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Community Climate Ac/on Grant Program <br />Applica/on 2022-2023 <br />SUBMISSION CHECKLIST <br />Primary Applicant Organization: Eno River Farmer’s Market <br />Project Name: Compost Monitors for the Eno River Farmers Market Community Compost <br />Collection <br />Section Subsection <br />Cover Page Applicant and Collaborator/Partner Contact Information <br /> Funding Request Summary <br /> Signed Application Cover Page <br />Disclosure Signed Disclosure of Conflicts of Interest and Clause <br />Applicant Organization and <br />Collaborator Information <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 />(A descrip/on of these items is <br />available on page 13: <br />“Descrip/on of Required <br />ARachments.” Please contact us <br />if it will not be possible to <br />provide any of these required <br />attachments at the time of <br />application: <br />aeckberg@orangecountync.gov <br /> Applicant Organization’s Annual Budget and Proposed Project Budget (Use <br />template provided) <br /> Applicable Financial Records to prove eligibility: IRS Federal Form 990 or <br />Applicant Organization’s Tax Returns from 2021 <br /> Applicable Financial Records to prove eligibility of collaborator/partner (if <br />they are receiving project funds): IRS Federal Form 990 or Tax Returns from <br />2021 <br /> List of members of organization’s Governing Board (if Board exists) <br /> Certificate of Insurance <br /> Page of 1 22 <br />DocuSign Envelope ID: 9FB641C3-C7F6-4609-BE4A-71829032AD83