2017-439-E Arts - North Carolina Arts in Action - 2017-18 Arts Grant Agreement

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DocuSign Envelope ID:914D8A8E-A05B-425D-A60B-D2D4C2FE5054 I Iii, 201718 cos3 GRASSROOTS ARTS PROGRAM ORANGE COLiEn"e ARTS cambirssICIN wwwncarts.orig APPLICATION FORM PART 1: APPLICATION ORGANIZATION INFORMATION Organization Name: North Carolina Arts in Action Street Address: PO Fax 51277 City, Durham J.-- tatc NC Zip: 27717 Phone: 919-619-0483 I Videbsite: wow ncartsinactionorg Authorizing Official Name: Marlon Torres Authorizing Official Title: Executive Director Authorizing Official Phone: 919-619-0483 Authorizing Official Email: Marlon@ncartsrnaction org Fr Applicant Race: Hispanio Organization EN: ORGANIZATIONAL FINANCES Please attach a complete income and expense statement(an audit may be substituted)for your last fiscal year and complete operating budgets for the current fiscal year and next fiscal year Public schools and other large governmental or community agencies should attach arts program financial information only. Please copy the totals from these attachments in the spaces below: -- — Last Year Actual: FY16-16 Current Year: FY16-17 Next Year: FY17-18 ---- h Actual income: $260,000 Projected income: $ 367,800 j Projected Income.: $410,250 _ Actual Expenses: $260,000 Projected Expense: $ 367„800 Projected Expense: $410,250, PART 2: PROJECT INFORMATION PROJECT DIRECTOR INFORMATION (if different from AuthorizirN Official Project Director Name: Project Director Title: Street Address: City: St Phone: m ate Zip: : - Email: PROJECT SUMMARY Title of Grant Program or Project: Support for NEAIA in Rashkis Elementary School Grant Amount Requested: $3,000 Project Start Date (No earlier than July 1, 2017): Sept, 1, 2017 Project End Date (No later than June 30, 2018): June 30, 2010 SCHOOLS ONLY: Are you booking your artists through The ArtsCenter's Arts in Schools Program? 0 YES 0 NO , i