Agenda Package - 02-07-11 - Laserfiche WebLink

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G35 • 6. Describe the population served by your nonprofit: Where are they located? 7. 1 -low many individuals were served by your agency? Individuals should be counted as if they participate in no more than one agency program. 2008 -2009 program year 2009 -2010 program year 2010-2011 program year (estimate for full year) 2011 -2012 program year (projected) 8. Describe your strategy for funding after this grant, June 30, 2012: 9. What other agencies (if any) provide services similar to your agency? I -low do you coordinate service delivery with those agencies? • I0 � t[ach a copy of the,agency's IRS tax- exemp('letter staf 9 -- non prof t, status. Certification Financial Recordkeeping: Grantee agrees to furnish financial records to Lee County at the request of the County. Program Monitoring: Each nonprofit agency awarded funds is required to submit an end of the budget year program report. This report will detail how the County funds were spent and what progress was made toward the goals stated in your funding application. This report will alse By signing below, we acknowledge that the information contained in this application is accurate. We understand that if awarded funding, we will comply with the financial and program data described above. Executive Director: Name, Signature, and Date Board Chair: Name, Signature, and Date • Applications are due to the Lee County Finance Office, PO Boa 1968, Sanford, NC 27331 -1968 by 5:00 p.m. on Friday, March 11, 2011. Late applications will not be accepted.