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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 />Profit_and_Loss___Peel_Gallery___2020_-_Sheet1.pdf <br />Upload Year-to-Date <br />Balance Sheet <br />n/a <br />ELIGIBLE <br />EXPENSES <br />n/a <br />Incurred Expenses <br />de692cf5-e412-4d53-bdd9-a4c25839349c.xlsx <br />CARES Funding Already Received <br />329fcfd1-3220-4c75-952b-ab927366281c.xlsx <br />Non-CARES Funding Recieved <br />2e63a1a3-4586-49f6-993d-a36c00c10a07.xlsx <br />ACKNOWLEDGMENT 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 representative of the entity named above <br />and can bind the entity to the terms of this Agreement. <br />If funds are provided by NC CARES, the funds will be used for the <br />purposes set forth above. <br />I bear full responsibility for any and all tax consequences of receiving <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 />discovery that any of the information set forth above is inaccurate, <br />that these terms have been violated, or any provision of the Grant <br />Program has been violated. <br />If funded, the applicant will provide documentation as evidence for <br />future expenses. Documents such as receipts, bill/invoices, monthly <br />financial statements, and payroll ledgers. <br />DocuSign Envelope ID: 9783D740-420C-4619-99CF-83FA179BF1B0