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Projected <br />$ 1,896.00 <br />Projected <br />$ 15000.00 <br />Projected <br />$ 4000.00 <br />Contributions of Volunteer Time <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Number of Hours 125 164 180 <br />Evidence of Volunteer Rease upload a single file which offers evidence in support of the projected volunteer hours. <br />Contributions* Volunteer hours 2017- 2018.pdf 85.17KB <br />Calculated Value of $ 4,240.80 <br />Projected Volunteer <br />Time <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Revenue Totals $ 6138.45 $ 10301.75 $ 14061.58 $ 25136.80 <br />Expenses <br />Account Name Past Actual 3 <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />LTAC Grant <br />$ 0.00 <br />$ 0.00 <br />$ 475.00 <br />Funding <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />All Other Revenues <br />$ 7541.13 <br />$ 10915.00 <br />Account Name <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Cruisin' For Hospice <br />$ 6138.45 <br />$ 10301.75 <br />$ 9995.58 <br />In -Kind Contributions (except volunteerism) <br />Account Name <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />43 donors - Cruisin' <br />$ 0.00 <br />$ 0.00 <br />$ 3591.00 <br />for Hospice <br />Projected <br />$ 1,896.00 <br />Projected <br />$ 15000.00 <br />Projected <br />$ 4000.00 <br />Contributions of Volunteer Time <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Number of Hours 125 164 180 <br />Evidence of Volunteer Rease upload a single file which offers evidence in support of the projected volunteer hours. <br />Contributions* Volunteer hours 2017- 2018.pdf 85.17KB <br />Calculated Value of $ 4,240.80 <br />Projected Volunteer <br />Time <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Revenue Totals $ 6138.45 $ 10301.75 $ 14061.58 $ 25136.80 <br />Expenses <br />Account Name Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />Cruisin' For Hospice $ 3589.73 <br />$ 7541.13 <br />$ 10915.00 <br />$ 18967.00 <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />Expense Totals $ 3589.73 <br />$ 7541.13 <br />$ 10915.00 <br />$ 18967.00 <br />Profit & Loss <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />$ 2548.72 $ 2760.62 $ 3146.58 $ 6169.80 <br />Application Certification A <br />The applicant here certifies and affirms: 1. That it does not now, nor will it during the performance of any contract arising <br />from this application, unlawfully discriminate against any employee, applicant for employment, client, customer, or other <br />person who might benefit from said contract, by reason of age, race, color, ethnicity, sex, religion, military status, sexual <br />orientation, creed, place of birth, or disability; 2. That it will abide by all relevant local, state and federal laws and <br />regulations and; 3. That it has read the information contained in the Instructions on pages 1 and 2 and understands and <br />