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L Cityof <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 e-mail or telephone after the Finance Committee has reviewed <br />the application. <br />The proposal summary should be signed by both an official of the agency's goveming board and, if applicable, <br />the agency's director. <br />One (1) hard copy of the application and all required attachmenls may be submitted lo: <br />City of Louisville <br />Kevin Watson <br />Direclor of Finance <br />749 Main Street <br />Louisville, CO 80027 <br />Or in pdf- format via e-mail to: kevinw(a louisvilleco,gov <br />Applications are due on or before 5:00 p.m., Friday, August 14, 2015 <br />Required Attachments: <br />• Current year organizational budget summary identifying revenues and expenditures. <br />• Financial statements for most recenlly 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 />Organization Association for Community Living <br />Program Title or General Operating General Operating <br />Contact Person Kimberly DeGraff Title Development Direclor <br />Address Atlas Valley -2770 Dagny Way Suite 202, Lafayette, CO 80026 <br />Telephone 303 - 527 -0008 E -Mail kdegraff @aclboulder.org <br />Non - Profit Status Yes X No In Process <br />Program Duration (if applicable) Begin On -going End <br />Grant Amount Received for 2015 (if applicable) $ $500. <br />Grant Amount Requested for 2016 $ 1000. <br />15 <br />