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DocuSign Envelope ID: CE5B44DD-7CE5-417C-97E3-E68F3D29B718 <br /> // k CA oteo <br /> Ilry,41, <0, <br /> d'ilar*N4, <br /> z *21 aio <br /> /C01 777r 201718 <br /> coe' GRASSROOTS ARTS PROGRAM <br /> ORANOE COUNTY ARTS <br /> COMMISSION W'ww.ncar t s.o rg APPLICATION FORM <br /> PART 1 : APPLICATION ORGANIZATION INFORMATION <br /> Organization Name:Wurne its Voices Chorus <br /> Street Address:PO Box 2854 <br /> City:Chapel hifi State:NC Zip,27518 <br /> Phone: 919-923-3869 Website:woniensveloeSCTITITOSON <br /> Authonzing Official Name:Laura Delauney <br /> Authorizing Official Title:,President <br /> Authorizing Official Phone:919-949-1278 Authorizing Official Email:pres@worneesvoicescheres.org <br /> Applicant Race: Organization PAN: <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 tram these attachments <br /> in the spaces below: <br /> LiaStYtilar Acifinik,r051 6 CUred Yesil,'FY116.11/ Next Year:FYI <br /> Actual Income: $41.247%'04 Projected inoome'. $44,900 Projected income, $4525e <br /> 11 <br /> Actual Expenses: $38„6305.65 Projected Expense; $44,900 Projected Expense( $45,250 <br /> PART 2: PROJECT INFORMATION <br /> PROJECT DIRECTOR INFORMATION if different front Authorizing Official <br /> Project Director Name:Allen Friedman <br /> Project Director Title:Mimic Director <br /> Street Address.'1312 Glendale <br /> City:Durham Stet NC Zip:27701 <br /> Phone:010,923-344 Ertiati;directar@womenevoiceschorue.org <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project:2018 Winter Concert <br /> Grant Amount Requested:$3000 <br /> I Project Start Date (No earlier than July 1, 2017);August 28,2017 <br /> Project End Date (No later than June 30, 2018):January 21, 2018 <br /> SCHOOLS ONLY: <br /> Are you hooking your artists through The AntsCanters Arts in Schools Program? 0 YES R( NO <br /> r I:4,1, I ii g 't <br />