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DocuSign Envelope ID: DED368CC-D87F-4704-8F64-B8F2DB10EE93
<br /> ,, „......
<br /> 86 $roiCCS Other contracts:
<br /> C Space Rental $ $ $
<br /> D. Travel $250.00 $250,00 $500.00
<br /> AD, PR end
<br /> E. Marketing $150000
<br /> Marketing $1500.00 $3000.00
<br /> F. Remaining Project $ $ $
<br /> ExPer1e! ,
<br /> G. Total Cash Expenses $ $ $3500.00
<br /> fr„vrtromry
<br /> ,r1,,,,„p,, ,) 0 . ,
<br /> f,,,,7 ,,,,/?1,
<br /> 1 79,Frigic 1,011 ,4 i( 1, i1 ,,,, ,,,
<br /> 0) ,,,caiiiiad 4to, ,P „
<br /> A. Admissions _ „„....
<br /> (/f jr '''/'''''IIIII 1111 I/ 1 // 7/ ,/ tetLiiiiiii" 2,4
<br /> B Contracted SerViCOS $
<br /> Revenue
<br /> i $
<br /> C Othor Revenue „„„„,....,.....„,„ „..
<br /> '
<br /> It-
<br /> : Corporate,&Ippon: $
<br /> Foundation Supplant;
<br /> 0 Private Support
<br /> $
<br /> otil;r prive te support:
<br /> 1 $1750.11
<br /> i,--
<br /> Federa $l:, „.... , ..„
<br /> .,,..,.
<br /> I
<br /> E. Go t Support vernmen if State/Rogional:
<br /> $' I
<br /> $
<br /> r_FT Applicant Cash__ Local(rot including this moo,gip
<br /> T $
<br /> 137—G .—rPTrriburit
<br /> .00
<br /> Requested On this $1750
<br /> app/cation)
<br /> H. Total Cash Income
<br /> goat Total as $3500 00
<br /> Expense& Rem G
<br /> above)
<br /> PART 3: APPLICATION CHECKLIST
<br /> APPLICATION CHECKLIST
<br /> Please compile in this order. Do no t staple, hind, or put into individual folders or sleeves.
<br /> Provide one copy, one sided, 8,5 x11stwhita papa'r. A digital copy of the application is not
<br /> necessary,
<br /> 0 Application Form, including signature
<br /> il Narrative , necessary)
<br /> Detailed Budget (if none ) , , grant funded prograrn(s ,,, programs
<br /> )
<br /> 011 Resumes of key artists involved m grunt its
<br /> Ss or other materials from this or similar past p grams
<br /> Samile Programs' pre '' ity partners (If applicable), r ilk date of work, Pr
<br /> OOD imLeottrekrssamples support by artist(s), labeled with artists' name, title of wo „
<br /> u.st three years',
<br /> a
<br /> Visual artists: CD, DVD, or high resolution photographs8aimages per artist MAX), clearly
<br /> labeled with dimensions and media and indicate top of image
<br /> 0 Dance or theater artisrtd, C. CDpor,i DVD, or link to high-quality on me 'yid:, (3;5 minutes)
<br /> online video(3-o minutes,
<br /> oa LMitulesriacryailladrts7Mokaennuwscoriet (10,15MpP:goersl)inskubtomhitlitgeh;d-clas°81.1nitdYf file or hard copy
<br /> I ,,m r , omil P,I,pk 0-600 Pria 0,1'i
<br />
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