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DocuSign Envelope ID:A9F5onco-32e1-46eA*4e6-E3e95Eo5eA6o <br /> 1 // '`". CARO <br /> �m = z� 2017-18 <br /> C' �` <br /> CO0r GRASSROOTS ARTS PROGRAM <br /> ORANGE COUNTY ARTS <br /> COMMISSION www.noarts.org APPLICATION FORM <br /> PART 1' APPLICATION ORGANIZATION INFORMATION <br /> Organization Name: Chapel Hill Philharmonia <br /> Street Address: 104 Fieldstone Court <br /> City: Chapel Hill State: North Carolina Zip: 27514 <br /> Phone: 919-908-6418 Website: vmww.chope|hiUphi|hmnnonio.org <br /> Authorizing Official Name: Merida Negrete <br /> Authorizing Official Title: Board President <br /> Authorizing Official Phone: 919-740-8656 Authorizing Official Email: mn2628gmail.com <br /> Applicant Race: White 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 /> 6 Current Year:-EY1'6. ��000000 ����x�V***���m�nmnmmnmm'm�nmonmxxxxxxxmxx ,��xxxxx,,::x <br /> ----- Projected $19200 Projected Income:A�u�| |noonn�� �233S3 nnm Income: � <br /> Actual Expenses: $16738 Projected Expense: $20486 Projected Expense: $16180 <br /> PART 2; PROJECT INFORIVIATION <br /> PROJECT DIRECTOR INFORMATION (if different fro Authorizing Official) <br /> Project Director Name: Donald Oehler <br /> Project Director Title: Music Director-- ------ <br /> Street Address: 706-202 Copperline Drive <br /> City: Chapel Hill State: North Carolina Zip: 27516 <br /> Phone: 919-452-5804 Email: d|oeh|nr@nmaiiunc.eUu <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project: Concert Program With Anna Lampidis <br /> Grant Amount Requested: $1850 <br /> Project Start Date (No earlier than July 1, 2O17): January 11, 2018 (first rehearsal) <br /> Project End Date (No later than June 30, 2018): February 25, 2018 (concert date) <br /> SCHOOLS ONLY: <br /> Are you booking your artists through The ArtsCenter's Arts in Schools Program? 0 YES X NO <br /> 2017 Grassroots Program Grant Application Packet 5 <br />