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Lcityot <br />Louisville <br />COLORADO • SINCE 1878 <br />GRANT APPLICATION FOR NON-PROFIT ORGANIZATIONS <br />Please answer the following questions as concisely as possible in the space provided. If additional <br />information is required, it will be requested by telephone after the Finance Committee has reviewed the <br />application. <br />The proposal summary should be signed by both an official of the agency's governing board and, 0 <br />applicable, the agency's director. <br />Five (5) copies of the application and all required attachments must be submitted to: <br />City of Louisville <br />Kevin Watson <br />Director of Finance <br />749 Main Street <br />Louisville, CO 80027 <br />Applications are due on or before 5:00 p.m., Friday, September 6, 2013 <br />Required Attachments: <br />• Current year organizational budget summary identifying revenues and expenditures. <br />• Financial statement for most recently completed fiscal year. <br />• List of Board of Directors and key officers or active volunteers. <br />• Copy of agency's 501 (c)(3) tax ruling from IRS. <br />Program Title <br />Agency <br />Contact Person <br />Address <br />Telephone <br />Advocacy and Trainings for Individuals with Intellectual/Developmental Disabilities <br />Association for Community Living in Boulder County <br />Ailsa Wonnacott Contact Person Ailsa Wonnacott <br />PO Box 11260 Boulder, CO 80301 <br />303 -728 -1566 email <br />Non -Profit Status <br />Yes X No In Process <br />awonnacottaclboulder.orq <br />Program Duration (if applicable) Begin 01101/2014 End 12/31/2014 <br />Grant Amount Received for 2013 (if applicable) $ 500 <br />Grant Amount Requested for 2014 $ 1,000 <br />8 <br />