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DocuSign Envelope ID:4F676C90-21 E4-4097-A8AC-0087D34EB01 3 <br /> 4. ATTACHMENTS <br /> Description of Required Attachments <br /> a) Financial Audit <br /> A recent financial audit that should cover CY2019, for calendar year agencies, and FY2019-20, for fiscal year <br /> agencies. For agencies with prior year revenues totaling $500,000 or more a financial audit, prepared by a <br /> certified public accountant is required. Agencies with prior year revenues of less than $500,000 may submit a <br /> completed Schedule of Receipts and Expenditures form (see application materials), in lieu of an audit/report. <br /> Agencies with a certified audit/report should not complete the form. Schedule of Receipts and Expenditures <br /> form is listed on the Town's and county website here. <br /> b) Agency Budget <br /> Please complete the provided template or submit your own budget file (as long as it contains the same <br /> information, and in a similar format, as requested in the provided template. Please explain other in your <br /> budget). Agency Budget Template is listed on the Town's and County website here. Please submit In PDF <br /> form only. <br /> c) Program Budget <br /> You may complete the provided template, or you may submit your own budget file (as long as it contains the <br /> same information, in the same format, as requested in the provided template. Please explain other in your <br /> budget). Program Budget Template is listed on the Town's and County website here. Please submit in pdf <br /> only. <br /> d) IRS Federal Form 990 <br /> A copy of the agency's 2019 Form 990 is required. The specific form depends upon the agency's financial <br /> activity. Review the IRS'table guide,for more details. For Form 990-N (e-postcard)filers, include a copy of the <br /> postcard,with the agency's application materials. <br /> e) NC Solicitation License <br /> A copy of the agency's current solicitation license is required. Organizations that solicit contributions in North <br /> Carolina,directly or through a third party, must renew their licenses annually. For more details, refer to the NC <br /> Secretary of State's licensing website and its Frequently Asked Questions Guide (PDF), about exemptions. If <br /> exempt per N.C.G.S.§131F-3,include a copy of the exemption letter with the agency's application materials. <br /> f) IRS Federal Tax-Exemption Letter <br /> A copy of the agency's current IRS tax-exempt letter that confirms its nonprofit status is required. An agency <br /> can request a copy of its letter from the IRS' Customer Account Services. <br /> g) List of Board of Directors <br /> Provide the following information about each board of director's member: name, telephone number, address, <br /> occupation or affiliation of each member and the list must identify the principal officers of the governing body, <br /> and length of term. <br />