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Application Submittal Checklist P a g e 1 o f 1 1 <br /> <br />SUBMISSION CHECKLIST <br /> <br />Agency Name Big Brothers Big Sisters of the Triangle, Inc. <br />Program(s) Community and Site Based One-to-One Mentoring <br /> <br /> <br />Section Subsection <br /> Cover Page <br /> <br /> Applicant Contact Information <br /> Funding Requests <br /> Signed Application Cover Page <br /> Signed Disclosure of Conflicts of Interest and Clause <br /> <br />Agency Information Agency’s Date of Incorporation <br /> Agency’s Purpose/Mission <br /> Living Wage <br /> Schedule of Positions <br />Program Information <br /> <br /> Program Name <br /> Program Description <br /> Strategic Objective <br /> Target Population <br /> Performance Indicators <br /> <br />Attachments <br /> <br /> <br /> Financial Audit: Organizations receiving $300,000 or more in Federal financial <br />assistance, and/or organizations with more than $500,000 of receipts and <br />expenditures in a fiscal year, must secure an audit. <br /> Agency Budget <br /> Program Budget <br /> IRS Federal Form 990 <br /> NC Solicitation License <br /> IRS Federal Tax-Exemption Letter <br /> List of Board of Directors <br /> <br />DocuSign Envelope ID: 5F504DF7-674E-4C84-BE84-9F2F9146F185