> PART 2: PROJECT INFORMATION <br /> PROJECT DIRECTOR INFORMATION (if different from AUthorizing Officiall_ <br /> Project Director Namei <br /> Project Director Title: <br /> Street Address: , <br /> City. State: l Zip: <br /> Phone: FEmail: <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project:One Song Productions Pat,Winter &Spring shows <br /> ,„. <br /> Grant Amount Requested:030/00.00 <br /> Project Start Data(No earlier than July 1, 2017), December 3, 2017 <br /> Project End Date No later than June 30, 2018):May 27, 2018 <br /> SCHOOLS ONLY: <br /> Are you booking your artists through The ArtsCenter's Arts in Schools Program? 10 YES .0 NO <br /> oplicolorl Fa-kel 4 <br />