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onnunign Envelope ID:ooFnonrn-C9nD-4e7o*7oo-51EeccrerunE <br /> CARo <br /> z <br /> 2017-18 <br /> coo'� <br /> GRASSROOTS ARTS ������������ <br /> ORANGE COUNTY ARTS <br /> �~~ ~~ ~�-~~~ ~~� ~- ~ ~- ~ ~~ ~ ~ �� PROGRAM <br /> ~~~~ <br /> COMMISSION www.ncarts~org APPLICATION FORM <br /> PART 1: APPLICATION ORGANIZATION INFORMATION <br /> Organization Name:Estes Hills Elementary School PTA <br /> Street Address:500 Estes Drive <br /> City:Chapel Hill State:NC Zip:27514 <br /> Phone:919-942-4753 VVeboit*:xupo:/m|ten.n000|°.vom/amxovo.m2.nv.us/teot-nta-temp|aue/xom° <br /> Authorizing Official Name:8hannon Grabowski <br /> Authorizing Official Title:PTA Parent Co chair for 2017-18 <br /> Authorizing Official Phone:919-593-5O13 Authorizing Official Email:shannongrabowski©yahoocom <br /> Applicant Race:NA Organization EIN: <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 /> Last Year Actua|: FY151Q Current Year: PY16-17 Next Year: FY17- 8 <br /> Actual Income: $4455 Projected Income: $3102 Projected Income: $3500 <br /> Actual Expenses: $4455 Projected Expense: $3102 Projected Expense: $3500 <br /> PART 2: PROJECT INFORMATION <br /> PROJECT DIRECTOR INFORMATION (if different from Authorizing Official) <br /> Project Director Name:Valerie Merritt <br /> Project Director Title:Cultural Enrichment Chair <br /> Street Address:322 Burlage Circle <br /> City:Chapel Hill a State:NC Zip:27514 <br /> Phone:919-622-7492 a Emai|:*a|ohemorhKKggmaiicom <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project:Este Hills Elementary Cultural Arts Program 2017-18 <br /> Grant Amount Requested:$1.000 <br /> Project Start Date(No earlier than July 1, 2O17):August 2O.2O17 <br /> Project End Date(No later than June 3O. 2O1O):June 15.2O1B <br /> SCHOOLS ONLY: <br /> Are you booking your artists through The ArtsCenter's Arts in Schools Program? IRYES [] NO <br /> oo|7 Grassroots Program Grant xpp|ico|ionPocket J <br />