Orange County NC Website
P a g e 1 o f 2 3 <br />Community Climate Action Grant Program <br />Application FY 2021-22 <br />SUBMISSION CHECKLIST <br /> <br />Primary Applicant Organization: Eno River Farmers’ Market <br /> <br />Project Name: Compost Monitors for the Eno River Farmers Market Community Compost <br />Collection <br /> <br />Section Subsection <br />Cover Page <br /> Applicant and Collaborator/Partner Contact Information <br /> Funding Request Summary <br /> Signed Application Cover Page <br />Disclosure <br /> Signed Disclosure of Conflicts of Interest and Clause <br /> <br />Applicant Organization <br />and Collaborator <br />Information <br /> <br /> Applicant organization’s Date of Incorporation (if applicable) <br /> Applicant organization’s Purpose/Mission (if applicable) <br /> Living Wage <br /> Schedule of Positions (if applicable) <br />Project Information Project Name <br /> Project Description and Climate Plan Alignment <br />Collaborator Information (if applicable) <br /> Criteria-Specific Sections 1-7 <br />Attachments <br /> <br />(A description of these <br />items is available on page <br />13: “Description of Required <br />Attachments.” Please <br />contact us if it will not be <br />possible to provide any of <br />these required attachments <br />at the time of application: <br />bbouma@orangecountync. <br />gov) <br /> Applicant Organization’s Annual Budget and Proposed Project <br />Budget (Use template provided) <br /> <br /> Applicable Financial Records to prove eligibility: IRS Federal <br />Form 990 or Applicant Organization’s Tax Returns from 2019 <br /> <br /> Applicable Financial Records to prove eligibility of <br />collaborator/partner (if they are receiving project funds): IRS <br />Federal Form 990 or Tax Returns from 2019 <br /> <br /> List of members of organization’s Governing Board (if Board <br />exists) <br /> <br /> Solid Waste Program Fee (SWPF) Verification (for commercial <br />DocuSign Envelope ID: AFC9D9B8-B7DD-46DF-8603-54762363FD20