Orange County NC Website
Browse       Search
Tax forms: Upload <br />your annual tax <br />filings for last three <br />years (such as IRS- <br />990, IRS-1055, IRS- <br />1040, plus any <br />relevant schedules or <br />forms for self- <br />employed) <br />n/a <br />Upload Year-to-Date Profit and Loss or financial statement <br />Hillsborough_Artists_Cooperativ e_-_10.27.20.pdf <br />Upload Year-to-Date <br />Balance Sheet <br />n/a <br />ELIGIBLE <br />EXPENSES <br />n/a <br />Incurred Expenses <br />5cadeb0c-3481-45f6-a166-a49743616b0d.xlsx <br />CARES Funding Already Received <br />6492ab50-69a8-4d7d-81aa-69349103eb08.xlsx <br />Non-CARES Funding Recieved <br />d90c3278-096f-41b4-b1b9-709a87bce97a.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: 9817B4A2-1328-4ADD-8A8E-BC5D68851AA4