Orange County NC Website
4. ATTACHMENTS <br /> Description of Required Attachments <br /> a) Financial Audit <br /> A recent financial audit that should cover CY2021, for calendar year agencies, and FY2021-2022, for <br /> fiscal year agencies. For agencies with prior year revenues totaling $500,000 or more a financial audit, <br /> prepared by a certified public accountant is required. Agencies with prior year revenues of less than <br /> $500,000 may submit a completed Schedule of Receipts and Expenditures form (see application <br /> materials), in lieu of an audit/report. Agencies with a certified audit/report should not complete the <br /> form. Schedule of Receipts and Expenditures 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 <br /> your budget). Agency Budget Template is listed on the Town's and County website here. Please <br /> submit In PDF 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 <br /> contains the same information, in the same format, as requested in the provided template. Please <br /> explain other in your budget). Program Budget Template is listed on the Town's and County website <br /> here. Please submit in pdf only. <br /> d) IRS Federal Form 990 <br /> A copy of the agency's 2020 Form 990 is required. The specific form depends upon the agency's <br /> financial activity. Review the IRS' table guide, for more details. For Form 990-N (e-postcard) filers, <br /> include a copy of the 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 <br /> in North Carolina, directly or through a third party, must renew their licenses annually. For more details, <br /> refer to the NC Secretary of State's licensing website and its Frequently Asked Questions Guide (PDF), <br /> about exemptions. If exempt per N.C.G.S. § 131F-3, include a copy of the exemption letter with <br /> 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 <br /> agency 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, <br /> address, occupation or affiliation of each member and the list must identify the principal officers of the <br /> governing body, and length of term. <br /> h) Certificate of Liability Insurance <br />