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CITY OF LOUISVILLE, COLORADO <br />GRANT APPLICATION FOR NON - PROFIT ORGANIZATIONS <br />Please list all funding sources anticipated for the 2014 calendar year for the entire program /agency. <br />Source of Funding <br />Fundraising <br />Boulder County <br />Foundations /Corporations <br />Arc Thrift Store <br />Total <br />Estimated/Requested <br />Funding Amount <br />16,295 <br />108,000 <br />50,000 <br />544,908 <br />719,203 <br />Percent <br />of Total <br />2.2 <br />15 <br />6.9 <br />75.7 <br />100 <br />I swear or affirm that the above information is true and correct to the best of my knowledge and belief, <br />Signature <br />41/VA <br />Ailsa Wonnacott <br />Agency Director <br />303 - 728 -1566 <br />Telephone Number <br />Signature <br />Kate Veeder <br />Board President <br />(575) 779 -7982 <br />Telephone Number <br />aonnacott aclboulder.or i kveeder imaainecolorado.orq <br />E -Mail Address E -Mail Address <br />Applications may be considered public record after presentation to the Finance Committee <br />pursuant to City Ordinance and the Colorado Open Records Act. The City will notify the applicant <br />of any request for disclosure and it will be the responsibility of the applicant to object and to <br />pursue any legal actions pursuant to Colorado law. An applicant shall notify the City within 24 <br />hours of notification by the City of request for disclosure of the applicant's objections to disclosure <br />and the applicant's intent to pursue lawful protection under Colorado law. Any proprietary or <br />otherwise sensitive information contained in the application is subject to potential disclosure. <br />Submitting it waives any recourse with respect to disclosure and indemnifies the City for any <br />charges directly related to the City's disclosure. <br />16 <br />