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Boulder <br />1. COUNTY GRANT SUMMARY TABLE Refer to County Guidelines for county- specific information in Boulder <br />Applying for: <br />General Operating Support (GOS) - Funding that supports the daily operations of an organization as well as on -going activities. <br />GOS Request: <br />County Request Percentage <br />Box will auto populate correctly after completing the previous fiscal <br />year's operating expenses section of the Financial Overview pages. <br />100 <br />�o <br />2. FINANCIAL SUMMARY TABLE - Operating revenues and operating expenses should include cash amount only. <br />Operating Revenues Operating Expenses <br />Actual for most recently completed fiscal year <br />Current fiscal year budget <br />Upcoming fiscal year budget <br />3. PAST SCFD FUNDING TABLE <br />List SCFD funds received in the last two grant cycles. Click on the year to view previous awards (2010- 2011). <br />Summarize by listing a total of all monies received from the county in which you are aoolvina. <br />These figures will auto - <br />populate after completing the <br />"Detail of Contributors” and <br />"Financial Overview" pages. <br />`=> o i:: <br />OW:' <br />a „..'''' <br />Year <br />Funds <br />Received <br />County <br />Use one row for <br />each County. <br />• - <br />Name(s) of Grant(s) Received - GOS and /or Project(s) <br />Also include discretionary or Art Encounters grants from Boulder or Douglas Counties <br />Amount <br />Awarded <br />Total from County <br />D <br />Row <br />Limit of approximately 1,500 characters per box, about a quarter of a page. If pasting from another document <br />please make text no smaller than 1Opt type font. Do NOT type in ALL CAPS. <br />4. Provide the organization's current mission statement adopted by the board of directors and reflected in your 1023 application for <br />501 (c) (3) status from the IRS (or updated statement filed with the IRS); a mission statement should be one or two sentences in length. <br />fl The mission statement for the organization has changed since last year's application. Type the previous mission statement below. <br />5. Explain how the funds will be used for the general operation of the organization and how your organization will benefit the residents <br />of the county in which you are applying. <br />Page 2 of 10 <br />