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Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />LTAC Grant $ 0.00 $ 0.00 $ 21,200.00 $ 9,600.00 <br />Funding <br />All Other Revenues <br />Account Name Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Participants $ 0.00 $ 0.00 $ 0.00 $ 7000.00 <br />In -Kind Contributions (except volunteerism) <br />Account Name Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Presenters $ 0.00 $ 0.00 $ 0.00 $ 4500.00 <br />Contributions of Volunteer Time <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Number of Hours 350 <br />Evidence of Volunteer Rease upload a single file which offers evidence in support of the projected volunteer hours. <br />Contributions* PROJECTION OF VOLUNTEER HOURS.pdf 196.94KB <br />Calculated Value of $ 8,246.00 <br />Projected Volunteer <br />Time <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Revenue Totals $ 0.00 $ 0.00 $ 21200.00 $ 29346.00 <br />Expenses <br />Account Name <br />Facility Rentals <br />Speaker Fees <br />Survey <br />Addtl Studies <br />Expense Totals <br />Profit & Loss <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 1500.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 3000.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 600.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 4500.00 <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 9600.00 <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />$ 0.00 <br />$ 0.00 <br />$ 21200.00 <br />$ 19746.00 <br />Application Certification <br />The applicant here certifies and affirms: 1. That it does not now, nor uvill it during the performance of any contract arising <br />