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Cityoj 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 governing board and, if applicable, <br />the agency's director. <br />One (1) hard copy of the application and all required attachments should be submitted to: <br />City of Louisville <br />Kevin Watson <br />Director of Finance <br />749 Main Street <br />Louisville, CO 80027 <br />Or in pdf-format via e-mail to: kevinw(a7louisvilleco.Qov <br />Applications are due on or before 5:00 p.m., <br />Friday, August 10, 2018 <br />Required Attachments: <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 Director <br />Address Atlas Valley-2770 Dagny Way Suite 202, Lafayette, CO 80026 <br />Telephone 303-527-0008 E-Mail kdegraff@aclboulder.org <br />Program Duration (if applicable) Begin ongoing End <br />Anti -Discrimination Policy (Required) Yes X No Other <br />2019 2020 <br />Grant Amount Requested for 2019 and/or 2020 $ 1000. $ 1000. <br />13 <br />