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DocuSign Envelope ID:AD99FE27-E625-45CC-B353-AEE3ADA2F2DA <br /> It <br /> 2017-18 <br /> Z <br /> ORANGE COUNTY ARTS GRASSROOTS ARTS PROGRAM <br /> Comm ISS,ION vvww,ncarts-org APPLICATION FORM <br /> 9 W Z <br /> ................ <br /> Organization Name: reo nc.', . ............. ........ <br /> flwand eet Address"2D4" 1 <br /> Str Ge6a <br /> I s oro :J'StaW <br /> ifibn er ormance <br /> Phone. ebsite:WWW� IE) <br /> I-dil <br /> NC <br /> 5-61F �e WF§­`Gde 1-6y- <br /> Authorizing Official Name ....... <br /> Authorizing Official Tftle ro <br /> TnTer ma c <br /> Authorizing Official Email: <br /> Off icial Phone: ------- <br /> t Race" Gaucasia,n Organization EIN, <br /> -ippil Fca-n" <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 /> t Year Actual: FYI 5-16 Current Year., FYI 6-17 Next Year- FYI 7-18 <br /> ............. 032'- <br /> $25- <br /> . .....--- $Go Projected Income: $ <br /> Actual 75 Projected Income: <br /> Pr oje cted Expe n <br /> se: $ jected Expense: $ <br /> Actual Expenses: $ <br /> .......... ............ ---------- . .... <br /> PART,2.'PIROJECT INFORMATION <br /> PROJECT DIRECTOR INFORMATIO from klthorizi�q_qffioa!)....... ....... ............... <br /> ct Director Name� <br /> _J;;cie, <br /> PROJECT <br /> ... DIRECTOR. ...... ................................ <br /> Project' Director Titl e <br /> -—------------ <br /> Street Address: <br /> -'city;7....... tate: <br /> PROJECT SUMMARY <br /> OU <br /> Title of Grant Program or Projec141ydJ-Ar-e-"D`e' a ou AFEi ---re. ...... <br /> ,-G� -1--.1-1-.1531�010.�..-...1--l�-�-,--... --..—,bb -.— -.- <br /> Ca I <br /> nt Requested: .............. <br /> JL <br /> Project Start Date(No earlier than July 1, 2017,): U Y <br /> -2 17-­- <br /> roject End Date (No later than June 30, 2018)� Co ............... <br /> .......... <br /> SCHOOLS ONLY: Schools Program? 0 YES W NO <br /> Are you booking your artists through The ArtsCenter's Arts I n <br /> .................... <br />