Orange County NC Website
P a g e 20 o f 2 3 <br />ATTACHMENTS <br /> <br /> <br /> <br /> <br /> <br />Applications are to be submitted as email attachments to Orange County Sustainability Coordinator, <br />Brennan Bouma at bbouma@orangecountync.gov. Please also CC the lead staff member supporting the <br />Commission of the Environment, Wesley Poole at wpoole@orangecountync.gov. <br /> <br />The Application Submittal Deadline for the Fiscal Year 21-22 round of the Community Climate Action <br />Grant is Friday, July 16th 2021 at 5pm. <br /> <br />Please note that late, handwritten, or incomplete applications will not be accepted. <br /> <br />Submit all documents including attachments in PDF format . This will ensure the original content and <br />formatting is preserved. Digital signatures on applications are accepted. <br /> <br />Accommodations for applicants with disabilities or those in need of technical assistance are available <br />upon request. Please contact the Orange County Sustainability Coordinator, Brennan Bouma (919-245- <br />2626, bbouma@orangecountync,gov) to discuss what is needed. <br /> <br /> <br /> <br />Description of Required Attachments <br /> <br />a) Applicant Organization’s Budget and Project Budget <br />Please complete the provided budget worksheets for your organization and your proposed project <br />or submit your own budget file (as long as it contains the same information, and in a similar <br />format, as requested in the provided worksheets. Please explain other in your budget). The <br />Budget Worksheets file is available for download from the County website here. Please submit <br />the budget in PDF form as well as in the original editable Excel format. <br /> <br />b) IRS Federal Form 990 or 2019 Tax Returns <br />A copy of the applicant organization’s most recent Form 990 or IRS Tax Returns is required to <br />determine eligibility. The specific form depends upon the applicant organization’s financial <br />activity. Review the IRS’ guide, for more details. For Form 990-N (e-postcard) filers, include a <br />copy of the postcard, with the organization’s application materials. <br /> <br />c) List of Board of Directors (if applicable) <br />Provide the following information about each board of director’s member: name, telephone <br />number, and address, of each member and the list must identify the principal officers of the <br />governing body, and length of term. Please feel free to use the template provided in Table 2 of <br />the appendix or your own format. <br /> <br />d) Solid Waste Program Fee (SWPF) Verification <br />Submission Guidance <br />DocuSign Envelope ID: AFC9D9B8-B7DD-46DF-8603-54762363FD20