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2020-21 (2021) <br />Budgeted Expense <br />394800 <br />Tax forms: Upload your annual tax filings for last three years (such as IRS-990, IRS-1055, IRS- <br />1040, plus any relevant schedules or forms for self-employed) <br />Form990Package_final2018.pdf <br />ATI_Form990_final_complete2019.docx <br />Form990Package_Final2017.pdf <br />Upload Year-to-Date Profit and Loss or financial statement <br />ProfitandLoss10192020.pdf <br />Upload Year-to-Date Balance Sheet <br />BalanceSheet10192020.pdf <br />ELIGIBLE <br />EXPENSES <br />n/a <br />Incurred Expenses <br />8e24cea6-6920-4f05-bb2f-f903808ea049.xlsx <br />CARES Funding Already Received <br />20599706-d447-470c-b157-0c3436cfe22d.xlsx <br />Non-CARES Funding Recieved <br />b0c66142-ea13-44d7-a880-1997a8d9f1ff.xlsx <br />ACKNOW LEDGMENT Please read the following statements below and click to agree to each <br />statement. <br />By submitting this <br />application, I <br />acknowledge I have <br />read and understood <br />the guidelines for the <br />NC CARES for the <br />Arts Grant Program. I <br />make the following <br />representations and <br />acknowledge <br />agreement to the <br />following terms and <br />conditions: <br />I am the duly authorized representativ e of the entity named abov e <br />and can bind the entity to the terms of this Agreement. <br />If funds are prov ided by NC CARES, the funds will be used for the <br />purposes set forth abov e. <br />I bear full responsibility for any and all tax consequences of receiv ing <br />grant funds. <br />The representations made by the applicant in this Application are <br />material terms of the Agreement, as is compliance with the Grant <br />Program. The State may cancel this Agreement at any time upon <br />discov ery that any of the information set forth abov e is inaccurate, <br />that these terms hav e been v iolated, or any prov ision of the Grant <br />Program has been v iolated. <br />If funded, the applicant will prov ide documentation as ev idence for <br />future expenses. Documents such as receipts, bill/inv oices, monthly <br />financial statements, and payroll ledgers. <br />DocuSign Envelope ID: 3B7987D4-AE68-4972-853F-8188A0E8440B