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f <br /> DocuSign Envelope ID:66651854-9741-4A24-AE80-28409E6F98EA <br /> /./ <br /> r-70 xfr, <br /> 2017-1 8 <br /> eye trt , <br /> co GRASSROOTS ARTS PROGRAM <br /> ORANGE COUNT? ARTS <br /> COICIVMS101,1 www.ricarts.org APPLICATION FORM <br /> PART I : APPLICATION ORGANIZATION INFORMATION <br /> Organization Name North Carolina Symphony <br /> Street Address:3700 Glenwood Ave, So 130 <br /> , -- <br /> i City:Ratoigh _ State:NC ( Zip:27E12 <br /> Phone:(019) 733-2750 Ali'ebsite:www.ncsy mon o ril yin rg <br /> ---------------- ----- <br /> Authonalag Official(Nome:Pam Bash <br /> Authorizing Official Title:Director of Corporate&Foundation Giving <br /> .....__,...._______________......__,...... <br /> Authorizing Official Phone:(919)789-5482 _ Authorizing Official Email:pheshOnesymphonyorg <br /> _,.......„„ <br /> Applicant Race: Crganization EN: <br /> ORGANIZATIONAL FINANCES <br /> Please attach a complete inco,,e 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 /> Last Year Actual' FY1,5.18 Current Year FY16-11 Next Year'FYI 74$ <br /> Actual Income: $14,518,288 Projected income:$14,532,789 Projected Income: $1‘1,913„817 <br /> I , <br /> Actual Expenses: $14,496„387 Projected Expense:$14,532,789 Projected Expense: $14,613,817 <br /> PART 2: PROJECT INFORMATION <br /> PROJECT DIRECTOR INFORMATION (if different from Authorizing Official) <br /> Project Director Name Sarah Salon <br /> Project Director Title:Director of Education <br /> Street Address 3700 Glenwood Ave,Ste 130 <br /> City:Raleigh State:NC Zip;27612 <br /> '------------------- <br /> Phone:(5)19)789-5461 Email:storonranceymnnony.ong <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project Education Concerts tor Orange County Schools <br /> ... <br /> Grant Amount Requested:$3,000 <br /> Project Start Date(No earlier than July 1, 2017):September 1, 2017 <br /> Project End Date(No later than June 30,2018):may 31,2017 <br /> ----------- <br /> SCHOOLS ONLY <br /> Are you booking your artists through The ArtsCenter's Arts in Schools Program? 0 YES IR NO <br /> f; <br /> oro9varn,'n.' s in Ai vi c 4:1 tk In 1,(31.1“1 5 <br />